Ama-hemorrhoids yisimo esivamile kodwa esicindezelayo esithinta imvuthu evuvukile futhi evulekile e-rectum noma i-anus. Kuncike endaweni yabo, bavame ukuphumela ekuhlakaleni okungenasiphazamiso, ubuhlungu, ukuchithwa nokuphuma kwamanzi. Ngenkathi ngezinye izikhathi kubangelwa ukuhlushwa phakathi nokuhamba kwesisu, ama-hemorrhoids ahlobene nokukhuluphala, ukukhulelwa, nezinye izimo.
Ukudla okuphezulu kwe-fiber kanye ne-over-the-counter (OTC) abanciphisi abancinci bangasiza ekunciphiseni ukuqotshwa okuhlobene, kanye nama-creams angase aphakanyiswe nodokotela wakho. Kwezinye izimo, kungenzeka ukuthi kunconywa inqubo efana ne-sclerotherapy noma i-hemorrhoidectomy, nakuba lokhu kungavamile kulezi zinsuku.
Izimpawu
Izimpawu ze-hemorrhoids zingase zibe nobuqili kusukela ekunciphiseni kuya ekudambiseni. Izinhlobo zezimpawu ezitholakalayo zihlobene kakhulu ukuthi ngabe i-hemorrhoid ingaphandle (esikhumbeni esizungezile i-anus) noma ngaphakathi (ngaphakathi kwe-rectum).
Ama-hemorrhoids angaphandle angabonakala ngendwangu ebusweni be-anus. Lezi zivame ukuba zingakhululekile kakhulu ngoba zikhona iziphetho zesibindi endaweni. Ubuhlungu obukhulu, ubuhlungu, ububele lapho usula, phakathi kwezinye izimpawu nezimpawu, kungenzeka. Ubuhlungu bungaba nzima nakakhulu uma i-hemorrhoid ivaliwe.
Ama-hemorrhoids angaphakathi ajwayelekile futhi ahlale engatholakali ngaphandle kwempawu ezibonakalayo.
Ubuhlungu bungenzeka, noma kunjalo, uma i-hemorrhoid iqala ukudubula (i-prolapse) ngaphandle komsele wamanzi, nakuba lokhu akuvamile. Uma i-hemorrhoid ihlelwa ngaphandle komsele wamanzi, ubuhlungu buvame ukuba bukhulu kakhulu, ikakhulukazi uma kuphazamiseka. Ngezikhathi ezingavamile, ama-hemorrhoids anjalo azodinga ukunakekelwa okuphuthumayo.
Izimbangela
Ama-hemorrhoids ngokuyinhloko abathinta abantu abadala abaneminyaka engama-45 kuya ku-65 futhi ngokuvamile bahlotshaniswa nezinkinga zokuhamba kwamathumbu, kuhlanganise nokuqwashisa okungapheli noma isifo sohudo , ukunyakaza ngesikhathi sokunyakaza kwamathumbu, nokuhlala isikhathi eside endlini yangasese.
Ngayinye yalezi zinto zingabangela ukucindezeleka emithanjeni egazini igazi eliphuma emgodini kanye ne-rectum, elitholakala ngaphakathi komsele wamanzi esakhiweni esaziwa ngokuthi i-hemorrhoid cushion. Ukukhula okuqhubekayo ekucindezelweni kwegazi kulezi zinyosi kungabangela ukuba basuke emisipha kanye nezicubu ezihlangene ezihloswe ukuzibeka endaweni, okuholela ekubunjweni kwe-hemorrhoid.
Abantu abathile basengozini enkulu yokudla ama-hemorrhoids, kuhlanganise nalabo abadla ukudla okunamafutha aphansi, abantu abakhuluphele noma abakhulelwe, labo abanezifo zesifo sofuba (IBD) , nalabo abanesibindi / izisindo ezinzima. I-Genetics nayo ingadlala indima.
Ukuxilongwa
Ngenxa yokuthi izimpawu ze-hemorrhoids zifana nezinye izimo zezokwelapha (kufaka phakathi ama-anal fissures, i-IBD, nomdlavuza we-colorectal), kubalulekile ukuthi bahlolwe udokotela. Lokhu kuyiqiniso ikakhulu uma kukhona ukuphuma, ubuhlungu obunzima, noma ukuwohloka kwezimpawu naphezu kokwelashwa.
Ama-hemorrhoids angatholakaliswa ngokuhlolwa kokubukwa kwendawo yangasese neyodwa.
Ngezinye izikhathi, ukuhlolwa kwe-rectal egxiliziwe, ukuhlolwa kwangaphakathi ne-scope, noma ukuhlolwa kwelebhu noma ukucabanga kuyadingeka.
Ukwelapha
Amaningi amaningi amancane angama-hemorrhoids angaphansi kokunciphisa angaphandle ayozuza ngokukhethwa kokunakekelwa kwemithi , njenge-over-the-counter (i-OTC) noma izinsiza zokunciphisa izitoreji zesiguli kanye namabhati e-sitz . I-OTC ye-ointments yamafutha (Ukulungiselela-H, i-Rectogesic) ingaba usizo, kepha amanye ane-corticosteroid futhi kufanele isetshenziswe kuphela uma kunconywa udokotela wakho. Uma izimpawu zinzima futhi zingaphenduli kulezi zindlela, ezinye izindlela zokungenelela ezingavamile zingase zihlolwe.
Izinketho ezingezona zokuhlinzwa ukuze ziwe phansi isisu noma ukusika igazi layo zifaka i-rubber band ligation, sclerotherapy, kanye ne-coagulation coagulation.
Ukwelashwa ukukhipha, ukuphindaphinda, kanye / noma ukususa i-hemorrhoid (noma igazi layo) kugcinwe amacala ahlukumezekayo lapho ubuhlungu obungenasiphazamiso nokuphazamisa izinga lokuphila. I-hemorrhoidectomy engavamile (engavamile), i-hemorrhoidopexy ebizwa ngokuthi i-hemorrhoidopexy, ne-Doppler-eqondiswa umhlane we-hemorrhoid arment ligation ingacatshangwa konke.
Ukubhekana
Ngisho necala elincane kakhulu lama-hemorrhoids lingaba nzima ukuphila kwakho ngokukubangela ubuhlungu ngesikhathi sokuhamba kwezimvu, ngenkathi uhlezi emsebenzini, noma uma uzama ukulala ebusuku. Lokhu kuyiqiniso ikakhulukazi uma uhlupheka ngezikhathi eziphindaphindiwe.
Ukuze uphumelele kangcono , udinga ukuthola amasu angaphezu kwemithi engasiza ekuphulukeleni okusheshayo. Ezinye eziwusizo ikakhulukazi zihlanganisa ukuhlala amanzi, ukugwema izinsipho ezicasulayo, ukuhlala ezikhuthele, izitshalo zokugcoba, futhi ungasebenzisi isikhathi esiningi kakhulu uhlezi endlini yangasese.
Izwi elivela
Nakuba iningi lamacala e-hemorrhoid ayinkimbinkimbi futhi ephathwa kalula ekhaya, kufanele kutholakale ukunakekelwa kwezempilo uma i-blood rectal ingumbala obomvu noma obomvu, uma izitshalo zihlala, noma zikhona ubuhlungu obukhulu besisu noma isisindo somzimba. Lezi zingase zibe izibonakaliso zomdlavuza we-colorectal lapho izidumbu ze-hemorrhoids zingaba uphawu kuphela.
Imithetho efanayo iyasebenza uma ama-hemorrhoids akho ehlukumeza noma ehluleka ukuthuthukisa naphezu kokwelashwa. Bheka udokotela wakho bese ucela ukudluliselwa ku-proctologist noma i-gastroenterologist uma ucabanga ukuthi yisikhathi sokunyusa ukwelashwa. Asikho isidingo sokuhlupheka ngokuthula.
Imithombo:
I-American Society of Colon & Rectal Abahlinzayo. AmaHemorrhoids. FASCRS.org. 2015.
Bharucha AE. AmaHemorrhoids. I-National Digestive Information Clearinghouse Nov 2010.
FamilyDoctor.org. AmaHemorrhoids. I-American Academy of Family Family. Mashi 2014.