Minyewa

Ma hemorrhoids ndi mitsempha yotupa mu anus kapena m'munsi mwa rectum.

Matenda a m'mimba amapezeka kwambiri. Zimachokera kukakakamizidwa kowonjezera pamphako. Izi zitha kuchitika panthawi yapakati kapena yobereka, komanso chifukwa chodzimbidwa. Kupanikizika kumayambitsa mitsempha yabwinobwino kumatako ndi minofu yotupa. Minofu imeneyi imatha kutuluka magazi, nthawi zambiri pamatumbo.

Ma hemorrhoids amatha kuyambitsidwa ndi:

• Kukhazikika pakuyenda matumbo
• Kudzimbidwa
• Kukhala nthawi yayitali, makamaka kuchimbudzi
• Matenda ena, monga cirrhosis

Minyewa imatha kukhala mkati kapena kunja kwa thupi.

• Zotupa zamkati zimachitika mkati mwamkati mwa anus, kumayambiriro kwa rectum. Zikakhala zazikulu, zimatha kugwa (prolapse). Vuto lodziwika bwino la zotupa zamkati ndikutuluka magazi m'matumbo.
• Zotupa zakunja zimachitika kunja kwa anus. Zitha kubweretsa zovuta kutsuka malowa pambuyo poyenda matumbo. Ngati magazi atsekemera amatuluka mu zotupa zakunja, zitha kukhala zopweteka kwambiri (thrombosed external hemorrhoid).

Ma hemorrhoid nthawi zambiri samakhala opweteka, koma magazi akaundana atuluka, amatha kupweteka kwambiri.

Zizindikiro zodziwika ndizo:

• Magazi ofiira opanda pake ochokera kumatumbo
• Kuyabwa kumatako
• Kumva kupweteka kapena kupweteka, makamaka atakhala
• Ululu panthawi yamatumbo
• Chotupa chimodzi kapena zingapo zolimba pafupi ndi anus

Nthawi zambiri, wothandizira zaumoyo amatha kudziwa kuti ali ndi zotupa m'mimbamo pongoyang'ana m'mbali mwa thumbo. Zotupa zakunja zimatha kupezeka motere.

Mayeso omwe angathandize kuzindikira vutoli ndi awa:

• Kuyesa kwamphamvu
• Masewera a Sigmoidoscopy
• Chidziwitso

Mankhwala a zotupa ndi awa:

• Mankhwala owonjezera a corticosteroid (mwachitsanzo, cortisone) mafuta othandizira kuchepetsa kupweteka ndi kutupa
• Ma hemorrhoid mafuta okhala ndi lidocaine wothandizira kuchepetsa kupweteka
• Chofewetsa chopondapo chothandizira kuchepetsa kupanikizika ndi kudzimbidwa

Zinthu zomwe mungachite kuti muchepetse kuyabwa ndi monga:

• Pemphani mfiti kumaloko ndi thonje.
• Valani zovala zamkati za thonje.
• Pewani minofu ya chimbudzi ndi mafuta onunkhira kapena mitundu. Gwiritsani ntchito zopukutira ana m'malo mwake.
• Yesetsani kuti musakande malowo.

Malo osambira a Sitz angakuthandizeni kuti mukhale bwino. Khalani m'madzi ofunda kwa mphindi 10 mpaka 15.

Ngati zotupa zanu sizikuyenda bwino ndi chithandizo chanyumba, mungafunike mtundu wina wamachiritso kuofesi kuti muchepetse zotupa.

Ngati chithandizo chakuofesi sichikwanira, opaleshoni yamtundu wina itha kukhala yofunikira, monga kuchotsa zotupa m'mimba (hemorrhoidectomy). Njirazi zimagwiritsidwa ntchito kwa anthu omwe amataya magazi kwambiri kapena omwe amaphulika omwe sanayankhe mankhwala ena.

Magazi omwe ali mumatumbo amatha kupanga magazi. Izi zitha kupangitsa kuti minofu yozungulira izifa. Nthawi zina pamafunika opaleshoni kuti muchotse zotupa m'matumbo.

Nthawi zambiri, kutaya magazi kwambiri kumathanso kuchitika. Kuperewera kwa magazi m'thupi kwachitsulo kumatha chifukwa chotaya magazi kwakanthawi.

Fufuzani kwa omwe akukuthandizani ngati:

• Zizindikiro za zotupa sizisintha ndi chithandizo chanyumba.
• Mukutuluka magazi m'mimba. Wothandizira anu angafune kufufuza zina, zowopsa zomwe zimayambitsa magazi.

Pezani chithandizo chamankhwala nthawi yomweyo ngati:

• Mumataya magazi ambiri
• Mukutuluka magazi ndipo mumamva chizungulire, mutu wopepuka, kapena kukomoka

Kudzimbidwa, kupsinjika m'mimba, komanso kukhala pachimbudzi motalika kwambiri kumabweretsa chiopsezo cha zotupa. Pofuna kupewa kudzimbidwa ndi zotupa, muyenera:

• Imwani madzi ambiri.
• Idyani zakudya zamtundu wa zipatso, ndiwo zamasamba, ndi mbewu zonse.
• Ganizirani kugwiritsa ntchito zowonjezera mavitamini.
• Gwiritsani ntchito zofewetsera m'mipando kuti musavutike.

Rumpal; Milu; Kutupa mu rectum; Kutuluka magazi - zotupa; Magazi mu chopondapo - zotupa m'mimba

• Minyewa
• Opaleshoni ya hemorrhoid - mndandanda

Abdelnaby A, Downs JM. Matenda a anorectum. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 129.

Pezani nkhaniyi pa intaneti Blumetti J, Cintron JR. Kuwongolera kwa zotupa. Mu: Cameron JL, Cameron AM, olemba, eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 12. Philadelphia, PA: Elsevier; 2017: 271-277.

Zainea GG, Pfenninger JL. Chithandizo cha ofesi cha zotupa. Mu: Fowler GC, mkonzi. Njira za Pfenninger ndi Fowler Zoyang'anira Poyamba. Wolemba 4. Philadelphia, PA: Elsevier; 2020: chap 87.