Opaleshoni ya minyewa

Minyewa ndi mitsempha yotupa mozungulira anus. Amatha kukhala mkati mwa anus (zotupa zamkati) kapena kunja kwa anus (zotupa zakunja).

Nthawi zambiri zotupa sizimayambitsa mavuto. Koma ngati zotupa zimatuluka magazi kwambiri, zimapweteka, kapena zimayamba kutupa, zolimba, komanso zopweteka, opaleshoni imatha kuwachotsa.

Kuchita ma hemorrhoid kumatha kuchitika muofesi ya omwe amakuthandizani kapena kuchipatala. Nthawi zambiri, mutha kupita kwanu tsiku lomwelo. Mtundu wa opareshoni yomwe muli nayo imadalira zizindikiro zanu komanso malo ndi kukula kwa zotupa.

Asanachite opareshoni, adotolo adzasokoneza malowa kuti mukhale ogona, koma osamva chilichonse. Kwa mitundu ina ya opaleshoni, mungapatsidwe mankhwala oletsa ululu. Izi zikutanthauza kuti mudzapatsidwa mankhwala mumitsempha mwanu omwe amakugonetsani komanso kukupatsani zowawa panthawi yochita opareshoni.

Kuchita ma hemorrhoid kungaphatikizepo:

• Kuyika kachingwe kakang'ono ka mphira mozungulira zotupa kuti muchepetse poletsa magazi.
• Kulumikiza minyewa yotseka magazi, kuyipangitsa kuchepa.
• Kugwiritsa ntchito mpeni (scalpel) kuchotsa zotupa m'mimba. Mutha kukhala kapena osakhala ndi zokopa.
• Kubaya jakisoni mumtsuko wamagazi wa zotupa kuti muchepetse.
• Kugwiritsa ntchito laser kutentha hemorrhoid.

Nthawi zambiri mumatha kuthana ndi zotupa zing'onozing'ono motere:

• Kudya zakudya zabwino kwambiri
• Kumwa madzi ambiri
• Kupewa kudzimbidwa (kumwa chowonjezera chowonjezera ngati pakufunika kutero)
• Osati kupanikizika mukamayenda m'matumbo

Ngati izi sizikugwira ntchito ndipo mukukhala ndi magazi komanso kupweteka, adotolo angakulimbikitseni kuchitidwa ma hemorrhoid.

Zowopsa za anesthesia ndi opaleshoni yonse ndi izi:

• Zomwe zimachitika ndi mankhwala, mavuto ampweya
• Kukhetsa magazi, magazi kuundana, matenda

Zowopsa za opaleshoni yamtunduwu ndi izi:

• Kutaya mpando wochepa (zovuta zazitali ndizochepa)
• Mavuto akudutsa mkodzo chifukwa cha zowawa

Onetsetsani kuti muuze wothandizira wanu:

• Ngati muli ndi pakati kapena mutha kukhala ndi pakati
• Ndi mankhwala ati omwe mukumwa, kuphatikiza mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala
• Ngati mwakhala mukumwa mowa wambiri, kuposa 1 kapena 2 zakumwa patsiku

M'masiku asanachitike opareshoni:

• Mutha kupemphedwa kuti musiye kumwa mopepuka magazi monga aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), clopidogrel (Plavix), warfarin (Coumadin).
• Funsani dokotala wanu mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Ngati mumasuta, yesetsani kusiya. Kusuta kumatha kuchepetsa kuchira. Funsani omwe akukuthandizani kuti akuthandizeni kusiya.
• Lolani wothandizira wanu adziwe za chimfine, chimfine, malungo, kuphulika kwa herpes, kapena matenda ena omwe mungakhale nawo musanachite opareshoni. Mukadwala, opareshoni yanu imafunika kuimitsidwa kaye.

Patsiku la opareshoni yanu:

• Tsatirani malangizo a omwe amakupatsani za nthawi yosiya kudya ndi kumwa.
• Tengani mankhwala aliwonse amene mwafunsidwa kumwa pang'ono pokha madzi.
• Tsatirani malangizo pa nthawi yomwe mungafike kuofesi ya omwe amakuthandizani kapena kuchipatala. Onetsetsani kuti mwafika nthawi.

Nthawi zambiri mumapita kunyumba tsiku lomwelo mukatha opaleshoni. Onetsetsani kuti mukukonzekera kuti wina akuyendetseni kwanu. Mutha kukhala ndi zowawa zambiri mukamachitidwa opareshoni pomwe dera limakhazikika ndikukhazikika. Mutha kupatsidwa mankhwala ochepetsa ululu.

Tsatirani malangizo amomwe mungadzisamalire nokha kunyumba.

Anthu ambiri amachita bwino atachitidwa opaleshoni ya m'mimba. Muyenera kuchira kwathunthu m'masabata angapo, kutengera momwe opaleshoniyi idakhudzidwira.

Muyenera kupitiliza ndikusintha kwa zakudya ndi moyo kuti muthane ndi zotupa kuti zisabwererenso.

Kutsekula m'mimba

• Opaleshoni ya hemorrhoid - mndandanda

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.

Malipiro A, Larson DW. Anus. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: Maziko Achilengedwe a Njira Zamakono Zopangira Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 52.