Kuchita ma hemorrhoid: mitundu 6 yayikulu komanso pambuyo pochita opaleshoni

Zamkati

• Njira zopangira opaleshoni kuti athetse zotupa m'mimba
• 1. Kutsekula m'mimba
• 2. Njira ya THD
• 3. Njira ya PPH
• 4. Lacquering ndi zotanuka
• 5. Sclerotherapy
• 6. Kugunda kwa infuraredi
• Gulu la zotupa zamkati zamkati
• Kodi opaleshoniyi yachitika bwanji
• Kodi postoperative ikuyenda bwanji?
• Kodi nthawi yobwezeretsa ndi iti?

Kuchotsa zotupa zamkati kapena zakunja, pangafunike kuchitidwa opaleshoni, yomwe imawonetsedwa kwa odwala omwe, ngakhale atalandira chithandizo chamankhwala ndi zakudya zokwanira, amakhalabe ndi ululu, kusapeza bwino, kuyabwa komanso kutuluka magazi, makamaka akachoka.

Pali njira zingapo zochotsera zotupa, zomwe zimafala kwambiri kukhala zotupa m'mimba, zomwe ndi njira zachikhalidwe zomwe zimachitika podula. Kuchira kumatenga pakati pa sabata limodzi mpaka mwezi umodzi, kukhala kofunikira kukhala mchipatala kwa masiku pafupifupi 2 ndikukhala ndi ukhondo m'dera loyandikira nthawi yakuchira.

Njira zopangira opaleshoni kuti athetse zotupa m'mimba

Njira zina zochotsera zotupa zamkati kapena zakunja zitha kukhala:

1. Kutsekula m'mimba

Hemorrhoidectomy ndi opaleshoni yofala kwambiri ndipo imakhudza kuchotsa zotupa kudzera pakucheka. Pachifukwa ichi imagwiritsidwa ntchito kwambiri m'matumbo akunja kapena mkalasi la 3 ndi 4.

2. Njira ya THD

Uku ndi kuchita opaleshoni kosadulidwa, komwe adokotala amagwiritsa ntchito chipangizo cha ultrasound kuti azindikire zotengera zomwe zimanyamula magazi kumatenda am'mimba. Zombozi zikadziwika, dokotalayo amaletsa kuyenda kwa magazi mwa kusoka mtsempha wamagazi, womwe umapangitsa kuti zotupa ziume ndikuuma pakapita nthawi. Njira imeneyi itha kugwiritsidwa ntchito popanga ma hemorrhoids a grade 2, 3 kapena 4.

3. Njira ya PPH

Njira ya PPH imalola kuti zotupa zizikhazikika momwe zimakhalira, pogwiritsa ntchito zomata zapadera za titaniyamu. Njirayi sikutanthauza sutures, imakhala ndi nthawi yobwezeretsa mwachangu ndipo imachitika m'matumbo amkati am'makalasi 2 ndi 3.

4. Lacquering ndi zotanuka

Awa ndi chithandizo pomwe kachingwe kakang'ono kotsekemera kamagwiritsidwa ntchito m'munsi mwa minyewa, yomwe imasokoneza mayendedwe amwazi ndikupangitsa hemorrhoid kufa, zomwe zimakonda kuchiza ma hemorrhoids a grade 2 ndi 3.

5. Sclerotherapy

Mwa njirayi, chinthu chomwe chimayambitsa kufa kwa jakisoni chimalowetsedwa m'mitsempha ya zotupa, yogwiritsidwa ntchito pochizira ma hemorrhoids a grade 1 ndi 2. Phunzirani zambiri za njirayi.

Kuphatikiza apo, palinso njira zina zomwe zingagwiritsidwe ntchito kuchotsa zotupa, monga infrared coagulation, cryotherapy ndi laser, mwachitsanzo komanso kusankha kwa njirayi kudalira mtundu ndi kuchuluka kwa zotupa zomwe mukufuna kuchiza.

6. Kugunda kwa infuraredi

Iyi ndi njira yomwe ingagwiritsidwe ntchito pochiza kutuluka kwamkati m'mitsempha. Pachifukwa ichi, adotolo amagwiritsa ntchito chida chokhala ndi infuraredi yomwe imawotha malowo ndikupanga chilonda pamimba, kupangitsa magazi kusiya kupitilira, motero, zotupa zam'mimba zimauma ndikumaliza kugwa.

Kugundana kwamatenda nthawi zambiri kumakhala ndi zovuta zoyipa zochepa ndipo kumayambitsa kusasangalala pang'ono.

Gulu la zotupa zamkati zamkati

Minyewa yamkati ndi yomwe imakula ndikukhalabe mkati mwa anus, ndipo imatha kupereka madigiri osiyanasiyana, monga:

• Gulu 1 - Mphuno yomwe imapezeka mkati mwa anus, ndi kukulitsa pang'ono kwa mitsempha;
• Gulu 2 - Mphuno yomwe imasiya anus panthawi yachitsulo ndikubwerera mkatikati mokha;
• Kalasi 3 - Zotupa zomwe zimatuluka mu anus nthawi yachitsulo ndikuti ndikofunikira kuyambiranso mu anus ndi dzanja;
• Kalasi 4 - Mphuno yomwe imayamba mkati mwa anus koma chifukwa chakukulira kwake imatuluka kudzera mu anus, zomwe zimatha kuyambitsa ma rectal, omwe amatuluka kumapeto kwa matumbo kudzera mu anus.

Zotupa zakunja ndizomwe zili kunja kwa anus, ndipo izi zitha kuchotsedwanso kudzera mu opareshoni, chifukwa zimayambitsa kusasangalala makamaka mukakhala ndikutulutsa chimbudzi.

Kodi opaleshoniyi yachitika bwanji

Nthawi zambiri, maopaleshoni ochotsa ma hemorrhoids amachitidwa pansi pa oesthesia ndipo amafuna kuti wodwalayo agonekedwe mchipatala pafupifupi masiku awiri.

Kuti achotse zotupa, proctologist ayenera kusankha njira yoyenera kwambiri pazochitika zilizonse, chifukwa zimasiyana kutengera mtundu wa zotupa zomwe wodwalayo ali nazo.

Kodi postoperative ikuyenda bwanji?

Ngakhale kuti opaleshoniyi siimapweteka, munthawi ya opareshoni sizachilendo kuti wodwalayo amve kupweteka m'chigawo cha perineal, makamaka atakhala pansi ndikutuluka koyamba pambuyo pa opaleshoniyi, popeza dera lino limavutikira kwambiri. Mwanjira imeneyi, dokotala nthawi zambiri amawonetsa:

• Kugwiritsa ntchito mankhwala opha ululu kuti muchepetse ululu komanso kusapeza bwino, monga paracetamol maola onse asanu ndi atatu;
• Kugwiritsa ntchito mankhwala ofewetsa tuvi tosiyanasiyana kuti chimbudzi chikhale chofewa komanso chosavuta kuchokamo;
• Kusamba madzi ozizira sitz kwa mphindi 20, kuchuluka kwa nthawi zofunika kuti muchepetse kusapeza bwino;
• Pewani kugwiritsa ntchito mapepala achimbudzi, kutsuka malo amkamwa mukatha kuthawa ndi madzi ofunda komanso sopo wofatsa;
• Gwiritsani ntchito mafuta owongoleredwa ndi dokotala, kawiri pa tsiku, kuti muthandize kuchiritsa malowo.

Pambuyo pa opareshoni, tikulimbikitsidwa kuti mugwiritse ntchito pilo wozungulira woboola pakati kuti mukhale, kuti muchepetse kutaya magazi ndikuchepetsa kupweteka. Kuphatikiza apo, m'mwezi woyamba atachitidwa opareshoni, zakudya zokhala ndi michere komanso kumwa madzi ambiri ziyenera kusankhidwa, kuti zimbudzi zikhale zofewa komanso zosavuta kuzichotsa.

Nthawi zambiri, wodwala safunika kuchotsa zolumikizira ndipo, atachira kwathunthu, palibe zipsera.

Onani muvidiyo yotsatirayi momwe chakudya chiyenera kukhalira kuti chithandizire mayendedwe am'matumbo ndikupewa zotupa:

Kodi nthawi yobwezeretsa ndi iti?

Kuchira kwa opaleshoni ya zotupa kumadalira mtundu ndi kuchuluka kwa zotupa m'mimba ndi njira yochitira opaleshoni yochitidwa, ndipo imatha kusiyanasiyana pakati pa sabata limodzi ndi mwezi umodzi, kuti wodwalayo azitha kuyambiranso ntchito zawo za tsiku ndi tsiku.

Si zachilendo kuti sabata yoyamba atachitidwa opareshoni, wodwalayo amataya magazi pang'ono kudzera m'dera lamankhwala, komabe, ngati kutuluka magazi uku ndikulimbikitsidwa kupita kuchipatala kukawona ngati akuchira bwino.