Opaleshoni ya Hemorrhoid

Zamkati

• Zovuta zamatenda
• Zizindikiro za zotupa
• Maopaleshoni opanda mankhwala ochititsa dzanzi
• Kukhazikika
• Sclerotherapy
• Chithandizo cha coagulation
• Mitsempha ya hemorrhoidal ligation
• Opaleshoni ndi mankhwala ochititsa dzanzi
• Kutsekula m'mimba
• Kutaya magazi
• Pambuyo pa chisamaliro

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Ma hemorrhoids ndi mitsempha yotupa yomwe imatha kukhala mkati, zomwe zikutanthauza kuti ali mkati mwa rectum. Kapena amatha kukhala akunja, zomwe zikutanthauza kuti ali kunja kwa rectum.

Mavuto ambiri am'mimba amasiya kupweteka m'masabata awiri osalandira chithandizo. Kudya zakudya zamtundu wapamwamba komanso kumwa magalasi 8 mpaka 10 amadzi patsiku kumatha kukuthandizani kuthana ndi zizindikirazo polimbikitsa matumbo ofewetsa komanso osasintha.

Mwinanso mungafunikire kugwiritsa ntchito zotsekemera kuti muchepetse mavuto mukamayenda m'matumbo, chifukwa kuponderezana kumapangitsa kuti ma hemorrhoids awonjezeke. Dokotala wanu angakulimbikitseni mafuta opangira mankhwala kuti muchepetse kuyabwa, kupweteka, kapena kutupa.

Zovuta zamatenda

Nthawi zina, zotupa zimatha kubweretsa zovuta zina.

Zotupa zakunja zimatha kukhala ndi zotupa zamagazi zopweteka. Izi zikachitika, amatchedwa ma hemorrhoids amtumbo.

Zotupa zamkati zimatha kutumphuka, zomwe zikutanthauza kuti zimadutsa mu rectum ndi zotupa kuchokera kumatako.

Zotupa zakunja kapena zotumphuka zimatha kukwiya kapena kutenga kachilombo ndipo zimafunikira kuchitidwa opaleshoni. American Society of Colon and Rectal Surgeons akuti pafupifupi zosakwana 10 peresenti ya zotupa zotupa m'mimba zimafuna kuchitidwa opaleshoni.

Zizindikiro za zotupa

Zotupa zamkati nthawi zambiri sizimabweretsa mavuto. Amatha kutuluka magazi mopanda ululu pambuyo poyenda matumbo. Amakhala vuto ngati atuluka magazi kwambiri kapena kutuluka. Zimakhala zachilendo kuwona magazi atatuluka m'mimba mukakhala ndi zotupa m'mimba.

Ma hemorrhoids akunja amathanso kutuluka magazi atatha kuyenda. Chifukwa zimawululidwa, nthawi zambiri zimakwiya ndipo zimatha kuyabwa kapena kupweteka.

Vuto lina lofala la zotupa zakunja ndikumangidwa kwa magazi mkati mwa chotengera, kapena thrombosed hemorrhoid. Ngakhale kuundana kumeneku sikuwopseza moyo, kumatha kubweretsa ululu wopweteka kwambiri.

Chithandizo choyenera cha zotupa zoterezi chimakhala ndi njira ya "incision and drainage". Dokotala wa opaleshoni kapena dokotala mu chipinda chodzidzimutsa akhoza kuchita izi.

Maopaleshoni opanda mankhwala ochititsa dzanzi

Mitundu ina yamankhwala opangira ma hemorrhoid itha kuchitidwa muofesi ya dokotala wanu popanda kupweteka.

Kukhazikika

Banding ndi njira yamaofesi yogwiritsira ntchito zotupa zamkati. Amatchedwanso labara band ligation, njirayi imaphatikizapo kugwiritsa ntchito chingwe cholimba mozungulira m'mimba kuti muchepetse magazi ake.

Banding nthawi zambiri imafunikira njira ziwiri kapena zingapo zomwe zimachitika patatha miyezi iwiri. Sizopweteka, koma mutha kumva kupsinjika kapena kusapeza bwino pang'ono.

Banding siyikulimbikitsidwa kwa iwo omwe amatenga magazi ochepetsa magazi chifukwa chowopsa chotenga magazi.

Sclerotherapy

Njirayi imaphatikizapo kulowetsa mankhwala mu hemorrhoid. Mankhwalawa amachititsa kuti minyewa ichepetse ndikuletsa magazi. Anthu ambiri samva kupweteka pang'ono kapena samva kupweteka ndi kuwombera.

Sclerotherapy imachitikira ku ofesi ya dokotala. Pali zoopsa zochepa zodziwika. Izi zikhoza kukhala njira yabwino ngati mutenga oyeretsera magazi chifukwa khungu lanu silidulidwa.

Sclerotherapy imakhala ndi ziwopsezo zabwino kwambiri zazing'onoting'ono zamkati, zamkati.

Chithandizo cha coagulation

Thandizo la coagulation limatchedwanso infrared photocoagulation. Mankhwalawa amagwiritsa ntchito infuraredi, kutentha, kapena kuzizira kwambiri kuti hemorrhoid ibwerere ndikuchepa. Ndi njira ina yomwe imachitikira kuofesi ya dokotala wanu, ndipo nthawi zambiri imachitika limodzi ndi anoscopy.

An anoscopy ndi njira yowonera momwe mawonekedwe amalowerera mainchesi angapo mu rectum yanu. Kukula kwake kumalola adotolo kuti awone. Anthu ambiri samangovutika pang'ono kapena kupsyinjika panthawi yachipatala.

Mitsempha ya hemorrhoidal ligation

Hemorrhoidal artery ligation (HAL), yomwe imadziwikanso kuti transanal hemorrhoidal dearterialization (THD), ndi njira ina yochotsera hemorrhoid. Njirayi imapeza mitsempha yamagazi yoyambitsa zotupa pogwiritsa ntchito ultrasound ndipo imatseka, kapena imatseka, mitsemphayo. Ndiwothandiza kwambiri kuposa kumangiriza mabala a rabara, komanso kumawonongetsa zambiri ndipo kumabweretsa zowawa zazitali. Kutengera mtundu wa zotupa, ndizosankha ngati kachingwe koyamba ka raba kakanika.

Opaleshoni ndi mankhwala ochititsa dzanzi

Mitundu ina ya opaleshoni imayenera kuchitidwa mchipatala.

Kutsekula m'mimba

Hemorrhoidectomy imagwiritsidwa ntchito pamatenda akulu akunja ndi zotupa zamkati zomwe zaphulika kapena zomwe zikuyambitsa mavuto osayankha kasamalidwe ka opaleshoni.

Izi zimachitika mchipatala. Inu ndi dokotalayo musankha mankhwala oletsa ululu omwe mungagwiritse ntchito pochita opaleshoniyi. Zosankha zikuphatikizapo:

• mankhwala ochititsa dzanzi, omwe amakugonetsa tulo tofa nato nthawi yonse ya opaleshoni
• anesthesia yachigawo, yomwe imakhudza mankhwala omwe amachititsa kuti thupi lanu lisagwedezeke kuyambira mchiuno mpaka kuperekedwa ndi kuwombera kumbuyo kwanu
• mankhwala ochititsa dzanzi m'deralo, amene dzanzi okha anus wanu ndi rectum

Muthanso kupatsidwa mankhwala okuthandizani kuti muzisangalala mukamalandira mankhwalawa mukalandira mankhwala oletsa ululu am'deralo kapena am'deralo.

Anesthesia ikayamba kugwira ntchito, dokotalayo amadula zotupa zazikuluzikulu. Ntchitoyo ikadzatha, mudzatengedwera kuchipinda chodziwikirako kwakanthawi kochepa. Gulu lazachipatala likatsimikiza kuti zizindikiro zanu zofunika ndizokhazikika, mudzatha kubwerera kwanu.

Ululu ndi matenda ndizowopsa zomwe zimachitika chifukwa cha opaleshoni yamtunduwu.

Kutaya magazi

Hemorrhoidopexy nthawi zina amatchedwa stapling. Nthawi zambiri imagwiridwa ngati opareshoni yamasiku omwewo kuchipatala, ndipo imafunikira mankhwala oletsa ululu apakati, am'madera, kapena am'deralo.

Kukhazikika kumagwiritsidwa ntchito pochizira zotupa zomwe zatha. Chakudya chochita opaleshoni chimakonza zotupa zomwe zayambirazo kubwerera m'malo mwanu m'matumbo anu ndikudula magazi kuti minofu ichepetse ndikubwezeretsedwanso.

Kuchepetsa pang'ono kumatenga nthawi yocheperako ndipo sikumapweteka kwambiri kuposa kuchira kwa hemorrhoidectomy.

Pambuyo pa chisamaliro

Mutha kuyembekezera kupweteka kwamphongo ndi kumatako mukatha kuchitidwa opaleshoni yamatenda. Dokotala wanu atha kukupatsani mankhwala othetsa ululu kuti athetse vutoli.

Mutha kuthandiza kuti muchiritse ndi:

• kudya zakudya zamtundu wapamwamba
• kukhala hydrated pomwa magalasi amadzi 8 mpaka 10 patsiku
• pogwiritsa ntchito chopondera chopondapo kuti musamapanikizike poyenda matumbo

Pewani zochitika zilizonse zomwe zingafune kukweza kapena kukoka kwambiri.

Anthu ena amawona kuti malo osambira amathandiza kuchepetsa kusokonezeka kwa opaleshoni. Kusamba kwa sitz kumaphatikizapo kulowetsa malo amkati mwa madzi ofunda amchere kangapo patsiku.

Ngakhale nthawi yakuchira imasiyana, anthu ambiri amatha kuyembekezera kuchira kwathunthu mkati mwa masiku 10 mpaka 14. Zovuta ndizosowa, koma chonde pitani kuchipatala ngati muli ndi malungo, simungathe kukodza, mukumva kuwawa pokodza, kapena mumachita chizungulire.

Mukamatsata dokotala wanu, mwina angakulimbikitseni:

• Kusintha kwa zakudya, monga kudya zakudya zokhala ndi michere yambiri ndikukhala ndi hydrated
• kupanga kusintha kwa moyo, monga kuchepa thupi
• kutsatira pulogalamu yochita zolimbitsa thupi nthawi zonse

Kusintha kumeneku kumachepetsa mwayi wamatenda obwerezabwereza.