Zotupa zamkati: chomwe iwo ali, zizindikiro zazikulu ndi madigiri

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Zoyambitsa zazikulu
• Momwe mankhwala ayenera kukhalira

Zotupa zamkati zimafanana ndi mitsempha yolumikizidwa mkati mwa thumbo lomwe silimawoneka mu anus, ndipo limapezeka nthawi zambiri pomwe pamakhala magazi ofiira owala pamipando kapena papepala la chimbudzi mukamachita chimbudzi, kuyabwa komanso kusapeza bwino mu anus, komwe kumapangitsa zovuta kupita kuchimbudzi.

Zotupa zamkati zimatha kugawidwa m'madigiri malinga ndi zomwe zawonetsedwa, zomwe zimasokonezanso chithandizo chovomerezeka ndi proctologist. Mosasamala kanthu za kuchuluka kwa zotupa zamkati, ndikofunikira kusintha zizolowezi zodyera, kukonda zakudya zokhala ndi michere yambiri, chifukwa mwanjira imeneyi ndizotheka kuthana ndi zipsinjo ndikuchepetsa kupweteka komanso kusapeza bwino mukamachoka.

Zizindikiro zazikulu

Ngakhale zotupa zamkati sizikuwoneka, zizindikilo ndi zizindikilo zomwe zimawoneka ndizodziwika, makamaka kupezeka kwa magazi ofiira owala pamalowo. Kuphatikiza apo, zizindikilo zina zomwe zitha kuwonetsa zaminyewa zamkati ndi izi:

• Kuyabwa mu anus;
• Kutuluka kwa ntchofu kudzera mu anus;
• Zovuta ndi zowawa zotulutsa chimbudzi;
• Kusapeza bwino;
• Anal tenesmus, yomwe imafanana ndi chidwi chachikulu chofuna kutuluka ngakhale kulibe zotsalira zomwe ziyenera kuchotsedwa;
• Kutengeka kosakwanira kwa rectum mutatha kutuluka.

Kuphatikiza apo, ndizothekanso kuzindikira kuwonekera kwa tinthu tating'onoting'ono tating'onoting'ono panthawi yochoka ndipo zomwe zingabwerere kapena sizingabwererenso mwachilengedwe pamalo oyambawo, mutu uwu wolingana ndi mitsempha yolumikizidwa yomwe imatuluka kudzera mu anus, yodziwika ndi zotupa zamkati zamkati. madigiri 2, 3 kapena 4, kutengera mawonekedwe.

Momwe mungatsimikizire matendawa

Kuzindikira kwa zotupa zamkati kumayenera kupangidwa ndi gastroenterologist kapena proctologist kudzera pa proctological test, momwe adotolo amayesa dera lamkati kuti athe kuzindikira zosintha zilizonse zomwe zikuwonetsa zaminyewa zamkati. Kuti amuunike, adotolo akuwonetsa momwe munthuyo akuyenera kukhalira ndikuwunika momwe anakhalira, akuwonetsedwa kuti munthuyo ayesetse ngati akuchita chimbudzi, chifukwa ndizotheka kuyang'ana kupezeka a zotupa kapena ziboda zamatako.

Kuphatikiza pa kuyesa kwa proctological, adotolo amawunikiranso zomwe zawonetsedwa komanso mbiri ya munthu, makamaka pankhani yazakudya ndi masewera olimbitsa thupi, chifukwa kudya mopanda thanzi komanso kusachita masewera olimbitsa thupi kumawoneka ngati ma hemorrhoids.

Madigiri a zotupa zamkati

Malinga ndi zomwe zawonetsedwa, zotupa zamkati zamkati zimatha kugawidwa m'madigiri a 4, zomwe zimakhudza chithandizo chovomerezeka ndi dokotala:

• Kalasi 1 mkati zotupa m'mimba: magazi okha ndi omwe amawoneka ndipo mitsempha siyimatuluka kumtundu;
• Kalasi yachiwiri yam'mimba yam'mimba: Mitsempha imatuluka mu anus panthawi yamatumbo, koma imabwerera kumalo awo oyambirira mwachibadwa, ndipo palinso magazi;
• Kalasi yachitatu yamatenda amkati: palinso magazi ndipo mitsempha siyibwerera pamalo ake abwino mpaka atakankhidwa bwino;
• Kalasi yachinayi yamatenda amkati: amataya magazi ochulukirapo ndipo kufalikira sikungathetsedwe, ndiye kuti, samabwerera pomwe amakhala atakankhidwira.

Malinga ndi zomwe zafotokozedwazo komanso zomwe zimatsimikizidwa ndi gastroenterologist kapena proctologist, kuchuluka kwa zotupa kumatha kuwonetsedwa ndipo mankhwala adayamba pomwepo pambuyo pake.

Ndikofunika kupita kwa dokotala pamene chizindikiro chilichonse kapena chizindikiro chodziwika cha zotupa zamkati chikuwonedwa, chifukwa ndizotheka kuti dokotala ayambe njira yodziwira. Poyamba, matendawa amachitika pofufuza zomwe zapezeka ndikuchoka kwa munthuyo ndi kadyedwe kake, mbiri yogwiritsa ntchito mankhwala ofewetsa tuvi tolimba komanso mbiri ya maopaleshoni ndi matenda am'mimba. Kenako, kuzindikira kwa proctological kuyenera kuchitidwa, komwe kumakhala kuyang'anira anus kuti muwone kusintha kulikonse.

Zoyambitsa zazikulu

Maonekedwe am'mimba am'mimba nthawi zambiri amakhala okhudzana ndi zizolowezi za munthuyo, monga zakudya zopanda mafuta, kugwiritsa ntchito mankhwala ofewetsa tuvi tolimba, chizolowezi chokhala pachimbudzi kwa nthawi yayitali, kusuta komanso kusachita masewera olimbitsa thupi. Kuphatikiza apo, zakudya zosakwanira zimapangitsa kuti matumbo asokonekere, kuwonjezera pakupanga ndowe kuti ziume, zomwe zimapangitsa kuti munthuyo agwiritse ntchito mphamvu zochulukirapo kuti atuluke, zomwe zimayambitsa mapangidwe am'mimba.

Zotupa zamkati zingathenso kukhala zokhudzana ndi matenda am'deralo, chifukwa cha kutsekula m'mimba kwanthawi yayitali kapena kumachitika mukakhala ndi pakati, zomwe ndizofala kwambiri chifukwa cha kuchuluka kwa kulemera kwa thupi komanso kupanikizika komwe kumachitika m'chiuno mwa mwana. Mvetsetsani chifukwa chomwe zotupa zimatulukira mukakhala ndi pakati komanso chithandizo chake.

Momwe mankhwala ayenera kukhalira

Chithandizo cha zotupa zamkati ziyenera kutsogozedwa ndi proctologist malinga ndi kuchuluka kwa zotupa, ndipo kusintha kwa kadyedwe kungalimbikitsidwe, kupatsa zakudya zokhala ndi michere, kumwa madzi ambiri masana, kusamba sitz, kugwiritsa ntchito analgesics ndi mankhwala oletsa kutupa, monga Naproxen, kapena kugwiritsa ntchito mafuta am'mimba, monga Proctyl kapena Ultraproct. Njira zina zamankhwala zomwe dokotala angakulimbikitseni malinga ndi kuchuluka kwa zotupa ndi sclerotherapy, photocoagulation, cryotherapy komanso kugwiritsa ntchito mabandeji otanuka. Mvetsetsani momwe chithandizo cha zotupa zamkati chimachitikira.

Nthawi zovuta kwambiri, momwe zotupa zimakhalira mu anus, pamakhala chiopsezo chotseka m'mimba chomwe chingayambitse thrombosis ya hemorrhoidal ndipo chifukwa chake, adotolo amalangiza opareshoni kuti akonze mitsempha yotupa.

Kusintha kwa kadyedwe ndikofunikira pamitundu yonse ya zotupa, chifukwa mukamadya CHIKWANGWANI chochuluka, matumbo amayenda bwino ndipo chimbudzi chimakhala chofewa, kukhala kosavuta kuchotsedwa ndipo kulibe mphamvu yodzitayira. Onani vidiyo yotsatirayi kuti mupeze zomwe mungadye kuti muchepetse matendawa ndikupewa kuwonongeka kwaminyewa: