Kuzindikira ndi Kuchiza Mphungu Yoyenda Yambiri
Zamkati
- Zizindikiro zake ndi ziti?
- Kodi kutuluka kwamimba kumavulaza?
- Kodi zizindikiro za zotupa zomwe sizinatuluke ndi ziti?
- Nchiyani chimapangitsa kuti zotupa ziziyenda bwino?
- Nthawi yoti mupemphe thandizo
- Kodi matenda otupa m'mimba amapezeka bwanji?
- Momwe mungasamalire zotupa zomwe zayambika
- Kodi ndi mankhwala ati omwe amapezeka chifukwa cha zotupa zomwe zatha?
- Mphira gulu ligation
- Sclerotherapy
- Kusokonezeka
- Opaleshoni
- Zimatenga nthawi yayitali bwanji kuti achire?
- Chiwonetsero
Kodi kutuluka kwa m'mimba ndi kotani?
Pamene mtsempha mu anus wanu kapena m'munsi rectum umatupa, umatchedwa hemorrhoid. Mphuno yomwe imatuluka kunja kuchokera ku anus imadziwika kuti yotupa yotupa, ndipo imatha kupweteka kwambiri.
Pali mitundu iwiri ya zotupa, ndipo kusiyana kwawo kumadalira malo.
Zotupa zamkati ndizomwe zimayamba mkati mwa rectum. Mphuno yamkati imatha kuphulika ngati ikukankhira pansi kuchokera kumtunda ndi kutuluka kuchokera ku anus.
Mtundu wina wa zotupa ndi zakunja, ndipo zimapanga mwachindunji pa anus. Mphuno yakunja imathanso kutha.
Thumbo ndilo gawo lotsika kwambiri la m'matumbo, ndipo anus ndikutsegulira pansi pamunsi mwa rectum yomwe thupi limatulutsira ndowe.
Werengani kuti mumve zambiri za zotupa zomwe zayambika.
Zizindikiro zake ndi ziti?
Chizindikiro chachikulu kuti muli ndi zotupa zotumphuka ndikupezeka kwa chotupa chimodzi kapena zingapo mozungulira anus. Izi zidzachitika pokhapokha kufalikira ndikofunikira.
Nthawi zina, mutha kukankha mokweza modutsa. Ngakhale izi zimasintha malo am'mimba ndipo zimatha kuchepetsa zizindikilo zina, zotupa zimapezekabe.
Kodi kutuluka kwamimba kumavulaza?
Matenda otuluka m'mimba amakhala opweteka kwambiri mukakhala pansi mosiyana ndi kuyimirira kapena kugona pansi. Amathanso kuvulaza kwambiri poyenda matumbo.
Matenda otuluka m'mimba amatha kupweteka kwambiri ngati magazi aumbika mkati mwa zotupa. Izi zimatchedwa hemorrhoid ya thrombosed.
Mphuno ya m'mimba siowopsa ngati magazi m'mimba mwanu, mwachitsanzo, koma imatha kupweteka kwambiri. Mphuno ya m'mimba imafunikira kulumikizidwa ndikutsanulidwa kuti athetse ululu.
Minyewa yotumphuka ingakhalenso yopweteka kwambiri ngati yanyongedwa, zomwe zikutanthauza kuti magazi omwe amatulutsidwa mu hemorrhoid adadulidwa.
Kodi zizindikiro za zotupa zomwe sizinatuluke ndi ziti?
Ngati muli ndi zotupa zamkati zamkati, mwina simungakhale ndi zizindikilo zowonekera. Nthawi zina, pakhoza kukhala kutuluka magazi. Ngati mwakhala mukutuluka magazi, imawoneka ngati magazi ofiira owala panyama mukapukuta motsatira matumbo.
Zotupa zakunja, ngakhale sizinaphulike, zimatha kukhala zosamveka komanso zoyipa.
Nchiyani chimapangitsa kuti zotupa ziziyenda bwino?
Minyewa imatha kuchepa pomwe minofu yomwe imayika m'malo mwake imafooka. Pali zifukwa zingapo zomwe zingayambitse ngozi zomwe zimapangitsa kuti minofu yolumikizana.
Kukhazikika pamatumbo ndichimodzi mwazomwe zimayambitsa, chifukwa kupsinjika kumatha kuyika kupanikizika kwambiri pamatenda. Mutha kukhala ovuta kwambiri ngati mukudwala kapena kutsekula m'mimba.
Mimba imathanso kuwonjezera ngozi yanu. Ma hemorrhoids amapezeka mwa 40 peresenti ya amayi apakati, ndipo osachiritsidwa, amatha kuthamangira.
Kunenepa kwambiri ndi chinthu china chowopsa. Kulemera kwambiri kumatha kuyika mitsempha yam'mimba, kuyambitsa mapangidwe a zotupa komanso kufalikira kwa zotupa zamkati ndi zakunja.
Kusuta ndudu kumathanso kuvulaza mitsempha yanu iliyonse, kuphatikizapo mitsempha ya m'matumbo mwanu. Izi zitha kukulitsa chiopsezo chamatenda komanso kuphulika kwaminyewa.
Nthawi yoti mupemphe thandizo
Ngati muli ndi zizindikiro za kutuluka kwa m'mimba, pitani kuchipatala.
Nthawi zina minyewa imatha kuchoka pakhungu lokha ndipo siyimayambitsanso zizindikiro zina.
Koma ngati ululu, kuyabwa ndi kutuluka magazi zikupitilira, wonani dokotala woyang'anira chisamaliro chachikulu, proctologist (dokotala yemwe amadziwika bwino ndi anus ndi rectum), kapena gastroenterologist (dokotala wodziwa zam'mimba ndi m'matumbo).
Ngati mukumva chotupa chozungulira anus wanu, ngakhale ngati palibe zizindikiro zina, muyenera kukaonana ndi dokotala. Mukufuna kuwonetsetsa kuti chotupa chilidi chotupa osati chotupa kapena zovuta zina zathanzi.
Kodi matenda otupa m'mimba amapezeka bwanji?
Mphuno yotupa imatha kuwoneka mosavuta pakuyesa kwa dokotala. Akhozanso kuchita mayeso a digito.
Mukamayesa digito, adokotala amalowetsa chala chamafuta, chopaka mafuta m'kamwa mwanu mpaka kumtunda kuti mumve za zotupa.
Minyewa yamkati imagawidwa potengera kuchuluka kwa kuchuluka:
Mkati wamatenda am'mimba | Makhalidwe |
1 | osabwerera m'mbuyo |
2 | Kuchulukanso komwe kumabwerera palokha (mwachitsanzo, pambuyo poyenda matumbo) |
3 | Kuchulukanso komwe inu kapena adotolo mutha kubwereranso |
4 | kuchulukanso komwe sikungabwezeretsedwe mkati |
Mphuno ya 4 yotuluka m'mimba imatha kukhala yopweteka kwambiri.
Momwe mungasamalire zotupa zomwe zayambika
Simungasowe chithandizo kuchipatala. Pali zinthu zingapo zomwe mungachite kunyumba kuti muchepetse zizindikiro pamene kutupa kwa zotupa kumachepa:
- Yesani mankhwala a hemorrhoid owonjezera pamagulitsidwe, monga mafuta opaka m'mutu kapena ma suppositories omwe ali ndi hydrocortisone.
- Idyani zakudya zowonjezera kwambiri, monga zipatso, ndiwo zamasamba ndi mbewu zonse, zomwe zingachepetse chopondapo ndikuchepetsa kupsinjika m'matumbo.
- Lembani madzi osambira kwa mphindi 10 kapena 15.
- Gwiritsani ntchito chopukutira chonyowa kapena chopukutira chofananacho pambuyo pa matumbo, koma onetsetsani kuti mulibe mowa kapena mafuta onunkhira.
- Gwiritsani ntchito mapaketi oundana kuzungulira hemorrhoid kuti muchepetse kutupa.
Kodi ndi mankhwala ati omwe amapezeka chifukwa cha zotupa zomwe zatha?
Ngati chisamaliro chanyumba sichigwira ntchito ndipo hemorrhoid ikukha magazi kapena yopweteka, njira zingapo zamankhwala zilipo. Chithandizocho chimadalira mtundu ndi mtundu wa zotupa zomwe zatuluka.
Njira zochiritsira zotupa zotumphuka nthawi zambiri zimakhala zofanana ndi zochizira mitundu ina yamatenda.
Ochepera 10 peresenti yamatenda onse am'mapapo amachiritsidwa opaleshoni. M'malo mwake, dokotala wanu adzawona kaye mankhwala ochepetsa am'mimba omwe akuchuluka.
Mphira gulu ligation
Pogwiritsa ntchito njirayi, yomwe imadziwikanso kuti hemorrhoid banding, adokotala amayika kamodzi kapena awiri timagulu tating'ono ta mphira mozungulira ma hemorrhoid, ndikuchepetsa kufalikira kwake. Mkati mwa sabata kapena kuposerapo, icho chidzachepa ndi kugwa.
Nthawi zambiri mumakhala magazi komanso kupweteka kwa masiku angapo oyambilira, koma zovuta sizachilendo.
Sclerotherapy
Sclerotherapy itha kukhala yabwino kwambiri pakatundu 1 kapena 2 am'mimba. Sikuti nthawi zonse imakhala yothandiza ngati ligation band band.
Pochita izi, dokotala wanu adzakupatsani mankhwala a hemorrhoid ndi mankhwala omwe amachepetsa mitsempha yamagazi munthawi zam'mimba.
Kusokonezeka
Pofuna kugwirana ntchito, dokotala wanu amagwiritsa ntchito laser, infrared light, kapena kutentha kuti aumitse zotupa. Ikakhala yolimba, hemorrhoid imatha kupasuka.
Mutha kukhala ndi vuto pang'ono ndi njirayi komanso zovuta zochepa. Mwayi wokhala ndi zotupa mobwerezabwereza ndiwokwera kwambiri kuposa kuwundana kwina ndi mankhwala ena muofesi.
Opaleshoni
Minyewa yakunja yokhala ndi magazi oundana imatha kuchiritsidwa opaleshoni ndi thrombectomy yakunja ya hemorrhoid.
Kuchita opareshoni yaying'onoyo kumaphatikizapo kuchotsa kwa zotupa ndi kukhetsa bala. Momwemo, ndondomekoyi iyenera kuchitika pasanathe masiku atatu kuchokera pamene khungu lidapangika.
Ntchito yowonjezerapo pochiza giredi 4 ndipo ena am'magazi 3 omwe amatuluka m'mimba ndi hemorrhoidectomy yathunthu. Munthawi imeneyi, dotolo wa opaleshoni amachotsa minofu yonse yamatenda.
Ngakhale ndizothandiza pochiza zizindikiro za zotupa, kuchira pantchitoyi kumatha kukhala kwanthawi yayitali komanso kowawa.
Zovuta, monga kusadziletsa, zitha kupanganso kuchokera ku hemorrhoidectomy yathunthu.
Zimatenga nthawi yayitali bwanji kuti achire?
Kukhala ndi matumbo pambuyo panjira iliyonse ya zotupa kumatha kukhala kovuta. Izi ndi zoona makamaka pambuyo pa opaleshoni.
Dokotala wanu angafune kuti mukhale ndi matumbo mkati mwa maola 48. Mutha kupatsidwa mankhwala ochepetsera chopondapo kuti zisamapweteke kwambiri.
Zitha kutenga milungu inayi kapena kupitilira apo kuti muyambirenso kuchita zomwe mumachita mukachita hemorrhoidectomy. Kuchira pamachitidwe ocheperako, monga sclerotherapy, coagulation, ndi milandu ya band lab, zitha kutenga masiku ochepa. Sclerotherapy ndi coagulation zimatha kutenga magawo angapo kuti muchite bwino.
Chiwonetsero
Mimbulu yotuluka ingakhale yopweteka, koma nthawi zambiri imachiritsidwa. Yankhani kuzizindikiro mwachangu, chifukwa chithandizo chimakhala chosavuta komanso chopweteka ngati chotupa sichinapeze mwayi wokulitsa.
Ngati mwakhala ndi zotupa m'modzi kapena zingapo, mutha kukhala ndi vuto lalikulu mtsogolo. Lankhulani ndi dokotala wanu za zakudya, kuchepa thupi, ndi zina zomwe mungasinthe pamoyo wanu kuti muchepetse zovuta zamtsogolo.