Kubva Kuchechera Kwemusha kusvika kuMapurogiramu Akawedzerwa Okugadzirira
Hemorrhoids inogona kuva iyo inokonzera kusagadzikana kusingagumi kwevamwe uye chikonzero chekurwadziwa kunokanganisa kune vamwe. Chinangwa chekurapa katatu: kuderedza zviratidzo zvishoma; kudzivirira kuwedzera kuwedzera kwekukuvara, uye kugadzirisa chinokonzera chinokonzera. Izvi zvinowanzoitwa ne-high-fiber diet, stool softeners, uye-over-the counter medical medication.
Mumatambudziko akaoma, zvisinei, chirongwa chekuvhiya uye chisina kuvhiya chinogona kushandiswa kubvisa ropa.
Mishonga yeMusha uye Upenyu
Zvizvarwa zvakashandisa mishonga yemusha kuti ichinje hemorrhoids uye kuvadzivisa kuti vadzoke. Vamwe vanobata hemorrhoid zvakananga, asi zvimwe zvinotarisirwa kugadzirisa zvisizvo zvinowanzova pamwoyo wechinetso.
Mishonga inotevera inogona kupa ruzivo rukuru rwezviratidzo zvakanyanya zvehemorrhoid:
- Ice packs inogona kubvisa kuvhiringidzika kwemukati nekurwadziwa, asi haifaniri kuiswa zvakananga paganda kana kuruboshwe pane kwenguva refu kupfuura maminitsi gumi.
- A bathz bath , umo munhu agere mubhati yemvura inodziya kwemaminitsi gumi kusvika kumakumi maviri, anogona kubatsira kuderedza kusvuta nekutsamwa. Epsom salt kana kubika soda inowanzowedzerwa kubatsira kubatsira kuderera.
- Uroyi huru ihwo hunogona kuderedza kubuda ropa uye kudzivirira utachiona nekuita se astringent. Iwe unogona kuzvibaya zvinyoronyoro nekotoni bhora kana kutowedzera mapepa maviri etafura kusvika pakushambidza.
- Aloe vera gel , mafuta e-vitamin E, uye kokonati mafuta ndiwo maitiro ezvisikwa zvinogona kubatsira kugadzirisa uye kuderedza zviduku zviduku zvekunze. Dzivisa makisiki kana kuti mafuta ane zvigadzirwa izvi uye sarudza panzvimbo yefuta yakachena yakanatswa.
Kunaka kwakachena kwehutano kunokosha zvakare kuti usaramba uchikuvara uye utachiona. Izvi zvinogona kusanganisira bhodhoro rinoshandiswa re perianal kuti inopisa mvura inodziya kune anus mushure mekufamba kwechirwere uye mwana akadzimwa anotsvaira kuti anyatsoita dab nzvimbo yacho yakachena.
Kudya
Zvokudya zvakapfuma mu-insoluble fiber zvinogona kubatsira kubvisa kuvhiringidzika uye kudzivirira zvirwere zvisingadzoki. Nokunyorovesa kugadzirisa zvigaro, zviputi zvinenge zviri nani kuporesa nekurwadziwa kuduku uye kubuda ropa.
Iwe unofanirwa kuedza kupedza pakati pe25 ne30 gramu ye fiber zuva rega rega. Nzvimbo dzakanaka dzinosanganisira:
- Nyeredzi nemagumbe
- Zvibereko zvakaoma
- Miti mitsva, kusanganisira miriwo, peas, uye nyemba dzebhinzi
- Muchero mutsva (bvisa mabhanana, izvo zvinogona kusunga)
- Prune juice
- Mbeu dzose, kusanganisira bhari, bran, ruvara rutsvuku, uye chingwa-zviyo zvose
Fiber supplemented containing psyllium, methylcellulose, inulin, calcium polycarbophil, kana gorosi dextrin inogonawo kubatsira.
OTC Therapees uye Zvinyorwa
Mukusunungurwa kunorwadza, zvinonzi antisteroidal anti-inflammatory drugs (NSAIDs) zvakadai seAleve (naproxen) kana Advil (ibuprofen) inobatsira zvikuru mukuderedza marwadzo, kuzvimba, uye kubwinya kwekanyoro kusvika pamwero wehemorrhoids.
Hemorrhoid Creams
Nepo NSAIDs dzakanaka, kudzivirirwa kwemutsara wokutanga pamusoro pemarwadzo ehemorrhoid nekuputika, zvakafanana hazvingatauri kune dzakawanda zvemashoko ezvinyorwa uye zvekugadzirira zvinoshandiswa kurapa hemorrhoids. Chirongwa che2012 chakabudiswa mu World Journal of Gastroenterology chakagumisa kuti kubudirira kwezvinhu izvi zvinoramba zvisingaverengeki.
Izvi zvinosanganisira corticosteroids , inowanika zvose pamusoro pekambani uye nemirairo.
Pakati pemishonga inogona kubatsira:
- Kugadzirira-H , yakagadzirwa ne shark chiropa mafuta (a natural vasodilator), iyo inopisa mafuta anowanikwa pamusoro pekambani inogona kubatsira kuderedza kubuda uye kurwadziwa panguva yekuzvidzivirira.
- Rectogesic mafuta , akaitwa ne 0.2% glyceryl trinitrate (nitroglycerin), inowanikwa nemutemo uye inogona kuderedza marwadzo uye kusagadzikana kwekanyoro kusvika pakuenzanisa maronda. Musoro unowanzovhiringidza.
Stool Softeners
Sezvo zita ravo rinoratidzira, zvigaro zvinyoro zvinodarika-the-counter (OTC) zvigadzirwa zvinoderedza zvigaro zvakasimba uye zvinobatsira kubvisa kuvimbiswa.
Panzvimbo pane kukurudzira kufamba kwechirwere semhepo inokonzera mhepo yakadzika , zvigadziro zvinokonzerwa nemadzimai (anozivikanwawo emollient laxatives) zvinoshanda nekuderedza kunwa kwemvura mumukumbo, zvichiita kuti kuwedzerwa mvura yakawanda muhombodo. Ichi chigumisiro ndeyecheche, nyore-kuenda-pass stool.
Chifukidzo chekugadzirisa zvinokonzera zvinoshandiswa, docusate sodium, uye zvinowanikwa pasi pemazita emhando dzakasiyana-siyana zvinosanganisira Colace, Correctol, Diocto, Doxinate, Dulcoease, Ex-Lax Stool Softener, Fleet Sof-Lax, Modane Soft, Phillips 'Stool Softener, uye Surfak.
Sezvo neine fiber-rich-rich diet, chigaro chevadziviriri vanotora zvishoma mazuva mashomanana zvisati zvaitika zvinogona kuonekwa.
Nzira dzeUnyanzvi
Kazhinji, nzira yekuchengetedza inofanirwa inofanirwa kupiwa inofanirwa kupa rubatsiro rwakakwana rwezvinyoro zvishoma nezvishoma. Kana vakakundikana kuita kudaro, kupindira kwechisimba kunogona kudiwa kuti zvive nyore kupedza kana kubvisa zvachose hemorrhoid.
Non-Surgical Procedures
Kunze kwekuti hemorrhoid yakaoma uye ichikonzera marwadzo ekuremedza, chirwere hachikurumidza kunzi. Panzvimbo pacho, chiremba angaratidza imwe yenzira dzinoverengeka dzisina kuitika dzinogona kuitwa muhofisi yake. Pakati pavo:
- Rubber band ligation: Rubber band inowanikwa kumativi ose emvura, ichichera ropa uye ichiita kuti hemorrhoid ishure, kazhinji mukati memazuva.
- Sclerotherapy: A sclerosing (kuoma) mujenisi inorohwa mukati mehemorrhoid, zvichiita kuti rusvingo rwemvura ruwande uye runopera.
- Infrared coagulation: Chidimbu chakasimba chechiedza chinonzi infrared chinoshandiswa kuparadza mishonga mukati memvura inoyerera kuitira kuti iparadze kubuda kweropa kusvika mukati memhero.
Zvichienderana nezvirevo zvehutungamiri hwako, zvizhinji zvezvizvi zvinowanikwa nehutano hwehutano.
Surgery
Kuvhiya kunochengetwa chete nematambudziko akaoma, kusanganisira hemorrhoids izvo zvakagadziriswa (azere neropa) kana izvo zvakapera (zvakabuda kunze kwechirwere chakare) uye zviri kukonzera kurwadziwa kwakasimba, kusingagumi. Muzviitiko zvisingawanzoitiki, mamiriro aya anogona kukanganisa zvakanyanya ropa uye kuendesa kurufu rwekufa nekukura kwechirwere .
Kana mamwe ose maitiro ekurapa akakundikana, chiremba wako angakurudzira imwe yezvokuvhiya kakawanda:
- Excisional hemorrhoidectomy rudzi rwekuvhiya runoshandiswa mumatambudziko akaoma. Inowanzoitwa pasi peaneshesia yakawanda uye inoda kuchengetedza kudzivisa kukuvadza kune chinonzi sphincter muscle sezvinoita kubviswa kwehemorrhoid. Kunyange zvazvo kushanda kuri kubudirira mukudzivirira kudzoka kwehemorrhoid, kunogona kukonzera kurwadziwa kwepas-operative uye kazhinji kunoda mavhiki maviri kana mana kuti awanezve.
- Yakagadziriswa hemorrhoidopexy ndiyo imwe nzira yakakosha yehemorrhoidectomy. Inosanganisira kushandiswa kwechidimbu chechidimbu chinoshandisa chikafu chinoputika mumhepo panzvimbo yayo yepakutanga panguva yekuchera ropa. Kunyange zvazvo kurwadziwa kwepas-operative kunowanzova kuderera uye nguva yekudzikinura nguva shomanana, kudzoka kwehemorrhoid kunogoneka. A general or regional anesthetic ingashandiswa.
- Doppler-guided hemorrhoid artery ligation ndiyo nzira shoma inopisa iyo iyo ultrasound inoshandiswa kuwana ropa rinoputika. Izvo ropa rinenge rakasungirirwa kunze, uye zvisikwa zvakaputika zvinoderedzwa kumashure panzvimbo. Hakusi kubviswa kwezvisikwa. Nharaunda, yeruwa, kana kuti mashese aneshetiki anogona kushandiswa.
Izvo zvinotengeswa izvi zvinogona kusiyana asi zvinowanzobva kune $ 3,000 kusvika kune $ 5,000. Zvichienderana nehutachiona uye nemitemo yehutano hwako, inshuwarheni inogona kuvhara zvimwe zvezvinoshandiswa pakuvhiyiwa.
> Sources:
> Lohsiriwaat, V. "Hemorrhoids: Kubva pakurapa kwepathophysiology kuenda kuchipatara." World J Gastroenterol. 2012; 18 (7): 2009-17. DOI: 10.3748 / wjg.v18.2009.
> Lohsiriwat, V. "Kurapa kwemapupa: Ropa rekurapa." World J Gastroenterol. 2015; 21 (31): 9245-52. DOI: 10.3748 / wjg.v21.i31.9245.
> Sun, Z. uye Migaly, J. "Kudzokorora kweHemorrhoid Disease: Kuvepa uye Kutungamira." Clin Colon Rectal Surg. 2016; 29 (1): 22-29. DOI: 10.1055 / s-0035-1568144.