Hemorrhoids, inowanzonzi mirwi, inogona kukonzerwa nokushungurudzika panguva yekufamba kwechirwere kana nemamiriro ezvinhu akadai sekudzivirira kana kuneta, iyo inonyanya kudzvinyirira zvisina kunaka pamimba pasi. Nokuita kudaro, mitsetse mukati uye yakakomberedza anus inogona kutanga kutambanudza uye kuvhara zvisina kufanira, zvichikonzera marwadzo, kupisa, uye kunhuwa.
Sezvinokanganisa sezvinoita maronda, kunyange masayendisiti haasi chokwadi zvachose nei vamwe vanhu vachikudziridza uye vamwe havaiti.
Zvatinoziva ndezvokuti kune zvimwe zviitiko zvinogona kuwedzera ngozi yemunhu. Zvimwe zvei (zvakadai sechimiro chekudzivirirwa) zvinoshandiswa, asi vamwe (zvakadai sekuberekwa nezera) hazvisi.
Zvinowanzokonzera
Hemorrhoids ichabatanidza vatatu vevanhu vatatu pane imwe nguva kana imwe muhupenyu hwavo. Kunyange zvazvo vanhu vakuru vari pakati pe45 ne65 vari mumatambudziko makuru, zvirwere zvinokonzera zvirwere zvingakanganisa vanhu vari vaduku zvikuru, kazhinji vasina tsanangudzo.
Hemorrhoids ndiyo inowanzobatanidzwa nehutano hwemapfupa, kusanganisira:
- Kunyanya kuvhiringidzika kana kubuda
- Kurwisana panguva yemafudzi
- Akagara kwenguva refu muimba yega
Chimwe chezviitiko izvi chinogona kuchinja mishonga yeropa iri mune iyo inonzi " hemorrhoid cushion" . Ichi chimiro chemukati chemvura inoratidzirwa yakagadzirwa nemagetsi anogadzirisa, masero anotsvedza, nemidziyo yeropa inonzi sinusoids.
Kurambidza chero kupi zvako kunogona kukonzera kubuda kamwe kamwe kwekumanikidza kweropa mumusana wehemorrhoid.
Izvi, zvakare, zvinogona kukonzera mudziyo kubvaruka kubva mumatumbo nemagetsi zvinorehwa kuti zvigadzire panzvimbo.
Kuramba kwekurara kana kuvhara kunogona kuita kuti zvinhu zviwedzere kukura nekukonzera kusuruvara kunoramba kuripo kweanamato uye rectal (anorectal) tishu. Kugara pane chimbuzi kunongowedzera dambudziko nekugadzirisa masvingo emidziyo yeropa zvakanyanya zvokuti inotanga kuwedzera uye kuwedzera.
Izvozvo zvinogona kuitika kana iwe une sneeze yakawanda.
Lifestyle Risk Factors
Nepo matambudziko ekufamba kwechirwere ndiwo maitiro anowanzokonzera mahemorrhoids, kune zvimwe zviitiko zvehupenyu izvo zvinogona kuwedzera ngozi yemunhu zvose zvakananga uye zvisingaiti.
Varombo Mashoma
Dhihydrated kana kunwa zvishoma masereji masereji emvura pazuva (inenge hafu yegorosi) inogona kuita kuti kuvharwa uye, ikozvino, kuve kwemafupa emvura.
Zvokudya Zvishoma-Fibhi
Chirwere chetachiona chinokosha kuti utano huve hutano, uye vanhu vazhinji havakwanisi kuwana zvakakwana. Zvishoma-fibhi kudya (ine pasi pe25 kusvika ku30 gm fiber pazuva) zvinogona kuwedzera kuwanda kwehutano hwekuvharwa.
Maererano nehutungamiri kubva kuNational Institute of Diabetes uye Digestive uye Kidney Disorders (NKNKD), kudya kwakakosha mune zvekudya zvinotevera kunogona kuwedzera zvakanyanya ngozi yako yekuvhara:
- Cheese
- Chips
- Chikafu chekutenga
- Ayizi kirimu
- Zvokudya zvakagadzirirwa, kusanganisira kudya kwechando uye zvokudya zvekudya
- Zvokudya zvakagadzirwa
- Nyama tsvuku
Kusiyana neizvi, kuwedzerwa kwekuwedzerwa kwefibiruble fiber kunogona kubatsira kudzorera hutano hwemazuva ose.
Kushaya Basa Renguva Dzose
Kunyanya kushanda uye kusavapo kwekuita muviri nguva dzose kunogona kukonzera kurasikirwa kwakawanda kwemazwi emusinga (kusanganisira maitiro emagetsi) pachinokonzera kugadzikana kwemimba (izvo zvinowanzokonzera kushandiswa kwemasvuru ezuva uye kuvhara).
Zvokurapa Zvinokonzera
Hemorrhoids inowanzoonekwa mune zvakawanda zveutano, zvimwe zvakakomba uye zvimwe kwete-zvakanyanya-zvakakomba. Izvi zvinosanganisira:
- Kukuvadza kunobata, zvakadai sekubva pabonde
- Ascites (kuunganidzwa kwemvura mumakumbo emimba, kazhinji kunoonekwa mune chirwere chakakura chechiropa)
- Zvirwere zvinokonzera kupisa (IBD) , zvakadai seCrohn's disease uye ulcerative colitis
- Kuwedzera muviri: Kuwedzera mimba kumadzimai uye kurema kunzvimbo kunetseka pamisungo yepadvic pasi uye, pamwewo, mhemberero yehemorrhoid.
- Rectal prolapse
Nokuti dzakawanda zvezviitiko izvi zvakakomba uye / kana kurapwa, zvinokosha kuti usasakanganwa chero upi hwemvura huri kukura kana kusakwanisa kuvandudza.
Kunyange zvazvo hemorrhoids dzimwe nguva inogona kubuda ropa, iwe unofanira kuona chiremba kana kubuda ropa kuchiramba kuchienda uye kunofambidzana nemarwadzo emimba, kuchinja mumagadzirirwo emadzimai, masimba ane ropa, uye kusarondedzera kurasikirwa. Izvi zvinogona kuva chiratidzo chekoloni kana kenza yemhara , iyo yose inoda kutarisirwa nokukurumidza.
Izvo zvinoenda kune chirwere chisingaperi chisingaiti. Uyewo haufaniri kuonekwa sechinhu chakanaka, uye matanho anofanira kutorwa kuti aone chero chinokonzera chikonzero (yakadai se lactose kana kuti kusagadzikana kwe gluten ) inogona kutsanangura kana kugovera kumamiriro acho ezvinhu.
Kuberekwa
Hemorrhoids zvakare inowanzoitika panguva yekuzvitakura. Kunyange zvazvo kushungurudzika kunoitwa nekuremera kwecheche kunogona kubatsira pakukura kwavo, kushandiswa kwehomoni kunogona kukonzera mitsetse yeropa kukurira zvakanyanya.
Munguva yehutumbi pachahwo, kuwedzera kwechibereko chechibereko chinogona kukumanikidzira kune yakaderera vena cava , mudziyo mukuru uri kurudyi rwemuviri unogamuchira ropa kubva pamakumbo ezasi. Kuita kudaro kunopesana nekuyerera kweropa kudzokera kumwoyo uye kunokonzera mimwe midziyo pasi pemubereki kuti iwedzere, kusanganisira iyo yemhembera yemaputi.
Kuberekwa kunogona kuisa humwe hutambudziro nechisimba chakasimba chebasa rinoshandiswa, zvichiita kuti kuve nekudzika kwehupfuti shure kwekusununguka.
Inofungidzirwa kuti vazhinji vanenge 35 kubva muzana yevakadzi vacharamba vachiita zvirwere panguva yekudzivirira kwake. Ngozi inowanzowedzera nekuzvarwa kwekupedzisira.
Genetics
Genetics inogonawo kuita basa mukuvandudzika kwemhemorrhoids. Chimwe chimiro chakadaro chirwere chinotora nhaka chinonzi Ehlers-Danlos syndrome (EDS) umo kusakosha kwegogenjini kunogona kutungamirira kukuvhiringidzika kwemashupu epasi. Hemorrhoids chiratidzo chakakurumbira cheDD uye dzimwe nguva chinomiririra chinetso chakakomba chinonzi rectal prolapse umo chifukidzo chinowira chikamu kana zvachose kunze kwemuviri.
Chimwe chiremera chinowanzozivikanwa ndekusavapo kwemagetsi mukati memhembwe dzemakumbo, izvo zvinogona kutungamirira kune zvakanyanya kuvhuvhuta kwechisimba uye kuzvimba.
> Sources:
> 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.
> National Institute of Diabetes and Digestive and Kidney Disorders (NDDKD). "Kudya, Kudya, uye Kudya KwemaHemorrhoids: Chii chandinofanira kudya kana ndiine hemorrhoids?" Bethesda, Maryland; October 2016.