Kuvhiya kwehemorrhoid: 6 mhando huru uye postoperative

Zvemukati

• Maitiro ekuvhiya kubvisa mamota
• 1. Hemorrhoidectomy
• 2.Tekiniki naTHD
• 3. PPH maitiro
• 4. Lacquering neelastic
• 5. Sclerotherapy
• 6. Kukanganisa kwemagetsi
• Kupatsanura kweiyo degree remukati mamota
• Kuvhiyiwa kunoitwa sei
• Ari sei postoperative
• Ndeipi nguva yekudzoreredza

Kuti ubvise mamota emukati kana ekunze, zvinogona kudikanwa kuvhiyiwa, izvo zvinoratidzwa kune varwere, kunyangwe mushure mekurapwa nemushonga uye kudya kwakaringana, vanochengeta kurwadziwa, kusagadzikana, kuvaviwa nekubuda ropa, kunyanya pavanenge vachienda.

Kune hunyanzvi hwakati wandei hwokubvisa mamota, iro rakajairika kuve hemorrhoidectomy, inova tsika yechinyakare inoitwa kuburikidza nekucheka. Iko kupora kunotora pakati pe1 vhiki kusvika kumwedzi mumwe, zvichikosha kuti ugare muchipatara kwemazuva maviri uye chengetedza hutsanana hwenzvimbo yepedyo panguva yekudzoreredza.

Maitiro ekuvhiya kubvisa mamota

Dzimwe nzira dzekubvisa mamota emukati kana ekunze anogona kuva:

1. Hemorrhoidectomy

Hemorrhoidectomy ndiko kuvhiya kwakanyanya uye kunosanganisira kubvisa mamota kuburikidza nekucheka. Neichi chikonzero icho chinoshandiswa zvakanyanya mukunze kwemamota kana mune yemukati giredhi 3 ne4.

2.Tekiniki naTHD

Uku kuvhiya kunoitwa pasina kuchekwa, uko chiremba vanoshandisa chishandiso che ultrasound kuti vaone midziyo inotakura ropa kuenda kumamota. Kana midziyo iyi yaonekwa, chiremba anomisa kutenderera kweropa nekusona tsinga, izvo zvinoita kuti hemorrhoid isvave uye iome nekufamba kwenguva. Iyi nzira inogona kushandiswa kugiredhi 2, 3 kana 4 mamota.

3. PPH maitiro

Iyo PPH nzira inobvumira mahemorrhoid kuti agadzikiswe munzvimbo yavo yepakutanga, vachishandisa yakasarudzika titanium inosunga. Maitiro aya haadi sutures, ane nguva yekumhanyisa yekumhanyisa uye inoitwa mukati memamorrhoid emamaki 2 ne3.

4. Lacquering neelastic

Uku ndiko kurapwa uko diki rakasungwa bhandi rinoiswa pazasi pehemorrhoid, rinovhiringidza kutakurwa kweropa uye kukonzera hemorrhoid kufa, zvinova zvakajairika pakurapa giredhi 2 ne3 mamota.

5. Sclerotherapy

Muhunyanzvi uhu, chigadzirwa chinokonzeresa kufa kwemasuru chinoiswa mumidziyo yemamota, ichishandiswa pakurapa mamota ehurongwa 1 ne 2. Dzidza zvakawanda nezve maitiro aya.

Uye zvakare, kune dzimwe nzira dzinogona kushandiswa kubvisa mamota, akadai seye infrared coagulation, cryotherapy uye laser, semuenzaniso uye sarudzo yemaitiro inoenderana nerudzi uye chiyero chemamota chaunoda kurapa.

6. Kukanganisa kwemagetsi

Iyi ndiyo nzira inogona kushandiswa kurapa kubuda kwemukati mukati memamota. Kune izvi, chiremba anoshandisa chishandiso chine infrared mwenje unopisa nzvimbo uye unogadzira vanga pane hemorrhoid, ichiita kuti ropa rimire kupfuura uye, nekudaro, zvinyama zvehemorrhoid zvinomesa uye zvinopedzisira zvadonha.

Infrared coagulation kazhinji ine mashoma mhedzisiro mhedzisiro uye inokonzeresa kushomeka kushoma.

Kupatsanura kweiyo degree remukati mamota

Yemukati mamota ndeye ayo anokura uye anoramba ari mukati meiyo anus, uye anogona kupa akasiyana madhigirii, akadai se:

• Bhuku 1 - Hemorrhoid iyo inowanikwa mukati meiyo anus, nekuwedzera kudiki kweiyo tsinga;
• Bhuku 2 - Hemorrhoid iyo inosiya iyo anus panguva yekuzvika uye inodzokera mukati mukati nekukurumidza;
• Bhuku 3 - Mamota anobuda muchibereko panguva yekushomeka uye kuti zvinodikanwa kupinza zvakare mukati meiyo anus neruoko;
• Bhuku 4 - Hemorrhoid iyo inokura mukati meiyo anus asi iyo nekuda kwekukura kwayo inobuda kuburikidza neiyo anus, iyo inogona kukonzera rectal prolapse, kunova ndiko kubuda kwechikamu chekupedzisira chemuura kuburikidza neanus.

Mamota ekunze ndeaya ari kunze kwenzara, uye aya anogona zvakare kubviswa kuburikidza nekuvhiyiwa, nekuti anokonzera kusagadzikana kunyanya kana ugere uye uchizvitorera.

Kuvhiyiwa kunoitwa sei

Muzviitiko zvakawanda, kuvhiya kubvisa mahemorrhoid kunoitwa pasi peanesthesia uye kunoda kuti murwere aradziswe muchipatara kwemazuva maviri.

Kuti abvise mamota, iyo proctologist inofanirwa kusarudza nzira yakakodzera kwazvo pane imwe neimwe nyaya, nekuti inosiyana zvichienderana nerudzi rwehemorrhoid iyo murwere anayo.

Ari sei postoperative

Kunyangwe kuvhiyiwa kusingakonzere marwadzo, munguva yekuvhiya zvakajairika kuti murwere anzwe marwadzo mudunhu repine, kunyanya kana agere uye pakubuda kwake kwekutanga mushure mekuvhiyiwa, sezvo dunhu iri richinyanyisa. Nenzira iyi, chiremba anowanzo kuratidza:

• Kushandisa analgesics kudzora marwadzo uye kusagadzikana, senge paracetamol maawa masere ese;
• Kushandisa laxatives kugadzira zvituru zvakapfava uye nyore kubuda;
• Kuita inotonhorera yemvura sitz yekugeza kwemaminitsi makumi maviri, iyo nhamba yenguva dzinodiwa kudzikisa kusagadzikana;
• Dzivisa kushandisa bepa remuchimbuzi, kusuka iyo anal nzvimbo mushure mekubuda nemvura inodziya uye sipo yakapfava;
• Shandisa chizoro chinotungamirirwa nachiremba, kaviri pazuva, kubatsira kuporesa nzvimbo yacho.

Mushure mekuvhiyiwa, zvinokurudzirwa kushandisa yakatenderedza buoy-yakaita mutsago kugara, kuitira kudzikisa njodzi yekubuda ropa uye kudzikisa marwadzo. Uye zvakare, mukati memwedzi wekutanga mushure mekuvhiyiwa, zvekudya zvine fiber uye kunwa mvura yakawanda zvinofanirwa kusarudzwa, kuitira kuti zvituru zvinyoro uye zvive nyore kubuda.

Kazhinji, murwere haadi kubvisa zvimiti uye, mushure mekupora zvachose, hapana mavanga.

Tarisa uone muvhidhiyo inotevera kuti chikafu chinofanirwa kunge chiri sei kuita kuti hutumbo hufambe uye kudzivirira mamota.

Ndeipi nguva yekudzoreredza

Iko kupora kubva pakuvhiya kwemamota kunoenderana nerudzi uye degree rehemorrhoid uye nzira yekuvhiya inoitwa, uye inogona kusiyana pakati pe1 vhiki nemwedzi mumwe, kuitira kuti murwere agone kutangazve mabasa avo ezuva nezuva.

Zvakajairika kuti mukati mevhiki rekutanga mushure mekuvhiyiwa, murwere anorasikirwa neropa shoma kuburikidza nenzvimbo yekumashure, zvisinei, kana kubuda ropa uku kwakanyanya zvinokurudzirwa kuenda kuchipatara kunoona kana ari kupora nemazvo.