Munyori: Laura McKinney
Zuva Rekusika: 10 Kubvumbi 2021
Gadziridza Zuva: 22 Mbudzi 2024
Anonim
Passage of the Last of us (One of us) part 1, the addition was left behind
Vhidhiyo: Passage of the Last of us (One of us) part 1, the addition was left behind

Zvemukati

Isu tinosanganisira zvigadzirwa zvatinofunga zvinobatsira kuvaverengi vedu. Kana iwe ukatenga kuburikidza nehukama pane ino peji, isu tinogona kuwana diki komisheni. Heano maitiro edu.

Mamota maumbwe tsinga dzinogona kuve dzemukati, zvinoreva kuti dziri mukati mechirume. Kana ivo vanogona kuve vekunze, zvinoreva kuti ivo vari kunze kweturu.

Mazhinji hemorrhoidal flare-ups anomira kukuvara mukati memavhiki maviri pasina kurapwa. Kudya chikafu chepamusoro-fiber uye kunwa magirazi emvura kusvika pamakumi masere pazuva kunogona kazhinji kukubatsira kubata zviratidzo nekusimudzira kupfugama uye kugara uchiita ura.

Iwe unogona zvakare kuda kushandisa zvigunwe zvigadzikisi kudzikamisa kumanikidza panguva yekufamba kwematumbu, sekumomesa kunoita kuti mamorrhoid awedzere. Chiremba wako anogona kukurudzira pamusoro pe-the-counter mafuta ekuzodza kuti agadzirise kumwe kunhuwa, kurwadziwa, kana kuzvimba.

Matambudziko ehemorrhoids

Dzimwe nguva, mamorrhoid anogona kutungamira kune mamwe matambudziko.

Mamota ekunze anogona kukura maronda eropa anorwadza. Kana izvi zvikaitika, vanonzi mahemorrhoid ane thrombosed.


Yemukati mamonorrhoid inogona kuputika, zvinoreva kuti vanodonha kuburikidza nereceum uye bulge kubva kune anus.

Mamota ekunze kana akaputika anogona kutsamwiswa kana kutapukirwa uye zvinogona kuvhiyiwa. IAmerican Society of Colon and Rectal Surgeons inofungidzira kuti isingasviki gumi muzana yezviitiko zvehemorrhoid inoda kuvhiyiwa.

Zviratidzo zvehemorrhoids

Mamota emukati anowanzo kukonzera kusagadzikana. Vanogona kubuda ropa zvisingarwadzi mushure mekufamba ura. Vanova dambudziko kana vakanyanya kubuda ropa zvakanyanya kana kuwanda. Zvakajairika kuona ropa mushure mekubuda ura kana uine hemorrhoid.

Mamota ekunze anogona zvakare kubuda ropa mushure mekufamba ura. Nekuti ivo vanofumurwa, ivo vanowanzo kuve vanotsamwiswa uye vanogona kukweva kana kuve kunorwadza.

Chimwe chinetso chakajairika chekunze kwemamota ndiko kuumbika kweropa mukati memudziyo, kana thrombosed hemorrhoid. Nepo aya magadziko asingawanzo kutyisidzira hupenyu, anogona kukonzeresa, kurwadziwa kwakanyanya.

Kurapa kwakaringana kwemapapu akadaro ane "incision uye drainage" maitiro. Chiremba wechiremba kana chiremba mune yekukurumidzira mukamuri anogona kuita izvi maitiro.


Kuvhiya pasina anesthetic

Dzimwe mhando dzekuvhiya kwemamota dzinogona kuitwa muhofisi yechiremba wako pasina anesthetic.

Bhendi

Bhendi inzira yehofisi inoshandiswa kurapa mamota emukati. Iyo zvakare inonzi rubber band ligation, maitiro aya anosanganisira kushandisa yakasimba bhendi kutenderedza hwaro hwehemorrhoid kucheka ropa rayo.

Bhendi kazhinji rinoda maviri kana anopfuura maitiro anoitika anenge mwedzi miviri aparadzana. Hazvirwadzi, asi unogona kunzwa kumanikidzwa kana kusagadzikana zvishoma.

Bhendi harikurudzirwe kune avo vanotora vatete veropa nekuda kwenjodzi huru yekukanganiswa kweropa.

Sclerotherapy

Maitiro aya anosanganisira kujekesa kemikari mune hemorrhoid. Iyo kemikari inokonzeresa hemorrhoid kudzikira uye nekuimisa kubva pakubuda ropa. Vazhinji vanhu vanonzwa kurwadziwa kushoma kana kusava nepfuti.

Sclerotherapy inoitwa kuhofisi yechiremba. Kune mashoma anozivikanwa njodzi. Izvi zvinogona kuve sarudzo iri nani kana iwe uri kutora vanoonda ropa nekuti ganda rako harina kuchekwa rakavhurika.


Sclerotherapy inowanzo kuve neyakanakisa mitezo yekubudirira kune madiki, emukati mamota.

Coagulation kurapa

Coagulation therapy inonziwo infrared photocoagulation. Uku kurapwa kunoshandisa infrared mwenje, kupisa, kana kutonhora kwakanyanya kuita kuti hemorrhoid idzokere uye ipere. Ndiyo imwe mhando yemabatiro anoitwa kuhofisi yechiremba wako, uye inowanzoitwa pamwe chete neanoscopy.

Anescopy inzira yekuratidzira umo chiyero chinoiswa masendimita akati wandei muchikamu chako. Chiyero chinobvumira chiremba kuti aone. Vazhinji vanhu vanongoona kusagadzikana kuderera kana kupwanya panguva yekurapa.

Hemorrhoidal arteri ligation

Hemorrhoidal artery ligation (HAL), inozivikanwawo se transanal hemorrhoidal dearterialization (THD), imwe sarudzo yekubvisa hemorrhoid. Iyi nzira inotsvaga tsinga dzeropa dzinokonzeresa hemorrhoid ichishandisa iyo ultrasound uye ligates, kana kuvhara, iyo midziyo yeropa. Inonyanya kushanda pane kusunga bhandi, asiwo inodhura yakawanda uye inoguma nekurwadziwa kusingaperi. Zvichienderana nerudzi rwehemorrhoid, ndeyesarudzo kana yekutanga yerabhani bhendi ikakundikana.

Kuvhiya neanesthetic

Dzimwe mhando dzekuvhiya dzinoda kuitwa muchipatara.

Hemorrhoidectomy

Hemorrhoidectomy inoshandiswa kune makuru ekunze mamorrhoid uye emukati mamota anoputika kana ari kukonzera matambudziko uye asiri kupindura kune asina kuvhiya manejimendi.

Maitiro aya anowanzoitika muchipatara. Iwe nachiremba wako uchasarudza pane yakanakisa anesthesia yekushandisa panguva yekuvhiya. Sarudzo dzinosanganisira:

  • general anesthesia, inoisa iwe muhope huru mukati mekuvhiyiwa
  • Regional anesthesia, iyo inosanganisira mishonga inovhiringidza muviri wako kubva muchiuno pasi ichiendeswa nepfuti kumusana kwako
  • yemunharaunda anesthesia, iyo inovhundutsa yako chete anus uye rectum

Iwe unogona zvakare kupihwa sedative kuti ikubatsire kuzorora panguva yekuita kana iwe ukagamuchira yemuno kana yedunhu anesthesia.

Kamwe iyo anesthesia yatanga kushanda, chiremba wako anovhiya achacheka iwo makuru mamota. Kana oparesheni yapera, uchaendeswa kukamuri yekudzorera kwenguva pfupi yekucherechedza. Kana timu yekurapa yave nechokwadi chekuti zviratidzo zvako zvakakosha zvadzikama, unozokwanisa kudzokera kumba.

Marwadzo uye hutachiona ndiyo njodzi dzinowanzoitika dzinosangana nerudzi rwekuvhiya.

Hemorrhoidopexy

Hemorrhoidopexy dzimwe nguva inonzi inonzi stapling. Inowanzoitirwa sekuvhiya kwezuva rimwechete muchipatara, uye inoda general, yedunhu, kana yemuno kutindivadza.

Kubatirira kunoshandiswa kurapa mamota anoputika. Chikafu chekuvhiya chinogadzirisa iyo yakaputika hemorrhoid kudzoka munzvimbo mukati meyako rectum uye inodonha iropa kuitira kuti nyama idzike uye itorerwe zvakare.

Kuomesa zvakapora kunotora nguva shoma uye hakurwadze pane kupora kubva muhemorrhoidectomy.

Aftercare

Iwe unogona kutarisira kurwadziwa kweruwa nekumashure mushure mekuvhiyiwa hemorrhoid. Chiremba wako angango gadza painkiller kurerutsa kusagadzikana.

Unogona kubatsira kupora kwako ne:

  • kudya chikafu chepamusoro-fiber
  • kugara uine hydrated nekumwa magirazi emvura masere kusvika gumi pazuva
  • kushandisa chigaro chinonyorovesa kuitira kuti usazonetse panguva yekufamba ura

Dzivisa chero zviitwa zvinosanganisira kurema kusimudza kana kudhonza.

Vamwe vanhu vanoona kuti sitz mabhati anobatsira kudzikisira posturgia kusagadzikana. Bhatiro re sitz rinosanganisira kusimudza iyo anal nzvimbo mumasendimita mashoma emvura inodziya yemunyu kakawanda pazuva.

Kunyangwe nguva dzekupora dzakasiyana, vanhu vazhinji vanogona kutarisira kugadzirisa zvizere mukati memazuva gumi kusvika gumi nemana. Zvinetso hazviwanzoitika, asi ndokumbirawo utsvage rubatsiro rwekurapa kana uine fivhiri, usingakwanise kuita weti, kuva nemarwadzo nekuita weti, kana kunzwa dzungu.

Paunoteedzera nachiremba wako, vangangokurudzira:

  • kuchinja kwekudya, sekudya chikafu chine fiber yakawanda uye kugara uine hydrated
  • kuita mararamiro ehupenyu shanduko, sekuderedza uremu
  • kutora chirongwa chenguva dzose chekurovedza muviri

Izvi zvigadziriso zvinoderedza mukana wehemorrhoids inodzokororwa.

Tenga zvekugadzirisa zvituru.

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