Igazi ngesikhathi sokuhlukunyezwa kuyisibonakaliso sezinyosi

Ama-hemorrhoids ahlotshaniswa noshintsho lwezifo emithanjeni yegazi ye-rectum. Yingakho lapho kuthuthukiswa lesi sifo, ubuhlungu negazi kuphakama ngesikhathi sokuhlenga endaweni yangasese. Kuzo zonke izifo ze-proctologic (proktós - anus) zivame kakhulu. Ama-hemorrhoids ayathinteka cishe ingxenye yesine yomphakathi wezwe. Ukugula kwesifo sekuvame iminyaka engaphezu kwengu-25.

Ngama-hemorrhoids, umthamo we-cavernous corpuscles ukwandiswa kakhulu, okuyizinto eziyinkimbinkimbi yemithwalo yegazi ezungeze i- rectum, ngokuhlukunyezwa kwegazi okwenzeka ngesikhathi sokuhlukunyezwa. Lokhu kubangelwa ukuqhuma kwegazi emithanjeni ngenxa yengozi ekulawulweni komkhuhlane nokuphuma kwayo. Izinto ezibangela lesi sifo yizifo ezisebenza kahle zezicubu ezixhumayo ezisekela izidumbu ze-Cavernous, kanye nezinguquko ekulawuleni kwemizwa yezwi lezindonga zegazi.

Ama-hemorrhoids angaba yifa futhi azuze.

Ukwehliswa kwezifo ezifisa ukwanda kwengcindezi ku-peritoneum noma kubangele ukuqhuma kwegazi emigodini ye-Cavernous futhi ngemva kwalokho - igazi ngesikhathi sokuhlukumeza:

• umthwalo ophezulu ngokomzimba,

• umsebenzi ohambisana nokunyathela isikhathi eside,

• Ukukhulelwa nokubeletha,

• ukuqothulwa okuhlobene nokungondleki: ngokweqile ekudleni kokudla okunamandla nokuntuleka kwe-fiber dietary,

• Ukuphuza utshwala,

• ukukhuluphala,

• ukuhamba okuphansi,

• ukulimala kwesibindi,

• izifo zezitho zomzimba,

• izicubu ze-rectum,

• Ubulili obuhlalisayo.

Ekuqaleni kwesifo, kunzima kakhulu ekuguleni. Khona-ke kukhona ukushaywa nokubuhlungu ku-anus, umuzwa wokukhipha okungaphelele kwamathumbu. Kamuva, i-hyperemia ne-edema ziyabonakala. Esikhathini esizayo, ama-hemorrhoids angase aphume emgodini olwalayo. Ukuhlukunyezwa kuyaphazamiseka, kuba buhlungu kakhulu, kaningi ngegazi elibomvu livezwe ngesikhathi sokuhlukunyezwa. Lokhu kungenxa yokuphuka kwezindonga nokumboza izicubu zomzimba we- cavernous, okweqile isikhathi eside. Uma izindawo ezikhungethekile zinegciwane, izinqubo zokuvuvukala zikhula.

Ngokusho kwendawo, ama-hemorrhoids angaba angaphandle (ngaphansi kwesigcawu) lapho i-cavernous corpuscle etholakala ekuphumeni ukusuka e-rectum iba yilapho igxila futhi yangaphakathi (i-submucosal). Lesi sifo singaba nesifo esingapheli futhi esinzima.

Esikhathini esingapheli kukhona ukunye kwesiteleka sokuxolelwa nokukhuphula. Ngesikhathi sokuxolelwa, azikho ukubonakaliswa okubonakalayo kwalesi sifo. Kodwa-ke, ngaphansi kwetheksthi yezici ezithathelwanayo, izimpawu zomtholampilo zivela.

Ama-hemorrhoids ajwayelekile, okungaziwa ngokuthi i-thrombophlebitis ye-hemorrhoid, i-hemorrhoids eboshiwe, i-thrombosis ye-hemorrhoids - ngokuvamile ivela emlandweni wesifo esingapheli futhi uhambisane nobuhlungu obukhulu kakhulu. Uma izicubu zomgwaqo olwalayo ziqhekeka, igazi elibomvu lingabelwa ngesikhathi sokuhlukumeza. Ngokuvamile ukushisa komzimba kuphakama. Ubuhlungu obukhulu bubangelwa ukuphulwa kwamasayithi alahlekile noma ukuvinjelwa kwemithanjeni ye-hemorrhoidal ngezindwangu zegazi. Ukwephulwa kwegazi ngezindlovu eziwile kuholela ekufakeni isilonda, okuyinto esikhathini esizayo okungabangela i-necrosis yabo nokubola. Phakathi kwezinkinga eziyingozi kakhulu zama-hemorrhoids aphezulu kukhona ukuvuvukala okuphuthumayo nokudakwa okujwayelekile komzimba. Kulezi ziguli ezinobuthakathaka ekwelapheni okungakafiki kukhona amathuba okutholakala kwe-sepsis. Ezinye izixazululo: i- fistula e- purulent ne-fecal ye-rectum, i-fistula yesisu.

Ukuxilongwa kwama-hemorrhoids kuhlanganisa:

• ucwaningo lwamunwe,

• sigmoidoscopy,

• Irrigoscopy,

• i-ancopy,

• I-colonoscopy,

• i-coprogram,

Ukuhlaziywa kwama-Fecal ukuthola igazi elifihlekile.

Ukwelashwa kwama-hemorrhoids kuhilela ekutholeni izindlela zokuqapha eziqeda ukubonakaliswa okukhulu, ikakhulukazi uma i-blood in the defecation ibonisa ukuqhuma ngaphakathi kwenzalo yomlilo. Ngesikhathi esifanayo, kunesidingo samalungiselelo ezinhlobonhlobo ezahlukene: i-phlebotrophic, i-analgesic, i-hemostatic, i-sedative ne-anti-inflammatory. Ukwelapha kufanele kuhambisane nezinyathelo ezingezona izidakamizwa: ukuhambisana nokudla, ngaphandle kwemithwalo esindayo, njll.

Ukugqugquzela isimo se-microclysters ngesineke nge-sea buckthorn ne-dog-rose amafutha, nge- Vishnevsky amafutha. Njengoba ama-hemostatic agents ngaphakathi angasebenzisa u-Vikasol, u-Vicinone, amakhandlela wangaphandle ne-methyluracil, amafutha "Ultraprotect." Isidakamizwa esisekelwe kahle "Gepatrombin G" (amakhandlela namafutha), enomphumela oyinkimbinkimbi. Ngokusetshenziswa kwezidakamizwa ezisetshenziswa ngaphakathi ngaphakathi, ukusebenza kahle kakhulu kune-diosmin, evala ngokushesha ukubonakala kwesigaba esiyinkimbinkimbi sesifo. Lesi sidakamizwa sisetshenziselwa ukulungiselela kwangaphambili.

Ukwelashwa okuphumelelayo kusetshenziselwa ukusetshenziswa kwezindlela ezincane (ukungena): i-sclerotherapy, i-infrared photocoagulation, i-cryotherapy, i-ligation yamanothi anezindandatho ze-latex, ukuchithwa kwama-node.

Ukungenelela okuhlinzekwayo kukhonjiswe kuma-hemorrhoids angapheli nge-prolapse of nodes noma ukuphuma okukhulu.