Zvese zvaunoda kuti uzive nezve colon uye rectal zvirwere - hemorrhoids

Dr. Matthew Tetherley, Consultant Colorectal uye Laparoscopic Surgeon paBurjeel Hospital, Abu Dhabi, anopindura mibvunzo inowanzobvunzwa pamusoro pezvirwere zvemavara.

Kutanga, chii chinonzi hemorrhoids?

Hemorrhoids ndechimwe chezvirwere zvakajairika zvecolon uye rectum. Vanopfuura hafu yehuwandu vachaita hemorrhoids pane imwe nguva muhupenyu hwavo, kazhinji mushure memakore makumi matatu. Mahemorrhoids ekunze ane tsinga dzakadzika pasi peganda pa anus, dzinogona kuzvimba kana kukonzera kurwadziwa. Dzimwe nguva zvinogona kurwadza zvakanyanya kana ropa rikagwamba (thrombosis). Internal hemorrhoids, iyo inobata mugero wekumashure, inoonekwa nekubuda ropa pasina marwadzo uye kubuda panguva yekufamba. Kana mahemorrhoids akawedzera, anogona kubuda.

Ndezvipi zviratidzo zvinowanzoonekwa uye zviratidzo zvehemorrhoids?

Chiratidzo chinonyanyozivikanwa ndechekubuda ropa rectal pasina kurwadziwa. Kubuda ropa uku kunogona kuoneka mudiki patishu kana muchimbuzi. Varwere vanogunun'unawo nekusagadzikana kana kuputika munzvimbo yekumashure. Dzimwe nguva munyaya yehemorrhoids yakakura, kubuda kubva kune anus kunoitika uye kunorwadza zvikuru. Asi kuvapo kwemarwadzo akakomba apo defecation inowanzova mugumisiro wechimwe chimiro chinonzi anal fissure.

Ndepapi panofanira kubvunzwa chiremba wekoloni uye rectal?

Hemorrhoids yakajairika uye kune akawanda maitiro ekurapa anoshanda. Vanhu vazhinji vanogona kupora kubva pazviratidzo nekuchinja mararamiro uye kushandisa mishonga iri nyore. Asi kana zviratidzo zvikasapera mukati memavhiki maviri, colon uye rectal surgeon zvinofanirwa kubvunzwa. Kubuda ropa rakatsvuka rakajeka panguva uye mushure mekufamba ura ndicho chiratidzo chinowanzoitika chehemorrhoids. Zvinosuruvarisa, zviratidzo zvakafanana zvinogona kuitika mune zvimwe zvirwere zvakadai secolitis uye kenza. Saka, kana kubuda ropa kusingaregi nekurapa kuri nyore mukati memavhiki maviri, zvakakosha kushanyira colon uye rectal surgeon.

Ndezvipi zvikonzero zvehemorrhoids?

Zvinhu zvinokonzeresa kuitika kwemahemorrhoids uye izvo zvinofanirwa kucherechedzwa pakudzivirira kushungurudza kwakanyanya kuita ura, kugara kwenguva refu pachimbuzi (pakuverenga kana kushandisa nharembozha), kupererwa kana manyoka asingaperi, nhumbu uye majini.

Mahemorrhoids anoongororwa sei?

Nzira iri nyore yekuongorora matambudziko aya ndeyekuita ongororo necolon uye rectal surgeon anobata nemamiriro aya. Kuti usimbise kuongororwa, dhijitari (kombuta) yekuongorora rectum inoitwa neproctoscopy uye sigmoidoscopy (yakareruka chiyero chekuongorora rectum). Dzimwe nguva colonoscopy yakazara inokurudzirwa kana pane zviratidzo uye zviratidzo zveimwe chirwere chekoroni, sekuchinja kwekufamba kwehuta, kana kana pane zvinhu zvinokonzera kenza yekoloni.

Mahemorrhoids angadziviswa sei?

Kudzivirira kuri nani pane kurapa! Nzira iri nyore yekudzivirira mahemorrhoids ndeyekuchengeta zvituru zvakapfava kuti zvipfuure pasina kunetsa. Zvakakoshawo kuti usagara kwenguva refu pachimbuzi uye kuti usaomesera panguva yekubuda ura. Zvakanaka, enda kuchimbuzi chete kana pane chido chakasimba chekuzarura matumbo uye usagara kweanopfuura maminetsi matatu kusvika ku3 uchipfuura zvigaro kuwirirana kwemazino.

Chii kurapwa kwemahemorrhoids?

Pakutanga inobatsira kuchinja kudya uye kuwedzera mvura. Kuchengeta nzvimbo yakaoma uye yakachena kunokosha zvakare. Nyura nzvimbo mumvura inodziya kwemaminitsi gumi kusvika gumi nemashanu kaviri kana katatu pazuva, kunyanya mushure mekuvhura matumbu. Pakuomesa shandisa tauro uye bhabhadzira pane kupukuta. Kana matanho aya asinganatsiridze mamiriro acho ezvinhu, ungada mishonga, kazhinji kacho ine laxative kana laxative, kupfavisa chigaro. Kana hemorrhoids ichikonzera marwadzo kana kuputika, mushonga weanesthetic wemunharaunda kana steroid cream inogona kubvisa zviratidzo, asi inofanira kushandiswa kwenguva pfupi. Nekushandiswa kwemishonga iyi, zviratidzo zvehemorrhoids zvinogona kupera mukati mevhiki kana maviri.Kana mamiriro acho asina kunaka, chiremba wekoloni uye rectal anofanira kubvunzurudzwa.

Colon uye rectal surgeon ine nzira dzakawanda dzekubata nehemorrhoids, kusanganisira nzira dzinoitwa mukiriniki, senge rubber band ligation kana jekiseni rinotungamira mukuderera kwehemorrhoids. Kune zvakare akati wandei ekuvhiya anogona kuitwa, sekusunga tsinga, kuvhura kubviswa kwehemorrhoid kana stapled hemorrhoidectomy. Chiremba anovhiya anosarudza kurapwa kwakakodzera uye kuvhiyiwa zvichienderana nerudzi rwehemorrhoids iyo murwere anotambura nayo.