Kodi kuchitira zotupa? Kodi ndiyenera kupita kwa dokotala?

Zotupa kunja m'kukoma kukulitsa amphamvu mitsempha mu kutsegula kumatako. Akhoza kupanga mfundo, mitsempha ndipo anatambasula m'lifupi ndi m'litali. Matendawa akhoza patsogolo.

malingaliro ochiritsira za matendawa ngati chinthu chochititsa manyazi, si zoona. chifukwa mwina asamapereke, mowa kwambiri, n'kotopetsa thupi. Zizindikiro monga zowawa, wotentha, kuyabwa, kumverera thupi achilendo, ndipo magazi mwina zazing'ono pa defecation. Tidzayensa adzaone zomwe kuchitira zotupa.

Zotupa amapezeka osati kamodzi, osati nthawi yomweyo. Akufotokozera pang'onopang'ono. Pofuna kuchiza izo, n'kofunika kuti matenda m'njira yake. Pakuti matenda m'pofunika amatchula katswiri. Linapangidwa ntchito kafukufuku digito ntchito anoscopy (ntchito chida chapadera kuyendera mkati mwa rectum pa 12-14 masentimita) kapena ntchito sigmoidoscopy (njira yodalirika ndi zolondola kwa matenda okhazikika imagwiridwa mwa sigmoidoscopy ndi likulowerera mu rectum 20 -35 cm). Pali njira zina za matenda, monga barium mankhwala, colonoscopy, ndi ena.

Si kale, zaka khumi kapena khumi ndi zisanu zapitazo, njira yaikulu chithandizo anali kuchita opaleshoni. Masiku ano, palinso osiyanasiyana njira si olanda. Iwo sabweretsa chisoni, ndi ngozi m'munsi matendawo, akhoza kukwaniritsa kuchira. Komabe, tiyenera kukumbukira kuti ntchito njira zimenezi zabwino mu magawo oyambirira kuposa kuchiza zotupa, pamene matendawa amakhala achilendo. Musalimbane ndi njira zimenezi.

Imodzi mwa njira zingapo amenewa ndi sclerotherapy. Amanena mu kumayambiriro kwenikweni kwa matendawa. Mu mtsempha wapadera jekeseni mankhwala pansi kanthu komwe pang'onopang'ono amachepetsa venous mfundo. Mankhwalawa lonse kumatenga zosaposa magawo awiri.

Pamene infuraredi zotsatira photocoagulation mankhwala zimatheka mwa coagulation (clotting) mitsempha wapadera chipangizo kudya zotupa, kuwachititsa magazi yafupika ndi zigawo zikuluzikulu ndi kuchepetsedwa pang'onopang'ono kubwera boma yachibadwa.

Kutsatira proximal ligation imagwiridwa woyamba panopa hemorrhoidal mtsempha malo mtima Ndiyeno anapanga ligation awo (ligation), chifukwa mu kuchepa kwa mfundo ndi venous. opaleshoni chikuchitika padziko mankhwala oletsa ululu pamalopo zimatha salinso kuposa theka la ola.

Pali njira monga mphete ligation lalabala. zida Special umaperekedwa kwa mkati hemorrhoid, zingalowe m'malo limachokera ntchito zida ndi wothinikizidwa lalabala mphete. Patapita nthawi (masiku seveni khumi), amwalire, ndi kukanidwa ndi thupi. Opaleshoni imeneyi mobwerezabwereza kuchotsa zonse mfundo za. Kawirikawiri awo palibe zoposa zitatu.

Amatchulanso pano mankhwalawa opaleshoni - njira yaikulu ya mankhwala mu magawo ina ya matenda. Pankhaniyi, opaleshoni yochotsa onse zigawo zikuluzikulu mkati ndi kunja. Complete bala machiritso kumachitika kwa zaka osapitirira makumi awiri masiku.

Nkofunika kudziwa kuti palinso ndiwofatsa mankhwala. Apa n'zotheka ntchito mankhwala wapadera makandulo, mankhwala azitsamba, kutikita wapadera. Ikani njira izi mu magawo koyamba matenda kuposa kuchiza zotupa opaleshoni.

Tiyeni tione mmene kuchitira zotupa kunyumba. Pali zingapo maphikidwe otchuka.

Ingagwiritsidwe mu mphika ndi madzi ofunda ndi kuukira kwa ululu waukulu. chida ichi zosavuta kungathandize kuchepetsa ululu pa matenda pachimake.

Mukhoza mafuta mawanga zilonda Vaselini, zimasindikizidwa ubweya thonje.

Tengani supuni ya tiyi ya mbewu psyllium ndi kapu ya madzi m'mawa uliwonse kwa sabata imodzi. Mu sabata yachiwiri gawo ili la m'mawa ndi chakudya. Msabata lachitatu, kuwonjezera ndi chakudya. Ndipo kupanga chizolowezi okhazikika m'tsogolo. Monga momwe taonera, kuchitira zotupa kunyumba n'zotheka magawo oyambirira a matenda.

Anthu ena amaganiza kuti zotupa si owopsa, alibe mavuto. Koma izi sizili choncho. Chifukwa cha matenda fissure kumatako ungadzakhazikitsidwe pa nthawi akhoza ochepa mphamvu kukumbukira ndowe ndi mipweya, thumbo fistula akhoza kupangidwa. Kotero musati salabadira vutoli. Nkofunika matenda mu nthawi ndipo amafuna kuchita zonse zimene zingamuthandize kuchira. M'pofunikanso kupewa prerequisites matenda, monga kuposa kuchiza zotupa, si bwino kumupatsa mwayi kulankhula.