Ububabare Bw'Ibyondo

Umusonga ni imiyoboro y'amaraso yabitswe mu kibuno cyawe. Umusonga uri mu kibuno ubusanzwe ntababaza ariko ukunda kuva amaraso. Umusonga uri hanze y'kibuno ushobora kubabaza.

Umusonga (HEM-uh-roids), witwa kandi piles, ni imiyoboro y'amaraso yabitswe mu kibuno no mu kibuno kiri hepfo. Umusonga umeze nk'imijyana y'amaraso. Umusonga ushobora gukura mu kibuno, witwa umusonga wo imbere. Ushobora kandi gukura munsi y'uruhu rwo mu kibuno, witwa umusonga wo hanze.

Hari uburyo bwinshi bwo kuvura umusonga. Abantu benshi baroroherwa n'ubuvuzi bwo mu rugo n'impinduka mu mibereho.

Ibimenyetso by'ibicurane bisanzwe biterwa n'ubwoko bw'igicurane. Ibicurane byo imbere biri mu mura. Ubusanzwe ntubibona cyangwa ngo ubimenye, kandi ntabwo bikunze gutera ububabare. Ariko gukomeretsa cyangwa guhura n'ubuzima bubi mugihe usohora umwanda bishobora gutera: Ukuva amaraso adafite ububabare mugihe usohora umwanda. Ushobora kubona utudodo duto tw'amaraso atukura cyane ku mucanga wawe cyangwa mu musarani. Igicurane kigenda kinyura mu mwanya w'inyuma, bita igicurane cyavuye cyangwa cyavuyemo. Ibi bishobora gutera ububabare n'ubuzima bubi. Ibi biri munsi y'uruhu rwo hafi y'inyuma. Ibimenyetso bishobora kuba birimo: Gukuna cyangwa guhura n'ubuzima bubi mu gice cy'inyuma. Ububabare cyangwa ububabare. Kubyimba hafi y'inyuma. Ukuva amaraso. Amaraso ashobora guterana mu gicurane cyo hanze akaba akora ikibyimba, bita thrombus. Igicurane cya thrombose gishobora gutera: Ububabare bukabije. Kubyimba. Kuziba. Igice gikomeye, gifite ibara ritari ryo hafi y'inyuma. Niba ufite amaraso ava mu myanya y'inyuma mugihe usohora umwanda cyangwa ufite ibicurane bidakira nyuma y'icyumweru cyo kwita ku rugo, vugana n'abaganga bawe. Ntukavuge ko kuva amaraso mu myanya y'inyuma biterwa n'ibicurane, cyane cyane niba ufite impinduka mu myitwarire y'umwanda cyangwa niba umwanda wawe uhindura ibara cyangwa imiterere. Ukuva amaraso mu myanya y'inyuma bishobora kubaho mu zindi ndwara, harimo kanseri ya colorectal na kanseri y'inyuma. Shaka ubufasha bwihuse niba ufite amaraso menshi ava mu myanya y'inyuma, gucika intege, guhindagurika cyangwa kunanirwa.

Niba utanze amaraso mu gihe urimo gukora mu nda, cyangwa ufite uburwayi bw'ibinyo bidafasha nyuma y'icyumweru uvuriwe mu rugo, vugana n'abaganga bawe. Ntutekereze ko kuva amaraso mu kibuno biterwa n'uburwayi bw'ibinyo gusa, cyane cyane niba hari impinduka mu mirire yawe, cyangwa niba umusemburo wawe uhindura ibara cyangwa imiterere. Kuva amaraso mu kibuno bishobora guterwa n'izindi ndwara, harimo kanseri y'umwijima n'iya nyuma y'umubiri. Shaka ubuvuzi bwihuse niba utanze amaraso menshi mu kibuno, ukagira umutwe, ukagira iseseme cyangwa ugakomera.

"Imitsi iherereye hafi y'inyuma ishobora kurambura bitewe n'umuvuduko, igahindagurika cyangwa ikabumba. Imihango ishobora guterwa no kwiyongera kw'umuvuduko mu mura mu bice byo hasi bitewe na: Gukomeretsa mu gihe cyo kunnya. Gucara igihe kirekire, cyane cyane ku musarani. Kugira impiswi cyangwa kubabara mu nda igihe kirekire. Kuba umubyibuhe. Kuba utwite. Gukora imibonano mpuzabitsina inyuma. Kurya indyo itishemo amafibe ahagije. Buri gihe gutwara ibintu biremereye."

Uko abantu bakura, ibyago byo kurwara uburwayi bw'ibisebe by'inyuma byiyongera. Ni ukubera ko imyanya itera amaraso mu kibuno no mu muyoboro w'inyuma ishobora gushoza no gukomera. Ibi bishobora kandi kubaho mu gihe cyo gutwita kuko uburemere bw'umwana buteza igitutu mu gice cy'inyuma.

Ingaruka z'indwara y'ibisebe by'inyuma mu kibuno ni nke, ariko zishobora kuba:

• Anemie. Mu bice bito, kubura amaraso buri gihe bitewe n'ibisebe by'inyuma mu kibuno bishobora gutera anemie. Anemie ibaho iyo hatabayeho uturemangingo tw'amaraso duhagije dutukura dutwara umwuka mu mubiri wose.
• Isebe ry'inyuma mu kibuno ryagize ikibazo. Iyo umusaruro w'amaraso ujya mu isebe ry'inyuma mu kibuno uhagaritswe, isebe ryitwa isebe ryagize ikibazo. Ibi bisebe bishobora gutera ububabare bukabije.
• Isebe ry'amaraso. Rimwe na rimwe, amaraso ashobora gukomera mu isebe ry'inyuma mu kibuno. Ibi bita isebe ry'amaraso ryagize ikibazo. Nubwo atari ikintu kibi, bishobora gutera ububabare bukabije, rimwe na rimwe bikaba bikeneye kuvurwa.

Uburyo bwiza bwo kwirinda uburwayi bw'amara ni ugutuma umusemburo uba woroshye kugira ngo uboneke neza. Kugira ngo wirinde uburwayi bw'amara kandi ugabanye ibimenyetso byabwo, komeza aya mabwiriza:

• Funga ibiryo birimo fibre nyinshi. Funga imbuto, imboga n'ibinyampeke byuzuye. Ibi bituma umusemburo woroha kandi ukaba mwinshi. Bizagufasha kwirinda gukomeretsa bishobora gutera uburwayi bw'amara. Ongera fibre mu mirire yawe buhoro buhoro kugira ngo wirinde ibibazo by'umuyoboro w'umwuka.
• Nibaza amazi menshi. Nibaza amazi 6 kugeza kuri 8 buri munsi kugira ngo ufashe gutuma umusemburo woroha. Kwirinda inzoga bishobora kandi kugufasha.
• Tegereza ibintu byongera fibre. Abantu benshi ntibabona fibre ihagije mu mirire yabo. Ubushakashatsi bwerekanye ko ibintu byongera fibre bitagomba kuvugwa na muganga, nka psyllium (Metamucil, Konsyl, ibindi) cyangwa methylcellulose (Citrucel), bishobora kugabanya ibimenyetso no kuva amaraso mu burwayi bw'amara. Niba ukoresha ibintu byongera fibre, komeza unywe amazi nibura umukombe umunani cyangwa ibindi binyobwa buri munsi. Bitabaye ibyo, ibyo bintu bishobora gutera impatwe cyangwa kubyongerera.

Umuganga wawe ashobora kubona uburwayi bwa hemorrhoids bugaragara inyuma. Kumenya uburwayi bwa hemorrhoids bwo imbere bishobora kuba harimo isuzuma ry'umwanya wawe w'inyuma n'umwijima. Isuzuma ry'intoki. Umuganga wawe ashyira urutoki rwambaye utwenda kandi rwose mu mwanya wawe w'inyuma. Ibi bituma umuganga wawe ashobora kureba icyo ari cyo cyose kidasanzwe, nko gukura. Isuzuma ry'amaso. Hemorrhoids zo imbere zikunze kuba zoroheje cyane ku buryo zitaboneka mu isuzuma ry'umwijima. Umuganga wawe ashobora kureba igice cyo hasi cy'umwijima wawe n'umunwa w'inyuma akoresheje igikoresho nka anoscope, proctoscope cyangwa sigmoidoscope. Umuganga wawe ashobora gushaka kureba umwijima wawe wose akoresheje colonoscopy niba: Ibimenyetso byawe bigaragaza ko ushobora kuba ufite ubundi burwayi bw'igogorwa. Ufite ibyago byo kurwara kanseri y'umwijima. Uri mu kigero cy'imyaka y'ubukure kandi utarakora colonoscopy vuba. Kwitabwaho muri Mayo Clinic Itsinda ryacu ryita ku barwayi ry'inzobere za Mayo Clinic rishobora kugufasha mu bibazo byawe by'ubuzima bijyanye na hemorrhoids Tangira hano Amakuru y'inyongera Kwitabwaho kwa hemorrhoids muri Mayo Clinic Colonoscopy Flexible sigmoidoscopy

Ubusanzwe, uburibwe buke, kubyimba no kwangirika kw'ibisebe by'amara ushobora kubikuraho ukoresheje ubuvuzi bw'iwabo.

• Funga ibiryo birimo amafibe menshi. Funga ibiryo byinshi birimo amafibe menshi. Ibi bifasha mu gutuma umusemburo woroha kandi ukaba mwinshi, ibyo bizagufasha kwirinda gukomeretsa. Ongera amafibe mu mirire yawe buhoro buhoro kugira ngo wirinda ibibazo by'umuyaga.
• Koresha imiti yo kwisiga. Shyiraho imiti yo kwisiga ku gisebe cy'amara cyangwa igitonyanga kirimo hydrocortisone ushobora kugura utabanje kwa muganga. Ushobora kandi gukoresha ibikoresho birimo witch hazel cyangwa imiti ibitera uburibwe.
• Koga buri gihe mu mazi ashyushye cyangwa mu mezi ashyushye ya sitz. Koga agace k'inyuma yawe mu mazi asanzwe ashyushye iminota 10 kugeza kuri 15 kabiri cyangwa gatatu ku munsi. Iyo mezi ya sitz aboneka hejuru y'ubwiherero.
• Fata imiti igabanya ububabare mu kanwa. Urashobora gukoresha acetaminophen (Tylenol, izindi), aspirine cyangwa ibuprofen (Advil, Motrin IB, izindi) by'agateganyo kugira ngo ugabanye ibibazo. Ukoresheje ubu buvuzi, ibimenyetso by'ibisebe by'amara bikunda guhita bikira mu cyumweru kimwe. Reba umuvuzi wawe w'ubuzima mu cyumweru kimwe niba utararonka ubuvuzi. Hamagara umuvuzi wawe vuba niba ufite ububabare bukabije cyangwa amaraso. Ibishebe byawe by'amara bishobora gutera ikibazo gito. Muri iki gihe, umuvuzi wawe w'ubuzima ashobora kugutegurira amavuta yo kwisiga, amasahani, ibintu byo kwisiga cyangwa ibikoresho ushobora kugura utabanje kwa muganga. Ibyo bikoresho birimo ibintu nk'ibishishwa bya witch hazel, cyangwa hydrocortisone na lidocaine, bishobora kugabanya ububabare no gukuna by'agateganyo. Hydrocortisone ni steroide ishobora kugabanya uruhu rwawe iyo ikoreshejwe igihe kirekire cyane kurusha icyumweru. Baza umuvuzi wawe w'ubuzima igihe ukwiye kuyikoresha. Niba hari amaraso y'umwijima yabaye mu gisebe cy'amara cyo hanze, umuvuzi wawe w'ubuzima ashobora gukuraho icyo gisebe. Gukuraho bishobora gutanga ubuvuzi ako kanya. Ubu buvuzi, bukorwa hakoreshejwe imiti ibitera uburibwe mu gice kimwe cy'umubiri, bita anesthésique locale, bukora neza iyo bukozwe mu masaha 72 nyuma yo kubona umwijima. Kugira ngo ukureho igisebe cy'amara ukoresheje ligature élastique, umuvuzi w'ubuzima ashyiramo igikoresho gito cyitwa ligator mu muyoboro w'umucyo, witwa scope, mu muyoboro w'inyuma kandi afata igisebe cy'amara akoresheje forceps. Gukura igikoresho cya ligator hejuru birekura imigozi ya élastique ku ruhare rw'igisebe cy'amara. Imigozi ya élastique ica umusaruro w'amaraso w'igisebe cy'amara, bituma igisebe cy'amara kiyoyoka kikagwa. Kubirabura bitahita bihagarara cyangwa kubisebe by'amara bibabaza, umuvuzi wawe w'ubuzima ashobora kugutegurira imwe mu mirimo micye idakora cyane iriho. Ubu buvuzi bushobora gukorwa mu biro by'umuvuzi wawe cyangwa ahandi hatari mu bitaro. Ntibisaba imiti ibitera uburibwe.
• Ligature élastique. Umuvuzi wawe w'ubuzima ashyira imigozi mike ya élastique imwe cyangwa ebyiri ku ruhare rw'igisebe cy'amara cyo imbere kugira ngo acike umusaruro w'amaraso. Igisebe cy'amara kiyoyoka kikagwa mu cyumweru kimwe. Iyo imigozi ya élastique ikoreshejwe ku gisebe cy'amara bishobora kuba bibi kandi bigatera amaraso. Amaraso ashobora gutangira nyuma y'iminsi 2 kugeza kuri 4 nyuma y'ubuvuzi ariko akenshi ntaba menshi. Rimwe na rimwe, ibibazo bikomeye bishobora kubaho.
• Sclérose. Hamwe na sclérose, umuvuzi wawe w'ubuzima ashyiramo umuti mu mubiri w'igisebe cy'amara kugira ngo ugabanuke. Mu gihe urushinge rutera ububabare buke cyangwa nta bubabare, bishobora kuba bidafite akamaro kurusha ligature élastique.
• Coagulation. Uburyo bwa coagulation bukoresha laser cyangwa umucyo wa infrared cyangwa ubushyuhe. Bituma ibisebe by'amara bito byo imbere byuzuye amaraso bikomerera kandi bikayoyoka. Coagulation ifite ingaruka nke kandi akenshi itera ububabare buke. Ligature élastique. Umuvuzi wawe w'ubuzima ashyira imigozi mike ya élastique imwe cyangwa ebyiri ku ruhare rw'igisebe cy'amara cyo imbere kugira ngo acike umusaruro w'amaraso. Igisebe cy'amara kiyoyoka kikagwa mu cyumweru kimwe. Iyo imigozi ya élastique ikoreshejwe ku gisebe cy'amara bishobora kuba bibi kandi bigatera amaraso. Amaraso ashobora gutangira nyuma y'iminsi 2 kugeza kuri 4 nyuma y'ubuvuzi ariko akenshi ntaba menshi. Rimwe na rimwe, ibibazo bikomeye bishobora kubaho. Igipimo gito cy'abantu bafite ibisebe by'amara bakeneye kubagwa kugira ngo bakurweho. Ariko, niba indi mirimo itarakozwe cyangwa ufite ibisebe by'amara binini, umuvuzi wawe w'ubuzima ashobora kugutegurira imwe muri izi zikurikira:
• Gukuraho igisebe cy'amara, bitwa hemorrhoidectomy. Umuganga wawe akuraho umubiri ufasha amaraso akoresheje imwe mu mbaraga zitandukanye. Ubu buvuzi bushobora gukorwa hakoreshejwe anesthésique locale ifatanije n'imiti igufasha kumererwa neza cyangwa kugabanya impungenge, bitwa sedatif. Anesthésie médullaire cyangwa anesthésie générale bishobora kandi gukoreshwa. Hemorrhoidectomy ni uburyo bukorwa neza kandi burambuye bwo kuvura ibisebe by'amara bikomeye cyangwa bisubira. Ibibazo bishobora kuba harimo kugira ikibazo cyo kwinjira mu mwanya muto, ibyo bishobora gutera indwara z'inzira y'umusaruro. Iki kibazo kiba ahanini nyuma ya anesthésie médullaire. Abantu benshi bagira ububabare nyuma y'ubuvuzi, imiti ishobora kugabanya. Koga mu mazi ashyushye bishobora kandi gufasha.
• Gukoresha imigozi ku gisebe cy'amara. Ubu buvuzi, bwitwa stapled hemorrhoidopexy, buhagarika umusaruro w'amaraso ku mubiri w'igisebe cy'amara. Akenshi ikoreshwa gusa ku bisebe by'amara byo imbere. Gukoresha imigozi muri rusange bitera ububabare buke kurusha hemorrhoidectomy kandi bigutuma usubira mu bikorwa bisanzwe vuba. Ugereranije na hemorrhoidectomy, ariko, gukoresha imigozi byahujwe n'ingaruka nyinshi z'ibisebe by'amara bisubira kandi prolapsus rectal. Prolapsus rectal niho igice cy'umwijima kinyura mu kibuno. Ibibazo bishobora kandi kuba harimo amaraso, ibibazo byo gusuka umusemburo n'ububabare. Ikibazo gito ni indwara y'amaraso yica yitwa sepsis. Ganira n'umuvuzi wawe w'ubuzima ku bijyanye n'uburyo bwiza kuri wewe. Gukuraho igisebe cy'amara, bitwa hemorrhoidectomy. Umuganga wawe akuraho umubiri ufasha amaraso akoresheje imwe mu mbaraga zitandukanye. Ubu buvuzi bushobora gukorwa hakoreshejwe anesthésique locale ifatanije n'imiti igufasha kumererwa neza cyangwa kugabanya impungenge, bitwa sedatif. Anesthésie médullaire cyangwa anesthésie générale bishobora kandi gukoreshwa. Hemorrhoidectomy ni uburyo bukorwa neza kandi burambuye bwo kuvura ibisebe by'amara bikomeye cyangwa bisubira. Ibibazo bishobora kuba harimo kugira ikibazo cyo kwinjira mu mwanya muto, ibyo bishobora gutera indwara z'inzira y'umusaruro. Iki kibazo kiba ahanini nyuma ya anesthésie médullaire. Abantu benshi bagira ububabare nyuma y'ubuvuzi, imiti ishobora kugabanya. Koga mu mazi ashyushye bishobora kandi gufasha. Gukoresha imigozi ku gisebe cy'amara. Ubu buvuzi, bwitwa stapled hemorrhoidopexy, buhagarika umusaruro w'amaraso ku mubiri w'igisebe cy'amara. Akenshi ikoreshwa gusa ku bisebe by'amara byo imbere. Gukoresha imigozi muri rusange bitera ububabare buke kurusha hemorrhoidectomy kandi bigutuma usubira mu bikorwa bisanzwe vuba. Ugereranije na hemorrhoidectomy, ariko, gukoresha imigozi byahujwe n'ingaruka nyinshi z'ibisebe by'amara bisubira kandi prolapsus rectal. Prolapsus rectal niho igice cy'umwijima kinyura mu kibuno. Ibibazo bishobora kandi kuba harimo amaraso, ibibazo byo gusuka umusemburo n'ububabare. Ikibazo gito ni indwara y'amaraso yica yitwa sepsis. Ganira n'umuvuzi wawe w'ubuzima ku bijyanye n'uburyo bwiza kuri wewe.