Created at:1/13/2025
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Ama-anesthetics endawo e-rectal yimithi eqeda ubuhlungu endaweni ezungeze i-anus yakho kanye ne-rectum engezansi ukuze kunikeze ukukhululeka kobuhlungu. Le mithi isebenza ngokuvimba izimpawu zemizwa ezicutshini lapho zisetshenziswa khona, ikunikeza ukukhululeka okwesikhashana ekungakhululeki, ukulunywa, nobuhlungu endaweni leyo ebucayi.
Ungase udinge le mithi uma ubhekene nama-hemorrhoids, ama-anal fissures, noma ululama ezinhlelweni ezithile zezokwelapha. Ziza ngezinhlobo ezahlukene njengama-creams, ama-ointments, ama-suppositories, nama-gels, okwenza kube lula ukuwasebenzisa ekhaya uma udinga ukukhululeka.
Ama-anesthetics endawo e-rectal yimithi eqeda ubuhlungu eyenzelwe ngqo ukusetshenziswa ngaphakathi nangaphandle kwendawo yakho ye-rectal. Ziqukethe izithako ezisebenzayo ezifana ne-lidocaine, benzocaine, noma i-pramoxine evimba okwesikhashana izimpawu zobuhlungu ezingafinyeleli ebuchosheni bakho.
Le mithi ihluke kuma-anesthetics ajwayelekile ngoba ithinta kuphela indawo ethile lapho uyisebenzisa khona. Cabanga ngazo njengokudala isivikelo esisiza umzimba wakho ukuthi ungazinaki izinzwa ezingakhululeki ngenkathi izicubu ezingaphansi ziziphilisa noma ngenkathi ulawula izimo eziqhubekayo.
Ingxenye ethi
Udkt wakho angase futhi ancome le mithi ngaphambi kokuhlolwa okuthile kwezokwelapha ukuze wenze inqubo ikhululeke kakhulu. Zisiza ikakhulukazi uma udinga ukukhululeka kodwa ufuna ukugwema ukuthatha imithi yokwelapha ubuhlungu ngomlomo.
Ngokuvamile, lezi zinto zokubulala izinzwa zingase zisetshenziselwe izimo ezingapheli njengesifo samathumbu esivuthayo uma sithinta indawo ye-rectal, noma ukuphatha ukungakhululeki okuvela emiphumeleni emibi yokwelashwa ngemisebe.
I-anesthetics yendawo ye-rectal isebenza ngokuvimba okwesikhashana iziteshi ze-sodium emithanjeni yakho yezinzwa, okuyeka izimpawu zobuhlungu ukuthi zingahambi ebuchosheni bakho. Uma usebenzisa umuthi, ungena esikhumbeni nasezindaweni ezinama-mucous emzimbeni wakho endaweni ye-rectal ngemizuzu embalwa.
Lezi zithathwa njengemithi enamandla alula kuya kwamaphakathi, hhayi aqine njenge-anesthetics esetshenziswa ngesikhathi sokuhlinzwa. Umphumela wokuba ndikindiki uvame ukuqala phakathi kwemizuzu emi-2 kuya kwemi-5 futhi ungahlala noma yikuphi kusukela kumizuzu engama-30 kuya emahoreni ama-2, kuye ngomuthi othile kanye nokusabela komzimba wakho.
Umuthi udala i-coating evikelayo phezu kwezicubu ezicasukile ngenkathi isebenza. Lesi senzo esiphindwe kabili sisiza ukunciphisa kokubili ubuhlungu nokucasuka okuqhubekayo okuvela emisebenzini evamile efana nokuhlala noma ukuhamba kwamathumbu.
Izithako ezahlukene ezisebenzayo zisebenza kancane ngokuhlukile. I-Lidocaine ivame ukunikeza ukukhululeka okuhlala isikhathi eside, kuyilapho i-benzocaine isebenza ngokushesha kodwa isikhathi esifushane. I-Pramoxine inikeza ibhalansi enhle futhi ivame ukuba mnene kubantu abanesikhumba esibucayi.
Indlela oyisebenzisa ngayo i-anesthetic yendawo ye-rectal incike ohlotsheni udokotela wakho aluncamela, kodwa ukuhlanzeka nokusebenzisa ngobumnene kubalulekile ngaso sonke isikhathi. Qala ngokuwasha izandla zakho kahle futhi uhlanze indawo ethintekile ngensipho namanzi amancane, bese womisa ngobumnene.
Ngama-creams nama-ointments angaphandle, sebenzisa ungqimba oluncane endaweni ethintekile usebenzisa umunwe wakho noma i-applicator enikeziwe. Ungahlikihli ngamandla, vele usakaze ngobumnene endaweni engakhululekile. Ungakwenza lokhu kuze kube izikhathi ezi-3-4 ngosuku noma njengoba udokotela wakho ekuqondisa.
Uma usebenzisa ama-suppositories, susa isiphoqi bese ufaka ngobumnene isiphetho esibukhali e-rectum yakho cishe ngamasentimitha angu-1. Kuvame ukuba lula ukwenza lokhu ngenkathi ulele ohlangothini lwakho noma ngemuva kokuhamba kwamathumbu lapho i-rectum yakho ingenalutho.
Awudingi ukuthatha le mithi nokudla ngoba isetshenziswa ngqo endaweni edinga ukwelashwa. Kodwa-ke, kuvame ukuba lula ukuyisebenzisa ngemuva kokuhamba kwamathumbu nangemuva kokuhlanza indawo kahle.
Isikhathi singenza umehluko ekunethezekeni kwakho. Abantu abaningi bakuthola kuwusizo ukusebenzisa imithi ngaphambi kwemisebenzi engase ibangele ukungakhululeki, njengezikhathi ezinde zokuhlala noma ngaphambi kokulala ukuze kukhululeke ubusuku bonke.
Ama-anesthetics amaningi endawo ye-rectal aklanyelwe ukusetshenziswa kwesikhashana, ngokuvamile izinsuku eziyi-7 kuya kweziyi-10 ngezinkinga eziphuthumayo njengokusha kwama-hemorrhoid noma ukungakhululeki ngemuva kwenqubo. Udokotela wakho uzokunikeza isiqondiso esiqondile esisekelwe esimweni sakho nokuthi usabela kanjani ekwelashweni.
Ngama-hemorrhoids, ungasebenzisa imithi isonto elilodwa noma amabili ngenkathi wenza izinguquko zokuphila njengokwandisa ukudla kwe-fiber nokuhlala unamanzi. Uma ululama enqamuzweni lezokwelapha, udokotela wakho angase akuncome ukuyisebenzisa izinsuku eziningana kuya evikini njengoba ululama.
Abanye abantu abanezimo ezingamahlala-khona bangase badinge ukusebenzisa le mithi isikhathi eside, kodwa lokhu kufanele kwenziwe ngaphansi kokuqondisa kwezokwelapha. Ukusetshenziswa isikhathi eside ngaphandle kokuphumula akujwayelekile ukunconywa ngoba isikhumba sakho singase sizwele ngokuhamba kwesikhathi.
Uma ungaboni ngcono ngemuva kwesonto lokusebenzisa njalo, noma uma izimpawu zakho ziba zimbi, xhumana nomhlinzeki wakho wezempilo. Lokhu kungasho ukuthi udinga indlela ehlukile yokwelashwa noma ukuthi kukhona enye inkinga okufanele ixazululwe.
Abantu abaningi bayakwazi ukumelana kahle ne-anesthetics yendawo ye-rectal, kodwa njenganoma imuphi umuthi, ingabangela imiphumela emibi kwabanye abantu. Izindaba ezinhle ukuthi imiphumela emibi engathí sina ayivamile ngoba umuthi omncane kakhulu ungena egazini lakho.
Imiphumela emibi ejwayelekile ongase uyithole ihlanganisa:
Le miphumela ivamise ukunyamalala ngemizuzu embalwa kuya emahoreni ambalwa futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi. Abantu abaningi bathola ukuthi ukukhululeka kudlula lokhu kungakhululeki kwesikhashana.
Imiphumela emibi engavamile kodwa engathí sina ingenzeka, ikakhulukazi uma usebenzisa umuthi omningi kakhulu noma une-alamu. Qaphela izimpawu ezinjengokusha okukhulu, ukuqubuka okusabalale, ubunzima bokuphefumula, noma ukuvuvukala kobuso bakho noma umphimbo wakho.
Abanye abantu bathuthukisa i-dermatitis yokuxhumana ngenxa yokusetshenziswa isikhathi eside, okusho ukuthi isikhumba siba sicasulayo kunokuba ngcono. Uma uqaphela izimpawu eziba zimbi ngemuva kwezinsuku ezimbalwa zokusebenzisa, yeka umuthi bese uxhumana nomhlinzeki wakho wezempilo.
Noma izidakamizwa zokubulala izinzwa zendawo zokufaka ngemuva zivame ukuphepha kubantu abaningi, abanye abantu kufanele bazigweme noma bazisebenzise ngaphansi kokugadwa kwezokwelapha okuseduze. Abantu abanokungezwani okwaziwayo nezidakamizwa zokubulala izinzwa zendawo ezinjenge-lidocaine, benzocaine, noma imithi efanayo akufanele basebenzise le mikhiqizo.
Kufanele uqaphele noma ugweme le mithi uma une:
Abesifazane abakhulelwe nabancelisayo kufanele baxoxe nodokotela wabo ngaphambi kokusebenzisa le mithi, nakuba abaningi bebhekwa njengabaphephile ngesikhathi sokukhulelwa. Izingane ezingaphansi kweminyaka emi-2 ubudala ngokuvamile akufanele zisebenzise le mikhiqizo ngaphandle kokuqondiswa okuthile kwezokwelapha.
Uma usebenzisa eminye imithi, ikakhulukazi ama-blood thinners noma imithi yenhliziyo, yazisa udokotela wakho ngaphambi kokuqala ukusebenzisa i-anesthetic yendawo. Nakuba ukusebenzisana kungavamile, kungcono ngaso sonke isikhathi ukuba uphephile.
Abantu abanesifo sikashukela kufanele baqaphele kakhulu mayelana nokuqapha indawo ephathwayo, njengoba bengase babe nokuzwela okuncishisiwe futhi bangase bangaboni uma ukucasuka kuvela.
Izinhlobo eziningana ezaziwayo zenza ama-anesthetics endawo e-rectal, ngalinye linokwakheka okuhlukile kanye nezithako ezisebenzayo. I-Preparation H inikeza kokubili izinhlobo ezivamile nezamandla amakhulu, ezinye ziqukethe i-lidocaine ukuze kuthuthukiswe imiphumela yokubulala.
I-Anusol ne-Anusol-HC ziyizinketho ezithandwayo, ngohlobo lwe-HC oluqukethe i-hydrocortisone ukuze kuthuthukiswe imiphumela elwa nokuvuvukala. I-Tucks yenza amaphedi nemithombo enama-anesthetic ehlanganisa imiphumela ye-anesthetic nezithako ezithambisayo.
I-RectiCare iqukethe i-lidocaine njengesithako sayo esiyinhloko futhi yakhelwe ngqo ukusetshenziswa ngokuqondile. I-Nupercainal inikeza kokubili amafomu okhilimu nama-suppository ane-dibucaine njenge-anesthetic esebenzayo.
Umthwebuli wakho wemithi angakusiza ukuthi ukhethe phakathi kwemikhiqizo ehlukene ngokusekelwe ezidingweni zakho ezithile kanye nanoma yikuphi ukuzwela ongase ube nakho. Izinhlobo ze-generic nazo ziyatholakala futhi zisebenza kahle njengemikhiqizo yegama lomkhiqizo.
Uma ama-anesthetics endawo angakulungele noma enganikezi ukukhululeka okwanele, ezinye izindlela ezingasiza ukuphatha ukungakhululeki kwe-rectal ne-anal. Ama-corticosteroids asekhanda njenge-hydrocortisone anganciphisa ukuvuvukala nokuluma, nakuba esebenza ngendlela ehlukile kunama-ejenti aqeda ubuhlungu.
Ezinye izindlela zemvelo zihlanganisa i-witch hazel, enezakhiwo ze-astringent ezingasiza ukunciphisa ukuvuvukala futhi zinikeze ukukhululeka okupholile. I-Aloe vera gel (qiniseka ukuthi imsulwa futhi iphephile ukusetshenziswa ngaphakathi) ingathoba izicubu ezicasukile ngaphandle kwemiphumela eqeda ubuhlungu.
Izigezo ze-Sitz ngamanzi afudumele noma usawoti we-Epsom zingahlinzeka ngokuphumula okukhulu kubantu abaningi futhi zemvelo ngokuphelele. Ama-ice pack asongwe ngendwangu encane angasiza futhi ukuba aqede ubuhlungu futhi anciphise ukuvuvukala okwesikhashana.
Ezimweni ezinzima kakhulu, udokotela wakho angase akubhalele imithi eqinile efana nama-corticosteroids aqinile okuyalelwa, ama-calcium channel blockers ama-anal fissures, noma kwezinye izimo, ancome izinqubo zokubhekana nenkinga eyisisekelo.
Izinguquko zokuphila njengokwandisa ukudla kwe-fiber, ukuhlala unamanzi, nokugwema ukuhlala isikhathi eside kungabhekana nezimbangela eziyisisekelo kunokumane kuphendule izimpawu.
Ama-anesthetics endawo kanye ne-hydrocortisone asebenza ngendlela ehlukile futhi angcono ezinhlotsheni ezahlukene zezinkinga, ngakho ukuwaqhathanisa akuqondile. Ama-anesthetics anikeza ukukhululeka ngokushesha kobuhlungu ngokuqeda indawo, kuyilapho i-hydrocortisone inciphisa ukuvuvukala nokuluma ngokuhamba kwesikhathi.
Uma inkinga yakho enkulu ubuhlungu obuvela kuma-hemorrhoids noma ama-anal fissures, ama-anesthetics cishe azokunikeza ukukhululeka okusheshayo. Uzozwa umphumela wokuba ndikindiki ngemizuzu embalwa, okungenza ukuhlala, ukuhamba, kanye nokuhamba kwamathumbu kube lula kakhulu.
Kodwa-ke, uma ukuvuvukala nokuluma kuyizinkinga zakho eziyinhloko, i-hydrocortisone ingase isebenze kahle ngoba ibhekana nenqubo yokuvuvukala engaphansi. Kuthatha isikhathi eside ukusebenza kodwa kungahlinzeka ngokuqeda isikhathi eside lezi zimpawu ezithile.
Abantu abaningi bathola ukuthi imikhiqizo ehlanganisiwe equkethe kokubili i-anesthetic ne-hydrocortisone ibanikeza okungcono kakhulu kwemihlaba yomibili. Uthola ukukhululeka okusheshayo kokuba ndikindiki kanye nemiphumela yokulwa nokuvuvukala esiza ngokuphulukisa.
Udokotela wakho angakusiza ukuthi unqume ukuthi iyiphi indlela engcono kakhulu ngokusekelwe ezimpawini zakho ezithile kanye nomlando wakho wezokwelapha. Ngezinye izikhathi ukuzisebenzisa ngezikhathi ezihlukene zosuku noma ezimweni ezihlukene kusebenza kahle.
Yebo, ama-anesthetics endawo ase-rectal ngokuvamile aphephile kakhulu ekwelapheni ubuhlungu be-hemorrhoid futhi empeleni ingenye yezindlela ezivamile zokwelapha odokotela abazitusa. Banikeza ukukhululeka okuphumelelayo ebuhlungwini, ukuluma, nokungakhululeki okubangelwa ama-hemorrhoids.
Le mithi isebenza kahle kuma-hemorrhoids angaphakathi nangaphandle, nakuba ungase udinge izindlela zokusebenzisa ezihlukene kuye ngokuthi ama-hemorrhoids akho atholakala kuphi. Umphumela wokuba ndikindiki ungenza ukuhamba kwamathumbu kube lula kakhulu ngenkathi ama-hemorrhoids akho ephulukisa.
Abantu abaningi bangasebenzisa le mithi ngokuphepha ngesikhathi esivamile sokuqubuka kwe-hemorrhoid, okuvame ukuba yiviki elilodwa. Uma une-hemorrhoids eziphindaphindayo, khuluma nodokotela wakho ngamasu okuphatha isikhathi eside.
Uma ngengozi usebenzisa i-anesthetic yendawo eningi kakhulu, ungesabi, kodwa thatha izinyathelo zokuphepha. Okokuqala, zama ukususa ngobumnene noma yimuphi umuthi owedlulele ngendwangu ethambile, emanzi uma kungenzeka.
Qaphela izimpawu zokumuncwa kwesistimu, okungase kuhlanganise isiyezi, isicanucanu, ukushaya kwenhliziyo okungajwayelekile, noma ukozela okungajwayelekile. Nakuba lokhu kungavamile ekusetshenzisweni kwendawo, ukusebenzisa imithi eningi kakhulu kungakhuphula ingozi.
Uma uhlangabezana nanoma yiziphi izimpawu ezikhathazayo noma uma ngengozi uginye umuthi, xhumana nomhlinzeki wakho wezempilo noma ukulawulwa kwezinto ezinobuthi ngokushesha. Ezimweni eziningi zokusebenzisa ngaphandle ngokweqile, ukuziqapha amahora ambalwa ngenkathi umuthi usuphela kwanele.
Uma udlula umthamo we-anesthetic yendawo ye-rectal, vele uyisebenzise uma ukhumbula, uma nje kungesona isikhathi esicishe sibe sesikhathini sakho esilandelayo esihleliwe. Le mithi isetshenziselwa ukukhulula izimpawu kunokuba ngeshejuli eqinile.
Ungaphindi kabili imithamo ukuze ulungise okudluliwe. Uma usondela esikhathini sakho esilandelayo sokusebenzisa, linda nje bese usebenzisa umuthi ngaleso sikhathi. Umgomo ukukhululeka okuqhubekayo, hhayi isikhathi esiphelele.
Njengoba le mithi isetshenziswa njengoba idingeka ukuze kube lula, ukudlula umthamo ngezikhathi ezithile ngeke kulimaze inqubekela phambili yakho yokwelashwa. Lalela umzimba wakho futhi usebenzise umuthi uma udinga ukukhululeka kwezimpawu.
Ngokuvamile ungaqeda ukusebenzisa i-anesthetic yendawo ye-rectal lapho izimpawu zakho zithuthuka kakhulu noma zixazulula ngokuphelele. Ezimweni eziphuthumayo njengokusha kwama-hemorrhoid, lokhu kuvamile ukwenzeka phakathi nesonto elilodwa noma amabili.
Uma usebenzisa umuthi ngemva kwenqubo yezokwelapha, udokotela wakho uzokunikeza isiqondiso esithile mayelana nokuthi ungaqeda nini, ngokuvamile ngokusekelwe ekuqhubekeleni phambili kwakho kokuphola. Ungayeki ngokuphazima kweso uma usahlangabezana nokungakhululeki okukhulu.
Ezimweni ezingamahlala-mandla, sebenzisana nomhlinzeki wakho wezempilo ukuze wakhe uhlelo lokunciphisa kancane ukusetshenziswa njengoba izimpawu zakho zithuthuka. Umgomo uwukuphatha isimo sakho ngemithi encane edingekayo.
Ama-anesthetics amaningi endawo e-rectal abhekwa njengaphephile ngesikhathi sokukhulelwa, kodwa kufanele njalo uthintane nomhlinzeki wakho wezempilo ngaphambi kokusebenzisa noma imuphi umuthi ngesikhathi ukhulelwe. Ama-hemorrhoids avamile ngempela ngesikhathi sokukhulelwa ngenxa yokwanda kwengcindezi kanye nezinguquko zamahomoni.
Udokotela wakho angase ncome imikhiqizo ethile ephephe kakhulu ngesikhathi sokukhulelwa futhi akunike isiqondiso mayelana nokusetshenziswa okufanele. Ezinye izithako zithandwa ngaphezu kwezinye ngesikhathi sokukhulelwa, ngakho isiqondiso esichwepheshile sibalulekile.
Ngaphezu komuthi, umhlinzeki wakho wezempilo angase ancome ezinye izindlela eziphephile njengokugeza ngamanzi afudumele, izithasiselo ze-fiber, kanye nezindlela zokuma ezingasiza ukuphatha izimpawu ngesikhathi sokukhulelwa.