Matenda a m'mimba ndi vuto lofala lomwe anthu ambiri amakhala nalo, koma amachita manyazi kulankhula za vutoli momasuka, sichoncho? Nthawi zambiri, vutoli limatha kuchiritsidwa ndi mankhwala, mafuta odzola, komanso kusintha moyo. Koma nthawi zina, dokotala angakulimbikitseni opaleshoni kuti athetse vutoli kwamuyaya. Opaleshoni imeneyo, yomwe ndi 'Hemorrhoidectomy', ndiyo yomwe tikambirana lero m'njira yosavuta iyi.
Mwachidule, kodi kuchotsa hemorrhoidectomy n'chiyani?
Kuchotsa hemorrhoidectomy ndi opaleshoni yochotsa ma hemorrhoids. Ma hemorrhoids ndi otupa, okulirapo, komanso mitsempha yamagazi yokhala ndi ziphuphu mkati ndi mozungulira thako lanu. Izi nthawi zina zingayambitse kusasangalala monga kupweteka, kuyabwa, ndi kutuluka magazi m'thako.
Koma kumbukirani kuti si onse omwe ali ndi matenda a hemorrhoids omwe amafunika opaleshoni. Ndipotu, ndi anthu ochepa okha omwe amapita ku opaleshoni. Komabe, nthawi zina zovuta, opaleshoni ndiyo njira yabwino komanso yokhazikika.
Chifukwa chiyani ndikofunikira kuchotsa hemorrhoidectomy?
Ngati matenda anu a hemorrhoids ndi oopsa kwambiri kuposa masiku onse, dokotala wanu angakulangizeni opaleshoniyi. Kumbukirani kuti anthu ena amakumana ndi matenda a hemorrhoids akamamwa mankhwala. Nthawi zina ngati izi, zimakhala zovuta kwambiri. Tiyeni tiwone zifukwa zazikulu zomwe opaleshoni ingafunikire.
| Mavuto | Mwachidule... |
|---|---|
| Kulephera kwa chiberekero | Apa ndi pamene ma hemorrhoids mkati mwa anus amatuluka. Poyamba, amatha kutuluka pokhapokha mutachotsa chimbudzi ndikubwereranso mkati. Koma pakapita nthawi, amatha kukhala akuluakulu kwambiri kotero kuti amafunika kukankhidwira mmbuyo ndi manja (Giredi III) kapena akulu kwambiri kotero kuti sangathe kukankhidwiranso mkati konse ndikukhalabe panja (Giredi IV). Izi zikachitika, ululu ndi kutuluka magazi zimakhala zazikulu. |
| Kuundana kwa magazi (Thrombosis) | Vutoli limachitika pamene magazi amaundana mkati mwa hemorrhoid amaletsa magazi kupita kumeneko. Amaoneka ngati ofiirira-buluu wakuda ndipo amayambitsa kupweteka kwambiri. Nthawi zina amatha kuphulika ndi kutuluka magazi ambiri. |
| Kudzimbidwa | Izi zitha kuchitika ngati hemorrhoid yomwe yatuluka singathe kubwezeretsedwa mkati ndipo yakhala yolimba kwambiri kotero kuti yatsekedwa kwathunthu ndi minofu ya kumatako kotero kuti yatsekedwa kuti magazi asayende bwino. Izi ndi zadzidzidzi zachipatala. Ngati sizikuthandizidwa, minofuyo imatha kufa (gangrene). |
| Kubwerezabwereza | Ngati ma hemorrhoids akupitirira ndipo sakuyankha mankhwala ena osavuta (monga mankhwala ndi ma bandeji), akhoza kukhala vuto la moyo wonse. Pazochitika zotere, opaleshoni imakhala yopambana ndi 95%. |
Tiyeni tiphunzire za opaleshoni ndi nthawi yochira.
Opaleshoni yokha si yayikulu kapena yovuta kwambiri. Komabe, nthawi yochira pambuyo pa opaleshoni ikhoza kukhala yovuta pang'ono. Izi zimasiyana malinga ndi munthu. Nthawi zambiri, ululu umachepa kwambiri patatha milungu iwiri kapena inayi . Zingatenge pafupifupi milungu 6-8 kuti munthu achire bwino ndikuyambiranso ntchito yolemetsa.
Kodi chimachitika ndi chiyani opaleshoni isanachitike?
Dokotala wanu adzakufotokozerani zabwino, zoyipa, ndi zoopsa za opaleshoniyi ndipo adzakupatsani chilolezo. Iye adzakambirana nanu mankhwala aliwonse omwe mukumwa ndikukuuzani omwe muyenera kusiya kumwa musanachite opaleshoniyi. Nthawi zambiri muyenera kusiya kudya ndi kumwa maola 8 musanachite opaleshoniyi. Ngati muli ndi vuto la kudzimbidwa, mungapatsidwenso mankhwala oyeretsera matumbo anu.
Kodi chimachitika ndi chiyani panthawi ya opaleshoni?
Mudzagonedwa ndi mankhwala oletsa ululu (osamva kupweteka), kotero simudzamva kapena kukumbukira chilichonse. Dokotala wa opaleshoni adzafufuza malo enieni a hemorrhoids, kudula ndi kuchotsa minofu, ndikutseka mitsempha yotuluka magazi. Kutengera ndi malo a bala, likhoza kutsekedwa ndi kusokedwa kosungunuka, kapena lingasiyidwe lotseguka kuti lichiritsidwe.
Zoyenera kuyembekezera mutachita opaleshoni
Ngakhale mutha kupita kunyumba tsiku lomwelo mutachita opaleshoni, mudzafunika munthu woti akuperekezeni. Ululuwo udzayamba kuchepa pang'onopang'ono pamene mankhwala oletsa ululu akutha. Mudzamva kusasangalala pang'ono panthawiyi.
| Udindo | Zimene muyenera kudziwa |
|---|---|
| Kutuluka magazi | Ndi zachilendo kutuluka magazi pang'ono mukatha kuchotsa chimbudzi. Pakhoza kukhala magazi pang'ono pa pepala la chimbudzi, ndipo mwina ngakhale pa zovala zanu zamkati. Mutha kugwiritsa ntchito chotsukira pa izi. Komabe, ngati magazi akutuluka kwambiri, muyenera kuuza dokotala wanu nthawi yomweyo. |
| Kutupa | Ndi zachilendo kukhala ndi kutupa pang'ono kuzungulira bala. Kutupa kumeneku kungakupangitseni kumva ngati muli ndi matenda a hemorrhoids. Koma ndi kutupa chabe. Kupaka paketi ya ayezi yokutidwa mu nsalu kwa mphindi pafupifupi 10 kangapo patsiku kungathandize kuchepetsa kutupa. |
| Ululu | Ululu ndi woyembekezeredwa, makamaka mukayamba matumbo. Koma ukhoza kuchepetsedwa ngati mugwiritsa ntchito mankhwala ochepetsa ululu omwe dokotala wanu wakupatsani molondola. Musayembekezere kuti ululuwo ubwere, imwani mankhwalawo panthawi yoyenera. Kwa anthu ambiri, ululuwo umatha mkati mwa milungu iwiri. |
Kodi mungatani kuti matumbo anu akhale osavuta mukatha opaleshoni?
Ili ndiye vuto lalikulu lomwe anthu ambiri amakumana nalo. Anthu ambiri amayesa kuti asachite chimbudzi chifukwa cha ululu womwe amakumana nawo akamatuluka m'mimba. Izi zimangoyambitsa kudzimbidwa ndipo zimapangitsa kuti vutoli liwonjezeke. Choncho, onetsetsani kuti mwachita izi.
- Idyani zakudya zokhala ndi ulusi wambiri: Phatikizani zakudya monga masamba obiriwira, ndiwo zamasamba, zipatso, ndi tirigu wonse muzakudya zanu. Ngati kuli kofunikira, funsani dokotala wanu za kumwa mankhwala owonjezera ulusi.
- Imwani madzi ambiri: Imwani malita osachepera 2-3 a madzi patsiku.
- Pewani zakudya zokometsera: Kudya zakudya zokometsera komanso zokhala ndi chili wambiri kungayambitse kutentha m'mimba.
- Musakhale m'bafa nthawi yayitali: Musapite ku bafa ndi manyuzipepala kapena mafoni.
- Gwiritsani ntchito chopondapo mapazi: Kukhala ndi chopondapo mapazi kuti muyimitse miyendo yanu mukakhala pachimbudzi kumathandiza kuti musamachite chimbudzi mosavuta.
- Ngati dokotala wanu akulangizani: Gwiritsani ntchito kirimu wochepetsa ululu (lidocaine cream) kuzungulira anus musanachite chimbudzi.
Kodi mukufuna kukaonananso ndi dokotala liti?
Dokotala wanu adzakupemphani kuti mubwererenso kudzamuona milungu iwiri kapena itatu mutachita opaleshoni kuti akaone momwe bala likuchira. Koma musanachite zimenezo, ngati mukuona zizindikiro zachilendo, muyenera kuyimbira dokotala wanu nthawi yomweyo.
Onetsetsani kuti mwalabadira izi:Ngati muli ndi chimodzi mwa zizindikiro zotsatirazi, imbani dokotala wanu nthawi yomweyo kapena pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) yapafupi.
- Ululu wosapiririka.
- Malungo.
- Kutuluka magazi ambiri (komwe kumanyowa zovala zamkati).
- Chilondacho chimafiira, kutupa, ndipo chimamva kutentha.
- Kulephera kukodza kapena kuchita chimbudzi.
Anthu ena angachite mantha pang'ono akamva za opaleshoni yochotsa magazi m'thupi. Chifukwa cha nkhani yofala yokhudza ululu panthawi yochira. Koma zoona zake n'zakuti, kusasangalala kwakanthawi kochepa n'koyenera ululu ndi ufulu womwe umabweretsa. Anthu ambiri amati akusangalala kuti achita opaleshoniyi.
Uthenga Wopita Nawo Kunyumba
- Kuchotsa magazi m'thupi ndi opaleshoni yopambana kwambiri ya matenda a hemorrhoids oopsa komanso obwerezabwereza.
- Ngakhale opaleshoniyi ndi yochepa, nthawi yochira ikhoza kukhala yopweteka pang'ono komanso yovuta. Koma ndi ya kanthawi kochepa.
- Imwani mankhwala ochepetsa ululu omwe dokotala wanu wakupatsani panthawi yoyenera komanso mu mlingo woyenera kuti muchepetse ululu.
- Ndikofunikira kwambiri kupewa kudzimbidwa mukachira. Kuti muchite izi, idyani zakudya zokhala ndi ulusi wambiri, imwani madzi ambiri, ndipo ngati kuli kofunikira, imwani mankhwala ofewetsa thukuta monga momwe dokotala wanu wanenera.
- Ngati mukukumana ndi zizindikiro zachilendo monga kutuluka magazi ambiri, kutentha thupi, kapena ululu wosapiririka, funsani upangiri wa dokotala nthawi yomweyo.
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