Hari igihe ushobora kugira ububabare bukomeye iyo uri mu bwiherero. By'umwihariko, niba wumva ikintu kirimo gusohoka mu mara yawe igihe uri mu nzira yo kwituma, cyangwa niba wumva akabyimba gato, ni ngombwa kwitondera ibi bimenyetso. Nubwo ibi bishobora kumvikana nk'ingingo iteye isoni cyangwa igoye kuganiraho, nyamuneka menya ko iyi ari indwara ikunze kugaragara cyane, kandi nta mpamvu yo guhangayika. Muri Nirogi Lanka, turi hano kugira ngo tugufashe gusobanukirwa neza ibi.
Hemorrhoid yo mu bwoko bwa Prolapse ni iki?
Mu magambo make, hemorrhoid iragabanuka ibaho iyo umutsi w'amaraso wabyimbye uri mu muyoboro w'ikibuno cyawe (hemorrhoid y'imbere) usohoka ukava mu kibuno. Mbere y'uko ibi bibaho, mu gihe imitsi yabyimbye iguma imbere, ushobora no kutayibona—iyi izwi nka hemorrhoids y'imbere . Ariko, iyo hari umuvuduko mwinshi ku maraso yawe, iyi mitsi ishobora kubyimba cyane amaherezo igasubira inyuma, cyangwa igasunika mu mwenge w'ikibuno.
Tekereza nk'agapira kuzuyemo umwuka gatangira kubyimba inyuma; ni nako ihame rikurikizwa hano. Iyo ingingo zimaze gucika, ushobora gutangira kugira ibimenyetso nko kuva amaraso, kuribwa, cyangwa kumererwa nabi. Ushobora kumva ingingo yoroshye, igaragara, cyangwa ukayibona nk'akabyimba gato niba usuzumye agace ukoresheje indorerwamo.
Nubwo hemorrhoids zo mu bwoko bwa prolapse zikunze kuba mbi cyane, ntabwo zishobora kubabaza. Akenshi ushobora guhangana n'ibimenyetso ukoresheje ubuvuzi bwo mu rugo cyangwa ukoresheje imiti igurishwa na muganga. Hari ubwo ushobora gusubizamo buhoro buhoro ingingo zo mu bwoko bwa prolapse imbere yawe. Ariko, hari ubwo indwara zimwe na zimwe zikomeza zishobora gusaba ubufasha bw'abaganga cyangwa uburyo bworoshye bwo kubagwa n'inzobere muri Nirogi Lanka kugira ngo zikurweho burundu.
Ni ibihe bimenyetso by'indwara yo mu nda igenda igabanuka?
Ikimenyetso gikunze kugaragara ni ikibyimba cyoroshye gikikije agace k'ikibuno cyawe ushobora kumva cyangwa kubona. Iki gihimba gishobora kugaragara nk'ibara ry'umubiri cyangwa gifite ibara ry'umutuku wijimye.
Izindi bimenyetso ushobora kubona birimo:
- Gushyukwa mu kibuno bidashira.
- Kumva ko ukeneye kwihagarika, ndetse no nyuma yo kurangiza.
- Kuva amaraso mu mikaya (ushobora kubona amaraso atukura cyane ku mpapuro z'ubwiherero cyangwa mu gikombe cy'ubwiherero) cyangwa kuva amaraso mu mikaya.
- Ububabare n'ububabare , akenshi birushaho kwiyongera iyo wicaye.
Ese hemorrhoid yavuye mu nda isa imeze ite?
Ubusanzwe igaragara nk'ikibyimba gito, gifite inyama nyinshi gisohoka mu mwenge w'ikibuno. Ingano ishobora gutandukana cyane hagati y'abantu. Nubwo akenshi yoroshye iyo uyikozeho, rimwe na rimwe ishobora gusohora amatembabuzi asa n'ay'ururenda.
Kuki hemorrhoids zigabanuka?
Kugabanuka kw'amaraso mu nda (prolapsed hemorrhoid) bibaho iyo umuvuduko uhoraho mu gice cyo hasi cy'umura wawe utuma imitsi yabyimbye imbere isunika hanze. Ibintu bikunze gutera ikibazo birimo kunanirana mu gihe cyo kwituma mu nda cyangwa ibindi bikorwa byongera umuvuduko mu nda, nko guterura ibintu biremereye.
Indwara iyo ari yo yose yo mu nda ishobora gucika intege. Imiterere imwe n'imwe y'ubuzima n'indwara byongera ibyago byo kurwara indwara yo mu nda , ibi bikaba byanatuma indwara yo mu nda icika intege:
- Kurwara impatwe idakira.
- Kwiyuha akuya kugira ngo ufungure intebe.
- Kwicara ku musarani igihe kirekire (gerageza kwirinda gusoma cyangwa gukoresha telefoni yawe uri ku musarani).
- Gutwita — igitutu cy'umubiri w'umwana cyongera umunaniro mu nda.
- Umubyibuho ukabije .
- Guhora urwaye impiswi kenshi .
Ni izihe ngorane zishobora kuvuka?
Nubwo ubusanzwe bitabangamira ubuzima, indwara yo mu nda ishobora gutera ingorane zisaba kwitabwaho:
- Kuziba: Ibi bibaho iyo amaraso agana kuri hemorrhoid aciwe, bigatuma ingingo zipfa. Ibi birababaza cyane.
- Thrombose: Iyo amaraso apfunditse mu maraso yavuyemo, bishobora gutera kubyimba gutunguranye, isura y'umuhengeri wijimye, n'ububabare bukomeye.
- Kuva amaraso adakira: Kuva amaraso make bidakira mu gihe kirekire bishobora gutera kubura amaraso .
- Ingorane zo kwituma mu nda.
Kubera ko izi ngorane zishobora kubaho, niba ukeka ko ufite hemorrhoid yavuye mu nda, ni byiza kugisha inama muganga wo muri Nirogi Lanka . Ntugatinye, ariko ntukirengagize.
Ni gute abaganga basuzuma iyi ndwara?
Kenshi na kenshi, muganga wawe ashobora gusuzuma indwara ya hemorrhoid yavuye mu nda binyuze mu gusuzuma amaso gusa. Bazaganira nawe ku bimenyetso byawe n'imikorere y'amara yawe. Niba bakeneye gukora iperereza rirambuye kugira ngo bamenye impamvu nyamukuru, bashobora kukugira inama yo gupima kimwe cyangwa byinshi muri ibi bikurikira:
- Isuzuma rya digitale rectal (DRE): Muganga wawe azashyira intoki zawe mu maraso yawe witonze agakoresho gafite uturindantoki kugira ngo amenye niba hari ikibazo icyo ari cyo cyose. Nubwo ibi bishobora gutuma wumva utameze neza, ni intambwe ikomeye mu kwemeza ko usuzuma neza.
- Anoscopy: Muganga wawe akoresha umuyoboro mugufi kandi urimo urumuri witwa anoscope kugira ngo arebe imbere mu muyoboro wawe w'ikibuno. Ibi bituma ubona neza kandi neza ako gace.
- Sigmoidoscopy Ikomeye: Igikoresho kirekire gato kandi cyihariye gikoreshwa mu gusuzuma igice cyo hasi cy'amara yawe kugira ngo harebwe ibindi bibazo.
Ese hari uburyo bwo gupima indwara ya prolapse hemorrhoids?
Yego, abaganga bashyira mu byiciro hemorrhoids bakurikije uburemere bwa prolapse (urugero zigera hanze y'inkari). Ibi bizwi nka Grading Scale :
- Icyiciro cya 1: Hemorroide ntabwo isohoka. Ushobora kuba ufite imiyoboro y'amaraso yabyimbye mu muyoboro w'ikibuno, ibyo muganga ashobora kubimenya mu gihe cyo gusuzuma.
- Icyiciro cya 2: Indwara y'amaraso iragabanuka mu gihe cyo gukurura (nk'igihe cyo kwimura amara) ariko ihita yisubira inyuma ubwayo iyo igitutu kimaze kurekurwa.
- Icyiciro cya 3: Hemorrhoid irasohoka mu gihe cyo gukaraba kandi ntisubiramo ubwayo. Uzakenera kuyisubiza imbere witonze ukoresheje urutoki rwawe.
- Icyiciro cya 4: Indwara y'amaraso iracika burundu kandi ntishobora gusunikwa inyuma. Iyi ni indwara ikomeye cyane isaba gusuzumwa na muganga vuba.
Ese hemorrhoids zigenda zigabanuka zivurwa zite?
Kenshi na kenshi, hemorrhoids zigenda zigabanuka zirushaho kuba nziza iyo umuntu yitaweho mu rugo kandi agahindura imikorere y’amara ye. Ubuvuzi buterwa n’ubukana (urwego) n’ubukana bw’ibimenyetso byawe.
Dore uburyo bwiza bwo kuvura mu rugo no mu buryo bwo kugurisha imiti mu kigo cya leta:
- Ubwiherero bwa Sitz: Shyira agace k'ikibuno mu gikombe gito kandi gishyushye mu gihe cy'iminota 10-15, inshuro ebyiri cyangwa eshatu ku munsi. Ushobora kongeramo umunyu niba ubyifuza. Ibi bifasha kugabanya kubyimba, kuribwa no kubabara.
- Indyo irimo fibre nyinshi: Kugira ngo umwanda wawe ukomeze koroha kandi woroshye kuwufungura, ongera urye imboga, imbuto (nk'imineke n'amapapayi), n'ibinyampeke byuzuye (nk'amasaka cyangwa sayiri).
- Gutanga amazi: Nywa amazi menshi—gerageza kunywa nibura ibirahuri 8-10 ku munsi kugira ngo wirinde impatwe.
- Uburyo bwo kuvura: Amavuta cyangwa amavuta yo kwisiga atangwa ku iduka arimo hydrocortisone, witch hazel, cyangwa lidocaine ashobora gufasha kugabanya ububabare n'uburyaryate.
- Imiti yoroshya intebe/imiti yoroshya ububabare:Niba kwituma mu buryo bubabaza, ibi bishobora gufasha. Ariko, nyamuneka banza ubaze muganga wawe mbere yo kubikoresha igihe kirekire.
Mu gihe ukoresha ubu buryo bwo kuvura, fata umwanya urebe imibereho yawe. Ese umara igihe kinini uri mu bwiherero, wenda usoma cyangwa ureba kuri telefoni yawe? Gukosora izi ngeso, hamwe n'imirire ikwiye no kunywa amazi menshi, ni ingenzi mu gukira kwa Nirogi Lanka.
Niba uburyo bwo kuvura mu rugo budakora neza, muganga wawe ashobora kukugira inama yo kuvura. Ibi akenshi biba bikenewe gusa ku bantu bari munsi ya 10%. Amahitamo ashobora kubaho arimo:
- Gufunga umugozi w'urukiramende: Umugozi muto ushyirwa hasi ku maraso kugira ngo uhagarike amaraso. Ubusanzwe uzashira hanyuma ukagwa mu minsi mike. Ubu buryo ni ubusanzwe, bubabaza cyane.
- Sclerotherapy: Umuti uterwa muri hemorrhoid kugira ngo ugabanuke.
- Transanal Hemorrhoidal Dearterialization (THD): Ibi bikubiyemo kumenya no guhambira imitsi runaka itanga amaraso muri hemorrhoid.
- Guca amaraso: Uburyo bwo kubaga kugira ngo amaraso akurweho burundu. Ibi muri rusange bikorerwa abantu barwaye indwara zikomeye (icyiciro cya 3 cyangwa icya 4) cyangwa iyo ubundi buryo bwo kuvura budatanga ubutabazi.
Ese hemorrhoids zigenda zishira ubwazo? Bifata igihe kingana iki?
Yego, akenshi barabikora. Kwita ku rugo buri gihe no guhindura imibereho bishobora kuba bihagije mu gukemura indwara zo mu nda ziterwa no kurwara indwara zo mu nda. Niba uhora unywa amazi menshi, ukarya ibiryo birimo fibre nyinshi, kandi ukirinda kumara igihe kinini ukoresha ubwiherero, ushobora kubona uruhutse mu minsi mike.
Ariko, niba ibimenyetso byawe bikomeje nubwo washyizeho imihati ihagije, uzakenera isuzuma ry’inzobere kugira ngo uganire ku buryo bwo kwa muganga cyangwa kubaga.
Igihe cyo gukira giterwa n'ubukana bw'indwara. Indwara zoroheje zikunze kumera neza mu minsi mike iyo umuntu yitaweho neza. Indwara zikomeye cyane, ndetse no mu gihe umuntu yavuwe, zishobora gufata ibyumweru byinshi kugira ngo zikire neza. Nyuma yo kubagwa, hateganijwe igihe kirekire cyo gukira.
Niba mfite hemorrhoid yavuye mu nda, ni iki nkwiye kwitega?
Kurwanya indwara y'amaraso yavuye mu nda bishobora kubabaza kandi bikananiza umubiri. Ni ibisanzwe rwose kumva ufite isoni zo kuganira kuri ibi, ariko ibuka ko: indwara y'amaraso ikunze kugaragara cyane , kandi ntabwo uri wenyine muri ibi bibazo. Muri Nirogi Lanka, turi hano kugira ngo tugufashe nta guca urubanza. Twandikire cyangwa ushake ubuvuzi bwihutirwa niba uva amaraso menshi cyangwa ububabare bukabije.
Inkuru nziza ni uko hemorrhoids zivurwa cyane, akenshi zivurwa mu rugo. Ariko, ibi ntibivuze ko ugomba kwirengagiza inama z'abaganga b'inzobere. Ni ngombwa kugisha inama muganga wawe, kuko hemorrhoids zishobora kugaruka. Kuganira n'inzobere mu bijyanye no kwirinda indwara igihe kirekire ni ingenzi kugira ngo ukomeze kugira ihumure. Niba hemorrhoids zawe zikomeje cyangwa zikabangamira ubuzima bwawe bwa buri munsi, muganga wawe ashobora kukugira inama yo kuvura indwara zigezweho cyangwa kubagwa kugira ngo bigufashe kubona ubutabazi.
Ni gute wakwirinda ko hemorrhoid ikomeza kwiyongera?
Hemorrhoid iyo ari yo yose imbere mu mubiri ishobora gucika intege. Bityo rero, uburyo bwiza ni ukugabanya ibyago byo kurwara hemorrhoids kuva mu ntangiriro . Dore uburyo bumwe na bumwe ushobora kubigeraho:
- Irinde impatwe. Impatwe ni umwanzi w'ibanze w'ubuzima bwa hemorrhoid.
- Menya neza ko urya ibiryo byinshi birimo fibre , cyangwa ukoreshe inyunganiramirire niba byagusabye. Shaka garama 25-30 za fibre ku munsi.
- Irinde kunanirana mu gihe cyo kwituma mu nda. Reka bibeho mu buryo busanzwe. Gukoresha agakoresho gato k'ibirenge kugira ngo uzamure ibirenge byawe bishobora koroshya igikorwa.
- Irinde ubushake bwo kugenda. Ntugatinde kujya mu bwiherero. Gutinda bishobora gutuma umwanda wumuka kandi ugakomera, bigatera umuvuduko mwinshi.
- Irinde gufata umwuka wawe cyangwa kwihata iyo uterura ibintu biremereye. Humeka neza mu gihe cy'imyitozo ngororamubiri.
- Komeza gukora siporo. Imyitozo ngororamubiri ihoraho—nk'ukugenda, kwiruka, cyangwa koga—ituma amara akora neza.
- Ntugatinde ku musarani. Irinde kwicara iminota irenga 5-10 icyarimwe.
Ni ryari ukwiye kujya kwa muganga?
Niba ufite indwara yo kuva amaraso mu mara, cyane cyane iyo ibabaza, kuva amaraso, cyangwa idashobora koroherwa nyuma y'iminsi mike witabwaho mu rugo, ugomba kujya kwa muganga. Nubwo ibimenyetso bisa n'ibito, isuzuma rya muganga ni ingenzi kuko izindi ndwara zishobora gusa n'ibimenyetso bya kanseri yo mu mara. Urugero, kanseri yo mu mara itangira rimwe na rimwe ishobora kugaragaza ibimenyetso bisa na kanseri yo mu mara. Kubona isuzuma nyaryo ni ingenzi ku buzima bwawe.
Kurwara hemorrhoid igenda ikura ni "ububabare bw'inyuma." Bishobora gutera ububabare bukomeye, harimo no kuribwa no kubabara. Bishobora kugorana kuganira n'inshuti cyangwa umuryango ku kibazo nk'iki, ariko ibuka: muri Nirogi Lanka, twifuza ko umenya ko utari wenyine.
Indwara nyinshi zo mu bwoko bwa "prolapsed hemorrhoids" zikira neza imiti yo mu rugo isanzwe nk'amavuta yo kwisiga n'imiti yoroshya intebe. Ariko, niba ibi bidatanga ubutabazi, cyangwa niba ikibazo kigaruka, sura muganga wawe kugira ngo muganire ku buryo bwihariye bwo kuvura.
Ubutumwa bwo kujyana mu rugo
Muri make, dore ingingo z'ingenzi ugomba kuzirikana:
- Kugabanuka kw'amaraso mu kibuno (prolapse hemorrhoid) bibaho iyo amaraso mu kibuno aguye hanze y'umuyoboro w'ikibuno. Iyi ni indwara ikunze kugaragara, bityo rero ntugire isoni cyangwa ngo ugire impungenge.
- Kudakira mu nda, gukora imyitozo ngororamubiri, kumara igihe kinini uri mu bwiherero, gutwita, n'umubyibuho ukabije ni bimwe mu bintu bikunze gutera iyi ndwara.
- Ibimenyetso by'ingenzi birimo kuribwa, ububabare, kuva amaraso, no kumva ikibyimba hafi y'ikibuno.
- Kwita ku buzima bworoshye mu rugo—nk'ubwiherero bushyushye (ubwiherero bwa sitz), indyo irimo fibre nyinshi, n'amavuta yo kwisiga adatanzwe na muganga—akenshi bitanga ubutabazi bwiza.
- Niba ibimenyetso bikomeye, birimo kuva amaraso igihe kirekire, cyangwa niba utazi neza icyabiteye, buri gihe shaka abaganga b'inzobere. Muganga wawe azagufasha kuvura neza.
- Uburyo bwiza bwo kwirinda ni ugukomeza kugira ingeso nziza zo mu mara: komeza kunywa amazi menshi, urye fibre, kandi ugire ingeso nziza zo kwiyuhagira.
Twizeye ko aya makuru yagufashije. Wibuke ko gushyira ubuzima bwawe imbere ari yo ntambwe y'ingenzi cyane ushobora gutera!
👩🏽⚕️ Ibibazo Bikunze Kubazwa (Ibibazo Bikunze Kubazwa)
💬 Hemorrhoid yo mu bwoko bwa Prolapsed ni iki?
Indwara zo mu kibuno ni imiyoboro y'amaraso ibyimbye iba mu muyoboro w'ikibuno cyawe, akenshi ikaba itagaragara. Ariko, iyo urimo ugerageza mu gihe cyo kwituma, guterura ibintu biremereye, cyangwa mu gihe utwite, imwe muri iyi miyoboro y'amaraso ishobora kubyimba no kunyura mu kibuno, ikagaragara nk'ikibyimba cy'umutuku cyangwa ibara ry'umutuku.
💬 Indwara yo mu nda igenda irushaho kubabara cyangwa ibabaza gute?
Tubashyira ku gipimo cya 1 kugeza kuri 4. Icyiciro cya 1: Gikomeza imbere. Icyiciro cya 2: Gisohoka mu gihe cyo kwimura amara ariko kikongera kwisubiraho ubwacyo. Icyiciro cya 3: Gisohoka kandi gisaba ubufasha bw'intoki (kugisunika inyuma) kugira ngo gisubire inyuma. Icyiciro cya 4: Icyiciro gikomeye cyane, aho hemorrhoid ifungirwa hanze kandi ntishobora gusunikwa inyuma. Iki cyiciro gishobora gutera kuva amaraso menshi n'ububabare bukomeye bisaba ubuvuzi bwihuse.
💬 Ni ubuhe buryo bw'ibanze bwo kuvura indwara yo mu nda igenda igabanuka?
Intambwe za mbere (Icyiciro cya 1/2) akenshi zivurwa hakoreshejwe amazi menshi n'imiti yoroshya umwanda. Niba ufite ibimenyetso byo mu cyiciro cya 3 cyangwa icya 4 bigira ingaruka ku mibereho yawe, abahanga muri Nirogi Lanka bashobora kukugira inama yo gukuramo Hemorrhoidectomy (kubagwa) cyangwa Rubber Band Ligation, uburyo bwiza cyane kandi bwihuse aho ushyira agapira gato ku gice cyo hasi cy'amaraso kugira ngo amaraso adatembera neza, bigatuma aruma hanyuma akagwa.
Amagambo ahinnye: Nirogi Lanka, Hemorrhoids, Prolapsed Hemorrhoids, Ubuzima bwa Anorectal, Impatwe, Kuvura Hemorrhoids, Ibimenyetso by'ibibyimba
