Hemorrhoids inowanzoitika kuvanhu vepakati-kati, kunyange zvazvo zviitiko zvekusimudzirwa kwevana nevakwegura zvinotsanangurwa. Varume vanorwara kakawanda kupfuura vakadzi.
Etiology uye pathogenesis.
Zvirwere zvepathogenetic ye hemorrhoids zvinotsanangurwa nenzira dzakasiyana. Pakati pezvinhu zvinonzi predisposing uye zvinokonzera kubuda kwemapapiro emapoka mapoka makuru maviri: 1) zvinyorwa zveatomical zvehutano hwehutachiona hwehutachiona uye 2) zvinokanganisa zvinokanganisa uye zvisingagumi. Pakati pezvinyorwa zvakawanda zvinorondedzerwa kutsanangura kuumbwa kwehemorrhoids, zvinotevera zvinofanira kutarisirwa: 1) mafungiro edzidziso; 2) inotapukira uye 3) nheyo yekuberekwa kwechibvumirano chekushaya simba kwechirwere chetachiona chemahara.
Inyanzvi yemagetsi inotsanangura kuitika kwehemorrhoids kuburikidza nezvikonzero zvinokonzera kupera kweropa uye kuwedzerwa kudzvinyirira kunokonzera mukati memiviri miviri. Izvi zvinosanganisira kukwikwidza kwakanyanya panguva yekushanda kwepanyama, kugara kwenguva refu kana kugara, kugara kwenguva yakareba nekuda kwekuita basa, kusagadzikana kwenguva refu, kutora pamuviri, kuzvimba uye nhengo dzemuviri. Pasi pesimba rezviitiko izvi, pane kuderera kwemasvingo ane chivako, zvishoma nezvishoma kuwedzera mitsetse, kupera kweropa mukati mavo.
Zvinopesana nehutachiona zvinotsanangura kukura kwehemorrhoids nechinopfuurira chisingagumi endophlebitis, ichibva kune zvakasiyana-siyana zvinokonzera kuvhiringidza munharaunda yeanorectal.
Vazhinji vanotsigira nheyo yekuberekwa kwemaitiro ekusava nemafungiro emaserecular system yeanorectal munharaunda vanofunga kuti mhedzisiro yehemorrhoids inotungamirirwa nezvisingaoneki zvechimiro chehemorrhoidal plexus uye rusvingo rwemhepo.
Zvichienderana neetiology, hemorrhoids yakakamurwa kuva congenital kana nhaka (muvana), uye yakawana. Izvo zvinokonzerwa nemhembere zvinogona kunge zvichinyanya uye zvechipiri kana zviratidzo. Localization inoparadzanisa pakati pekunze, kana submucosal, kunze nekunze, iyo iyo node iri pasi pemafuro epakati, iyo inonzi Hilton line. Nekuyerera, zvikamu zvisingaverengeki uye zvakaoma zvehemorrhoids zvakasarudzwa.
Clinical picture.
Zvinotenderera kuwanda kwehuwandu hweshemorrhoids uye kuvapo kwezvinetso. Kwemazuva mazhinji, zvironda zvinogona kunge zvisingatauriki pasina kuvhiringidza murwere zvachose. Zvadaro kune manzwiro asingatauri okusavhiringidza, tsvina mune anus. Kazhinji, izvi zvinowanzoitika apo kudarika kwemukati, mushure mekunwa doro.
Kiriniki yepamusoro-soro chechirwere ichienderana nemamiriro ekugara, kuvapo nekuoma kwematambudziko ehemorrhoidal. Kazhinji chiratidzo chekutanga chinopa ropa, chinoitika kunyanya panguva yekuzvidzivirira. Kubuda kwemafuro kunoitika, sekutonga, uye mukati memhemorrhoids, node dzomukati dzisina ropa. Murwere anowana ropa pamadziya, pamapepa embudzi pane dzimwe nguva ropa rinodonha mushure mekuzvidzivirira kubva kune anus. Kudzingirira kunoonekwa nguva nenguva, ropa rinowanzova rakachena, mvura. Iyi ndiyo misiyano kubva kubuda kwechirwere mukenza yakaoma kana kuti neonspecific colitis, umo ropa rakashandurwa rakachengetedzwa panguva imwe neimwe yekuzvidzivirira.
Muvarwere vazhinji, hemorrhoids inoyerera nekukuvadza kwe periodic, kuvhiringidza, kupera uye kuputsa kwehemorrhoids. Mune zvikamu zvekutanga zvekuwedzera kwekukutuka kunorwadza kunorwadza kwema nodes, manzwiro e raspiraniya mune anus, manzwiro okusagadzikana paanenge achifamba. Mune imwe nzvimbo yakanyatsorongeka, node dzinowedzera zvakakura muhukuru, kune marwadzo akaoma, edema yenzvimbo yose ye anus inoonekwa. Kuzvidzivirira kunorwadza zvikuru.
Matambudziko anowanzowanikwa nemakumbo emvura anosanganisira fissures yakare, kutema anata, acaparititis uye fistulas ye rectum, uye proctalgia.
Mukuwedzera kune zvinorondedzerwa mahemorrhoids, imwe yechipiri inoratidzika, iyo chiratidzo chemwe chirwere. Izvo zvinogona kuitika ne-cirrhosis yechiropa, nemavhumu e-retroperitoneal space, nekunetseka kwemwoyo.
Kurapa.
Nzira dzose dzekurapa zvironda zvinoparadzaniswa zvikamu zvitatu: 1) zvakachengetedza; 2) injection uye 3) kushanda. Zvichienderana nenzvimbo yacho, ukuru hwemhemorrhoids, kuvapo kwezvinetso zvinoshanda izvi kana kuti rudzi rwekurapa.
Zvose zvisinganzwisisiki zviitiko zvekunze nekunze mahemorrhoids neasingadi kubuda ropa zvishoma zvinotarisirwa kugadziriswa. Murwere anorambidzwa mukutora zvokudya zvakashata, zvinonaka, kunwa doro. Zvokudya zvinofanira kuva nezvakawanda zvakakwana zve fiber (miriwo, michero, chingwa chine mutsvuku), iyo iri kudzivirira kubatwa. Nekusimudzirwa kwekusimbiswa, kwete kutenderwa kunodya, laxative enemas inoratidzwa. Izvo zvinodiwawo kutevera utsanana, kushambidza mushure mekuita kwechiito chekuzvidzivirira.
Pamitemo ye physiotherapeutic yekurapa mahemorrhoids, inowanzotaurirwa kuti ishandise mvura yakanakira inokwira uye inopisa.
Kana kubuda ropa kuchiitika, kuputika kwe nodes kunoshandisa mhando dzakasiyana dzemishonga. Neropa rinonyoreswa, murwere akaradzikwa pamubhedha, kudya kwekudya kunorayirwa. Muchirwere chekuvhiringidza, anti-inflammatory suppositories inorayirwa.
Zviratidzo zvekurapwa kwezviputi zvinonzi:
- Kuramba uchibuda ropa, kwete kutenderwa kushandiswa kwekuchengetedza;
- Hemorrhoids, pamwe chete nekudengenyeka kwekudzoka, kupesana, kuputika kwe node uye kubuda ropa;
- Kuchengetedzwa kwemakumbo, izvo zvinogona kutungamirira pakuora kusvika mumarara;
- Hemorrhoid yakakura, iyo inopesana nechiito che defecation.