Hemorrhoids los yog pawg yog qhov loj thiab o ntawm cov leeg ntawm qhov quav qis thiab qhov quav. Qhov teeb meem no tshwm sim, thiab ze li ib nrab ntawm cov neeg laus ntsib nws tsawg kawg ib zaug ua ntej hnub nyoog 50 xyoos. Hemorrhoids yog tshwm sim los ntawm kev nce siab ntawm qhov quav qis thiab qhov quav. Qhov kev nce siab ntawm cov hlab ntshav ua rau lawv ua rau o. Cov tsos mob koj tuaj yeem suav nrog tsis muaj ntshav los ntshav thaum lub plab txav, mob hauv qhov quav/qhov quav, khaus qhov quav, thiab mob pob nyob ze lub qhov quav. Muaj ntau txoj kev xaiv los daws cov hemorrhoids thiab lawv qhov mob, ob qho uas koj tuaj yeem ua tom tsev lossis nrog kev pab ntawm kws kho mob.
Kauj ruam
Txoj Kev 1 ntawm 3: Kho Mob Hemorrhoid Hauv Tsev
Kauj Ruam 1. Txheeb xyuas hom mob hemorrhoid
Hemorrhoids tuaj yeem sab hauv lossis sab nraud. Cov tsos mob mob feem ntau cuam tshuam nrog sab hauv hemorrhoids. Txawm li cas los xij, koj kuj tseem yuav tsum tau mus ntsib kws kho mob kom paub tseeb.
- Sab hauv hemorrhoids tshwm sim hauv qhov quav qis thiab feem ntau tsis mob vim tias tsis muaj qhov hnov mob hauv qhov quav. Sab hauv hemorrhoids yuav tsis pom txawm tias cov ntshav zoo li tawm thaum lub plab txav, lossis hemorrhoids prolapse (tawm ntawm qhov quav).
- Yog tias koj hnov mob los ntawm hemorrhoids, koj tuaj yeem muaj cov hemorrhoids sab nraud, uas tsim hauv qab txheej tawv nqaij nyob ib ncig ntawm qhov quav. Yog tias cov ntshav khov ua rau sab hauv hemorrhoid, nws hu ua thrombosis. Qhov mob uas ua ke nrog thrombosis hauv hemorrhoids feem ntau hnyav thiab tshwm sim sai sai. Cov neeg uas tau ntsib nws yuav pom lossis hnov pob ib ncig ntawm ntug qhov quav. Cov ntshav txhaws feem ntau yuav yaj thiab tawm ntawm cov tawv nqaij ib ncig ntawm qhov quav.
Kauj Ruam 2. Siv da dej sitz
Qhov kev kho mob no tuaj yeem daws qhov mob thiab khaus tshwm sim los ntawm hemorrhoids hauv lub sijhawm luv. So qhov quav hauv dej sov rau 10-20 feeb 2-3 zaug hauv ib hnub thiab tom qab tso quav. Cov yas yas me me uas tuaj yeem tso rau hauv chav tso quav muaj nyob ntawm cov chaw muag tshuaj. Xwb, sau cov dej sov tob tob rau hauv tus tub.
Maj mam muab lub qhov quav qhuav nrog phuam los yog siv lub tshuab ziab plaub hau tom qab txhua qhov kev kho mob
Kauj Ruam 3. Ua kom txias txias rau thaj chaw cuam tshuam
Kev kho khaub thuas tuaj yeem txo qhov o thiab mob los ntawm hemorrhoids. Koj tuaj yeem thov cov dej khov lossis lub hnab ntim dej khov qhwv hauv phuam rau lub qhov quav li 5-10 feeb, 3-4 zaug hauv ib hnub.
Maj mam muab lub qhov quav qhuav nrog phuam los yog siv lub tshuab ziab plaub hau tom qab txhua qhov kev kho mob
Kauj Ruam 4. Sim siv cov tshuaj tom khw muag khoom
Cov chaw muag tshuaj nyob ze muab ntau yam tshuaj tom khw muag khoom uas muaj txiaj ntsig zoo rau kev daws qhov mob thiab tsis xis nyob vim los ntshav. Ib txhia ntawm lawv yog:
- Koj tuaj yeem siv daim ntaub paj rwb uas siv tau zoo li Tucks rau ua rau cov hlab ntsha tawg mus txog 6 zaug hauv ib hnub los daws qhov mob thiab khaus. Cov khoom no muaj cov dab ntxwg nyoog uas muaj qhov nyob ntsiag to thiab ntuj tiv thaiv kev ua haujlwm.
- Kev Npaj H Cream yog tshuaj pleev tshuaj uas tuaj yeem txo qhov loj ntawm cov hlab ntsha (vasoconstrictor) nrog rau kev tiv thaiv daim tawv nqaij uas muaj txiaj ntsig zoo hauv kev kho mob hemorrhoids. Cov tshuaj nplaum no yuav thaiv qhov mob los ntawm cov hlab ntsha kawg ntawm qhov quav, thiab ua rau cov nqaij o thiab o.
- Cov tshuaj nplaum tom khw lossis cov tshuaj suppositories uas muaj cov tshuaj steroids xws li hydrocortisone kuj tseem muaj txiaj ntsig zoo rau kev kho mob hemorrhoids. Hydrocortisone yog cov tshuaj tiv thaiv muaj zog uas tuaj yeem pab txo qhov mob thiab khaus los ntawm cov hemorrhoids. Txawm li cas los xij, cov tshuaj steroids xws li hydrocortisone yuav tsum tsis txhob siv ntau tshaj li ib lub lim tiam vim tias nws tuaj yeem ua rau atrophy (thinning) ntawm cov tawv nqaij txheej ncig lub qhov quav.
- Pramoxine, uas muaj nyob tom khw thiab yuav tshuaj, tseem yog tshuaj loog rau kev kho mob qog noj ntshav.
Kauj Ruam 5. Siv tshuaj pleev qhov ncauj
Cov tshuaj yuav tom khw muag khoom xws li paracetamol (Panadol), ibuprofen (Advil), lossis tshuaj aspirin tuaj yeem siv los pab daws qhov tsis xis nyob los ntawm hemorrhoids.
- Paracetamol tuaj yeem noj ntau npaum li 650-1,000 mg txhua 4-6 teev, tsis pub ntau tshaj 4 grams hauv 24 teev.
- Ibuprofen tuaj yeem noj ntau npaum li 800 mg, ntau tshaj 4 zaug hauv ib hnub.
- Tshuaj aspirin tuaj yeem noj ntau npaum li 325-650 mg txhua 4 teev raws li xav tau, tsis pub ntau tshaj 4 grams hauv 24 teev.
Kauj Ruam 6. Siv quav quav
Cov quav muag muag kuj tseem pab tau yog tias koj mob plab vim yog los ntshav. Cov quav muag muag ntawm lub khw muag khoom xws li dokusat (Colace) tuaj yeem siv los ua kom cov quav mos thiab txo qhov quav thiab quav. Koj tuaj yeem noj 100-300 mg ntawm docusate txhua hnub txog li ib lub lim tiam.
Txoj Kev 2 ntawm 3: Kev Kho Mob Kho Mob
Kauj Ruam 1. Mus ntsib kws kho mob
Qee lub sij hawm hemorrhoids tuaj yeem tau txais kev kho mob hauv tsev zoo dua yog li lawv tsis xav tau kev kho mob. Txawm li cas los xij, koj yuav tsum sab laj nrog koj tus kws kho mob yog tias koj cov tsos mob hemorrhoid tsis zoo tom qab ib lub lim tiam ntawm kev kho tsev. Tus kws kho mob yuav txiav txim siab qee yam tshuaj yuav tshuaj lossis phais.
- Tam sim ntawd mus ntsib kws kho mob yog tias hemorrhoids ua rau mob.
- Koj tus kws kho mob yuav pom zoo kom koj hloov koj kev noj zaub mov thiab kev ua neej ua ntej ntsuas ntsuas hnyav. Cov kev hloov pauv no suav nrog nce kev noj fiber ntau thiab tawm dag zog.
Kauj Ruam 2. Nug txog tshuaj loog tshuaj
Yog tias koj tus kws kho mob tsis xav tias kev phais yog qhov tsim nyog, tab sis xav kom txo qhov mob los ntawm koj cov hemorrhoids, nws lossis nws yuav sau daim ntawv tshuaj loog xws li lidocaine (Xylocaine) los pab rau qhov tsis xis nyob thiab khaus.
Kauj Ruam 3. Tham txog txoj hlua khi roj hmab
Qhov no yog qhov kev txiav txim siab tshaj plaws los kho hemorrhoids. Ib txoj hlua roj hmab me me yuav muab tso rau ib puag ncig hauv paus hauv paus los txhawm rau txiav cov ntshav tawm. Kev tshem tawm cov ntshav ncig yuav ua rau cov hemorrhoids nqaim thiab nqaim hauv ib lub lis piam.
Kauj Ruam 4. Tham txog sclerotherapy nrog koj tus kws kho mob
Hauv cov txheej txheem no, tus kws kho mob yuav txhaj tshuaj rau hauv cov hlab ntshav kom cov nqaij nqaim thiab tuag. Txawm li cas los xij, kev kho tus mob scler tsis muaj txiaj ntsig zoo dua li txoj hlua roj hmab.
Sclerotherapy kuj tseem tuaj yeem poob siab los ntawm qee tus kws kho mob vim tias ntau txoj kev tshawb fawb tau pom tias txawm tias nws muaj txiaj ntsig zoo nyob rau lub sijhawm luv, feem ntau cov neeg mob tau ntsib cov hemorrhoids uas rov tshwm sim
Kauj Ruam 5. Tshawb nrhiav cov txheej txheem coagulation
Cov txheej txheem coagulation tau ua tiav siv lub laser, lub teeb pom kev deb, lossis cua sov. Qhov no yuav tso ntshav los rau hauv qhov quav me me thiab ua rau nws nqaim thiab tuag. Coagulation muaj qhov rov tshwm sim ntau dua ntawm cov hemorrhoids ntau dua li cov hlua roj hmab.
- Cov txheej txheem no feem ntau siv rau ntawm cov ntaub so ntswg me me uas tsis tuaj yeem kho nrog cov hlua roj hmab, lossis siv ua ke nrog cov hlua roj hmab vim tias kev sib txuas ntawm ob qho no muaj 97% kev ua tiav.
- Lub sijhawm rov zoo tom qab tau siv cov txheej txheem no tseem luv dua kev phais hemorrhoid, uas yog ib lossis ob lub lis piam.
Kauj Ruam 6. Xav txog kev tshem cov hemorrhoids
Txoj kev no yog hu ua hemorrhoidectomy. Hauv cov txheej txheem no, cuam tshuam sab nraud lossis sab hauv hemorrhoids raug phais tshem tawm. Qhov kev xaiv no yog qhov muaj txiaj ntsig tshaj plaws hauv kev kho mob hnyav los yog mob qog noj ntshav, thiab tuaj yeem kho tau 95% ntawm cov neeg mob thiab muaj tus nqi qis.
- Cov txheej txheem no feem ntau ua tiav thaum muaj mob hauv sab hauv hemorrhoids, ua ke ntawm sab hauv thiab sab nraud hemorrhoids, lossis cov xwm txheej ua ntej lub cev xav tau kev phais. Qhov kev xaiv no tseem paub tias ua rau mob ntau dua thiab lub sijhawm rov zoo dua.
- Lub sijhawm rov zoo tom qab ua cov txheej txheem no yog nyob nruab nrab ntawm ob txog peb lub lis piam thiab nrog kev tshuaj xyuas tom qab los ntawm kws phais neeg.
Kauj Ruam 7. Xav txog kev xaiv rau kev phais hemorrhoid stapler
Hauv txheej txheem hemorrhoid staper (lossis stapler hemorrhoidopexy), tus kws kho mob yuav siv lub kaw kom rov los ntshav los yog mob ntshav qab zib ntau ntau rov mus rau nws qhov qub. Qhov kev txiav txim siab yuav ua rau cov ntshav ntws mus rau cov hemorrhoid, ua rau nws nqaim.
Piv rau hemorrhoidectomy, phais stapler muaj qhov pheej hmoo rov tshwm sim ntau dua thiab quav qhov quav (qhov quav tawm ntawm lub qhov quav). Txawm li cas los xij, qhov mob tom qab phais mob ntawm tus txheej txheem no paub tias mob hnyav rau tus neeg mob ntau dua li tus qauv hemorrhoidectomy
Txoj Kev 3 ntawm 3: Tiv Thaiv Hemorrhoids
Kauj Ruam 1. Ua kom cov zaub mov muaj fiber ntau txaus noj
Ua kom muaj fiber ntau tuaj yeem pab tiv thaiv cem quav, uas yog qhov ua rau ua rau hemorrhoids. Fiber muaj nyob hauv txiv hmab txiv ntoo, zaub, thiab cov nplej tag nrho. Kev nce ntxiv hauv cov fiber ntau yuav ua rau cov quav muag kom lawv yooj yim dua thiab txo qhov xav tau kom nruj thaum lub plab zom mov (uas yog qhov ua rau muaj hemorrhoids loj).
- Qhov pom zoo kom noj cov khoom noj txhua hnub sib txawv ntawm 20-35 grams nyob rau ib hnub raws li koj lub hnub nyoog thiab poj niam txiv neej. Cov poj niam hnub nyoog qis dua 51 xyoos xav tau 25 grams fiber ntau txhua hnub, thaum poj niam hnub nyoog 51 xyoos xav tau 21 grams fiber ntau txhua hnub. Cov txiv neej muaj hnub nyoog tshaj 51 xyoos xav tau 38 grams fiber ntau hauv ib hnub, thaum txiv neej hnub nyoog qis dua 51 xyoos xav tau 30 grams fiber ntau hauv ib hnub.
- Koj kuj tseem tuaj yeem siv cov khoom siv fiber ntau xws li psyllium husk (Metamucil, Citrucel) ua ntxiv.
- Ua kom tau txais cov fiber ntau hauv cov zaub mov maj mam zam kom tsis txhob ntuav.
- Yog tias nce koj qhov kev noj haus fiber ntau tsis pab nrog plab, koj yuav xav txiav txim siab siv cov quav muag muag zoo li Colace raws li kev daws teeb meem luv.
Kauj Ruam 2. Haus dej ntau dua
Kev xav tau cov dej txaus kuj tseem tuaj yeem pab tiv thaiv cem quav. Sim haus 6-8 khob dej nrog ntim 240 ml txhua hnub. Kev nqus dej yuav ua rau cov quav muag thiab pab txhawb nws txoj kev tshem tawm. Kev haus dej yog qhov tseem ceeb tshwj xeeb tshaj yog rau cov uas siv cov tshuaj fiber ntau vim tias tsis muaj dej nrog rau cov fiber ntau tuaj yeem ua rau cem quav thiab ua rau koj cem quav.
Kauj Ruam 3. Ua haujlwm tas li
Kev tawm dag zog ib txwm tuaj yeem ua rau lub plab zom mov ua li no tiv thaiv cem quav. Kev tawm dag zog kuj tseem tuaj yeem pab ua kom poob phaus, ua li no txo qhov siab ntawm lub qhov quav qis thiab qhov quav, thiab tiv thaiv kab mob hauv plab.
- Ua kom lub cev qoj ib ce li 30 feeb tsawg kawg 5 hnub hauv ib lub lis piam. Koj tuaj yeem faib koj cov kev tawm dag zog ua ntu zus. Piv txwv, qoj ib ce 15 feeb ob zaug hauv ib hnub, lossis 10 feeb 3 zaug hauv ib hnub yog tias qhov ntawd yooj yim rau koj.
- Nrhiav ib qho haujlwm uas koj nyiam ua kom nce qib uas koj yuav ua txuas ntxiv mus. Sim taug kev tom qab noj hmo, caij tsheb kauj vab mus ua haujlwm, lossis kawm chav aerobics ob peb zaug hauv ib lub lis piam.
Kauj Ruam 4. Tam sim ntawd tso quav thaum koj xav tias xav tau
Kev ncua lub plab zom mov tuaj yeem ua rau cem quav hnyav dua, thiab tig mus, yuav ua rau cov hlab ntsha tawg tuaj. Sim nyob ib ncig ntawm chav dej thaum koj ib txwm muaj lub plab zom mov kom koj tuaj yeem ua tam sim ntawd thaum koj xav tau.
Yog tias koj tsis tuaj yeem txav lub plab tom qab tsib feeb ntawm zaum ntawm chav dej, nres thiab sim dua tom qab. Zaum ntawm chav dej ntev ntev kuj tseem tuaj yeem ua rau hemorrhoids hnyav dua
Kauj Ruam 5. Tsis txhob zaum ntev dhau
Zaum ntev dhau yuav ua rau lub siab nyob hauv cov leeg ntshav nyob hauv qab qhov quav thiab qhov quav, ua rau cov hlab ntsha tawg. Yog tias koj txoj haujlwm xav kom koj zaum zaum ntev, sim sawv thiab taug kev ob peb feeb txhua lub sijhawm koj so.
Ceeb toom
- Thaum muab cov ntaub ntawv hais txog hemorrhoids, kab lus no yuav tsum tsis txhob muab txhais ua cov lus qhia kho mob. Ib txwm tham txog txoj hauv kev zoo tshaj los tswj koj tus mob nrog koj tus kws kho mob.
- Kev kuaj mob thaum muaj xwm txheej ceev yuav tsum tau rau cov neeg uas muaj ntshav los ntshav thaum noj ntshav (tshuaj tiv thaiv ntshav) xws li warfarin (Coumadin), clopidogrel (Plavix), enoxaparin (Lovenox), rivaroxaban (Xarelto), dabigatran (Pradaxa), lossis apixaban (Eliquis)).
- Kev kho mob yuav tsum tau muab tam sim yog tias qhov mob hauv plab los nrog mob plab. Hemorrhoids tsis ua rau mob plab.
- Anorectal los ntshav nrog rau cov tsos mob ntawm kiv taub hau, tsis pom kev, lossis tsaus muag (syncope) yuav tsum tau tshuaj xyuas tam sim. Cov tsos mob no tuaj yeem qhia txog qhov poob ntshav ntau uas yuav tsum tau hloov ntshav.
- Sab hauv hemorrhoids uas nthuav dav thiab tsis tuaj yeem raug thawb rov qab los ntawm lub qhov quav xav tau kev kho mob xwm txheej ceev.
- Thrombosed hemorrhoids tuaj yeem ua rau mob hnyav thiab yuav xav tau kev kuaj mob thiab tshem tawm cov ntshav txhaws yog tias tsim nyog.
