Hemorrhoids, lossis cov leeg, tau nthuav dav thiab ua rau cov leeg ntshav nyob hauv qhov quav qis thiab qhov quav. Lawv ib txwm muaj, thiab yuav luag ib nrab ntawm txhua tus neeg laus tau ua haujlwm nrog lawv yam tsawg ib zaug ua ntej hnub nyoog 50. Hemorrhoids tshwm sim los ntawm kev nce siab ntawm qhov quav qis thiab qhov quav. Qhov kev nce siab hauv cov hlab ntshav ua rau lawv ua rau o. Cov tsos mob uas koj tuaj yeem pom suav nrog tsis muaj ntshav los ntshav thaum lub plab txav, mob qhov quav/qhov quav, khaus qhov quav, thiab/lossis mob qog nqaij hlav nyob ze lub qhov quav. Koj muaj ntau txoj hauv kev xaiv thaum nws los kho cov hemorrhoids thiab mob hemorrhoid nyob hauv tsev thiab ntawm koj tus kws kho mob.
Cov kauj ruam
Txoj Kev 1 ntawm 3: Kho Mob Hemorrhoid Hauv Tsev
Kauj Ruam 1. Siv Sitz da dej
Cov da dej no tuaj yeem pab daws qhov mob tam sim ntawd thiab khaus los ntawm hemorrhoids. Tsau qhov quav hauv dej sov li 10 txog 20 feeb ob mus rau peb zaug hauv ib hnub thiab tom qab ua haujlwm ntawm lub plab. Lub tsev muag tshuaj muag cov tub yas me me uas haum rau lub rooj tso quav. Xwb, koj tuaj yeem sau lub dab da dej kom kwv yees li ntawm lub hauv caug nrog dej sov.
- Sau lub dab da dej nrog li 6 hauv (15 cm) ntawm dej sov lossis dej kub thaum koj npaj koj da dej.
- 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 2. Thov kev kho mob txias rau thaj tsam ntawd
Kev kho mob khaub thuas tuaj yeem txo qhov o thiab mob cuam tshuam nrog hemorrhoids. Koj tuaj yeem thov khov, ntim cov hnab yas los yog cov dej khov qhwv hauv daim ntaub rau qhov quav rau 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 3. Sim cov neeg sawv cev tshuaj tom khw
Koj lub tsev muag tshuaj yuav muaj ntau yam khoom OTC tsim los pab kho qhov mob thiab tsis xis nyob uas cuam tshuam nrog cov hemorrhoids. Qee yam ntawm cov khoom no suav nrog:
- Koj tuaj yeem siv cov ntaub qhwv xws li Tucks raws li cov ntaub qhwv rau ntawm qhov mob hemorrhoids mus txog rau rau zaug ib hnub los daws qhov mob thiab khaus. Cov no muaj dab ntxwg nyoog, uas yog ib qho so, ntuj tiv thaiv tus neeg sawv cev tiv thaiv.
- Kev npaj H qab zib yog tshuaj pleev tshuaj pleev, tiv thaiv cov hlab ntshav (vasoconstrictor), thiab tiv thaiv tawv nqaij muaj txiaj ntsig zoo hauv kev kho mob hemorrhoids. Cov tshuaj nplaum thaiv qhov mob tshwm sim los ntawm cov hlab ntsha kawg ntawm qhov quav thiab tseem ua rau o o, cov nqaij mos liab.
- Cov tshuaj pleev OTC lossis cov tshuaj suppositories uas muaj cov tshuaj steroid hydrocortisone kuj tseem tuaj yeem pab kho tus mob hemorrhoids. Hydrocortisone yog cov tshuaj muaj zog tiv thaiv kab mob uas tuaj yeem pab txo qhov mob thiab khaus ntawm hemorrhoids. Cov tshuaj steroids xws li hydrocortisone yuav tsum tsis txhob siv ntau tshaj li ib lub lim tiam vim tias lawv tuaj yeem ua rau mob atrophy (lossis thinning) ntawm daim tawv nqaij hauv qhov quav.
- Pramoxine, muaj OTC thiab los ntawm daim ntawv yuav tshuaj, yog lwm qhov tshuaj pleev tshuaj pleev siv los kho tus mob hemorrhoids.
Kauj Ruam 4. Siv tshuaj pleev qhov ncauj
OTC qhov txhab kho qhov ncauj xws li acetaminophen (Tylenol), ibuprofen (Advil), lossis tshuaj aspirin tuaj yeem siv los pab daws qhov tsis xis nyob ntawm hemorrhoids.
- Acetaminophen tuaj yeem noj 650-1000 mg txhua 4-6 teev, tsis pub ntau tshaj 4 grams (0.14 oz) hauv 24 teev.
- Ibuprofen tuaj yeem noj 800 mg txog 4 zaug hauv ib hnub.
- Tshuaj aspirin tuaj yeem noj 325-650 mg txhua 4 teev raws li xav tau, tsis pub ntau tshaj 4 grams (0.14 oz) hauv 24 teev.
Kauj Ruam 5. Siv quav quav
Cov quav muag muag tuaj yeem pab tau yog tias koj tab tom muaj cem quav los ntawm koj cov hemorrhoids. OTC cov quav mos xws li docusate (Colace) tuaj yeem siv los ua kom cov quav muag muag thiab txo qhov quav thiab quav. Koj tuaj yeem noj 100-300 mg ntawm docusate txhua hnub txog li ib lub lim tiam.
Tsis txhob yaug thaum koj nyob hauv chav dej. Yog tias koj lub plab tsis tuaj yeem tshwm sim ntawm nws tus kheej, rov qab los tom qab thiab sim dua
Txoj Kev 2 ntawm 3: Tau Txais Kev Kho Mob Kho Mob
Kauj Ruam 1. Txheeb xyuas hom mob hemorrhoid
Hemorrhoids tuaj yeem yog sab hauv lossis sab nraud. Qhov mob feem ntau cuam tshuam nrog sab hauv hemorrhoids. Txawm li cas los xij, tej zaum koj yuav xav mus ntsib koj tus kws kho mob kom kuaj pom qhov zoo.
- Sab hauv hemorrhoids tsim nyob rau hauv qhov quav qis, thiab lawv feem ntau tsis mob vim tias lub cev tsis muaj qhov hnov mob hauv qhov quav. Koj yuav tsis paub txawm tias koj muaj tus kab mob sab hauv los txog rau thaum koj pom ntshav hauv koj cov quav lossis cov hemorrhoid prolapsing (tawm ntawm qhov quav).
- Yog tias koj muaj qhov mob txuam nrog koj cov hemorrhoid, tom qab ntawd nws yuav zoo li sab nrauv, uas tsim nyob hauv qab daim tawv nqaij ncig lub qhov quav. Yog tias cov ntshav khov ua rau sab hauv los ntshav, nws hu ua "thrombosed hemorrhoid," thiab qhov mob feem ntau tau piav qhia sai li sai tau. Cov neeg raug kev txom nyem no yuav pom lossis hnov pob nyob hauv ib puag ncig ntawm qhov quav. Cov ntaub so ntswg feem ntau yaj thiab tuaj yeem tawm daim tawv nqaij, lossis tawv nqaij ntau dhau, hauv qhov quav.
Kauj Ruam 2. Mus ntsib koj tus kws kho mob
Qee zaum hemorrhoids yuav txhim kho nrog txoj kev kho hauv tsev thiab kev kho mob yuav tsis tsim nyog. 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 nrog rau ib lub lim tiam ntawm kev kho mob hauv tsev. Koj tus kws kho mob yuav tham txog ntau yam tshuaj muaj zog lossis xaiv phais mob.
- Qee lub sij hawm hemorrhoids yuav nyob ntev ntev, tab sis yog tias lawv mob hnyav, feem ntau nws yuav siv li 7-10 hnub rau qhov mob feem ntau ploj mus.
- Hemorrhoids tuaj yeem tshwm sim los ntawm tej yam xws li caj ces, cev xeeb tub thiab yug menyuam, lossis zaum ntawm chav dej ntev dhau.
- Koj tus kws kho mob yuav qhia koj kom ua qee yam zaub mov noj thiab hloov pauv kev ua neej ua ntej sim ua ib yam dab tsi hnyav dhau. Cov kev hloov pauv no suav nrog nce koj cov kev noj haus fiber ntau thiab ua kom lub cev muaj zog ntau dua.
Kauj Ruam 3. Nug txog tshuaj loog-lub zog tshuaj loog
Yog tias koj tus kws kho mob tsis ntseeg qhov kev xaiv phais yog qhov tsim nyog, nws tseem xav pab koj nrog qhov mob uas cuam tshuam nrog koj cov hemorrhoids, nws lossis nws tuaj yeem muab cov tshuaj muaj zog tshuaj loog, xws li lidocaine (Xylocaine), los pab daws nrog qhov tsis xis nyob thiab khaus.
Kauj Ruam 4. Sib tham txog txoj hlua roj hmab
Nov yog cov txheej txheem feem ntau siv los kho cov hemorrhoids. Ib txoj hlua khi me me yog qhov chaw nyob ib puag ncig ntawm cov hauv paus hemorrhoid, uas txiav tawm kev ncig mus rau hemorrhoid. Nrog tsis muaj kev ncig, cov hemorrhoid yuav nqig thiab ploj mus nyob rau ib lub lim tiam.
Kauj Ruam 5. Tham nrog koj tus kws kho mob txog kev kho sclerotherapy
Hauv cov txheej txheem no, kws kho mob txhaj tshuaj tshuaj rau hauv cov hemorrhoid, uas ua rau muaj caws pliav thiab ua rau cov nqaij mos. Sclerotherapy tsis muaj txiaj ntsig zoo dua li txoj hlua roj hmab.
Sclerotherapy, txawm li cas los xij, yuav tsis yog qhov kev xaiv pom zoo los ntawm tus kws kho mob vim tias cov kev tshawb fawb tau pom tias thaum muaj txiaj ntsig nyob rau lub sijhawm luv, feem ntau cov neeg mob tsim cov hemorrhoids rov tshwm sim
Kauj Ruam 6. Tshawb xyuas cov txheej txheem coagulation
Cov txheej txheem coagulation siv laser, teeb pom kev deb, lossis cua sov. Cov txheej txheem txwv tsis pub los ntshav hauv me me hemorrhoids thiab tseem ua rau lawv caws pliav thiab ntsws. Coagulation muaj cov nqi ntau dua ntawm kev rov tshwm sim ntawm cov hemorrhoids ntau dua li cov hlua roj hmab.
- Cov txheej txheem no feem ntau siv rau cov ntaub so ntswg me me uas cov hlua roj hmab ligation tsis yog qhov kev xaiv, lossis nws yuav raug siv hauv kev koom tes nrog cov hlua roj hmab ligation raws li kev sib xyaw ntawm ob lub tswv yim tau qhia ua 97 feem pua kev ua tiav.
- Txoj kev no tseem ua rau qee lub sijhawm rov zoo dua rau kev phais hemorrhoid ntawm ib mus rau ob lub lis piam.
Kauj Ruam 7. Saib hauv kev tshem cov hemorrhoid
Txoj kev no yog hu ua hemorrhoidectomy. Kev ua txhaum sab nrauv lossis sab hauv hemorrhoid raug phais tshem tawm. Nws yog txoj hauv kev zoo tshaj plaws ntawm kev kho mob hnyav los yog rov ua dua. Nws kho tau 95% ntawm cov neeg mob thiab muaj tus nqi qis.
- Cov txheej txheem no feem ntau ua nyob rau hauv cov neeg mob strangulated sab hauv hemorrhoids, sib xyaw sab hauv thiab sab hauv hemorrhoids, lossis yav dhau los cov xwm txheej anorectal uas xav tau kev phais. Qhov kev xaiv no tseem paub txog qhov mob loj dua uas cuam tshuam nrog lub sijhawm kho.
- Lub sijhawm rov qab los rau kev xaiv tshem tawm yog kwv yees li ob txog peb lub lis piam nrog kev mus ntsib koj tus kws phais.
- Qhov no feem ntau yog tshwj tseg rau cov xwm txheej hnyav uas tsis tau zoo dua nyob rau lub sijhawm ntev.
Kauj Ruam 8. Xav txog hemorrhoid stapling ua ib qho kev xaiv
Nrog stapled hemorrhoidectomy (lossis stapled hemorrhoidopexy), tus kws kho mob siv lub tshuab ntaus ntawv txhawm rau txhawm rau txhawm rau txhawm rau los ntshav los yog ua rau cov ntshav ntau ntxiv hauv nws txoj haujlwm ib txwm muaj. Cov txheej txheem stapling thaiv cov ntshav ntws mus rau hemorrhoid, uas ua rau nws nqaim.
Piv rau hemorrhoidectomy, stapling muaj kev pheej hmoo ntau dua ntawm kev rov ua dua los ntshav thiab qhov quav rov quav, uas yog thaum lub qhov quav tawm ntawm qhov quav. Txawm li cas los xij, txoj kev phais mob no tseem paub txog nws qhov cim txo qis hauv qhov mob tom qab phais rau tus neeg mob piv rau tus qauv hemorrhoidectomy
Txoj Kev 3 ntawm 3: Tiv Thaiv Hemorrhoids
Kauj Ruam 1. Ua kom muaj fiber ntau hauv koj cov zaub mov noj
Ua kom koj cov zaub mov muaj fiber ntau tuaj yeem pab tiv thaiv kev ntuav, uas yog lub hauv paus tseem ceeb ntawm cov ntshav qab zib. Koj yuav pom cov fiber ntau hauv cov txiv hmab txiv ntoo, zaub, thiab cov nplej tag nrho. Cov fiber ntau ntxiv ua rau cov quav muag, uas ua rau nws yooj yim dua kom tsis txhob mob plab hnyuv, uas yog qhov ua rau ua rau hemorrhoids.
- Qhov pom zoo txhua hnub ntawm cov fiber ntau sib txawv los ntawm kwv yees li 20 txog 35 grams hauv ib hnub nyob ntawm koj lub hnub nyoog thiab kev sib deev. Cov poj niam hnub nyoog qis dua 51 xyoos xav tau 25 grams ib hnub, thaum poj niam muaj hnub nyoog 51 xyoos xav tau 21 grams ib hnub. Cov txiv neej hnub nyoog qis dua 51 xyoos xav tau 38 grams ib hnub, thaum txiv neej hnub nyoog qis dua 51 xyoos xav tau 30 grams hauv ib hnub.
- Koj kuj tseem tuaj yeem ntxiv koj cov khoom noj kom muaj fiber ntau nrog cov khw muag khoom muaj fiber ntau xws li psyllium husk (Metamucil, Citrucel).
- Ua kom muaj fiber ntau hauv koj cov zaub mov maj mam kom tsis txhob nce roj.
- Yog tias nce koj cov kev noj haus fiber ntau tsis pab nrog koj cem quav, tom qab ntawd koj yuav xav txiav txim siab suav nrog tso quav quav, xws li Colace, raws li kev daws teeb meem luv.
Kauj Ruam 2. Haus dej ntau dua
Nyob twj ywm hauv dej kuj tseem tuaj yeem pab tiv thaiv cem quav. Sim haus 6 txog 8 yim ooj tsom iav dej ib hnub. Nws ua kom cov quav muag muag thiab pab txoj hnyuv kom yooj yim dua. Qhov no yog qhov tshwj xeeb tshaj yog rau cov tib neeg uas siv cov tshuaj fiber ntxiv vim tias tsis haus dej txaus nrog cov fiber ntau tuaj yeem ua rau cem quav lossis ua rau cem quav ua ntej.
Kauj Ruam 3. Ua haujlwm tas li
Kev tawm dag zog tas li ua rau lub plab zom mov, uas tiv thaiv cem quav. Nws kuj tseem tuaj yeem pab tus neeg poob phaus, uas tuaj yeem txo qis hauv qab qhov quav thiab qhov quav, uas yog lwm qhov kev ntsuas tiv thaiv los ntshav.
- Lub hom phiaj rau 30 feeb ntawm kev tawm dag zog tsawg kawg tsib hnub hauv ib lub lis piam. Koj tuaj yeem faib koj cov kev tawm dag zog ua ntu zus ib yam nkaus. Piv txwv li, koj tuaj yeem siv sijhawm li 15 feeb ob zaug hauv ib hnub lossis 10 feeb peb zaug hauv ib hnub yog tias yooj yim dua rau koj.
- Nrhiav ib qho haujlwm uas koj nyiam kom koj thiaj li yuav nyiam nrog nws. 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. Siv chav dej sai li koj xav tau
Kev ncua lub plab zom mov tuaj yeem ua rau cem quav, uas tom qab ntawd ua rau mob hnyav ntxiv. Sim nyob ze rau chav da dej thaum lub sijhawm koj niaj hnub ua haujlwm rau lub plab kom mus sai li sai tau thaum koj xav tias xav tau.
Yog tias koj tsis tuaj yeem mus rau chav dej tom qab zaum li tsib feeb, tom qab tawm hauv chav dej thiab rov qab los tom qab. Zaum ntawm chav dej ntev ntev tuaj yeem ua rau cov hemorrhoids loj tuaj
Kauj Ruam 5. Tsis txhob zaum ntev
Kev zaum zaum ntev ua rau lub siab nyob hauv cov hlab ntshav ntawm qhov quav qis thiab qhov quav, uas tuaj yeem pab txhawb kev txhim kho ntawm cov hemorrhoids. Sim sawv ntsug thiab taug kev ib puag ncig txawm tias ob peb feeb thaum twg koj so ntawm haujlwm yog tias koj txoj haujlwm cuam tshuam nrog ntau zaum.
