Kuzokwelapha, kunezinyathelo ezine zokuthuthukiswa kwesisu. Isigaba sokuqala sesifo sibhekwa njenge-preclinical, ngokuvamile ayinayo izibonakaliso ezicacile zesifo, kanti ukuxilongwa kule nkathi kunzima. Esigabeni sesibili kakade kunezibonakaliso zemitholampilo kanye nokuqhamuka okuvamile kwama-node angazilungisa.
Izimpawu ze-hemorrhoids esiteji sesi-3
Ngezimpawu zesigaba sesi-3, zikhona:
- itching;
- ukushisa;
- ubuhlungu;
- ukuphaphama okuphawulekayo ngesikhathi futhi ngemuva kwe-defecation;
- ukulahla ama-node adingeka ukulungiswa, ngoba awahambanga eyedwa.
Ama-hemorrhoids ahlukaniswe abe angaphandle (ama-node ajikeleza eduze kwe-anus), futhi ngaphakathi (ama-node ase-rectum futhi angabonakali ngaphandle). Ama-hemorrhoids angaphakathi esiteji sesi-3 adala ubuhlungu obunamandla ngaphezu kokungaphandle, futhi ukuphuma kwegazi kulesi simo ngokuvamile kuvame kakhulu. Ngaphezu kwalokho, ngalesi sigaba, ukuguqulwa kwamangqamuzana angaphakathi noma angaphandle ku-hemorrhoid ehlangene kungenzeka.
Ezigaba ezintathu zalesi sifo, kungenzeka ukuthi ama-node aphumele ngaphandle ngesikhathi sokuhlenga, kepha futhi ngaphansi kokusebenza ngokomzimba. Kungenzeka futhi izinkinga ngendlela yokwephulwa kwe-node, thrombosis yayo, ukuthuthukiswa kwenqubo evulekile yokuvuvukala.
Ukwelashwa kwama-hemorrhoids esigabeni sesithathu ngaphandle kokuhlinzwa
Esikhathini sesigaba sesi-3, ukwelashwa kwama-hemorrhoids ngezinqubo ezingezona zokuhlinzwa kubhekwa njengokungabikho kokucindezeleka okuphazamisayo. Ukwelapha okuqaphayo kwesigaba sesithathu se-hemorrhoids kwenziwa ekhaya (akudingi ukufakwa esibhedlela), kodwa kuphela ngaphansi kokuphathwa kwezokwelapha, izindlela zokwelapha zendabuko. Izindlela zokwelapha zendabuko kuleli cala zingasebenza njengezindlela ezisizayo.
Amafutha avela ku-hemorrhoid 3 degrees asetshenziswa phambi kwama-nodes angaphandle, ukuze uwagcobe, ngokuvamile kabili ngosuku. Phakathi kwamathuluzi alesi sigaba avame ukusetshenziswa:
- I-Heparin amafutha. Unomphumela wokulwa nokuvuvukala futhi uvimbela i-thrombosis ngenxa yezindawo ze-anticoagulant.
- Levomekol. I-antibiotic yesenzo sendawo isho umphumela wokulwa nokuvuvukala.
- Bezornil. Isidakamizwa esinezinambuzane ezinomuthi wokunciphisa kanye nokusheshisa okuvuselelayo.
- I-Hepatrombin. Lesi sidakamizwa sisekelwe ku-heparin ne-prednisolone, ngegazi elincane futhi lithuthukisa isimo sezitsha zesenzo.
- Proctosan. Amafutha nokuqukethwe kwe-lidocaine kanye ne-bufeksamaka, nomphumela we-analgesic nokulwa nokuvuvukala.
- Amafutha e-Flemming. Isidakamizwa sitshalo esisekelwe ngesifo se-antiseptic, ukomisa nesiphuzo.
Kulezi zigaba ezintathu zama-hemorrhoids, ama-painkillers asetshenziswe kakhulu (okuqukethwe (i-lidocaine noma i-benzocaine) nokulwa nokuvuvukala (okusekelwe ku-hydrocortisone noma i-prednisolone.) Ukusheshisa ukuphulukiswa kanye nezwi lemikhumbi, kusetshenziselwa amakhandlela ngamafutha omnxeba we-sea buckthorn, ngokusekelwe kwesikhumba se-bell kanye ne-horse chestnut.
Ukuhlinza izidakamizwa zesigaba 3
Uma kungabikho izinkinga kule nkinga ye-hemorrhoids, izinqubo ezincane ezingenakwenzeka zingenzeka:
- sclerotherapy - ukwethulwa kwezinto ezikhethekile ku-node, okubangela ukugubha kanye nokugcoba izitsha;
- I-Ligation ngezindandatho ze-latex - ukufaka indandatho ekhethekile engxenyeni yangaphakathi, okuholela ekuphazanyeni komsoco nokufa kwayo;
- photocoagulation.
Ukungahambi kahle kwezindlela ezichazwe ngenhla ukuthi akuqedi inkinga yezidakamizwa futhi ngezigaba kamuva akusebenzi ngaso sonke isikhathi. Ukungenelela okuphelele kulokhu kulesi sifo kuhlanganisa nokuziqhenya kwama-hemorrhoids nokubhoboza izitsha ezondla zona. Ukusebenza kwenziwa ngaphansi kwe-anesthesia jikelele, kulandelwa ukuhlala kwesiguli esibhedlela izinsuku ezingu-7-9.