Matenda a Mitsempha Gawo 3

Mu mankhwala, pali magawo anayi a chitukuko cha m'mimba. Gawo loyambirira la matendawa limatengedwa kuti ndilolera, nthawi zambiri silikhala ndi zizindikiro zomveka bwino za matendawa, ndipo matendawa ndi ovuta. Pachigawo chachiwiri kale kale pali zizindikiro zachipatala ndi maulendo afupipafupi omwe amatha kudzilungamitsa.

Zizindikiro za mitsempha m'masewero 3

Ndi zotupa za gawo 3, pali:

• kuyabwa;
• kuwotcha;
• ululu;
• kuika magazi pa nthawi ndi pambuyo pake;
• kusiya zizindikiro zomwe ziyenera kusinthidwa, popeza sizichoka pawokha.

Mafupa amagawanika kukhala akunja (mkati mwake amatha kuzungulira pafupi ndi anus), ndipo mkati mwake (nodes ali mu chigawo choyera ndipo sichiwoneka kuchokera kunja). Mafupa a m'kati mwa magawo 3 amachititsa ululu waukulu kuposa kunja, ndipo kutuluka m'magazi kumakhala kovuta kwambiri. Kuonjezerapo, panthawi imeneyi, kusintha kwa mkati kapena kunja kwa thupi kumatulutsa magazi.

Pazigawo zitatu za matendawa, nkotheka kuti nambalayi imachoka osati pokhapokha pokhapokha pokhapokha pokhapokha pokhapokha pokhapokha pokhapokha ngati mukulephera. Zikuthekanso kuti zovuta zimakhala zolakwika motsutsana ndi mfundo, thrombosis, chitukuko cha njira yotupa.

Kuchiza kwa ziwalo za gawo lachitatu popanda opaleshoni

Pachiyambi chachitatu, chithandizo cha mitsempha ndi njira zopanda opaleshoni chimawoneka ngati palibe vuto lalikulu. Mankhwala osamalitsa a malo otsekemera atatu amachitidwa pakhomo (samafuna hospitalization), koma kokha mwa kuyang'anira zachipatala, njira zamankhwala. Njira zothandizira pazinthu izi zingakhale zothandizira.

Mafuta ochokera m'magazi 3 madigiri amagwiritsidwa ntchito pamaso a kunja kwa malo, kuti aziwotcherera, kawiri kawiri. Zina mwa zipangizo za gululi zimagwiritsidwa ntchito nthawi zambiri:

1. Mafuta a Heparin. Ali ndi mphamvu yotsutsa-yotupa ndipo imateteza thrombosis chifukwa cha mankhwala osokoneza bongo.
2. Levomekol. Mankhwala oletsa tizilombo toyambitsa matenda oterewa amachititsa kuti anti-inflammatory effect.
3. Bezornil. Mankhwala omwe ali ndi antiseptic ndi kupititsa patsogolo njira zowonongeka.
4. Hepatrombin. Mankhwalawa amachokera ku heparin ndi prednisolone, ali ndi magazi omwe amapukuta ndi kusintha mkhalidwe wa ziwiya zowononga.
5. Proctosan. Mafuta ndi zomwe zili ndi lidocaine ndi bufeksamaka, zogwira mtima komanso zotsutsana ndi zotupa.
6. Mafuta a flemming. Mankhwalawa ali ndi zomera zotsitsirana ndi antiseptic, kuyanika ndi kuchepetsa.

Pazigawo zitatu za ziwalo zamadzimadzi, zomwe zimagwiritsidwa ntchito kwambiri (lidocaine kapena benzocaine) komanso zotsutsana ndi kutupa (zochokera ku hydrocortisone kapena prednisolone.) Kufulumizitsa machiritso ndi mitsuko ya mitsuko, amagwiritsa ntchito makandulo ndi mafuta a buckthorn mafuta, pogwiritsa ntchito kabokosi ka belu ndi kavalo.

Kuchita opaleshoni kwa masewera a masewero 3

Ngati palibe vuto pamtunda uwu wa ziwalo za m'mimba, njira zowonongeka zingatheke:

• sclerotherapy - kuyambitsa chinthu chapadera mu chidziwitso, chomwe chimayambitsa flattening ndi gluing ya ziwiya;
• Ligation ndi mphete za latex - kuyika mphete yapadera mkati mwake, yomwe imayambitsa chisokonezo cha zakudya ndi imfa;
• photocoagulation.

Kuipa kwa njira zomwe tafotokozera pamwambazi ndikuti iwo samathetsa vuto la mitsempha ya m'mimba ndipo m'kupita kwa nthawi sikuti nthawi zonse zimagwira ntchito. Kuchita nawo opaleshoni kwathunthu mu matendawa kumaphatikizapo kupambanitsa kwa ziwalo zam'mimba ndi kuboola ziwiyazo kuzidyetsa. Opaleshoni imagwiridwa ndi anesthesia wambiri, wotsatiridwa ndi wodwala m'chipatala kwa masiku 7-9.