Kwimichiza, kukho izigaba ezi-4 zokuphuhliswa kwesibindi. Isigaba sokuqala sesi sifo sithathwa njengento eqhelekileyo, kaninzi ayinayo imiqondiso ecacileyo yesifo, kwaye ukuxilongwa kule nkqubo kunzima. Kwinqanaba lesibini sele sele libonakaliswe iimpawu zekliniki kunye nokuqhutyelwa kwexesha eliqhelekileyo lamanani angakwazi ukuzilungisa.
Izibonakaliso zezigulane kwisigaba 3
Ngezibilini zesigaba 3, zikhona:
- ukubetha;
- kutsha;
- intlungu;
- ukuphaphaza okuphawulwayo ngexesha kunye nangemva kokuchaswa;
- ukulahla iinombolo ezifuneka zihlengahlengiswe, kuba azihambi zodwa.
Ama-hemorrhoids ahlukaniswe ngawangaphandle (amanqabana ajikeleza nge-anus), kwaye ngaphakathi (amanqaku asekhompheni kwaye ayabonakali ngaphandle). Izibilini zangaphakathi zesigaba sesi-3 zibangela intlungu enamandla ngakumbi ngaphandle, kwaye ukuphuma kwamanzi kule meko kudla kakhulu. Ukongezelela, ngeli nqanaba, ukuguqulwa kwamanzi angaphakathi okanye angaphandle kwi-hemorrhoid inokwenzeka.
Kwizigaba ezi-3 zesi sifo, kunokwenzeka ukuba ama-nodes aphumeleli kuphela ngexesha lokuxhatshazwa, kodwa nangaphandle kokusebenza ngokomzimba. Kwakhona kunokwenzeka ukuba iingxaki ngendlela yokuphulwa kwe-node, i-thrombosis yayo, ukuphuhliswa kwenkqubo evukisayo.
Unyango lwama-hemorrhoids kwisigaba sesithathu ngaphandle kokuhlinzwa
Kwinqanaba lesi-3, unyango lwama-hemorrhoids kunye neendlela ezingekho zocwangco lubonwa njengokuba kunokwenzeka ukungabikho kwezixazululo ezinonophelo. Unyango olulondolozo lwe-stroke yesithathu luyakwenziwa ekhaya (aludingi ukulaliswa kwezibhedlele), kodwa kuphela phantsi kolawulo lwezonyango, iindlela zonyango zemveli. Iindlela zamachiza endabuko kulo mzekelo zinokusebenza nje njengeendlela ezincedisayo.
Amafutha avela kwi-hemorrhoids 3 degrees asetyenziswa phambi kweendawo zangaphandle, ukubethelela, ngokuqhelekileyo kabini ngosuku. Phakathi kwezixhobo zolu hlobo zihlala zisetyenziswa:
- I-Heparin amafutha. Unempembelelo ekuchaseni kwaye ikhusela i-thrombosis ngenxa yeepropati ze-anticoagulant.
- Levomekol. I-antibiotikthi yesenzo sendawo esichazwa ngumntu ochasayo.
- Bezornil. Isiza esine-antiseptic kunye nokukhawulezisa iinkqubo zokuvuselela.
- Hepatrombin. Isilwayo sisekelwe kwi-heparin kunye ne-prednisolone, ngegazi elincinciweyo kunye nokuphucula imeko yeempahla zesebe.
- Proctosan. I-ointment kunye nomxholo we-lidocaine kunye ne-bufeksamaka, enefuthe le-analgesic kunye ne-anti-inflammatory effect.
- Mafutha eFlemming. Isicatshulwa sisityalo-esekelwe isifo sokuxhatshazwa, ukusila nokuphucula.
Kwimigangatho emithathu yeziqhumane, i-padilline (i-lidocaine okanye i-benzocaine) kunye ne-anti-inflammatory (esekelwe kwi-hydrocortisone okanye i-prednisolone.) Ukukhawulezisa ukuphulukiswa kunye neendlela zemikhumbi, iisetyenziswe ngeoli ye-buckthorn ye-oyile isetyenzisiweyo, isekelwe kwi-bell's extract and horse chestnut.
Ugqirha lwezibilini zesigaba 3
Xa kungabikho nkxalabo kule nqanaba yeemvumba, iimeko ezincinci zingenakwenzeka:
- i-sclerotherapy - ukuqaliswa kwezinto ezizodwa kwi-node, ebangela ukuba uhlalutye kunye nokwehliswa kweempahla;
- Ukukhawulwa ngamacangci e-latex - ukubeka intambo ekhethekileyo kwiinki zangaphakathi, ezikhokelela ekuphazamiseni isondlo kunye nokufa;
- photocoagulation.
Ukungalunganga kweendlela ezichazwe ngasentla kukuba abayikuphelisa ingxaki yezibilini kunye nezigaba ezilandelayo azisebenzi ngaso sonke isikhathi. Ukungenelela okupheleleyo kwesi sifo kuqulethe ukukhanga kwamathambo kunye nokubethelwa kweempahla ezondla. Ukusebenza kwenziwa phantsi kwe-anesthesia jikelele, elandelwa ngumhlala isigulane esibhedlele iintsuku ezi-7-9.