Hemorrhoidal Kurohwa: Zvinokonzera uye Consequences

Maererano yemarudzi kupatsanura zvirwere, rakakamurwa mhando mbiri huru sitiroko. Izvi zvinosanganisira hemorrhoidal uye ischemic. Mumwe nomumwe zvirwere izvi chinhu chisinganzwisisiki uye ngozi kutyora pfungwa kutenderera.

The mhando sitiroko chokutanga chokuita blockage midziyo ropa uye kumira kufamba kweropa iri zvachose kana kukwana chimiro. Hemorrhagic (hemorrhoidal) sitiroko inogona inozivikanwa se intracranial kubuda ropa. Izvi mhando kukuvara kwouropi, maererano ICD 10 bumbiro akagoverwa.

Chii hemorrhoid (Hemorrhagic) sitiroko?

Kazhinji, hemorrhoidal sitiroko, zvakaipira zvacho zvakananga novimba kwokutanga zvikonzero vozniknuvshey chirwere kunoitika nokuda Kumwe kuchinja kunotanga ari vascular marongerwo. Atrophic uye necrotic mananara anokonzerwa uropi kwakatoitika, akavapindurawo, kuona zvimwe kunotoda mufananidzo. Kuti tinzwisise, nokuda chii kurongedza uye sei hemorrhoidal sitiroko, chii uye chii zvirwere ichi zviripo, zvinokosha kunzwisisa zvizere.

Patsanura Hemorrhagic Shamhu chinoitwa yezvakaita kuwanikwa. Kune mhando ina pfungwa maronda:

• Parenchymal Hemorrhagic Shamhu mhando - chakaoma kunzwisisa zvikuru chimiro chirwere. Kukuvara midziyo ropa kuti kwakaitika nokuda parenchyma, kunyanya kukonzera zvikuru, rinorema ropa rinomira.
• Subcortical Hemorrhagic Kurohwa mhando - kunoitika somugumisiro refu chirwere neBP kana cheBP. Vakawanda nzvimbo ropa iri Kumubata zvenyama parietal lobes.
• Subarachnoid Hemorrhagic ronda mhando - imhaka atsamwira zveefa aneurysm rwengarava. The etiology chirwere Rinobatanidzwa arterial ropa apo ropa anozadza mhango pakati nyoro uye arachnoid mai. The zvikuru zviitiko izvi mhando sitiroko muri kukuvara mumusoro. Kunyanya, achangoberekwa subarachnoid sitiroko zvinogona kukonzerwa mukufamba kwenguva basa amai uye musoro zvinokuvadza.
• Arachnoid haemorrhagic ronda mhando zvakafanana yapfuura mhando ropa. It chinosiyanisa izvozvo chete kukonzera kuti ropa. Kazhinji, zvakadai sitiroko wakatsamwisa hemorrhoidal atsamwira benign cystic anomera.

Kutungamirirwa kosi vezvokurapa vari-Murwere kurapwa kunoita basa chirwere mumwe kupfuura marudzi. Hemorrhoidal rokuongorora sitiroko, kuti anozivisa pakarepo havagoni kuita chero chiremba. Pasinei mhando yokukuvara uropi, zviratidzo uye nzira chirwere kunokosha kufanana. Kushandisa phased kuongororwa anogona kumisa ukuru efficacy zvinodhaka uye rationality kuvhiyiwa.

Types shamhu nokuda mhando panowanikwa Hemorrhagic

Zvinotevera kupatsanura pakati Hemorrhagic ropa ndiyo tsanangudzo mhando chirwere, pamusana wayo kukura. Sezvo mikana mushonga zviri maererano ane etiology kwakakonzera hemorrhoidal sitiroko kunokonzera uropi maronda vari zvikuru uye panguva nechimbichimbi kurapwa uye kwenguva refu vapore rikurumidze. Gurai muvira zvinotevera mapoka:

1. Chikonzero kukuvadzwa - ichi kana kuparadza kwouropi masero nzvimbo iri zvakafanorongwa nokuda zvinokuvadza, vhoriyamu kwayo, uye mwero kukuvara.
2. Kwakakonzerwa pakarepo kusvetuka BP - pane atsamwira pamusoro vascular mhango (zvingava capillaries, mutsinga uye hombe arteries). Chirwere uye mazhinji neBP kunoita zvishoma nezvishoma rive dete pamusoro vascular madziro. Kana wakawedzera permeability uye vanhuwo kumanikidzwa kuwedzera kunoitika hemorrhoidal sitiroko, zvakaipira chiri nyore chaizvo kufembera.
3. Anokonzerwa vascular aneurysms - zvokurwara rinowanzoberekera somugumisiro nokurasikirwa elasticity yacho tsinga pamadziro, iyo pachayo iri mugumisiro dzichiri aneurysms.
4. Yakakonzerwa blockage pakati mutsinga - chikuru kana hunde tsinga nokuda blockage sei kunyatsoita krovoottoka.
5. Evoked kugamuchirwa Pharmaceuticals - kazhinji hemorrhoidal sitiroko kunoitika nokuda kururama akatanga zvinodhaka kurapa mu overdosage zvinodhaka kana zvakakomba mwero kudhaka. Unadjusted zviito vanachiremba vanogona kutungamirira sitiroko.

Zvinofanira kucherechedzwa kuti mukana mumwe kurwiswa ane chikuru mukana kuti vhiki mbiri ekutanga mushure mekunge nevanga. The yose gore pashure kutambura chirwere pane mukana ropa wodzokorora. Kuti tidzivise dzokororo murwere ari kosi oupenyu zvinodhaka.

Symptomatology pamusoro chepfungwa ropa

Tichifunga hemorrhoid sitiroko, chii zvakafanira kugara yacho huru zviratidzo. Submit mufananidzo kuparadzwa uropi anogona achaunganidzwa daisy, ngetani zvimwe mananara.

Chinhu chokutanga chinoitika - mukaha vascular munyama havana wakatsigira yakawedzera kuomesa kwavo pamadziro. Pakarepo akazarura ropa anozadza pedyo pfungwa mhango. Panguva iyi, hemorrhoidal sitiroko (Photo yakabatanidzwa kuti zvijeke) Runonzwika munhu sechinhu rikwanise kurwisa nomusoro.

Pakarepo yakatanga kuzvimba meninges. Kuzvimba uropi hunde ndiwo mugumisiro kudzvinyirirwa tsinga tishu mabasa. Kukuru ropa kazhinji kunotungamirira kune kukura hydrocephalus kana occlusive hydrocephalus. Head kukura kunowedzera, kukura intracranial hematoma, izvo kunotadzisa kuti normalization muitiro achiparadzira cerebrospinal mabasa. Panguva iyi, zvikuru ngozi hemorrhoidal sitiroko. Pakoma (uyo akapona pashure yematambudziko akadaro zvatiomera zhinji) - iri kakawanda chakajairika, vakabatana zvisingafadzi. weboka chirwere.

Kunze hematoma inotungamirwa, bata chepfungwa akatsaurwa apedza murefu urema mune zvinenge 90% nyaya. Speech dysfunction uye vanotaura pamusoro kufema basa rinenge zvokusagadzirisika.

Atrophy uye rufu uropi pamwe nenguva rubatsiro rwokurapa, zvinoti kuvhiyiwa, kutamba chihombe basa. Nokuti ropa duku mikana zvizere kupora varipo, vose vakarasika pfungwa basa anogona kudzorerwa. Zvisinei irreparable necrotic maitiro inogona kuonekwa hombe hemorrhages. uropi havachaoni basa, uye ipapo anouya rufu. Inouraya Mugumisiro zvinogoneka mumaawa mashomanana pashure panowanikwa kurwiswa kana nzvimbo dzaparadzwa pamusoro chepfungwa cortex kuti kudzora dzinotsanagura afemeruke uye kumwoyo.

Kukuru ropa pasasare mukana kupora pasina pakaita craniotomy.

Sei kuziva sitiroko?

Sezvo nemaziso kudoma Hemorrhagic sitiroko hazvibviri, rondedzero murwere pachake zvakanaka kuva panguva kushingaira kusimudzira hosha ambotirega vanachiremba tikaisa rokutanga chirwere uye yemhando mwero kukuvara. Uyezve, refu asati kuongorora masvingo ane unyanzvi muchipatara vanachiremba vanokwanisa kupa rubatsiro nyanzvi chinowedzera rutapudzo pakati kusimba yematambudziko.

Munhu wose anofanira kuziva zviratidzo, izvo chokuita chirwere. Hemorrhoidal sitiroko, yawakaratidza pacharwo Naizvozvo, zvinokwanisika kuziva nenzira yakakodzera nenzira uye kubatsira pachako kana mumwe murwere. The maitiro tichibatwa kukuvara kwouropi dzinosanganisira:

• kutsva manzwiro uye pakarepo kuwedzera marwadzo;
• zvakakomba kuda kurutsa, achikurudzira kuti kurutsa;
• Meso kuva hypersensitive kune chiedza;
• kuchinja vanoziva mamiriro: murwere anogona kuzova iri pedo izwi;
• pamwe zvakawanda hemorrhages zvinobvira tsamwisa chaanoziva;
• kukundikana muzvidimbu injini mabasa zvishomanana kana zvakazara, zvipusha pfari.

Kana kunouya neuro-hemorrhoidal sitiroko (anonzi uropi ropa wakatsamwisa psychoemotional overexertion), pfari, pfari inogona wakaiswa uye chete zviratidzo anoratidza chirwere.

How kubatsira waitirwa sitiroko?

Zvishoma nokufungirana kuti ropa hwobva chirwise zvakakodzera mune vamwe. It zvinoenderana navo hwakazotevera murwere kupora nokukurumidza. Chokutanga, unofanira kudaidza amburenzi, asi vasati kwaro chokwadi kuita nhevedzano nezviito kudzivisa kukura yematambudziko.

Chekutanga, munhu anofanira kuiswa imwe chinjikira nechinzvimbo uye musimudze dzenyu madhigirii musoro 30. Zvinokosha kuita kuti tibu- water drainage ropa kubva uropi.

Chechipiri, musoro murwere anofanira zvayaitenderera paguyo kurutivi. Nokudaro kufambisa kufema akuvara, zviri nyore kudzora kutanga kurutsa (ndiko vakawanda ngozi yarova kufema zvomukati). Zvinokoshawo kupa murwere mukana kufema mhepo yakachena.

Chechitatu, kana yakazvimirira dzakatakura akatambudzwa zvifambiswe kusvikira munhu wakaiswa ezvinhu, kudzora muviri tembiricha uye kumanikidzwa.

Medical chirwere chirwere

Pachena Hemorrhagic sitiroko munguva kutarisana vaongo- kwakaoma zvisingaiti. Pasinei kuvapo maitiro zviratidzo, kuitwa rokukurumidzira matanho kuponesa murwere chete pashure paku kuongororwa, nokuti chirwere ane kufanana kuratidzwa nepfari, kukura kenza uye benign pfungwa idzodzo. Achirira nokugamuchirwa wadhi murwere anotumirwa:

• CT scan (mukutanga nzendo chirwere CT scan anoonekwa ane chirwere nzira inokosha, pasinei nokuti MRI ndiye zvavataura nzira kutsvakurudza);
• Mris (rakashandiswa pana mumatanho ose Mabatirwo Hemorrhagic sitiroko uye ane paupamhi idzidzise pamusoro murwere ezvinhu, namaberere pamusoro anokarirwa kwechirwere, uye zvichingodaro. D.).

Mikana kupora

Sezvo boka pangozi vari kunyanya varwere vakwegura, fungidziro dzavo kuti apore zvinoshamisa chaizvo. Chete muna 25-40% nyaya, kurapwa iri wakagumiswa zvinobudirira, tichidzivisa pakadzokororwa kurwisa uye vawane kukwana kuzoita mabasa anokosha.

The kunyatsoshanda muviri vanhu vakambova hemorrhoid sitiroko (kurapwa dzimwe nguva zvikasashanda), munguva ino ipfupi kusvika zero, iyo chinoendesa kunoparadzwa hakudzivisiki. Kufanotaura nezveramangwana nzira kupora paurwere vechiduku vari zvikuru mune zvakanaka simba.

Migumisiro sitiroko hemorrhoidal mhando

Pashure hemorrhoidal Kurohwa mugumisiro kuchirapa kupindira chokuita zvakananga yokukomba yematambudziko. Kazhinji zvakaipira Hemorrhagic mhando sitiroko vanozivikanwa:

• nemabayo (anokonzerwa, kazhinji basa kunyepa chinzvimbo uye havachanyatsogoni kufema mabasa wakatsamwisa zvinyama necrosis kana atrophy);
• septicemia (chirwere neVadzidzi kweropa maitiro inogona kuitika zvachose kukundwa muviri, kazhinji kwacho kwakacherechedzwa pamberi volumetric hematoma);
• kumanikidza nemaronda pamusoro muviri (ganda pashure kurwisa vanosangana kusava ropa rakawanda uye vari kubatwa chero vakurukurirane);
• thrombosis (akaderedza mwoyo mutinhimira kunotungamirira chokwadi chokuti clots ropa kupinda muropa);
• chaanoziva (rimwe yematambudziko zvikuru ngozi dzinogona kuunza hemorrhoid sitiroko, chaanoziva hunogara kubva shoma maawa kuti akawanda, izere kudzorerwa murwere uropi kushanda haina akaita).

Sezvo kare akataura, kuti ndingangokuvara dzokororo nokurwisa vachangobuda yokutanga ropa anoramba wandei. Mukuwedzera, ronda wechipiri kazhinji wokupedzisira, sezvo ayo yepamusoro zvikuru. Nyaya zvokuporesa pashure hemorrhoid sitiroko zvakare - chaivo zvishamiso.

Chero sitiroko, kusanganisira Hemorrhagic, haagoni kunzi chirwere kuzvipira kukura. vascular thrombosis, arteriosclerosis uye zvimwe zvirwere pathological pakati kumwoyo ndivo kunokonzera panowanikwa ropa muuropi mhango.

Muchidimbu pamusoro zano kurapwa sitiroko muchipatara

Drug Mabatirwo Hemorrhagic sitiroko ndiko kushandiswa kwezvinodhaka yakaoma, chikuru basa iri pave kudzorerwa dzose chepfungwa ropa rive. The ndechokuti kusavapo kwemaminitsi mashomanana kuti okisijeni, izvo mune utano munhu zvifambiswe muropa kuuropi hwakazara irreparable kuchinja, necrosis uye tishu atrophy.

Hazvisi nyore kuwana zvakanaka mhinduro, nekuti pakutanga kuaona zvingaita sokuti zvose nyore: unofanira kuwedzera mavhoriyamu kuuya meninges ropa. Zvisinei, izvi zvichaita chete kuwedzera mamiriro uye kuomesa murwere ezvinhu.

Pakati mishonga kuti pave saturability hosha uropi okisijeni vanachiremba with "Aktovegin". It anoita munharaunda, kudzivisa pave necrotic mananara uye kuwedzera muviri.

Basa rinokosha kurapa Hemorrhagic sitiroko kutamba neoprotektory uye yakafara-chakarondedzera zvinodhaka. Kana kukundwa pakati meninges achiperekedzwa chomwoyo uye ngozi thrombosis, hazvibviri kuita pasina antiplatelet yomuchipatara: ichi mhando mushonga dzinongoitika chipingamupinyi neropa pakugwamba. Nokuti rudzi rutsva zvinodhaka munzvimbo iyi zvinosanganisira "Etamsylate".

Pashure mararamiro chikuru kurapa kurapwa rikaitika kupora chokutambudzika, apo mukuru musimboti ndiko kuedza kuti uchitsanya zvaibvira kunaya murwere. kurapwa kwenguva refu uye kunaya inokanganisa murwere kungotaurwa mwoyo kubatsira psycho-mupfungwa yakati.

vapore nguva

Nekuti varwere vanoda kwenguva refu kupora pashure sitiroko hemorrhoidal sei mazuva mazhinji muchipatara vachada kanenge zvishomanana kupora hazvinyatsozivikanwi. Zvisinei, mukana mberi ndikuyambirei nevadiwa vako kubva chirwere chakakomba, dzisingakanganwi vanachiremba 'pakugadza, vanorumbidza nezvezvokudya uye vaitungamirira kuva nemararamiro ane utano, aripo wose.

Zvirongwa Recovery dzinokudziridzwa kuvarapi nomumwe. Zvichienderana nezera murwere, kubva muviri kurwisa zvirwere uye nemigumisiro yayo kuvimba nguva yokutanga nemigumisiro yakanaka. Zvinosuruvarisa rokuchinjwa zviyero hakumbofi kwemakore, saka zvinokosha chaizvo kushivirira nokutsungirira.

Asi kutonga ose ane kunze kwayo, uye panyaya nzwisisika inoshanda zvirongwa kuti adzikunure murwere anogona ari pfupi nguva. Zvikurukuru kana neobshirnom ropa uye kushandisa kurapa zvirongwa zvabatanidzwa rinoumbwa mumuviri kurapa, jekiseni, kurovedza muviri uye masaja makosi, aivapo akawanda nyaya okurapa, kana varwere kumugariro upenyu hwake anenge 100%.

Mumakore achangopfuura, zvinoitwa vanachiremba uye vapore nyanzvi varwere aiva nechekuita mukugarisana hwemazuva gymnastic nezvemaitiro kunzwisisa remediation. Zvikurukuru akakodzera kufema zviitwa, yoga, pilates.

Healthy kudya - danho apore

Change Style zvokudya - danho rechipiri uye kukosha rokuchinjwa uye reparation, rikarova muviri murwere hemorrhoidal nevanga. Chii nzira iyi achava zvakajeka pahwaro pamazita anotevera chaicho zvigadzirwa:

• mafuta nyama mhando;
• aisvuta zvigadzirwa;
• furawa, zvinozipa pastries, chena chingwa.

Ndine chokwadi vazhinji vanoziva kuti vakadaro zvinoriumba zuva zvinodyiwa nezvakwakaipira kukanganisa mamiriro yose muviri. Atherosclerosis - vascular chirwere, umo vari kuumbwa atherosclerotic plaques, kudzivisa ropa riyerere romuzvarirwo - kakawanda kwaiva precipitating chinhu pamusoro Hemorrhagic ropa.

Kana rinoporesa upenyu pashure sitiroko angasava chaiyo kopi yapfuura mumwe. Murwere achafanira tikadzivisa pachangu nguva dzose, tichidzivisa doro, kusvuta. Stress uye huta Zvakaitika zvinofanira kudziviswa pakutanga. Uyezve, nguva dzose kunoonekwa nachiremba uye kushanyira kuna chiremba ichava zvachose chezvinonhuwira ari kutsigira matanho utano.

Kudzivisa idzokororo kurwisa Hemorrhagic sitiroko mhando vanachiremba varayire varwere anotokonya, muedzo mishonga, vhitamini zvivako. Chimwe ndicho zvinodhaka anonzi "Cardiomagnyl".