Hemorrhoidal ngesishayo Izimbangela Nemiphumela

Ngokwe ngezigaba international izifo, ihlukaniswe yaba izinhlobo ezimbili eziyinhloko unhlangothi. Lezi zihlanganisa hemorrhoidal futhi ischemic. Ngayinye yalezi izifo kungukuphula eziyinkimbinkimbi futhi iyingozi kobuchopho kwegazi.

Uhlobo lokuqala unhlangothi lihlotshaniswa ukuvaleka imithambo yegazi nemithambo ye ukumisa kwegazi ifomu nhlobo noma ngokwengxenye. Oluhambisana (hemorrhoidal) unhlangothi kungenziwa kwachazwa ngokuthi ukopha intracranial. Lolu hlobo ukulimala ebuchosheni, ngokuhambisana ICD 10 ikhodi kunikezelwe.

Kuyini hemorrhoid (oluhambisana) wayeshaywe unhlangothi?

Ngokuvamile, hemorrhoidal unhlangothi, imiphumela zazo encike ngqo kwi izizathu kokuqala vozniknuvshey isifo kwenzeka ngenxa yezinguquko sokugembula e isakhiwo semithambo. Atrophic kanye izenzakalo necrotic kubangelwa ukulimala kobuchopho selenzeka yena, ukucacisa eminye isithombe emtholampilo. Ukuze uqonde, ngenxa lokho icubungula nendlela enza lo mvimbo hemorrhoidal, ukuthi kuyini nokuthi yiziphi izinhlobo lesi sifo khona, kubalulekile ukuqonda kabanzi.

Faka kusigaba oluhambisana unhlangothi eyenziwe ubunjalo nesenzakalo. Kukhona izinhlobo ezine izilonda ingqondo:

• Parenchymal oluhambisana unhlangothi uhlobo - ifomu owaba umqansa kunayo yonke lesi sifo. Ukulimala imithambo yegazi eziye zenzeka ngenxa parenchyma, ikakhulukazi abangele okukhulu, ukopha esindayo sithule.
• Subcortical oluhambisana unhlangothi uhlobo - kwenzeka ngenxa yesikhathi eside nomfutho wegazi ophezulu ezingalapheki noma ukunyuka komfutho wegazi. Isayithi ezivame kakhulu ukopha kakhulu touch of the iyizingxenye yesikhashana futhi parietal.
• oluhambisana Subarachnoid unhlangothi uhlobo - kungenxa ukudabuka of useshonile imithambo. Etiology lesi sifo lihlotshaniswa ukopha kwemithambo yegazi lapho igazi igcwalisa ngalo ingaphakathi phakathi Mater esithambile futhi arachnoid. Amacala ezinkulu zalolu hlobo unhlangothi kukhona ukulimala ekhanda. Ikakhulukazi, usana subarachnoid unhlangothi kungadalwa ngokuhamba umsebenzi eside kamama ukulimala ekhanda.
• Arachnoid haemorrhagic unhlangothi uhlobo iyafana uhlobo yangaphambilini ye ukopha. It liwuhlukanise kuphela abangela of ukopha. Ngokuvamile, unhlangothi enjalo sokucasuka ukudabuka hemorrhoidal ingozi izimila fibrosis.

Isiqondiso Yiqiniso wezokwelapha e-nesineke ukwelashwa ivumela esabelweni lesi sifo omunye izinhlobo ngenhla. Hemorrhoidal ukuxilonga unhlangothi, isibikezelo ngokushesha Awukwazi ukwenza noma yikuphi udokotela. Kungakhathaliseki uhlobo okulimala ebuchosheni, izimpawu kanye Yiqiniso lesi sifo zifana abalulekile. Ukusebenzisa luhlolo ikhishiwe ongasho degree of kusebenta izidakamizwa nokuhlinzwa rationality.

Izinhlobo imivimbo oluhambisana ngenxa uhlobo nesenzakalo

Ukwahlukaniswa elandelayo oluhambisana ukopha iyona definition izinhlobo isifo, ngenxa yezizathu sokuthuthuka. Njengoba amathuba ikhambi kukhona ngokulingana ngqo i omsakazo okubangelwa hemorrhoidal unhlangothi kubangela izilonda ubuchopho kukhona ezibaluleke kakhulu futhi phakathi ukwelashwa okuphuthumayo futhi isikhathi eside inqubo nokuvuselelwa. Hlukanisa wabayisa amaqembu ezilandelayo:

1. Imbangela ukulimala - kulesi simo zisasebenza lapho ingqondo amaseli endaweni predetermined ukulimala, umthamo yayo, futhi izinga lomonakalo.
2. Ibangelwa gxuma okungazelelwe blood pressure - kukhona uqhekeko we umgodi semithambo (lokhu kungaba capillary, emithanjeni yegazi emikhulu). nomfutho wegazi ophezulu Okungalapheki futhi isikhathi eside ikhuthaza thinning kancane kancane izindonga semithambo. Lapho permeability anda futhi abavamile ingcindezi ukwanda kwenzeka unhlangothi hemorrhoidal, imiphumela okuyinto kunzima ngempela ukubikezela.
3. Ibangelwa aneurysms semithambo - zokugula ngokuvamile kwenzeka ngenxa ekulahlekelweni kuyaqina izindonga Umthambo, zona ngokwazo is phetho aneurysms asathuthuka.
4. Okubangwa ukuvaleka emithanjeni - vein main noma isiqu ngenxa ukuvaleka kuthinte krovoottoka umfutho.
5. Yabangela reception Okwemithi - ngokuvamile unhlangothi hemorrhoidal kwenzeka ngenxa ayilungile waqala ukwelashwa e overdosage izidakamizwa noma okunzima degree lokudakwa. Engalungisiwe izenzo odokotela kungaholela unhlangothi.

Kufanele kuphawulwe ukuthi ingozi okunye ukuhlasela has ematfuba kakhulu emavikini ekucala ezimbili emva unhlangothi kuqala. emva wonke Unyaka wokuqala ehlushwa isifo kukhona kungenzeka ukopha uphinda. Ukuze ugweme ukuphinda esigulini ngesimiso Yiqiniso esaphila izidakamizwa.

Symptomatology of ukopha cerebral

Uma ucabangela hemorrhoid unhlangothi, lokho kubalulekile ukugxila izimpawu zako ezisemqoka. Hambisa isithombe ukubhujiswa kwezicubu ubuchopho angayifunda ziyobuthelwa Daisy uchungechunge imihlola ezithile.

Into yokuqala ukuthi kwenzekani - igebe kwezicubu semithambo hhayi isekelé yokucindezeleka okwandayo ezindongeni zabo. ukopha Kungazelelwe wavula igcwalisa eduze ubuchopho ingaphakathi. Kuleli qophelo, unhlangothi hemorrhoidal (photo enamathiselwe ukuzwakala) esiyitholayo umuntu njengenhlangano ukuhlaselwa okukhulu ikhanda.

Cishe ngokuphazima kweso kwaqala ukuvuvukala meninges. Ukuvuvukala stem ubuchopho kuwumphumela ukucindezelwa nerve izicubu imisebenzi. ukopha Olubanzi ngokuvamile kuholela ukuthuthukiswa iphimbo noma iphimbo occlusive. Shona usayizi inyuka, ezikhulayo hematoma intracranial, okuyinto kuvimbela inqubo ukuzinza of afundwa imisebenzi cerebrospinal. Kulesi sigaba, kuyingozi kakhulu hemorrhoidal unhlangothi. Coma (owasinda ngemva yezinkinga enjalo sibhekene nobunzima eziningi) - into njalo, kuhlotshaniswa Yiqiniso okungekuhle lesi sifo.

Ngaphandle hematoma ekwakhekeni, ezithinta cerebral ahlukaniswe eqeda ukukhubazeka nesineke cishe 90% amacala. Inkulumo ukungasebenzi kanye ukungakhuli umsebenzi zokuphefumula cishe yokulungisa.

Yoma futhi ukufa kobuchopho izicubu nge nangosizo olufika ngesikhathi yezokwelapha, okungukuthi ukuhlinzwa, afeza indima enkulu. Ukuze ukopha encane amathuba okuthi umuntu alulame ngokugcwele abakhona, yonke elahlekile ekusebenzeni kobuchopho ingabuyiswa. Nokho izinqubo ungalungiseki necrotic kungabonakala nasemkhakheni nokopha ngobuningi. ubuchopho izicubu zingasasebenzi, bese kufika ukufa. Waba yini umphumela lapho iphuzwa ngokweqile kungenzeka ngaphakathi kwamahora ambalwa ngemuva nesenzakalo ithi ihlaselwe uma izindawo ezilimele we- cortex cerebral ezilawula izinqubo emishinini yokuphefumula kanye uhlelo senhliziyo nemithambo yegazi.

ukopha Olubanzi ushiye isakwazi yokutakula ngokungabi bikho i craniotomy eziphuthumayo.

Indlela ukuqaphela wayeshaywe unhlangothi?

Njengoba zibukeke ukuhlonza unhlangothi oluhambisana akunakwenzeka, incazelo siqu nenhlalakahle phakathi ukuthuthukiswa esebenzayo lesi sifo ivumela odokotela lesiguli ukusetha ukuxilongwa kwesikhashana futhi degree eziphambili umonakalo. Ngaphezu kwalokho, eside ngaphambi inhlolovo ezindongeni odokotela ezikhethekile esibhedlela ukwazi ukunikeza usizo abayizazi ekunciphiseni umfutho yezinkinga.

Wonke umuntu kumele bazi mayelana izimpawu, okuyinto lihlotshaniswa nezifo. Hemorrhoidal unhlangothi, Kubonakala ngokufanele, kungenzeka ukuhlonza ngendlela esifike ngesikhathi futhi uzisize noma isiguli nabo. I izikhathi nobuntu nokulimala engqondweni zihlanganisa:

• evutha ukuzwa ngokungazelelwe okwandisa ubuhlungu;
• nesicanucanu esibi, akhuthaza ukuba ukuhlanza;
• amehlo abe hypersensitive ukuba ukukhanya okukhulu;
• izinguquko kusimo bayazi: isiguli ungalulama esikhathini eduze;
• nge nokopha olunzulu kungenzeka ikhoma oluhlambalazayo;
• ukuhluleka esitho motor imisebenzi kancane noma ngokugcwele, zesifo sokuwa.

Uma kuza unhlangothi Neuro-hemorrhoidal (okuthiwa ubuchopho ukopha sokucasuka ukuzikhandla ngokweqile psychoemotional), isifo sokuwa, ukuquleka ingalungiswa kanye nezimpawu kuphela ngasocansini lesi sifo.

Kanjani ukuze basize owayelimele sohlangothi?

I izinsolo kancane ukopha kufanele ngokushesha kuvuse isenzo esifanelekile kwabanye. It kuncike kuzo okwalandela nesineke isivinini yokutakula. Okokuqala, kufanele ushayele i-ambulense, kodwa ngaphambi ukufika kwalo qiniseka enze uchungechunge lwezinguquko izenzo ukuvimbela ukuthuthukiswa yezinkinga.

Okokuqala, isisulu ulaliswe esimweni evundla phakamisa yakho degrees ikhanda 30. Kubaluleke kakhulu ukukwenza ukuze kuqinisekiswe outflow wegazi emiyalezweni yobuchopho.

Okwesibili, ikhanda lesiguli kufanele ijikiselwe ohlangothini. Ngaleyo ndlela lula ukuphefumula isisulu, kulula ukulawula lapho kuqala ukuhlanza (kuba uquqaba esiyingozi hit izitho zokuphefumula). Kubalulekile futhi ukunikeza isiguli ithuba lokuphefumula umoya fresh.

Okwesithathu, lapho ezimele kokuthutha isisulu uyiswe kuze kufike isimo fixed, ukulawula izinga lokushisa komzimba nokugeleza ingcindezi.

Ihlahlubo yezokwelapha lesi sifo

Reveal unhlangothi oluhambisana ngesikhathi kuhlolwe ngamehlo cishe kungenakwenzeka. Nakuba kunezinkolo izimpawu sici, ukwamukelwa kwenkolelo-ze izinyathelo esiphuthumayo ukusindisa nesineke kuphela sekuhloliwe wezinsimbi, ngoba isifo has a azifane ukubonakaliswa yisithuthwane ngokulandelana kwawo, emdlavuzeni kanye okwakheke ubuchopho kungavamile ukuba ingozi. Iyakhala esigcemeni reception isiguli ithunyelwa:

• I-CT scan (kusaqalwa zithwetshulwa isifo CT kubhekwa indlela esisemqoka zokuxilonga, naphezu kweqiniso lokuthi MRI kuyinto indlela ngaphezulu ulwazi locwaningo);
• MRIs (asetshenziswa kuzo zonke izigaba ekwelapheni oluhambisana unhlangothi futhi ulwazi ezibanzi ngombandela lesiguli, emisebenzi ku umthelela olulindelekile, nokunye. D.).

Amathuba yokutakula

Njengoba iqembu ingozi ngokuyinhloko ezigulini esezikhulile, izibikezelo zabo wokutakula esidumazayo kakhulu. Kuphela 25-40% of amacala, ukwelashwa kuqedwe ngempumelelo, ukugwema yokuhlasela okuphindaphindiwe futhi kuzuzwe kubuyela olungaphelele imisebenzi ebalulekile.

Ukusebenza kahle komzimba kubantu abaye unhlangothi hemorrhoid (ukwelashwa ngezinye izikhathi akusebenzi), kulonyaka kuyehla kube cishe zero, okuyinto eholela ekubhujisweni ngenakugwemeka. Ukubikezela Yiqiniso ikusasa yokutakula ngenxa yokugula ngo-intsha kakhulu ngokuvamile ngaphezulu Dynamics omuhle.

Imiphumela unhlangothi hemorrhoidal uhlobo

Ngemva hemorrhoidal unhlangothi umphumela ezelaphayo kuhlobane ngokuqondile kobukhulu ukuxakeka. Ngokuvamile imiphumela oluhambisana uhlobo unhlangothi bachazwa:

• inyumoniya (kubangelwa, ngokuvamile abenzi lutho amanga isikhundla futhi kahle imisebenzi zokuphefumula sokucasuka izicubu necrosis noma yoma);
• septicemia (ukutheleleka nabo isimiso sokujikeleza kwegazi singenzeka Imininingwane ukunqotshwa umzimba, ngokuvamile kakhulu inqubo ebonwe khona hematoma volumetric);
• ingcindezi izilonda emzimbeni (isikhumba ngemva ukuhlasela ibhekane yokuntuleka kwegazi ukunikezela singangena kunoma umfutho);
• thrombosis (encishisiwe inhliziyo isigqi kuholela yokuthi ukuthi amahlule igazi ungene egazini);
• ikhoma (omunye yezinkinga eziyingozi kakhulu ongaletha hemorrhoid unhlangothi, ikhoma ingahlala athathe amahora ambalwa kuya eminyakeni eminingana, ukubuyiselwa egcwele ekusebenzeni kobuchopho lesiguli is hhayi lwenziwa).

Njengoba kakade kushiwo, ematfuba yokuphindela kuhlasela ngokushesha ngemva ukopha wokuqala lihlala eside. Ngaphezu kwalokho, sohlangothi ngokuvamile wokugcina, njengoba ngegalelo lako ephakeme. Cases sokuphulukiswa ngemva hemorrhoid unhlangothi futhi - izimangaliso zangempela.

Noma yimuphi unhlangothi, kuhlanganise oluhambisana, akakwazi ngokuthi isifo self-asathuthuka. thrombosis semithambo, ukuqina kwemithambo yegazi nezinye izimo zokucabanga okubangelwa isifo esimiso senhliziyo nemithambo yegazi ziyimbangela impande okuvela ukopha kule ingaphakathi ingqondo.

Kafushane mayelana uhlelo ukwelashwa unhlangothi esibhedlela

imithi ye oluhambisana unhlangothi kuyinto ukusetshenziswa kwezidakamizwa eziyinkimbinkimbi, umsebenzi eyinhloko ingayala nokubuyiselwa evamile cerebral liningi igazi. Into wukuthi ukungabi umoya-mpilo imizuzu eminingana, okuyinto umuntu onempilo uthuthwa igazi ebuchosheni igcwele izinguquko ungalungiseki, necrosis nezicubu yoma.

Akulula kanjalo ukuthola ikhambi esifanele, ngoba unganakile kungase kubonakale sengathi yonke into ilula: Kufanele wandise imiqulu eza igazi meninges. Kodwa, lokhu ngeke kuphela babhebhethekisa lesi simo futhi izinkinga isimo lesiguli.

Phakathi kwezidakamizwa ekhuthaza saturability onesifo ubuchopho izicubu-mpilo odokotela isehlane "Aktovegin". It uba bangakini, ekuvimbeleni ukukhumuzeka imihlola necrotic futhi umzimba okwandayo.

Indima ebalulekile ekwelapheni oluhambisana unhlangothi play neoprotektory futhi ezibanzi-spectrum izidakamizwa. Uma kokunqotshwa kwe meninges ephelezelwa isifo senhliziyo kanye ingozi thrombosis, akunakwenzeka ukuba akwenze ngaphandle ejenti antiplatelet: lolu hlobo imithi isithiyo yemvelo ne igazi ekunqandeni. Ukuze uthole ohlotsheni olusha lwemithi kule ndawo zihlanganisa "Etamsylate".

Ngemva inkambo eyinhloko yokwelashwa yokwelapha kwenzeka esigabeni yokutakula, lapho isimiso oyinhloko alwele ukuze kuzolungiswa esheshayo kungenzeka isiguli. ukwelashwa eside kanye nokuhlumelelisa ukonakaliswa nesineke, nokunikeza umphumela ezicindezelayo ezikuyi-level psycho-ngokomzwelo.

isikhathi nokuvuselelwa

Ngenxa iziguli kudingeka yokutakula eside ngemva unhlangothi hemorrhoidal zingaki izinsuku esibhedlela kuyodingeka okungenani yokutakula ngokwengxenye, akwaziwa. Nokho, ithuba lokuthuthukisa ukukuxwayisa kanye obathandayo kubo bagula kakhulu, ungalushayi indiva aphoyintimenti odokotela ', izincomo zokudla kanye ehola ngendlela enempilo, kuyisici esihlupha bonke abantu.

izinhlelo yokutakula Avezwa odokotela ngamunye. Kuye yobudala isiguli, kusukela umzimba ukuze simelane isifo nasemiphumeleni yaso incike isikhathi imiphumela yokuqala omuhle. Ngeshwa, izinyathelo nokuvuselelwa sidonsa iminyaka, ngakho kusuke kukufanelekele isineke nokukhuthazela okukhulu.

Kodwa zonke umthetho has okuhlukile yayo, futhi esimweni izinhlelo olunzulu ngempumelelo sokutakula can nesineke esikhathini esifushane yesikhathi. Ikakhulu, lapho neobshirnom ukopha futhi ukusetshenziswa kuhlangene ukwelashwa izinhlelo ehlanganisa ukuze athole ukwelashwa komzimba, ukutshopa, ukuqeqeshwa ngokomzimba futhi ukubhucungwa izifundo, kwaba nezigameko eziningi zokwelapha, uma iziguli abayovuswa yakhe yokuqala cishe ngo-100%.

Muva nje, ukuthambekela kodokotela kanye nochwepheshe ekuvuseleleni iziguli kuye kwaba ukufakwa kwezikhombisi-ndlela zokuzivocavoca zanamuhla ezenzakalweni zemisebenzi yokuvuselela. Ngokukhethekile ukuphefumula zangempela umzimba, yoga, pilates.

Ukudla okunempilo - isinyathelo sokubuyiselwa

Ukuguqula isitayela somsoco kuyisinyathelo sesibili nesibalulekile ekuvuseleleni nasekuqedeni imiphumela eyenziwa yisiguli ngesifo sofuba. Lokho kusho, kuyacaca, ngokususelwa ohlwini olulandelayo lwemikhiqizo:

• Inyama yezinhlobo ezinamafutha;
• Imikhiqizo ebhemayo;
• Ukhula, ama-sweetries, isinkwa esimhlophe.

Ngokuqinisekile abantu abaningi bayazi ukuthi izingxenye ezinjalo zokudla kwansuku zonke zilimaza isimo somzimba wonke. Ukwelashwa kwe-antherosclerosis - isifo semithwalo yegazi, lapho kuhlanganiswa khona ama-atherosclerotic plaques, okuvimbela ukugeleza kwegazi okuvamile - ezimweni eziningi kwaba yisici esicasulayo segazi elimnyama.

Endabeni yokuphulukiswa, ukuphila ngemva kokushaywa yisifo ngeke kube yikhophi eqondile yangaphambilini. Isiguli kufanele sihlale sinciphisa, singavumeli ukusetshenziswa kotshwala, ukubhema ugwayi. Ukucindezeleka nokuhlangenwe nakho okwesaba kufanele kugwenywe kuqala. Ngaphezu kwalokho, ukuhlolwa okuvamile nokuvakashela ochwepheshe kumele kube yinto engunaphakade yezinyathelo zokukhuthaza impilo.

Ukuze ugweme ukushaywa kabuhlungu koluhlobo olunegazi, odokotela banikezela iziguli ezishukumisayo, eziqinisa imithi, i-vitamin complexes. Esinye sezidakamizwa ezivame kakhulu "i-Cardiomagnolo".