Kodi sind Hämorrhoiden?
The "Matenda a hemorrhoidal“Ndi matenda ofala omwe palibe amene amawanena. Vuto: Maopaleshoni amtundu wa hemorrhoid amatha kukhala opweteka kwambiri, chifukwa chake mantha amakhala oyenera. Kuchiza pambuyo pa opaleshoni ya hemorrhoid kungakhalenso motalika kwambiri. Zotupa zotupa ndi nodular kukulitsa ziwiya rectal. Mitsempha yodziwika bwino ya m'mimba imayendetsa ntchito za m'mimba. Mitsempha yapakhosi yotuluka imakhala ngati "mitsempha ya varicose mu rectum" ndipo imapangitsa kuti khoma la m'matumbo liwonjezeke. Kulira, kuyabwa pakhungu, kuyaka moto, kuyabwa, kusawona bwino kwa chopondapo, kusadziletsa pang'ono ngakhalenso kutuluka magazi kudzachitika panthawi yakukulitsa zotupa.
Zifukwa za zotupa?
Zomwe zimayambitsa zotupa sizidziwika bwino. Choyambitsa chachikulu chikuwoneka kukhala moyo wotukuka. Anthu amakono amakhala kwambiri ndipo amadya ulusi wochepa kwambiri. Muesli, saladi, oatmeal ndi tirigu wa tirigu ndi mbali ya zakudya zodziwa komanso zabwino zomwe si aliyense amatsatira. Koma ma genetic predispositions angakhalenso chifukwa cha zotupa.
Zizindikiro ndi kuopsa kwa zotupa
Ma hemorrhoids amakula pang'onopang'ono ndipo amagawidwa kuchokera ku zovuta I-IV. Iwo amasiyana zizindikiro zawo. Zotupa mu Gawo I amangodziwika ndi proctologist. Mu Gawo II Zotupa zimatuluka kutsogolo kwa rectum panthawi yamatumbo. Mu Gawo III The prolapsed hemorrhoids sikubwereranso zokha, koma amayenera kukankhira mmbuyo ndi chala. Pomaliza kulowa Gawo IV pali kuphulika kosatha kuchokera ku rectum. Zotupa zamtundu uliwonse nthawi zambiri zimayambitsa magazi komanso kuyabwa m'dera lamatako. Kuphatikiza apo, nthawi zambiri pamakhala zovuta pakuchotsa. Odwala zotupa amayenera kupita kuchimbudzi kangapo motsatana ndipo sangathe kutulutsa zonse nthawi imodzi. Kudzimbidwa, kumva kupanikizika ndi ululu nthawi zambiri zimakhala zizindikiro. Kutuluka kwa chimbudzi mosadzifunira kapena kupaka chimbudzi, zizindikiro za chopondapo pa zovala zamkati zimachitika pakupita patsogolo, makamaka ndi kutsekula m'mimba. Ma hemorrhoids amatha kuyambitsa mitsempha yodzaza yotchedwa perianal, yomwe imadziwika kuti "varicose veins of rectum" kapena zotupa zakunja. Izi ndi zovuta chifukwa perianal thrombosis kapena kumatako mtsempha thrombosis amatsatiridwa kapena misozi yaing'ono kapena magazi zowawa kumatako fissures zimachitika, amene kenako kuchira bwino - chifukwa cha maziko matenda zotupa. Mitsempha ya perianal yodzaza kwambiri simalola kuti khomo la kumatako litsekedwe kwathunthu, kotero pamodzi ndi zotupa zamkati, ziyenera kuchepetsedwa kapena kuchotsedwa kuti zitsimikizidwe kuti khomo la khomo la kumatako limakhala lolimba komanso kuuma.
Laser therapy kwa zotupa
kufa zowononga pang'ono (Laser Hemorrhoid Plasty kapena LHP) amadalira kubwereranso kwachilengedwe kwa zotupa pambuyo pa kuyatsa kwa laser kwa mitsempha yoperekera. Zizindikirozi ziyenera kuthetsa mwamsanga kuti odwala apitirize kugwira ntchito ndi kuyanjana ngakhale pambuyo pa ndondomekoyi. Palibe mabala otseguka ndipo mphamvu ndi sphincter zimasungidwa bwino.
Opaleshoni ya pulasitiki ya laser hemorrhoid (LHPC) ndiye kusinthidwa, kupititsa patsogolo kwa LHP. Mfundo, masitepe a laser-technical work, zida ndi gawo lapansi la mankhwalawa adasinthidwa ndi dr(H) Haffner kuti agwirizane ndi zomwe adakumana nazo kuchipatala. LHPC ndi chitukuko china cha laser hemorrhoid plasty (LHP).
Laser hemorrhoid pulasitiki opaleshoni - LHPC - malinga ndi Dr. Haffner
Opaleshoni ya pulasitiki ya Laser hemorrhoid sikuti imangoyang'ana pa mtsempha woperekera, komanso mawonekedwe onse a mitsempha ndi venous ya anal "corpora cavernosa". Mfundo, mwayi, kukhazikitsa ndi zida zothandizira laser zotupa - LHPC - zidapangidwa ndi Dr. Haffner anasintha. Opaleshoni ya pulasitiki ya laser hemorrhoid ikuwonetsa kugwiritsa ntchito kwa laser kokulirapo komanso kokulirapo kwa pad yonse ya hemorrhoid. Ndi chithandizo chapamwamba komanso chokometsedwa cha laser cha zotupa zotupa popanda mabala, osatupa, opanda zipsera komanso zopweteka. Onse wamba mabala opaleshoni, excision wa zotupa, zazikulu ndi zakuya mabala, ndi kugwirizana ululu amapewa ndi laser mankhwala zotupa. Chifukwa cha mtundu wathu wa chithandizo cha laser cha zotupa, zotupa zimachepa kwambiri zikadali patebulo la opaleshoni, ndipo rectum imawoneka yolimba kwambiri komanso yotsekedwa kwambiri kuposa opaleshoni isanachitike. Dr. Haffner atha kuwonetsa ndikukambirana izi ndi aliyense pogwiritsa ntchito zithunzi zisanayambe kapena zitatha za opaleshoni ya laser yotupa. Malingaliro athu ozikidwa pazaka makumi anayi ndi izi: "Mumapeza zomwe mukuwona". Sitikufuna kuyembekezera kuti zotupa zidzatha chifukwa cha kuwala kwa laser, koma tikufunanso kuti tithe kuchita izi ndikuziwona nthawi yomweyo patebulo la opaleshoni. Kuchita bwino kwa Laser Plastic Surgery (LHPC) ndi Dr. Haffner amatha kudziwika ndi kuchepa komwe kumawoneka komanso kuchepa kwakukulu kwa zotupa zonse. zithunzi zisanayambe ndi pambuyo pake zowonetsera. Zoterezi kuchepetsa zotupa sizingatheke ndi opaleshoni incisions. Chifukwa simungathe kudula ndikuchotsa chilichonse kuchokera ku rectum, sipangakhale nembanemba iliyonse yotsalira. Momwemonso, zotupa zakunja sizingachotsedwe, chifukwa izi zitha kuchititsa dzanzi kwathunthu polowera kumatako, zomwe zimatchedwa kuti kulephera kwamalingaliro molingana ndi Whitehead. Ndi opaleshoni ya pulasitiki ya laser hemorrhoid, zotupa zamkati ndi zakunja - mitsempha ya perianal - imatha kuchotsedwa mwamphamvu kwambiri komanso popanda zotsatirapo zilizonse.
Kodi opaleshoni ya laser ya hemorrhoid imakhala ndi zotsatira zotani?
Inde, matabwa a laser angakhalenso ovulaza. Mwachiwonekere, ichi ndichifukwa chake chithandizo cha laser cha zotupa chafalikira ponseponse chifukwa ndichokhudza kuchita bwino kwambiri ndi zotsatira zochepa. Izi zikutanthauza: ngakhale zotupa zazikulu zomwe zimafikira ku rectum yonse ndi prolapse, zimatha kuchepetsedwa kwambiri popanda kudula pogwiritsa ntchito mtengo wa laser komanso kuwonongeka kwa mucous nembanemba chifukwa cha kutentha kwa mtengo wa laser kumatha kuchepetsedwa. zochepa. Ndicho chifukwa chake si njira (LASER) yomwe imawerengera, koma momwe njira ya laser imagwiritsidwira ntchito, mwachitsanzo, kudziwa ndi chidziwitso. Pokhala ndi chidziwitso chochulukirapo, tapanga njira yathu ya LHPC chifukwa titha kupeza zotsatira zabwino pafupifupi magawo onse a matenda a hemorrhoid kuphatikiza mitsempha ya perianal, thrombosis ndi ma tag apakhungu, omwe angapezeke ndi njira zina (LHP, HAL, RAR, Longo- Njira, Milligan Morgen, Parks, Ferguson etc. njira) za opaleshoni ya hemorrhoid mwina sizingatheke. Tagwirapo ntchito kale ndi njira zodziwika bwino zomwe tazitchula pamwambapa ndipo tayambanso ndi njira ya laser ya LHP. Pambuyo pa maopaleshoni mazana angapo a laser, choyamba, tachotsa ntchito zonse wamba ndi mipeni ndi lumo ndipo tapeza kuti izi sizofunikira kapena zamakono. Kuyambira kukhazikitsidwa kwa laser therapy kwa zotupa, sitikhalanso ndi zochitika zadzidzidzi pambuyo pa opaleshoni ya hemorrhoid: palibe mafoni adzidzidzi, palibe dokotala wadzidzidzi wofunikira, palibe zoyendera za odwala kupita ku chipatala, palibe kutuluka kwakukulu, palibe zotupa monga momwe zinalili pambuyo pa maopaleshoni a hemorrhoid. Sphincter imatetezedwanso chifukwa matabwa a laser mu LHPC - osati mu LHP !!! - musavulaze ma sphincters konse. J wathu wapamwamba ndipo amagwira ntchito ngati chofotokozera mu proctology yatsopano Isanafike ndi pambuyo zithunzi zotupa ndi zotupa laser mankhwala amatsimikizira izo.
LHPC: zithunzi zisanachitike komanso pambuyo pake
Pambuyo pa LHPC, kupambana kumachitikabe pa Op. Tebulo likuwoneka bwino: ngakhale zotupa za kalasi ya 3 ndi 4 zimatha kuchokera ku rectum nthawi yomweyo pamaso pathu ndikukhala otsekedwa kapena kutenthedwa kwathunthu ndi laser. Mawu akuti LHPC akuwonetsa kuchita bwino komanso kulondola kwamankhwala a laser a zotupa ku Cologne.
Ubwino wa LHPC malinga ndi Dr. Haffner
Ubwino wa opaleshoni ya pulasitiki ya laser hemorrhoid kuposa opaleshoni wamba yotupa ikhoza kufotokozedwa mwachidule motere:
|
Mtundu wa mankhwala |
Opaleshoni ya hemorrhoid |
Mtengo wa LHPC |
| 1/ Kudula | zazikulu ndi zambiri | palibe |
| 2/ Ululu wodulidwa | chachikulu (8-10) | Zovuta (mphamvu 1-2) |
| 3/ Kutuluka magazi kwachiwiri | zambiri | Palibe (pambuyo pa milandu 500) |
| 4/ Matenda - abscess | pafupifupi 10-15% | palibe mpaka pano (mwa 500) |
| 5/ Kuwonongeka kwa Sphincter | pafupifupi 5% | palibe |
| 6/ Kuopsa kwa kusadziletsa | zikuphatikizapo | palibe |
| 7/ Kukhala pambuyo pa Op. | zowawa kwambiri | nthawi yomweyo popanda zoletsa |
| 8/ Ntchito | pambuyo masiku 5-14 | pa tsiku la 2 |
| 9/ Kuyanjana ndi anthu | pambuyo masiku 5-7 | sofort |
| 10/ Pambuyo pa opaleshoni | nthawi zambiri chifukwa cha kutupa, magazi | mpaka pano sizinali zofunikira |
| 11 / Pambuyo pake 2nd kulowererapo | Nthawi zambiri | Zosintha |
Sungitsani nthawi yokumana pa intaneti tsopano
Chidule cha LHPC:
LHPC yatsopano imapereka mtundu wokulirapo, wovuta kwambiri wa LHP. Mfundo komanso njira ndi zida ndizosiyana, zomwe zimapangidwira kwambiri poyerekeza ndi njira yoyamba ya LHP. Ndi LHPC, zilonda zam'mimba zomwe zimapangidwira m'maopareshoni ena a hemorrhoid zimapewedwa. Palibenso kukhetsa magazi kwachiwiri, chiwopsezo cha zithupsa, kapena chiwopsezo cha kuwonongeka kwa sphincter ndi LHPC, pomwe zovuta zomwe tazitchula pamwambapa ndi zovuta zimachitika pambuyo pa maopaleshoni akale. Pambuyo pa LHPC, odwala amatha kuyenda nthawi yomweyo, kukhala pansi komanso osamva ululu. Kutupa kwapang'onopang'ono komanso nthawi zina misozi yaing'ono ndi mabala owoneka bwino a mucous nembanemba ndizochepa, zolekerera bwino za LHPC ndipo pokhapokha ngati njirayi ikuchitika m'magawo angapo, ndi mphamvu zapamwamba komanso zotsika. Timatsatira njira yofatsa: ndikwabwino kukhala ndi njira zingapo zazing'ono, zopanda chiopsezo kuposa imodzi yayikulu yokhala ndi zovuta. Izi zikutanthauza kuti palibe mabala opangira opaleshoni, palibe kupweteka kwa opaleshoni komanso matenda opatsirana pambuyo pa opaleshoni, palibe kusokoneza machiritso a mabala opaleshoni ndipo, makamaka, palibe kuwonongeka kwa minofu ya sphincter. Makamaka, aliyense amene waganiza tingachipeze powerenga zotupa opareshoni, kuchotsa ndi mpeni, lumo, etc., ayenera kuganizira kuwonongeka kwa sphincter minofu ndi chiopsezo incontinence ndi kulumala kwa moyo. Azimayi amafotokoza zowawa pambuyo pa opaleshoni yapamwamba yotupa yotupa kuposa kubadwa kwa mwana wawo. Chotupa kuchotsa zambiri makamaka wofatsa. Ngati zotupa zapita patsogolo, opaleshoni sitheka. Ndi laser hemorrhoid titha kuchotsa zotupa mofatsa.
Tidzakhala okondwa kukulangizani: 0221 257 2976
Mosiyana ndi mankhwala ochiritsira, nthawi zambiri palibe mabala otuluka magazi, kutupa kapena suppuration. Laser "amawotchera" zotupa pamodzi pogwiritsa ntchito kutentha. Mwa njira iyi, ziwiya zowonongeka, zowonongeka - "mitsempha ya varicose ya rectum" - imachepetsa ndikubwerera. Ngati pali chotupa chotuluka kale, ndiye kuti timagwiritsanso ntchito, popanda chotupa, njira zowononga pang'ono Chithandizo cha hemorrhoid ndi mucous membrane tightening (RAR) kuti athe kulimbitsa rectum nthawi yomweyo opareshoni popanda kudulidwa kapena zilonda. Pankhani ya ma tag akuluakulu akhungu, timagwiritsanso ntchito laser skin tag pulasitiki opaleshoni kuphatikiza mini pulasitiki sutures. Onani zotsatira zapadera za LHPC zachilengedwe m'malo mwa opaleshoni pa ntchito ya rectum motere:
- sphincter imalimbikitsidwa m'malo mofooka
- kuchimbudzi kuli bwino kuposa kale
- Kudziletsa ndikukhala wamphamvu - palibe chiopsezo cha kusadziletsa
- Pansi pa chiuno chonse kuphatikizapo khoma lakumbuyo la nyini limakhala lamphamvu
Njira ya LHPC - Opaleshoni ya Plastiki ya Laser Hemorrhoid
[arve url=“https://www.youtube.com/watch?v=gnkxwJNz8Jk“ thumbnail=“13780″ title=“Laser haemorrhoids m’malo mwa opaleshoni – ululu ndi chinthu chakale” /]
Pamaso pa kusankhidwa kwa laser chotupa pulasitiki opaleshoni, kuwunika koyambirira ikuchitika kumveketsa zizindikiro zonse. Kuchotsa zotupa kumachitika pansi pa anesthesia yogona, kotero nthawi zambiri simudzazindikira. Nthawi zambiri, zotupa laser mankhwala anamaliza pasanathe ola. Laser imayambitsa kuwongolera, kulimbitsa kwachipatala kwa minofu yolumikizana ndi kutseka zotupa. Khoma la khosi, khoma lakumbuyo la nyini ndi gudumu lonse ndi chiuno zimalimbikitsidwa ndi minofu. Mankhwalawa amayang'ana kwambiri kuyambiranso kwachilengedwe kwa zotupa. HeumarktClinic ili ndi zida zokwanira zothandizira odwala kunja. Odwala amalandira kulowetsedwa kwapadera kwapadera, hemostatic ndi anesthetic water jet mu rectum yonse pogwiritsa ntchito njira yodziwika bwino ya tumescence, yomwe yadziwonetseranso bwino kwambiri mu maopaleshoni ena apulasitiki ndi njira zapamtima. General anesthesia sikofunikira kwenikweni, koma ikulimbikitsidwa kuti itonthozedwe bwino, monga momwe zilili ndi laser coccygeal fistula plastic surgery (LSPC) Komabe, opaleshoni ya m'deralo yokhala ndi luso la tumescent ndi yokwanira kuti athetse ululu wamtundu wa laser kuti athetse kumasuka kwathunthu ku ululu mu malo apamtima .
Kodi mankhwala a hemorrhoid amawononga ndalama zingati?
Mtengo wa opaleshoni yotupa ndi kapena popanda laser zimadalira (abizinesi) makampani a inshuwaransi yazaumoyo kutengedwa ndi anthu omwe ali ndi inshuwaransi payekha. Odzilipira okha, odwala inshuwaransi yovomerezeka Mudzalandira invoice yophweka ya GOÄ, kutengera kuyesetsa, pakati pa pafupifupi 2100 - 2500 EUR.
Mutha kutipeza pafoni pa: 0221 257 2976 kapena kudzera pa imelo: info@heumarkt.clinic. Za wathu Kusungitsa malo pa intaneti Mutha kusungitsa nthawi yokumana ndi anthu kunja kwa nthawi yantchito.