Piles Explained | Causes, Symptoms & Treatment скачать в хорошем качестве

Piles Explained | Causes, Symptoms & Treatment

"Izilonda zangasese (Piles / Hemorrhoids) yimithambo evuvukile futhi evuthayo emgodini wamathumbu noma emgodini wokuqeda indlela, engadala ukungakhululeki, ubuhlungu, ukulunywa, kanye nokopha lapho ushiya indlela. Ngokuvamile zibangelwa ukuqhina okungamahlalakhona, ukucindezela lapho ushiya indlela, ukuhlala isikhathi eside, ukukhulelwa, noma ukukhuluphala ngokweqile. Izilonda zangasese zingaba zangaphakathi noma zangaphandle, futhi izimpawu zingahluka kusukela ekucasukeni okuncane kuye ekuhluphekeni okukhulu. Ukuxilongwa kwangaphambi kwesikhathi kanye nokwelashwa okufanele kusiza ekunciphiseni izimpawu nasekuvimbeleni izinkinga. Izinketho zokwelashwa zihlanganisa izinguquko zendlela yokuphila kanye nokudla, imithi, kanye nezinqubo ezincane zokungena, kuya ngokuba bukhulu kangakanani. Kule vidiyo, sichaza izilonda zangasese ziyini, izimbangela zazo, izimpawu, kanye nezinketho zokwelashwa ezitholakalayo ukuze sikusize ukuphatha lesi simo ngempumelelo futhi sithuthukise ikhwalithi yempilo." __________________________________________________________________________________ I-Apollo Hospitals iyinhlangano ehamba phambili yezibhedlela ezinobuchwepheshe obuhlukahlukene e-India. Iphinde ibe khona emazweni amaningi esifundeni sase-Asia-Pacific. Odokotela abangaphezu kuka-8000 banikeza ukwelashwa okuhamba phambili ezibhedlela ezingaphezu kuka-70 zalo msebenzi emadolobheni angu-27. Igxile ezindaweni ezilandelayo kwezokwelapha: Inhliziyo, Amathambo, Umqolo, Izinzwa kanye Nokuhlinzwa kwezinzwa, Isisu, Ezabesifazane, Umdlavuza, Ukufakelwa kwezitho, ICU, Izimo Eziphuthumayo, Umuthi Wokuvimbela, Ukuhlinzwa Ngerobhothi, Ukuhlinzwa Kwe-Bariatric, Izifo Zezinso Nezomchamo, kanye Nokuhlinzwa Kwamathumbu. Apollo Hospitals is the leading multi-specialty hospitals group in India. It is also present in several countries in the Asia-pacific region. Over 8000 doctors provide best in class treatment at the groups 70+ hospitals in 27 cities. It specializes in - Cardiology, Orthopaedics, Spine, Neurology & Neurosurgery, Gastroenterology, Gynaecology, Oncology, Transplants, ICU, Emergency, Preventive Medicine, Robotics, Bariatric Surgery, Nephrology & Urology and Colorectal Surgery. Follow Apollo Hospitals on Social Media for Regular Updates: Facebook -   / theapollohospitals   Twitter -   / hospitalsapollo   Instagram -   / theapollohospitals   Linkedin -   / apollo-hospitals   Hello, I am Professor Dr. R. A. Pandiraj, Mississippi FRCS, FACS, a senior consultant surgeon Apollo Hospitals. Now I am going to talk to you briefly about hemorrhoids. A layman topic is called piles. See, all of our human can tend to get piles because we are all two footed. We are standing against gravity. But animals like even elephant or horse, cows will not get piles. hemorrhoids because they are with the gravity. So and one more thing leading to co-piles is constipation. So once you increase the pressure for more passing the motion, the blood vessel at the end of the anus, which is sensitive to sense whether you are passing gas or motion filled with nerves enlarge and develop piles, that is hemorrhoids. We have different grade, grade 1, 2, 3, 4. The one is not visibly inside. Two patient says comes out, goes out. Three, it comes out. Patient has to push in with difficulty. That time, the two and three only patient comes to us. Before that, they are ignorant. So the main complaints of the piles will be bleeding, passing mass that is flush outside anus, or sometimes they will come with the pain also because that's the last complication of piles. where the piles burst and develops a hematoma. It's called perianal hematoma or the piles come out and get entangled. It's called thrombose piles. So these are the emergency they come. So it's better to tackle them in the ST, early stage. Early stage drugs and modifying their bowel habits will help. Once they cross that second to third stage and fourth stage, it needs surgeon advice. We have different options of treatment. Conservative will try If it fails, we will advise the patient for surgery. See any surgery, let it be latest or old. The patient bowel habits has to change. If they are constipated, if they do surgery, they do anything, it will be a failure. So, that main thing is teaching the patient how to regulate their bowel. So, just I'll give a brief introduction of what are the latest surgeries. One is the open surgery where we do Milligan Morgan, that's called. We cut and suture it. Second, we have got to advance. If patient doesn't want surgery, we go for a conservative and non-invasive or without anesthesia, we do some procedures as an OP patient. It can be a banding or applying an infrared coagulation on the piles or I do a lot of sclerotherapy, giving sclerosin on the piles, which will be a temporary measure. It's not a permanent measure. But if the patient has bleeding,