সংজ্ঞা
Hemorrhoids are enlarged, bulging blood vessels in the anus and lower rectum. Hemorrhoid banding is a procedure to remove them.
পদ্ধতির কারণ
Banding is used to treat painful, swollen hemorrhoids. The procedure is most often done for the following reasons:
- Severely bleeding hemorrhoids
- Severely painful hemorrhoids
- Hemorrhoid containing a blood clot (thrombosed hemorrhoid)
- Hemorrhoids that protrude through the anus (prolapsed hemorrhoids)
সম্ভাব্য জটিলতা
Complications are rare, but no procedure is completely free of risk. If you are planning to have hemorrhoid banding, your ডাক্তার একটি তালিকা পর্যালোচনা করবে সম্ভাব্য জটিলতা, যার মধ্যে অন্তর্ভুক্ত থাকতে পারে:
- সংক্রমণ
- রক্তপাত
- Recurrence of hemorrhoids
- Swelling and pain from remaining hemorrhoids
- Adverse reaction to the local anesthetic (if used)
কি আশা করা যায়
পদ্ধতির আগে
আপনার ডাক্তার নিম্নলিখিত করতে পারেন:
- শারীরিক পরীক্ষা
- Rectal exam
- Anoscopy—the visual examination of the inside of the anus using a short tube (anoscope) to help keep the sphincter open
- Sigmoidoscopy—the use of a specialized endoscope (a tube attached to a viewing device) to examine the inside of the anus, rectum, and lower intestine
এনেস্থেশিয়া
The procedure does not typically call for anesthesia. A local anesthesia may be used in some cases to numb the area.
পদ্ধতির বর্ণনা
An anoscope will be inserted through the anus. The doctor will look through the tube to see inside the rectum and locate the hemorrhoid. The doctor will then use a special banding tool. The tool will place a small rubber band around the hemorrhoid. The band cuts off the blood supply. This will make the hemorrhoid fall off. More than one hemorrhoid may be banded. The band and the hemorrhoid will fall off in about 1-2 weeks.
কতক্ষণ এটা লাগবে?
This is a relatively quick procedure. The length of time depends on how many hemorrhoids চিকিৎসা প্রয়োজন.
এটা আঘাত করবে?
Patients often report some discomfort during and after this procedure. If you feel sharp or severe pain, tell the doctor immediately. Mild pain medicine will help you manage discomfort during recovery.
পোস্ট-প্রক্রিয়া যত্ন
For a few days, you may have difficulty controlling the passage of gas and bowel movements. When you বাড়িতে ফিরে after the procedure, do the following to help ensure a smooth recovery:
- Ask your doctor about when it is safe to shower, bathe, or soak in water. If your doctor says it is okay, take sitz baths as recommended. Sitz baths will help relieve discomfort and clean the area. For a sitz bath, sit in warm water for 10-15 minutes. Pat the area dry. Do not wipe or rub vigorously. You may be advised to take a sitz bath every four hours and after every bowel movement. Devices are available to place on top of the toilet to make this process easier.
- Move your bowels as soon as you feel the urge.
- Do not strain, bear down, or hold your breath during a bowel movement.
- Do not sit on the toilet for long periods of time.
- To prevent constipation and straining during bowel movements, use a stool softener, exercise, drink plenty of fluids, and eat plenty of high-fiber foods (such as fruits, vegetables, beans, and whole grains).
- Apply creams or ointments as directed by your doctor.
- Avoid heavy lifting for two or three weeks.
- আপনার ডাক্তারের নির্দেশাবলী অনুসরণ করতে ভুলবেন না।
Expect some bleeding when the hemorrhoid falls off. See your doctor for a follow-up 3-4 weeks after the procedure.
আপনার ডাক্তারকে কল করুন
বাড়িতে পৌঁছানোর পরে, নিম্নলিখিতগুলির মধ্যে যে কোনও একটি ঘটলে আপনার ডাক্তারের সাথে যোগাযোগ করুন:
- Passing large amounts of blood
- জ্বর এবং ঠাণ্ডা সহ সংক্রমণের লক্ষণ
- ব্যথা যা আপনি ওষুধ দিয়ে নিয়ন্ত্রণ করতে পারবেন না
- Constipation or trouble urinating
- An aching feeling develops in the area between the rectum and the genitals
জরুরী পরিস্থিতিতে, অবিলম্বে চিকিৎসা সহায়তার জন্য কল করুন।