সংজ্ঞা

A hemorrhoidectomy is an operation to remove hemorrhoids. Hemorrhoids are swollen veins located in or around the anus and rectum. Hemorrhoids can cause discomfort, pain, or bleeding.

হেমোরয়েডেক্টমি

পদ্ধতির কারণ

Hemorrhoidectomy is used to treat painful, swollen hemorrhoids. The procedure is most often done for the following reasons:

  • Hemorrhoid symptoms do not get better with other therapies
  • Severely bleeding hemorrhoids
  • Hemorrhoid containing a blood clot
  • Hemorrhoids that protrude through the anus

সম্ভাব্য জটিলতা

পদ্ধতি থেকে সমস্যা বিরল, কিন্তু সমস্ত পদ্ধতির কিছু ঝুঁকি আছে। আপনার ডাক্তার সম্ভাব্য সমস্যা পর্যালোচনা করবেন, যেমন:

  • সংক্রমণ
  • রক্তপাত
  • কোষ্ঠকাঠিন্য
  • Recurrence of hemorrhoids
  • Narrowing of the anal canal
  • Loss of bowel or bladder control
  • Adverse reaction to local anesthetic

জটিলতার ঝুঁকি বাড়াতে পারে এমন কারণগুলির মধ্যে রয়েছে:

  • ধূমপান
  • রক্তক্ষরণ ব্যাধি
  • উন্নত বয়স
  • Prior anal surgery

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 an anoscope to help keep the sphincter open
  • Sigmoidoscopy—the use of a specialized endoscope to examine the inside of the anus, rectum, and lower intestine

পদ্ধতি পর্যন্ত নেতৃত্ব:

  • খাওয়া বা মধ্যরাত্রি পরে কিছু পান করবেন না।
  • Your doctor will order a laxative for you. It will cleanse your colon and rectum.
  • Arrange for someone to take you home after the surgery.
  • Talk to your doctor about your medications, even non-prescription medications. You may be asked to stop taking some medications up to one week before the procedure, like:
    • Aspirin or other non-steroidal anti-inflammatory drugs, such as ibuprofen or naproxen
    • রক্ত পাতলা করে
    • Anti-platelets

এনেস্থেশিয়া

Your surgery will be done using either:

  • Spinal anesthesia —You will be numb from the mid-abdomen down.
  • জেনারেল অ্যানেস্থেসিয়া - আপনি ঘুমিয়ে থাকবেন।

Discuss these options with your doctor before the day of your surgery.

পদ্ধতির বর্ণনা

An anoscope will be inserted into your anus. The doctor will be able to see the hemorrhoids through the scope.

An incision will be made around each hemorrhoid. The swollen vein inside the hemorrhoid will be tied off so that it does not bleed. The hemorrhoid will then be removed. The wounds will either be stitched closed or left open to heal.

There are other variations of this procedure. Ask your doctor to describe which procedure will be used.

অবিলম্বে প্রক্রিয়া পরে

You will be monitored in a recovery area for a few hours.

কতক্ষণ এটা লাগবে?

প্রায় 1-2 ঘন্টা

এটা কতটা আঘাত করবে?

You should not feel pain during the procedure. After the procedure, you might have pain in the area. Ask your doctor about medication to help with the pain.

পোস্ট-প্রক্রিয়া যত্ন

Ask your doctor about when it is safe to shower, bathe, or soak in water. Be sure to follow your doctor’s instructions , which may include:

  • 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 ( fruits, vegetables, beans, and whole grain).
  • Apply creams or ointments as directed by your doctor.
  • Avoid heavy lifting for two or three weeks.
  • Take pain medication as needed.

Complete recovery will take 2-3 weeks. If your hemorrhoids come back, let your doctor know.

আপনার ডাক্তারকে কল করুন

Call your doctor if any of the following occurs:

  • Passing large amounts of blood
  • জ্বর এবং ঠাণ্ডা সহ সংক্রমণের লক্ষণ
  • Pain that you cannot control with the medications you have been given
  • Constipation or trouble urinating
  • An aching feeling develops in the area between the rectum and the genitals

আপনি যদি মনে করেন আপনার জরুরী অবস্থা আছে, তাহলে অবিলম্বে চিকিৎসা সহায়তার জন্য কল করুন।

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