jeäysá fndfyda fofklag ldhsl jYfhka ;on, mSvdjla we;slrk frda.hla ;ud w¾Yia fyj;a “Piles”' fndfydaúg ,eÊcdj fyda udkislj we;sjk wiykldß nj ksid;a we;efula ffjoH m%;sldr ioyd fhduùugo ue,slula olajkjd'
w¾Yia lshkafka fudloao" fï ms<snoj jvd;a ie,ls,su;a úh hq;af;a wehs@ fuys nrm;, nj;a yd fjk;a w;=re wdndO we;af;ao hkak .ek jf.au" fuh j<lajd .kafka flfiao@ yd fï i|yd jk m%;sldr l%u ms<snoj idlÉPd lsßu fuu ,smsfha wruqKhs'
w¾Yia hkq we;af;kau l=ulao@
u<my iu. reêrh msgùu" tÈkod jyrg wkqj w¾Yia f,i y÷kajkak yels jqj;a" u<my iuÛ tfia reêrh msgúug ;j;a fndfyda fya;=ka ;sfnkjd' w¾Yia frda.hg wfõksl jQ ,laIK ksid th wka frda.S wjia:dj,ska fjkalr yÿkd.kak mq¿jka'
w¾Yia frda.fha§ isÿjkafka .=oud¾.h wdY%s; reêr kd, m%udKfhka Èlaú úYd,ú oÛr jeàuhs' fuhg fya;=jkafka tu kd, u; we;sjk wêmSvk ;;ajhhs" fï wêmsvk ;;ajhka we;sùug fndfyda fya;= n,mdkak mq¿jka'
bka uq,slu lreK jkafka"
1' u, noaOh fyj;a (Constipation)
óg wu;rj"
2' .¾NKsNdjh
3' Worh yd Wl=, wdY%s; m%foaYj, ms<slduh ;;ajhka
4' wêl ia:q,;djh
5' flÈ iys; wdydr Ndú;h wvqlu
6' .=o ixi¾.h
wdÈh olajkakg mq¿jka" jeä jYfhka jhia.; ùu;a iu. fuu ;;ajh we;súu nyq,j olskakg ,efnkjd' .=o ud¾.h wdY%s; mglj, Yla;su;a nj l%ul%ufhka wvqùu fuhg fya;=jkjd'
w¾Yia wudrej ksid we;sjk frda.S ,laIK fudkjdo@
1' u,my iu. reêrh msgúu• úfYaIfhka u;l ;nd .; hq;= lreKla jkafka fuysÈ msgjkafka r;= meye;s reêrh ^fresh blood& ùuhs' kuq;a wdydr Ô¾K moaO;sfha by< fldgiaj, we;sjk reêr .e,Sï lÆ fyda l=Kq f,a meyefhka hqla; jkjd' u<my lsÍu wdrïN lsßfï§ reêrh úÈula we;sùu w¾Yia frda.fha ;j;a ,laIKhla'
reêrh u,my iu. ñY%j we;akï fyda reêrh wjmy fyda ;dr meye;s ú we;akï fuu reêr .e,aug fya;=j w¾Yia fkdúug we;s bvlv nyq,hs'
2' fõokdjlska f;drúu• .=oud¾. wdY%s;j reêr .e,aula iu. fõokdldß njla we;sjkqfha fndfydaúg fjk;a fya;=ka ksidfjks' uo wmyiq;djhla we;sjqj;a w¾Yia j,È ;on, fõokdjla we;s fkdjk ;rïh'
3' .=o újrh wi, leiSu yd wiykldÍ njla we;súu' iqÿ fij, iys; Y%djhka ksl=;aúu'
4'.=o újrfhka msg;g ishqï .eá;a;la we;snj oekSu yd hï úgl th msg;g we.s,a,lska iam¾Y l, yels úu'
fuu ,laIK j,g wod, fkdjk mßÈ jk reêr .e,Sula kï" ^tkï reêr meyeh" fõokdj wdÈh& fjkiakï fuh uyd nvje, fyda .=o ud¾.fha ms<sld wdY%s; frda.s ;;ajhla úug jvd bvlv we;s neúka" fï ioyd wksjd¾hfhkau ffjoH iyh Tn me;sh hq;= jkjd' hï úgl Tn yg fuu wjia:dj, fjkialï jgyd.; fkdyels jkakg mq¿jka' tu ksid hï .=o ud¾.h wdY%s; f,a .e,Sula we;sjqjfyd;a jvd;a iqÿiq jkafka mud fkdú ffjoH m%;sldr i|yd fhduqùuhs
w¾Yia frda.S ;;ajh ;Sj% jk f;la Tn fkdisáh hq;af;a wehs@
1' rla;ySk;djh ^Anemia&
l=vd m%udKj,ska jqjo" jßka jr isÿjk reêr .e,Su ksid Tn fkdoekqj;aju fuu rla;ySk;dj we;s jkjd' idudkH jHydrfha fhfok mßÈ fuu ‘f,a uÈlu’ ksid Tnf.a YÍrfha iෛ, l%shdldÍ;ajh i|yd ksis mßÈ Tlaiscka fkd,eî hkjd' Tng we;sjk wêl úvdj" f;fyÜgqj" weÛ mK ke;s .;sh" w,i yd lïue,s iajNdjhg fya;=jkafka fuhhs'
;j;a Tn ie,ls,su;a úh hq;= lreKla jkafka fuu w¾Yia .eá;s wdY%s;j Tng wêl fõokdjla yg.kafka kï" bka woyia jkafka tu .eá;a; ioyd reêr kd, wêl f;rmqug ,laúu ksid tu m%foaYhg reêr iemhqu kej;s we;s njhs' ^strangulated haemarroides& f,i yÿkajk fuu ;;ajh b;du;a oeä fõokdjla f.k fokakg fya;= jkjd'
.=o ud¾.h yryd reêrh .e,su w¾Yia ksid isÿjk nj;a" wfkl=;a frda.s ;;ajhka j,ska fjkalr ksYaph lr.; yelafla flfiao@
uq,slju fuh frda.shdf.a frda.S ,laIK uÛska ;rula ÿrg ;SrKh lr.ekaug yelsjkjd' fõokdjla we;súu fyda ke;sùu" reêrfha meyeh yd u,my;a iu. reêr msgjk wjia:dj ks¾Kh wdÈh fuhg odhl jkjd'
óg wu;rj .=o ud¾.h wdY%s; m%foaYh mßlaIdjg ,lalsßuo isÿl, hq;= jkjd'
fuh ffjoHjrhl= úiska iDcqj mßlaIdjg ,lalsßu ^Per rectal examination&'
.=o ud¾.h yd uy nvje, wdY%s;j leurd u.ska ksßlaIKh lsßu'
reêr mÍlaIK wdÈh u.ska ;yjqre lr.; yelsjkjd'
w¾Yia we;sùug fmr th j,lajd .eksu i|yd Tng .; yels l%shdud¾.
fuhg uq,slu fya;=j jkafka c,h mdkh uo nj;a fl¢ iys; wdydr uo nj;a ksid we;sjk u, noaOhhs ^constipation&' tu ksid ms<shï f,i fyd¢ka c,h mdkh lsÍu;a" fl¢ iys; wdydr o%jH Ndú;h;a wksjd¾h jkjd' fl¢ iys; wdydr o%jH f,i m<;=re j¾." t<jÆ j¾. yd OdkH j¾. wdydr fõ,g tl;= lr.kakg mq¿jka' óg wu;rj yrla uia" Wre uia yd t¿ uia ^red meat& wd§ wêl fïo wvx.= wdydr u,noaOh we;súug ;=vqfok ksid fïu wdydr j,ska m%fõiï ùu jeo.;a jkjd'u,my msgúu wiSrefjka isÿjkafka kï fyda Èklg jrlaj;a isÿfkdjkafka kï" c,h ,Sgr 2la muKj;a wju jYfhka Èklg mdkh l, hq;= jkjd'
;rndre nj wju lr .ekSu'
.=o ixi¾.h ioyd fhduqùu wju lsÍu'
.¾NKs iufhaÈ u,noaOh we;súug we;s yelshdj uÛ yerùu'
jeisls,s hdfïÈ wêl mSvkhla fkdfhoùu' ^wkjYH f,i ;egóu isÿ fkdlsÍu&
jeisls,s hdug wjYH jQ úg tu ld¾h ksul< hq;= w;r wmyiqfjka tu wjYH;dj fkdi,ld isgwu isÿ fkdl, hq;=hs'
hï T!IO j¾. Ndú;ho u,noaOh we;súug ;=vq fok lreKla fjkjd' ^Wod• leiai meKsh& tu ksid hï T!IO j¾.hla Ndú;fhka miq nv fõ,Sula fyda jeisls,sh Ndú;hg wjYH;djhla we;s fkdùula we;sjqjfyd;a Tnf.a ffjoHjrhd fj; kej; fhduqù fï nj okajd isákak' fuhg ms<shï f,i ,ndÈug yels T!IO j¾.hla túg Tng ks¾foaY lrkq we;'
w¾Yia ioyd ,nd.; yels m%;sldr
w¾Yia we;sùu j<lajd.ekSug fhdod.kakd mshjr ish,a,u m%;sldr jYfhka fhdod.ekSu w;jYH jkjd' w¾Yia frda.s ;;ajfha uq,a wjÈfhaÈ ñg wu;rj u,my msg lsÍu myiqlrjk ^stool softners& Ndú;d lrkakg mq¿jka' kuq;a fuh ne?reï ;;ajhlg meñKs we;akï iq¿ Y,Hld¾u i|ydo" tajd u.ska iqjhla fkd,efnk nj yefÛakï w¾Yia .eá;s bj;a lsÍu i|yd fya;=jk Y,Hl¾u i|yd fhduqúh yelshs'
fuu l%shdj,s w;r
T!IO tkak;a lsÍu ^steroid injection&
nEkaâ má fhÈu ^Banding&
iafÜm,a lsßu ^stepling&
f,ai¾ u.ska bj;a lsßu
Y,Hl¾u u.ska w¾Yia .eá;s bj;alsÍu ^haemarrhoidectomy&
wdÈh oekg Ndú;d fõ' l=uk l%uhla Ndú;d l< hq;=o hkak frda.fha ;Sj%;djh" yd tla tla frda.shdf.a ldhsl yd udkisl Yla;su;a nj u; ;SrKh flfrkq we;'
fndfydaúg wikakg ,eî we;s fyda w;aoel we;s frda.hla jk w¾Yia frda.h ms<sn|j hï wjfndaOhla fuu ,smsh uÛska Tng ,efnkakg we;ehs is;uq'
