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| ?Wbok Ikwycawb
utWrwfcswgwruf |
udImwH
czIzwAcludcbwA
2005 cnUj 5 |
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Inevenub Eycawb utWrwfcswgwruf
ctWrwfcswgwruf wtwvun urod WdumwkuDob
wtwvun cawtiLohEl WviawgubWsih Enemih
cSwmupcauf evWLuf ,imed cawturWnEl
utWrwfcswgwruf .eveSok ctwbcsin
wtwvun ''cscliawp'' cSwycawb
.eveaeLua iawyik csev Ea ''cscDiaoromeh''
Inwvitwmiruk cSokumcnWa Ugwdua egIlwbim
egudemed iaWrwhwa50 iaWrwhwa20
wtcawscnia50 egIdWbWa .eveSwncnuhIm
egIlwb utWrwfcswgwruf cSwncnuhIm |
EhejcnWlitwmiruk
iawgcaerwvcswvud csev emcnok egutWywh egcnuhImea iaWlugwdua
.eveawkcawd cnukwtWsWrid caeawb cSwmwk
?Wbok Ikwkwturwtcawv egIlwb utWrwfcswgwruf
.eveaev caerwtcawved egIlwb utWrwfcswgwruf
:cscliawp clwnrwTcnia (1)
cSwrEb .eveawgEretea Inwncnuh cawturWnEl wncnuh iawfWpcauf iawgurwtcawvim
egurod utWrwfcswgwruf Inwpcauf iawgutwlWhim .eveaeruhun cnwkWncnef
urWnEl Eyik Ea ''cswsckelcp clwDiaoromeh clwnrwTcnia '' WviawgiawbIrit
cniaeretea egurohog Inwncnuh cawturWnEl WviawfWpcauf cSwtogim .evekeNcnuf
.eveawfivurof cnia (WzOkuaim)cSwfiludctet Wviawfivel
:cscliawp clwnrwTcsckea (2)
iawgutwlWhim .evemuruh cSwncnef ,emukin cSwrEb cawtiLohEl WviawfWpcauf
Iaim
caeLokcnwtwDuk eruvcSwDwgcnwh WvcnegiawSwv egurod utWrwfcswgwruf
Inwpcauf
urWnEl Eyik Ea ''cswsckelcp clwDiaoromeh clwnrwTcsckea'' WviawgEretea
cnukwawlwSwf egumwh inwkeawmwh Inwncnuh cawturWnEl WviawfWPcauf
.evekeNcnuf
.eveawfivurof
enWdivelWhwb urwvcnim Wviawfihej ilwb utWrwfcswgwruf
? Wbok Ikwkwtwjwrwd
urwtcawv wncnuh iawfWpcauf cawturWnEl cSwaeretea egIlwb utWrwfcswgwruf
*
.eveaev iawfivelWhwb cSwkwtwjwrwd ikea ''cscliawp clwnrwTcnia''
wtwvun
utWrwfcswgwruf Inwncnuh cawt urWnEl wncnuh iawfWpcauf iawgiawjwrwd
wmwtwruf
cawturWnEl WviawfWpcauf iawgiawjwrwd wnwved .eveawgEretea egurod
egEa cnumumin ivedumwkuDob idwa .eveaemukin cSwrEb iawgEret egumuaidumwkuDob
csev iawgiawjwrwd wnwvcnit .eveaevwAUjur cSwaeretea cSwawlcaimwa
iawgutWz
cSwaeretea csevwmwn .eveaemukin cSwrEb cSwtogim cawturWnEl WviawfWpcauf
wnwvurwtwh .evencnumulWbcaoa cnukwCcaea wtwvun cniligia inwkeawmwh
InWncnwv
cSwncnef ,emukin cSwrEb csevudwbwa cawtiLohEl WviawfWpcauf iawgiawjwrwd
.eveaeruh
emcnea egIlwb utWrwfcswgwruf cniaeret egiawjwrwd urwtwh unuverukcnWywb
.eveawjwrwd wnwv3 Ineveleb iawgumwk wjwrwd iretWkcawrun
.eveSwrwtcawv inubim cnuhwf Ineveruk ctwbcsin cnubEf ctWrwfcswguf
:cTOn
.evemuruh cSwncnef emukin cSwrEb cawtiLohEl WviawfWpcauf Iaea
?Wbok IkwkwtctWmWlwa enWdinef cnumuhej ilwb
utWrwfcswgwruf
.evekemwk WvcnegISwkea csev Ikwmuaid evunwgwhWf cawtctWmWlwa egIlwbim
WviawfWpcauf iawgEret egukwtctWmWlwa enWdinef cnumuhej ilwb utWrwfcswgwruf
,cnuvurih iawgutWrwfcswgwruf ,cnuruh cSwncnef emukin cSwrEb cawturWnEl
cawtcawtcnwk wdwf cnuawaEl cnutWrwfcswgwruf idwa ,cnuscair ,cnuvurWf
,cnuhek
InwviawfiverukwgwhWf cSwmwkumcnWa cSwDob cnuawaEl cnutWrwfcswgwruf
.eveaenemih
clwnrwTcnia'' wtwvun ''urwtcawv wncnuh iawfWpcauf urWnEl cSwaeretea''
idwa ,iawgEret egumuaidumwkuDob ,iaWncniruk egumuaidumwkuDob .eveawg
''cscliawp
.evekemwk WvcnegISwkea IkwmuawaEl cnutWrwfcswgwruf csev cnuhwf egEa
WaimInea wtwvun cnuvcSwdEl iawgEret egcaeLokcswvud wmwnWvurEbEl
cniawnigWm
csevidwa ,csev cnumumin csog umwkuDob urwhwfcaeawb .eveaev ctogWvitwmiruk
wtwvun urohog ,cnuvcsWschia cnehwncnuh evuncsuh iheCcaea WdumwkuDob
uridWn .eveaevWmid cawtcnwk wdwf cnuvcsWschia cnehwncnuh iawfiruf
cmwTcker
IkwmutwgwSwa cnwxckefcnia iawgubWsih Enemih ctWrwfcswgwruf ukwrwhwf
.evekemwkenWdev
? Wbok Ikwkwtubwbws Wvirevudem cSwmuhej ilwb
utWrwfcswgwruf
csevwmwn .eveaegEn cnwkWnub cnegiLeawDnwk caebwbws ikwv Ehej ilwbim
Eretea egubWsih Enemih urod utWrwfcswgwruf iaWycawb utWrwfcswgwruf
rwxercp cnutogim .eveawfevutibWs Inwv cSwmwkWv caemuLug iaWmuvitwm
rwxercp
.eveaenemih cawtcawtcnwk ivinwncnwa iawgEret egukwtcawtcnwk Wrukurutia
:cnuvurwhuDnwb cSwkwtwdcaumugid (h)
cnumuhej cnWlurWb ukwrwhwf emcnok WdumwkuDob cnumuvurwhuDnwb cSwtogim
.eveaev ctogWpcauf ,evurutia rwxercp cSwkwtiLohEl
:cnuhej ilwb utWrwfcswgwruf urwvcswvud uDnwbWm (S)
cSwtih uria wncnwa cnumwvuDob uLufirwd iawgumihwr Inwv itwmiruk
cnwkim
cnumihwr cSwa''WvekwnIv WairIfcnia'' cSwmwk caeaiLohEluDob EdiawvunofEl
cSwmuaehiv Ugwdua egIlwb utWrwfcswgwruf Wvitwmiruk cnumuvuDnwbWm
.eveaItWtcaif
.eveaediawlif iawgEret egcaeLokcswvud uhwf
:cnuhej ilwb utWrwfcswgwruf cnutogIsWriv (n)
egcaea WliaWacaea iawgutogWviawfigea cnukwt cnudOh idOh cSwnwtWhim
egWliaWa IkwawnWm .everutia urwvcnim Ehej ilwbim iawgudem egcnurwbcmem
wmwnWviawfihej ilwb utWrwfcswgwruf cSwncnuhIm ibit cSwTcaod cniaeret
egcnuhIm
iawgumudefua .evemwkuDob utwsuruf egumuhej ilwbim csev cSwncnuhIm
ibit cSwgwh
.evekemwk Wvihwfugwm cSwmuhej ilwbim Ikwmuruh caemwkwred iawgurWf
egILohEl
:cnuhejcnWlurWb uriaWdumwkwDuk (r)
cSwtogim cSwncnunehirif wncnuh wlwscawm eg cDcnElcg cTETcsorcp cSokwBcaWK
evurutia rwxercp egukwtiLohEl WviawgubWsihea cnumuhejcnWlurWb uriaWdumwkwDuk
.eveaevctogWpcauf
.cnudefua urwscnek iawgubWsih Enemih egurohoguDob idwa csivclep
(b)
. cnuvurutia cnwdurwb wtwvun cnuvwlwf cSwDobWm (L)
egukwt ubwbws caeawb cnehea cnUnim Wvirevudem cSwmuhejilwb utWrwfcswgwruf
cSwkwtwdcaumugid ,cnuhej cneLua ItWscaek cSwkwtwdcaumugid iawgEret
wdwf cnuhej cnWlurWb uriaWdumwkwDuk idwa ,cnuvitwmiruk cnugcnihcSwrEb
.eveaenemih cawtcawtcnwk
,cnuruh cSwLok uriawnig cSwfWliK iaWtog wncnoa iawfevIh cSwnuhImwnig
:cTOn
ilwb utWrwfcswgwruf Ikwkwtcawtcnwk wdwf ,cnunia cnegedISia ukWtcaea
wtwvun
.evenUn caekwtubwbws Wvurukirevudem cSwmuhej
?Wbok Ikwa Wvurwf enWdived cnumuhej ilwb utWrwfcswgwruf
cnumwkea Ikwa Wvurwf uLwgwr emcnea ctoa cSwycawb utWrwfcswgwruf
cSwmwkea WlWrud iawlwb Otiawbok Ikwmwkcnwk enWdiveruk cSwmuviretWkcawr
Idun wyid cnegevurwhuDnwb cSokwBcaWK .evemurukulwmwa cSwtogea iawncsiv
itekwtWyid ,iaWmurukcnunEb WnWk Wviawfevidwscaum cnia rwbiawf cSwmuTcaeheb
.evekwtcawtcnwk umcaihum cSwrwv Ikwmurukutwrcswk idwa cniaub cniawnigwnig
cnefWnwfWt iaWkwNcnObWs egiawdWa ukwrwhwf emcnok cnumumin ivedumwkuDob
.eveSWrukufWs cSwLwgwr ubWsih Enemih ctWrwfcswgwruf cnegcSokcnunEb
cnukwCcaea wdwf caeaUxiTctet wtwvun cnukwDnwgitof ufWs uhwfcSwaea
cnuvurih ,cSokiritwLud cnumudeh cSwtogim .eveSWlehuf ctWrwf cswgwruf
egurod utWrwfcswgwruf caemIrck wdwf cnoziTOkOrcDiawh .eveaedcSokwDuk
.eveaedcSokwDuk cnuhir cnumuLugua cnegiawSwv
cSwkwbwT iruh cnef EvelukeacnwkunUh cSwkwrwv csevemcnok wtwvun cnef
WnwfWt
urwv cTinim cSwkwrwv15 irea cSwkwbwT wdwfea wtwvun,cnurwvcnef cnegirea
Wviawfemukin cSwrEb caeCcaea wdwf caeDnwg cnefuDnwg idwa cnurukwdEh
egIlwb utWrwfcswgwruf Ikwmwkcnwk wdwf cnurukcnWtiDob cnegiawscaej
iawgiawb
.evemwkcnwk enEdcSokirit wLud,iaWmuhir Wviawfidefua iawgubWsihea
cnubwbws
''cniaeDok'' cniaeret egukwtcsEb wncnuh iawfWdcawfua iawkwTcSwmuvuDekudwt
egurwtcawv inubim Iaea .evenUncaemwk uLwgwr IkwmurukcnunEb csEb
Evelukea
cSwrutia ilwb utWrwfcswgwruf ,evitwmiruk cnuvurwhuDnwb cnubwbws
eguhEb
.eveaev ctogWvcsOg
: Wvurwf caeawb Eved cSwycawb utWrwfcswgwruf
cawtcawtcnwk ivinwncnwa iawgEret egWvurwf caeawb Eved cSwycawb utWrwfcswgwruf
.eveaenemih
( Injection :cnuhej
caenwxckejcnia wBcaWK cSwmuhej cSwywb WviawfWpcawuf (1)
WviawfWpcawuf cnumuhej cnwxckejcniaim Evelukea clwkimek :Sclerotherapy)
egurwtcawvim .eveaed cnegev whEswf ideb wtwvun ,idnih ,evuDnwg iawb
2 wtwvun1 .evenUn caemwk iruhcnEv Wm cSwaWhImilwb Ikwmuhej cnwxckejcnia
.evekemwk WvcnegISwkea Ikwmuhej cnwhwj caenwxckejcnia wlwhwkim urwhwf
(Rubber :cnulWTcawv
iawbiruh iawfWbiawf cnegiawvuLwa caeDcnEb urwbwr (2)
wtwvun iawb iruh iawfWbiawf iawgumunid Wvurwfim: Band
Ligation)
WviawfiverukwBcaWK cSwmwkea iawguDub egiawburWnEl WviawfWpcauf
cDcnEbim .eveaevuLea caeDcnEb urwbwr iawgIhea egcaekwt cTcnwmcrcTcscnia
.eveaedcSokwDuk cnuvurOfEl cnuDnwgiSwh cSwywb WviawfWPcauf cnumuvuLea
iTcaev ,idnih iawbea iawgEret egcaeLokcswvud cnutog egcaeaWjItwn
cDcnEb cSwtogim iawgcaetogumcnWa .eveaed cnegevurEb ukea iaWCcaekwtWdumwkuDob
iawbiruh iawfWbiawf iawgEret egcaetwdcaum egudemed iaWhwvud2-5 WtWvuLwa
IkwmuvcsWschia udwt cSwkwrwv csev emcnok urwhwfcaeawb .eveaedcnegiTcaev
cnumwkcnehea .evekemwk enWdev iawgutwdcaum wncnuh iawfWvuLwa cDcnEb
.evekemwk Wvcnegivedea IkwmurukcmWrwa cnukwrwvIv iawgutwdcaumim
iawbiruh iawfWbiawf Iaim (Cryosurgery)
:cnudeh IrwjWsOywrck (3)
.evemulWrwm cnegcSokinif
(Infrared :cnulcSokuDnwgEl
cnegcSokcnunEb caeycawa (4)
WviawfWpcauf cnegcSokcnunEb idOd cDerWrcfcnia cnutogim:Coagulation)
idnih iawbea cnutog egcaeaWjItwn .eveawlcSokuDnwg El Wvuruawd WviawgILohEl
iawfWpcauf cSwaeretea InwrukcnunEb Wvurwfim cSokumcnWa .eveaed cnegev
whEswf
.eveSwmuruk uLwgwr urwtcawv wncnuh
:cnugen iawb WviawfWpcauf cnegcSok cnwxErwpoa (5)
cnwtcawnEh cnegcSokiscawa cnwruk cnwxErwpoaim :(Haemorrhoidectomy)
cSwmuvuLwgwr uhwfcSwmugen iawb WviawfWPcauf cnegcSokcnwxErwpoa .eveaehej
wnwv3 cSokumcnWa Iaim .eveawgwn caetwdcaum egWtcfwh6 iawgcaetogumcnWa
.evekenwxErwpoa ELuacnok iawgutwlWh egiawjwrwd
enWdiveruk cSwmuviretWkcawr cnilwb utWrwfcswgwruf
?Wbok Ikwkwtcawtcnwk
,WvEmOr cnutogim : cnurukcnunEb WnWk Evelukea rwbiawf cSwkwdwdwa
wnig (h)
.eveaenWdiveruk cnunEb cawtctwvWb wdwf IrWkurwt
iaWywfwl egcaerwTckoD cSwmuruk uLwgwr cnwkea wmwn WviawfevurwhuDnwb
(S)
cnudOh udWxuria
cnurukwdWa cnwruk utwrcswk emukwhwvud emcnok cnudiaWvwg (n)
OtEverukiaul cnwdurwb wmwnwlwf cSwDobWm :cnunidun wyivurutia cnwdurwb
(r)
.eveSWlwb
itekwtWyid iruhWdiawf cSwDnwgiSwh cnehinehea iaWnef cniawnigwnig
(b)
.cnurukcnunEb
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