CMgWb¤sdUg)at b¤ haemorrhoids ekItelImnusSmñak;kñúg cMeNamBIrnak;
enAkñúgCIvitrbs;BYkeK. vaKWCaduMsrésQam Tn;² EdlEtgekItmanenA
Rtg;rn§KUf nig  fg;lamk. dMusrésQamenHmantYnaTICYyRKb;RKgelI
karbenÞarbg;lamk. enAeBlEdldMusrésQamenHrIke):agb¤ecjQam
enaH  vanwgbgáeGayekItCaCMgWb¤sdUg)at . manviFIsa®sþCaeRcInRtUv
)anbegáIteLIg edIm,IBüa)alCMgWb¤sdUg)at   EdlkMBughUrQam

enH. cMeBaHdMub¤sdUg)atkMritmYy  nig  kMritBIr  GacBüa)alCaedaymincaM)ac;mankarvHkat;
b:uEnþ  cMeBaHdMub¤sdUg)atkMritbI nig bYn RtUveFVIkarvHkat;edIm,I Büa)al . karvHkat;dMusrés
Qamb¤sdUg)attamrn§KUf (transanal haemorrhoidal dearterialization-THD) Edlbc©úb,nñ
manenAmnÞIreBTü Raffles CaviFIsaRsþfµIbMputkñúgkarBüa)al dMub¤sdUg)at. vaKWCaviFIsa®sþ
vHkat;RbePTminkat;ecalmann½yfaminmankarkat;ecalnUvb¤sdUg)atenaHeT. karvHkat;dMu
srésQam b¤sdUg)attamrn§KUf ( THD ) esÞIrEtKµankarQWcab;Tal;EtesaH ehIymankar
)at;bg;Qam  tictYcbMput. GñkCMgWPaKeRcInKµanGarmµN_famankarQWcab; b¤PaBminmanpa
sukPaBNamYyTal;EtesaHenAeRkay eBlvHkat;.




















evC¢> Gwug Qin ¬Ng Chin¦ Gñkpþl;RbwkSaEpñkCMnajvHkat;TUeTA enAmnÞIreBTü Raffles Bnül;fa
  { kareRbIR)as;kar tamdanedayGulRtaesanCaBiessmYy   RtUv)aneFVIeLIgedIm,IkMNt;TI
taMgsrésQamCak;lak;EdlekItb¤sdUg)at ehIybnÞab;mksrésQamTaMgenHmYYy²RtUv
)anvHkat;  cgedayRKUeBTüCMnajvHkat; . QamEdlpÁt;pÁg;b¤sdUg)atenaH  nwgkat;bnßy
y:ageRcInEdlCaehtueFVI[b¤sdUg)atenaHrYjtUceTA².  }  vaKWCaviFIsa®sþvHkat;elOn nig
Rbkbeday RbsiT§PaBmYy  edayehtufaeBlevlacMNaykñúgdMeNIrkarvHkat;TaMgmUltic
Cag  30 naTI. CaTUeTA  karvHkat;enH  RtUveFVIeLIgeRkamkardak;fñaMsnøb;  b:uEnþvak¾GaceFVI
eLIgeRkamkareRbIfñaMsNþMnigCalkçN³vHkat;PøamGacecjBImnÞIreBTü PøampgEdr. sMxan;
bMputenaH KWfary  ³eBlCasHeLIgvijKWRtwmEtb:unµanéf¶b:ueNÑaHmindl;mYys)þah_eT. Gñk
CMgWesÞIrEt  BMucaM)ac;RtUvkareBlevlasMrakBIkargarenAeRkayeBlvHkat;eLIy ehIyman
GñkCMgWmYycMnYnGacdwgnUvPaBxusKñaPøam²   bnÞab;BIvHkat;rYc. enAkñúgkarsikSaRsavRCav
k¾)anbgðajpgEdrfa   viFIsa®sþvHkat;enHbgá[manplvi)akeRkayeBl    vHkat;tictYc
bMput.

enAeBlxøH elakGñkGaceFVIkarqøúHeBaHevonFM ¬ sugeBaHevon  ¦ GacRtUv)anENnaM[eFVIeLIg
sRmab;GñkCMgWb¤sdUg)at   edaysareraKsBaØaTaMgenHPaKeRcInk¾GacCaeraKsBaØaénCMg
WEdlF¶n;F¶rCagenHdUcCa CMgWmharIkeBaHevon CaedIm.

evC¢> Gwug ¬Ng ¦ manRbsasn_fa   {  vaCakarsMxan;Nas;EdlRtUvRCabfa   maneraKsBaØaCa
eRcInénCMgWb¤sdUg)at CaBiess  karmanhUrQameBlbenÞarbg;lamk KWRsedogKñaeTA
nwgeraKsBaØaénCMgWmharIkeBaHevonFM nig fg;lamk. dUecñH vaCa   karsMxan;Nas; Edl
RtUvmanRKUeBTüÉkeTs  eFVIkarBinitü   tamdany:agl¥itl¥n;elIeraKsBaØaTaMgenH. evC¢
bNÐitrbs; elakGñkKWCabuKÁlEdls½kþismbMputkñúgkarpþl;karENnaMGMBIrebobBüa)al
EdlsmRsbbMputsRmab;elakGñk.  {  

GñkCMgWEdleFVIeraKvinicä½yeTAeXIjfa manCMgWb¤sdUg)at  GacTTYlkarbBa¢ak;bEnßmfa
manviFIBüa)alfµICagmunRtUv)an begáIteLIg   ehIybc©úb,nñenHkarvHkat;CMgWenHesÞIrEt
KµankarQWcab;GVITaMgGs;. RH

evC¢> Gwug QIn ¬ Ng Chin ¦ KWCaGñkpþl;  RbwkSaEpñkCMnajvHkat; TUeTA.  ÉkeTs rbs;elakKWvHkat;eBaHevonFM nigfg; lamk. elakpþl;karvaytMél nigkarBüa)alelICMgWQWeBaHhUrQam BIfg;lamk pøas;bþÚrTMlab;bt;eCIgFM karftBinitüeBaHevonFM karesþn ¬stenting ¦ eBaHevonFM etsþedIm,IBinitürukrkCMgWmha rIk eBaHevon etsþBinitürkQamkñúglamkedIm,IrkeXIjTan; eBl evlanUvCMgWmharIkeBaHevonFM  karvHkat;srésQamb¤sdUg   )attamrn§KUf (THD) nigkarvHkat;b¤sdUg)ateday   ekob  nig cgP¢itsrésQam k arBüa)al bBaðananaenACMuvijrn§KUf nigkardac;rEhkRksal;KUf.