Nyob hauv tsab xov xwm peb yuav txheeb xyuas seb hemorrhoids puas tuaj yeem hloov mus ua mob qog noj ntshav.
Hemorrhoids yog varicose hloov ntawm cov hlab ntsha ntawm lub qhov quav nyob rau hauv daim ntawv ntawm lawv extensions, hu ua hemorrhoids. Cov kev tsim no tuaj yeem ua rau sab hauv thiab sab nraud, thiab nyob rau theem siab ntawm cov txheej txheem pathological, cov nodes pib poob tawm thiab los ntshav.
Tus kab mob no tshwm sim, raws li txoj cai, nyob rau hauv nthwv dej: lub sijhawm ntev yog hloov los ntawm cov mob hnyav, thiab rov ua dua. Lub sijhawm tshem tawm tuaj yeem yuav luag tsis mob, thiab tus neeg mob tsis muaj cov tsos mob thiab cov teeb meem.
theem ntawm tus kab mob
Cov theem tseem ceeb ntawm tus kab mob:
- tsim ntawm sab nraud thiab sab hauv hemorrhoids;
- ib ntus pob poob thiab txo tus kheej;
- ntog tawm thiab xa rov qab cov nodes rau lawv qhov chaw yog ua nrog kev pab kho mob ntxiv thiab nrog los ntshav raws sij hawm.
Lub Sijhawm ntawm hemorrhoids exacerbation yog tus cwj pwm los ntawm ntau yam teeb meem, los ntawmNtawm cov uas feem ntau yog thrombosis ntawm hemorrhoid, o thiab o ntawm cov ntaub so ntswg thiab mucous daim nyias nyias.
Ntau tus xav tias hemorrhoids tuaj yeem hloov mus ua mob qog noj ntshav?
yam ntxwv ntawm mob qog nqaij hlav hauv plab
Cov txheej txheem phem hauv qhov quav yog qhov tshwm sim los ntawm kev txhim kho oncological tsim los ntawm cov ntaub so ntswg ntawm lub qhov quav. Sij hawm dhau mus, metastases pib tsim - kev tshuaj xyuas los ntawm lub ntsiab tseem ceeb ntawm cov txheej txheem pathological, uas muaj peev xwm loj hlob thiab cuam tshuam rau lwm yam kabmob. Cov qauv ntawm metastases zoo ib yam li cov qog loj.
Yuav ua li cas qhia mob qog noj ntshav los ntawm hemorrhoids? Xav paub ntau ntxiv hauv qab no.
Thaum pib, metastases tsim nyob ib ncig ntawm cov qog ntshav qog, thiab hauv cov txheej txheem ntawm cov kab mob nyuaj - hauv cov qog ntshav hauv lawv tus kheej. Hauv qhov no, qhov txhab cuam tshuam feem ntau ntawm cov hnyuv. Cov theem tom ntej yog kev sib kis ntawm cov kab mob oncological rau cov kab mob nyob sib ze, uas cuam tshuam rau lawv txoj haujlwm. Lub ntsws, pob txha pelvic, zais zis, uterus muaj qhov ua tau zoo tshaj plaws ntawm metastasis sedimentation. Thaum kawg ntawm nws txoj kev loj hlob, kab mob oncological yog kho tsis tau thiab ua rau tuag.
Yog li, hemorrhoids puas tuaj yeem hloov mus ua mob qog noj ntshav? Cov cim ntawm qhov no yog dab tsi?
Zoo sib xws ntawm cov tsos mob
Nyob rau theem pib ntawm kev loj hlob ntawm cov kab mob no, cov tsos mob ntawm cov txheej txheem pathological zoo sib xws. Lawv cov npe suav nrog:
- qhov quav los ntshav los yog cov quav ntshav;
- hu tsis raug raudefecation;
- tsis xis nyob lossis mob hauv cheeb tsam anorectal.
Thaum cov teeb meem zoo li no tshwm sim, koj yuav tsum sab laj nrog kws kho mob tam sim ntawd txhawm rau kuaj kab mob txhawm rau txiav txim siab seb nws puas yog hemorrhoids lossis kab mob oncological.
Ntau npaum li cas hemorrhoids tig mus ua mob qog noj ntshav? Cia peb kawm saib.
Qhov txawv ntawm cov tsos mob
Hemorrhoids thiab qog nqaij hlav hauv plab muaj qhov sib txawv ntawm lawv, thiab lawv feem ntau nyob hauv cov tsos mob.
Qhov txawv ntawm mob qog noj ntshav thiab hemorrhoids:
- Qhov kev tso ntshav tawm. Nrog rau txoj kev loj hlob ntawm hemorrhoids, cov ntshav muaj xim liab (scarlet), nws raug tso tawm, raws li txoj cai, thaum kawg ntawm kev tso quav, uas tuaj yeem pom pom los ntawm cov quav - cov ntshav feem ntau nyob ntawm qhov chaw. thiab feem ntau zoo li ib daim kab xev kom meej meej. Nyob rau hauv cov txheej txheem malignant nyob rau hauv lub qhov quav, cov ntshav muaj xim tsaus nti thiab sib npaug nrog cov quav. Ntev npaum li cas hemorrhoids tig mus ua mob qog noj ntshav? Peb yuav teb lo lus nug no.
- Qhov tshwm sim ntawm qhov tso tawm thaum tso zis. Hauv kev mob qog noj ntshav, qee zaum hnoos qeev los yog kua paug tawm ntawm lub qhov quav ua ntej tshem cov hnyuv, thiab qee zaum cov kab mob malignant neoplasm nws tus kheej thaum nws puas lawm. Tsis tas li ntawd, tej zaum yuav muaj kev hloov pauv ntawm cov quav - kev loj hlob ntawm cov qog feem ntau ua rau tsim cov quav quav. Nrog hemorrhoids, cov tsos mob no tsis pom.
- Qhov xwm ntawm cem quav. Mob qog noj ntshav feem ntau nrog cem quav ntev dua li hemorrhoids. Tus neeg mob tsis tuaj yeemkhoob ntau tshaj ob hnub.
- Tus mob ntawm tus neeg mob. Kev poob ceeb thawj tam sim ntawd, poob qab los noj mov, pallor ntawm daim tawv nqaij, qhov mob tsis tu ncua hauv plab, kub taub hau, nkees nkees, ua tsis taus pa thiab tsis muaj zog - cov tsos mob no tsuas yog nrog oncology thiab tsis tshua pom muaj hemorrhoids.
- Qhov xwm txheej. Hemorrhoids, tsis zoo li cov qog nqaij hlav, poob tawm ntawm qhov quav.
Ntxiv rau, nyob rau hauv rooj plaub uas yav tas los kuaj pom tus mob polyps hauv tus neeg mob (uas yuav tsum tau sau tseg hauv anamnesis), qhov yuav tshwm sim ntawm kev mob qog noj ntshav nce ntxiv. Coob leej xav tias hemorrhoids tuaj yeem ua rau mob qog noj ntshav, yuav ua li cas thiaj kuaj tau qhov no?
Diagnosis
Txhawm rau txiav txim siab tus neeg mob tus kab mob, kev tshuaj xyuas fecal yog ua, uas muaj cov ntshav tawm, kuaj digital ntawm qhov quav, MRI txhawm rau txiav txim siab muaj metastases, colonoscopy, anoscopy, sigmoidoscopy thiab lwm yam txheej txheem. uas tus kws kho mob tshwj xeeb yuav sau ntawv. Txawm li cas los xij, txhua qhov kev kuaj mob ib txwm zoo nkauj sai thiab yooj yim.
Hemorrhoids puas tuaj yeem ua mob qog noj ntshav?
Cov lus teb rau lo lus nug no yog qhov tseeb: hemorrhoids tsis hloov mus ua mob qog noj ntshav. Tab sis qhov no tsis suav nrog kev sib koom ua ke ntawm cov txheej txheem pathological, uas, raws li txoj cai, tshwm sim tsis tshua muaj.
Nws yog kev ntseeg yuam kev tias hemorrhoids ua rau mob qog noj ntshav.
Cov tsos mob zoo sib xws thaum ntxov ntawm kev loj hlobkab mob tsuas yog ib qho qhia rau kev tiv tauj ib tus kws kho mob tshwj xeeb. Tsis yog oncology lossis hemorrhoids dhau mus yam tsis muaj kab, txawm li cas los xij, mob qog noj ntshav tuaj yeem ua rau tuag taus yog tias tus kab mob no tsis kuaj tau raws sijhawm thiab kev kho mob tsis pib.
Txoj kev kho rau ob qho tib si pathologies
Kev kho mob hemorrhoids thiab oncological qog tuaj yeem muab faib ua peb txoj hauv kev:
- tshuaj kho mob;
- kev sib tw tsawg kawg;
- kev cuam tshuam kev phais.
kev kho mob
Cov dej num no yog tus cwj pwm los ntawm kev noj tshuaj: tshuaj pleev, ntsiav tshuaj thiab tshuaj suppositories rau hemostatic, analgesic, anti-inflammatory thiab venotonic nyhuv.
Hom kev kho no feem ntau yog qhov nyuaj thiab tau muab rau tus neeg mob rau lub sijhawm qee lub sijhawm: nrog cov mob hemorrhoids ntev txog li ob lub hlis, nrog rau tus kab mob exacerbation - los ntawm 7 mus rau 14 hnub.
Cov tshuaj uas nrov tshaj plaws rau hemorrhoids yog phlebotonics, ua ke tshuaj loog thiab tshuaj tiv thaiv kab mob uas tsis yog tshuaj steroidal, uas yog siv los kho mob oncology.
Minimally invasive method
Kev kho mob no yog kev phais mob yam tsis muaj kev siv scalpel thiab lwm yam khoom siv kho mob txiav. Cov txheej txheem no suav nrog:
- infrared coagulation;
- laser coagulation;
- cryotherapy;
- ligation ntawm hemorrhoidnrog latex rings;
- sclerotherapy.
Cov kev ntsuas kev kho mob no yog ua los ntawm kev pab ntawm lub laser, infrared tawg, kua nitrogen, sclerosing tshuaj thiab tshwj xeeb latex rings. Qhov no tso cai rau koj tshem tawm cov kab mob hemorrhoidal nrog kev puas tsuaj tsawg heev rau thaj tsam ntawm lub qhov quav thiab lub sijhawm rov qab luv luv.
Kev cuam tshuam rau hemorrhoids
Cov kev kho mob hemorrhoids thiab mob qog noj ntshav hauv plab zoo ib yam. Kev phais rau hemorrhoids muaj ob txoj haujlwm tseem ceeb:
- Hemorrhoidectomy - tshem tawm tag nrho cov ntaub so ntswg uas cuam tshuam los ntawm hemorrhoidal hloov, nrog rau cov ntaub so ntswg ncig lub qhov quav. Qee hom kev phais kom paub qhov txawv ntawm kev kho ntawm cov mucous daim nyias nyias mus rau hauv qab cov ntaub so ntswg, uas yog ib tug heev traumatic thiab mob ua hauj lwm nrog ib tug ntev lub sij hawm rov qab. Tab sis nws qhov kev siv yog qhov ncaj ncees nyob rau theem kawg ntawm kev loj hlob ntawm cov kab mob, thaum cov txheej txheem pathological tau dhau los ua tsis quav ntsej.
- Kev Ua Haujlwm Longo - txiav tawm ib ntu ntawm cov ntaub so ntswg ntawm cov mucous membrane, uas cov hemorrhoids tau txav mus tob rau hauv cov kwj dej nrog kev ua txhaum ntawm lawv cov txheej txheem ntshav. Yog li ntawd, cov nodes pib tuag ntawm lawv tus kheej. Txoj kev Longo yog kev ua haujlwm nyab xeeb thiab nrawm dua nrog lub sijhawm rov qab tsawg, tab sis nws tsuas yog ua rau cov kab mob hemorrhoidal sab hauv.
Kev kho mob qog noj ntshav
Tsis zoo lihemorrhoids, kab mob oncological ntawm lub qhov quav yog kho nrog cov hauv qab no:
- phais;
- thov xov tooj cua;
- siv molecular targeted lossis targeted therapy;
- chemotherapy;
- lwm yam, tsawg txoj hauv kev.
Kev phais mob tau ua nyob rau thawj peb theem ntawm cov qog nqaij hlav ntawm qhov chaw zoo sib xws. Muaj ntau hom kev ua haujlwm:
- Kev tshem tawm sab nrauv, uas yog tus cwj pwm los ntawm kev tshem tawm ntawm thaj chaw cuam tshuam ntawm cov kwj dej ntawm qhov quav nrog ntxiv suturing ntawm qhov kawg. Nws tsis yog ib txwm ua tau rau tus kws kho mob tshwj xeeb kom tshem tawm vim qhov loj ntawm cov qog nqaij hlav malignant lossis anatomical inconvenience.
- Hartmann txoj haujlwm, uas yog ua thaum oncology nyuaj los ntawm cov txheej txheem perifocal inflammatory los yog plab hnyuv hauv daim ntawv mob. Tom qab tshem tawm ntawm neoplasm, qhov qis kawg ntawm lub qhov quav yog sutured, thiab sab sauv kawg yog tshem tawm raws li ib tug mus tas li los yog ib ntus anus (colostomy).
- Tsawg anterior resection, uas rov ua cov txheej txheem ntawm anterior resection, tshwj tsis yog tias cov cuab yeej tshwj xeeb yog siv los khi txoj hnyuv, vim qhov chaw deb ntawm neoplasm (siab dua 5 cm).
- Abdo-perineal extirpation, tus cwj pwm los ntawm kev tshem tawm tag nrho ntawm qhov quav nrog rau sphincter. Tom qab ntawd, lub colostomy mus tas li yog tsim, uas yog coj mus rau lub plab los yog mus rau lub perineal cheeb tsam, qhov twg lub qhov quav nyob rau hauv yav tas los.
Hemorrhoids and cancerqhov quav kuj zoo sib xws hauv ntau txoj kev tiv thaiv. Lawv suav nrog kev tswj hwm txoj kev noj qab haus huv, muab tus cwj pwm tsis zoo thiab ua kom cov quav ua kom zoo.
Peb saib seb puas hemorrhoids tuaj yeem hloov mus ua mob qog noj ntshav.
