Txawm hais tias muaj coob tus nyob twj ywm ntawm tus kab mob no, hemorrhoids yog suav hais tias yog ib qho ntawm feem ntau pathologies ntawm vascular system. Tus kab mob no tshwm sim los ntawm ntau yam, suav nrog: kev ua neej nyob tsis tu ncua, lossis, ntawm qhov tsis sib xws, nyob tsis tu ncua ntawm txoj haujlwm "sawv", cov yam ntxwv ntawm cov hlab ntsha, khoom noj khoom haus, thiab lwm yam. Tus kab mob no tshwm sim ntawm cov txiv neej thiab poj niam.. Txawm li cas los xij, cov neeg feem coob tsis quav ntsej cov tsos mob ntawm hemorrhoids, tsis xav tias lawv loj, lossis txaj muag rau pem hauv ntej ntawm tus kws kho mob. Yog tias tus kab mob tsis kho, nws loj tuaj, thiab cov teeb meem tshwm sim. Ib tug ntawm lawv yog hemorrhoid thrombosis. Xws li ib tug mob tsis yog nrog los ntawm kev mob hnyav, tab sis kuj txaus ntshai heev. Txhawm rau tiv thaiv kev tuag, thrombectomy ntawm hemorrhoid yog ua. Nws muaj nyob rau hauv kev tshem tawm cov hlab ntsha ntawm cov hlab ntsha thiab kho cov ntshav ntws.
thrombosis nrog hemorrhoids: ua rau
Hemorrhoids yog ib qho kev hloov pauv hauv cov hlab ntsha uas tso ntshav los ntawm cov leeg ntawm qhov quav. Cov nkoj ua tortuous, cov cheeb tsam ntawm expansion tshwm. Yog li ntawd, cov pob caus raug tsim uas tuaj yeem poob tawm thaum lub cev tawm dag zog. Nyob ntawm seb cov hlab ntsha twg koom nrog cov txheej txheem pathological, sab hauv thiab sab nraud hemorrhoids raug cais. Nyob rau hauv thawj theem, tus kab mob yog yus muaj los ntawm ib ntus khaus nyob rau hauv lub qhov quav thiab cov tsos ntawm me me knots nrog cem quav. Nrog hemorrhoids ntawm theem 3 thiab 4, cov hlab ntsha cuam tshuam tsis tu ncua tawm ntawm qhov quav, mob thiab los ntshav. Vim lub fact tias cov hemorrhoids nyob sab nraum lub qhov quav, lub sphincter yog heev txo. Qhov no ua rau lub fact tias cov nqaij ntshiv infringes rau prolapsed hlab ntsha, thiab cov ntshav ntws nyob rau hauv lawv yog cuam tshuam. Cov kev hloov pauv no nrog rau qhov mob hauv thaj tsam ntawm hemorrhoid.
Vim kev ua txhaum ntawm cov hlab ntsha, cov ntshav poob nws lub peev xwm los ncig thiab ua kom tuab. Qhov no ua rau tsim cov ntshav txhaws - thrombus. Qhov laj thawj tseem ceeb ntawm qhov teeb meem no suav nrog cem quav thiab kev tawm dag zog ntau dhau rau cov neeg uas muaj mob hemorrhoids. Raws li koj paub, thrombosis yog ib qho ntawm cov laj thawj tseem ceeb ntawm kev tuag. Txawm tias muaj tseeb hais tias cov hlab ntsha tsim nyob rau hauv cov hlab ntsha ntawm lub qhov quav, nws muaj peev xwm circulate nrog cov ntshav kwj thiab mus rau hauv cov hlab ntsha tseem ceeb, uas yog, nyob rau hauv lub pulmonary hlab ntsha. Tsis tas li ntawd, xws li ib qho teeb meem yog txaus ntshai nrog cov ntaub so ntswg necrosis thiab kev loj hlob ntawm sepsis. Txhawm rau tiv thaiv qhov no, nws yuav tsum tau ua thrombectomy ntawm hemorrhoid. Nov yog txoj kev phais uas cov kws kho mob tau paub zoo.
Indications rau thrombectomy
Thaum thawj theem ntawm thrombosis, kev kho mob tau sau tseg. Nws muaj nyob rau hauv kev siv ntawm anti-inflammatory tshuaj pleev thiab suppositories. Cov tshuaj no pab txo qhov o thiab mob. Tsis tas li ntawd, cov tshuaj tau sau tseg tias cov ntshav nyias nyias. Yog tias, tom qab kev ntsuas ntsuas, thrombus tsis daws, yuav tsum tau phais. Ntxiv nrog rau qhov tsis muaj txiaj ntsig ntawm kev saib xyuas kev kho mob, cov lus qhia hauv qab no rau kev cuam tshuam kev phais yog qhov txawv:
- Mob mob uas tsis tuaj yeem kho tau tshuaj.
- Kev pom cov tsos mob ntawm mob hemorrhoids ua ke nrog cov cim qhia ntawm thrombosis.
- Kev txwv tsis pub siv tshuaj kho (lactation, cev xeeb tub).
- Cov tsos mob ntawm necrosis ntawm strangulated node.
- Tus neeg mob xav kom tshem tawm tus kab mob los ntawm kev phais.
Raws li qhov no, hemorrhoidal thrombectomy tsis yog ib qho haujlwm xwm txheej ceev, tab sis tuaj yeem ua tau raws li kev npaj (yog tias tsis muaj kev pheej hmoo ntawm cov teeb meem yav tom ntej). Qhov kev tswj hwm no tau ua ob qho tib si hauv cov chaw phais mob ntawm cov tsev kho mob hauv cheeb tsam thiab nroog, thiab hauv cov chaw kho mob tshwj xeeb.
Contraindications rau kev kho mob phais
Kev tshem tawm cov ntshav txhaws los ntawm hemorrhoid tsis suav tias yog kev ua haujlwm nyuaj rau tus kws phais mob. Qhov kev ua haujlwm no tsis xav tauKev siv tshuaj loog hauv cov hlab ntsha, yog li muaj ob peb contraindications rau nws. Thrombectomy ntawm hemorrhoid thaum cev xeeb tub thiab lactation tsuas yog ua tau yog tias muaj kev phais sai. Cov xwm txheej zoo li no tsis yog contraindicated.
Kev phais tsis tuaj yeem ua rau cov neeg mob uas muaj kev pheej hmoo kis kab mob thoob plaws lub cev. Yog li, cov kab mob hauv qab no raug suav tias yog contraindications:
- Kab mob ntawm qhov quav (proctitis) thiab cov ntaub so ntswg ib puag ncig.
- Kab mob ntawm thaj chaw perianal.
- Systemic blood poisoning - sepsis.
Ntxiv rau cov txheej txheem mob hnyav, qhov mob hnyav heev ntawm tus neeg mob yog ib qho kev txwv.
Yam kev cuam tshuam kev phais
Hemorrhoids nyuaj los ntawm thrombosis tuaj yeem raug tshem tawm ntau txoj hauv kev. Kev xaiv ntawm txoj kev phais yog nyob ntawm seb cov cuab yeej twg muaj nyob rau hauv lub tsev kho mob, qhov hnyav ntawm tus neeg mob tus mob thiab muaj contraindications. Sab nraud hemorrhoids raug tshem tawm raws li hauv qab no:
- Kev phais mob raws li Milligan-Morgan.
- Laser photocoagulation.
- xov tooj cua kho mob.
Cov txheej txheem phais zoo li no tau ua rau cov hemorrhoids hnyav, thaum yuav tsum tau tshem tawm tag nrho. Yog tias cov hlab ntsha tuaj yeem tau txais kev cawmdim, tsuas yog tshem tawm cov hlab ntsha ntawm cov hlab ntsha. Thrombectomy ntawm sab hauv hemorrhoidal node yog qhov nyuaj dua los ua, txij li kev nkag mus rau kev phais hauv xws lirooj plaub yog txwv. Vim li no, nws yooj yim dua rau tus kws kho mob kom tshem tawm tag nrho cov hlab ntsha puas tsuaj uas siv Milligan-Morgan ua haujlwm.
Npaj rau thrombectomy
Thrombectomy ntawm hemorrhoidal hlab ntsha yog ib txoj haujlwm yooj yim thiab siv sijhawm li 10-15 feeb. Hom kev kho no tsis tas yuav siv tshuaj loog. Qee qhov xwm txheej, qhov kev tswj hwm no tau ua nyob rau hauv qhov chaw kho mob sab nraud nyob rau hauv lub xub ntiag ntawm chav kho mob thiab cov khoom siv phais. Txawm li cas los xij, yuav tsum tau kuaj cov qauv ua ntej thrombectomy. Cov no suav nrog: kuaj kab mob HIV thiab kab mob siab, microreaction, KLA, OAM, kev txiav txim siab ntawm cov ntshav qabzib. Tsis tas li, cov neeg mob yuav tsum tau kuaj fluorographic thiab ECG ua ntej ua haujlwm.
2-3 hnub ua ntej thrombectomy, tus neeg mob yuav tsum tsis kam noj zaub mov uas ua rau muaj roj. Nws raug nquahu kom haus kefir, muab kev nyiam rau cov zaub ci thiab kua zaub. Noj hmo nyob rau ua ntej ntawm cov txheej txheem yuav tsum yog lub teeb. Ob peb teev ua ntej kev ua haujlwm, cov hnyuv hauv qab tau ntxuav. Rau lub hom phiaj no, 2 enemas tau ua tiav nrog lub sijhawm ntawm 40-60 feeb.
Thrombectomy technique
Txhawm rau muab kev nkag mus rau ntawm cov hlab ntshav, tus neeg mob yuav tsum ua txoj haujlwm kom raug: nws yuav tsum tau pw ntawm sab xis nrog ob txhais ceg khoov thiab nias rau lub plab. Tus kws phais mob cais cov hlab ntsha puas lawm thiab txiav lawv nrog tshuaj loog. Tom qab ua cov node, ib qho incision yog ua nyob rau hauv lub projection ntawm lub thrombus. Yog tias cov ntshav ntws hauv cov hlab ntsha tsis cuam tshuam, cov ntshav tawm los ntawm nws tus kheej. Qee zaum yuav tsum tau phais clamp kom tshem nws. Tom qab ntxuav cov hlab ntsha, ob peb sutures muab tso rau ntawm lub nkoj.
Tam sim tom qab tus txheej txheem, tus neeg mob tus mob zoo dua. Tsis pub dhau ob peb teev, cov tsos mob ntawm thrombosis yog kiag li nres. Tsis pub dhau 4-5 hnub, nws yuav tsum tau hloov cov hnav tsis taus ntawm lub qhov txhab. Qhov chaw phais kho sai sai thiab tus neeg mob tuaj yeem ua lub neej ib txwm muaj.
txiaj ntsig ntawm kev phais laser
Ib qho kev xaiv rau txoj kev phais yog laser thrombectomy ntawm sab nraud hemorrhoid. Txoj kev no zoo ib yam li kev ua haujlwm. Qhov txawv yog tias es tsis txhob siv scalpel, ib lub laser beam yog siv los incise lub nkoj. Txawm li cas los xij, qhov kev tshem tawm ntawm thrombus los ntawm cov hlab ntsha los ntawm txoj kev no tsis tshua muaj ua. Feem ntau, kev kho mob laser yog tsom rau excising hemorrhoid. Qhov zoo ntawm txoj kev no yog qhov ceev ntawm kev khiav hauj lwm thiab qhov tsis tuaj yeem los ntshav, uas nrog rau cov tsoos incision. Lub laser tso cai rau koj ib txhij coagulate cov hlab ntsha, yog li nqa tawm lawv sclerosis.
Kev kho mob yog ua raws li tus neeg mob sab nraud. Nws yuav siv sij hawm tsis tshaj li ib nrab teev, tom qab uas tus neeg mob tuaj yeem mus tsev. Tom qab laser tshem tawm ntawm ib qho hemorrhoid sab nraud, tsis tas yuav tsum tau stitches thiab hnav khaub ncaws.
Muaj teeb meem ntawm thrombectomy
Ib qho ntawm txoj kev phais me me ntawm kev kho mob yog hemorrhoid thrombectomy. Cov teeb meem tom qab qhov kev tswj hwm no yog qhov tsawg heev. Feem ntau, phais thiab khokis tau sai thiab tsis mob. Cov teeb meem tshwm sim muaj xws li:
- Pain Syndrome.
- Bleeding.
- Kab mob ntawm qhov txhab.
Nrog rau qhov tsis xis nyob hauv qhov quav, tshuaj suppositories thiab tshuaj pleev uas muaj cov nyhuv analgesic. Lawv pab tshem tawm qhov o thiab mob. Tom qab 5-7 hnub, qhov kev xav tau ntawm kev noj tshuaj yuav ploj mus. Kev kis kab mob lossis los ntshav tshwm sim thaum tsis muaj kev tu cev hauv lub sijhawm tom qab phais. Txhawm rau tiv thaiv cov teeb meem no los ntawm kev tsim, koj yuav tsum ntxuav lub qhov quav nrog dej sov tom qab txhua qhov kev tso quav. Tsis tas li ntawd zam cem quav.
Lub sijhawm rov qab los
Rov qab mus rau lub neej qub tom qab thrombectomy tuaj yeem ua tau tom qab 1 lub lis piam. Kev kho mob tshwj xeeb tsis tas yuav tsum muaj. Cov tsos mob tshwm sim sai sai tom qab hemorrhoid thrombectomy. Kev rov qab los sai sai, tus neeg mob tau hnov mob thaum lub sijhawm ua haujlwm. Thaum kuaj lub qhov quav tom qab 3 teev, cov tsos mob ntawm thrombosis tsis tuaj.
Nws yuav tsum nco ntsoov tias qhov kev phais mob no tsis tuaj yeem txo tus neeg mob ntawm tus kab mob hauv qab - hemorrhoids. Yog li ntawd, txhawm rau tiv thaiv exacerbation thiab rov thrombosis, noj zaub mov thiab tu cev yuav tsum ua raws.
Reviews
Hemorrhoidal thrombectomy yog ib txoj kev tsim nyog. Yog tias qhov ntsuas no tsis tau ua tiav, cov teeb meem loj heev nrog rau qhov tshwm sim ua rau tuag taus. Raws licov kws kho mob, hemorrhoid thrombectomy yog ib qho haujlwm tseem ceeb uas txhua tus kws phais yuav tsum muaj peev xwm ua tau. Tsuas yog nyob rau hauv txoj kev no tuaj yeem zam cov nqaij necrosis thiab kis kab mob. Txawm li cas los xij, thrombectomy yuav tsis pab tshem tawm hemorrhoids, uas ua rau tsis tsuas yog cov ntshav txhaws hauv cov hlab ntsha puas, tab sis kuj muaj lwm yam teeb meem. Yog li, cov kws kho mob pom zoo ua ntej ntawm kev kho tus kab mob hauv qab, nrog rau kev koom tes hauv kev tiv thaiv.
Raws li cov neeg mob, lawv teb zoo rau cov txheej txheem no, vim tias nws tuaj yeem txo cov kab mob pathological thiab tshem tawm cov tsos mob tshwm sim.
Lub tsev kho mob twg ua thrombectomy?
Tam sim no, hemorrhoid thrombectomy hauv Moscow yog ua nyob rau hauv ntau lub tsev kho mob. Kev ua haujlwm tau ua ob qho tib si hauv tsev kho mob pej xeem thiab cov tsev kho mob ntiag tug (ATLANTiK laser phais chaw, DeltaClinic multidisciplinary chaw kho mob, He althy Capital chaw kho mob, thiab lwm yam). Thaum muaj xwm txheej ceev, kev kho mob phais yog ua dawb xwb. Yog tias tus neeg mob xav kom muaj kev lag luam hauv tsev kho mob ntiag tug lossis ntawm nws tus kheej lub siab dawb (thaum tsis muaj cov lus qhia nruj), tus nqi ntawm kev tswj hwm yog los ntawm 1.5 txog 8 txhiab rubles.
