Hemorrhoids yog varicose veins uas nyob ze ntawm lub qhov quav. Cov kab mob uas tshwm sim vim muaj tus kab mob no feem ntau yog o thiab o. Cov txheej txheem zoo li no tau tshwm sim los ntawm khaus thiab mob. Nws tsis yog qhov tsis tshua muaj tshwm sim rau tus kab mob tshwm sim tawm tsam keeb kwm yav dhau los lossis los ntshav tas li. Tsis tshua muaj, tab sis tseem nodes tuaj yeem poob tawm. Cov txheeb cais hais txog tus kab mob no ua rau poob siab - txog txhua tus neeg nyob hauv 5th ntawm lub ntiaj teb nyob rau hauv ib txoj kev lossis lwm qhov pom cov tsos mob ntawm hemorrhoids.
Kev phom sij
Ua ntej tshaj plaws, hemorrhoids yog ib yam kab mob tsis kaj siab uas ua rau lub neej zoo. Tsis tas li ntawd, yog tias tus kab mob tsis kho, cov teeb meem ntawm hemorrhoids tuaj yeem tshwm sim, thiab koj yuav tau mus rau kev phais. Yog tias koj tsis quav ntsej txog qhov teeb meem, ces txhua yam tuaj yeem xaus rau hauv kev tuag. Kev phom sij ntawm tus kab mob no tsis muaj ib zaug uas nws yuav ploj mus ntawm nws tus kheej.
daim duab kho mob dav dav
Thaum hemorrhoids nce, tus neeg mob xav tias tsis xis nyob hauv qhov quav, zoo li nws muaj lub cev txawv teb chaws. Qee tus neeg muaj cem quav, lwm tus muaj raws plab. Lub taub hau thiab plab yuav mob. Muaj ib qho kev tsis haum xeeb thiab tsis muaj zog, tej zaum yuav muaj teeb meem nrog kev tso zis. Lawm, qhov tsis kho lossis tsis quav ntsej txog qhov teeb meem tuaj yeem ua rau muaj teeb meem loj ntawm hemorrhoids.
Anemia
Mob tuaj yeem ua rau mob ntshav qab zib lossis ntshav ntshav. Qhov no yog vim qhov tseeb tias cov qe ntshav liab, protein thiab hemoglobin txo qis hauv cov ntshav. Tsis tas li ntawd, tiv thaiv keeb kwm yav dhau ntawm kev loj hlob ntawm hemorrhoids, cov txheej txheem ntawm kev thauj cov pa oxygen mus rau tag nrho cov hlwb ntawm lub cev tsis zoo. Raws li txoj cai, ntshav qab zib tuaj yeem tsim tawm tsam keeb kwm yav dhau los ntawm cov kab mob hemorrhoids, vim tias cov ntshav poob tas li tshwm sim, kav ntev tsis yog rau lub lis piam, tab sis kuj rau lub hlis. Qee zaum, txawm tias cov khoom noj thiab tshuaj uas ua rau tsis muaj hlau tsis pab.
Nrog ntshav ntshav, ib tus neeg xav tias tsis muaj zog tas li, nws daim tawv nqaij daj ntseg thiab qhuav, jams tuaj yeem tshwm sim raws ntug ntawm lub qhov ncauj. Nyob rau hauv cov ntaub ntawv no, kev siv cov tshuaj uas pab ntxiv cov hlau nyob rau hauv lub cev yog tag nrho ncaj ncees. Lawm, cov kab mob hauv qab, hemorrhoids, yuav tsum tau kho nyob rau tib lub sijhawm. Nyob rau hauv cov ntaub ntawv no, raws li ib tug txoj cai, lub qhov txhab raug tshem tawm.
Ntxhais kua muag
Ib yam tshwm sim thiab teeb meemhemorrhoids yog lub kua muag ntawm lub qhov quav. Tus kab mob no yog tus cwj pwm los ntawm cov tsos ntawm cov kab nrib pleb uas tsim rau ntawm daim tawv nqaij thiab daim tawv nqaij ntawm thaj chaw anorectal. Fissures yog tshwm sim los ntawm kev raug mob uas tshwm sim thaum cov quav tawv tawm thaum lub plab zom mov. Xws li ib tug pathology tsis tuaj yeem raug ntaus nqi rau cov kab mob tsis zoo. Raws li cov neeg mob, lawv txhawj xeeb txog qhov khaus tas li thiab kub hnyiab, mob, spasms hauv thaj tsam sphincter thiab ntshav poob.
Tears yog amenable rau kev saib xyuas kev kho mob. Qhov tseem ceeb tshaj plaws yog tias tsis muaj kab mob koom nrog lawv, lossis lwm yam kab mob tsis tshwm sim, piv txwv li, paraproctitis lossis proctitis. Yog tias lub kua muag loj thiab tau tsim nyob rau theem 3 lossis 4 ntawm hemorrhoids, ces tsuas muaj ib txoj hauv kev - phais.
Anal sphincter insufficiency
Qhov teeb meem ntawm hemorrhoids no tshwm sim nyob rau theem kawg ntawm tus kab mob, thaum cov nodes loj hlob ntau dhau thiab xyaum tawm ntawm qhov quav. Raws li, lub sphincter nyob rau hauv lub qhov quav yog stretched, tsis ua nws cov hauj lwm, thiab ib tug neeg muaj roj incontinence, mus txog rau fecal incontinence. Qhov no tsis yog tsuas yog lub cev nqaij daim tawv xwb, tab sis kuj yog ib qho teeb meem ntawm kev puas siab puas ntsws uas tsis tso cai rau ib txwm muaj nyob hauv zej zog. Hauv cov xwm txheej zoo li no, yuav tsum muaj ob txoj haujlwm. Thawj yog qhov kev tshem tawm ntawm cov nodes. Qhov thib ob yog qhov plasticity ntawm cov leeg hauv qhov quav.
qhov ncauj los ntshav
Cov duab ntawm qhov teeb meem ntawm hemorrhoids yog qhov pom kev txaus ntshai tiag tiag, tshwj xeeb tshaj yog tias lawv nrog los ntshav. Qhov kev siv ntawm qhov tshwm sim no ncaj qha nyob ntawmlos ntawm theem ntawm tus kab mob. Raws li cov neeg mob, thaum pib theem, tsuas yog cov ntshav me me hauv cov quav, lossis cov ntshav ntawm daim ntawv tso quav, raug pom. Nyob rau theem tom qab, cov hemorrhoids loj hlob, lub plab hnyuv lumen maj mam kaw, thiab los ntshav loj twb pom lawm.
Ua rau qhov quav los ntshav
Feem ntau, hemorrhoids yog nrog cem quav, uas ua rau kom cov txheej txheem inflammatory. Nyob rau hauv lem, thaum ib tug neeg zaum nyob rau hauv lub chav dej, nws thawb lub sij hawm ntev thiab nyuaj, thiab nyob rau hauv tus txheej txheem ntawm kev tso tawm ntawm cov quav, cov mucous daim nyias nyias raug mob hnyav, raws li yog cov nodes. Nrog rau txhua qhov kev mus rau chav dej, cov pob thiab cov mucous membranes raug mob ntau dua, qhov txhab me me tsis muaj sijhawm los kho, vim li ntawd, txhua yam yuav los ntshav.
cem quav kuj tuaj yeem ua rau qhov quav fissures uas tsis muaj sijhawm los kho, thiab los ntshav rov qhib dua. Txawm li cas los xij, qee cov neeg mob nco ntsoov tias lawv tsis tau cem quav, ntawm qhov tsis sib xws, lawv raug mob raws plab. Qhov kev noj qab haus huv no tuaj yeem ua rau lub qhov quav los ntshav, thiab tom qab ntawd ntshav ntshav thiab ntshav ntshav.
Anorectal thrombosis
Lwm qhov teeb meem ntawm hemorrhoids yog thrombosis lossis thrombophlebitis. Qhov teeb meem no yog heev txaus ntshai, raws li nws entails txoj kev loj hlob ntawm ntau lwm yam teeb meem. Nrog rau qhov teeb meem ntawm hemorrhoids los ntawm thrombophlebitis, cov tsos mob hauv qab no tau sau tseg:
- mob uas tshwm sim tsis tau xav txog thiab tom qab ntawd dhau mus tas li, cov tsos mob no yog qhov tshwm sim rau thrombosed hemorrhoids;
- o ntawm qhov chaw uas cov ntshav txhaws;
- hloov xim ntawm daim tawv nqaij ntawm qhov chaw ntawm cov ntshav txhaws;
- Thaum palpated, thrombus txhais tau tias yog qhov tsim ntom ntom.
Cov tsos mob tsis tshua muaj xws li hnoos qeev hauv cov quav, ua npaws, kub hnyiab thiab/los yog khaus ntawm qhov quav.
Ntau zaus, thrombophlebitis ua rau kev loj hlob ntawm purulent paraproctitis. Qhov no pathology yog tus cwj pwm los ntawm cov txheej txheem inflammatory ntawm cov ntaub so ntswg ntawm lub qhov quav, raws li txoj cai. Tsis tas li ntawd, cov ntshav txhaws cuam tshuam nrog cov ntshav ib txwm muab rau cov ntaub so ntswg, uas ua rau cov nqaij mos necrosis.
Ib qho kev phom sij tshwj xeeb yog qhov xwm txheej uas hemorrhoids raug ua txhaum cai. Cov tsos mob ntawm tus mob no tshwm sim nyob rau thawj 48-72 teev. Lawv tau nthuav tawm nyob rau hauv daim ntawv ntawm cov ntshav tawm ntau, teeb meem nrog zis tshwm. Raws li qee tus neeg mob, lawv lub cev kub nce, thaum lub sijhawm defecation lawv hnov mob hnyav, zoo li, qhov tseeb, thaum tso zis. Qhov teeb meem ntawm hemorrhoids no tuaj yeem raug tshem tawm hauv tsev kho mob nkaus xwb. Thaum pib, kev ntsuas raug coj los daws cov txheej txheem inflammatory, tom qab ntawd lub pob tau teeb tsa.
Necrosis ntawm strangulated hemorrhoidal formations
Necrosis yog kev tuag ntawm cov ntaub so ntswg hauv cheeb tsam cuam tshuam. Feem ntau qhov no tshwm sim tom qab ua txhaum ntawm hemorrhoids. Lawv raug tsis lees paub vim tias lawv tsis tau txais zaub mov, cov ntshav ncig nres kiag li.
Muaj ob hom necrosis:
- ib nrab, uas lawv tuagtsuas yog qee qhov ntawm lub pob caus;
- puv, nyob rau hauv qhov xwm txheej no, tag nrho cov ntawm thiab cov cheeb tsam uas nyob ib sab raug tsis lees paub.
Tom qab ua tiav necrosis, cov kab mob ntxiv feem ntau tshwm nyob ze ntawm cov ntaub so ntswg tuag.
Cov tsos mob ntawm kev txhim kho necrosis yog:
- tseem tsw phem;
- xav txog yam khoom txawv teb chaws hauv qhov quav;
- tsaus nti ntawm ib qho lossis ib feem ntawm qhov ntawd;
- teeb meem nrog plab hnyuv;
- siab lub cev kub.
Tsis muaj kev kho mob rau necrosis feem ntau ua rau kev loj hlob ntawm paraproctitis thiab ntshav lom. Hauv qhov xwm txheej no, tsuas yog phais yuav pab tau.
Cov teeb meem ntawm hemorrhoids nyob rau hauv cov poj niam thiab cov txiv neej tuaj yeem tshwm sim raws li cov tsos mob ntawm purulent paug, uas yog nrog los ntawm ib tug muaj zog thiab tsis kaj siab tsw. Cov kev tso tawm no tau qhia meej meej tias cov txheej txheem inflammatory tau pib hauv lub cev tawm tsam keeb kwm ntawm tus kab mob sib kis, nws muaj peev xwm txawm tias paraproctitis twb pib lawm. Tus kab mob no tshwm sim los ntawm cov txheej txheem inflammatory nyob rau hauv cov ntaub so ntswg fatty ncig lub sphincter thiab qhov quav. Thaum lub sij hawm thaum lub sij hawm mob tshwm sim, kab noj hniav yog tsim uas muaj cov kua paug, ces fistulas tshwm, thiab cov kua paug tawm. Nws tseem yuav tsum nkag siab tias cov kab noj hniav zoo li no yuav tsis nruj ntawm lawv tus kheej.
Teeb meem tom qab kev phais
Puas muaj teeb meem tom qab tshem tawm hemorrhoids? Kev tshuaj xyuas tom qab phais feem ntauzoo. Ntau tus neeg mus tas li ntawm lawv lub neej tsis nco qab txog qhov teeb meem ntawm cov hlab ntsha hauv qhov quav thiab ua lub neej tag nrho. Tab sis, hmoov tsis, qhov no tsis yog ib txwm muaj. Nyob rau hauv txhua rooj plaub, kev phais yog ib txoj kev radical, thiab nws tuaj yeem ua rau muaj ntau yam teeb meem. Qhov tsis muaj teeb meem tom qab kev phais feem ntau yog nyob ntawm tus kws kho mob thiab qhov hnyav ntawm tus kab mob.
kev nyuaj siab
Cov teeb meem tshwm sim tom qab hemorrhoid ligation:
- Ishuria, lossis tso zis tso zis. Xws li qhov tshwm sim feem ntau tshwm sim hauv cov txiv neej thiab tshwm sim nws tus kheej kwv yees li 24 teev tom qab kev phais. Epidural anesthesia tuaj yeem dhau los ua qhov ua rau muaj qhov tshwm sim.
- Ntsuag. Feem ntau qhov no tshwm sim tawm tsam keeb kwm yav dhau los ntawm qhov tseeb tias tus kws kho mob tsis cauterize cov hlab ntsha zoo txaus. Hauv qhov xwm txheej zoo li no, tsuas muaj ib txoj hauv kev tawm - mus ntsib kws kho mob kom nws rov xaws cov hlab ntsha.
- Tawm ntawm qhov quav dhau ntawm qhov quav. Qhov teeb meem ntawm sab nraud hemorrhoids no tsawg heev thiab tshwm sim tsuas yog thaum tus kws phais ua yuam kev.
- Ntxoov qhov quav. Yog hais tias cov stitches siv tsis raug, qhov nqaim ntawm qhov quav yuav tshwm sim. Nws yuav tsis muaj peev xwm tshem tau qhov teeb meem ntawm koj tus kheej, koj yuav tsum tau ua cov leeg nqaij yas.
- Kab mob. Qhov teeb meem zoo li no tuaj yeem tshwm sim tsis tau tsuas yog los ntawm kev ua txhaum ntawm tus kws kho mob, tab sis kuj nyob rau hauv rooj plaub uas tus neeg mob tsis ua raws li cov cai ntawm kev nyiam huv thiab tsis siv tshuaj tua kab mob. Yog li ntawd, microbes nkag mus rau hauv lub qhov txhab, suppuration tshwm sim. Kev ntsuas kev kho mob muaj xws li kev siv cov tshuaj tua kab mob thiab tshuaj tua neegua raws li ntxuav cov seams.
- Fistulas. Qhov teeb meem ntawm sab hauv hemorrhoids yog qhov tsawg heev. Qhov laj thawj tseem ceeb yog tias tus kws kho mob tsis tas yuav ntes cov leeg hauv cov txheej txheem suturing qhov txhab. Yog tias tus kab mob tseem koom nrog qhov no, tom qab ntawd cov tubules pathological tshwm sim. Cov teeb meem zoo li no tuaj yeem kho tau raws li kev saib xyuas thiab ua haujlwm.
Thiab qhov teeb meem feem ntau hauv lub sijhawm tom qab phais yog mob. Tseeb tiag, hauv thaj tsam ntawm txoj hnyuv thiab lub qhov quav valve muaj ntau cov hlab ntsha xaus. Tshwj xeeb, cov tsos mob no yog ib qho zoo rau cov neeg uas muaj qhov mob tsawg. Koj tuaj yeem tshem tawm qhov teeb meem no tsuas yog siv cov tshuaj tua kab mob.
Raws li qee qhov kev tshuaj xyuas, tib neeg tau cem quav tom qab phais. Raws li kws kho mob, qhov no yog cem quav psychogenic, uas ua rau cov neeg muaj kev xav ntau dhau. Nws tsuas yog tias tom qab ua haujlwm lawv ntshai tsam mob, lawv txhawj xeeb heev thiab ua rau - cem quav.
Muaj lwm qhov teeb meem - rov qab los. Txawm hais tias qhov ua tau zoo tag nrho, tus neeg mob tau ua raws li tag nrho cov lus pom zoo, muaj peev xwm rov qab ua dua. Qhov ua rau rov qab los ntawm tus kab mob tuaj yeem yog pathology ntawm cov kab mob hauv nruab nrog cev, kev tawm dag zog lub cev muaj zog lossis teeb meem nrog kev tso quav. Tsis tas li ntawd, hemorrhoids yuav rov tshwm sim tom qab yug me nyuam los yog thaum muaj kab mob oncological tshwm sim hauv plab hnyuv.
Yuav ua li cas nkag siab tias qhov teeb meem tau pib?
Cov neeg uas muaj tus kab mob no paub txog cov tsos mob ntawm tus kab mob, yog li nws yooj yim heev rau lawv los txiav txim siab tias muaj teeb meem hemorrhoids pib. Cov tsos mob ntawm poj niam thiab txiv neejtsis txawv. Koj yuav tsum ceeb toom yog tias koj muaj teeb meem hauv qab no tom qab kev phais:
- purulent tawm ntawm qhov quav tshwm sim;
- mob ntev tshaj li ob lub lis piam ua ke;
- febrile mob;
- lub cev kub;
- los ntshav, tshwj xeeb tshaj yog ntawm plab hnyuv.
Kev Tiv Thaiv
Kom tsis txhob muaj teeb meem tom qab kev kho mob, ua ntej ntawm tag nrho cov, koj yuav tsum noj kom raug, ua txhua yam kom tsis txhob cem quav. Tsis txhob hnov qab txog cov txheej txheem tu cev tom qab ua qhov defecation. Yog tias kev ua haujlwm yog sedentary, ib ntus koj yuav tsum hloov txoj haujlwm ntawm lub cev kom tsis txhob muaj cov txheej txheem nyob rau hauv lub qhov quav thiab lub plab mog. Koj yuav tsum tswj cov theem ntawm kev ua si lub cev thiab tiv thaiv hypothermia ntawm lub cev.
