Ib yam kab mob uas tshwm sim hauv cov neeg laus yog hemorrhoids. Qhov no yog ib tug pathology uas tshwm sim los ntawm varicose leeg nyob rau hauv lub qhov quav thiab qhov quav. Hauv qhov no, kev tsim ntawm hemorrhoids tshwm sim (duab hauv qab no), uas tuaj yeem nyob hauv ob sab hauv thiab sab nraud. Kev kho tus kab mob tuaj yeem ua tau los ntawm ob qho tib si kev saib xyuas thiab kev phais.
Kev txhim kho mechanism
Nyob rau hauv cov phab ntsa ntawm lub qhov quav muaj ntau cov hlab ntsha, uas, thaum txuas, tsim plexuses hu ua cavernous lub cev. Feem ntau, cov ntshav nkag mus rau lawv los ntawm qis qis, tom qab ntawd nws ntws mus rau hauv qhov tsis zoo vena cava.
Raws li kev cuam tshuam ntawm ntau yam tsis zoo, cov ntaub so ntswg ua kua pib stagnate hauv lub cev cavernous. Tawm tsam keeb kwm ntawm cov txheej txheem no, cov phab ntsa ntawm cov hlab ntsha yog stretched, qee qhov ntawm lawv cov seem protrude sab nraud. Lawv thiabyog hemorrhoids.
Yog vim li cas
Raws li kev txheeb cais, kwv yees li 80% ntawm cov neeg laus hnub nyoog 25 txog 50 xyoo raug tus kab mob. Nws feem ntau kuaj pom hauv cov txiv neej.
Predisposing yam rau kev loj hlob ntawm hemorrhoids yog:
- Hereditary predisposition. Yog hais tias ib tug neeg ntawm tsev neeg tam sim no raug mob los ntawm hemorrhoids, qhov kev pheej hmoo ntawm tus kab mob no nce ntau.
- Hnub nyoog. Sij hawm dhau mus, cov hlab ntsha ua qis dua, cov txheej txheem yooj yim dua rau hauv lawv.
Ua kom muaj qhov tshwm sim ntawm hemorrhoids yog cov hauv qab no:
- Kev ua neej nyob. Thaum lub sij hawm ua haujlwm ntawm ib qho kev ua haujlwm ntawm lub cev muaj zog, ib qho kev cog lus ntawm cov leeg nqaij tshwm sim, vim tias cov ntshav ncig hauv lub plab mog thiab qis qis yog nrawm. Nyob rau tib lub sijhawm, cov ntaub so ntswg ua kua tsis stagnate hauv txhua qhov chaw. Nrog txoj kev ua neej nyob tsis muaj zog, cov ntshav sib sau hauv cov leeg, ua rau muaj cov hemorrhoids.
- Kev cem quav. Kev ua tsis tiav ntawm cov hnyuv ua rau qhov tseeb tias cov quav tau khaws cia hauv lub cev. Lawv sib sau thiab thaiv cov ntshav khiav, nyem cov hlab ntsha. Thaum lub sij hawm ua defecation, ntxiv kev raug mob rau lub mucous daim nyias nyias tshwm sim, uas ua rau muaj kev pheej hmoo ntawm kev tsim ib tug inflammatory txheej txheem. Tsis tas li ntawd, thaum tshem cov hnyuv, ib tug neeg yuav tsum tau strain, uas ntxiv rau cov ntshav ntws.
- Kev noj zaub mov tsis zoo. Yog tias tsis muaj dej txaus hauv kev noj haus thiabfiber ntau, tab sis tib lub sijhawm nws suav nrog cov khoom qab ntsev, cov kaus poom, ntsim thiab haus luam yeeb, nrog rau cov dej qab zib uas muaj carbonated thiab cawv, kev ua haujlwm ntawm cov kab mob hauv plab hnyuv tau cuam tshuam. Lub ntuj tshwm sim yog stagnation ntawm cov ntshav thiab tsim ntawm hemorrhoids.
- Nquag cev xeeb tub, yug menyuam. Thaum lub sij hawm yug me nyuam, lub tsev me nyuam loj tuaj thiab pib compress cov hlab ntsha nyob rau hauv lub me me pelvis. Tsis tas li ntawd, thaum cev xeeb tub, plab hnyuv ua haujlwm cuam tshuam, uas ua rau stagnation ntawm cov quav. Thaum yug me nyuam, cov poj niam raug yuam kom hnyav, uas tuaj yeem ua rau hemorrhoids.
- Txhawm cov khoom hnyav. Kev siv lub cev ua haujlwm siab, uas ob tus txiv neej thiab poj niam tau mus rau hauv lub gym, ua rau kom ntshav txaus thiab tsim kom muaj txiaj ntsig zoo rau kev tsim cov stagnation ntawm cov kua dej sib txuas.
- Kev ntxhov siab tas mus li lossis ua rau muaj kev ntxhov siab ntev.
Qee tus neeg tseem tsis paub tias lawv tsim hemorrhoids. Txhawm rau tiv thaiv kev hloov pauv ntawm tus kab mob mus rau daim ntawv tsis saib xyuas, nws yuav tsum tau sab laj nrog kws kho mob thaum thawj qhov tsis xis nyob.
Symptoms
Hemorrhoids muaj ob yam tsos mob tseem ceeb:
- Ntshav ntshav ua ntej, thaum lub sijhawm lossis tom qab lub plab zom mov. Cov kua dej sib txuas tshwm sim los ntawm microcracks hauv mucosa. Qee zaum, los ntshav yog khaus heev uas nws ua rauhlau deficiency anemia.
- Tshuaj hemorrhoids. Nyob rau tib lub sij hawm, muaj ib tug tsis muaj zog ntawm connective thiab cov leeg nqaij, thiab yog li ntawd cov formations pib hloov mus rau lub qhov quav. Nyob rau hauv kev cuam tshuam ntawm provoking yam, lawv poob tawm.
Ntau tus kab mob no nrog rau qhov mob, hnov lub cev txawv teb chaws hauv qhov quav, khaus, qhov hnyav hauv plab plab, kub hnyiab.
Hemorrhoids tuaj yeem yog sab hauv thiab sab nraud. Hauv thawj kis, pathology yuav muaj ntau theem ntawm kev loj hlob:
- I. Cov pob caus tsis mob, lawv tsis poob. Tom qab lub plab zom mov, koj tuaj yeem pom ob peb tee ntshav ntawm daim ntawv lossis ris tsho hauv qab.
- II. Nodes nce loj. Thaum lub plab zom mov, lawv yuav poob tawm, tab sis tom qab ntawd lawv rov pib dua lawv tus kheej.
- III. Knots protrude sab nraud. Tus neeg mob muaj peev xwm teem tau lawv tus kheej.
- IV. Cov nodes poob tawm. Nws yog tsis yooj yim sua kom teem lawv ntawm koj tus kheej. Cov tsos mob ntawm theem no tau hais.
Tus kab mob tuaj yeem ua rau mob hnyav thiab mob ntev. Hauv thawj kis, cov tsos mob tshwm sim tawm tsam keeb kwm yav dhau los ntawm pinching lossis thrombosis ntawm hemorrhoid. Daim ntawv mob ntev zuj zus thiab tsis nrog cov tsos mob tshwm sim.
Diagnosis
Thaum thawj cov tsos mob ntawm tus kab mob tshwm sim, nws yog ib qho tsim nyog mus ntsib kws kho mob. Nws yog txaus rau tus kws tshaj lij los ua qhov kev ntsuam xyuas sab nraud thiab kev kuaj lub qhov quav digital txhawm rau muab qhov tseebkev kuaj mob.
Yog tias tus kws kho mob kuaj pom muaj lwm cov kab mob pathological, nws tuaj yeem sau tshuaj ntsuam xyuas ntxiv:
- Anoscopy.
- Colonoscopy.
- kuaj ntshav.
- Fecal tsom xam.
Raws li cov txiaj ntsig ntawm kev kuaj mob, tus kws kho mob ua kom cov kev kho mob zoo tshaj plaws. Nyob ntawm theem ntawm tus kab mob, nws kuj txiav txim siab seb puas yuav tsum tau tshem tawm hemorrhoids.
kev kho mob zoo
Nyob rau theem pib ntawm kev loj hlob ntawm tus kab mob, nws tau pom tias ua cov dej num uas normalize digestive txheej txheem thiab tiv thaiv cem quav. Tsis tas li ntawd, nws tseem ceeb heev los tiv thaiv kev hloov pauv ntawm tus kab mob mus rau theem tom ntej.
Cov kev kho mob ntawm theem no suav nrog cov khoom hauv qab no:
- Tshuaj kho mob. Tus kws kho mob tau sau cov tshuaj uas txhim kho microcirculation ntawm cov kua dej sib txuas (piv txwv li, Detralex, Proctosedil), txo qhov mob thiab cov tsos mob tsis zoo (tswj tswm ciab "Relief", "Gepatrombin G"), cov tshuaj tua kab mob ("Lidocaine") thiab cov tshuaj hemostatic.
- Kho cov khoom noj. Tus neeg mob raug txwv tsis pub noj cov khoom haus luam yeeb, pickled thiab kaus poom, nrog rau haus dej haus cawv.
- Kho lub neej. Kev kho mob hemorrhoids yuav tsis ua haujlwm yog tias tus neeg mob tsis nce qib ntawm lawv lub cev ua haujlwm.
Nyob rau theem thib ob ntawm kev txhim kho pathology, kev siv cov tshuaj hauv qab no tau qhia:
- Txhim kho peristalsis. Feem ntauFeem ntau cov kws kho mob sau cov tshuaj Regulax.
- Txhim kho cov phab ntsa hlab ntsha (Detralex, Troxevasin).
- Tshem tawm qhov mob ("Ultraproject", "Nefluan", "Proctoglivenol").
- Txhim kho cov txheej txheem inflammatory ("Tseeb").
Nyob rau theem thib peb thiab thib plaub ntawm tus kab mob, cov txheej txheem kev saib xyuas kev kho mob tsis zoo lossis tsis ua kom tau txais txiaj ntsig. Hauv cov xwm txheej zoo li no, tus kws kho mob txiav txim siab txog kev tawm tswv yim los ntawm kev siv cov kev cuam tshuam me me lossis ua haujlwm kom tshem tawm cov formations.
kev kho mob phais
Tam sim no, ob txoj kev raug mob tsawg dua tau siv dav:
- Latex ligation ntawm hemorrhoids.
- Kev txiav txim siab.
Lub ntsiab lus ntawm thawj txoj kev yog raws li hauv qab no: los ntawm lub anoscope, nrog kev pab los ntawm ib tug ligator, ib lub nplhaib ua los ntawm latex yog pov mus rau qhov tsim. Tom qab li 2 lub lis piam, nws raug tso tseg ib txhij nrog cov ntaub so ntswg.
Ligation ntawm hemorrhoids muaj contraindications. Nws tsis yog tshuaj rau qhov quav fissures, paraproctitis thiab inflammatory dab nyob rau hauv lub qhov quav thiab perineum. Tsis tas li ntawd, cov txheej txheem tsis ua rau thrombosis ntawm hemorrhoids.
Nyob rau hauv lub xub ntiag ntawm cov saum toj no contraindications, cov hlab ntsha yog ligated, los ntawm cov formations yog nourished. Nyob rau tib lub sijhawm, lawv qhuav tawm, txo qhov loj me thiab raug tsis lees paub ntawm lawv tus kheej. Txoj kev no hu ua "desarterization of hemorrhoids".
Thaum kawgDaim ntawv tshaj tawm ntawm tus kab mob yog kev cuam tshuam kev phais. Nws tuaj yeem ua tau ntau txoj hauv kev:
- Excision with a scalpel.
- xov tooj cua wave method.
- Laser coagulation.
Kev xaiv ntawm txoj kev ncaj qha nyob ntawm qhov loj ntawm cov formations thiab tus kheej tus yam ntxwv ntawm kev noj qab haus huv ntawm txhua tus neeg mob. Yog tias koj ua raws li tus kws kho mob cov lus qhia nruj me ntsis, qhov kev pheej hmoo ntawm kev rov tsim cov hemorrhoids tom qab tshem tawm cov ntaub so ntswg yav tom ntej yuav txo qis.
Txoj kev ua neeg
Kev siv cov tshuaj lwm yam tshuaj tsis txwv qhov yuav tsum tau mus ntsib kws kho mob. Folk txoj kev yog tsis txwv, tab sis nws yog pom zoo kom xub tham nrog ib tug tshwj xeeb. Qhov no yog vim qhov tseeb tias qee cov tshuaj tuaj yeem ua rau cov kab mob phem zuj zus tuaj, ua rau muaj kev tsis haum tshuaj, lossis txo cov txiaj ntsig ntawm cov tshuaj.
Daim ntawv qhia ua tau zoo tshaj plaws:
- Noj 1.5 tbsp. l. crushed nplooj ntawm St. John lub wort, ncuav lawv nrog 200 ml ntawm boiling dej. Muab lub thawv rau hluav taws rau 10 feeb. Tom qab lub sij hawm teev, txias lub broth, lim. Txhais tau hais tias noj peb zaug ib hnub twg, 70 ml ua ntej noj mov. Ua raws li tib lub algorithm, koj tuaj yeem npaj cov decoction ntawm mountaineer, sage lossis chamomile.
- Ncua 10 txhais tes ntawm nplooj birch. Ncuav 5 litres ntawm boiling dej rau lawv. Cia cov khoom brew rau 15 feeb. Tom qab ntawd, cov kua yuav tsum tau nchuav rau hauv ib da dej uas muaj dej. Tom qab ntawd koj yuav tsum raus koj tus kheej hauv nws li 15 feeb. Cov txheej txheem raug pom zoorov ua dua txhua hnub.
- Melt vaseline tswm ciab hauv da dej. Ntxiv rau lawv 1 tbsp. l. propolis extract (yav dhau los crushed). Sib tov cov khoom xyaw kom huv si. Los ntawm lub resulting loj, nws yog tsim nyog los tsim suppositories rectal. Tom qab ntawd lawv yuav tsum tau muab tso rau ntawm ib daim ntawv ntawm parchment thiab muab tso rau hauv lub tub yees. tswm ciab yog npaj siv tom qab hardening. Lub sijhawm kho yog 10 hnub. 1 suppository yuav tsum tau txhaj rau hauv qhov quav thaum hmo ntuj.
Kev txiav txim los ntawm kev tshuaj xyuas, cov hemorrhoids me me daws qhov keeb kwm yav dhau los ntawm kev siv lwm cov tshuaj. Cov kws kho mob ntseeg hais tias nws yog ib qho tsim nyog yuav tsum tig mus rau pej xeem txoj kev tsuas yog nyob rau hauv thawj theem ntawm kev loj hlob ntawm tus kab mob.
Txhais tau
Qhov muaj cov hemorrhoids sab hauv thiab sab nraud ua rau tus neeg mob lub neej zoo. Tsis tas li ntawd, thaum tsis muaj kev kho mob raws sijhawm, kev pheej hmoo ntawm kev tsim cov teeb meem loj zuj zus ntxiv.
Kev tsis quav ntsej qhov teeb meem ua rau kev puas tsuaj ntawm cov ntaub so ntswg ntawm lub plab me me. Fecal pawg, dhau los ntawm txoj hnyuv, ua rau muaj kev pheej hmoo ntawm kev kis kab mob, txij li cov khoom kawg ntawm cov haujlwm tseem ceeb ntawm tib neeg lub cev muaj cov kab mob, microbes thiab fungi. Feem ntau, cov kab mob nyob ze tau koom nrog cov txheej txheem inflammatory.
Ntxiv rau, hemorrhoids, yog tias tsis kho, ua rau cov kab mob hauv qab no:
- Thrombosis ntawm nodes. Feem ntau hloov mus ua necrosis, uas yog kev hem thawj rau lub neej.
- qhov quav fissures.
- Paraproctitis. Nws yog ib qho teeb meemNws tshwm sim los ntawm kev tsim thiab tsub zuj zuj ntawm cov kua paug hauv qhov quav.
- ntshav qab zib. Nws tsim tawm tsam keeb kwm ntawm kev los ntshav tas li.
Yuav kom zam tau qhov teeb meem no, tsis txhob kho tus kheej.
Kev Tiv Thaiv
Txhawm rau tiv thaiv kev txhim kho tus kabmob, yuav tsum ua raws li cov cai hauv qab no:
- Tsis txhob cem quav. Ua li no, koj yuav tsum tau kho cov zaub mov raws li cov hauv paus ntsiab lus ntawm kev noj qab haus huv thiab tsis txhob hnov qab txog kev haus dej haus.
- Ua raws li kev cai huv huv. Nws yog ib advisable mus ntxuav lub perineum tom qab txhua yam ntawm defecation. Thaum pib, cov kws kho mob pom zoo kom tso tseg kev siv cov ntaub so ntswg. Nws tuaj yeem hloov tau los ntawm kev ntxuav nrog dej sov.
- Txhua lub lim tiam, da dej nrog ntxiv ntawm poov tshuaj permanganate. Lub sijhawm ua kua dej tsuas yog 2-3 feeb xwb.
Ua raws li cov cai no tsis tu ncua, koj tuaj yeem txo qhov kev pheej hmoo ntawm kev tsim hemorrhoids kom tsawg.
In xaus
Varicose veins hauv qhov quav thiab qhov quav ua rau feem ntau ntawm cov neeg hauv ntiaj teb. Hemorrhoids yog ib hom kab mob pathology uas tuaj yeem loj hlob qeeb thiab sai. Thaum pib, cov neeg mob, raws li txoj cai, tsis hnov cov tsos mob tshwm sim. Thaum lub sij hawm, qhov kev siv ntawm lawv tshwm sim nce, muaj ib tug prolapse ntawm hemorrhoids mus rau sab nraud. Thaum thawj cov cim ceeb toom tshwm sim, nws raug nquahu kom sab laj nrog kws kho mob. Raws li qhov tshwm simkev kuaj mob, nws yuav ua kom txoj kev kho mob zoo tshaj plaws.
