Thrombosed hemorrhoids yog ib qho ntawm cov kab mob uas tshwm sim hauv txhua peb tus neeg nyob hauv ntiaj teb. Thawj theem ntawm txoj kev loj hlob ntawm tus kab mob no feem ntau yog khaus thiab hnov qhov hnyav. Nyob rau hauv rooj plaub ntawm kev kuaj mob thiab pib kho kom raug, tus neeg mob tsis muaj kev cuam tshuam tsis zoo. Hauv lwm qhov xwm txheej, pathology nce thiab dhau mus rau hauv daim ntawv nyuaj, uas ua rau muaj cov ntshav txhaws, uas tshwm sim los ntawm kev puas tsuaj rau cov leeg. Qhov no provokes o thiab o ntawm cov nodes, raws li ib tug tshwm sim ntawm uas ib tug neeg xav tias ib tug muaj zog mob syndrome.
Qhov laj thawj tseem ceeb ntawm pathology
Thrombosed hemorrhoids yog ib hom kab mob sab nraud, qhov tshwm sim uas cuam tshuam los ntawm cov yam xws li:
- Teeb meem nrog plab hnyuv. Qhov ua rau ntawm pathology yog suav tias yogfeem ntau. Qhov teeb meem feem ntau tshwm sim vim qhov hnyav, ntev lossis pheej rov tshwm sim cem quav. Vim tias tom kawg, tus neeg mob pib khoob nws lub cev nrog rau kev siv zog. Yog li ntawd, cov quav tawv tuab nias rau ntawm cov hlab ntsha, yog li provoking lawv kev puas tsuaj thiab ntshav stasis. Thaum lub sij hawm, nws pib thicker, uas yog vim li cas cov ntshav txhaws tshwm nyob rau hauv nws.
- Kev xeeb tub. Cov txheej txheem no txawv nyob rau hauv uas tus poj niam yog tas li nce qhov hnyav ntxiv. Nws yog ib qho tseem ceeb thiab tseem ceeb load, uas tuaj yeem ua rau muaj kev puas tsuaj loj rau cov hlab ntsha. Qhov no, nyob rau hauv lem, provokes tsim cov ntshav txhaws. Muaj ntau qhov kev phom sij tuaj yeem tshwm sim thaum cev xeeb tub thaum thrombosed hemorrhoids tshwm sim ntxov.
- kev ua koob tsheej. Kev yug menyuam ntuj muaj ntau qhov chaw ntawm tus poj niam lub cev. Qhov no siv rau qhov chaw mos, tsev menyuam thiab qhov quav. Cov leeg nro hauv lawv tawm tsam keeb kwm yav dhau los ntawm kev ntxhov siab thiab siab uas tus me nyuam hauv plab ua rau, provokes nqaij puas, ntshav stasis thiab pom cov ntshav txhaws.
Thrombosed hemorrhoids qee zaum ploj ntawm lawv tus kheej tom qab yug menyuam. Ua ntej, qhov mob tau txo qis hauv ib lub lis piam, thiab qhov o ploj hauv ob peb lub hlis.
Symptoms of disease
Ob hom mob hemorrhoids yog qhov tshwm sim los ntawm cov tsos mob tsis zoo, uas nws tsim nyog ua tib zoo saib xyuas cov cim xws li:
- Tsis xis nyob hauv qhov quav. Qhov no yogvim qhov tseeb tias hemorrhoids tawm ntawm lub qhov quav nqa cov hnoos qeev los ntawm txoj hnyuv mus rau ntawm daim tawv nqaij. Qhov no, nyob rau hauv lem, provokes maceration. Nws qhia txog kev ua txhaum ntawm kev ncaj ncees ntawm hyperemia thiab o. Feem ntau qhov teeb meem phem zuj zus vim yog siv cov tshuaj pleev ib ce. Nws tuaj yeem yog ob qho tib si qhov quav suppositories thiab ntau yam tshuaj pleev. Feem ntau cov neeg kho thrombosed sab nraud hemorrhoids nyob hauv tsev. Kev tshuaj xyuas cov tshuaj tsis yog lub hauv paus ntawm kev kho mob, vim tias txhua yam kabmob yog tus kheej.
- o ntawm qhov quav. Cov tsos mob no txawv ntawm tus neeg mob pom tias nws yog qhov tshwm sim ntawm kev xav hnyav. Yog li ntawd, nws pheej muaj lub siab xav ua kom nws cov hnyuv. Qhov teeb meem no feem ntau yog nrog los ntawm prolapsed nodes, los ntshav thiab secretion ntawm mucous masses.
- Mob hauv plab plab tshwm sim nrog mob sab nraud thrombosed hemorrhoids. Daim ntawv ntev ntawm tus kab mob provokes pronounced tsis xis nyob. Lawv tuaj yeem ua rau hnyav dua thaum lub plab zom mov thiab hauv qee qhov chaw ntawm lub cev ntawm tus neeg mob.
Kev txiav txim siab seb tus neeg puas muaj hemorrhoids yog qhov yooj yim heev. Qhov no yog vim tsis tsuas yog cov tsos mob pom tseeb heev, tab sis kuj rau cov yam ntxwv sab nraud ntawm qhov tshwm sim ntawm tus kab mob.
Ntau yam hemorrhoids
Tam sim no, cov kws tshaj lij paub qhov txawv tsuas yog ob hom hemorrhoids ntawm lub hauv paus no, qhov chaw tshwm sim:
- Internal hemorrhoids. Nyob rau hauv cov ntaub ntawv no, lub node yog tsim los ntawm ib feem ntawm lub nkoj, uas yog nyob ncaj qha rau hauv lub qhov quav nws tus kheej.mob. Raws li qhov tshwm sim, tom kawg muaj kev xav tias nws muaj ib yam khoom txawv teb chaws hauv nws qhov quav. Lub mucous daim nyias nyias swells thiab tig liab. Hauv qhov xwm txheej hnyav tshaj plaws, pob qhov rooj yuav poob tawm.
- Nco ntsoov hauv daim duab ntawm cov hemorrhoids thrombosed, pob khaus pom, uas nyob sab nraum qhov quav. Lawv nyob ib puag ncig nws qhov qhib los ntawm ib lossis txhua sab. Xws li formations yog ib qho yooj yim thiab yooj yim mus ntes. Lawv txawv ntawm qhov ntom, qhov loj me thiab qhov muaj peev xwm ntawm kev soj ntsuam. Thaum kov cov chaw ntawm cov hlab ntsha puas, tus neeg mob yuav hnov qhov tsis xis nyob thiab mob. Vim muaj tus kab mob, nws nyuaj rau kev tawm dag zog, taug kev, lossis tsuas yog nyob hauv qee txoj haujlwm.
Txoj kev kho tus neeg mob ntxiv yog nyob ntawm hom hemorrhoids, piv txwv li, siv qee yam tshuaj.
kev kho mob yooj yim
Ntawm cov txheej txheem ntawm kev kho cov hemorrhoids thrombosed, kws kho mob paub qhov txawv ntawm kev siv tshuaj kho mob, kev kho pej xeem thiab kev phais. Tag nrho cov txheej txheem no yog qhov txawv los ntawm lawv cov kev ua tau zoo thiab kev ntseeg tau ntawm kev siv. Nws yog nyob ntawm tus neeg mob tus kws kho mob tom qab kuaj xyuas seb qhov kev kho mob twg yog qhov tsim nyog tshaj.
Kev saib xyuas thiab tshuaj kho mob
Kev siv txoj hauv kev ntawm kev saib xyuas kev kho mob tsuas yog tshwm sim thaum tus neeg mob thrombosis tsis dhau. Kev kho mob hauv qhov xwm txheej no suav nrog kev siv tshuaj xws li:
- Heparin-based anticoagulants. Lawv qhov kev ua yog vim qhov inhibition ntawm cov ntshav txhaws. Vim li no, cov ntshav txhaws tshiab tsis tsim. Tsis tas li ntawd, cov hlab ntsha qub tuaj yeem yaj. Cov coagulants zoo tshaj plaws yog Hepatrombin G, Hepazolon, Nigepan thiab Viathromb.
- Phlebotonics. Ib qho tshwj xeeb ntawm cov tshuaj no yog lawv cov txiaj ntsig ntawm kev tawm ntawm cov ntshav venous. Yog li ntawd, nws liquefies, ntxiv dag zog rau cov hlab ntsha thiab tshem tawm qee qhov tsis xis nyob. Ntawm cov phlebotonics, feem ntau, cov kws kho mob muab tshuaj Detralex, Venarus, Antistax, Phlebodia thiab Glivenol.
- Tshaj tawm. Lawv pab tshem tawm qhov mob syndrome ntawm sab nraud thrombosed hemorrhoids. Feem ntau, "Analgin", "Nimesulide", "Paracetamol" lossis "Ibuprofen" raug pom zoo.
Ntxiv thiab, cov kws kho mob pom zoo kom cov neeg mob ua rau lawv cov quav. Txhawm rau ua qhov no, koj yuav tsum xaiv cov khoom noj uas tsim nyog, lub sijhawm noj mov thiab txoj hauv kev kom koj lub plab zom mov kom raug.
kev kho neeg zoo
Ua ntej ntawm tag nrho cov, nrog thrombosed hemorrhoids, cov kws kho mob pom zoo kom siv da dej sov nrog tshuaj ntsuab. Lawv pab txo qhov mob thiab tshem tawm qhov mob.
dej sov tuaj yeem ua rau cov leeg leeg, thaum dej txias tuaj yeem txhim kho kev ncig. Txoj kev no yog contraindicated yog tias tus neeg mob muajib tug neeg muaj qhov kub thiab txias.
Ib txoj kev uas txo qhov mob
Feem ntau, siv cov tshuaj pleev xim chamomile es tsis txhob da dej. Qhov no pej xeem txoj kev yuav pab daws cov txheej txheem inflammatory. Tsis tas li ntawd, nws txhawb kev kho qhov txhab. Kev siv cov qauv no tsis tu ncua ua rau tshem tawm khaus, hlawv thiab tsis xis nyob. Cov txheej txheem ntawm kev kho mob thrombosed hemorrhoids yuav tsum tau tswj los ntawm kws kho mob.
Surgery
Yog hais tias hemorrhoids nyob rau hauv ib tug neeg mob yog nyob rau theem uas conservative txoj kev kho tsis pab, cov kws kho mob txiav txim siab txog qhov yuav tsum tau rau kev phais. Nws tuaj yeem yog hom hauv qab no:
- Thromboectomy. Nws suav nrog kev txiav tawm ntawm cov leeg ntawm cov hlab ntsha uas lawv tsim. Vim lub fact tias cov txheej txheem no tsis mob, nws yog ua nyob rau hauv lub zos tshuaj loog. Tus neeg mob yuav tsum pw ntawm nws sab xis nrog nws ob txhais ceg hauv qab nws. Lub thrombus tawm los ntawm cov node ntawm nws tus kheej tom qab tus kws kho mob ua ib tug me me incision. Yog tias qhov no tsis tshwm sim, siv cov clamps phais tshwj xeeb.
- Hemorrhoidectomy. Txoj kev radical no tsuas yog siv tom qab tag nrho lwm txoj hauv kev tsis muaj txiaj ntsig. Tus neeg mob tau ua haujlwm nyob rau hauv txoj haujlwm Trendelenburg. Tus neeg mob nyob rau hauv rooj plaub no nyob ntawm nws nraub qaum ntawm lub kaum sab xis ntawm 45 degrees. Nws ob txhais taw yuav tsum nyob ntawm qhov chaw. Kev ua haujlwm suav nrog cov ntaub qhwv los yog ua tiav ntawm qhov chaw puas. RauQhov no siv lub tshuab high-precision, electroscalpel lossis laser.
Ib daim duab ntawm sab nraud thrombosed hemorrhoids feem ntau ntshai cov neeg mob, yog li lawv tham nrog kws kho mob kom raws sijhawm thiab ua kev kho mob txhawm rau tiv thaiv kev phais. Kev xaiv ntawm ib los yog lwm txoj kev ntawm kev txiav tawm ntawm lub thrombus nyob ntawm ntau yam, nrog rau kev kho mob ntawm tus neeg mob.
Muaj Teeb Meem
Ntawm cov teeb meem tseem ceeb ntawm kev txhim kho hemorrhoids thaum kho tsis tau sijhawm, cov kws tshaj lij paub qhov txawv hauv qab no:
- Tissue death. Qhov no tshwm sim vim tsis zoo ncig ntawm lub qhov quav.
- Sepsis. Cov kab mob nyob hauv thaj chaw cuam tshuam tuaj yeem kis tau los ntawm cov hlab ntsha thoob plaws lub cev. Qhov no ua rau muaj kab mob ntawm txhua lub cev yam tsis muaj kev zam.
- Qhov tshwm sim tuag. Kev tuag tshwm sim thaum cov ntaub so ntswg tuag ntau dhau lawm.
Ntau tus neeg txhawj xeeb txog kev kho mob hemorrhoids li cas. Cov lus nug no tsuas yog teb tau los ntawm kws kho mob tom qab kuaj xyuas tus neeg mob ua tiav. Txhawm rau kom tsis txhob muaj teeb meem tshwm sim, nws yog ib qho tseem ceeb heev uas yuav tau pib kho cov hemorrhoids raws sij hawm tom qab thawj cov tsos mob.
ntsuas kev tiv thaiv
Rau cov cai yooj yim rau kev tiv thaiv hemorrhoids, kws kho mob suav nrog:
- khoom noj kom raug;
- kev ua lub cev;
- zoo so;
- ua raws txhua qhov kev pom zoo ntawm kws kho mob, thiab lwm yam.
Tsis muaj teeb meem koj yuav tsum tsis txhob sab laj nrog kws kho mob. Yog kuaj tau raws sijhawmhemorrhoids, nws txoj kev kho yuav siv sij hawm tsawg kawg nkaus.
Proctologist's xaus
Txhua hom hemorrhoids cuam tshuam rau kev noj qab haus huv thiab ua tiav txoj kev ua neej. Qhov kev xav tsis tu ncua ntawm khaus thiab kub hnyiab ua rau muaj kev tsis xis nyob. Yog tias ib qho ntawm cov tsos mob tshwm sim, koj yuav tsum tau mus ntsib kws kho mob tam sim ntawd thiab mus kuaj. Tus kab mob no zoo zuj zus mus thiab mus rau hauv cov ntaub ntawv complex. Lub hemorrhoid tuaj yeem loj hlob mus txog qhov loj ntawm walnut. Hauv qhov no, kev kho tshuaj yuav tsis ua haujlwm zoo. Thaum tus kab mob siab heev, siv txoj kev phais.
Nyob rau hauv cov txheej txheem ntawm kev kho cov kab mob thrombosed sab nraud, nws yog ib qho tseem ceeb kom tswj tau cov khoom noj kom raug. Koj yuav tsum paub tias kev cem quav tsis zoo provokes kev loj hlob ntawm tus kab mob no. Nws tsis pom zoo kom siv cov khoom qab zib thiab hmoov nplej, vim tias lawv ntxiv dag zog rau cal.
Note to patient
Kev kho mob yuav tsum tau muab tshuaj nruj me ntsis los ntawm kws kho mob, vim tias kev noj tshuaj rau tus kheej yuav ua rau mob. Ua ntej pib txoj kev kho mob, daim ntawv thiab theem ntawm mob thrombosed hemorrhoids yuav tsum tau txiav txim siab. Yog hais tias hemorrhoids yog sab hauv, ces kev kho mob yog nqa tawm siv suppositories uas txo o thiab o. Nrog hais tawm sab nraud hemorrhoids, tshuaj pleev yuav tsum tau siv. Nws yog ib advisable mus ntxig hiav txwv buckthorn suppositories rau hauv lub qhov quav nrog hemorrhoids tsuas yog thaum hmo ntuj, txij li thaum lawv zoo li to. Nyob rau hauv tus txheej txheem ntawm kev kho mob, nws yog txwv tsis pub mus koom nyob rau hauv lub cev kev kawm ntawv thiab nqa hnyav, vim hais tias muaj zog siab ntawm lub plab hnyuv siab raum tuaj yeem ua rau muaj teeb meem. Muab qhov tseeb tias raws plab ua rau hemorrhoids, nws tsis pom zoo kom siv laxatives rau cem quav. Prunes, qhuav apricots thiab fermented mis nyuj cov khoom muaj txiaj ntsig zoo rau kev ua haujlwm ntawm plab hnyuv thiab tawm tsam cem quav. Cov kab mob thrombosed hemorrhoid node ua rau muaj qhov tsis xis nyob, txhawm rau txhawm rau txo qhov mob tom qab lub plab zom mov, cov kws kho mob pom zoo kom ntxuav nrog dej txias tom qab tshem tawm cov txheej txheem.
