Hemorrhoids yog ib yam kab mob uas tshwm sim vim qhov tsis muaj zog ntawm cov phab ntsa ntawm cov leeg hauv qhov quav. Nws tuaj yeem tshwm sim hauv cov poj niam thiab txiv neej. Pib los ntawm theem ob ntawm tus kab mob, lub qhov quav pib poob tawm, qhov mob tshwm sim, ntshav tawm, thiab hemorrhoids daim ntawv. Cov kab mob no tsis yog ib yam txaus ntshai: cov kev kho niaj hnub no ua rau nws yooj yim heev los daws nws. Yuav ua li cas yog hemorrhoid poob tawm, cov duab ntawm qhov tshwm sim thiab cov tshuaj kho mob tau nthuav tawm hauv kab lus no.
Kev faib cov kab mob hemorrhoidal
Nyob ntawm hom thiab theem ntawm tus kab mob, cov tsos mob thiab kev kho mob yuav txawv. Yog hais tias tus kab mob no khiav, tsuas yog phais yuav pab.
Cov tsos mob uas feem ntau tso cai rau peb hais tias qhov ua rau mob yog kab mob hemorrhoidal:
- khaus ntawm qhov quav;
- ntshavtom qab thiab thaum lub sij hawm tso zis;
- nrawm cem quav;
- qhov quav prolapse;
- knots ntawm qhov chaw ntawm qhov quav;
- tas li ntawm plab hnyuv puv;
- mob thaum lub plab zom mov.
Tshuaj cais peb hom hemorrhoids:
- sab hauv, uas ua rau cov hlab ntsha, cov hlab ntsha thiab cov hlab ntsha loj hlob hauv qhov quav;
- external, uas hemorrhoids ntog tawm, qhov quav;
- mixed, uas yog qhov sib xyaw ua ke ntawm cov tsos mob ntawm cov ntaub ntawv sab hauv thiab sab nraud.
Txhua daim ntawv tuaj yeem kho tau zoo nrog tshuaj. Kev kho mob ceev tshaj plaws yog nyob rau thawj theem. Yog tias tus neeg mob tau mus txog theem peb ntawm tus kab mob, ces kev kho mob phais feem ntau tsim nyog. Yog hais tias lub hemorrhoid poob loj heev, nws yuav tsum tau muab tshem tawm; yog hais tias nws yog me me (txog li ib centimeter inch), nws tsuas yog txiav tawm nrog ib tug scalpel. Qhov no yog ib qho haujlwm yooj yim thiab ua raws li kev tshuaj loog hauv zos.
Kev kho mob nyuaj dua yog tias cov hemorrhoids sab hauv yog qhov nyuaj los ntawm cov txheej txheem nodular. Thaum tsis muaj kev kho mob txaus ntawm thawj theem thiab theem ob ntawm tus kab mob, yuav tsum tau ua haujlwm nyuaj, thaum tus neeg mob tau txhaj tshuaj loog.
Symptoms of external hemorrhoids
Rau sab nraud, lossis, raws li nws tseem hu ua, sab nraud, hemorrhoids, cov tsos mob hauv qab no yog yam ntxwv:
- nyob rau theem pib - mob hauv qhov quav, uas hnov thaum straining;
- los ntshav thiab hnoos qeev thaum tso zis;
- nyob rau theem ob, ib qho hemorrhoid tshwm sim, uas yog pob ntshav ntawm daim tawv nqaij, qhov kov uas mob heev;
- thaum tsis muaj kev kho mob txaus, tus naj npawb ntawm cov nodes yuav nce, qee zaum nws tuaj yeem ncav cuag 8-10 daim;
- mob ntawm lub cev cavernous;
- khaus thiab kub hauv qhov quav;
- venous thrombosis.
Cov neeg mob feem ntau txaj muag tig mus rau tus kws kho mob nrog cov teeb meem me me thiab sim kho lawv tus kheej. Prolapsed hemorrhoids tuaj yeem "shov" rov qab rau hauv qhov quav - thiab kwv yees li 60% ntawm cov neeg mob ua li ntawd kom txog thaum tus kab mob mus rau theem thib peb. Nyob rau hauv cov ntaub ntawv no, cov nodes loj hlob mus rau ib tug tag nrho cheeb tsam ntawm 5-8 square meters. cm thiab ua rau mob heev.
Qee tus neeg mob noj cov tshuaj loog muaj zog mus txog qhov kawg. Tab sis dhau sij hawm, lawv tsis pab. Nyob rau theem thib peb ntawm hemorrhoids sab nraud, tus neeg mob tsuas muaj ib txoj hauv kev tawm - mus rau kev kho mob phais.
Kev piav qhia theem ntawm cov hemorrhoids sab nraud
Proctology txawv peb theem:
- Thaum thawj kev kho mob, txawm tias pej xeem txoj kev tuaj yeem ua tau - thiab nws yuav ua tau zoo. Cov nodules tseem me me - txog li ob peb millimeters nyob rau hauv txoj kab uas hla, tab sis lawv twb pom lawm thiab twb ua mob rau lawv tus tswv.
- Nyob rau theem thib ob, cov node nce hauv txoj kab uas hla, nws muaj cov neeg nyob ze - tib yam, tseem me me nodules uas muaj ntshav. Mob heev ntawm palpation. Txhua qhov kev mus rau chav dej yog qhov tsis yooj yim.
- Nyob rau theem peb, cov nodes coalesce mus rau hauv ib tug ntom tsim nrog infiltrate, ib tug loj inflammatory txheej txheem tsim. Yav dhau los poob nodes pib decompose. Nyob rau hauv cov ntaub ntawv no, qhov o nce mus rau lub qhov quav. Nyob rau theem no, hemorrhoids tsis poob lawm.
Yuav ua li cas kho cov hemorrhoids sab nraud yog tias nws tau mus txog theem peb? Tsuas yog phais yuav pab tau. Cov neeg mob tsis tas yuav txhawj txog lawv txoj kev noj qab haus huv. Kev ua haujlwm tau muab tso rau hauv kwj tau ntev thiab tsis muaj teeb meem loj rau kev noj qab haus huv thiab kev noj qab haus huv.
Cov teeb meem tshwm sim ntawm sab nraud hemorrhoids yog o ntawm corpora cavernosa thiab venous thrombosis. Lawv tuaj yeem kuaj tau tib lub sijhawm. Thrombosis tsim nyob rau hauv ib qho ntawm cov hemorrhoids. Tus neeg mob muaj qhov mob hnyav, nws tuaj yeem tshwm sim tom qab kev tso quav los yog ntawm nws tus kheej. Qhov mob hnyav tsis yog nyob ntawm seb tus mob hemorrhoidal thrombosis.
Thaum hu rau tus kws kho mob proctologist, kuaj pom thiab palpation ntawm hemorrhoid prolapsed (duab hauv qab). Nws yog cov pob liab liab nyob rau hauv daim tawv nqaij, nyob rau hauv uas muaj ntshav thiab o nyob ze nws, uas maj mam kis mus rau tag nrho cov perianal cheeb tsam. Thaum nias tus ntiv tes rau ntawm lub pob, tus neeg mob ntsib qhov mob hnyav heev. Ntev thrombosis yog ib txwm nrog o, yog li yuav tsum tau siv cov tshuaj tshwj xeeb.
Vim txoj kev poobhemorrhoids
Cov laj thawj:
- kev ua neej nyob;
- tsis muaj kev kawm lub cev hauv tus neeg mob lub neej, vim tias cov ntshav stagnation tshwm sim hauv cov plab hnyuv siab raum, suav nrog lub qhov quav;
- qaug zog ntawm cov phab ntsa ntawm cov hlab ntsha thiab cov hlab ntsha;
- ntshav ntshav tseem cuam tshuam rau kev loj hlob ntawm cov hemorrhoids sab nraud - koj yuav tsum haus cov tshuaj kom nyias nyias ib ntus.
Tag nrho cov laj thawj no ua rau qeeb qeeb lossis sai dua rau ib qho txiaj ntsig, vim tias hemorrhoids poob tawm. Stagnation ntawm cov ntshav nyob rau hauv lub plab mog thiab nyob rau hauv lub qhov quav provokes ib tug ua txhaum ntawm lub outflow ntawm cov hlab ntsha vim congenital los yog kis tsis txaus ntawm cov phab ntsa venous. Yog tias tus neeg mob coj txoj kev ua neej nyob hauv lub cev, tsis tsim txom cawv thiab khoom noj khoom haus, cov txheej txheem zoo li no yuav tsis txhim kho tsuas yog vim muaj teeb meem ntawm cov hlab ntshav yuav tsis pib.
Txoj kev kho mob niaj hnub no
Hemorrhoid poob tawm: yuav ua li cas? Cov lus nug no raug nug los ntawm kaum tawm txhiab tus neeg txhua hnub. Qhov teeb meem ntawm sab nraud hemorrhoids yog heev, tab sis nws yog ilv thiab " txaj muag", yog li cov neeg nyob twj ywm nyob rau hauv lub xeem thiab nyiam mus kho nyob rau hauv tsev. Qee lub sij hawm cov tshuaj siv tshuaj pab tau, thiab qee zaum lawv tsis muaj txiaj ntsig. Tus kab mob kis mus rau qhov thib ob, thiab tom qab ntawd mus rau theem thib peb. Yog li ntawd, lo lus teb rau lo lus nug "Ib hemorrhoid poob tawm: yuav ua li cas?" tsuas yog ib qho yog hu rau tus kws kho mob-tus kws phais.
Ua ntej ua haujlwm, ua tiav kev kuaj xyuas lub cev. Yog tias pom muaj contraindications rau kev txiav tawm thiab tshem tawm hemorrhoids, koj yuav tsum xub sim cov kev kho mob tsawg kawg nkaus.
Contraindications suav nrog cov xwm txheej hauv qab no:
- mob ntshav qab zib mellitus-insulin-dependant;
- kab mob oncological;
- cev xeeb tub;
- plawv tsis ua hauj lwm thiab qee yam kab mob plawv;
- HIV thiab AIDS;
- muaj peev xwm los ntshav sab hauv.
Vim qhov tseeb tias cov neeg mob feem ntau tig mus rau tus kws kho mob twb nyob rau theem thib peb ntawm cov hemorrhoids sab nraud, kev phais yog tsim nyog hauv 50% ntawm cov neeg mob. Qee lub sij hawm nws tuaj yeem hloov nrog kev kho mob tsawg kawg nkaus. General lossis hauv zos tshuaj loog - qhov kev xaiv no tsis yog nyob ntawm tus neeg mob, tab sis ntawm tus kws kho mob. Yog tias qhov mob ntawm cov pob no tau nce mus rau qhov quav, ces yuav tsum tau siv tshuaj loog.
Minimal intervention techniques
Cov no yog txoj hauv kev tsis mob rau tshem cov nodes siv cov cuab yeej niaj hnub:
- Sclerotherapy yog qhia rau cov neeg mob uas tsis muaj ntshav khov, ntshav qab zib. Nws yog nqa tawm feem ntau nyob rau theem ob ntawm tus kab mob. Tso cai rau koj kom tshem tau qhov mob hauv ib txoj kev. Nws tau ua tiav hauv cov chaw kho mob ntiag tug thiab hauv tsev kho mob pej xeem.
- Infrared coagulation yog ib txoj hauv kev niaj hnub thiab tsis mob ntawm kev pab yog tias hemorrhoids poob. Pab kom tshem tawm los ntshav thiab mob, lub pob ntawm nws tus kheej yuav nyob twj ywm. Nws yog nqa tawm siv ib tug tshwj xeeb apparatus - ib tug photocoagulator. Tus kws phais neeg hla lub ntsis los ntawm lub anoscopeapparatus ncaj qha mus rau cov nodes ntawm sab nraud hemorrhoids. ib qho kev ua zoo ib yam li cov hluav taws xob laser tau ua, vim qhov kev pab cuam tshwm sim.
- Ligation nrog latex rings tso cai rau koj tshem tawm cov pob caus. Lawv raug rub nrog lub cuab yeej tshwj xeeb, lub nplhaib latex muab tso rau ntawm lub hauv paus, uas yog compressed kom nruj li sai tau. Yog li ntawd, cov ntshav tau nres. Lub pob caus ntog nrog lub nplhaib, thiab cov pob txha ntawm cov ntaub so ntswg tseem nyob ntawm qhov chaw tsis lees paub.
Suppositories thiab tshuaj los txo cov tsos mob
thawj theem ntawm hemorrhoids tuaj yeem nyob tau ntau xyoo. Tab sis feem ntau, thaum tsis muaj kev kho mob, tus neeg mob tau ntsib nrog qhov tseeb tias hemorrhoids tau poob. Yuav kho tus mob no li cas? Cov tswm ciab yuav pab tshem tawm qhov mob thiab tiv thaiv kev txhim kho thiab poob ntawm cov tshiab. Thiab cov ntsiav tshuaj yuav muaj cov nyhuv thinning ntawm cov ntshav, ntxiv dag zog rau cov phab ntsa ntawm cov hlab ntsha, hlab ntsha, capillaries.
Cov chav kawm ntawm cov tshuaj pharmacological hauv qab no yog siv los kho:
- phlebotonics - tswj cov venous outflow, ntxiv dag zog rau cov hlab ntsha phab ntsa;
- angioprotectors - qhov fragility thiab patency ntawm phab ntsa ntawm cov hlab ntsha tau pom zoo txo qis;
- kev npaj muaj nitrates muaj kev so ntawm lub sphincter thaum nws spasm;
- tshuaj tiv thaiv tsis-steroidal tuaj yeem txo qhov mob yog tias hemorrhoid poob tawm, lub sijhawm ntawm kev kho mob nrog cov tshuaj no yuav tsum tsis pub tshaj ob lub lis piam - kev vam khom tshuaj yuav txhim kho;
- npaj nrog enzymes thiab tshuaj homeopathic - txo qhov mob, pab ntxiv dag zog rau phab ntsa ntawm cov leeg thiab cov hlab ntsha.
Npe npe tshuaj nrov
Yog tias tau ntau xyoo nws tuaj yeem txwv txoj kev loj hlob ntawm tus kab mob los ntawm pej xeem txoj kev, ces muaj ib hnub tus neeg mob yuav inevitably fim qhov hemorrhoids tau poob tawm. Yuav kho tus mob no li cas?
- "Detralex" yog tus neeg sawv cev nrov phlebotropic. Kho cov hlab ntsha thoob plaws lub cev. Feem ntau, cov neeg mob nquag mus rau sab nraud hemorrhoids kuj raug kev txom nyem los ntawm varicose leeg ntawm txoj hlab pas lossis qis qis. "Detralex" pab nrog ib qho ntawm cov kev kuaj mob no. Tus nqi ntawm ib pob ntawm cov tshuaj yog hais txog ib txhiab rubles. Nws yog txaus rau ib lub hlis lossis ob lub lis piam - nyob ntawm seb qhov koob tshuaj ntawm dragee tau muab los ntawm phlebologist lossis proctologist.
- "Hemoroidin" yog cov tshuaj ntsiav tshuaj, qhov kev txiav txim ntawm lub hom phiaj feem ntau ntawm cov venous network hauv qhov quav. Cov tshuaj kuj muaj cov tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob - lus tom qab noj ob ntsiav tshuaj, khaus thiab kub hnyiab hauv qhov quav hauv qhov quav txo qis. Yog tias hemorrhoid poob tawm, kuv yuav ua li cas? Koj tuaj yeem yuav Hemoroidin ntawm koj tus kheej thiab noj ob mus rau plaub ntsiav tshuaj, tab sis kev mus ntsib kws kho mob tseem tsis tau tso tseg.
- Heparin ointment yog ib qho ntawm cov tshuaj pheej yig tshaj plaws. Tab sis qhov ntawd tsis ua rau nws ua haujlwm tsawg dua. Ib pob nrog ib puas grams tshuaj pleevnqi txog tsib caug rubles. Nyob ntawm cov chaw tsim khoom, nws yuav raug hu ua "Heparin" lossis "Heparin ointment". Pab txo qhov loj ntawm prolapsed hemorrhoids. Nws muaj peev xwm ua kom cov ntshav sib txuam, yog li nws kuj pab nrog hematomas, bruises, o.
- Cov tshuaj pleev rau sab nraud hemorrhoids "Proctosedil" suav nrog cov tshuaj tshwj xeeb nrog cov tshuaj tiv thaiv kab mob - glucocorticosteroids. Tsis tas li ntawd, muaj pes tsawg leeg yog enriched nrog heparin ntsev. Cov tshuaj pleev muaj cov nyhuv analgesic, relieves khaus thiab kub hnyiab, muaj peev xwm txo qhov loj ntawm prolapsed hemorrhoids (nrog rau kev siv tsis tu ncua).
- "Aurobin" yog lwm cov tshuaj pleev rau sab nraud hemorrhoids. Cov muaj pes tsawg leeg muaj prednisolone - ib yam tshuaj hormonal. Cov tshuaj pleev pab tam sim ntawd los ntawm kev kub hnyiab thiab khaus, muaj qhov ua kom txias me ntsis, nyob rau theem thib ob nws tuaj yeem pab kom tshem tawm cov hemorrhoids tag nrho. Hormonal Cheebtsam yuav pab tau tsuas yog rau lub sij hawm ntawm kev siv cov tshuaj.
- "Gepatrombin G" - ib qho tshuaj pleev uas muaj cov tshuaj tiv thaiv kab mob, decongestant thiab analgesic nyhuv ntawm prolapsed hemorrhoids. Cov khoom xyaw tseem ceeb yog dexpanthenol thiab allantoin. "Hepatrombin G" nrog rau kev siv tsis tu ncua txo o ntawm cov ntaub so ntswg nyob ib ncig ntawm lub sphincter, tiv thaiv kev sib sau ntawm cov ntshav, tuaj yeem yaj cov pob me me hauv thawj theem ntawm cov hemorrhoids sab nraud.
Kev kho mob hemorrhoid prolapsed siv pej xeem txoj kev
Kev kho mob nrog tshuaj ntsuab thiab cov khoom lag luam muv feem ntau ua tau zoo dua li cov kws tshuaj. Yog tias hemorrhoid poob tawm thaum cev xeeb tub, yuav luag txhua cov tshuaj raug txwv. Ib tug xov tooj ntawm cov tshuaj pleev kuj yog undesirable rau siv. Thiab khaus thiab kub hnyiab ua rau lawv tus kheej hnov, txo efficiency thiab lwj mus ob peb vas. Yog tias hemorrhoid ntog thaum cev xeeb tub, nws tsim nyog sim qee qhov sib npaug ntawm lwm txoj kev kho mob.
- Koj yuav tsum npaj ib qho tshuaj ntawm cov tshuaj ntsuab thiab da dej txhua hnub. Sib tov ib tablespoon ntawm horse chestnut, oak bark, sage, chamomile. Koj tuaj yeem ntxiv calendula. Ncuav ib liter dej, coj mus rau ib tug boil, boil rau txog kaum feeb thiab cia txias. Lub da dej yuav tsum tau noj, tsawg kawg nkaus diluting lub resulting infusion nrog dej huv. Qhov siab dua nws cov concentration, qhov zoo dua. Yuav tsum tsis txhob kub heev - tsuas yog sov xwb.
- Tev thiab txiav rau hauv loj pieces ob dos. Ncuav 0.5 liv ntawm nyuj kub mis nyuj. cia nws brew rau ob teev. Tom qab qhov sib tov tau txias, lim thiab dilute nrog ib liter ntawm dej huv. Siv ib tug sitz da dej li ntawm nees nkaum mus rau peb caug feeb. Qhov zoo tshaj plaws zaus yog ib lub lim tiam.
- Cov tawv ntoo ntawm tsob ntoo txiv ntoo yog nchuav nrog dej npau npau thiab muab tso rau hauv ib da dej rau ib nrab teev. Nws yog siv thaum exacerbation - thaum los ntshav nce. Lub bark ntawm nees chestnut ntoo yog nplua nuj nyob rau hauv tannins, uas tso tseg los ntshav thiab muaj txiaj ntsig zoo rauCov kab mob ntawm cov phab ntsa ntawm cov hlab ntsha, hlab ntsha thiab capillaries.
- Cov khoom siv zib ntab thiab muv yog cov tshuaj kho mob thoob ntiaj teb. Lawv kuj tseem siv tau yog tias hemorrhoid poob tawm tom qab yug menyuam, thiab yog tias qhov no tshwm sim thaum cev xeeb tub. Koj yuav tsum tsis txhob tsim cov zaub mov txawv - tsuas yog smear lub poob nodes nrog cov paj tshiab zib mu. Nws yog ib qho zoo heev decongestant thiab anti-inflammatory tus neeg sawv cev. Contraindication nkaus xwb - ib tug neeg intolerance rau zib mu Cheebtsam thiab ua xua rau cov khoom no.
- Aspen nplooj tau siv ntev los ua kom cov ntshav nyias. Koj tuaj yeem haus dej ntawm cov nplooj aspen qhuav los yog da dej. Infusion muaj anti-inflammatory zog, ntxiv dag zog rau cov phab ntsa ntawm cov hlab ntsha. Nws kuj me ntsis txo qhov mob, kub hnyiab thiab khaus hauv thaj tsam sphincter.
Tiv thaiv kab mob sab nraud
Yuav kom tus neeg mob lub neej tsis nyuaj los ntawm cov hemorrhoids prolapsed, nws yog txaus kom ua raws li cov cai yooj yim ntawm kev tiv thaiv:
- nrog kev yuam kev ua neej nyob, sawv ib teev ib teev thiab ua lub teeb sov so kom nrawm ntshav ncig;
- yog tias muaj cov ntshav tuab - haus cov tshuaj thinning ib xyoos ib zaug;
- qoj ib ce ib zaug ib asthiv, thiab yog tias muaj kev noj qab haus huv, yuav kev koom tes hauv gym;
- noj zaub mov yuav tsum muaj cov zaub tshiab thiab txiv hmab txiv ntoo, yog tias muaj kev xav cem quav - nco ntsoov noj beets, prunes thiab lwm yam zaub mov laxative;
- cawv yuav tsum tau muab tshem tawm tag nrholos ntawm kev noj haus, txij li ethyl cawv thins thiab rhuav tshem cov phab ntsa ntawm cov hlab ntsha, cov hlab ntsha thiab cov hlab ntsha - cov txheej txheem no ua rau muaj qhov tshwm sim ntawm cov kab mob hemorrhoidal;
- Kev haus luam yeeb kuj muaj qhov tsis zoo rau cov hlab ntsha - yog tias tus neeg mob tsis xav kom tus kab mob rov zoo dua, nws yog qhov zoo dua tso tus cwj pwm phem no;
- haus tsawg kawg ob litres dej ntshiab ib hnub twg - tus cwj pwm no yuav pab kom cov ntshav txaus kom tsis txhob ua rau cov leeg thiab ua kom cov ntshav txaus;
- yog tias muaj cov kab mob hauv cov hlab ntsha - ib xyoos ib zaug, kawm Detralex, Venoruton lossis lwm yam tshuaj uas yuav pab tswj kev noj qab haus huv ntawm cov leeg.
