Hemorrhoids yog varicose leeg nyob rau hauv lub qhov quav. Qhov tshwm sim no tshwm sim vim qhov sib txuam thiab stagnation ntawm cov ntshav venous nyob rau hauv lawv, tsim hemorrhoids. Muaj ob hom hemorrhoids - sab nraud thiab sab hauv. Sab nraud hemorrhoids nyob ze ntawm lub qhov quav. Tom qab tshem lub plab los yog nyob rau hauv ib qho chaw zaum thiab sawv ntsug ntev, ib tug neeg muaj kev tsis xis nyob hauv qhov quav. Sab nraud hemorrhoids raug kuaj pom thaum kuaj sab nraud.
Ua rau sab nraud hemorrhoids
Muaj ntau yam uas ua rau stagnation nyob rau hauv lub plab mog, thiab cov tsos ntawm sab nraud. Cov no suav nrog:
- Kev ua neej nyob. Qhov no yog ib qho ntawm cov laj thawj tseem ceeb ntawm stagnation ntawm cov ntshav hauv cov hlab ntsha. Cov neeg feem coob ntawm qhov chaw ua haujlwm yuav tsum tau zaum lossis sawv ntev ntev. Yog li ntawd, raws li kev tiv thaiv kev tiv thaiv, nws yog ib qho tsim nyog yuav tsum ua cov kev tawm dag zog theem qis txhua hnub thiab taug kev.
- Kev noj haus tsis raug. Khoom noj ceev thiab ceev ceevFeem ntau ua rau cem quav lossis raws plab, uas ua rau muaj kev ntxhov siab ntxiv rau cov leeg ntawm lub qhov quav thiab ua rau muaj cov hemorrhoids sab nraud.
- Nicotine thiab cawv quav yeeb ua rau muaj ntau yam tsis ua haujlwm hauv tib neeg lub cev thiab cuam tshuam rau ntau lub cev thiab lub cev.
- Ntau tshaj. Muaj lub zog siab ntawm lub plab me me, txhua lub hauv nruab nrog cev ua haujlwm nrog kev nce ntxiv, ua rau tsis zoo rau cov ntshav ntws.
- Ntau zaus ntxhov siab. Lub sijhawm no, kev puas tsuaj tas li rau cov phab ntsa ntawm cov leeg los ntawm cov tshuaj hormones kev ntxhov siab tshwm sim.
- Hereditary predisposition. Congenital tsis muaj zog ntawm cov phab ntsa venous ntawm cov hlab ntsha txhawb kev loj hlob ntawm sab nraud hemorrhoids (duab hauv qab no) thiab varicose leeg ntawm qis extremities.
- Kev ua kom lub cev zoo. Cov neeg ua haujlwm hnyav lub cev muaj cov ntshav ntws mus rau hauv lub plab mog.
- Kev cev xeeb tub thiab yug menyuam. Nyob rau hauv cov poj niam lub sij hawm no muaj ib tug muaj zog load nyob rau hauv lub plab mog.
- Cov txheej txheem mob kuj ua rau muaj kev sib kis thiab raug mob rau cov leeg ntawm qhov quav.
Symptoms of external hemorrhoids
Raws li kev soj ntsuam, cov neeg ntawm ob leeg poj niam hnub nyoog 20 txog 50 xyoo raug mob hemorrhoids. Cov tsos mob ntawm sab nraud hemorrhoids yog nrog los ntawm cov tsos mob hauv qab no:
- Mob thiab tsis xis nyob tshwm sim thaum lub plab zom mov thiab zaum ntev ntev hauv qhov chaw zaum lossis thaum lub cev tawm dag zog ntau dhau. Mob syndrome muaj txawvkev siv zog, los ntawm kev tsis xis nyob mus rau qhov mob hnyav nrog thrombosis.
- khaus thiab kub hnyiab. Cov tawv nqaij uas npog cov pob txha yog khaus thiab puas vim tsis muaj ntshav ncig, o tshwm sim.
- Ntsuag. Lawv feem ntau yog siv tsawg. Tej kab mob tshwm sim ntawm daim ntawv tso quav tso quav los yog ris tsho hauv qab. Txawm li cas los xij, yog tias kev kho tsis tau pib rau lub sijhawm, tom qab ntawd muaj kev nce ntxiv hauv cov hemorrhoids sab nraud (duab hauv qab), uas raug mob thaum lub plab zom mov thiab twb ua rau los ntshav hnyav. Qee zaum cov ntshav tawm ntawm qhov quav, ua rau mob hnyav.
- cem quav, uas ua rau tus kab mob hnyav ntxiv.
- Qhov tshwm sim ntawm qhov mob tshwm sim hauv qhov quav - lub foob sib npaug yog tsim, xim xiav, ua rau mob.
- Kev nce hauv lub cev kub tshwm sim thaum cov pob txha ua rau mob.
Feem ntau, tus neeg mob mus ntsib kws kho mob thaum muaj qhov tshwm sim ntawm cov hemorrhoids sab nraud, tsis cuam tshuam qhov tseem ceeb rau thawj cov tsos mob ntawm tus kab mob.
Cov teeb meem ntawm sab nraud hemorrhoids
Thaum tsis muaj kev kho mob nyuaj, cov teeb meem ntawm sab nraud hemorrhoids tshwm sim, thrombosis (mob hemorrhoids) thiab qhov quav fissures tshwm. Nyob rau tib lub sijhawm, qhov mob syndrome nce thiab cov txheej txheem inflammatory pib, lub cev kub nce. Hauv kev xyaum kho mob, muaj peb theem hauv kev txhim kho mob hemorrhoids sab nraud:
- Nodes ua xim xiav, ua mob, tab sis tsis pom muaj txheej txheem inflammatory.
- Kab mob tshwm sim, nws ntes tsis tau tsuas yog cov nodes, tab sis kuj cov ntaub so ntswg uas nyob ib sab ntawm lawv, lub qhov quav kwj dej swells, qhov mob intensifies.
- Yuav tsum tau tshem tawm sai sai ntawm cov hemorrhoid sab nraud, raws li kev hloov pauv necrotic tshwm sim. Cov node tig dub thiab tuag, muaj peev xwm ua rau ntshav lom.
Kev kho mob hemorrhoids
Kev kho mob, kev kho mob yog siv, uas tsis muab kev kho mob tag nrho. Tus neeg mob tau muab tshuaj pleev uas tsis yog-steroidal lossis hormonal Cheebtsam los txo qhov o thiab txo qhov mob, nrog rau qhov tsis xis nyob. Tsis tas li ntawd, tus neeg mob raug qhia kom ua raws li kev noj zaub mov, nco ntsoov ua lub cev qoj ib ce thiab tsis koom nrog kev ua haujlwm hnyav. Nyob rau hauv kev kho mob ntawm thrombosis ntawm sab nraud hemorrhoids, anticoagulants yog siv - Fraxiparin thiab Heparin. Nyob rau theem pib ntawm mob hemorrhoids, thrombolytics yog siv: Urokinase thiab Streptokinase. Yog tias kev kho mob tsis zoo tsis muab cov txiaj ntsig zoo, ces kev cuam tshuam kev phais raug qhia.
Minimally invasive techniques in kho hemorrhoids
Tsis yog txhua hom hemorrhoids tuaj yeem kho tau raws li kev saib xyuas. Qee zaum cov tshuaj muaj txiaj ntsig tsis muaj txiaj ntsig rau tus kab mob, thiab tib txoj hauv kev los txo tus neeg mob yog tshem tawm cov nodes.
Yuav ua li no, ob qho tib si kev phais tshwj xeeb thiab kev siv tshuaj tsawg tsawg yog siv. Txhua txoj kev muaj lawv tus kheej peculiarities, tab sis lawv muaj sib xws:
- Yam tsawg kawg nkauscov ntaub so ntswg puas.
- Txoj kev tshem tawm cov hemorrhoids sab nraud yuav siv sijhawm tsis tshaj li ib nrab teev thiab ua raws li tus neeg mob sab nraud.
- Txhua yam kev siv tau ua tiav yam tsis muaj tshuaj loog, qee zaum siv tshuaj loog hauv zos. Kev hnov mob ntawm kev siv qis tshwm sim hauv ob hnub tom qab qhov txheej txheem.
- Tom qab ob peb teev ntawm kev cuam tshuam, tus neeg rov qab los rau nws lub neej li qub. Lub sijhawm ua haujlwm tsis muaj peev xwm tsawg kawg nkaus.
- Tom qab cov txheej txheem, tsis muaj caws pliav thiab cov ntaub so ntswg deformation.
- Minimally invasive manipulations muaj ob peb contraindications, yog li lawv tau siv los txo cov neeg mob uas muaj comorbidities.
- Lawv feem ntau siv rau thawj theem ntawm tus kabmob.
Hom ntawm cov txheej txheem minimally invasive
Cov txheej txheem hauv qab no yog siv rau kev kho mob:
- Cryotherapy. Nws yog nqa tawm siv cov kua nitrogen. Muaj qhov khov ntawm cov ntaub so ntswg ntawm thrombosed sab nraud hemorrhoid, uas tom qab tuag.
- Ligation nrog latex rings. Nws yog muab tso rau ntawm ceg ntawm lub pob caus, nias rau ntawm cov hlab ntsha. Deprived ntawm kev noj haus, hemorrhoid tuag. Cov txheej txheem no tsuas yog siv rau cov nodes sab hauv.
- Infrared photocoagulation. Tsom ntsoov rau infrared rays, ua yeeb yam ntawm ceg ntawm node, pab kom nws tuag. Cov txheej txheem muaj txiaj ntsig zoo rau thawj theem ntawm hemorrhoids thiab los ntshav.
- Sclerotherapy. Tus neeg sawv cev sclerosing tau nkag mus rau hauv lub pob hemorrhoidal, nws qhov wrinkling tshwm sim thiab tseem ceeb.txo qhov loj me. Cov txheej txheem yog siv rau kev kho sab hauv thiab sab nraud ntawm cov nodes hauv thawj theem lossis tom qab kom tsis txhob los ntshav.
- Laser coagulation. Kev tshem tawm los ntawm laser nyob rau hauv mob thrombosis ntawm sab nraud hemorrhoid yog tsis mob. Tus neeg mob tsuas hnov cua sov xwb. Cov nodes raug tshem tawm hauv 10-15 feeb, thiab tus neeg mob tuaj yeem mus tsev tam sim, thiab hnub tom qab, pib ua haujlwm. Cov cuab yeej ntawm lub laser kom cauterize qhov txhab tsis ua rau muaj kev pheej hmoo los ntshav.
Cov teeb meem tom qab cov txheej txheem ua haujlwm tsawg kawg
Nyob rau qee kis, txoj kev cuam tshuam me me ua rau muaj teeb meem, txawm hais tias lawv txawv ntawm kev cuam tshuam tsawg:
- Pain Syndrome. Mob me ntsis tshwm sim tom qab ib qho kev kho ntawm hemorrhoids, vim hais tias muaj ntau cov hlab ntsha xaus nyob rau hauv lub qhov quav mucosa. Kev mob hnyav tshwm sim thaum siv cov latex rings tsis raug, thaum cov ntaub so ntswg noj qab haus huv raug ntes, lossis thaum siv cov txheej txheem rau ob peb lub pob ib zaug. Mob hnyav tshwm sim tom qab infrared photocoagulation.
- Ntsuag. Xws li qhov tshwm sim tau tshwm sim thaum siv cov txheej txheem, tshwj tsis yog laser coagulation.
thrombosis ntawm sab nraud hemorrhoid (duab saum toj no). Qhov teeb meem no qee zaum tshwm sim thaum txhim kho latex rings, thaum tsis muaj ciam teb meej ntawm sab hauv thiab sab nraud hemorrhoids. Tsis tas li ntawd, thaum siv infrared coagulation, qee zaum, cov hlab ntsha uas muab cov leeg tsis tag tuag, rau hauv nws.ntshav pib ntws, stagnation tshwm sim thiab cov ntshav txhaws
Txoj kev tsis zoo ntawm txoj kev ua kom tsawg tsawg
Txawm tias txhua qhov zoo ntawm cov thev naus laus zis me me, lawv muaj ntau qhov tsis zoo, uas yog raws li hauv qab no:
- Muaj peev xwm rov qab los. Nrog rau txhua qhov kev tswj hwm, qhov tshwm sim raug tshem tawm, thiab tsis yog qhov ua rau muaj tus kab mob.
- Nqis. Qee cov tswv yim los tshem tawm hemorrhoids yog kim.
- Koj yuav tsum tau hu rau cov kws kho mob uas tsim nyog. Yuav tsum muaj kev paub zoo ntawm lub cev, qhov tseeb ntawm cov hniav nyiaj hniav kub thiab lub peev xwm los tuav cov cuab yeej.
Nyob rau hauv cov neeg mob siab heev, thaum nws tsis muaj txiaj ntsig los siv cov tswv yim ua kom tsawg, lawv mus rau kev phais txoj kev kho mob.
Kho hemorrhoids nrog kev cuam tshuam kev phais
Nrog cov hemorrhoids nyuaj thiab cov tsos mob ntawm thrombosis, yuav tsum muaj kev phais mob, txwv tsis pub cov ntaub so ntswg yuav tuag thiab abscess yuav tshwm sim. Hauv qhov no, tus neeg mob tau mus pw hauv tsev kho mob sai thiab ua haujlwm - thrombectomy.
Yog li, yuav ua li cas tshem tawm cov hemorrhoid sab nraud? Tom qab kev kho mob tsis zoo nrog txoj kev saib xyuas, kev phais yog siv. Tus neeg mob tau txais tshuaj loog hauv zos thiab cov ntshav txhaws raug tshem tawm ntawm qhov mob. Cov txheej txheem tsuas yog ob peb feeb xwb, tus neeg mob tsis xav tau kev saib xyuas kev noj qab haus huv thiab tuaj yeem ua lub neej ib txwm muaj.
Tus neeg mob tau txais txiaj ntsig zoo: qhov mob hnyav ploj mus, o tuaj yeem txo qis, qhov mob tshwm sim. KhoQhov kev phais tom qab kev ua haujlwm tshwm sim tom qab ob peb hnub. Tsis muaj teeb meem tom qab thrombectomy ntawm sab nraud hemorrhoid. Tus neeg mob tau qhia kom ua tib zoo saib xyuas kev nyiam huv ntawm qhov quav thiab noj zaub mov.
Kev phais kom tshem tawm cov hemorrhoid
Cov lus qhia rau hemorrhoidectomy yog:
- Cov pob txha sab nraud ntawm qhov loj, ua rau tsis xis nyob rau tus neeg mob thiab ua rau nws nyuaj rau kev ua kom huv si hauv qhov quav.
- Kev muaj cov hemorrhoids sab hauv thiab sab nraud hauv daim ntawv hnyav.
Nyob rau hauv kev npaj rau kev ua haujlwm, tus neeg mob yuav kuaj thiab kuaj xyuas kom tiav. Kev phais yog ua nyob rau hauv cov tshuaj loog dav dav los yog siv cov tshuaj loog loog. Excision ntawm sab nraud hemorrhoid yog ua raws li hauv qab no:
- Nkauj ruam raug ntes thiab rub.
- Ntxhais hlua khi hlua khi, thiab nws yog excised. Feem ntau, siv riam hluav taws xob, nrog kev pab los ntawm cov hlab ntsha ntawm cov hlab ntsha tshwm sim tam sim ntawd.
- Cov qhov txhab raug sutured thiab qee zaum sab laug qhib los kho lawv tus kheej.
Rau tus neeg mob qhov nyuaj tshaj plaws yog thawj ob hnub. Kev mob hnyav raug tshem tawm nrog tshuaj loog hauv zos, tshuaj pleev thiab tshuaj suppositories nrog methyluracil yog siv los kho. Tus neeg mob tau qhia kom ua raws li kev noj haus. Cov teeb meem tom qab phais tsis tshua muaj, qhov txhab kho sai sai. Qhov kev ua haujlwm no tso cai rau tus neeg kom tshem tawm cov hemorrhoids ntau xyoo.
Sab nrauv hemorrhoids. Tsev kho mob
Kev kho mobsab nraud hemorrhoids los pab cov tshuaj, koj tuaj yeem siv cov zaub mov txawv. Nov yog qee qhov ntawm lawv:
- Grate qos yaj ywm nyoos, qhwv hauv daim ntaub qhwv, txias hauv lub tub yees thiab siv rau qhov mob. Pab txo qhov o thiab txo qhov mob.
- Tswj birch tar rau ntawm daim ntaub nplaum thiab siv rau hemorrhoids. Cov cuab yeej siv los txo qhov mob.
- Kab nyom. Brew tshuaj yej thiab haus peb zaug ib hnub twg los txo qhov khaus thiab mob.
- Birch nplooj. Yuav kho cov hemorrhoids sab nraud siv lawv li cas? Ua li no, noj 100 g ntawm qhuav raw cov ntaub ntawv, ncuav boiling dej, tawm rau ib teev. Lim thiab siv rau ib tug sitz da dej. Raws li qhov tshwm sim, qhov o raug tshem tawm thiab qhov mob txo qis.
- Y Series, calendula, sage, chamomile. Noj txhua yam tshuaj ntsuab sib npaug. Hauv 100 g ntawm raw cov ntaub ntawv, ntxiv yam tsawg kawg yog ob litres ntawm boiled dej, insist, ntxiv qos yaj ywm nyoos kua txiv thiab siv rau ib tug sitz da dej. Siv los txo cov txheej txheem inflammatory.
Ua ntej siv cov zaub mov txawv, koj yuav tsum sab laj nrog koj tus kws kho mob txog lawv cov txiaj ntsig. Nws yuav tsum raug sau tseg tias lawv tsuas yog siv los ua kev kho mob ntxiv rau kev kho tshuaj tseem ceeb.
Kev Tiv Thaiv
Kev tiv thaiv kom tsis txhob kis tus kab mob ntau ntxiv:
- Kev noj haus. Cov zaub mov yuav tsum muaj cov zaub fiber ntau thiab cov khoom noj siv mis. Zam cov zaub mov ntsim.
- Lub cev ua haujlwm. Kev taug kev txhua hnub thiab kev tawm dag zog yooj yim pab txhim kho cov ntshav khiav, txhim kho cov metabolism, thiab ntxiv dag zog rau cov leeg hauv plab.
- Khaub dej kom txaus.
- quav quav normalization. Nco ntsoov kom tsis txhob raws plab lossis cem quav, vim qhov no ua rau muaj cov hemorrhoids.
- txwv tsis pub haus cawv ntau.
- Thiab kho cov txheej txheem mob ntev hauv thaj chaw perianal.
- ntsuas lub cev hnyav tas li.
- kho raws sijhawm ntawm cov kab mob cuam tshuam nrog venous insufficiency, gastrointestinal tract, arterial hypertension.
Kev saib xyuas tshwj xeeb yuav tsum tau them rau kev tiv thaiv mob hemorrhoids rau cov poj niam npaj cev xeeb tub. Rau kev yug menyuam, hemorrhoids tsis yog contraindications, tab sis tus poj niam yuav tsum tau saib xyuas los ntawm tus kws kho mob kom tsis txhob ua rau nws mob hnyav. Txhawm rau cem quav tsis tu ncua, siv tshuaj laxatives pom zoo los ntawm koj tus kws kho mob.
