Kab mob Hemorrhoidal yog ib hom kab mob uas tshwm sim vim qhov tsis muaj zog ntawm cov phab ntsa venous. Nrog rau tus kab mob no, thaj tsam ntawm qhov quav raug kev txom nyem. Ib txhij nrog hemorrhoids, varicose leeg, anemia, thiab kab mob plawv tuaj yeem tsim. Ntawm cov kab mob no, hemorrhoids yog ib qho ntawm "kev phem tsawg". Niaj hnub nimno pharmacology muab kev kho mob zoo - tshuaj pleev rau sab nraud hemorrhoids. Cov kab lus no muab cov lus piav qhia txog cov tshuaj zoo tshaj plaws thiab zoo tshaj plaws.
Cov tsos mob ntawm sab nraud hemorrhoids
Proctology faib cov kab mob nyob ntawm qhov chaw ntawm kev xa mus rau sab nraud, sab hauv thiab ua ke.
- Sab nraud yog tus cwj pwm los ntawm qhov tshwm sim ntawm hemorrhoids thiab tsis muaj peev xwm ntxig lawv rov qab. Raws li txoj cai, qhov no tshwm sim nyob rau theem thib ob lossis thib peb ntawm tus kabmob. Cov tshuaj pleev kom zoo los ntawm sab nraudhemorrhoids nres qhov mob, khaus thiab kub hnyiab, uas inevitably nrog tus kab mob. Muaj ntau ntau txoj kev niaj hnub no, siv qhov twg ntawm thawj theem ntawm kev tshwm sim sab nraud, koj tuaj yeem tshem tawm cov teeb meem tshwm sim, qhov phem tshaj plaws yog thrombosis.
- Cov hemorrhoids sab hauv feem ntau yog tus yam ntxwv ntawm thawj theem ntawm tus kab mob. Cov pob caus tseem tsis tau poob tawm, thiab yog tias lawv ua, koj tuaj yeem yooj yim teeb lawv sab hauv. Tus neeg mob hnov mob thiab tsis xis nyob me ntsis tom qab ua qhov defecation. Nyob rau tib lub sijhawm, tom qab mus rau chav dej, cov ntshav tseem nyob ntawm daim ntawv tso quav. Qhov no yog cov txheej txheem ntuj tsim tag nrho: thaum lub sij hawm tso quav tso, cov nodes ua o, thiab qhov tsawg tshaj plaws ntawm lawv tawg. Li no cov kab mob ntawm cov ntshav. Hauv cov theem tom qab, thaum cov pob loj tawg, cov ntshav loj tuaj yeem loj tuaj.
- Hom kab mob sib xyaw ua ke yog ib yam rau cov theem kawg ntawm tus kab mob. Cov nodes nyob ob sab hauv lub qhov quav thiab sab nraud. Hauv qhov no, feem ntau koj tsis tuaj yeem ua yam tsis muaj kev kho mob phais. Cov tshuaj pleev los ntawm sab nraud hemorrhoids nyob rau theem no twb tsis muaj zog. Qhov siab tshaj plaws uas tuaj yeem xav tau los ntawm lawv qhov kev siv yog kev kho me ntsis ntawm cov tsos mob.
Kev txhim kho kab mob
Tus kab mob no tshwm sim los ntawm txoj kev ua neej tsis zoo, nrog rau kev muaj keeb kwm yav dhau los ua rau cov phab ntsa venous nyias.
- khoom noj khoom haus tsis raug, uas ua rau cem quav tsis tu ncua thiab pathology ntawm lub plab zom mov, tsis yog qhov tsis zoo li nws zoo li thaum xub thawj siab ib muag. Kev noj zaub mov txhua hnub yuav tsum muaj cov zaub nyoos thiabtxiv hmab txiv ntoo - qhov no yuav tshem tawm cem quav thiab txo qhov ua tau ntawm cov teeb meem ntawm hemorrhoidal kab mob. Rau cov neeg uas noj tsis tu ncua, tshuaj pleev rau sab nraud hemorrhoids tsis muaj txiaj ntsig.
- Txoj kev ua neej nyob tsis ntev yog qhov teeb meem thib ob. Txawm hais tias tus neeg mob raug yuam kom ua lub neej nyob tsis muaj zog, ib tus yuav tsum tau sawv ib zaug ib teev thiab ua kom sov sov li kaum feeb kom cov ntshav ntws tawm ntawm lub plab thiab cov leeg mus so. Nws yog ib qho tseem ceeb heev uas yuav tsum ceev cov ntshav khiav hauv txoj kev no kom ntau li ntau tau.
- Kev tawm dag zog lub cev muaj peev xwm ua tau ob qho tib si hauv kev ua haujlwm tshwj xeeb (cov neeg tsim khoom, cov khoom thauj khoom) thiab hauv qhov hnyav uas tsis tau tso cai. Kev nqa hnyav tsis tu ncua provokes nro hauv qhov quav - qhov no ua rau cov leeg nro, lawv ntws nrog cov ntshav. Yog li ntawd, cov phab ntsa ua thinner thiab hemorrhoids pib tsim.
- Hereditary predisposition rau kab mob plawv feem ntau ua rau kev loj hlob ntawm hemorrhoids, tab sis kuj varicose veins. Yog li ntawd, ib tug neeg yog ib tug tsis tu ncua tus neeg mob ntawm ib tug phlebologist. Paub txog koj txoj kev nyiam rau cov kab mob vascular, koj yuav tsum tsis tu ncua (ntau zaus hauv ib xyoos) haus cov tshuaj venotonic. Qhov no yuav pab kom nyias nyias cov ntshav thiab txhim kho nws cov muaj pes tsawg leeg, thiab pab ntxiv dag zog rau cov phab ntsa venous. Qee zaum, kev tiv thaiv zoo li no txaus rau cov hemorrhoids sab nraud kom rov qab.
Hom tshuaj tshuaj los ntawm hom kev ua
Kho cov hemorrhoids sab nraud nrog tshuaj pleev yog ib txoj hauv kev yooj yim thiab zoo los txo qhov tsis xis nyob ntawm tus kab mob. Tag nrho kev nplua nujKev npaj tshuaj rau kev ua haujlwm sab nraud hauv zos tuaj yeem raug cais raws li hom kev ua:
- anticoagulants;
- hemostatics;
- angioprotectors;
- venotonics;
- tshuaj steroid;
- tshuaj pleev rau sab nraud hemorrhoids nrog astringent action;
- tshuaj immunomodulating.
Nyob ntawm theem thiab cov tsos mob, qhov no lossis qhov kev kho yuav zoo dua. Nws yog qhov zoo tshaj yog tias tus neeg mob mus ntsib kws kho mob. Tus kws tshaj lij yuav ntsuas tus kab mob no mus deb npaum li cas, thiab, nyob ntawm qhov no, sau cov tshuaj pleev kom zoo tshaj plaws hauv ib kis.
Proctology suav nrog kev ua haujlwm nyuaj rau hemorrhoids:
- drug;
- mini-invasive;
- surgery.
Lub qhov quav suppositories, ntsiav tshuaj thiab tshuaj pleev yog kev kho mob. Lawv ua tau zoo nyob rau hauv thawj thiab thib ob theem, thaum hemorrhoids tseem tsis tau ua ke.
Kev tawm tsam tsawg kawg yog kev kho mob sclerotherapy, raug rau cov kua nitrogen thiab lwm txoj hauv kev cuam tshuam hauv zos nrog cov khoom siv niaj hnub no.
Kev phais yuav tsum tau ua nyob rau theem kawg ntawm tus kab mob, thaum tag nrho lwm txoj kev siv tsis tau lawm. Hemorrhoids tuaj yeem ncav cuag qhov loj txog li plaub centimeters hauv txoj kab uas hla - tus neeg mob tau ntsib kev mob hnyav thiab pom zoo ua haujlwm txawm tias tsis muaj tshuaj loog, tsuas yog tshem tawm qhov tshwm sim ntawm tus kab mob. Kev ua haujlwm niaj hnub no tau ua raws li kev siv tshuaj loog hauv zos - tab sis lub sijhawm postoperative yog qhov nyuaj thiab ua rau cov neeg mob muaj kev txom nyem ntau. Yog li nws yooj yim duasiv cov tshuaj pleev kom zoo rau cov hemorrhoids sab nraud thiab zam qhov teeb meem loj.
Siv tshuaj tiv thaiv coagulants rau hemorrhoids
Cov tshuaj pleev hemorrhoid, cov khoom siv tseem ceeb ntawm cov tshuaj tiv thaiv kab mob (feem ntau sodium heparin), tau ua pov thawj lawv tus kheej hauv kev kho mob thaum pib. Heparin sodium txo cov ntshav viscosity, tiv thaiv clogging ntawm hemorrhoids thiab thrombosis ntawm cavernous formations.
Tsis tas li ntawd, heparin txhim kho cov ntshav fibrinolytic zoo, vim tias cov ntshav uas twb muaj lawm hauv cov hlab ntsha tawg. Hauv kev sib xyaw ua ke, cov tshuaj tiv thaiv coagulant muaj txiaj ntsig zoo rau cov hlab ntsha, ua rau lawv elasticity thiab lub suab nrov.
- Heparin ointment yog cov tshuaj tua kab mob nrov tshaj plaws. Nws yog pheej yig - nyob ntawm cov chaw tsim khoom, tus nqi ntawm ib lub raj txawv ntawm tsib caug mus rau ib puas thiab tsib caug rubles. Qee qhov xwm txheej, cov tshuaj pleev heparin raug tso tawm, ua kom muaj kev kho mob ntxiv thiab tshuaj loog. Cov tshuaj pleev tiv thaiv cov tsos ntawm cov ntshav txhaws, relieves mob thiab khaus los ntawm hemorrhoids. Heparin tshuaj pleev los ntawm sab nraud hemorrhoids pab txo qhov mob thiab muaj cov tshuaj loog hauv zos. Nws yuav tsum tau siv rau hauv ib txheej nyias ntawm qhov quav peb mus rau plaub zaug hauv ib hnub.
- Tshuaj pleev rau sab nraud hemorrhoids "Hepatrombin B" muaj heparin, prednisolone, lauromacrogol 600 ua cov khoom xyaw nquag. Prednisone, uas yog glucocorticosteroid,relieves o, txo qhov ntim ntawm exudate, txo qhov hnyav ntawm kev tsis haum tshuaj, khaus thiab mob hauv cheeb tsam anorectal. Hmoov tsis zoo, cov khoom no tuaj yeem ua rau muaj kev quav yeeb quav tshuaj. Tsuav tus neeg mob siv cov tshuaj pleev uas pheej yig thiab siv tau zoo rau sab nraud hemorrhoids, mob thiab tsis xis nyob, cov pob txha tuaj yeem ploj mus yuav luag tag. Tab sis thaum koj tsis siv cov symptomatology rov qab los nrog kev ua pauj. Yog li, feem ntau nws tsis pom zoo kom siv "Hepatrombin B", nws yog qhov zoo dua los muab nws tso rau hauv ib hnub lossis ob hnub nrog lwm txoj kev.
Kev kho cov hemorrhoids sab nraud nrog hemostatics
Lub hom phiaj ntawm kev siv cov tshuaj pleev no rau sab hauv thiab sab nraud hemorrhoids yog los tiv thaiv thiab tsis txhob los ntshav. Nyob rau hauv lub xub ntiag ntawm hemorrhoids loj, hnyav los ntshav tsis yog ib qho txawv. Hemostatics pab txhawb nqa nqaim thiab kho cov hlab ntsha, thiab tseem muaj qhov cuam tshuam me ntsis ntawm kev ua kom cov ntshav ncig hauv zos.
- "Txiv" yog cov tshuaj pleev zoo tshaj plaws rau cov hemorrhoids sab nraud, tshuaj xyuas uas yuav luag txhua qhov zoo. Cov khoom xyaw nquag ntawm cov tshuaj no yog phenylephrine hydrochloride, shark siab roj. Cov khoom no tso tseg los ntshav, txo qhov mob hauv qhov tawg, thiab ua rau vasoconstriction. shark siab roj muaj ib tug moisturizing thiab anti-inflammatory nyhuv. "Relief" muaj nyob rau hauv daim ntawv ntawm ib tug tshuaj pleev rau sab nraud hemorrhoids thiab nyob rau hauv daim ntawv ntawm lub qhov quav suppositories rau lub sab hauv ntawm tus kab mob. Ntshav tuaj yeem tshwm sim nrog ob hom mob. Yog tus neeg mob raug kev txom nyemrau kev sib xyaw hemorrhoids, nws yuav tsum muaj ob hom kev kho mob hauv tsev.
- "Relief Advance" yog lwm cov tshuaj pleev rau sab nraud hemorrhoid nodes. Tsis zoo li "Relief", cov khoom no kuj muaj benzocaine. Nws yog ib qho tshuaj loog muaj zog hauv zos. Proctologists pom zoo kom siv "Relief Advance" yog tias qhov mob mob hnyav heev thiab ua rau tsis xis nyob. Nws kuj yog cov tshuaj pleev zoo tshaj plaws rau sab nraud hemorrhoids, yog tias nws nyuaj rau cem quav tas li. digestive disorders feem ntau ua rau qhov yuav tsum tau thawb thaum lub sij hawm ua defecation, uas provokes mob heev. Tsis tas li ntawd, "Relief Advance" proctologists pom zoo siv tom qab kev phais tshem tawm ntawm cov nodes.
Kho cov hemorrhoids sab nraud nrog angioprotectors thiab venotonics
Cov txiaj ntsig kho mob ntawm angioprotectors thiab venotonics yog tsom los kho "kev ua tau zoo" ntawm cov hlab ntsha: ua kom lub suab, txhim kho lub peev xwm ntawm cov hlab ntsha thiab cov hlab ntsha kom tiv taus cov ntshav siab, txo cov permeability thiab fragility ntawm phab ntsa.
Restored capillary thiab venous hlab ntsha tiv thaiv kev tawm ntawm exudate mus rau hauv lub qhov quav, vim qhov o ploj mus, cov txheej txheem inflammatory nres, cov ntaub so ntswg puas kho sai dua vim qhov normalization ntawm cov ntshav ncig.
- "Troxevasin" - cov tshuaj pleev zoo tshaj plaws rau cov hemorrhoids sab nraud nrog cov nyhuv venotonic. Lub ntsiab active ingredient yog troxerutin. Nws yog ib qho nrov venotonic rau sab nrauddaim ntawv thov. Tsawg tus neeg paub tias "Troxevasin" yog ib qho pheej yig analogue hu ua "Troxerutin", uas tso cai rau koj kom ua tiav cov txiaj ntsig zoo ib yam hauv kev kho mob hemorrhoids sab nraud. Yog hais tias "Troxevasin" raug nqi txog peb puas rubles, ces "Troxerutin" - tsuas yog ib puas.
- "Procto-Glivenol" yog ib qho pheej yig thiab zoo tshuaj pleev rau sab nraud hemorrhoids. Tus nqi ntawm ib lub raj yog txog ob puas rubles. Lub ntsiab active ingredient ntawm cov tshuaj yog tribenoside. Thaum siv rau lub qhov quav, nws muaj cov tshuaj loog thiab decongestant nyhuv. Siv cov tshuaj pleev rau hauv ib txheej nyias ob peb zaug hauv ib hnub. Nws yog qhov pom zoo los hloov kev siv "Procto-Glivenol" nrog cov tshuaj pleev raws li sodium heparin.
Cov nyhuv ntawm cov tshuaj steroid rau sab nraud hemorrhoids
Cov tshuaj steroid muaj xws li cov tshuaj hormonal (hydrocortisone, prednisolone, thiab lwm yam). Lawv ua tau zoo dua thiab ceev nrooj tiv nrog cov txheej txheem inflammatory hauv cheeb tsam anorectal.
Alas, cov nyhuv hormonal tseem nyob ntev npaum li tus neeg mob siv cov tshuaj pleev. Tom qab tshem tawm, cov tsos mob feem ntau rov qab los nrog kev ua pauj. Koj yuav tsum coj qhov no mus rau hauv tus account thiab siv cov tshuaj pleev steroid rau sab nraud hemorrhoids nrog cov kab nkag hauv ib hnub lossis ob nrog lwm txoj kev.
- Cov khoom xyaw tseem ceeb ntawm Proctosedil yog sodium heparin, framycetin sulfate, esculoside, benzocaine. Cov chaw tsim tshuaj paus pom zoo siv cov khoom nyob rau hauv ib tug nyias txheej ntawm lub ohemorrhoids ob los yog peb zaug ib hnub twg. "Proctosedil" tsis yog cov tshuaj pleev zoo tshaj plaws rau sab nraud hemorrhoids thaum cev xeeb tub. Cov lus qhia nyob rau hauv daim ntawv teev cov contraindications yog heev impressive daim ntawv teev: koj yuav tsum ua tib zoo nyeem nws ua ntej koj pib siv cov tshuaj.
- "Ultraprokt" - lwm cov tshuaj pleev nrog cov tshuaj hormones steroid hauv cov muaj pes tsawg leeg. Cov khoom xyaw tseem ceeb yog fluocortolone hexonate thiab fluocortolone pivalate. Zoo relieves khaus nyob rau hauv tsib mus rau kaum feeb tom qab thov. kuj muaj cov tshuaj loog hauv zos. Txhawm rau tiv thaiv kev quav tshuaj tshuaj steroid, proctologists pom zoo kom hloov nws txoj kev siv nrog lwm txoj kev. Yog tias hemorrhoids tsis ua rau mob hnyav thiab khaus, nws yog qhov zoo dua los xaiv lwm txoj kev kho mob, vim "Ultraproject" muaj ob peb contraindications.
Immunomodulating tshuaj hauv txoj kev kho mob
Kev tshuaj xyuas cov tshuaj pleev los ntawm cov hemorrhoids sab nraud nrog cov teebmeem immunomodulatory txawv. Muaj ob peb tus neeg mob uas tsis txaus siab rau cov txiaj ntsig ntawm cov nyiaj no.
- "Posterisan" yog ib qho tshuaj pleev raws li cov kab mob inactivated analogs ntawm Escherichia coli. Nws muaj lub zos immunomodulatory thiab anti-inflammatory nyhuv. Kev tshuaj xyuas txog cov tshuaj pleev no tsis yog txhua yam zoo. Cov neeg mob uas tau sim "Troxevasin" lossis "Relief Advance" paub tias cov tshuaj no muaj txiaj ntsig zoo dua los daws cov tsos mob ntawm hemorrhoids.
- "Posterizan Forte" - yuav luag tag nrho cov tshuaj pleev ib ce"Posterisan", tsuas yog cov muaj pes tsawg leeg kuj suav nrog hydrocortisone. Lub xub ntiag ntawm cov khoom no tuaj yeem txo qhov khaus thiab kub hnyiab. Hydrocortisone kuj muaj cov nyhuv decongestant. Cov lus qhia rau kev siv - perianal dermatitis, qhov quav fissures thiab khaus, mob hemorrhoids.
tshuaj pleev ib ce
Kev ziab thiab cov tshuaj astringent hauv cov tshuaj pleev rau sab nraud hemorrhoids rau cov txiv neej thiab poj niam yog qhov tshwj xeeb tshaj yog rau kev quaj ntawm cov leeg. Qhov no yog hom kab mob uas tsis tshua muaj tshwm sim uas cov kua paug thiab ichor nkag los ntawm microcracks. Cov nodes feem ntau ua rau mob hnyav. Qee qhov xwm txheej, yuav tsum muaj kev phais mob sai. Tab sis yog tias quaj ntawm cov hemorrhoids sab nraud tsis ua rau tsis xis nyob, koj tuaj yeem sim kho lawv hauv tsev. Cov tshuaj pleev twg zoo dua rau cov hemorrhoids sab nraud yog tias nws quaj? Koj yuav tsum xyuam xim rau cov khoom nrog borneol, bezoar.
- "Bezornil" yog cov tshuaj pleev zoo tshaj plaws rau kev quaj qw. Cov tshuaj muaj xws li amber, borneol, dag musk, dag bezoar. Kuj tseem muaj cov khoom tshwj xeeb - amber metabolite. Nws muaj cov khoom ua kom cov ntaub so ntswg rov ua dua tshiab. Cov lus qhia rau kev siv - qhov quav fissures, sab nraud hemorrhoids, eczema thiab dermatitis ntawm qhov quav. "Bezornil" txawv ntawm lwm cov tshuaj pleev los ntawm sab nraud hemorrhoids nrog tsawg kawg ntawm contraindications. Nws tuaj yeem siv tau thaum cev xeeb tub (koj yuav tsum ceev faj - kev tsis haum tshuaj rau cov khoom nquag ntawm Bezornil tseem ua tau).
- "Proctosan" yog ib qho tshuaj pleev uas sib piv nrog rau lwm tus. Muaj tseeb, cov neeg mob tshuaj xyuas txog nws nyob deb ntawm txhua qhov zoo. Cov neeg sau tseg tias Troxevasin thiab Relief Advance ua sai dua thaum muaj tus kab mob hemorrhoidal exacerbation. Cov muaj pes tsawg leeg ntawm "Proctosan" suav nrog lidocaine hydrochloride, tab sis tsawg heev. Feem ntau, thaum lub sij hawm exacerbation, qhov kev txiav txim ntawm tus nqi ntawm lidocaine tsuas yog tsis txaus, vim li ntawd, cov neeg mob raug yuam kom siv lwm cov tshuaj pleev rau sab nraud hemorrhoids. Cov neeg mob tsis txaus siab rau kev siv nyiaj yuam kev thiab tsis muaj kev kho mob txaus.
tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob hemorrhoids
Hemorrhoid ointments with antiseptic action paub zoo rau txhua tus hauv peb lub tebchaws.
Lawv kuj siv tau rau kev kho mob furunculosis, dermatitis, eczema thiab lwm yam kab mob dermatological.
- Vishnevsky cov tshuaj pleev yog tsim los ntawm ntau cov nroj tsuag tshuaj. Tab sis muaj ob peb yam uas nyob mus ib txhis nyob rau hauv muaj pes tsawg leeg - cov no yog birch tar, xeroform thiab castor taum roj. Cov khoom no muab cov txiaj ntsig zoo hauv zos antiseptic. Tab sis tsis txhob cia siab tias dhau lawm hais tawm anti-edematous lossis analgesic ua los ntawm lawv. Xeroform muaj peev xwm tshem tawm tag nrho cov kab mob microflora hauv lub sijhawm luv luv, tau tshaj tawm cov txiaj ntsig astringent. Castor taum roj muaj cov nyhuv nourishing thiab moisturizing ntawm lub qhov quav mucosa. Birch tar yog nto moo rau nws cov antiseptic, bactericidal zog. Tar kuj tseem tuaj yeem ua kom cov ntshav ntws hauv cov ntaub so ntswg, uas ua rau qee qhov txo qis hauv hemorrhoids.
- "Levomekol" muaj chloramphenicol, uas tau hais tawm cov kab mob tua kab mob. Qhov no yog ib qho uas pheej yig tshaj thiab zoo tshaj kev kho mob rau sab nraud hemorrhoids. Tus nqi ntawm ib hub yog hais txog plaub caug rubles. Cov muaj pes tsawg leeg kuj muaj xws li methyluracil - ib tug tivthaiv uas muaj ib tug decongestant nyhuv, thiaj li khaus nyob rau hauv lub hemorrhoids.
