Hemorrhoids yog ib hom kab mob proctological uas tshwm sim hauv yuav luag txhua 3 tus neeg muaj hnub nyoog 40 xyoo. Tus kab mob no tsis txaus ntshai nyob rau theem pib ntawm kev loj hlob, yog li ntau tus neeg mob nyiam tiv nrog cov tsos mob ntawm qhov txhab ntawm lawv tus kheej, yam tsis tau mus ntsib kws kho mob tshwj xeeb. Tab sis nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias yam tsis muaj kev pab kho mob, tus kab mob pib zuj zus mus rau lub sijhawm. Feem ntau cov neeg mus ntsib kws kho mob thaum hemorrhoids twb tau tsim mus rau theem 3. Kev kho mob ntawm theem 3 hemorrhoids yam tsis muaj kev phais yog ib txoj kev nyuaj, raws li txoj cai, tus kab mob yog kho los ntawm kev phais.
Qhov laj thawj tseem ceeb ntawm qhov tshwm sim
Txhua tus kab mob muaj ntau theem ntawm kev ntws, txhua tus muaj nws tus kheej cov tsos mob. Feem ntau, hemorrhoids raug kuaj pom ntawm thawj theem ntawm kev loj hlob, thaum txawm tias kev kho mob hauv tsev yuav pab tiv nrog cov tsos mob ntawm qhov txhab thiab txhim kho tus neeg mob.
Tab sis vim cov neeg mob feem ntau tsis quav ntsej cov tsos mob ntawm hemorrhoids thiab ncua mus rau tus kws kho mob, tus kab mobtau kuaj pom twb nyob rau theem 3 ntawm kev txhim kho.
Qhov laj thawj tseem ceeb uas ua rau pom tus kab mob muaj xws li:
- haus cawv ntau;
- ntau zaus kis las, ua haujlwm dhau lub cev;
- xeeb tub, muaj kab mob pathological;
- teeb meem noj zaub mov;
- kev ua neej nyob.
Feem ntau cuam tshuam los ntawm tus kab mob yog cov neeg uas feem ntau cem quav mus ntev. Nrog rau kev ntxhov siab thaum lub sijhawm defecation, ib tug neeg tuaj yeem tsim ntau cov kab nrib pleb ntawm qhov quav, uas ua rau muaj kev hloov pauv mus rau lub xeev hemorrhoids.
Thaum thawj theem ntawm kev loj hlob ntawm tus kab mob, nws yog ib qho yooj yim los kho, rau qhov no koj tsuas yog yuav tsum hloov koj txoj kev ua neej thiab tshem tawm cov cwj pwm phem. Tab sis ntau tus neeg tsis txawm ua qhov no, uas yog vim li cas hemorrhoids pib nce thiab txav mus rau theem txaus ntshai. Cov txheej txheem rau kev kho mob ntawm theem 3 hemorrhoids tsis tuaj yeem tsis yog phais, uas feem ntau xav tau txoj kev kho mob nyuaj. Nyob rau theem thawj thiab thib ob ntawm txoj kev loj hlob, tus kab mob no kho tsis tau phais.
Symptoms of defeat
Cov tsos mob ntawm tus kab mob yuav luag zoo ib yam ntawm txhua theem ntawm nws txoj kev loj hlob. Cov tseem ceeb yog los ntshav qhov txhab uas tshwm los ntawm lub qhov quav thaum lub sij hawm defecation, nrog rau tsim ntawm hemorrhoids.
Tib lub sijhawm, hauv thawj ob theem, cov hemorrhoids protruding nws tus kheej thim rov qab mus rau hauv txoj kev, tab sis nyob rau theem 3, cov nodes twb muaj lawm.coj ib tug neeg nrog lawv cov dag zog. Tsis tas li ntawd, kev poob qis ntawm 3 theem ntawm kev loj hlob ntawm tus kab mob provoke cov tsos mob hauv qab no:
- hnyav los ntshav;
- tsis xis nyob thaum lub plab zom mov;
- kub hnyiab hauv qhov quav;
- prolapse ntawm hemorrhoids thaum lub sijhawm ua si thiab txawm tias kev ntxhov siab tsawg.
kuaj mob
Tus kab mob pib loj hlob sai vim muaj kev puas tsuaj rau lub paj hlwb, vim tus neeg mob tsuas ntshai tham txog nws qhov teeb meem rau tus kws kho mob tshwj xeeb. Raws li qhov tshwm sim ntawm qhov no, hemorrhoids pib loj tuaj thiab, vim lawv qhov loj, tsis tuaj yeem tawm. Nyob rau tib lub sijhawm, kev hnov mob tsuas yog pib loj hlob, los ntshav hnyav tshwm sim, uas ua rau tus neeg mob tsis xis nyob.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias nyob rau txhua theem ntawm kev loj hlob ntawm hemorrhoids, nws yog qhov txaus ntshai heev los kho qhov mob ntawm koj tus kheej rau tib neeg kev noj qab haus huv. Yog tias tsis muab kev pab kom raug thiab raws sijhawm, tus kab mob tuaj yeem ua rau mob qog noj ntshav.
Kev txiav txim siab muaj hemorrhoids hauv tus neeg mob yog qhov yooj yim heev. Tus kws tshaj lij proctologist yuav tuaj yeem kuaj xyuas qhov tseeb nrog lub palpation yooj yim, nws yuav txheeb xyuas qhov theem ntawm tus kab mob thiab nws qhov phom sij rau tib neeg. Tus neeg mob yuav tsum tsis txhob nyob twj ywm txog nws tus mob thiab xav tias nws yuav dhau mus rau nws tus kheej, vim qhov no txaus ntshai heev tsis yog rau nws txoj kev noj qab haus huv, tab sis kuj rau lub neej.
Kev phom sij ntawm theem thib peb
Txhua theem ntawm tus kab mob xav tau kev pab tam sim rau ib tus neeg. Kev ncua ntawm kev kho mob yog qhov txaus ntshai vim thaum kawg lawv tuaj yeem ua taucoj tus neeg mob mus pw hauv tsev kho mob ntev. Thaum tsis muaj kev kho kom raug, theem 3 hemorrhoids tuaj yeem nkag mus rau hauv plaub, uas feem ntau kuaj pom hauv daim ntawv oncological.
Tam sim no nyob rau theem 3 ntawm kev loj hlob, tus kab mob tau tshwm sim los ntawm kev mob hnyav thiab ntse ntawm tus neeg mob. Qhov no tuaj yeem piav qhia los ntawm qhov tseeb tias txhais ceg ntawm cov node yog arbitrarily infringed.
Teeb meem tshwm sim
Thaum theem 3, hemorrhoids tuaj yeem ua rau muaj teeb meem kev noj qab haus huv hauv qab no:
- hemorrhoidal thrombosis;
- paraproctitis yog kab mob bacteriological uas kis mus rau cov ntaub so ntswg ntawm qhov quav;
- mob qog noj ntshav hauv plab.
Qhov kev cia siab nyob rau theem no tsis meej meej, tus neeg mob tam sim ntawd pib nkag siab tias nws nkim sij hawm tsis muaj txiaj ntsig, vim nws yuav yooj yim dua los kho tus kab mob ua ntej.
Thaum thawj thiab thib ob ntawm kev txhim kho tus kabmob, tus neeg mob yuav tsum ua raws li cov cai yooj yim ntawm kev nyiam huv, sim noj kom raug, siv tshuaj, ua raws li kev tiv thaiv, siv cov zaub mov txawv los ntawm cov tshuaj, uas yuav pab tau. txoj kev loj hlob ntawm tus kab mob. Tab sis hemorrhoids nyob rau theem 3 tsis tuaj yeem kho tau los ntawm cov txheej txheem qhia.
Txoj kev kho mob ntawm qhov txhab
Kev kho mob ntawm theem 3 hemorrhoids yam tsis tau phais yuav tsum cuam tshuam tsis yog cov tsos mob nkaus xwb, tab sis kuj yog qhov tseem ceeb ntawm tus kab mob. Pib nrog, nws yog ib qho tseem ceeb los txhim kho cov ntshav khiav, kho cov kab mob thiab tiv thaiv lawv los ntawm kev sib kis ntxiv ntawm hemorrhoids.
Nws yog ib qho tseem ceeb kom tshem tawm cem quav, raws li cov ntaub ntawv compressed fecal puasqhov chaw ntawm lub qhov quav, thiab kev ntxhov siab tas li thaum lub sij hawm defecation provokes vascular raug mob.
Kev kho mob ntawm theem 3 hemorrhoids hauv tsev yuav tsum muab cov kev kho mob nyuaj, uas yuav suav nrog kev noj tshuaj thiab zaub mov noj zaub mov zoo.
tshuaj hemorrhoid
Txhawm rau tshem tawm cov txheej txheem inflammatory, cov kws tshaj lij tau sau cov tshuaj los yog cov tshuaj suppositories. Kev kho mob ntawm hemorrhoids theem 3:
- Hauv koj yuav tsum siv "Tetracycline" lossis "Levomycetin" hauv cov tshuaj ntsiav.
- Tshuaj yuav tsum haus 3 zaug hauv ib hnub ua ntej noj mov, chav kho mob tau sau los ntawm kws kho mob tshwj xeeb.
- Ib qho ntxiv zoo hauv kev kho mob ntawm theem 3 hemorrhoids yog Proctosedil suppositories uas muaj framycetin.
- Tshuaj kho tau zoo tshaj plaws rau cov hemorrhoids thiab qhov quav fissures.
Txhawm rau txo qhov loj ntawm cov hemorrhoids sab nraud thiab tiv thaiv lawv txoj kev loj hlob, kev npaj sab nraud yuav tsum tau siv. Cov txiaj ntsig zoo tshaj plaws tuaj yeem ua tiav los ntawm cov tshuaj pleev, uas suav nrog cov tshuaj tiv thaiv coagulants uas pab txhim kho cov txheej txheem ntshav. Tsis tas li ntawd, cov khoom zoo li no yuav tsum muaj cov khoom siv kho kom zoo thiab cov tshuaj tua kab mob uas kho cov kab mob sab hauv thiab sab nraud thiab tshem tawm qhov mob.
Txoj kev kho hemorrhoids 3 theem suav nrog kev sib koom ua ke ntawm cov tshuaj, tshuaj pleev,txhaj tshuaj thiab muaj zog qhov quav suppositories.
Ntau zaus, cov kws tshaj lij tau sau nyiaj rau cov neeg mob nrog cov khoom xyaw hauv qab no hauv cov khoom xyaw:
- "Relief Ultra" nrog cocoa butter thiab shark siab extract;
- "Hepatrombin G" nrog heparin, allantoin thiab dexpanthenol.
Cov tshuaj no pab txhawb kev loj hlob thiab kev loj hlob ntawm cov kab mob sab nraud, tshem tawm qhov mob, kub hnyiab thiab khaus khaus, kho cov ntaub so ntswg raug mob thiab tiv thaiv los ntshav.
Kev kho mob nrog pej xeem tshuaj
Ua ke nrog kev noj tshuaj hauv kev kho mob hemorrhoids theem 2-3, koj tuaj yeem pib siv pej xeem txoj kev. Thaum daim ntawv no khiav, nws raug tso cai siv da dej sov los yog txias nrog tincture ntawm wormwood, oak bark, chamomile, nettle, calendula, thiab eucalyptus nplooj.
Nyob rau hauv lub xub ntiag ntawm purulent paug thiab ntau microcracks, nws yog qhov zoo tshaj plaws los siv tshuaj pleev ib ce nrog freshly squeezed kua txiv aloe thiab hiav txwv buckthorn roj, uas tshem tawm o thiab o.
Ib qho tshuaj tua kab mob zoo thiab muag muag tuaj yeem tau txais los ntawm compresses nrog raw gruel ntawm grated qos yaj ywm. Compresses yuav tsum tau siv nyob rau hauv 7-10 hnub.
Daim duab qhia txog hemorrhoids ntawm theem 3. Kev kho mob muaj nws tus kheej tshwj xeeb thiab sawv cev rau ntau yam kev ntsuas txhawm rau tshem tawm tus kab mob.
Surgery
Kho tus kab mob kom tiav ntawm theem 3 yam tsis muaj kev phais yuav tsis ua haujlwm. Nrog xws li qhov txhab, proctologist yuav xaiv tus neeg mobminimally invasive txoj kev ntawm kev kho mob, raws li zoo raws li txheeb xyuas tau contraindications thiab kev pheej hmoo ntawm teeb meem. Cov txheej txheem zoo li no yuav kav tsis ntev tshaj 2 teev, nws tsis siv tshuaj loog, thiab lub sijhawm kho tus neeg mob yuav siv sijhawm luv tshaj plaws.
Txoj kev niaj hnub ntawm kev tshem tawm tus kabmob:
- alloying nrog latex rings;
- sclerotherapy;
- cryotherapy;
- kev sib tw.
Thaum khi cov pob qij txha, tus kws kho mob txwv kev nkag mus rau lawv rau cov ntshav thiab oxygen, uas ua rau lawv tuag nrog kev tawm ntawm lub cev tom qab lub sijhawm defecation. Txoj kev kho no muab txoj hauv kev los tshem tawm tus kab mob ntawm 3 theem yam tsis muaj kev phais.
Qee qhov kev ua haujlwm raug txwv yog tias tus neeg mob muaj thrombosis, mob hnyav lossis mob ntshav siab. Txawm li cas los xij, tus kws kho mob tshwj xeeb yuav xaiv txoj kev kho mob.
Hemorrhoids ntawm 3rd thiab 4th theem ntawm txoj kev loj hlob, uas yog nrog los ntawm ntau cov kab nrib pleb mob nyob rau hauv lub qhov quav, cov ntaub so ntswg necrosis thiab purulent tawm, raug tshem tawm nrog ib tug laser los yog ib tug scalpel nyob rau hauv qhov chaw nyob.
Nyob rau hauv daim ntawv classical ntawm tus kab mob, siv tshuaj loog, thiab cov qhov txhab yog sutured nrog absorbable threads.
Tom qab tshem tawm cov hemorrhoids, tus kws kho mob tau sau tshuaj tua kab mob thiab kev kho mob mus sij hawm ntev nrog ventonics, uas pab tshem tawm qhov kev pheej hmoo ntawm tus kab mob rov qab.
ntsuas kev tiv thaiv
Tiv thaiv kom tsis txhob kis kab mob hemorrhoidal pob thiab cov teeb meem ntawm tus kab mob tuaj yeem ua tiav nrog txoj kev ua neej thiab kev saib xyuastiv thaiv kab mob kev noj qab haus huv. Nws yog ib qho tseem ceeb kom tshem tawm txhua yam uas ua rau kev loj hlob ntawm qhov txhab:
- yuav haus cawv, haus luam yeeb;
- txwv tsis pub dhau lub cev, nqa khoom hnyav;
- tshem tawm txoj kev ua neej nyob tsis muaj zog;
- tsis txhob overstrain lub paj hlwb, zam kev ntxhov siab;
- tshem tawm cov zaub mov tsis zoo ntawm koj cov zaub mov.
Tus neeg mob yuav tsum siv sijhawm ntau rau sab nraum zoov, ua cov txheej txheem kho mob txhua hnub uas yuav pab txhawb cov leeg nqaij, tsis txhob haus cawv thiab tsim cov zaub mov kom raug.
Kev kho mob hauv tsev
Kev tshem tawm cov hemorrhoids ntawm 3 theem tsis yog ib qho kev lees paub ntawm kev rov ua tiav ntawm lub cev thiab tshem tawm cov kab mob, yog tias koj tsis quav ntsej tus kws kho mob cov lus pom zoo, hemorrhoids tuaj yeem rov tsim dua, thiab tus kab mob yuav rov qab muaj zog dua.
Kev kho mob hauv tsev yog qhov tseem ceeb txuas ntxiv tom qab kev phais. Ib qho txiaj ntsig zoo yuav ua rau muaj kev txhawb nqa dav dav ntawm cov tshuaj ntsuab nrog cov noob ntawm nees chestnut, sage, yarrow, thiab birch buds. Nws tseem pom zoo kom haus tshuaj yej nrog mint, txiv qaub balm thiab rosehips.
Nws yog ib qho tseem ceeb uas yuav tsum tau saib xyuas kev tu cev tsis tu ncua, thiab tseem pib noj cov tshuaj noj nrog cov vitamins C, A thiab E hauv cov khoom xyaw.
Khoom noj khoom haus
Kev noj zaub mov kom zoo yog qhov tseem ceeb los tawm tsam tus kab mob. Txawm hais tias tus neeg mob twb tau phais lawm, kev noj zaub mov yuav cuam tshuam ncaj qha rau tus neeg mob lub sijhawm 2-3 lub hlis tom ntej ntawm kev rov zoo. TxawmYam tsawg kawg nkaus hauv kev noj haus tuaj yeem ua rau cem quav lossis raws plab, uas yuav ua rau muaj tus kab mob hnyav dua thiab pom cov hemorrhoids tshiab nyob rau sab nrauv thiab sab hauv ntawm lub qhov quav.
Thaum rov kho, tus neeg mob cov zaub mov yuav tsum nruj raws li qhov ua tau. Koj yuav tsum noj cereals, tsis muaj zog broths los ntawm cov nqaij qaib uas muaj roj tsawg, stewed los yog pureed zaub, tshuaj yej thiab kua txiv hmab txiv ntoo. Kev tshuaj xyuas txog kev kho mob ntawm theem 3 hemorrhoids yam tsis muaj kev phais yuav txawv, tab sis feem ntau cov kab mob tuaj yeem raug tshem tawm.
