Hemorrhoids are Varicosis Varicosis in hemorrhoidal veins. The hemorrhoidal node inflammation includes interconnected by thrombosis, form change and pathological expansion of hemorrhoidal veins, the rectum.
According to statistics, about 25% of people suffer from hemorrhoids that aggravate them from time to time. More than 70% of people are at least sometimes experiencing various symptoms of hemorrhoids, such as anxiety, such as anxiety, itching and pain in the territory of the anus.
In women, hemorrhoids often occur during pregnancy and childbirth. During pregnancy, hemorrhoids should be treated in very subtle methods, because a pregnant woman is not recommended to take some medications for the haemorrhoids. In men, hemorrhoids are often often an event that causes a number of other causes and factors to be discussed.
In general, the growing blood flow of hemorrhoids is developing due to the flow of bloodshed or inadequate flow. The reasons and factors of the development of hemorrhoids are:
- Hereditary tendency to hemorrhoids. This is the main factor in the appearance of hemorrhoids, primarily. Although hemorrhoids are not inherited, it can be determined by the disease-prone genetic factors. Inheritance of certain gene groups lead to congenital weakness or vascular dysfunction in the rectial. This is the reason for a bloodshed through a developed flow and cave vessels, which leads to the pathology of the last. The long-term expansion of the blood vessels causes the walls of blood vessels, which helps to form bleeding with hemorrhoids.
- Work and weight lifting for a long time. Also, a sedentary lifestyle, physical loading also helps the development of hemorrhoids. First of all, this applies to people who have to stay in a long-standing position. This category includes teachers, teachers, Switzerland, guards, hairdressers and others. The height lift is another reason for the development of hemorrhoids and the loss of hemorrhoids.
- A seated lifestyle. This is mainly a serious negative factor in connection with office workers, drivers and persons related to a curious lifestyle. A lifestyle of a sedentary helps develop hemorrhoids through different mechanisms. First of all, it increases the pressure in the case of sitting on the veins of the rectang. With a long seat, the anus area is a bit heated, which leads to stagnant events and vascular expansion. In addition, the lack of physical effort is the real way to develop venous shortages. Including this rectum belongs to the vessels.
- Chronic constipation and diarrhea. People suffering from chronic constipation tend to develop hemorrhoids. Why does this happen? The work is that constipation is toughing and puts pressure on the veins in the lower bowel. This causes the cavernous blood supply and deterioration in the appearance of hemorrhoids. An additional factor in constipation is a habit of strong pushing during defecation, which is the habit that creates additional pressure on the rectangular ships.
Contributes to the development of hemorrhoids and severe diarrhea (diarrhea) that caused inflammation of the mucous membrane of constipation, hemorrhoids and acute membrane.
- Pregnancy. Hemorrhea and borne are often a phenomenon because the flight of Fetus creates pressure on venous veins of the record. Tensions during childbirth only increases the progress of hemorrhoids and contributes to the formation of new hemorrhoidal nods.
- Improper nutrition, spicy foods and abuse of alcohol. A significant factor in the appearance of hemorrhoids means nutrition. In particular, spicy food abuse causes the irritation of intestinal mucosa, and at the same time, the rectum stimulates a developed blood flow. And insufficient use of fiber (plant foods) makes intestinal mobility. The provocative factor in the development of hemorrhoids is an expanding alcohol. The admission of alcoholic beverages can even incite the escalation of chronic hemorrhoids in small quantities.
Basic factors contributing to the development of hemorrhoids:
- The obesity.
- Hereditary tendency.
- A seated lifestyle (hypodynamia) or work related to low motor activity.
- Excessive muscle tension activities (high physical activity).
- Stress.
- Violation of blood flow in the rectum.
- Frequent constipation.
- Inflammation and tumor processes in the intestines and liver.
- Infection.
- Smoking.
The illness in the formation of hemorrhoidal nodes is divided into two main types: internal hemorrhoids and external.
With the external hemorrhoids, nodes occur near the anus, in this regard, the sensitive surface is often broken down and brightly curled blood. The pain in the external hemorrhid is very sharp and strong, but this type of diagnosis does not show any difficulty.
Although the inner hemorrhoids have a more serious threat to health, it often differs from the lack of pain (especially in the early stage of the disease). This truth is the deepening of the hemorrhoidal bench inside and their surface is the same crucial mucous membrane of this rectum.
Usually distinguish 3 degrees of internal hemorrhoids:
- Grade 1. Hemorrhoids in Anal channel cannot be felt (even with a rectal study). Complements and bleeding complaints of the anus, "twist" pain after defecation.
- 2nd degree. When the nodes are independently strained and disappears from the anus. In principle, the same riots are observed here as a 1st degree hemorrhoid, but the small destiny of the mucous membrane is more and the anus is stronger.
- 3rd degree. It is characterized by so much change of hemorrhoidal nods independently restored. Symptoms may be the same in 2, but often develops feces and gas events in addition. When examined by hemorrhoids, bright-grains, cyanotic painting and tuberosis are distinguished from the enemy of the anus along a surface.
Symptoms of haemorrhoids in all stages of the development of the disease:
- anxiety in the anus;
- pain during defecation (first insignificant, then strong);
- bleeding from anus;
- The formation and growth of hemorrhoids.
Hemorrhoids have been a chronic pathologhine for years. The degree of development of the disease depends on many factors, including nutrition, lifestyle.
For the initial stageDiseases are characterized by a slight increase in the arteries in the anus. Such a sign usually remains out of attention. In this case, the patient may be concerned with bloody discharge from the rectangle immediately after defecation. Blood can easily appear on the toilet paper. It is necessary to remember that a similar symptom is characteristic of malignant bowel tumors, so you must apply to a program. Search for a doctor in time and determination of therapy will easily slow the development of hemorrhoids.
In the second stageThe development of the patient's disease can occur periodically in the anus, itching. Often there is a sensation of an external object in the anus. Hemorrhoids begin to fall during defecation and are still easily adjusted.
For the third stageHemorrhoid is characterized by an increase in existing features. The large venous knots in the anus are accompanied by pain and bleeding, to unload the intestinal discharge, the causes of constipation, the defecation act. Strong bleeding with hemorrhoids is dangerous, can lead to the development of anemia over time.
For the final stageDiseases are characterized by an increase in the size of the hemorrhoids. They cannot be adjusted by hand. The presence of advanced vessels in the anus causes serious concerns, hurts the patient, go to the toilet. Worried about bleeding during each defecation. The fourth stage of the hemorrhoid development, at the end of the rectum, can be complex of unpleasant and dangerous events such as thrombosis.
Often hemorrhoids appear during the past three months of pregnancy and childbirth. The reasons for hemorrhoids are the piercing of the growing uterine of intestinal veins, which causes the flow of blood from the intestines and perineum. Vienna grows in diameter and changes the form. Periodic constipation in pregnant women can also incite its appearance.
However, most women have symptoms of hemorrhoids passpartum, so the reasons are believed to be hormonal changes. The first of the symptoms should be treated immediately after detection. For example, it is important to take medicine with stools (forlox, laminaride, methylvelosis), to take medication with hygiene rules (after the defecation anus). Hemorrhoids (Aurobin, relief, etc. ) are mainly used in the form of ointment and candles. Surgical intervention is carried out only in difficult situations.
The prevention of hemorrhoids should be carried out in the first days of pregnancy - prevent constipation, wear closer belts, more time in the fresh air and take more time on walking rides.
The progress of the disease without appropriate treatment will lead to a number of very unpleasant combinations.
Hemorrhoids Complications:
- Anemia (develops with a long course of disease with abundant bleeding).
- Integrated processes in the surrounding tissues, until the development of the parapotite (inflammation of the fiber around the rectum). Parapropolism is considered a very heavy complication that requires a serious treatment.
- The ease of the anus. The most common cause of severe pain in hemorrhoids. Cracks create favorable conditions for deepening and penetrating various infections. This fact may lead to the development of a giant complication such as a abscess (general malfunction, temperature and severe pain) is a limited inflammation. This complication must be required forced surgical intervention.
- Itching. The patient violates the psycho -emootal state, not just like a strong negative psychological moment, but a very unpleasant complication. The constant mechanical irritation of the anal area can significantly aggravate the process of the disease. In addition, the permanent damage to the tissue increases the risk of developing various tank processes.
- Deficiency of anal sphincter, gas and feces (often in the elderly) distrust.
After that, the hemorrhoids need early diagnosis and take action immediately to solve this problem.
As a rule, the diagnosis is not associated with special difficulties, the diagnosis occurs as part of a patient survey and an initial outpatient examination. Verification helps to define:
- The rate of loss of nodes from the anus,
- estimate the probability of returning,
- The state of the skin,
- Also the relevance and degree of bleeding.
Symptoms for hemorrhoids are similar to some other diseases. Therefore, the diagnosis should be careful, because the risk of determining the wrong treatment. Can be mixed with hemorrhoids:
- Anal cracking accompanied by small bleeding, pain during defecation;
- Row cancer (malignant bowel tumors occur with bleeding);
- the rectum loss;
- Colitis, polyps and air conditioning.
If you see the first signs of the disease in yourself, do not make a trip to the doctor for a long time. It will facilitate the treatment of early diagnosis and only the lack of complications will also help prevent surgery.
Conservative treatment of hemorrhoids:
- Make sure you normalize the intestinal discharge. The chair should be regular, soft. To normalize the stool of hemorrhoids, it is recommended to eat, wheat dandruffs, including dietary fibers, but their number should gradually increase in 2-3 weeks. (from 5-10 g above 5-10 g per day), anxiety arises.
- To achieve a daily soft chair and other means of constipation, you can recommend up to 30-40 ml of lactoulosis per day, follow a diet and recommendations for constipation.
Treatment uses local drugs: rectal candles from hemorrhoids and ointments.
- With pain, the candles with small doses (for example, Beladonna, etc. ) help. You can set candles, sodium algeninat, ichthyol, depending on the symptoms of the disease.
- If there is no bleed, phenylefrin hydrochloride, etc. And so on. And so on. And so on.
- In pain, in addition to the candle, cold lotions can be used, but not more than 30 seconds.
- To increase the effectiveness of local drugs, you need to improve the tone of venous ships and take a product from the mouth to prevent thrombosis: Diosmine, Trokerutin.
- The nods of the nods of the nods (Prolice) are the basis for wrap. Hemorrhoidal veins, cold and lidocainry hydrocrochloriaid (1% solution) thrombosis are used locally and subsequent bandraping is possible.
- With Relapse, it is recommended to hemorrhoids, despite treatment.
Treatment drug methods are only symptomatic - that is, hemorrhoids do not radically treat hemorrhoids. However, it allows you to temporarily cope with the unpleasant signs of hemorrhoids. After medicinal treatment, the patient will be obeyed to prevent relapse, surgical treatment can be avoided.
But always patients cannot follow all the recommendations.
Minimum invasive treatment allows you to quickly and seriously injure to get rid of a delicate problem like hemorrhoids. In most cases, therapeutic methods only delay the symptoms of the disease, the moment you need to use radical methods. Prior to the appointment of a particular procedure, the doctor examines the patient's history, and performs a comprehensive examination, evaluates all possible risks.
Sclerotherapy- This is a low-protection treatment, paste the walls of the future through the special sclerosan items included in the node. The technique is carried out only in 1-3 stages. The relapse of the disease does not rule out the risk of the disease and is effective only with small hemorrhoids. ElectrococoagulationIt is carried out under the supervision of anososcope. The electrode is brought to the node leg and the fabric clots (welded), and then they die quickly. It is possible to get rid of 1-2 pathological focuses in a procedure. After the glue, hemorroroidal node food and grow, it disappears completely after a while. Ligating with latex ringsIt consists of the most modern methods of minimal invasive treatment of internal hemorrhoids consisting of 1-3 stages. A latex ligatue is applied through an anenoscope on the node foot, which causes the tissues to squeeze and violate the blood circulation. After 8-14 days, hemorroroidal node dies and removed with the latex ring. Cryerapy- The liquid has a short effect on hemorrhoids with nitrogen. After that, the hemorrhoid node dies and disappears. The procedure occurs under local anesthesia, so there are no painful feelings.
Small invasive procedures are contraindicated:
- escalation of an inflammatory process in the rectum and anus;
- anal cracks, injuries;
- Hemorrhoid thrombosis.
Small invasive methods fighting hemorrhoids can only be used in 1-3 phases of the disease, the exacerbation of the inflammatory process. All procedures are performed after local anesthesia. There is no need to use general anesthesia. Only 1-3 knots can be removed in one session. Sometimes treatment occurs in several stages within a few weeks.
Surgical treatment is the most effective treatment for the third and fourth stage.
In the 30s of the last century, the proposed hemorrhoid removal operation is still applied and continues to be changed. Two types of operations in the world are mainly conducted:
- Closed hemorrhoidctactomy. Apply in the III and IV phase of the disease.
- Open hemorrhoidctactomy. Also in the stage III and IV, but complex with anal crack or paraposca.
In 1993, a new way for the treatment of hemorrhoids was carried out by Longgo, which is a special device, using a mucous and speech floor of the mucous and speech floor of the rectang.
Patients are evacuated 3-4 days after the operation, the restoration of disability occurs within 5-7 days. A small part of postoperative complications is also marked.
In most cases, patients can start drinking after hemorrhoids, start drinking and eating after surgery.
However, to observe the dietary schedule (Pevzer 1A) to observe the dietary schedule (according to Pevzer 1) to exclude products and dishes that excite the exciting and mucous membranes. The meal should be cooked in the form of deleting, cook for steam or boiled on the water, it is necessary to be in a liquid and entertaining position. Exception: hot and cold, bread and flour products, raw vegetable fruits, cheese, dairy products, sour cream, cottage cheese, coffee, tea.
6 times a day to eat in small parts. Rehabilitation of the normal operation of the intestine is usually the second post-operation, so it can take an ordinary diet. However, of course, all sharp and spicy dishes should be excluded, alcohol should also be forgotten. By following these recommendations, you can reduce the risk of reducing the recovery period after surgery and reduce the risk of complications.
You can perform some measures independently that will help you to relieve signs of hemorrhoids at home. But worth remembering, they will not help get rid of the disease:
- Hot baths help well. You can pick up a bath or just sit in the water basin. Anus territory needs to be put in hot water for 10-15 minutes 2-3 times a day.
- A comprehensive hygiene of the anal area. To get a daily bath or shower, you need to wash anus territory thoroughly.
- Do not use other means that can create soaps and irritations in the anus. Avoid the use of fragrant wet napkins that include alcohol.
- Do not use ordinary toilet paper. It is better to use wet naps, but not alcohol.
- Use cold. To remove the edema in the anus, you can use cold heat bags, ice packs, cold water hydrated fabric.
In addition, the diet with hemorrhoids continues two lever: to prevent constipation and irritation in the rectum. Basic recommendations:
- Drink enough liquid. This will help the department to be softer and make it easier to pass through the intestines.
- There should be more vegetables, fruits and cereals in your diet. There is a vegetable fiber that prevents constipation.
- You need to avoid alcohol, coffee, strong tea.
- Limit acute dishes, spices.
- It is better to take food 4-5 times a day.
- Food at about the same time.
- Physical activity also helps normalize the work of the intestines.
Gymnastics exercises are directed to prevent constipation and strengthening the anal sphincter. For example, you can strengthen blood flow and the muscle layer of the press, normalize the work of the intestines and prevent constipation:
- The "scissors" exercise is carried out by the back and alternatively, the ones that are alternatively passed with their legs;
- "Bicycle" is a fairly famous training that is very reminiscent of a bicycle trip to your back;
- In the floor (on the back), place your feet straight, if possible, you can lift one or more legs, you can reach a correct angle in hip joints. Or trying to tilt your legs on your knees and spread the basin, tearing the floor as much as possible.
Thus, in any case, it is able to strengthen its "fifth point", so gymnastics for strengthening the anus is not required and those around them are less likely to feel.
Thus, exercises for strengthening the sphincter:
- Get up, go to your feet and make artistic rest and gluteal muscle tension;
- Choose the most difficult chairs, sit a little forward (you can easily do it on the desktop), trying to push the anus, try to reduce the sphincter and relax. If you want you to always take 20 minutes to the exercise that can always be found.
The best means to the hemorrhoids is the prevention. There are inclined factors that cause the development of the disease:
- To sit in the toilet with an irregular chair, constipation or diarrhea, the habit of drowning during defecation or a book for a long time.
- Strict physical work and vice versa, the deficiency of the movement, remain in the event of a long time;
- Pregnancy and childbirth;
- Alcohol operation.
This means that the way of lifestyle will help light the protection of the disease.
- The diet is recommended to be reconsidered: instead of drinking water instead of simple hydrocarroses, tea and coffee, will help drink water instead of drinking water.
- Avoid alcohol including beer.
- With hemorrhoids, horseback riding, weightlifting, cycling, but we don't want to walk or swim.
- In order to make gymnastics in Kegel, the abdominal press and hips are useful to strengthen the muscles.
- Sitting for a long time in the restroom is a bad habit. However, to use the toilet proposal or after washed after washing, but rather useful.
Despite all preventive measures, it is not necessary for panic, if not prevented. Change the position of the liar, it hurts, pain, moisturized or chamomile in a weak solution of potassium permanganat (not hot! ), Diet and personal hygiene.