In our culture, it is not an accustomed to discussing the underlined and its functions, in a decent society.Therefore, diseases affecting these parts of the body are not only physical, but also psychological properties.Unfortunately, one of these diseases - hemorrhoids - not as rare as we want;At least 10-15% of the entire adult population of the Earth is subject to him.Most of the time people aged 30 and 50 are suffering from hemorrhoids and men are four times more than women.Unfortunately, all patients feel the signs of the sickness, which began, go to the doctor.False shame prevents a lot of self-preference that prevents many.However, hemorrhoids such as other diseases are easy to treat in the early stages.
What are the reasons for hemorrhoids and
The last part of the digestive system is called the final segment of the colon, the rectum;The third sacral starts at the level of vertebra and ends with anus.Its blood supply is carried out by five vessels (one of them, one of them, hemorrhoidal) and blood flow, the vascular vessels of the rectangs located on the submucosal layer of the rect.In the lower part of the rectum or in the hemorrhoidal zone, there are blue or corpses, bodies under the mucous membrane.Normally, the walls of these ships should support a connecting tissue, but if weakened, blood flow is broken, and the walls of the veins are filled with blood, and sometimes even showed anus.Hemorrhoids are swollen and outgoing caves in the same blood.Sometimes the appearance of hemorrhoids, under the influence of some factors, the muscle fibers of the rectum are stretched and loosened, which causes hemorrhoidal nodes.The number of nodes in patients is very different - suddenly suddenly suddenly from one to each other.Their sizes are very different - are from 5 mm to 3 cm.
Although the exact reasons for the formation and development of hemorrhoids are still found, the following factors are expected to contribute to him:
- A seated lifestyle.People are exposed to the creation of hemorrhoids for a long time to sit for a long time or standing.When a person is sitting for a long time, the blood stance occurs in the pelvic bodies that appear in the pelvic bodies.
- Physical work.However, physical activity is not Panacea;People working in areas where long-term and permanent harsh physical labor are required to suffer from hemorrhoids.
- Complications for defecation- Be diarrhea or chronic constipation.Both of these countries lead to an increase in the abdominal pressure, which in turn causes the increase in hemorrhoidal junctions and increase.
- Proper nutrition.The increase in alcohol, spicy food, causes the rise of the rectang in the cave organs of the rectang.The abundance of food, weak fiber, constipation and fatty foods - diarrhea.
- Excess heating of hypothermia or pelvis area.Both of these conditions are condemning the circulation of blood and contribute to the blood stagnation in the pelvis.
- Pregnancy, childbirth.In this situation, a woman increases the pressure in the abdominal area and may worry about blood flow through the veins.As a result, hemorrhoids may occur.
- Obesity.Especially the formation of hemorrhoids, oil is mainly subject to people kept in the abdomen.
- Some sexual practicesincluding anal sex.
- Various diseases: Liver diseases (with them, blood loss, which contributes to the development of hemorrhoids, is an increase in blood pressure);Diseases of pelvic bodies (bladder, prostate);In neoplasms and / or pelvis, inflammation in the intestines.
- Hereditary reasons: A functional deficiency of a connecting texture of the tone of the venous wall, the tone of the venous wall, heart and blood vessels.
Symptoms of hemorrhoids
Hemorrhoids are gradually and invisible;After defecation, a person does not experience a special concern when it cannot feel anxiety, pain, itching.The soft pieces in the anus area can be boiled.Mucus can be released from the rectum that causes anus irritating and burning sensation.Sometimes the patient has a feeling, as if an external object is in the back hole;Defecation is often a long aching pain.These events were reinforced in the violation of the diet or riots of the gastrointestinal tract.But most people are looking for a toilet paper or underwater bleeding toilet paper or underwater bleeding, or small drops of toilets or small drops, stripes or underwear in the form of tight bleeding in feces.
However, bleeding from the anus is not always associated with hemorrhoids (especially when the patient is over 40 years old).Rectal bleeding can also happen in the following diseases:
- Anal crack
- Oncological diseases of the rectum
- Casualties of rectum
- Colitis, polyps, air conditioning
The change in intestinal behavior of the patient, bleeding is due to the appearance of a different color or consistency than ever.With such symptoms, a doctor may occur immediately in another place of the gastrointestinal tract.
How the hemorrhoids show itself
Hemorrhoids take placeexternalorinterior.With external hemorrhoids, hemorrhoidal nods are expanded, the low venous plexus is located and is located directly from the anus.Inflammation is not inside the rectum, but outside, if you want, you can review this area with your own eyes.Bleeding in this form of hemorrhoids is practically, but patients are very concerned about the pain in the region.The outer junctions often become a rough canvas and more often oncological formations.This type of hemorrhoid relatively rare - more than 10% of the total number of patients do not suffer from them.
The inner hemorrhoidal nods are located in the submucoshazal layer of the rectum, it is possible to see only the lateral stages of the disease, the peers of the cavalry bodies are deformed by such anus.The main symptoms of domestic hemorrhoids are blood in feces (most often red, arterial, clotted dark venous blood is possible during the defecation.In the later stages of the disease, hemorrhoids fall from the anus;First, they are pulled inside, but later patients should do it.
There is also a combined hemorrhoid in the deformation of the rectum and subcutaneous venous plexus of the anal region.
Hemorrhoids take placeshaft(When the symptoms are rapidly developed, inflammation passes into neighboring tissues, suffers from patient pain; Necrotic changes are also possible due to thrombosis) andchronic.Then the disease has been a long time, for months and even years, periodically aggravates - bleeding occurs, the nodes are coming out, many concerns and reaches.In the remission period, the patient is not practical to feel practically anxious.
Stages of development of the disease
Most hemorrhoids are diagnosed in later stages - either patients did not pay attention to symptoms, for other reasons or for false shame.There are four stages of hemorrhoids.
- The first stage.Symptoms are effectively stated, only in special occasions (for example, sits in intestinal diseases, heavy physical labor, seat, overhe isitment or hypothermia) then shows itself with intestinal disorders).Sometimes the patient feels anxiety during defecation, burning and itching.In the exam, the doctor notes that the blood stagnation and the walls of blood vessels.If the hemorrhoids are able to diagnose this stage, treatment occurs quickly and without problems.
- The second stage.The hemorrhoid size is growing, the walls become more subtle, small breaks occur to them that cause bleeding.In the patient, a large physical difference can be obscured in complex defecation or hypothermia, blood traces, toilet paper or underwear, but the bleeding is very small and quickly.Hemorrhoids are slightly expanded and can fall from the anus after defecation, but returns back.Whether they are the appearance, physical labor or strong cough, it occurs as a result of the increase in pressure in the peritone, which is severe stress.At this stage, you can still contact conservative treatment.
- The third stage.Anal sphincter exposed to dystrophic changes and weakens, as a result, the fallen hemorrhoidal intersections can be made only by hand.The patient is worried about severe itching, bleeding is often and abundant.Conservative treatment is no longer possible.
- Fourth stage.The knots are so expanding so that it is impossible to correct them.The muscles of the anal hole are very weak, the tone of the sphincter decreases.The slightest physical activity for the loss of nodes is enough.The nodes themselves can take a seal image, they are inflamed;Inflammation may also affect nearby pieces.
Complications with hemorrhoids
Fortunately, the complications with hemorrhoids are not often found.Most of everything, with the hemorrhoids of the patient, it is not so different from the fear of blood, it is a danger to life.However, the anemia is possible with continuous bleeding for a long time.
Anus causes the mucus flow to itching and can cause eczemia.
With the further development of the disease, when the hemorrhoids exceeded the third or fourth stage, the patient is given a lot of concerns of nodes.And already they can already go out, both defecation and heavy cough, sneezing and physically.
Rarely, dropped hemorrhoidal nods can be squeezed by the muscle of anal sphincter, which causes severe pain.If nodes are not corrected, thrombosis can be developed.This is the most difficult consequences for hemorrhoids that require emergency medical care.In this case, the puffy, tense, size in the hemorrhoidal bench has increased very much and the ugly infection in the body of the patient.Patients lose their appetite, the temperature is rising and sick.
Any diseases are deteriorating when not temporarily.It is no exception for hemorrhoids - in the absence of treatment, it is a progress that can lead to irreversible changes in the vessels of the rectang.
Hemorrhoids during pregnancy and childbirth
The cause of the development of hemorrhoids in pregnant women, blood vessels, blood vessels, blood vessels, blood vessels, blood vessels, blood vessels, blood vessels, blood vessels, blood vessels, blood vessels, blood vessels, blood vessels, blood vessels, blood vessels, blood vessels, blood vessels and hemorrhoidal junctions.In addition, the appearance of hemorrhoids in pregnant women, when the feces extend the walls of the rectum and can distort the constipation when injuring the bodies.As a rule, in the last months of pregnancy, a woman is forced to carry a rider who does not contribute to the body's healing.During the birth, the muscles of the perineum are tense, the rectangular corpses are stretched and injured.It is possible to weaken anal spfincter with heavy stretch of perineum muscles and as a result it is possible to lose nodes.
Most of the time, they often confuse the symptoms of hemorrhoids with the results of the birth and do not immediately ignore a doctor.
What doctor will contact with the suspicion of hemorrhoids?
If a person is concerned about unpleasant feelings in the territory of anus, if you need to consult with itching, as well as blood traces, professional or collapse doctor.
Diagnosis of the disease
Usually, there is a sufficient visual examination of the patient's body to diagnose hemorrhoids.At the same time, the patient takes or the knee elbow position or occupies a gynecological chair.The doctor pays special attention to the fact that the patient's anus is the skin of the skin, hemorrhoidal nods, their value and position.
To confirm the diagnosis, the doctor may conduct other studies:
- Rectuation.The doctor examines the tissues of the anal channel, evaluates the situation of the mucous membrane of the rectang, as well as the state of the environment and tissues, which determines the location of hemorrhoidal machines, their value and pain and bleeding.True, the exact size of the knots cannot be determined - when you feel, as a rule, is reduced in size.In this case, the patient can stand on its side, back or fourth side, and the index can examine the rectum in the doctor in the glove.After the finger examination, the doctor can assign an amoscopy and a sporkoscopy.
- Anoscopia.With anoscopy, a special device is presented to the back, which allows the doctor's surface to explore the surface of the rectum 10-15 cm.Using anososcope, the doctor clarifies whether there are inflammatory diseases in the doctors, caharm organs, tumor processes and rectors.Ancoskope is also used for tests - biopsy and strokes.This procedure is painless and practically do not have contraindications;The exception is the stage of exacerbation of inflammatory diseases.Then the doctor first deletes inflammation and only recommends examination after that.
Although the anoscopia is a very simple procedure, requires initial preparation.So nothing prevents the examination that the patient should avoid eating the previous night, but also two hours ago two hours ago two hours ago - a few hours ago.It is also possible to ask the doctor to be laxatous on the eve of the patient.
You can also propose to pass the patient to pass the patient to exclude the risk of oncological pathological developmentSectoranoscopy- Sigmoid and the examination of the rectum.With this examination, the doctor can even bring the internal surface of the rectum to 25 cm.For some reason, it is impossible to conduct a stomoroscopy (let's say that the patient has pathological disorders of the rectum), insteadColonoscopy- when the inner surface of the rectum is investigated with an endoscopy.
Thanks to this approach, the doctor can be a clear picture of the disease, which stage and how to develop.On the way, you can identify other diseases affecting the activities of nearby organ systems.Often hemorrhoids are accompanied by the anal part of the body caused by hemorrhoids and diseases of the colon.Sometimes there is an irritable intestinal syndrome.
How to treat hemorrhoids
After the diagnosis, the doctor decides to determine which treatment.However, due to all the stages of the hemorrhoids, treatment, which allows you to stop the symptoms of the disease, so that the first or second phase is used.given by joint use of their medication.
| Group | Froze | Method of application | |
|---|---|---|---|
| Non-Metriotic drugs and analgesic | Remove inflammatory process, reduce swelling, anesthesia | Bloodless | |
| Venotonizing agents | Improve blood vessels, reduce the extension of the veins, prevent thrombosis | Oral, external | |
| Hemostatics | Bleed | Oral, in the form of a needle | |
| Mint | Relaxing spasms and inflammation, anesthesia | External | |
| Anticoagulant | Prevent hemorrhoid thrombosis | Needles | |
| Laxatives | Normalize chairs | Bloodless | |
| Enemas | Normalize chairs | External | |
| Pine | Blood supply, analgesic, anti -inflamational stimulation | External |
If no positive change has been observed in a week or twice, it should be examined by a different examination.
If there are hemorrhoids of a second or third stage and it is not possible to treat only with drugs, so much.Small -Insiv methods - unlike surgery, less traumatic for the patient, patients spend less time in the hospital and are recovered faster.This includes:
- Infrared radiation.Using an infrared coacle, the doctor maintains high-temperature hemorrhoidal nods, blood vessels.This operation does not require anesthesia (except the patient's highly individual sensitivity of this area) and low trauma.Clothing can also be carried out using laser rays.
- Sclerotherapy.The patient in hemorrhoidal nodes presents a special item that glues the walls of the ships.Usually, with sclerotherapy, a substance should not develop patient pain syndrome that does not exceed two nodes.The next session is held within two weeks.
- Ligating with Latex Rings of Hemorrhoids (LIVE).This method is used to treat hemorrhoids in elderly patients who make the treatment of most diseases.At the same time, a small ring made of latex, applies to the node-squeezing node base, causes necrosis and rejection.At the same time, bleeding does not occur because the bleeding rim is blocked by the ring;Later, a healthy connective tissue occurs in its place.The procedure is almost painless, has a low trauma and the ring can be applied quickly by an anenoscope.
- Cryerapy.In this way of treatment, hemorroroidal node is exposed to low temperatures, caused by injuries, and heal the unifying tissue forms on the wound and node.The operation is carried out under local anesthesia.
All minimal methods are used only if there is no escalation of hemorrhoids.If the hemorrhoids enter the acute stage, first of all, it is necessary to eliminate inflammation and reduce bleeding.
Surgical treatment of hemorrhoids
In the fourth stage of hemorrhoids, surgical treatment is displayed.The operation (hemorrhoidctomy) is carried out in the following way: the main groups of hemorrhoidal nods are being abnicit, leagues are applied to their bases, the edges of the wound are being built.Although the sound is sounded, the operation is very unpleasant, although it is very effective, there are least few relapses.But after that, complications are possible: severe pain, bleeding, wound, wound, anal channel, tightening anus, wounds, parapactic.After the operation, the doctor needs to be observed in the mode of determining - the duration of physical activity and hot baths should be refused.
Hemorrhoid treatment at home
There are many people's treatment of hemorrhoids, but not all is not effective, some may be harmful.It is recommended to use them only when the doctor confirms.
The fruits of the renal mountainous threshold, roses and raspberries will help reduce inflammation and normalize the tone of blood vessels.In addition, after the adoption of the anus and hemorrhoidal bench, especially after regulation, after the adoption of the anti -inflint effect (Calendula, St. John's Wort, chamomile).You can also make hot baths 10-15 minutes to reduce inflammation and pain with them.
Hemorrhoid Prevention
The easiest way to prevent the formation or burning of hemorrhoids to be a gentle and constipation of the department.This is the following:
- There are high fibrous foods- Fruits, vegetables, grains of grains.It softens the seats and increases the volume that helps prevent increasing pressure in the abdominal cavity.However, in small parts, it should be applied to your diet to prevent gas into your diet.It is recommended to prevent acute dishes, spices and alcohol.
- Drink liquid.It is recommended to drink from six to eight glasses of water or other fluids (alcohol) that the chair is softer and does not injure the walls of the rectum.
- Add drugs with dietary fiber to your diet.Most people don't get enough fiber on the day (25 g for women, for men, 38 g).Some nutritional supplements can improve the patient's general condition with developed hemorrhoids.However, the application of dietary fibers, water or other liquids (alcohol) in the diet, increase the connections with eight cups (non-alcoholic) a day.Otherwise, they can lead to constipation.
- Do not filter during defecation.Excessive tension and breathing while trying to eliminate big pressure in the veins of the rectang.
- Visit the toilet on time.If for some reason, a person eliminates defecation, the department may be dry and it will be more difficult to remove it from the body.However, you should not participate in the laxatives - with permanent use, irritate the anal area and even contribute to the development of inflammatory processes in the rectang.
- Exercise.It is recommended to do exercise or engaging in another physical activity - it will improve the condition of the vascular system, improve blood flow and reduces blood flow.It is recommended to take a short break, walk, stretch, stretch, to exercise every two hours in sitting or standing work.
- Avoid long-term inactivity.The rectal sitting or standing in a very long region can increase pressure on the veins in the region.