A good friend of mine that lives forced to go into business, gave her much trouble, sometimes sighs, "Here is another hemorrhoid on my head." Hemorrhoids in the phrase sustainable - a symbol of the problem, which is extremely difficult to get rid of. But what have the head?Hemorrhoids in fact located in a different place.
What is it and where?
Anal (anal) opening in the body - it is part of the increased blood supply. Vascular network in this location represented by a number of vessels, from large arteries to the smallest capillaries to supply arterial blood and, therefore, as a branched vascular tree for the outflow of venous blood. Studies show that people suffering from hemorrhoids, blood in the arteries is very intense. Moreover, they have some of the arteries dilated. Increasing the amount of blood in the arteries leading to swelling of the smaller vessels - arterioles and capillaries. Swollen blood vessel walls (hemorrhoids) put pressure on the delicate lining of the rectum, which causes internal hemorrhoids. The degree and rate of progression of the disease depends on age, lifestyle, pregnancy, eating habits and alcohol consumption, and - very importantly - the habits of defecation.
Another manifestation, and the result is the formation of internal hemorrhoids anal fissures (fissures). This breaks the rectal mucosa, arising from injury to its walls of solid stool during their advance on the narrowed passage. The formation of discontinuities causes severe pain, burning, causing some bleeding manifested in the form of drops of blood on toilet paper or stool. Since defecation with fissure causes severe pain, a person can not help trying to go to the toilet as little as possible, what aggravates their condition. A vicious circle. Delay chair adds an internal and external hemorrhoids and provokes attacks.
The most serious symptom of hemorrhoids - bleeding. His cause hard stool, mucus, and breaking the walls of hemorrhoids. Depending on the case, it is a minor or severe, even requiring special measures, such as blood transfusions. Especially dangerous bleeding hemorrhoids for people who take blood thinners.
Hemorrhoids are also divided into acute and chronic, and in the chronic stage is determined by four. The disease in the acute phase is characterized by transience and complications in the form of thrombosis, infringement of hemorrhoids, etc.
Chronic hemorrhoids lasts for years, it is less painful, so patients seek medical attention only in the later stages, when the vein is not right.
Hemorrhoids - our payback for walking upright. The impact of gravity hinders the outflow of blood from the lower body. Manifest the disease, unfortunately, at the very socially active age - after 30 years. By the age of 30 in the ligaments and muscles of the rectum and around the start age-related changes, grows scar tissue. Venous hemorrhoidal nodes less held in place and begin to move down. And if the torn ligament, then drop out. But while there is hemorrhoids, not all. Who is more likely to get them?
Major risk factors
Heredity | Congenital structural features. There are cases of severe hemorrhoids in 15 years.
External factors | Regular weight lifting, prolonged exposure to the legs, or a sedentary lifestyle, and some sports: horseback riding, biking, alcohol and spicy food, frequent enema.
Internal factors | Chronic constipation, diarrhea (rarely), pregnancy, prolonged hacking cough (bronchial and lung diseases), stagnation of blood in the veins (heart disease, cirrhosis of the liver), intestinal tumors, obesity.
Hemorrhoids - the disease is quite frequent. In the U.S., they suffer 10% of the population. Men get sick more often - 77% of all sufferers.
If there is a predisposition, knowledge of risk factors helps to avoid harmful effects.
Diagnosis of disease
Diagnosis of hemorrhoids is done by visual inspection and investigation by a special device - Once this. In the rectum entered the tube with the eyepiece and light source that allows you to see the status of mucosal vascular network and to a depth of 7 cm stage of the disease is determined according to the size and degree of protrusion of hemorrhoids.
Usually the diagnosis differentiate between acute and chronic hemorrhoids. But in fact, if the hemorrhoids are enlarged vein, it is doubtful that they can return to normal. Chronic disease did originally. So, acute hemorrhoids are actually worsening chronic, it is not two forms, and two phases of the disease.
Treatment of Hemorrhoids
Let's talk about the main thing - what to do? First of all - to confirm the diagnosis in a specialist proctologist. Because the symptoms can be similar in other diseases - inflammation, rectal prolapse. But most importantly, do not miss a tumor.
To treat hemorrhoids, depending on the stage of disease, medical and technical capabilities of the tactics used certain medications, minimally invasive techniques associated with the removal of hemorrhoids and mucosal lesions, as well as surgery.
In acute hemorrhoids and the early stages of chronic hemorrhoids hold conservative treatment. Its main purpose - to relieve pain and inflammation, normalize blood circulation in the rectal area, adjust the digestion. Conservative treatment is common: pills, which increase the tone of the veins, improve blood flow in small vessels and hemorrhoidal veins, and the local: wound healing, analgesic, and antipruritic ointments, suppositories, micro enema, baths and physiotherapy.
A new method for hemorrhoid treatment in Israel
A new method of treatment, taken into service in Israel, was called "ligation of the arteries of the rectum (HAL), or" Doppler ligation. " It is used a new device that allows you to dispense with the operation and at the same time, to ensure complete recovery of the patient. Detection of diseased arteries, which are the cause of hemorrhoids is by ultrasound. The accuracy of diagnosis allows for minimally invasive intervention that eliminates the direct cause of the disease.
Under ultrasound guidance is to establish the exact location of abnormal arteries and their ligation (tying) and check that the blood ceased to flow in these vessels. Shortly after being eliminated by an excess of blood, normal condition of the veins in this area, decreases swelling of the mucous disappear unpleasant effects associated with external hemorrhoids because blood flow is terminated in these vessels. All these results can be achieved without incisions and other surgical procedures of the anus, without pain and complications associated with surgery.
Local treatment with ointments, candles, irrigation
Relieves symptoms of the attack, relieves pain and swelling. A lot depends on the patient. It is very important hygiene, appropriate diet, a sedentary life. Necessary to abandon the annoying products. They are: vinegar, mustard, onion, garlic, pickles, preserves, smoked meats. You need to eat lots of vegetables and fruits, cereals, brown bread. Traditional medicine for constipation and hemorrhoids recommends drinking on an empty stomach every morning cup of cold water.
During exacerbation recommended baths with a weak solution of potassium permanganate. It is also recommended physiotherapy. It restores blood circulation, reduces congestion, increases peristalsis, strengthens muscles. A very effective exercise - "bicycle" in the supine position. Need to get rid of constipation and diarrhea.
Destruction of hemorrhoids, or parts thereof
Minimally invasive (or low-impact) treatments prescribed for chronic hemorrhoids for I, II or stage III, as well as against improving the health of acute hemorrhoids. There are many methods: infrared photocoagulation, nodes with latex rings ligation, sclerotherapy, cryotherapy, laser therapy, electrocautery. What is the best fit to the patient, the physician selects the individual. All these methods are non-surgical removal of hemorrhoids, or securing them in the wall of the rectum.
Spicy foods and alcohol can cause bleeding.
Contraindication to minimally invasive methods of hemorrhoid treatment is hemorrhoid thrombosis, acute and chronic abscess, anal fissure, and other inflammatory diseases of the anus and perineum. Let us discuss some methods in more detail.
Infrared photocoagulation | This haemorrhoid searing heat flux. Radiation generated by the device is perfectly safe during the procedure, the patient experiences sensations of heat in the area of manipulation.However, this method can be used only in the very early stages, with small bleeding sites. If hemorrhoids are larger, the desired effect will not be.
Sclerotherapy | prick in the area of the haemorrhoid. Injection of sclerosant setsialnogo drug-substitution causes a vascular connective tissue cavities - a kind of "sealed" hemorrhoid, stopping the blood flow through it. Thus, it is possible to stop the bleeding, and has up to this node are reduced and tightened into the anal canal. The method is effective both at early and later stages of hemorrhoids. The procedure is completely painless and risk of complications is minimal.
Ligation | represents a superposition of an elastic rubber ring at the base of the haemorrhoid. As a result, the node itself rejected in 7-10 days. This method is often used in the later stages of hemorrhoids. In the working part of the tool is worn flexible latex ring. In the patient on his back (in a specially designed chair) or lying on the left side of the anoscope is introduced.
Further, the working cylinder device internal hemorrhoid is drawn (or using a special clip, in case of mechanical ligator, or by creating a negative pressure in the case of vacuum ligator). Next, the doctor presses a "trigger" the device is reset and the latex ring and firmly put on the vascular pedicle site. The procedure takes about 2-5 minutes, requires no hospitalization and special anesthesia. Due to the compression of the feeding vessel ligation, there is a gradual necrosis and rejection of the haemorrhoid in a few days after the manipulation.
In the presence of a small hemorrhoid ligation of perhaps all the nodes in a single procedure, but most often in one session a ligated site. Thus, treatment consists of two or three sessions, held once every 1-2 weeks. After ligation, severe restrictions on lifestyle available. With timely conduct, ligation of hemorrhoids latex rings to avoid surgery in approximately 80% of patients.
Surgical treatment of hemorrhoids
Hemorrhoidectomy - traditional surgical intervention to remove the internal and external hemorrhoids. It is used in the advanced stages, when other treatments are ineffective. The operation can be performed both under local and general anesthesia. During the operation, haemorrhoids excised, and their vascular pedicle ligated. The postoperative period is very painful. One of the complications of the operation - fecal incontinence. In 30% of cases within 5 years of developing recurrent disease.
Thrombectomy of the external hemorrhoid - removal of thrombus (blood clot) in the exacerbation of external hemorrhoids. On an outpatient basis under local anesthesia.
Excision of thrombosed external hemorrhoid - a procedure which is the advantage of eliminating the very causes of thrombosis - external hemorrhoid.
Tatiana Saharchuk
Herbal medicine for hemorrhoids
Oak bark, horsetail grass (5 parts), the rhizome of valerian (2 parts).
Take 3 tbsp. l. to 1 liter of boiled water, 6:00. Strain. Be used for baths and lotions.
Rhizome cinquefoil, Bud and calamus.
Mix in equal parts. 1 tablespoon a mixture of sugar and 1 cup of boiling water, boil for 30 minutes. Take 1/4 cup 4 times a day.
The flowers of chamomile (4 parts), the roots of dandelion (3 parts), the roots of Saponaria (3 parts).
Take 1 tbsp. l. 1/4 liter of water at room temperature, brew 6 hours, then bring to a boil. Sift 1 cup of the infusion, used for enemas.
Flax seed, herb yarrow, chamomile flowers.
Mix in equal parts. Take 1 tbsp. l. mix to 1 cup of water. Heated in a water bath for 15 min. Cool 45 minutes., Drain. Fill with water up to the original volume. Use 1/4 cup for an enema.
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