Post-operative picture of female hemorrhoids: 1 Post-operative picture of female hemorrhoids: 2
Post-operative picture of female hemorrhoids: 3 Post-operative picture of female hemorrhoids: 4 Post-operative picture of female hemorrhoids: 5 Treatment method of hemorrhoids 1. Non-operative treatment.
Asymptomatic hemorrhoids do not need treatment; Symptomatic hemorrhoids do not need radical cure; Non-surgical treatment is the main method.
(1) General treatment is suitable for most hemorrhoids, including the initial stage of thrombotic and incarcerated hemorrhoids. Pay attention to diet, avoid alcohol and spicy food, increase fibrous food, eat more fruits and vegetables, drink more water, change bad defecation habits, keep defecation unobstructed, take laxatives when necessary, and clean anus after defecation. For prolapsed hemorrhoids, pay attention to gently hold back the hemorrhoid block by hand to prevent it from coming out again. Avoid sitting for a long time, do proper exercise, warm water (which can contain potassium permanganate) and take a bath before going to bed.
(2) Local medication has been widely used, including suppositories, ointments and lotions, most of which contain traditional Chinese medicine.
(3) Oral medication is generally used to treat varicose veins.
(4) Injection therapy has a good effect on bleeding internal hemorrhoids of degree I and II; Inject sclerosing agent around submucosal venous plexus to cause inflammatory reaction and fibrosis, thus closing varicose veins; After 1 month, the treatment can be repeated to avoid necrosis caused by injecting sclerosing agent into mucosa.
(5) Physiotherapy, laser therapy, cryotherapy, direct current therapy, copper ion electrochemotherapy, microwave thermocoagulation therapy and infrared coagulation therapy are seldom used.
(6) The root of the hemorrhoid is tied with a rubber ring to block its blood supply so as to make the hemorrhoid fall off and become necrotic; It is suitable for II and III degree internal hemorrhoids, especially for huge internal hemorrhoids and fibrotic internal hemorrhoids.
2. Surgical treatment
(1) Surgical indications showed that conservative treatment was ineffective, hemorrhoid prolapse was serious, internal hemorrhoids with large fibrosis were poorly treated by injection, and anal fissure and anal fistula were complicated.
(2) The principle of operation is to restore the prolapsed anal pad by operation, and to preserve the structure of the anal pad as much as possible, so as to affect the fine defecation control ability as little as possible after operation;
(3) When there is ulcer or infection on the surface of internal hemorrhoid before operation, laxative and warm water sitz bath should be used for conservative treatment first, and then surgery should be performed after the ulcer heals; Do intestinal preparation.
(4) Operation mode ① Thrombotic external hemorrhoid dissection is suitable for patients whose pain is not relieved or the mass is not reduced after conservative treatment of thrombotic external hemorrhoid. ② Traditional hemorrhoidectomy is external dissection and internal ligation. ③ Hemorrhoidal excision (Whitehead), a classic operation in textbooks, easily leads to anal stenosis, which is rarely used in clinic at present. ④PPH operation: stapling procedure for prolapse and hemorrhoids. Created by Italian doctor Longo, it was popularized in 1998. It is mainly suitable for prolapsed III-IV mixed hemorrhoids, circular hemorrhoids and partial II internal hemorrhoids with severe bleeding. The mechanism of PPH in the treatment of prolapsed hemorrhoids is as follows: 2 ~ 3 cm mucosa and submucosal tissue at the lower end of rectum are excised circularly, and the normal anatomical structure is restored, that is, the anal pad is returned; The resection of submucosal tissue blocked the blood supply of the superior hemorrhoid artery to the hemorrhoid area, which made the hemorrhoid atrophy after operation. Compared with traditional hemorrhoidectomy, PPH has the advantages of shorter operation time, less postoperative pain, faster recovery and fewer complications, but the equipment is more expensive.
(5) Observe whether there are any complications after operation, pay attention to diet and keep the stool unobstructed.
Ways to prevent hemorrhoids in daily life 1. Try to avoid sitting for a long time:
Sedentary people refer to people who work at their desks for a long time, car drivers, accountants, train drivers, etc. Because of the lack of venous valve in rectal vein, it affects blood return; In addition, the anus is in the lower part of the human body for a long time.
Sitting makes the anus directly compressed, and the venous blood return is blocked, so it is easy to become hemorrhoids. People who stand for a long time refer to hairdressers, salespeople, policemen on duty, etc. Because the original person is in an upright position, the anal position is low, which can affect the blood return.
Flow, under the attraction of the earth's center, is easy to stagnate blood and become hemorrhoids. In 1950s, it was proved that the internal pressure of superior rectal vein was 230 ~ 250 mm water column in semi-recumbent position, and it rose to 600 ~ 750 mm water in sitting position.
Column. This shows that the increase of internal pressure in superior rectal vein is one of the causes of hemorrhoids. Therefore, people who stand for a long time are also prone to hemorrhoids.
2. Prevention of constipation: Normal people defecate/kloc-0 times a day, and the defecation time has different habits after breakfast, lunch and dinner. Normal defecation is soft stool, which is not dry or thin. You don't feel difficult when defecating, but you feel relaxed and comfortable after defecation.
Sleep, this shows that the gastrointestinal function is good. If the constipation is hard, it is not only difficult to defecate, but also because of the accumulation of feces in the intestinal cavity, the pressure in the anorectal blood vessels is increased, and the blood reflux is blocked, so that hemorrhoid varicose veins form hemorrhoids.
3. Play Tai Ji Chuan, Qigong, etc.: Like other sports, Qigong can not only play the role of disease prevention and fitness, but also has its unique work of improving blood circulation of whole body organs, regulating visceral function and enhancing immune function.
Traditional Chinese medicine calls it the function of improving healthy qi, dispersing qi, guiding stagnation, promoting blood circulation and removing blood stasis. Because hemorrhoids are caused by qi deficiency, anorectal qi stagnation and blood stasis, adhering to qigong exercise has certain preventive and therapeutic effects on hemorrhoids.
4. Pay attention to diet health care: the requirements of diet are high protein, multi-vitamins, low fat, low cholesterol, less sugar and salt, regular quantification, lukewarm and easy to digest. Reasonable diet can not only increase appetite, correct constipation and improve stomach.
Intestinal function can also form the habit of regular defecation. Vegetables, fruits, beans and other foods with more vitamins and cellulose can be used in daily diet, and spicy and thick products such as pepper, mustard and ginger should not be eaten.
5. Old people should be cheerful and optimistic: correctly treat natural phenomena such as birth, aging, illness and death. Life is regular, diet, exercise, rest and entertainment should be arranged scientifically, and health care should be paid attention to. Exercise should be done according to one's ability, step by step, persevere, combine static and dynamic, do not act too hastily, do not force what is difficult, and do not overdo it. If you usually do more levator ani exercises, it will be of great benefit to prevent hemorrhoids.
24-hour hemorrhoid prevention guide Some tips for preventing hemorrhoids and recurrence in daily life are ignored by many people. Send you a 24-hour copy? Anti-hemorrhoids Guide, stay away from hemorrhoids troubles.
A glass of water after getting up at 6: 30. Water promotes intestinal peristalsis and helps defecation. Therefore, you should not only drink a glass of water after getting up, but also ensure adequate water intake every day. Then, rub your stomach and massage your lower abdomen clockwise for about 5 minutes to promote intestinal peristalsis and help defecation.
Squat in the toilet at 7: 00, no more than 5 minutes. After getting up, our brains will release? Standing reflex? Signal, then you will have the idea of defecation. Don't hold it back because of time constraints or one reason or another. In addition, when squatting in the toilet, don't play with your mobile phone or read newspapers for more than 5 minutes.
10: 00 Reward yourself with a fruit. Eating more fiber-rich foods can help prevent constipation. Apples, pears, watermelons and bananas are all good choices.
12: 00 vegetables with coarse grains, smooth all day. Many vegetables are also rich in cellulose, such as beet, broccoli, cabbage, carrot, mung bean, spinach, celery, water bamboo and so on. Cereals such as whole wheat and wheat bran are also good choices. Light diet, eat less greasy or smoked, fried and fried foods.
15: 00 A little exercise helps. Sitting still, standing or squatting for a long time are the main causes of hemorrhoids. Remind everyone not to keep the same posture for hours on end. It is recommended to get up and exercise every hour, just for 3~5 minutes.
/kloc-On the way home at 0/8: 00, I quietly do anal exercises. Whether you are squeezing into the subway or taking the bus, you can use sporadic time to do anal lifting: consciously contract the urethral, vaginal and rectal sphincter, and then relax. Repeat this 50~ 100 times, and it is recommended to do it 2~3 times a day for the best effect.
19: 00, don't drink at dinner, be less spicy. Spicy and irritating foods, such as mustard tuber, pepper, hot sauce, ginger, green onion, garlic and fennel, are easy to cause hemorrhoids. You can eat less at ordinary times, and it is best not to drink alcohol.
21:00 warm bath before going to bed. Warm water can promote blood circulation at sphincter, and also relieve pain and itching. It is a healthy and effective way to wash your hips with warm water and take a sitz bath 10 minutes before going to bed every day.
22: 30 to ensure that you don't stay up late. According to the survey, night owls are the main group suffering from hemorrhoids and constipation. After a whole day's work, the body needs to enter a state of rest and adjustment at night, and the intestines just use this time to lubricate, absorb nutrients and discharge waste, so that they can defecate smoothly the next day.
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