From inner rings to lasers, glue and surgeries.

Every sixth of us has unhealthy hemorrhoids. It is not difficult to believe this, if you know that at least a quarter of violations are latent for the time being. Moreover, the “time” can be delayed for years, and then the doctor diagnoses hemorrhoids of the fourth stage, when surgery can no longer be done..

Therefore, it is better to overdo it and make it a rule to attend a proctologist every year during a routine inspection.. And unscheduled need to hurry to a specialist not only for pain in the perineum, anus or foreign body sensation, but also for several episodes of diarrhea and constipation more often than once a week, as well as itching, which is often mistaken for the "invasion" of worms, and begin unreasonably swallow pills against them. After all, only in the first stage of the disease, when the nodes swell, but are in the intestines, can a person be helped with medication. In other cases, only different kinds of operations help..

On the main, as well as the pros and cons of each of them told us Andrian Reyti, to. , proctologist-surgeon, assistant of the department of surgery and proctology of the National Medical Academy of Postgraduate Education.

Relief of bleeding rings: may worsen the situation.

This method is used, as a rule, at stages 2–3.. Its essence - a ring is put on the bleeding area in the intestine, which blocks bruises. The procedure is carried out three times, with an interval of two weeks..

Pros:.

A recovery period is not required, as this procedure without cuts in the operation in the usual sense.

The absence of a scalpel that generates animal fear, preserves the “kilometers” of the patient’s nerves.

The period between exacerbations can reach several years: the exact figure for each person is individual.

Minuses:.

The method is not applicable for advanced hemorrhoids, and is also contraindicated for patients with concomitant diseases of the heart and liver (cirrhosis).

Rebleeding may occur after overlapping the ring.. The reason - it blocks blood loss only where they are at the time of going to the doctor. But the tissues adjacent to the epicenter of the “bloody rivers” are also affected, their bleeding is a matter of time..

The pathological process under the "shelter" can only be exacerbated, because the root cause of the disease does not stop. This can quickly translate the disease into the fourth stage, moreover, at its worst, with inflammation and necrosis of tissues that are not immediately apparent: “thanks” to the disguise cap.

Removal of knots by laser, radio frequencies and "glue".

With the help of laser beams and high-frequency radio waves, the tissues coagulate — they coagulate, and the node is removed from the bloodstream. The same result is in sclerotherapy, just another way: a substance is injected into the expanded (diseased) vessel, which, to put it simply, glues it.

Laser procedure and sclerotherapy - one-time and lasts only 15 minutes, one radio-frequency session - 5 minutes.

Hemorrhoids decrease 3-4 times and fall out of the circulatory system for life.

There is no cutting of tissues, because the patient does not fall out of the usual schedule of life when sick leave is an unacceptable luxury..

Minuses:.

Sick blood vessels are removed from the circulation, but there is no guarantee that the sleepers will not turn on in the pathological process, that is, the hemorrhoids will reappear.

During both laser therapy and frequency exposure, the tissues heat up, including neighboring. And if they are also unwell, but so far they have not shown it - warming up can speed up the debut of their illness..

In both cases, the tissues are scarring, which may make it harder for the process of "release" from feces.. And with persistent constipation, a person is forced to push more, which increases the burden on circumferential vessels.. This can result in bleeding..

Ligation of vessels and cutting of knots.

In the first case, without cutting with an ultrasound instrument, dilated vessels are found and ligated with a string, blocking blood flow to hemorrhoids.. In the second, both hemorrhoids and unchanged tissues between them are removed..

Pros:.

The root cause of hemorrhoids is eliminated - dilated vessels and tissue proliferation.

Both procedures are one-time and last 20-40 minutes..

Despite the "cutoff", you can leave the operating table immediately..

Contrary to popular belief, it is necessary to use the “pot” without fear of complications on the same day: otherwise, sparing the operated place and restraining the urge to defecate, the patient forms a constipation, which is why later strong straining can lead to bleeding and injury to the intestines.

Defecation after a full cut does not hurt, if you follow the rule: eat five servings of vegetables and greens for each serving of regular food.

The probability of complications is one percent..

Minuses:.

General or spinal anesthesia has nuances. For example, the nervous system may be impaired or acute urinary retention may occur..

Using local anesthesia creates additional stress for doctors and patients:

the procedure requires a clear relationship and coordination that is not always possible on the background of emotion.

Candles from advertising: help or not.

No integrated approach - no. Uncontrolled use can even make things worse.. Many contain hormones, they accelerate the death of tissue, which reduces bleeding. But so the mucosa quickly becomes bare and becomes vulnerable to infections. Also, like any hormonal drug, suppositories can impair immunity..

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