From Panyu Daily, October 23, 2013, A6
□ Our reporter Zhao Chuluan Correspondent Cui Weifeng Wang Hao
Hemorrhoids are one of the most common diseases in anorectal surgery, and there is often a saying in the folk that "ten people have nine hemorrhoids". Hemorrhoids can be divided into internal hemorrhoids, external hemorrhoids and mixed hemorrhoids according to the different diseased parts. The main clinical manifestations of hemorrhoids can be complicated by thrombosis, incarceration, strangulation and difficulty in defecation, even if they are bleeding and prolapse. According to the symptoms of internal hemorrhoids, it can be divided into 4 degrees according to its severity. Degree I: Blood and dripping during the stool, bleeding can stop automatically after stool, no hemorrhoids prolapse. Degree Ⅱ: often have blood in the stool, prolapse of hemorrhoids during defecation, and repay by itself after defecation. Degree III: There may be blood in the stool, defecation or standing for a long time, coughing, fatigue, and prolapse of hemorrhoids when weight-bearing, which needs to be repaid by hand. Degree IV: There may be blood in the stool, the hemorrhoids continue to prolapse or are easy to prolapse after being received. I and II degrees can generally improve symptoms through drug treatment, while III and IV degrees require surgery.
Distinguish "hemorrhoids" surgery
Director Luo said that there are many surgical methods for the treatment of hemorrhoids, and it is important to make a personalized choice according to the specific conditions of the patient. Traditional surgical methods such as external stripping and internal ligation are also the most classic surgical methods in hemorrhoid surgery. However, due to the disadvantages of large surgical wounds, slow recovery, and many complications, they have gradually been replaced by minimally invasive techniques. Currently, minimally invasive techniques in hemorrhoid surgery include PPH and TST. PPH surgery is suitable for internal hemorrhoids of degree III and IV with circular prolapse and degree II internal hemorrhoids with repeated bleeding. TST surgery is particularly suitable for internal hemorrhoids with punctate prolapse, which can preserve the normal anal canal tissue to the greatest extent. For patients with severe internal hemorrhoids prolapse or with rectal mucosal prolapse, the 36mm large-caliber stapler can still achieve micro Traumatic treatment effect.
Prevention of "hemorrhoids"
To prevent hemorrhoids, the first thing is to prevent sitting and standing for a long time. Teachers, surgeons, policemen, and long-term sedentary bank staff, office workers, white-collar workers, etc., who need to stand for a long time, should pay attention to changing positions regularly, and strengthen the whole body and local muscles during the working gap, especially the anal contraction exercise.
Director Luo reminded that the key to preventing hemorrhoids is "how to make good use of the anus." Good defecation habits should be developed to ensure regular defecation and maintain smoothness, and prevent bad habits such as reading newspapers and playing mobile phones during defecation. Secondly, if you have constipation and diarrhea, you should be treated promptly. Patients with long-term constipation or diarrhea can increase abdominal pressure, anorectal congestion and varicose veins due to prolonged defecation time or increased frequency of defecation, and anal sphincter relaxation can easily form hemorrhoids. Therefore, it is very important to prevent and treat constipation and diarrhea in time. Finally, pay attention to anal hygiene. Develop the habit of washing the anus after defecation and taking a bath with warm water before going to bed to promote anorectal blood circulation and reduce the possibility of hemorrhoids. Therefore, as long as you pay a little attention in normal times, you will have no worries about "stocks".