2020年12月29日星期二

are hemorrhoids dangerous,Diagnosis and prevention of anorectal diseases cannot be ignored in preparations before pregnancy

    Pregnancy and childbirth is an important life stage for the majority of women, as well as their happy moments. Young mothers who are born often have a happy smile. However, our colorectal and anal surgeons often encounter pregnant women and parturients who come to see a doctor for anorectal diseases. Repeated anorectal diseases continue to trouble these young mothers, which not only dilutes their joy, but also reduces their quality of life. Serious conditions can even affect their health.

    According to my clinical practice experience, the diseases that often plague pregnant women mainly include the following:

    1. Constipation

    Constipation is a big problem. Although normal people are considered normal 3 times a day to once every 3 days, many pregnant women may experience or worsen constipation due to the influence of appetite, dietary structure and increasing abdominal pressure during pregnancy. Moreover, breastfeeding is required for a long time after delivery, which is an important factor affecting doctors' medication. Therefore, it is very important to adjust your diet and bowel habits before pregnancy. Adjust your diet appropriately, see a doctor in advance, and treat stubborn constipation. Otherwise, expectant mothers will have to ninja pain to persist until delivery, or even after breastfeeding, before they dare to really consider treating themselves. However, there are still some drugs on the market that can be safely used by pregnant women, such as dietary fiber supplements and sugar products that are not absorbed by the gastrointestinal tract. However, you must ensure that these drugs are not only safe and effective, to be relieved. Therefore, conditioning before pregnancy is the most reliable.

    2. Hemorrhoids/anal nipple hypertrophy/anal fissure

    As the saying goes, “ten men and nine hemorrhoids, ten women and ten hemorrhoids”, the extra point is due to pregnancy and childbirth. However, in today’s society, many female friends already have very serious hemorrhoids before pregnancy and childbirth. You may have a huge anal papilloma. Usually, the anal swelling falls out. Don’t worry too much about it. It can recover on its own. However, with the increase in abdominal pressure during pregnancy and the influence of defecation, the swellings that fall out will no longer I can’t go back. The prolapse is getting more and more swollen and painful outside the anus. I just remembered to go to the anorectal surgery at this time, but at this time the doctor can only sigh. You must know that the anal incision wants to heal completely , Let alone half a month, here is so close to the vagina, the incision here is so painful, who dares to give you a knife? In case of a mistake, what should I do if I am infected, and what if my fetus cannot be kept? How do I use medicine before and after surgery?

    For the safety of the next generation and the happiness of your family, 80% of you can only choose to carry it by yourself, what should I do! What is even more frightening is that if the hemorrhoids before pregnancy suddenly increase during delivery, they still cannot be operated on immediately, why? First, it is necessary to prevent vaginal infections after childbirth. New postpartum surgery is naturally not the best time because there is no way to take care of it. Second, breastfeeding during lactation, not to mention medication problems, cutting the size of hemorrhoids is also an operation, and it is more painful. How can I breastfeed if I can’t hold my body after giving birth? In summary, no matter whether you know if you have hemorrhoids (anal papilloma, anal fistula, perianal abscess...) before preparing for pregnancy, it is recommended to check with anorectal surgeon to make sure that you do not need immediate treatment. Enjoy a good life during pregnancy.

    Some people say that I did not have hemorrhoids before pregnancy, how can I avoid it after pregnancy? This may not be completely controllable. However, keeping the stool smooth, avoiding hard work, sitting for a long time and defecation, and using reasonable force during delivery are all good preventive measures.

    Zuo Zhigui (Unit: Department of Colorectal Surgery, The First Affiliated Hospital of Wenzhou Medical University)

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