2021年11月25日星期四

Hemorrhoids, don't wait for surgery! Get these four small methods quickly

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Receiver: Little agent, old agent

Subject: hemorrhoids

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I'm going to be a gold medal mediator recently.

Little agent, old agent, remember? Last time, fat smash made a little trouble with his assistant sister because of slippers. It seems that I still owe you a follow-up.

Later, I did a fungal microscopic examination on Pang Pao and found that there were no fungi that could cause beriberi on his feet, but there were many bacteria that could cause foot odor... Pang Pao bought a new pair of slippers for his assistant sister, and he took the pair that he disliked home and put it on.

It's no wonder that the mediator's work has not been put down for long, and he has to pick it up soon - fat smash and his assistant sister have differences on hemorrhoids again.

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The cause of hemorrhoids is not completely clear. The medical community believes that all this is related to "anal pad".

What we usually say about the anus is actually just an outlet for excreting waste. The anal pad and sphincter are the gatekeeper who pinches the outlet.

The anal pad is located under the anal mucosa and is composed of veins, smooth muscle, elastic tissue and connective tissue. It can help the sphincter completely close the anus and play the role of gatekeeper - when defecating, the anal pad is pushed down, and can retract to its original position after defecation.

However, if the intra-abdominal pressure is relatively high, the fibrous elastic structure of the anal pad will be more easily damaged, and the veins around the anus will become varicose due to the increase of intra-abdominal pressure. The anal pad will gradually become hypertrophic and shift outward to form hemorrhoids.

Unlike other animals, man is used to walking upright. Walking upright can liberate people's hands, but the gravity of the organs in the head, chest and abdominal cavity will aggravate the intra-abdominal pressure. Therefore, compared with other animals, people are really easy to get hemorrhoids.

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Fat smash and his assistant sister talked about ten men and nine hemorrhoids, ten women and ten hemorrhoids, which actually discussed the possibility of getting hemorrhoids. As mentioned earlier, hemorrhoids need to move the anal pad outward. This is very simple, as long as you can do two things: let the anal pad become relaxed and increase the intra-abdominal pressure.

Age growth

With age, the anal pad will become loose, hypertrophy, easy to damage and bleed, and prone to hemorrhoids.

Constipation patients will repeatedly hold their breath and force to increase intra-abdominal pressure, which is easy to give birth to hemorrhoids.

Sit or stand for a long time

Sitting in a chair for a long time or standing for a long time, most of the weight around the anus is oppressed, and the perianal veins are prone to varicose, resulting in the external displacement of the anal pad and hemorrhoids.

When pregnant, the enlarged uterus will form compression and increase intra-abdominal pressure, which is particularly easy to cause hemorrhoids.

In addition, the pressure on the abdominal cavity is also related to endocrine, mental and other factors. Pelvic tumors, benign prostatic hyperplasia and other problems will also increase the intra-abdominal pressure, which may lead to hemorrhoids.

I wonder if our little agents and old agents have found that some inducing factors of hemorrhoids are unique to women, such as pregnancy, hysteromyoma, etc; Some predisposing factors are unique to men, such as benign prostatic hyperplasia; The incidence rate of hemorrhoids is very difficult for men and women.

A survey shows that hemorrhoids will affect about 1 / 3 of adults; About half of the people over the age of 50 are troubled by hemorrhoids. Whether it's ten men and nine hemorrhoids or ten women and ten hemorrhoids, it's just to remind everyone of the universality of "hemorrhoids".

Since hemorrhoids are such a common disease, as a member of the scientific community of medical health α, I have to skin it.

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When it comes to hemorrhoids, many people think of "pain".

But not all hemorrhoids are painful. The place where hemorrhoids are born determines whether it hurts and how it hurts.

There is a line inside the anus called the dentate line, which divides the inside and outside of the anus; Hemorrhoids growing in the dentate line are internal hemorrhoids; Hemorrhoids that grow outside the dentate line are external hemorrhoids; Mixed hemorrhoids are those that grow on the dentate line or have internal hemorrhoids and external hemorrhoids at the same time.

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The part above the dentate line is covered with mucosa, and the venous vascular mass becomes varicose and tangled under the action of intra-abdominal pressure, protruding out of the intestinal cavity against the mucosa. Become red, swollen and fragile mucosa, when excreting, it is easy to scratch and bleed; Over time, internal hemorrhoids even prolapse outside the anus.

Even when internal hemorrhoids are in bloody stool, they generally do not have the problem of pain, but if the prolapsed internal hemorrhoids are embedded outside the anus, they often lead to infection, erosion, thrombosis and even necrosis. At this time, internal hemorrhoids will also have varying degrees of pain.

In order to describe the severity of internal hemorrhoids, hemorrhoids are divided into 4 degrees according to symptoms:

When defecating with blood, dripping blood or toilet paper with blood, the amount of bleeding is less, can stop by itself, and hemorrhoids will not come out of the anus.

Hemorrhoids prolapse during defecation, and the prolapsed part retracts automatically after defecation, sometimes bleeding.

When defecating or standing for a long time, coughing, tired and carrying heavy objects, hemorrhoids will fall out of the anus. Internal hemorrhoids need to be stuffed back into the anus by hand, and bleeding will often occur.

Hemorrhoids can't be stuffed back into the anus after they come out of the anus; Or stuffed back into the anus, hemorrhoids continue to come out, sometimes bleeding.

The area below the dentate line is covered with skin. After forced defecation and vigorous activities, the perianal veins rupture, and the blood goes deep into the subcutaneous tissue, which may form thrombosis. The pain nerves of perianal skin are sensitive, and external hemorrhoids are prone to anal discomfort and pain.

Mixed hemorrhoids

Hemorrhoids with internal hemorrhoids and external hemorrhoids are called mixed hemorrhoids; If the internal hemorrhoids develop to above grade III, it is likely to form mixed hemorrhoids.

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Only slight bleeding and hemorrhoids occasionally prolapse. For this relatively mild symptom, applying medicine can repel hemorrhoids.

The main effect of these drugs is generally to form a mucinous protective film on the rectal mucosa, which can effectively isolate feces, protect the damaged mucosa and enable it to repair itself quickly; Some drugs also contain titanium dioxide, zinc oxide and other components, which can relieve itching, anti-inflammatory, reduce mucosal congestion, and have a certain lubricating effect, which is conducive to fecal discharge.

The symptoms of hemorrhoids are more serious. According to the situation, you can take drugs to promote microcirculation and reduce local anal edema under the guidance of doctors; Eat some laxatives that can increase intestinal peristalsis and reduce defecation resistance to alleviate constipation; If hemorrhoids have an acute attack, edema or even incarceration, anti-inflammatory, detumescence and analgesic drugs can play.

If hemorrhoids develop to the embarrassing situation that they will come out every time they defecate, or they are embedded in the anus and can not be returned, the doctor may recommend surgery.

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