2021年11月11日星期四

What about hemorrhoids? Dialectical use of eight traditional Chinese medicines

Usually 10 men, 9 hemorrhoids, 10 women and 10 hemorrhoids. Although there is no evidence, the increase in hemorrhoids incidence rate indicates that all ages have occurred. Among them, people over the age of 50 have more than half of the history of hemorrhoids. What is hemorrhoids? Clinically, it refers to the enlarged or tortuous soft veins under the mucosa at the end of the rectum and the subcutaneous veins of the anal canal. Patients may have symptoms such as massive bleeding, hemorrhoids escape, anal itching, moisture and so on.

According to the different parts of hemorrhoids, they can be divided into internal hemorrhoids, external hemorrhoids and mixed hemorrhoids. Clinically, the most common is hemorrhoids, which is located on the injury line. The main characteristics are prolapse of hemorrhoids and anal discomfort. According to the degree of escape, internal hemorrhoids can be divided into 4 degrees.

Degree, only defecation bleeding, hemorrhoids will not come out of the anus;

During defecation, hemorrhoids will flow out of the anus and be stored by themselves after defecation.

Degree, after hemorrhoids flow out of the anus, they must be assisted by hand

Degree, hemorrhoids grow outside the anus and cannot escape quickly after return or return.

The external substance occurs below the injury line and is divided into varicose external substance, thrombotic external substance and connective tissue external substance. The main clinical features were conscious swelling, pain and foreign body sensation.

Mixed hemorrhoids are in the same position under the dentate gland, and the surface is covered with rectal mucosa and anal skin. The clinical symptoms include internal hemorrhoids and external hemorrhoids. When internal hemorrhoids reach degree or above, they often form mixed hemorrhoids. Mixed hemorrhoids worsen and can escape from the anus to the ring. It is called circular hemorrhoids. If it does not return to the anus immediately, edema, bruise, even necrosis and severe pain will occur, that is, "twisted hemorrhoids" or "sandwiched hemorrhoids". In addition, hemorrhoids can also cause hemorrhagic anemia, thrombophlebitis and other complications.

Hemorrhoids can cause anal itching, anal dampness, pain and other discomfort. Got haemorrhoid can operation excise? In fact, asymptomatic hemorrhoids do not need treatment. Increase fibrous food, change bad stool habits, promote smooth stool, and prevent constipation and diarrhea. If it is symptomatic hemorrhoids, symptoms are being reduced or eliminated. For example, sitting in hot water and bathing can improve local blood circulation. Thrombotic shame, after local hyperthermia, coated with anti swelling and analgesic drugs, can alleviate the pain~ Simple hemorrhoidectomy can be used for internal hemorrhoids and mixed hemorrhoids. Intramural hemorrhoids, intramural hemorrhoids with non-surgical treatment failure, annular hemorrhoids, rectal mucosal prolapse, etc. can be removed by stapler. Thrombus can also be removed by thrombus exfoliation. Other treatment methods include injection therapy, rubber band ligation, Doppler ultrasound-guided hemorrhoid artery ligation and so on. Many patients can be treated by conservative treatment, and patients with severe symptoms can also be treated by surgery, but they may relapse.

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