Kuphulika kwa thrombosis sikungayambitse pulmonary embolism. Izi zimasiyana ndi thrombosis ya mwendo. Komabe, ma thromboses akuluakulu a perianal ndi opweteka, otupa, amatha kuphulika kenako ndikutuluka magazi. Ngakhale kuti kutuluka magazi sikuli kwakukulu, kumakhala kochititsa mantha ndipo kuyenera kuyimitsidwa. Kuphulika kwa thrombosis mu anus, komwe kumatha kutupa. Ngati sichitsatiridwa, chotupa chimakhalabe, chomwe chimawoneka ngati chizindikiro cha khungu pa rectum. Ma tag a pakhungu amasokoneza ukhondo, ndipo ukhondo wa rectum nthawi zambiri sukhala wofunikira kuchokera pazokongoletsa.

Kuyesedwa ndi proctologist

Madokotala a m'dzikoli ndi madokotala ambiri amangowona thrombosis kupyolera mu matenda a maso chifukwa chotupa chowawa kutsogolo kwa rectum chikuwonekera bwino. Katswiri wamakono wa proctologist tsopano amatha kuwonanso kuya kwa chiuno cham'chiuno pogwiritsa ntchito ultrasound ndikupereka chithunzi chenicheni cha kukula kwa thrombosis, kukhudzidwa ndi kukula kwa zotupa zamkati komanso zina zomwe zingatheke, matenda omwe alipo nthawi yomweyo amakodzo ndi perianal (fistula, abscesses). , Prolapse, zotupa, polyps, ziwalo zosinthira zoyandikana) ndipo motero amazindikira matenda onse popanda kupweteka komanso popanda kuyesetsa kwakukulu kupyolera mu kujambula pa chiuno chonse chaching'ono kuphatikizapo pa hemorrhoid pad. Kuzindikira kokwanira komanso kosiyana ndikofunikira kuti pasakhale zovuta zina zofunika kuzinyalanyaza, mwachitsanzo. Ndondomeko ya chithandizo ndi yolondola ngati matenda onse m'deralo aganiziridwa. 

Chithandizo cha kumatako thrombosis

Chithandizo cha laser 

Minofu yodwala, zotupa ndi thrombosis zimatha kuchotsedwa mwachangu komanso mofatsa ndi laser mtengo wa 1470 nm diode laser, popanda mabala komanso popanda kupweteka. Minofu, thrombosis, ndi vaporized, ndiko kuti, kutentha ndi kusandulika nthunzi. Chotsalira ndi mtundu wa "phulusa", mwachitsanzo, zotsalira za minofu. Ufa wa minofuwu ukhoza kuyamwa kumapeto kwa njira ya laser, kotero kuti kadontho kakang'ono kokha katsalira kuchokera ku thrombosis node, yomwe imawoneka ikuchiritsa tsiku lotsatira ndipo sichimapweteka. Ndikofunikira kuti laser itha kugwiritsidwanso ntchito pochiza ndikusindikiza mitsempha ina ya perianal yomwe isanatseke, komanso zotupa ndi ma tag apakhungu. Izi ndizofunikira kwambiri chifukwa perianal thrombosis si matenda odziyimira pawokha ndipo si matenda omwe amangokhudza mfundo imodzi polowera kumatako. Monga lamulo, pali mitsempha ina yotha kwambiri ya perianal pamphepete mwa kumatako, yomwe imakonzedweratu kuti iwonongeke pambuyo pake. Kuonjezera apo, mitsempha ya perianal ndi "nsonga ya iceberg" ndipo imawoneka ngati kupitiriza kwa zotupa zamkati. Onani chithunzi pamwambapa. Izi zikutanthauza: zotupa zamkati ndizomwe zimayambitsa mitsempha ya perianal, "mitsempha ya varicose" ya m'mphepete mwa anal, kuti iwuke poyamba. Ndi minofu ya ano-rectal erectile molingana ndi chiphunzitso cha Stelzner, chomwe chimatupa pamene chimapopedwa kuchokera pamimba ndi mitsempha yamphamvu, yomwe imatsatiridwa ndi gawo la venous chotengera m'mphepete mwa anal, chomwe m'mayiko olankhula Chingerezi chimatchedwa. "kunja - kunja - zotupa". Popanda (mkati) zotupa, palibe zotupa "zakunja", palibe mitsempha ya perianal ndi thrombosis yawo. Choncho, yoyenera zomveka mankhwala ndi okhawo amene chimakwirira zigawo zonse za mtima mtolo, kumatako corpora cavernosa: mkati + kunja zotupa, osati zotupa kunja kuti kale mu gawo la thrombosis, komanso perianal mitsempha ndi zotupa kuti. simunakumanepo ndi thrombosis koma mwachiwonekere zingayambitse zovuta zina ndi mavuto m'tsogolomu. Pamsonkhano wa a Opaleshoni ya Plastiki ya Laser Hemorrhoid (LHPC)  Chifukwa chake zigawo zonse zomwe zingatheke za matenda a hemorrhoid ndi thrombosis zimachotsedwa, ngati "zafufutidwa" ndi zovuta zonse zowoneka bwino kapena zowawa popanda zolemetsa zina zowonekera pa wodwalayo.

Ndi LHPC, zotupa zonse ndi thrombosis yamatako zimathetsedwa mu gawo limodzi. Komabe, pambuyo pa njirayi, omwe amathandizidwa amatha kukhala, kuyenda ndikupitiriza ntchito zawo zachizolowezi nthawi yomweyo. Palibe njira ina yomwe imadziwika mu proctology, yomwe thrombosis ndi mitsempha ina ya perianal yatha ndi zina zambiri. onse  Zotupa zimatha kuchotsedwa pagawo limodzi la laser popanda kudulidwa kenako popanda bala, popanda kupweteka kapena kuvutika kwina. Ntchito yapaderayi imachitika popanda kugonekedwa kuchipatala, kungokhala ola limodzi mpaka 1. kuphatikizapo outpatient mini opaleshoni. Zithunzi zathu zam'mbuyo ndi pambuyo pake za hemorrhoid laser plastic surgery (LHPC) ndi opaleshoni ya laser perianal thrombosis kuchipatala chathu zimasonyeza kupambana kwakukulu popanda zotsatira zazikulu. 

Kubaya 

Mwatsopano kumatako thrombosis akhoza kubaya pansi pa opaleshoni ya m'deralo ndi kutulutsa magazi kutuluka. Thandizo likubwera mwamsanga. M'mbuyomu, madotolo akumayiko ndi asing'anga ankachiritsa thrombosis yonse poboola. Komabe, pali chiopsezo chotenga matenda chifukwa chilondacho chimakhalabe chotseguka. Chilonda chotseguka chimatuluka ndikupaka magazi ndipo amatha kutenga matenda. Kuchiritsa kumatenga masiku 7-10 ndi ululu. Komabe, mankhwalawa ndi ovomerezeka kwa thrombosis yaing'ono - mpaka kukula kwa nandolo. Ndi ma thrombosis ena onse, chilonda chimawonongeka ndipo pambuyo pake chotupa chokhazikika pakhomo la kumatako ngati thrombosis yayikulu idangoboola ndikuchotsedwa pang'ono. 

Opaleshoni ya pulasitiki peeling

Njirayi ndi yofala kwa ife chifukwa, ndi zaka 40, tikhoza kupereka opaleshoni ya opaleshoni ya pulasitiki yocheperapo, ngakhale ngati thrombosis yaikulu kwambiri, yokhala ndi zotsatira zochepa chabe komanso zosasangalatsa. Wodwalayo amasankha kugwiritsa ntchito opaleshoni ya m'deralo kapena kugona kwamadzulo monga momwe akufunira. Mulimonsemo, tikhoza kuchita opaleshoni ya m'deralo popanda kupweteka kwambiri kuti ndondomekoyo ikhale yopanda ululu. Ubwino wa opaleshoni ya opaleshoni ya pulasitiki ndikuchotsa kwathunthu minofu yonse yotupa yomwe imawonongeka ndi thrombosis. Ndi minofu yathanzi yokhayo yomwe imatsalira, yomwe khomo la kumatako limamangidwanso kuchokera kumalo ang'onoang'ono pogwiritsa ntchito zida zozama, zosaoneka za pulasitiki. Palibe ululu pambuyo pake, makamaka masiku 1-2, omwe amatha kuwongoleredwa mosavuta ndi ma analgesics ang'onoang'ono. Kuchiritsa mabala nthawi zambiri kumayenda bwino komanso mwachangu kuposa pambuyo pobaya thrombosis. Ngati zotupa zotupa za prolapse kapena prolapse zilipo, chithandizo chocheperako chocheperako ndi HAL, RAR kapena ligation ndizotheka. Izi zimapulumutsa wodwalayo opaleshoni ina yotupa chifukwa zotupa zomwe zimayambitsa mitsempha ya perianal ndi thrombosis zimachotsedwanso. Muzochita zathu, zomwe zimagwira ntchito pa proctology, kupukuta kwa pulasitiki kokha kapena kuphatikiza ndi laser vaporization kwatsimikizira kuti ndi njira yotsimikiziridwa bwino ya thrombosis yonse yamatako.

Chithandizo ndi zotupa mafuta? 

Ma thromboses ang'onoang'ono amatako ndi perianal amatha kuthetsa, pomwe ma thromboses akulu amatha kuphulika pakadutsa masiku angapo opweteka. Pofuna kuchepetsa kutupa kwa zotupa zazing'ono, mafuta odzola monga Faktu-Akut kapena ngakhale cortisone ndi lidocaine mafuta odzola amathandiza pakapita nthawi. Mafuta a Heparin amatha kuchepetsa kufalikira kwa thrombosis. Komabe, ngakhale kutupa kwatha, chotupa kapena chizindikiro cha khungu pafupifupi nthawi zonse chimakhalabe. Aliyense tsopano ayenera kusankha yekha ngati ayenera kukhala moyo wake wonse ndi zizindikiro zapakhungu zomwe zingawonjezere ndi kusokoneza ukhondo m'kupita kwanthawi. Anal thrombosis ndi throbbing, kuwonjezeka kupweteka ndi kutupa kumafuna chithandizo chamankhwala mwamsanga, makamaka kuchokera kwa proctologist, yemwe angathenso kuchita njira zing'onozing'ono nthawi yomweyo kuchipatala. 

Pambuyo pa laser anal thrombosis ndi kapena popanda mankhwala a hemorrhoid laser, machiritso amafulumira kwambiri. Pali bala laling'ono la 3-5 mm polowera kumatako, pomwe "ufa" udayamwa pambuyo pa kuphulika kwa thrombosis. Kupanda kutero palibe bala konse, ngakhale mu rectum kapena perianally pamphepete mwa kumatako. Ngati si chilonda, ndiye kuti palibe vuto lakuchiritsa bala. Komabe, mtengo wa laser nthawi zina umakhala ndi zotsatira zakezake chifukwa vaporization imachitika ndi kutentha, mwa "kuwotcha" minofu ya hemorrhoidal. Luso la LHPC laser therapy lagona pa mfundo yakuti tcheru cha mucous nembanemba sichimawonongeka, pamene zotupa ndi thrombosis pansi zimatenthedwa, kotero kuti palibe zizindikiro za kuwonongeka kwakukulu kwa mkati kwa thrombosis ndi zotupa zomwe zingawoneke kapena kumva. Kuphatikizika kwa chitetezo cha minofu ndi magwiridwe antchito kudapangidwa bwino ndi njira ya LHPC: yomwe idapangidwa ndi Dr. Haffner adapanganso njira ya LHP, yomwe imagwira ntchito mosiyanasiyana komanso ndi kalozera wosiyana wa laser komanso njira yopangira opaleshoni yosiyana ndi njira yoyambirira ya LHP. Zithunzi zam'mbuyo ndi pambuyo pake za hemorrhoid laser therapy, laser therapy ya anal vein thrombosis, komanso gawo lachangu komanso lochepa la machiritso limatsimikizira kuchita bwino komanso kutetezedwa kwa minofu ya LHPC.

Gawo la machiritso pambuyo pa opaleshoni ya pulasitiki kuchotsa thrombosis ndi masiku angapo, koma nthawi zambiri zimakhala zowawa. Komabe, pulasitiki peeling wa kumatako mtsempha thrombosis nthawi zonse ikuchitika pankhani thromboses lalikulu - lalikulu kuposa maula - amene amakhala theka la rectum choncho amafuna odziwa kwambiri opaleshoni ophunzitsidwa opaleshoni pulasitiki. Komabe, m'manja mwa odziwa zambiri, ngakhale zazikuluzikuluzikuluzikuluzi ndizokhazikika ndipo zimatha kuchitidwa ngati ntchito yokhazikika popanda mavuto. Gawo la machiritso tsopano limatenga masiku 7-10 pamilandu yayikulu, koma kusapeza bwino pang'ono ndikofunikira. 

Kupewa perianal thrombosis

Kupewa kumangogwira ntchito ngati mukudziwa zomwe zimayambitsa matenda a perianal thrombosis, omwe ndi: zotupa, kuthamanga kwambiri kwa malo obwera chifukwa cha zotupa, kufalikira kwa "mitsempha ya varicose" ya perianal, i.e. zotupa zakunja.

M'mawu ena: ngati proctologist - kapena banja dokotala - amaona perianal mitsempha pa proctological kuyezetsa, ndiye ayenera kuganizira za zotupa ndi kuonetsetsa awo oyambirira, kupewa kuchotsa. Momwemonso, mitsempha ya perianal yowoneka yodzaza kwambiri, yomwe imawoneka ngati mitsempha ya varicose, iyenera kuchotsedwa ngati njira yodzitetezera - thrombosis isanachitike. Filosofi iyi ndi yatsopano ndipo ndi malo ogulitsa apadera a HeumarktClinic Molingana ndi ziphunzitso zakale ndi malangizo a proctology, omwe adakali ovomerezeka lero, simukusowa kuchita chilichonse ndi mitsempha ya perianal kapena pokhapokha ngati thrombosis yachitika kumeneko. Malinga ndi filosofi yathu yatsopano, aliyense ayenera kuganiza za thanzi lake ngati njira yodzitetezera komanso kukhala ndi zotsatila za thrombosis, perianal "varicose mitsempha" imachotsedwa ngati njira yodzitetezera isanayambe thrombosis, pamodzi ndi zotupa zomwe zimayambitsa. Kulungamitsidwa kwa chithandizo chatsopanochi chodzitchinjiriza cha zotupa ndi mitsempha ya perianal chimachokera ku kuyambitsa kwa laser therapy ndi njira ya LHPC yolembedwa ndi Dr. Haffner. Ntchito yoteteza kwambiri mkati ndi kunja kwa rectum pogwiritsa ntchito njira zakale pogwiritsa ntchito mipeni ndi lumo ndizotsutsana ndipo sizingachitike chifukwa zingakhale zopweteka kwambiri.

Laser mankhwala kumathandiza kupewa mavuto a zotupa matenda - kuphatikizapo kumatako thrombosis - kudzera laser kupewa.

Njira yothandiza: Ngati dokotala apeza mitsempha ya perianal kapena zotupa kuchokera pagawo 2 kupita mtsogolo, ndiye kuti pangani njira yodzitetezera ya laser sclerotherapy ya zotupa zonse ndi mitsempha yonse ya perianal. Izi zimalepheretsa thrombosis ndi kufalikira kwa matenda a hemorrhoid, zimakupulumutsani kukaonana ndi dokotala, maopaleshoni akuluakulu ngakhale m'chipatala, mumapulumutsanso ndalama, komanso mumadziteteza ku thrombosis yamtsogolo, misozi, kutayikira kwa rectum, chikanga, kuyabwa, kuyaka komanso kusakwanira kumatako. ndi kupaka chimbudzi.

M'malingaliro athu payekhapayekha, odwala sayenera kudzisiya okha kuti awonongeke ndipo ayenera kuyembekezera kuti thrombosis ipangidwe ndikupita kwa dokotala pamene thrombosis ikukakamiza kale. Posakhalitsa zimakhala bwino, mwamsanga zimakhala zosavuta.

kufa Laser therapy ndi LHPC zimathandiza kupewa thrombosis ndi zotupa zotupa popanda mavuto aakulu.