Anal thrombosis pachayo haigoni kukonzera pulmonary embolism. Izvi zvakasiyana negumbo thrombosis. Zvisinei, hombe perianal thromboses inorwadza, inopisa, inogona kuputika uye inobva yabuda ropa. Kunyange zvazvo kubuda ropa pachako hakusi kukuru, kuchiri kutyisa uye kunofanira kumiswa. Burst thrombosis mu anus, iyo inogona kubva yapiswa. Kana ikasara isina kurapwa, bundu rinoramba riripo, rinoratidzika semucheka weganda pane rectum. Mateki eganda anobva akanganisa kuchena, uye hutsanana hwerectum kazhinji hahudiwe kubva kune aesthetic point yekuona.

Kuongororwa neproctologist

Vanachiremba vemunyika nevarapi vese vanongoongorora thrombosis kuburikidza nekuongororwa kwekuona nekuti bundu rinorwadza riri pamberi pe rectum rinonyatsooneka. A proctologist yemazuva ano anogona kuona kudzika kwepelvic pasi achishandisa Ultrasound uye kupa mufananidzo chaiwo wehukuru hweiyo thrombosis, kubatanidzwa uye kukura kwemukati hemorrhoids uye zvimwe zvinogoneka, panguva imwe chete iripo yeanal uye perianal zvirwere (fistulas, abscesses). , Prolapse, mapundu, polyps, vavakidzani switching nhengo) uye nokudaro kuita zvakakwana kuongororwa pasina marwadzo uye pasina simba guru kuburikidza imaging pamusoro yose diki pelvis kusanganisira pamusoro hemorrhoid pad. Kuongororwa kwakakwana uye kusiyanisa kwakakosha kuitira kuti pasave nezvimwe zvakakosha comorbidities zvinoregeredzwa, semuenzaniso. Chirongwa chekurapa chakarurama chete kana zvirwere zvese zviri munharaunda zvakatariswa. 

Kurapa kweanal thrombosis

Laser kurapwa 

Zvirwere zvenyama, hemorrhoids uye thrombosis zvinogona kubviswa nekukurumidza uye zvinyoro nyoro nelaser beam ye1470 nm diode laser, pasina kucheka uye pasina kurwadziwa. The tissue, the thrombosis, is vaporized, ndiko kuti, kupisa uye kuchinjwa kuva utsi. Chinosara ingori rudzi rwe "dota", i.e. pulverized tissue residue. Iyi hupfu yehupfu inogona kusvetwa pakupera kwelaser maitiro, kuitira kuti chete musono mudiki usara kubva kune thrombosis node, iyo inotaridzika kuporesa zuva rinotevera uye isingarwadze. Izvo zvakakosha kuti laser inogona zvakare kushandiswa kurapa uye kuvhara mamwe perianal tsinga dzisati dzavharwa, pamwe nemahemorrhoids uye ma tag eganda. Izvi zvakakosha zvakanyanya nekuti perianal thrombosis hachisi chirwere chakazvimiririra uye hachisi chirwere chinongobata imwe pfungwa pamusuwo wekumashure. Sezvo mutemo, kune dzimwe dzakasakara dzakasakara perianal tsinga pamucheto wekumashure, izvo zvakagadzirirwa kuti gare gare thrombosis. Mukuwedzera, iyo perianal veins inongova "tip of the iceberg" uye inoratidzika sekuenderera mberi kwemahemorrhoids emukati. Ona mufananidzo uri pamusoro. Izvi zvinoreva kuti: mukati mehemorrhoids ndiyo inokonzera kuti perianal veins, "varicose veins" yemupendero weanal, asimuke pakutanga. Ndiyo ano-rectal erectile tissue maererano nedzidziso yeStelzner, iyo inozvimba kana ichiputirwa kubva mudumbu netsinga dzakasimba, iyo inoteverwa neine venous mudziyo chikamu kumucheto, iyo munyika inotaura chiRungu inonzi. "kunze - kunze - hemorrhoids". Pasina (mukati) hemorrhoids, hapana "kunze" hemorrhoids, hapana perianal veins uye thrombosis yavo. Nekuda kweizvozvo, iyo yakakodzera inonzwisisika kurapwa ndiyo chete iyo inovhara zvese zvinoumba vascular bundle, anal corpora cavernosa: mukati + kunze hemorrhoids, kwete ekunze hemorrhoids atova muchikamu chethrombosis, asiwo perianal tsinga uye hemorrhoids iyo havasati vaita thrombosis asi zvingangokonzera mamwe matambudziko uye matambudziko mune ramangwana. Pamusangano we Laser Hemorrhoid Plastic Surgery (LHPC)  Saka zvese zvinogoneka zvikamu zvehemorrhoid uye thrombosis chirwere zvinobviswa, sekunge "zvadzimwa" uye zvese zvisingaonekwe mhedzisiro kana marwadzo pasina chinooneka mutoro wemurwere.

NeLHPC, zvese mahemorrhoids uye anal thrombosis zvinopedzwa muchikamu chimwe. Zvisinei, mushure mekuita, avo vanorapwa vanogona kugara, kufamba uye kuenderera mberi nemabasa avo emazuva ose pakarepo. Hapana imwe nzira inozivikanwa muproctology, iyo yese thrombosis uye mamwe pathologically akasakara perianal tsinga uye nezvimwe. zvose  Mahemorrhoids anogona kubviswa mune imwe laser sesheni pasina kucheka uye ipapo pasina ronda, pasina kurwadziwa kana kumwe kutambura. Iyi sevhisi yakasarudzika inoitika pasina kugara muchipatara, kungovhiya kweawa 1-1,5. kusanganisira outpatient mini anesthesia. Yedu isati yasvika uye mushure memifananidzo yehemorrhoid laser plastic surgery (LHPC) uye laser perianal thrombosis kuvhiyiwa mukiriniki yedu inoratidza kubudirira kwakanyanya pasina mhedzisiro yakakura. 

Kubaya 

Fresh anal thrombosis inogona kubaiwa pasi peanesthesia yemunharaunda uye clot rinosundidzirwa kunze. Rusununguko runotevera pakarepo. Kare, vanachiremba vemunyika nevarapi vese vairapa thrombosis yese nekuboora. Zvisinei, pane njodzi yekutapukirwa nekuti ronda rinoramba rakavhurika. Ronda rakavhurika rinobuda rinobuda uye rinozora ropa uye rinogona kutapukirwa. Kupora kunotora mazuva anenge 7-10 nekurwadziwa kumwe. Zvisinei, kurapwa uku kunongoshanda kune diki thrombosis - kusvika pakukura kwepizi. Nemamwe ese, mathromboses akakura, unoporeswa ronda uye gare gare bundu rechigarire pamusuwo wekumashure kana thrombosis yakakura yakangoboorwa uye yangobviswa zvishoma. 

Plastic kuvhiya peeling

Iyi nzira yakajairika kwatiri nekuti, nemakore makumi mana echiitiko, tinogona kupa zvishoma zvisingapindike epurasitiki yekuvhiya peeling, kunyangwe mune yakakura kwazvo thrombosis, ine diki mhedzisiro uye kusagadzikana. Murwere anosarudza kushandisa anesthesia yemunharaunda kana kuti twilight sleep anesthesia sezvaanoda. Chero zvazvingava, tinogona kuita anesthesia yemunharaunda pasina marwadzo akawanda kuitira kuti nzira yacho pachayo irege kurwadza zvachose. Kubatsira kwepurasitiki yekuvhiya peeling ndiko kubviswa zvachose kwese matishu anopisa akakuvadzwa nethrombosis. Chete matishu ane hutano anoramba, kubva paanopinda nekumashure kunovakwazve kubva padiki kupinda uchishandisa akanyura, asingaoneki epurasitiki sutures. Hapana kana kurwadziwa shure kwaizvozvo, kazhinji mazuva 40-1, ayo anogona kudzorwa zviri nyore neanalgesics madiki. Kuporeswa kwemaronda kunowanzo kuenderera zvirinani uye nekukurumidza kupfuura mushure mekubaya thrombosis. Kana mahemorrhoids ane prolapse kana prolapse aripo, panguva imwe cheteyo ishoma invasive ligation kurapwa neHAL, RAR kana ligation excision inogoneka. Izvi zvinoponesa murwere kumwe kuvhiyiwa kwehemorrhoid nekuti mahemorrhoids anokonzera perianal tsinga uye thrombosis anobviswa zvakare. Mukuita kwedu, iyo inonyanyo shanda muproctology, kuvhiya kwepurasitiki kubheuka kwega kana kusanganisa nelaser vaporization kwakaratidza kuti inzira yakanyatsopupurirwa yeese anal thrombosis.

Kurapa nemafuta ehemorrhoid? 

Madiki madiki uye perianal thromboses anogona kugadzirisa, ukuwo mathromboses makuru anozoputika mushure memazuva mazhinji anorwadza. Kuderedza kuzvimba kwemahemorrhoids madiki, mafuta ekuzora akadai seFaktu-Akut kana kunyange cortisone uye lidocaine mafuta anobatsira munguva pfupi. Mafuta eHeparin anogona kuderedza kupararira kwethrombosis. Zvisinei, kunyange mushure mokunge kuzvimba kwapera, bundu kana ganda reganda rinenge rinoramba riripo. Munhu wose zvino anofanira kuzvisarudzira kana achifanira kupedza hupenyu hwake hwose nematehwe eganda anogona kuwedzera uye kukanganisa utsanana munguva refu. Anal thrombosis nekurova, kuwedzera kurwadziwa uye kuzvimba kunoda kurapwa nekukurumidza, kubva kune proctologist, anogona zvakare kuita madiki maitirwo nekukasira kunze kwekunze. 

Mushure melaser anal thrombosis ine kana isina hemorrhoid laser kurapwa, kupora kunokurumidza zvakanyanya. Pane chete 3-5 mm diki diki ronda ronda muanopinza, apo "hupfu" yakasvetwa kunze mushure mekufema kweiyo thrombosis. Zvikasadaro hapana ronda zvachose, kwete murectum kana perianally pamucheto wekumashure. Kana isiri ronda, saka hapana chirwere chekuporesa ronda. Nekudaro, iyo laser beam dzimwe nguva ine yayo pachayo mhedzisiro nekuti vaporization inoitika nekudziya, ne "kupisa" hemorrhoidal tishu. Inyanzvi yeLHPC laser therapy iri muchokwadi chekuti iyo inonzwa mucous membrane inosiiwa isina kukuvadzwa, nepo hemorrhoids uye thrombosis iri pasi yakatsva zvachose, kuitira kuti pasave nemhedzisiro yekuparadza kukuru kwemukati kweiyo thrombosis uye hemorrhoids inogona kuonekwa kana kunzwa. Iko kusanganiswa kwekuchengetedzwa kwetishu uye kushanda kwakagadziriswa neLHPC maitiro: iyo yakagadziridzwa naDr. Haffner akavandudzazve nzira yeLHP, iyo inoshanda pamisimboti yakasiyana uye neyakasiyana laser light guide uye neyakasiyana nzira yekuvhiya pane yekutanga LHP maitiro. Iyo isati yasvika uye mushure memifananidzo yehemorrhoid laser therapy, laser therapy yeanal vein thrombosis, pamwe neiyo inokurumidza uye yakaderera-yakaomesesa yekuporesa chikamu inoratidza kushanda kwepamusoro uye optimized kuchengetedzwa kwetishu yeLHPC maitiro.

Chikamu chekuporesa mushure mekuvhiyiwa kwepurasitiki kubviswa kwethrombosis mazuva mashoma, asi kazhinji haarwadze. Nekudaro, kupeuka kwepurasitiki kweanal vein thrombosis kunogara kuchiitwa kana zvasvika kune hombe thromboses - yakakura kupfuura puramu - iyo inogara hafu yerectum uye nekudaro inoda chiremba ane ruzivo rwakanyanya akadzidziswa kuvhiya epurasitiki. Nekudaro, mumaoko evane ruzivo, kunyangwe zvakakura zvakawanikwa zvakajairwa uye zvinogona kuitwa seyakajairwa oparesheni pasina matambudziko. Chikamu chekuporesa ikozvino chinotora mazuva 7-10 kumakesi makuru, asi chete kusagadzikana kunyoro ndiko kunotarisirwa. 

Kudzivirira perianal thrombosis

Kudzivirira kunoshanda chete kana iwe uchiziva chinokonzera perianal thrombosis, iyo: hemorrhoids, high pressure area congestion inokonzerwa nehemorrhoids, kupararira kweperianal "varicose veins", i.e. dammed-up outside hemorrhoids.

Nemamwe mashoko: kana proctologist - kana mhuri chiremba - anoona perianal tsinga panguva proctological ongororo, ipapo anofanirawo kufunga pamusoro hemorrhoids uye nechokwadi kwavo mangwanani, kudzivirira kubviswa. Saizvozvovo, iyo inoonekwa zvakanyanya yakazadzwa perianal tsinga, inoratidzika sevaricose tsinga, inofanira kubviswa senzira yekudzivirira - isati yaitika thrombosis. Uzivi hutsva uye inzvimbo yakasarudzika yekutengesa yeHeumarktClinic Zvinoenderana nedzidziso dzekare uye nhungamiro dzeproctology, izvo zvichiri kushanda nanhasi, haufanirwe kuita chero chinhu ne perianal veins kana chete kana thrombosis yakaitika ipapo. Maererano nehuzivi hwedu hutsva, munhu wose anofanira kufunga nezvehutano hwavo sekuchengetedza uye kuva nevanotangira thrombosis, perianal "varicose veins" inobviswa senzira yekudzivirira isati yatanga thrombosis, pamwe chete nehemorrhoids inokonzera iyo. Iko kurongeka kweiyi nyowani yekudzivirira kurapa kwehemorrhoids uye perianal veins inomuka kubva mukuunzwa kwelaser therapy uye maitiro eLHPC naDr. Haffner. A radical kudzivirira oparesheni mukati nekunze kwerectum uchishandisa nzira dzekare uchishandisa mapanga uye chigero zvinopokana uye hazvisi mubvunzo nekuti zvingave zvinoshungurudza.

Laser therapy inoita kuti zvikwanise kudzivirira matambudziko ehemorrhoid chirwere - kusanganisira anal thrombosis - kuburikidza nekudzivirira kwelaser.

Maitiro anoshanda: Kana chiremba akawana perianal tsinga kana hemorrhoids kubva padanho 2 zvichienda mberi, saka ita yekudzivirira laser sclerotherapy yeese mahemorrhoids uye ese perianal tsinga. Izvi zvinodzivirira thrombosis uye kufambira mberi kwechirwere chehemorrhoid, inokuchengetedza kushanyira chiremba, kuvhiyiwa kukuru kunyange muchipatara, unochengetedzawo mari, uye unozvidzivirira kubva kune ramangwana thrombosis, misodzi, leaky rectum, eczema, itching, kupisa uye kusakwana kweanal. nekuzora chituru.

Mune maonero edu ega ega, varwere havafanirwe kuzvisiya ivo pachavo kumagumo ekuora uye vanofanirwa kumirira kuti thrombosis iumbe uye kuenda chete kuna chiremba kana thrombosis yatove ichimanikidza. Nokukurumidza zviri nani, nokukurumidza zviri nyore.

ari Laser kurapwa neLHPC inoita kuti zvikwanise kudzivirira thrombosis uye hemorrhoids pasina chero yakakosha mhedzisiro.