Last cure hemorrhoids herbal effectiveness of the safety. How to treat hemorrhoids fast and painless for the patient. Address hemorrhoids best cure for the disease.
In recent years the scheme Research and Application medicine in the treatment of hemorrhoids received many letters from patients from all over the country sent inquire about hemorrhoids: causes hemorrhoids? Symptoms of hemorrhoids? Where possible cure hemorrhoids? Medications What is the most effective hemorrhoids? ... And so much more content. To provide information and answer your questions we would like to introduce articles of the Master, Dr. Nguyen Phuc Long - Vice President Scheme Research and application of herbal treatment for hemorrhoids your reference and sharing of
According to the health sector, up to 60% of Vietnam's population suffering from hemorrhoids, one of the highest incidence in the world. So what is the reason that people suffering from hemorrhoids Vietnam so much? The cure hemorrhoids are now what the pros and cons?
In recent years the scheme Research and Application medicine in the treatment of hemorrhoids received many letters from patients from all over the country sent inquire about hemorrhoids: causes hemorrhoids? Symptoms of hemorrhoids? Where possible cure hemorrhoids? Medications What is the most effective hemorrhoids? ... And so much more content. To provide information and answer your questions we would like to introduce articles of the Master, Dr. Nguyen Phuc Long - Vice President Scheme Research and application of herbal treatment for hemorrhoids your reference and sharing of
Medicines internal hemorrhoids, external hemorrhoids most effective
The treatment of hemorrhoids in the current periodAccording to the health sector, up to 60% of Vietnam's population suffering from hemorrhoids, one of the highest incidence in the world. So what is the reason that people suffering from hemorrhoids Vietnam so much? The cure hemorrhoids are now what the pros and cons?
1. Causes and risk factors cause hemorrhoids - Constipation: The effort to push out stool to be able to put pressure on the veins were dilated and lead to hemorrhoids.
- Not good eating habits such as eating less fiber and vegetables, spicy (pepper, chili), drink a lot of alcohol.
- Genetics: Family, family has many hemorrhoids.
- Pregnancy, childbirth too strong pressure from the fetus can aggravate hemorrhoids.
- Lightweight: Going beyond the pain associated bleeding, hemorrhoids are not sa bun.
- Medium: Going beyond pain, and bleeding associated with hemorrhoids but self-contained sa bun up.
- Weight: Bui prolapsed frequently need to use your hands to push on. Patients feel uncomfortable when sitting, even bleeding.
3.1. Medical treatment:
- Cleaning in place well in warm water immersion 2-3 times / day for 15 minutes.
- Oral: including drug agent vein support, derived flavonoids. The mechanism of action of these drugs is increased venous tone, protecting microcirculation, reduce edema by local anti-inflammatory effect, anti-infective and anti-embolism.
- Drugs in place: include ointments (pommade) and ammunition (suppositoire) include anti-inflammatory agents, emotionless spot and derivatives vein support.
Advantages of medical treatments: Fast Acting as reduced symptoms, treatments are easy to find on the market
Cons: only medical therapy can treat symptoms or treatment episodes such as bleeding, burning, sa ... which is hard to cure it.
3.2. Treatment with tips:
a fiber-Shots: Insert the fiber is specified in the first hemorrhoids and piles of 2
A method of treating hemorrhoids easy to implement, simple, fast and safe. However, the procedure is experienced physician with strong new techniques for better results and avoid complications. The main purpose of injecting fiber is reduced blood flow to the hemorrhoids tufts, creating scar tissue sticks to the muscle layer under the submucosa help reduce the symptoms of bleeding.
Injecting the fiber is specified in the first and hemorrhoids hemorrhoids grade 2,
In fiber injection technique should note a few things:
- Use the right needle: Kim long, barbed block near the top of the needle to avoid deep penetration, if the needle is very good angulation, special syringe. Injections fibers used today are oil phenol and polidocanol.
Injection position is at the root tufts hemorrhoids, located on the bottom bun comb and hemorrhoids. The volume of 3-5 ml spray, pump slowly injected during the injection site if bleaching is injected into the epidermis, stop the injection immediately because they cause necrotic ulcer complications after injection. Location injection usually in 4 hours, 7 Hours and 11gio.
Stock variable:
* Bleeding the injection site, if detected in time with pressure injection gauze, if not reduced by using tools ligation hemorrhoids rubber band ligation of bleeding area.
* Injecting into the prostate: in the case of injecting too deep at the position 11gio-1h may encounter complications urination, inflammation of the epididymis and testis, prostate inflammation, vaginal anal leakage ...
b-hemorrhoids with rubber ring Belts: Belts hemorrhoids with rubber ring is indicated for the treatment of internal hemorrhoids 1 and 2
Hemorrhoids with rubber band ligation is indicated for the treatment of internal hemorrhoids 1 and 2, some authors have applied for both internal hemorrhoids grade 3 but limited results.
Hemorrhoids with rubber band ligation was performed in the 19th century, but because hemorrhoids tufts column with the skin around the anus so after ligation very painful, so do not be widely used. By 1958 Blaisdell had success with the only column without a bun hemorrhoids and skin and surrounding tissues. 1963 Barron has created tools to tighten hemorrhoids with rubber ring and then with improved instruments of Mc Giveny gave treatment of hemorrhoids with rubber band ligation of hemorrhoids treatment a success and is the first choice in the treatment of tricks.
The main principle of the rubber loop is reduced blood flow to the hemorrhoids tufts, creating scar tissue sticks to the muscle layer under the submucosa, which will be fixed by the anal canal right with conservation principles anal cushions.
c-infrared Cantonese: Cantonese infrared specified with internal hemorrhoids level 1 and level 2
The method uses heat treatment of hemorrhoids has been done for hundreds of years. The goal of the method is to make tissue freezing frozen by the effects of heat, creating scar reduces blood flow to the hemorrhoids and fixed bundle of hemorrhoids in the anal canal. With laser, high-frequency currents also affect clotting such as infrared, but the accuracy of the depth of penetration of the coagulation effects of two methods are not accurate infrared photocoagulation with the machine. The tissue penetration of infrared rays are predetermined by adjusting the speed of the jet and accurate convergence in this tissue. Machine infrared photocoagulation is not interfering in favor of electronic instruments mounted on the patient such as cardiac pacemakers.
Infrared photocoagulation is indicated for internal hemorrhoids level 1 and level 2. This method has the advantage of hemorrhoids are painless, safe, effective hemostasis but the downside is that the machine is quite expensive and often do tricks many times.
3.3 Surgical removal of hemorrhoids: frozen mucosal resection, resection of each bun hemorrhoids, PT Longo, pheasants hanging by hand stitch, stitch column hemorrhoids arteries under the guidance of ultrasound Doppler ...
3.3.1 Surgical Group 1 consists of two surgical groups
a-folded mucosal resection:
Whitehead Surgery: Principles is slice mucosa and submucosa with tufts veins hemorrhoids, then pull down on the stage of the mucosa from the anal skin. This method is now hardly used due to the more serious complications such as anal stenosis, loss of self-control bowel and rectal fluid leak. But because of the nature of radical surgery, many authors have used the principle of hemorrhoids surgery, but revised in order to reduce complications, such as surgery Toupet.
b-Surgical each bun hemorrhoids:
The principle of this surgery is to cut a separate each bun hemorrhoids, leaving in the middle of the piece tufts hemorrhoids mucocutaneous (for mucocutaneous). Surgical Group include PT Milligan Morgan (1937), PT Ferguson (1959), PT Parks (1965), Germany PT BV Vietnam (Nguyen Dinh Hoi, 1966).
Surgical team consists of two main groups:
- Cut open hemorrhoids: Milligan Morgan PT, PT Nguyen Dinh Hoi
- Cut hemorrhoids closed: PT Ferguson.
Group of surgery to avoid complications with the surgery group mucosa slice the skin, but the downside is still sore after surgery, length of hospital stay long, labor time back late and ineffective in the case hemorrhoids round.
3.3.2 Surgical Group 2:
Starting from the disadvantages of surgery under the column heading Morgagni and the new findings about the pathogenesis, since the 90s, based on the principle of conservation of mass anal cushions, reducing blood flow to the hemorrhoids and miniature bun can block area of hemorrhoids, some new surgery was founded with the principle of hanging anal PT Longo, sewn by hand and hung pheasant principle shrink hemorrhoids cubic volume as PT stitched hemorrhoids arteries column under the guidance of ultrasound Doppler .
a-Surgery Longo (1993): A surgical suture using a folded round to cut the lining on the strategic road within 2-3 cm and sewing machine press. The principle of operation is cut and sewn folded mucosa, thus reducing blood flow to the venous plexus hemorrhoids to shrink the volume of hemorrhoids and anal cushions hanging in the anal canal. This method is preferred because there is no pain, shorter hospital stays, patients pay for labor early, this drawback is the high cost, have not been fully evaluated for efficiency due to short follow-up period.
b-stitch by hand hanging hemorrhoids:
This is a modified method of surgical Longo in developing countries due to the high cost of PT Longo. PT was Ahmed Hussein M, Nguyen Manh Nham, Nguyen Trung Vinh, Nguyen Trung Tin report at the conference. This method is based on the principle of Longo's surgery reduces blood flow to the hemorrhoids to shrink bun volumetric mass hanging tufts hemorrhoids hemorrhoids and anal canal up by hand sewing stitches drapery lining of strategic road 2 cm -3. This method has only been reported after 2001.
c-stitch column hemorrhoids arteries under the guidance of ultrasound Doppler
This method was implemented for the first time Kazumasa Morinaga 1995, with an instrument called Moricorn, is a machine consisting of a Doppler ultrasound probe attached in an anal probe, through this instrument detects 6 authors artery, the artery branches of the rectum to take over, and the branches of this artery is sewn column in strategic locations along 2cm.
The principle of this method is to reduce the blood flow to the bundle of hemorrhoids, internal hemorrhoids only applies to the 2 and 3, the advantage of this method is painless and preserve the anal cushions.
All three methods do not address the case of internal hemorrhoids embolism and cases with large excess skin samples.
Indications for treatment:
-Tri May be ill, can be a symptom of another disease. Only when the hemorrhoids surgery patients. A mistake often suffer from hemorrhoids is cut for a patient with rectal cancer. There may be a symptom of hemorrhoids rectal cancer, possibly colorectal cancer appeared in a patient with hemorrhoids long. So before surgery to confirm no other entity lesions in anorectal region.
-Tri Can be treated with medical or physical methods. Therefore, surgery should only be considered as a last resort if the above method does not work, because surgical intervention in anatomy and physiology normal and may be accompanied by severe sequelae difficult to repair.
Specifies that the operation applies to internal hemorrhoids grade 3, grade 4, thrombosed hemorrhoids, hemorrhoids and hemorrhoids within sa serious bleeding.
+ Internal hemorrhoids:
- Level 1: injecting fibers or condensation.
- Level 2: thermal coagulation, rubber band ligation of hemorrhoids or cut.
- Not good eating habits such as eating less fiber and vegetables, spicy (pepper, chili), drink a lot of alcohol.
- Genetics: Family, family has many hemorrhoids.
- Pregnancy, childbirth too strong pressure from the fetus can aggravate hemorrhoids.
2. The degree of hemorrhoids
Hemorrhoids have 3 level:- Lightweight: Going beyond the pain associated bleeding, hemorrhoids are not sa bun.
- Medium: Going beyond pain, and bleeding associated with hemorrhoids but self-contained sa bun up.
- Weight: Bui prolapsed frequently need to use your hands to push on. Patients feel uncomfortable when sitting, even bleeding.
3. The method of treating hemorrhoids today, advantages and disadvantages of each method
3.1. Medical treatment:
- Cleaning in place well in warm water immersion 2-3 times / day for 15 minutes.
- Oral: including drug agent vein support, derived flavonoids. The mechanism of action of these drugs is increased venous tone, protecting microcirculation, reduce edema by local anti-inflammatory effect, anti-infective and anti-embolism.
- Drugs in place: include ointments (pommade) and ammunition (suppositoire) include anti-inflammatory agents, emotionless spot and derivatives vein support.
Advantages of medical treatments: Fast Acting as reduced symptoms, treatments are easy to find on the market
Cons: only medical therapy can treat symptoms or treatment episodes such as bleeding, burning, sa ... which is hard to cure it.
3.2. Treatment with tips:
a fiber-Shots: Insert the fiber is specified in the first hemorrhoids and piles of 2
A method of treating hemorrhoids easy to implement, simple, fast and safe. However, the procedure is experienced physician with strong new techniques for better results and avoid complications. The main purpose of injecting fiber is reduced blood flow to the hemorrhoids tufts, creating scar tissue sticks to the muscle layer under the submucosa help reduce the symptoms of bleeding.
Injecting the fiber is specified in the first and hemorrhoids hemorrhoids grade 2,
In fiber injection technique should note a few things:
- Use the right needle: Kim long, barbed block near the top of the needle to avoid deep penetration, if the needle is very good angulation, special syringe. Injections fibers used today are oil phenol and polidocanol.
Injection position is at the root tufts hemorrhoids, located on the bottom bun comb and hemorrhoids. The volume of 3-5 ml spray, pump slowly injected during the injection site if bleaching is injected into the epidermis, stop the injection immediately because they cause necrotic ulcer complications after injection. Location injection usually in 4 hours, 7 Hours and 11gio.
Stock variable:
* Bleeding the injection site, if detected in time with pressure injection gauze, if not reduced by using tools ligation hemorrhoids rubber band ligation of bleeding area.
* Injecting into the prostate: in the case of injecting too deep at the position 11gio-1h may encounter complications urination, inflammation of the epididymis and testis, prostate inflammation, vaginal anal leakage ...
b-hemorrhoids with rubber ring Belts: Belts hemorrhoids with rubber ring is indicated for the treatment of internal hemorrhoids 1 and 2
Hemorrhoids with rubber band ligation is indicated for the treatment of internal hemorrhoids 1 and 2, some authors have applied for both internal hemorrhoids grade 3 but limited results.
Hemorrhoids with rubber band ligation was performed in the 19th century, but because hemorrhoids tufts column with the skin around the anus so after ligation very painful, so do not be widely used. By 1958 Blaisdell had success with the only column without a bun hemorrhoids and skin and surrounding tissues. 1963 Barron has created tools to tighten hemorrhoids with rubber ring and then with improved instruments of Mc Giveny gave treatment of hemorrhoids with rubber band ligation of hemorrhoids treatment a success and is the first choice in the treatment of tricks.
The main principle of the rubber loop is reduced blood flow to the hemorrhoids tufts, creating scar tissue sticks to the muscle layer under the submucosa, which will be fixed by the anal canal right with conservation principles anal cushions.
c-infrared Cantonese: Cantonese infrared specified with internal hemorrhoids level 1 and level 2
The method uses heat treatment of hemorrhoids has been done for hundreds of years. The goal of the method is to make tissue freezing frozen by the effects of heat, creating scar reduces blood flow to the hemorrhoids and fixed bundle of hemorrhoids in the anal canal. With laser, high-frequency currents also affect clotting such as infrared, but the accuracy of the depth of penetration of the coagulation effects of two methods are not accurate infrared photocoagulation with the machine. The tissue penetration of infrared rays are predetermined by adjusting the speed of the jet and accurate convergence in this tissue. Machine infrared photocoagulation is not interfering in favor of electronic instruments mounted on the patient such as cardiac pacemakers.
Infrared photocoagulation is indicated for internal hemorrhoids level 1 and level 2. This method has the advantage of hemorrhoids are painless, safe, effective hemostasis but the downside is that the machine is quite expensive and often do tricks many times.
3.3 Surgical removal of hemorrhoids: frozen mucosal resection, resection of each bun hemorrhoids, PT Longo, pheasants hanging by hand stitch, stitch column hemorrhoids arteries under the guidance of ultrasound Doppler ...
3.3.1 Surgical Group 1 consists of two surgical groups
a-folded mucosal resection:
Whitehead Surgery: Principles is slice mucosa and submucosa with tufts veins hemorrhoids, then pull down on the stage of the mucosa from the anal skin. This method is now hardly used due to the more serious complications such as anal stenosis, loss of self-control bowel and rectal fluid leak. But because of the nature of radical surgery, many authors have used the principle of hemorrhoids surgery, but revised in order to reduce complications, such as surgery Toupet.
b-Surgical each bun hemorrhoids:
The principle of this surgery is to cut a separate each bun hemorrhoids, leaving in the middle of the piece tufts hemorrhoids mucocutaneous (for mucocutaneous). Surgical Group include PT Milligan Morgan (1937), PT Ferguson (1959), PT Parks (1965), Germany PT BV Vietnam (Nguyen Dinh Hoi, 1966).
Surgical team consists of two main groups:
- Cut open hemorrhoids: Milligan Morgan PT, PT Nguyen Dinh Hoi
- Cut hemorrhoids closed: PT Ferguson.
Group of surgery to avoid complications with the surgery group mucosa slice the skin, but the downside is still sore after surgery, length of hospital stay long, labor time back late and ineffective in the case hemorrhoids round.
3.3.2 Surgical Group 2:
Starting from the disadvantages of surgery under the column heading Morgagni and the new findings about the pathogenesis, since the 90s, based on the principle of conservation of mass anal cushions, reducing blood flow to the hemorrhoids and miniature bun can block area of hemorrhoids, some new surgery was founded with the principle of hanging anal PT Longo, sewn by hand and hung pheasant principle shrink hemorrhoids cubic volume as PT stitched hemorrhoids arteries column under the guidance of ultrasound Doppler .
a-Surgery Longo (1993): A surgical suture using a folded round to cut the lining on the strategic road within 2-3 cm and sewing machine press. The principle of operation is cut and sewn folded mucosa, thus reducing blood flow to the venous plexus hemorrhoids to shrink the volume of hemorrhoids and anal cushions hanging in the anal canal. This method is preferred because there is no pain, shorter hospital stays, patients pay for labor early, this drawback is the high cost, have not been fully evaluated for efficiency due to short follow-up period.
b-stitch by hand hanging hemorrhoids:
This is a modified method of surgical Longo in developing countries due to the high cost of PT Longo. PT was Ahmed Hussein M, Nguyen Manh Nham, Nguyen Trung Vinh, Nguyen Trung Tin report at the conference. This method is based on the principle of Longo's surgery reduces blood flow to the hemorrhoids to shrink bun volumetric mass hanging tufts hemorrhoids hemorrhoids and anal canal up by hand sewing stitches drapery lining of strategic road 2 cm -3. This method has only been reported after 2001.
c-stitch column hemorrhoids arteries under the guidance of ultrasound Doppler
This method was implemented for the first time Kazumasa Morinaga 1995, with an instrument called Moricorn, is a machine consisting of a Doppler ultrasound probe attached in an anal probe, through this instrument detects 6 authors artery, the artery branches of the rectum to take over, and the branches of this artery is sewn column in strategic locations along 2cm.
The principle of this method is to reduce the blood flow to the bundle of hemorrhoids, internal hemorrhoids only applies to the 2 and 3, the advantage of this method is painless and preserve the anal cushions.
All three methods do not address the case of internal hemorrhoids embolism and cases with large excess skin samples.
Indications for treatment:
-Tri May be ill, can be a symptom of another disease. Only when the hemorrhoids surgery patients. A mistake often suffer from hemorrhoids is cut for a patient with rectal cancer. There may be a symptom of hemorrhoids rectal cancer, possibly colorectal cancer appeared in a patient with hemorrhoids long. So before surgery to confirm no other entity lesions in anorectal region.
-Tri Can be treated with medical or physical methods. Therefore, surgery should only be considered as a last resort if the above method does not work, because surgical intervention in anatomy and physiology normal and may be accompanied by severe sequelae difficult to repair.
Specifies that the operation applies to internal hemorrhoids grade 3, grade 4, thrombosed hemorrhoids, hemorrhoids and hemorrhoids within sa serious bleeding.
+ Internal hemorrhoids:
- Level 1: injecting fibers or condensation.
- Level 2: thermal coagulation, rubber band ligation of hemorrhoids or cut.
- Do3: ligation of hemorrhoids with rubber bands or cut.
- Level 4: cut hemorrhoids.
- Hemorrhoids sa congestion: medicine and medical treatment of hemorrhoids warm water soak until the end tufts hemorrhoids edema, local stability, then cut hemorrhoids surgery.
+ External Hemorrhoids: Hemorrhoids exchange are not given treatment and surgical procedures unless complications of infection, ulceration or occlusion of blood clots forming in the bun hemorrhoids. Surgical treatment of embolism in the emergency is taking clot incision. Immediately after surgery the patient feel comfortable and free of pain immediately.
These are the treatments were applied in the past and the present. Each method has different advantages and disadvantages. The application of the method depends on the extent of disease and the degree of Doctor diagnostics. Usually when detecting expression of hemorrhoids people often have the following actions:
I. THE TREATMENT IN THE PUBLIC HOSPITAL
As to the public hospital patients feel more comfortable because of the trust factor in Dr. state remains a top priority. Currently the majority of hospitals method Longo cut, burned by the laser. These methods take effect immediately but does not solve the root cause of the disease from the inside lead to the recurrence of hemorrhoids.
Pros: Fire in the private polyclinic: enthusiastic service attitude, the exchange between doctors and patients often take place continuously.
Cons: because the method is still popular cut is so high recurrence rates. High cost of treatment can range from 5 to 20 million. With the clinic does not guarantee equipment, qualified doctors very limited leading to infection with oral drugs can cause side effects, especially liver and kidney damage.
- Level 4: cut hemorrhoids.
- Hemorrhoids sa congestion: medicine and medical treatment of hemorrhoids warm water soak until the end tufts hemorrhoids edema, local stability, then cut hemorrhoids surgery.
+ External Hemorrhoids: Hemorrhoids exchange are not given treatment and surgical procedures unless complications of infection, ulceration or occlusion of blood clots forming in the bun hemorrhoids. Surgical treatment of embolism in the emergency is taking clot incision. Immediately after surgery the patient feel comfortable and free of pain immediately.
These are the treatments were applied in the past and the present. Each method has different advantages and disadvantages. The application of the method depends on the extent of disease and the degree of Doctor diagnostics. Usually when detecting expression of hemorrhoids people often have the following actions:
I. THE TREATMENT IN THE PUBLIC HOSPITAL
As to the public hospital patients feel more comfortable because of the trust factor in Dr. state remains a top priority. Currently the majority of hospitals method Longo cut, burned by the laser. These methods take effect immediately but does not solve the root cause of the disease from the inside lead to the recurrence of hemorrhoids.
II. Hemorrhoids TREATMENT IN THE PRIVATE polyclinics
After treatment at the hospital from older patient anxiety panic not knowing where to put their faith in another. Meanwhile the private clinic that advertising is rampant in the mass media with the commitment as a cure times are from, no relapse, recurrence refund, warranty 5 years ... Although you may not believe, but also no other way for hemorrhoids still tormented day and night patients with psychological treatment alone see any stars.Pros: Fire in the private polyclinic: enthusiastic service attitude, the exchange between doctors and patients often take place continuously.
Cons: because the method is still popular cut is so high recurrence rates. High cost of treatment can range from 5 to 20 million. With the clinic does not guarantee equipment, qualified doctors very limited leading to infection with oral drugs can cause side effects, especially liver and kidney damage.
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