HEMORRHOIDS


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Hemorrhoids are one of the most common human diseases. The disease has two main forms (acute and chronic) and manifests itself as thrombosis, inflammation, bleeding, and prolapse of hemorrhoids. Two main causes of the disease are identified; there are vascular disorders and mechanical damages. Chronic and acute forms are identified in the course of the disease. Internal, external, and mixed types are distinguished by the form of the disease. Its chronic course is divided into four stages. Acute hemorrhoids are a complication of the chronic course and classified into three grades according to the degree of thrombosis and inflammation. This classification corresponds to the pathogenesis of hemorrhoids, is rather convenient, and provides a possibility of objectively defining indications and choosing the required treatment option in practical work in accordance with the stage and degree of the disease. Bleeding, various inflammation intensities, and pinched hemorrhoids may complicate one of the manifestations, which is characteristic of the early development of the disease (perianal itch, discomfort). The diagnosis of hemorrhoids encompasses examination, rectal study, anoscopy, colonoscopy, and proctosigmoidoscopy. Conservative treatment for acute and chronic hemorrhoids is directed towards relieving the symptoms of acute hemorrhoids, eliminating complications, and preventing exacerbations during their chronic course. The drug therapy is incorporated into preoperative preparation and postoperative rehabilitation. The used medicaments have anti-inflammatory, analgesic, and hemostatic activities and improve blood flow and microcirculation in the cavernous masses. The paper gives data on the drug of choice due to its combined properties in treating hemorrhoids in women.

Full Text

Restricted Access

About the authors

E. G KHILKEVICH

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia; I.M. Sechenov First Moscow State Medical University

Email: e_khikevich@oparina4.ru

Yu. V POPOV

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

References

  1. Воробьев Г.И., Шелыгин Ю.А., Благодарный Л.А. Геморрой. — М.: Митра-Пресс, 2002.
  2. Грошилин В.С. Послеоперационное ведение и профилактика рецидивов у больных, оперированных по поводу анальных трещин // Вестн. Нац. медико-хир. центра им. Н.И. Пирогова. — 2008. — Т. 3, № 2. — С.46—48.
  3. Куликовский В.Ф., Олейник Н.В., Наумов А.В. Хирургическое лечение аноректальной патологии на фоне опущения тазового дна у женщин // Успехи соврем. естествознания. — 2008. — № 8. — С. 105—106.
  4. Краснова Н.А. Лечение запоров во время беременности и в послеродовом периоде // Акуш. и гин. — 2011. — № 7—1. — С. 97—100.
  5. Поздеева Н.Н. Сравнительная оценка эффективности консервативного лечения геморроя // Бюл. ВСНЦ СО РАМН. — 2007. — № 4. — С. 149—150.
  6. Сачук В.С. Эмоционально-негативное состояние тревоги у больных геморроем в процессе хирургического лечения // Ученые записки ун-та им. П.Ф. Лесгафта. — 2010. — № 11. — С. 87—90.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2012 Bionika Media

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies