What is hemorrhoids(hemorrhoids)?
Hemorrhoidal tissue is a tissue that acts as a mattress located in the vascular ball structure and at the exit of the anus. Hemorrhoids are divided into internal hemorrhoids and external hemorrhoids:
What is internal hemorrhoids?
An internal hemorrhoid binds its own tissue to the parking bonds and sags its tissue downwards, damaging the parking bonds. In this way, the tissues hanging down are sagging, causing swelling. The reason for this is that it causes difficulty in the backflow of dirty blood due to the sagging of the vessels carrying dirty blood.
What are the stages of internal hemorrhoids?
1.Phase
Hemorrhoidal tissue has grown and bleeding occurs after hard stools, but there is no sagging.
2.Phase
Painless bleeding after needing to use the toilet is the most prominent feature of internal hemorrhoids. At this stage, internal hemorrhoids can come out of the anus with straining and strain. But after the toilet, he goes in on his own with rest and waiting. At this stage, it is added to bleeding in pain.
3.Phase
Internal hemorrhoids come out more noticeably during the need for a toilet, so a person needs to push the hemorrhoid in. Due to forcing the swellings, bleeding and pain become even more severe.
4.Phase
by this stage, the hemorrhadal tissue is constantly outside. When you try to push it manually, it cannot be pushed in. This condition negatively affects the patient. It is the cause of constant pain,bleeding,discharge and infection. It is constantly associated with external hemorrhoids. Bleeding into the breast is common, in this case, urgent intervention is required.
What is external hemorrhoids?
Initially, external hemorrhoids cause bleeding and pain. External hemorrhoids are diagnosed early because they also have pain and bleeding. When the patient comes for treatment, he usually makes his diagnosis. This is usually found around the anus in the size that comes to hand, stiffness is in the form of bruises, in case of bleeding into the breast, urgent interventions are required.
Treatment of Hemorrhoids
The methods used in the treatment vary according to the degree of hemorrhoidal disease.
- Medical Treatment:
- and 2. it is applied to those who have severe hemorrhoidal disease.
Avoiding frequent constipation or diarrhea
Drinking 1.5-2 liters of water a day and a diet with pulp
Warm sitting bath after defecation (except in inflammatory conditions) - Drug treatment:
Wick
Cream
Tablets
- Sclerotherapy (astringent therapy):
Hemorrhoids are the application of a vasodilating agent to the breasts with a needle.
The breast disappears as a result of the contraction of the veins.
1.ve 2nd. it is applied to hemorrhoids of degree.
Anesthesia is not required. Local anesthesia is recommended.
The average attempt time is less than 3 minutes.
The patient can be discharged on the same day.
- Infrared Coagulation:
It is incorrectly described as laser therapy.
It is a technique of etching the truth with infrared light.
- degree can be applied to hemorrhoids.
Anesthesia is not required. Local anesthesia is recommended.
The average attempt time is less than 3 minutes.
The patient can be discharged on the same day.
5.Bandligation (binding technique):
A rubber ring is attached to the neck of the hemorrhoid breast, allowing the breast to dry out and fall out.
- in the degree and elected 3. it is applied in hemorrhoids of degree..
Anesthesia is not required. Local anesthesia is recommended.
The average attempt time is less than 3 minutes.
The patient can be discharged on the same day.
6.Longo technique (punching Method):
It is performed only with an instrument designed for hemorrhoid surgeries.
The tool is for single use.
It shortens the operation time and the postoperative pain will be less.
- the degree gives good results in hemorrhoids. There should be no diseases such as fissures, fistulas associated with hemorrhoids.
Local anesthesia may be sufficient. General anesthesia is recommended.
The average attempt time is less than 10 minutes.
The duration of hospitalization is 1 night.
7.The Ligasure Method:
It is one of the newest academically accepted techniques.
It glues the fibers in the tissue together using fusion energy at low temperature.
It provides the possibility of bloodless, seamless surgery.
It has advantages such as shortening the operation time and having quite little postoperative pain.
- and 4.it is used for grade hemorrhoids.
Local anesthesia may be sufficient. General anesthesia is recommended.
The average attempt time is less than 10 minutes.
The duration of hospitalization is 1 night.
8.Surgical Methods:
Surgical instruments such as scalpel, electro cautery and laser are used in the surgery.
He has previously had unsuccessful surgery and relapsed in cases of hemorrhoids and complications 3.ve 4th. it is used for hemorrhoids.
General anesthesia is recommended.
The average attempt time is less than 15 minutes.
The duration of hospitalization is 1 night.
Success in the treatment of hemorrhoids patients is ensured by the correct diagnosis and choosing the right technique that is reasonable to it.