La gravedad de las hemorroides se divide en 4 niveles. Médico recomiendan: No todas las hemorroides necesitan cirugía.
Chen, de 38 años, es un ejecutivo administrativo, además de las reuniones nocturnas, también suele ir de fiesta durante las vacaciones. En cierta ocasión, acudió al médico porque sintió una fuerte sensación de cuerpo extraño durante la defecación donde el médico descubrió que el tejido anal estaba prominente e hinchado, clínicamente se le denomina hemorroides de segunda etapa y esto solo tiene mejoría mediante el uso de una variedad de medicamentos antiinflamatorios. El médico instó a que las hemorroides se operan de acuerdo a la gravedad, en otras palabras, si los síntomas son leves, se pueden usar medicamentos orales, supositorios, como tratamiento antiinflamatorio y analgésico.
Edad propenso al padecimiento 45 – 65 años
Aunque las hemorroides tienden a presentarse en adultos de 45 a 65 años, pero debido al cambio de los hábitos dietéticos últimamenye, los jóvenes también tienden a padecer hemorroides. Además de una alimentación excesiva, factores como el gusto pesado o una mala rutina diaria donde el cuerpo está debilitado, ahí es también propenso a padecer de hemorroides.
Causas de las hemorroides: ¿quiénes son propensos a tener hemorroides?
La causa más común es el estreñimiento.
Permanecer sentado o parado a largo tiempo durante el día, la obesidad o las mujeres embarazadas son todos grupos de alto riesgo.
Ocupaciones como secretarias, auxiliares de vuelo, profesores, taxistas, entre otros.
Personas con estreñimiento o diarrea frecuentes.
Personas obesas.
Mujeres embarazadas.
Tercera edad
Pacientes con cáncer colorrectal, cirrosis hepática o determinadas enfermedades cardiovasculares.
La formación de hemorroides es causada principalmente por estar sentado presionando el ano durante mucho tiempo lo que provoca la dilatación venosa por irregularidad del retorno sanguíneo. Es importante acotar que en la clasificación de las hemorroides, se divide principalmente de acuerdo a la posición en que se encuentran internas o externas del orificio anal, clasificándolas en hemorroides internas, hemorroides externas y hemorroides mixtas que ocurren tanto internamente como externamente, donde el estreñimiento prolongado es la causa más común de hemorroides, por otra parte la obesidad, la falta de ejercicio, los oficinistas, permaner en la misma postura durante mucho tiempo o el embarazo son factores de riesgo de las hemorroides.
Clínicamente, las hemorroides se dividen en cuatro grados según su gravedad. Los pacientes de primer grado tienen molestias ocasionales y síntomas de sangrado en el ano; los pacientes de segundo grado sienten presencia de cuerpos extraños (hemorroides) cuando van al baño, pero pueden retraerse activamente; En el tercer nivel, el tejido anal está claramente protuberante e hinchado y solo se puede regresar a su sitio con la mano; las hemorroides de los pacientes del cuarto nivel pueden haber estado excesivamente hinchadas, prolapsadas y obviamente expuestas fuera del ano.
En el tratamiento actual para las hemorroides, para eliminar tejido hemorroidal prolapsado, se requiere ultrasonido y cirugía con bisturí de baja energía. Para síntomas tempranos como dolor, sangrado y picazón, se puede optar por no operar, aplicando pomadas o supositorios, ya con esto puede reducir localmente la inflamación y aliviar el dolor; también existen medicamentos antiinflamatorios orales y aerosoles nasales analgésicos, que pueden eliminar la inflamación, aumentar la tensión vascular, promover la circulación sanguínea y aliviar el dolor. La mayoría de los pacientes toman el medicamento durante tres días a una semana, independientemente de los síntomas de hemorroides internas o externas y casi no tienen efectos secundarios.
Primero, mejore los hábitos de vida
El efecto de la terapia no quirúrgica no es a largo plazo, si no mejora sus hábitos de vida, es muy fácil recaer nuevamente en las hemorroides. Las hemorroides son causadas principalmente por los tres problemas: la dieta, la rutina y las evacuaciones intestinales, por lo que se recomienda comer menos alimentos fritos, picantes y alchohol para reducir la irritabilidad; tratar de dormir antes de las 10 a 11 de la noche; además, evite estar sentado durante un tiempo prolongado y evite hacer esfuerzo excesivo durante la defecación.
Clasificación de las hemorroides: hemorroides externas, hemorroides internas, hemorroides mixtas
Las hemorroides se clasifican en hemorroides internas y hemorroides externas, o hemorroides mixtas que combinan las dos según el lugar de ocurrencia.
1. Hemorroides internas: crecen por encima de la línea dentada del ano, son menos dolorosas en la etapa inicial y sangran durante la defecación.
2. Hemorroides externas: al crecer por debajo de la línea dentada en el ano, es fácil sentir dolor y molestias.
3. Hemorroides mixtas: las hemorroides se extienden sobre la línea dentada hacia arriba y hacia abajo, lo que causa dolor y sangrado al principio.
Línea dentada: La línea circular dentada ubicada dentro del ano es el límite entre el suministro de sangre y la inervación en el ano, la línea dentada es difícil de ver desde el exterior, al menos que el ano se abra con la mano.
¿Cuáles son los síntomas de las hemorroides?
Dolor anal
Sangrado en las heces
Según las diferentes hemorroides bien sea internas o externas, el orden y la gravedad de los síntomas son diferentes. Las hemorroides internas sangran principalmente en la etapa inicial y cuesta limpiarse los excremetos, mientras que las hemorroides externas son principalmente dolorosas y los pacientes a menudo tienen dificultad para sentarse y pararse. Por otra parte, las hemorroides internas graves sobresaldrán del ano y deberán empujarse hacia el ano con las manos, mientras que las hemorroides externas pueden estar más propensas a contraer infecciones.
Prevención de hemorroides
Podemos prevenir las hemorroides mediante los siguientes métodos:
1. Evacuaciones intestinales regulares: el estreñimiento es la principal causa de hemorroides, por lo que debe tratar de realizar evacuaciones intestinales regulares. Si tiene una necesidad repentina de defecar, debe ir al baño rápidamente para evitar el estreñimiento ya que esto aumenta la posibilidad de hemorroides.
2. Mejorar los hábitos alimenticios: como la principal causa de hemorroides es el estreñimiento, es muy importante comer más verduras y complementar la fibra dietética.
3. Evite mantener la misma postura durante mucho tiempo: Ya sea que esté de pie o sentado, debe cambiar su postura en cualquier momento y descansar lo suficiente para evitar la mala circulación sanguínea y aumentar la posibilidad de hemorroides.
4. Manténgase caliente: manténgase caliente, especialmente alrededor de la cintura, porque el frío es una de las razones que promueven las hemorroides, el frío empeora la circulación sanguínea y la sangre puede acumularse en la zona anal, provocando hemorroides.
5. Ejercicio moderado: Evite la mala circulación sanguínea anal. Se recomienda realizar ejercicios simples de la musculatura abdominal, como abdominales, ejercitando la musculatura abdominal también se puede lograr el efecto de prevenir el estreñimiento, reduciendo así la incidencia de hemorroides.
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