hemoroi (buasili)

hemoroi – proqtologiaSi yvelaze gavrcelebuli sisxlZarRvovani daavadebaa. am daavadebis dros xdeba swori nawlavis terminaluri nawilis mRimovani (kavernozuli) sxeulebis gaganiareba. bevri adamiani ugulebelyofs hemorois simptomatikas da amiT daavadeba mZime mdgomareobamde midis.

hemorois ZiriTadi simptomebi:
defekaciis Semdgomi sisxldena;
tkivilis defekaciis dros, an/da Semdeg;
swori nawlavis arasruli daclis SegrZneba;
hemoroiduli kvanZebis gamovardna;
moculobiTi warmonaqmnebis warmoqmna;
qavilis da diskomfortis SegrZneba anusis midamoSi.

Tuki am simptomTagan erTi, an ramdenime aReniSneba adamians sasurvelia proqtologTan viziti. adreuli diagnostika saSualebas iZleva minimaluri invaziiT iqnas problema mogvarebuli.

hemorois klasifikacia:
1-li stadia – defekaciis dros sisxlis gamoyofa analuri xvrelidan, hemoroiduli kvanZebis gamovardnis gareSe;
2-e stadia – xasiaTdeba kvanZebis gamovardniT da maTi damoukideblad CabrunebiT swor nawlavSi (sisxldeniT, an mis gareSe);
3-e stadia – kvanZebis gamovardna. maTi cabruneba unda moxdes xeliT (sisxldeniT, an mis gareSe);
4-e stadia – hemoroiduli kvanZebis gamudmebuli gamovardna swori nawlavis lorwovanTan erTad. amave dros kvanZebis Cabruneba ver xerxdeba (sisxldeniT, an mis gareSe).

daavadebis gansxvavebul statiaze gamoiyeneba mkurnalobis gansxvavebuli taqtika:

1-li stadia – konservatoruli terapia, infrawiTeli fotokoagulacia, sklerotarapia;
2-e stadia – konservatiuli Terapia, infrawiTeli fotokoagulacia, skleroTerapia, lateqsis rgolebiT ligireba, nakerebiT ligireba, qirurgiuli mocileba (hemoroideqtomia – hemoroiduli kvanZebis amokveTa);
3-e stadia – lateqsis rgolebiT ligireba, lorwovanis transanaluri rezeqcia longos meTodiT, kombinirebuli meTodebi, hemoroideqtomia;
4-e stadia – hemoroideqtomia.