This problem did not say out loud - shy. And make a fatal mistake. With a sharp paraproctitis trifled
Trigger
When hemorrhoids and colitis is probably the most common disease of proctology. And one of the most insidious. In a state of neglect purulent inflammation of the adipose tissue, the envelope of the rectum, can lead to serious consequences.
Trigger disease resembles a boil, arising from the lumen of the rectum, is an infection that has penetrated through the crypt (pockets located on the border of the upper and middle thirds of the anal canal) into the ducts of the anal glands, needed to "wetting" of the area. In them something and inflammation develops, fraught with the rapid development of purulent process.
Such developments give different reasons. And above all - microtrauma anal region formed with constipation or frequent diarrhea. Colitis, ulcerative colitis, Crohn's disease and other inflammatory diseases, in which the broken chair, are often companions abscess.
It promotes the development of the disease and low immunity (often abscess develops on the background of banal SARS), as well as exercise, weight lifting, messy reception spicy and fatty foods, "flavored" with alcohol. Is it because most men suffer paraproctitis working age - between 20 and 50 years?
Contaminated avalanche
The disease develops rapidly, within 3-5 days, initially declaring himself hyperemia (redness) of the skin around the anal area, swelling, pain in the anus, increasing during defecation, the vast majority of patients blamed on the worsening of hemorrhoids. Catching up on trying to self-medicate and relieve discomfort candles and ointments, patients only aggravate their suffering.
It is not always understand the source of these problems and surgeons district clinics, which, in the end, turning sufferers. As a result, he missed valuable time and patients with acute paraproctitis admitted to hospital with high fever, severe inflammation, when the process has gone too far. Melting everything in its path, the pus turns into a liquid mass of fatty tissue, muscle tissue, and sometimes getting to the genitals and the urethra.
Our expert is convinced that if the surgeons district clinics pay more attention to the diagnosis of abscess, you see, and less would be running when helping the patient is much more complicated. Especially when it comes to the elderly, weakened by the presence of many other comorbidities such as cardiovascular disease, diabetes and so on. D.
The investigation leading ...
The more that you can recognize the disease most basic ways that do not require high medical technologies. Sometimes for the correct diagnosis rather simple visual and / or finger inspection, during which the estimated condition of the skin and subcutaneous tissue around the anus and inside the anal canal: whether in this area any redness, swelling, painful seal.
And not to be confused with these manifestations of abscess-like symptoms are acute internal hemorrhoids, it is desirable to supplement the finger inspection inspection using rectal mirror. Of course, if the patient's condition allows it to do.
But if the diagnosis is unclear and it is about paraproctitis deeper localization, without instrumental methods of examination can not do: using rectal ultrasound probe that is inserted into the anal canal, or a sigmoidoscopy (an endoscopic examination of the rectum).
If the diagnosis is confirmed, one way out - an operation. Other ways to treat acute abscess, alas, does not exist. To reduce inflammation, an abscess must be opened, drained and rinsed (cleaned of pus), supplemented by daily washing and dressings with antiseptic solutions and ointments.
A radical solution
But only reduce inflammation is not enough: in order to avoid future recurrences of the disease, it is necessary to remove the site of inflammation resulting in fistula (purulent course). That is quite a difficult task that requires a doctor's good knowledge and great experience.
Otherwise, when you remove the fistula may damage the muscular system of the anus, which is fraught with failure of the sphincter and fecal incontinence.
The operation incision and drainage of superficial abscess can be performed under local anesthesia, but when it comes to deep paraproctitis - under spinal anesthesia, and only in a hospital.
Among experts there are constant disputes over the timing of the radical intervention of fistula excision of the rectum. Some believe that such an operation is best carried out simultaneously with the provision of emergency assistance. This leads to a more rapid recovery of patients and eliminate the psychological trauma of re-operation.
Others believe that at an acute purulent inflammation is not always possible to correctly identify the location of the fistula motion with respect to the obturator muscle apparatus of the rectum, which is fraught with properly conducted operations in the future recurrence of the disease.
Therefore, the operation of excision of a fistula is recommended to perform some time after opening the abscess when subside inflammation and swelling subside around the anus. As you can see, this is a serious problem and deal with it and should only proctologist. Better this expert with a keen paraproctitis and its consequences no one can handle it. To better address the proctologist and at the first symptoms of the disease, which is better not to start.
"Correct." Encourages
Avoid abscess may be observing a number of simple rules:
Drink at least 1, 5-2 liters of liquids a day;
& gt; & gt; Eat more cereals, fresh fruits and vegetables (especially fiber-rich vegetable marrows, pumpkins, plums, bananas, apricots);
& gt; & gt; It is advisable to add to eat rye or wheat bran to facilitate defecation and eliminating constipation;
& gt; & gt; But laxatives and enemas do not get carried away;
& gt; & gt; Defecate only if you feel the urge;
& gt; & gt; If you are overweight, take steps to get rid of him;
& gt; & gt; Move more, avoiding power sports, on holiday at home beds and try not to lift weights.
Source
Industry News
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