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Hemorrhoid


Doctor Iurii Munteanu

Heamorroid represents dilatable varice the venose plexus from individual mucosity, anorexia, in two portions: superior or intern or inferior or external.

From this viewpoint the hemoroid split in:
- The internal hemoroid is developed from the rectal superior plexus,
- The externall hemoroid is developed from the rectal inferior plexus



The disease appears more frecvently between 30 and 60 years is determined from hipertension or the pelvic venose conjuncted with the modifications of the venose walls from the rectal plexus, The constipation, diareea, the limitation of physical activity, the consumption of alcohol and peppery foods, some diseases(hepatitis, arterial hipertension)
The tasks represents adjuvant factors in the appearance of hemoroids.

Simple veins from the anorectal mucous don't  confounded with the notion of hemoroids only when it appears a clinical suffering. The conditions that define hemoroids are devizide in three components which can be gathered together or separate:
- Abnormal prolapse of the mucous membrane
- Dilated venose in the sub-mucous plexus
- Protuberances of the  anal border orifice

Clinical signs: Anal itchiness, haemorrhages (rectoragii), secretions sero, prolapses and have and pain.

 


Complications:
In general are two tips:
1. The anaemia due to chronic, excessive  blood losse and acute thrombose
2. Acute thrombose to the hemoroid interns level represent an extravagantly unpleasant situation, it presents severe pain joined by   protrusive hemoroid thromboses.

The treatment is complex  imbibition the laser and scleroterapie the application of elastic ligatir with the classic surgical methods. The surgical treatment represents the correct  radical solution in case of the pacients with hemoroids whereon the conservative traditional methods and the indication of surgical treatment is enforced.



The operation is effectuated in conditions of ambulatory among three basic variants, they are:
1. Connection of the hemoroid parcels
2. Hemoroidectomy sub mucous
3. Closed hemoroidectomy choosing it for the last.



This permits a quick cure for the pacient,  that can be exterelised in the same day, the post operator pains canbe easy  controled with usual antialgices.

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