Thrombosis hemorrhoids complicated by inflammation of their indication for anticoagulation of local action in the form of suppositories and combined preparations containing analgesics, thrombolytic and anti-inflammatory components. This group includes Proctosedyl and gepatrombin G. Pharmacodynamics gepatrombina F lies in the fact that heparin binds the plasma coagulation factors and prevents blood clots, reduces inflammation and swelling, and polidokanol has analgesic and local sclerosing effect. Prednisolone has anti-inflammatory effect, reduces the itching and burning. Preferable to use gepatrombina T is that he has a strong antithrombotic and anti-inflammatory effect.
When hemorrhoidal thrombosis also demonstrates the use of anticoagulants local action. This group of drugs brand viagra include heparin and troksevazinovaya ointment. In 70-80% of cases, thrombosis of hemorrhoids complicated by inflammation of the transition to subcutaneous tissue and the perianal region. In this case, the above-mentioned drugs are used in combination with water-based ointments, possessing potent anti-inflammatory action. These include levosin, levomekol, mafinid.
Ongoing bleeding for one hour is a sign of an acute process and to eliminate it you can use candles containing epinephrine. In addition, use these local hemostatic materials, such as adrokson, beriplast, tahikomb, spongostan consisting of fibrinogen and thrombin. When introduced into the anal canal, they dissolve, forming a fibrin film.
General treatment
The basis is a common treatment is the use of flebotropnyh drugs that affect the increase in venous tone, improve micro-circulation in cavernous cells and normalization in their blood. This group includes many products, but in our opinion, the most effective is diosmin. Study of the effectiveness of the drug conducted in a prospective randomized study carried out on 120 patients with acute hemorrhoids. Compared with patients receiving placebo, in patients of the group are almost in 2 times reduced the need for non-narcotic analgesics. In 98% of treated diosmin is stihaniya inflammation and the rate of annual exacerbations decreased by 2,2 times.
It should be noted that in spite of the use of modern effective drugs, medical treatment, carried out mainly in the acute phase of illness, is only a palliative measure, and provides short-term positive effect. Resumption of constipation, errors in diet, increasing physical activity, usually lead to another escalation that requires re-conservative treatment. Therefore, the ineffectiveness of this type of treatment, especially in the later stages of the disease, there should be a combined treatment, including conservative and minimally invasive techniques or conservative and traditional surgical methods.
Minimally invasive treatments
In recent years, due to the development of new technologies in the medical industry, creating new sclerosing agent, becoming more common so-called minimally invasive treatments for hemorrhoids, it is suitable for use in an outpatient setting. These include infrared photocoagulation of hemorrhoids sclerotherapy, ligation, latex rings, ligation of the hemorrhoidal vessels under the control of Doppler, etc. In most countries, America and Europe, typical hemorrhoidectomy currently operates in only 17-21% of patients, and the rest is used minimally invasive treatments .
In patients with initial stages of hemorrhoids with a predominance of symptoms of bleeding should be infrared photocoagulation and sclerotherapy. To speed up the regenerative processes of these treatments is desirable to supplement the therapeutic laser. Ligation of hemorrhoids latex rings can be carried out in the third stage of hemorrhoids, for which the main symptom is Viagra what is the cause of impotence loss of hemorrhoids. Contraindication for minimally invasive treatments for hemorrhoids is thrombosis, acute and chronic paraproctitis, anal fissure, and other inflammatory diseases of the anal canal and perineum.
Infrared photocoagulation for domestic use photocoagulator Svet1 or Redfield (USA). Focused reflector light output from the halogen lamp is directed into the fiber. Through anoscope tip of the fiber is fed to hemorrhoidal node to contact. Thermal energy flow passing through the optical fiber coagulates the surface of the haemorrhoid. Such coagulation is carried out in 26 locations closer to his leg. Manual switch allows dosing duration of the procedure from 0,5 to 3 seconds and provide the depth of coagulation of 34 mm. At the initial stages of the cessation of bleeding was achieved in 67-72% of patients. At later stages of this procedure is only effective to stop the bleeding as a temporary measure, with the subsequent application of another, more radical treatment.
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