Acne

Eat incense and drink spicy

Customs and fake: Ten male nine hemorrhoids. Is the prevalence of hemorrhoids really so high? Why is there so many people around us? According to the medical physician of Chinese Medicine Surgery, Luo Chongqian, who has extensive experience in hemorrhoid treatment, has been statistics on the disease, and the proportion of people with acne is 70% to 80%, but the real symptoms It is 30% to 40%, and people who go to the hospital will last. Because in these people's awareness, I always feel that it is difficult to teeth, and even think that this is a unclean disease; there are some people who are not willing to go to the hospital, and the result is not regretted until seriously affecting normal life. However, it is also unnecessary to facing hemorrhoids. Luo Dafu introduced that hemorrhoids are actually a small disease, not like some people rendering, because hemorrhoids do not cause other malignant diseases, only serious acne will greatly affect daily life.

Consultation Ma Yinglong

"" Righteous

In the usual consciousness, "" is often used to describe numerous anal symptoms, but what is hamony? There have been some changes and discussions in theory. Since the 19th century, many scholars have made a lot of research on the hemorrhoids and gradually form two perspectives. One is considered to be only the end of the lower end or anal tube, and the expansion or tone is formed due to various reasons, and the venous venous group is formed, so that the venoms themselves have. This view has been widely accepted and has become a traditional understanding. Another point of view is that only anal cushion occurs. This view has been recognized by more scholars this year, but replaces the traditional view. The anal cushion is a tissue pad located at the end of the rectal, with a composite made of smooth muscle fibers, connective tissue and vascular plexus. Its function is to assist anal piochetic muscle, improve the anus's latch, and the gasket of the faucet. The anal pad is repeated to the distant movement due to constipation and abdominal pressure increase, of which the fiber interval can gradually relax, until the break, and is accompanied by intravenous blood, expansion, convergence, even mixed fine artici, and finally formed hemorrhoid. Therefore, modernization is generally a group that is constantly formed by rational, shift and angiometric blood flow stiffness in anal cushion.

""

Rectum, the anus is located in the low body torso, and the anus is inseparable from the intravenous reflow, and the rectal vein is no intravenous petals from the mesh structure and the blood flow is slow. Based on these anatomical features, plus feces, diet, genetics, abdominal pressure, age and other factors, resulting in accumulation of blood stasis, venous and venous. See the following reasons: 1, habitual constipation, abdominal pressure increase. 2, often eat irritating food and drinking. 3, chronic diarrhea. 4, the vein pressure increases. 5, pregnancy, pelvic tumors, difficulty urination, etc. 6, the old body is weak, the muscles are weak, and the organization is slack.

"" Class

Regarding the classification of hemorrhoids, it is generally divided into three types of internal hemorrhoids, external hemorrhoids, mixed sputum.

Internal hemorrhosis

It is generally caused by anal cushion shift and pathological fat, including blood vessel plexus, and the fiber support structure is caused, so the clinical manifestation is only bleeding, and there is no pain.

external hemorrhoids

It is mainly referred to vascular external hemorrhoids, and the analized blood vessel plexus is expanded, and it is shown as a soft group of the bulge, and the clinical manifestations have swelling phenomena and to promote blood pain.

Hybrid

It means that the internal hemorrhoids of the inner hemorrhoids and the corresponding ministries are expressed as the blood and the anal phenomenon.

""

In the actual clinical, according to the depth of illness, the doctors are accustomed to only four degrees. I: Blood, drip blood or injection bleeding, no inner hemorrhoids, it can be stopped. II degrees: blood, blood or injection bleeding, accompanied by hemorrhoids, you can return itself. III: blood, drip blood, accompanied by internal hemorrhoids or long-standing, cough, weight, inside the hemorrhoids, need to use hands. IV: Inner hemorrhoids, can not be sea, pain is more serious. The external hemorrhoids can be divided into three categories depending on the causes of pathogenesis: 1, thrombotic external hemorrhoids (1) is inhabitation, and more than a strong exercise in the excipients. (2) The pain and the pain aggravate when sitting and coughing. (3) Dark purple, circular or elliptical tumble, hard, obvious touch. 2. The diamonds (1) are standing for a long time. (2) The anus can be seen in a circular or oval, and the skin is blue. Painless but has elasticity. 3. Adjustment of adaptive tissue (1) anus can have a small amount of secretions, and cause itching or eczema. (2) Anal peripheral edge can be seen one or more skin. prevention

1. Develop a habit of daily defecation. 2, eat less irritating food. 3, keep the anus must not be cleaned.

Reminder

Although the consequences of hemorrhoids don't directly harm the health of a person, it is not a blood-bleeding pain, hemorrhizect, hemorrhagic rectalitis, clonal disease, and even anal tube, abability tumor and rectal cancer show urban In this way, it is difficult to distinguish between ordinary people, experts suggest that there is an increase in blood, and the number of mucus blood should be as good as the hospital.

Acne patient

I hackoine. Drinking can make the vein, expand, expand, and nest. Avoid spicy. If patients with hemorrhoids, such as pepper, garlic, ginger, etc., can cause hemorrhoids to suffocate, thus plus pain. Avoid food. Overeating, eating too much, will increase the incidence of hemorrhoids. A long time. Sedentary without exercise. It will cause the blood circulation of the waist and buttocks to be obstacles, and increase the condition of hemorrhoids. Avoid your waist. Over the tightening, the blood reflux of the abdominal cavity and the anus will affect the normal peristalsis of the intestine, bringing pain to the bowel movement. Taboo. The feces have been stagnant in the intestines, and the moisture is too much absorption, which causes difficulties in the patient's bowel movement, increased abdominal pressure, splendid bleeding. Avoid doctors. Patients with acne can't be doing medical attention because of special and embarrassment, or think that it is a small doctor, it does not pay attention, resulting in serious illness to cure it as soon as possible.

Relieve pain

L, sitting in a warm bath tank with a high 15-20 cm, 10 minutes, three times a day. Also add a cup of laxative (EPSOM SALT), which helps to slow swelling and can greatly comfort the pain. 2, usually don't spend too long in the toilet, which will cause the formation of acne. 3, when the feces is hard, attention should be paid to the addition of a soft agent, and the water is the cheapest soft agent, and it is as effective. It is recommended to try to drink at least 8 cups of 250cc water every day. But if you drink water, you don't help, try lightly soft, if you have high blood pressure, pay attention to your choice of soft suits without sodium. 4. Eat high fiber foods can keep the feces soft, so you should eat fresh green vegetables and fruits. 5, should avoid activities that cause pressure on acne, like weightlifting or cycling. Swimming is a very good movement. Once hemorrhoids have recovered, you can still restore the original sports habits. The regular movement helps prevent the occurrence of acne, because the rules of sports are very helpful for the rules of the rules.

treatment

Symptomatic acne must be treated in time. No symptomatic hemorrhoids do not need treatment. Symptoms of hamacle must be treated. The purpose of treatment is to alleviate and eliminate main symptoms, not the radical. The symptoms of the lobby are more meaningful than changing the size of the hemorrhoids, and should be considered as the standard of treatment. Generally, it should be generally treated, including changing diet, drinking water, multi-finished dietary fiber, keeping smooth, anti-diarrhea, warm water bath, keeping glory cleaning, etc., this is necessary for all kinds of sputum treatment. The doctor should use the most favorable smelting method according to the experience and equipment conditions, and the internal hemorrhoid (1) ambassador is dry, oral liquid paraffin 15 ml, 2 times a day. (2) 1 pill per time, 2 times a day. (3) When bleeding, vitamin K or aid blood, oral or muscle injection. (4) Anemicer gives sulfate, force, and should be blood transfused when severe. (5) Acne embostrid application. (6) 1: 5000 potassium permanganate solution. (7) 5% sodium cod liver oleine or 5% phenol glycerol 0.5-1 ml, injected under the mucosa under the mucosa, once a week, suitable for internal hemorrhoids I, II. It is also possible to syringe with a hydrazine. (8) Surgical ligation single resection or ring cutting, suitable for mixed sputum should be mainly due to surgery, can be mainly based on non-surgical therapy (1) in principle; (2) hot water bath, should insist on every day. (3) keep it smooth; External jade cream. (4) When severe or with inflammation, (5) thrombus is accompanied by severe pain, should be a bobbin incision (radial), take off blood plug, take the 1: 5000 potassium permanganate solution, each 1 time. (6) Connecting tissue outside the hemorrhoids

1. Is the preferred drug for hemorrhoids and non-surgical treatment? - 化 痔 - anti-inflammatory pain, convergence hemostatic efficacy unique - suppository efficient access to the affected area, in line with modern medical philosophy. - One grain per day, it is too long. 2, what is the modern medicine concept of hemorrhoids? The hemorrhoid is a pathogeneous hypertrophy, shift, and a gent of the angiometric blood vessels. 3, what is the characteristics of anal cushion? The anal pad has blood vessels, muscular liver fibers, a muscular tissue, and anal cushion epithelial composition. The anal cushion epithelial sensory nerve endings are extremely rich, and it is possible to distinguish the physical philosophy of rectal, which is the center of induces defecation, if destroyed, the defecation will disappear. 4, why? Inner hemorrhoid: anal displacement and pathological fat. Including the expansion of the vascular plexus, the fiber support is relaxed, broken. Foreign hemorrhoids: referring to blood vessels, that is, the analized blood vessel plexus is expanded, and it is manifested as a soft mass of the bulge. Mixed hemorrhoids: internal hemorrhoids and the external hemorrhoids of the corresponding part. 5, what is the degree of internal hemorrhoids and clinical performance? I: Blood, drip blood or injection bleeding, no inner hemorrhoids, it can be stopped. II degrees: blood, blood or injection bleeding, accompanied by hemorrhoids, you can return itself. III: blood, drip blood, accompanied by internal hemorrhoids or long-standing, cough, weight, inside the hemorrhoids, need to use hands. IV: Inner hemorrhoids, can not be sea, pain is more serious. 6, what is the clinical manifestation of external hemorrhoids? Foreign hemorrhoids: anus is not wet, humid, can be associated with thrombosis and subcutaneous hematoma. Mixed hemorrhoids: the symptoms of internal hemorrhoids can exist at the same time. 7. What is the standard of hemorrhoid treatment? According to the medical history and anal physical examination, anal tube rectal refers to the anal inspection, the category and internal hemorrhoid classification are diagnosed. If it is slightly suspicious, it should be further examined to except for the good, rectal, anal tubes, malignant tumors and inflammatory diseases. 8. How is the clinical manifestation of chemical bolts? 9. What is the principle of treatment of acne disease? Hemorrhoids need to be treated, the purpose of treatment is to alleviate, eliminate main symptoms, not radical. The symptoms of the lobby are more meaningful, regardless of the size of the hemorrhoids. From the perspective of treatment, general treatment should be taken first, including changing diet structures, more drinking water, keeping smooth, etc., doctors should use the most advantageous treatment of patients based on empirical and equipment. If general treatment is invalid, drug treatment and surgical treatment can be used. 10. Is there any adverse reaction using chemical treatment? The toxicity test did not find the adverse reactions to the tissue. Soft blocks formed by intravenous venous veins in the lower end of the human body, anal tube and anal intravenous vein. Recent views believe that anal tube mucosa under the subtracheal pad proliferate, and remove it into a neutrophil. Any age can be born, most of 20 ~ 40 years old. Dangerous men in men. Most increases with age, gradually increase.

1. The cause is currently not fully understood, and it is often caused by the integrated factors. It is summarized as two types:

(1) Vealate Door veins Transport in anal canal and body veins, due to portal veins and their branches without valvos, the intravenous venous plexus directly withstand the pressure of the spleen and intravenous and rectal venous blood. The rectal blood vessel passes through the muscle layer and affects venous reflux. Congenital defects and trauma, the vein wall resistance decreased. Anal gland infection causes intravaiconia, which is very easy to expand after loss of elasticity. Adding various reasons to increase intraperitoneal pressure, like constipation, diarrhea, sphincter contractual and strong, can increase the vein from internal pressure and bending into a hemorrhage.

(2) Anal cushion hyperplasia and slip-off anal tube upper mucosa under the upper mucosa under anal can be sponge-shaped erection, there is a small artery and small vein, and arteries and veins are transported, and there is a smooth muscle and connective tissue. The anal cushion is fixed by the muscle fiber and connective tissue. At the top and its surroundings, the role of tissue is changed, and the effect of the fixed pad is lost, and the pressure in the abdomen is pulled off, and the displacement is displaced. 2. The pathological happening can be partially brought into rectal and anal tubes. The tumor is mainly composed of sponge tissue, similar to the genital sponge tissue, and is closely linked to the muscles. There is a lot of small spheroidal blood vessels, and the ball is bent in the ball, which can occur arteriovenous fistula; some vein expansion bending, the vein wall is thin, the outer membrane and the middle layer have shrunk. The internal hemorrhoids are columnal epithelials. The outer hemorrhoids have a tissue or fiber tissue, and the surface is a squamous epithelium.

Is generally divided into three categories: 1 inner hemorrhoids, formed by intravenous venous plexus, above the tooth line, covering the mucosa. In the initial stage, it can take out the anus. It often occurs outside the anus. It often occurs; 2 external hemorrhoids, the external venous wall, occurs in the tooth line, cover the skin, no bleeding, there is more blood thrombus, Adjustive external hemorrhoids, varicose veins and inflammatory hemorrhoids; 3 mixed sputum, characterized by intraphracene and 丛Laser surgery

1. The internal hemorrhoids mainly occurred in front of the right side of the rectum, the back and left side of the right side, for the original sputum. The middle of the hazen is accompanied by hair blocks, some, some, have a number thereof (see Figure 44).

(1) The clinical division of four includes the following 4 periods. The first phase of the intravenous venous plexus increased in the mucosa, soft, red. The surface mucosa is rough, and there is erosion, often bleeding, and more bleeding. The second phase of the mucous membrane is thickened, the color is a purple, and the block is often removed from the anus, and the reply is completed, and the bleeding is less than the first period. The third phase can take out when defecation, force, cough, walking and squatting, must be sent to the anus with hands. The fourth period is large, the surface is covered with the skin, and it will take off immediately outside the anus, and will not be able to get out immediately after returning or reply, causing habitual slip.

(2) Clinical manifestations 1 mainly have bleeding; for the early symptoms of internal hemorrhoids, the blood is flowing out of time or after. Bleeding is often stopped from the month, and hemorrhage has occurred after a period of time. There is bloodshot and reddish paper on cassette. After the amount of blood, the amount of blood, and sometimes spray bleeding, which is caused by small arterial cracking. Due to normal bleeding, patients can accompany secondary anemia. 2 Take out; be the first symptom, but most of the diseases have bleeding first, then take out, sometimes take off 1 or 2 hazens, and sometimes all the hazens and intermediate mucosa take out. 3 pain; simple inner patients with no pain, only feel that the anus is bulging, it is not suitable, such as the swelling, ulceration and thrombosis, there is pain. Especially after taking out, I did not reply in time, forming internal hemorrocytes, swelling, erosion necrosis, pain intension. 4 Itching; due to the rectal mucosa, the secretion of secretions increases, sphincter is relaxed, and the secretions are often irritating the anal skin to generate eczema and pruritus. When the internal hemorrhoids are projected, it is rumored, sphenev the muscle, swelling, thrombosis, can't reply into a tall neoplage. The iliac venous venous plexus also has a pain when the thrombosis is formed, that is, the internal hemorrhoids. Anal tubes and anal skin edema, swelling across half of the skin, soft and edema. The inner half is mixed with mucous membranes, hard and touch. If the anal canal and rectal have a tactrough in the rectal. After several days, the swelling and pain is reduced, and the blocks gradually zoom in into anal canal. After the episode, the block is reduced to become a layer of fiber tissue. According to clinical manifestations and is not difficult to diagnose, if there is intermittent hemorrhage or mass, it should be considered. In the third phase, the tumbled mass can be seen, the lower part covers the skin, the upper cover is shallow in the mucous membrane, the mucosa and the skin connection, and the upper mucosa can be seen as a gray-white squamous epiplicate. Anal relaxation and anal skin have pruritus changes. Anal mosa checks the purple of the bleeding of the protrusions on the teeth, the mucosa is uneven, sometimes there is bleeding point. Some internal hemorrhage slides outward when exiting the anus.

Inner hemorrhoids must be identified with rectum and other diseases such as rectal adenoma, rectal cancer, anal tube rectal prolapse and intestinal bleeding. In addition to inquiry history, anal rectal mirror examination is performed, and the mirror cannot be diagnosed with internal hemorrhoids. It must be diagnosed with the pathological diagnosis.

(3) Treatment of laser therapy in internal hemorrhoids is mainly nd:YAG, regardless of the volume of the number of internal hemorrhoids. Due to the large amount of bleeding in the internal hemorrhage, the treatment must be cautious. The method of laser treatment is also more, and some are subject to nuclear resection. However, when cutting 0, you must pay attention to postoperative bleeding, especially in large internal hemorrhoids such as semi-loopers, and there is a common bleeding after surgery. Surgical treatment is a quick, safe, painless, recovery, not anal tube rectal malformation, is worth exploring.

According to the pathological changes of the patient, the author applies Nd: YAG laser directly into the nucleus to solidify the blood vessels. The main advantage of this method is that the speed is 0, and disposable treatment can be ended within 1 to 2 minutes. After treatment, the mucosa was not injured, and only a few optical knife eye holes were only in the mucosal epidermis. The laser is completely destroyed in the nucleus, and all the blood vessels are closed. The process after the nucleation is repaired to produce aseptic inflammatory response, and the local fibrous tissue repair can enhance the effect of the fixed pad during full repair. Moreover, the diaphragm is eliminated, the mucosa has no damage and can keep the structure function of the intestinal wall as much as possible.

(4) Anesthesia laser surgery is used to use a local injection of 1% to 2% lidocaine fluid, anesthetic, 1: 1000 adrenaline 2 to 3 drops.

Before surgery, patient examination should be carried out, due to internal hemorrhoids, patients with blood loss must first change blood volume and then the treatment, cardiovascular disease, and lung infection, old and old body, etc.

Nd:YAG laser inspection is normal, the stone light blade cuts the outer protective layer 4mm, and the power is 20 ~ 40W. According to the size of the acupex, the output laser power is adjusted.

(5) Surgical steps patients with the bladder cassette, left side, right side, and knee. During surgery, 0.1% new Jeer was off with 0.1% new Jeer to clean and disinfect (before surgery, the patient was exhausted) Clean the anus outside liquid paraffin gently put into the anus, and the patient relaxed when placed in anal mirror. Feed into the cavity. The left hand is fixed, and the left to right or right to left the anal mirror. After finding the diaphragus, keep the anus without displacement, use 0.1% new Jiel extortion cotton ball to clean the rectal cavity, hand-held, parallel to the rectal wall Insert the core, insert the density interval 3mm. The base center output laser energy and time can be slightly longer, 20 W power can be 3 ~ 5 seconds, 40 W power 1 to 3 seconds. After processing the substrate, change the optical knife insertion direction, and insert the output laser coagulation blood sphere by the left and right and vertices, but in principle, it cannot completely destroy the mucosa. Surgical success depends not only on the disappearance of the nectaria, but the mucous membrane should not be injured, and only a few small holes when entering the laser in the hemorrhoids. In the treatment, the small holes have blood leaks, do not have to be nervous, and after a few minutes, the blood vessels and fixed pad tissues have been reacted, which can naturally stop bleeding. The eyelet left by the optical knife insertion treatment also has a temporary discharge of the carbonized tissue produced in the treatment, and functions to the microporous drainage. 1 ~ 2 cm diameter aqueous energy must be used in 2000 焦尔. Phase III and the four internal hemorrhoids can reach 8000 to 10,000 焦尔. No matter how much the size and quantity is in the mirror, it is treated with similar law. After the operation, the surgery was used to tertiary with the longan, slowly exit the anus, and the patient returned. (6) Postoperative treatment of laser nectaria, patients were completely repaired for about 2 to 3 weeks, generally rehabilled in 2 weeks. Third, the four periods were restored after hemorrhoids. The treatment of bed rest treatment of patients with cardiopulmonary disease is given, for a routine hemorrhage, VK4, and hemostasis, and other vitamin-based preparations, oral and intravenous administration. There must be timely treatment with complications. It is given to the treatment of rigidizers for 1 week and conventional antibiotic therapy.

The patient has a slight bleeding 1 week after surgery. It can be stopped over time. Sometimes he is bleeding, it doesn't have to panic, all of which have normal performance in postoperative recovery, and the patient has a patient inactivab. Patient diet should give crude cellulose diet, avoid spicy food. Since the cellulose diet can improve the gastrointestinal function, prevent constipation, it is beneficial to restore the postoperative wound. After the patient, the bleeding is caused by shedding.

Wash the anus once regularly in the recovery period, 15 minutes each time. Water temperature is 30 ~

40 ° should be suitable, should not be too hot, otherwise it is easy to cause intraoperative complications that should not occur.

2. Thrombus 丛 丛............ The anus edge is broken in the anus edge in the anus edge, and the blood is peeled into the subcutaneous. Thus the circular and elliptical pain lumps are formed on the edge of the anus. To the skin, you can see the blue blood clot below the skin. Early fierce, activity, and touch. After several days, the pain relieves, the mass is soft, gradually dissipated, often leaving the child. Some form a long-term retained hard fibrous mass. Some extraordinarum ruptures, the wound can heal it on it. Some secondary abscess and anal fistula are generated after infection.

(1) Surgical steps of thrombus extraordinary hemorrhoids differ in different treatments in the onset time. In 48 hours, there is a sharp laser surgical removal. The patient takes a knees and cuts, and the vulva and the perianal skin are disinfected, and a sterile tunnel is paved. With the CO2 laser or Nd :yag laser, the skin cut is cut, and the blood base is sandwicked. Cutting the skin of the skin is 20 W, Nd: YAG laser 25W is cut off. Pliers, blood, extrusion, squeezing. If you leave the skin tissue after extrusion of the thrombus, it is not loosened by the pliers of the necker, and the slight pliers of the same size is used to take the skin, and the Nd: YAG laser or CO2 laser is between the two hemorrhizers. Turn off, and remove, the bottom clamping pliers do not move, and sew in the clamping line with Line 1. 1 week later, the suture naturally falls off while repairing the wound. It can be repaired in two weeks after surgery. Features is very small bleeding in surgery, fast surgery, light pain, no functional defect after surgery, and thoroughly, it is not easy to infect after surgery. After surgery, use the dragon toggle. For the thrombus hemorrhoids exceeded 48 hours, there is a lot of hemorrhoids, and the strain of the straight or curved pliers is clutched with the hemorrhoids after heath, and the laser knife cuts the skin on the clamp, release the hemostasis. Dragon is not sewed after surgery. There was no obvious bleeding in 2 weeks after surgery, and there is no need for special treatment. The anus was cleaned with PP liquid (0.1%). Larger thrombosis, in the anus. It is used to disinfect the 0.1% new Jeer to disinfect. Partial use of 1% ~ 2% Lenda (can add 1: 1000 adrenaline 2 ~ 3 drops) inject anesthesia, first use CO2 laser or nd: YAG laser jerseles to cut the skin, 16cm big bend Clean the outer substrate, gradually clam the extrusion of the bumbler with a 14cm bending blequdy pliers, and the first large bending hamlet cannot be loosen, otherwise it is easy to bleeding. After extruding the plug, the laser removes the excess skin tissue, and sews a needle of 0.5cm on the blood jaw and sews a needle with a wire until it is completely stitching, loosened the large curvature of the tiles, and is partially coated. Ultret. After the postoperative suture is naturally falling off, there is no need to remove the wire, the time is about 7 ~ 10 days, and when the suture falls off, the local operating surface is completed.

(2) Postoperative thrombus abutment laser after treatment, oral antibiotics and a variety of vitamin treated for 1 week, no need to apply procoagulant therapy. After surgery, the anus is cleaned, and the anus can be cleaned with 0.1% new Jeer extract or PP liquid (low concentration). At the same time, he-ned laser defensive irradiation is used, once a day, 15 minutes each time, 1 week of course. Generally, a course of treatment can be healed. Antibiotics do not have to be used when illumination, only give a variety of vitamin preparation adjuvant treatment. It is not necessary to give an abdominal treatment.

Diet should be easily digested and nutritious food. The constipation is given to the laxative, so as not to damage the surgical wound bleeding and generate pain.

3. The external hemorrhoidal tissue of connective tissue has gradually expanded in the pathology, and there is a joints of connective tissue, and the blood vessels are rarely formed and the shape of the polar and the size of the small and small size can be used. It is not easy to clean at the anus, and it feels obvious when accompanied by inflammation. Most of the primary connective tissue is mostly the sequelae of thrombus external hemorrhoids and anal surgery. It features soft and flexible, overlying normal skin; secondary connective tissue external hemorrhoids occur in the lower end of the anal fissure, the quality and edema, more In the anus, the stimulation of feces often causes sphincter.

(1) Surgical steps of connective tissue outside the hemorrhoids due to less vascular structure, and the laser is relatively easy. The patient was cleaned with 0.1% new Jiel in the knee cassette position or the surrounding skin, and the skin of the skin was placed, 1% ~ 2% lidocaine (not add 1: 1000 adrenaline) Injection anesthesia. 14cm bending or until the gifted tissue is sandwiched, and the hemostasis clamps, the CO2 laser (15W focus) or ND: YAG laser knife (power 20W) is removed in two stopper clamps, and removes the cut-cutting. The laser is thoroughly vaporized to the residual connective tissue outside the first blood clamp. Smaller connective tissue is not necessarily stitching, the cut is finished, and the laser is slightly treated with the cutting edge, loosened the hemostasis, and the incision can be used. Larger connective tissue, if the laser cuts, if the hemostasis is removed, the wound is easy to crack, and thus sew a few needles for the incision, and the suture naturally falls off, and does not have to be removed. When stitching, it is as close as possible to the pliers into the pliers, do not enter the tissue under the clamp, otherwise it must be removed from 7 to 10 days after surgery, and it is easy to infect infection, and therefore formed道. After the operation, the incision was drained dragon boldtles. (2) After the postoperative treatment, according to the patient's condition and the operation, the anti-inflammatory painkiller is treated, usually, the endomepic tissue laser is orally, and 0.4 ~ 0.6 grams each time, 2 ~ 3 times each time) and more A vitamin formulation is generally cured after 1 week. It does not have to promote blood treatment, antibiotics can be administered or administered orally. After the large laser surgery of connective tissue, the sewing incision and the operation time can take into account the treatment of antibiotics and coagulants. Protect the anus cleaning, clean with PP water (light) and new Jeer extract every day. Combined with He-Ne laser irradiation treatment, once a day, 15 to 20 minutes, 7 days a course, and antibiotics is not used. Keep it without secret or 1 week anti-damage.

/// Let you have a smooth row - the prevention and treatment of hemorrhoids

What is ""? It is the venous vessel of the elongated ecstasy in anal skin. Hemorrhoids are human unique diseases, and other mammals are hardly suffering. As the saying goes, "Ten men nine hemorrhoids". There is no longer, and now women are also in the case of hemorrhoids, indicating that the incidence of acne is still higher in the crowd. Since the emergence of acne, the pain caused by the anus, affecting the excretion, the pain caused by the pain, so that hemorrhoids have become the real "hard". 1. Clinical manifestation

The main manner of hemorrhoids has pain, blood, rectal anal, infection, depending on the type of hemorrhoids. According to the part of the hemorrhoids, there can be internal hemorrhoids, external hemorrhoids, mixed sputum, and thus the occurrence of symptoms is different. Generally, internal hemorrhoids is not obvious, mainly because the internal hemorrhoids are in the mucosa and the neuron distribution is less. Blood and anal anal are common performance in the internal hemorrhoids, and the bleeding occurs before or after it is, it is generally bright red, not mixed with it. It is because the anal treatment occurs in the middle and late, because the internal hemorrhoids increase, and the mucosa is loose. Foreign hemorrhoids are derived from other objects, and there is more common in neurological, pain and infection. Patients are prone to anal pain, affect walking, sitting and defecation, due to infection, anal tissue secretion increase, accompanied by odor. For mixed sputum, the symptoms described above can occur.

2. Causes

The body anal tube is a ring tissue belt with a width of 1.5-2.0 cm, which is a highly special vascular gasket, referred to as anal cushion. It is a complex made of smooth muscle fibers, connective tissue and vascular plexus. Normal anal cosage has a variety of forms such as thin, convex, wet type, congestive. There are three in the human anal cushion, which are located on the right, right and left. The function of the anal cushion is to assist the anus sphincter to improve the anus's latch, which acts like a faucet gasket, and the hemorrhoid is like this. Causes the cause of hemorrhoids, the age, long-term illness, there is a secret history, these people tend to pelvic muscles, connect to pine tissue, intravenous support; then common in abdominal pressure increase, such as liver hard Surperse water, pelvic tumor, no urination, late pregnancy, etc., long-term abdominal pressure increases easy to make intravenous congestion and expansion, form hemorrhoids. 3. Prevention and treatment of acne

Since the occurrence of acne is related to the above reasons, it is very important to enhance physical fitness. Usually pay attention to the dietary fiber, eat less snoring, and it will be smooth. It is also necessary to develop a good bowel habit, and the timing is placed. I will advocate wet water to take a bath, keep anal clean, and promote local blood circulation. Here is a self-exercise approach to you, that is, it is supine in bed, picking the bladder cassette, taking the anal movement, 30 times each time, 2-3 times a day. This can exercise the strength of the anal pilm and reduce the congestion of the anal pad.

In the treatment, it must be clear that there is no need to treat. The purpose of treating symptoms is to eliminate or relieve symptoms, rather than radical and pathological changes. Unacuity, truly medication applies I-II degree, such as oral 槐 槐, dirty pills, chemical pills, sputum break, defense allore, etc. External medicine is too nin, its nilagic acid ester can form a layer of mucosa-shaped structure in the surface of the rectal mucosa, isolating contamination, alleviating inflammation, and promotes the effect of repairing the repair, it is recommended. For the case of the neutringer, a hardener injection can be used, which can cause local formation aseptic inflammation, so that tissue fibrosis under mucous membranes, adheres to the jet of the jet. If the above method is poor, surgery can be treated. More methods are used, such as resection, laser, ligation, etc., suitable for non-surgical therapies such as III, IV, mixed sputum, mixed sputum. In recent years, the anal mirror under the anal mirror is short, and the operation time is short, no recurrence, fast recovery, is already in clinical practice.