Qhov Tseem Ceeb - Hemorrhoids vs Fissures
Hemorrhoids thiab anal fissures yog ob yam kab mob sib txawv kiag li tshwm sim nyob rau hauv lub qhov quav kwj dej uas muaj ib qho kev qhia zoo sib xws. Lub varicosity ntawm cov hlab ntsha uas muaj nyob rau hauv lub qhov quav cushions yog lub hauv paus pathological ntawm hemorrhoids. Tab sis qhov quav fissures yog vim kev puas tsuaj rau qhov quav li qub los ntawm cov quav tawv. Qhov no tuaj yeem suav tias yog qhov sib txawv tseem ceeb ntawm qhov quav hemorrhoids thiab fissures.
Hemorrhoids yog dab tsi?
Nyob rau hauv qhov kev xav ntawm anatomical, hemorrhoids tuaj yeem txhais tau tias yog ib qho quav ntawm cov mucous membrane thiab submucosa uas muaj cov kab mob varicosed ntawm cov hlab ntsha zoo tshaj plaws thiab lub davhlau ya nyob twg ntawm cov hlab ntsha zoo dua.
Anatomical Basis
Qhov kwj deg muaj peb lub cushions ua los ntawm cov mucosal thiab submucosal Cheebtsam. Lub submucosal txheej ntawm lub qhov quav kwj dej muaj cov ntshav loj los ntawm lub network ntawm capillaries thiab lwm cov hlab ntsha me me. Cov hlab ntsha no tuaj yeem ua rau congested thiab loj, uas ua rau muaj qhov txawv txav ntawm qhov quav cushions rau hauv lub lumen ntawm lub qhov quav kwj dej uas peb txheeb xyuas tias hemorrhoids.
Himorrhoids sab hauv
Cov varicosities ntawm cov tributaries ntawm cov hlab ntsha ntawm qhov quav uas zoo tshaj plaws los ntawm cov mucous membrane yog hu ua hemorrhoids sab hauv lossis pawg. Cov ceg ntoo uas nyob hauv 3', 7' thiab 11' txoj haujlwm thaum saib hauv txoj haujlwm lithotomy yog qhov tshwj xeeb tshaj plaws kom tau hemorrhoids. Cov hlab ntsha ntawm lub qhov quav yog qhov tsis muaj lub valve thiab yog li tsis tuaj yeem tswj cov ntshav ntws los ntawm nws. Nyob rau hauv tas li ntawd, nws yog nyob rau hauv lub feem ntau dependable cheeb tsam ntawm lub capillary network ntawm lub qhov quav kwj dej. Cov txiaj ntsig zoo li no ua rau muaj qhov tsis zoo ntawm thaj av no kom tau hemorrhoids.
Muaj peb theem ntawm sab hauv hemorrhoids.
- First degree - pawg nyob hauv lub qhov quav
- Thib ob - pawg extrude los ntawm lub qhov quav thaum lub sijhawm tso quav tab sis rov qab mus rau lawv qhov qub txeeg qub teg tom qab
- Thib peb - pawg nyob sab nraum lub qhov quav
Cov hemorrhoids sab hauv tsis ua rau mob vim lawv yog innervated los ntawm autonomic afferent nerves.
Daim duab 01: Hemorrhoids
Caus
- Tsev neeg keeb kwm ntawm hemorrhoids
- Txhua yam kab mob uas ua rau muaj ntshav siab siab
- cem quav ntev
- Kev cuam tshuam ntawm sab qaum ntawm cov hlab ntsha ntawm qhov quav los ntawm cov qog nqaij hlav (tsis tshua muaj)
Hemorrhoids sab nraud
Sab nraud hemorrhoids yog varicosities ntawm cov hlab ntsha hauv qhov quav hauv nws cov chav kawm raws qhov qhov quav. Cov venous malformations yog them los ntawm cov mucous daim nyias nyias ntawm qis ib nrab ntawm lub qhov quav kwj dej los yog ntawm daim tawv nqaij overlying cheeb tsam anorectal. Tsis zoo li cov hemorrhoids sab hauv, sab nraud hemorrhoids yog innervated los ntawm cov ceg ntawm cov hlab ntsha hauv qhov quav, thiab yog li ntawd lawv mob heev thiab rhiab heev. Thrombosis ntawm sab nraud hemorrhoids thiab lawv cov ulceration tom qab yog cov teeb meem tshwm sim.
Qhov tshwm sim ntawm hemorrhoids nyob rau hauv tus neeg mob hnub nyoog qis dua 20 xyoo yog qhov tsis zoo.
Symptoms
- Per qhov quav los ntshav
- Nyob rau ntawm qhov palpable ntawm lub qhov quav
- Qhov kev hnov ntawm ib yam dab tsi tawm hauv qhov quav tom qab defecation.
- Muaj peev xwm muaj cov yam ntxwv ntawm cov hlau tsis muaj ntshav liab vim ntshav poob
Kev cuam tshuam kev phais yog txoj kev nyiam ntawm kev kho mob.
Fissures yog dab tsi?
Cov kab hauv qhov quav tau txuas rau ib leeg ntawm lawv qhov qis kawg los ntawm cov quav ntawm daim nyias nyias hu ua lub qhov quav li qub. Cov nyhuv scourging ntawm cov quav tawv tsim nyob rau hauv cov xwm txheej xws li cem quav ntev tuaj yeem rhuav tshem cov quav no ua cov kab mob ntev ntev uas peb txheeb xyuas tias qhov quav fissures.
Thaj chaw tom qab ntawm lub qhov quav qhov quav yog qhov chaw uas muaj feem cuam tshuam ntau tshaj plaws vim qhov tsis muaj zog ntawm cov qhov quav sab nraud hauv cheeb tsam ntawd. Tus mob no hnyav zuj zus los ntawm qhov muaj qhov sib cais nyob rau hauv qis dua ib nrab ntawm lub qhov quav kwj dej uas nws innervation los ntawm cov hlab ntsha hauv qhov quav ua rau muaj kev cuam tshuam ntawm lub qhov quav sab nraud sphincter..
qhov quav fissures feem ntau pom ntawm cov txiv neej hluas. Cov poj niam feem ntau yuav kis tus mob no thaum tom qab yug me nyuam.
Daim duab 02: Fissure vs Erosion vs Ulcer
Symptoms
- mob siab heev
- Per qhov quav los ntshav
Kev zam txim yog feem ntau. Cov kab mob tuaj yeem kho tus kheej los yog mob ntev.
Sigmoidoscopy lossis proctoscopy yuav tsum tsis txhob sim ua rau tus neeg mob tsis nco qab muaj qhov quav vim nws tuaj yeem ua rau mob hnyav. Thaum cov txheej txheem no tau ua raws li kev siv tshuaj loog, lub hauv paus nyoos ntawm qhov txhab tuaj yeem pom.
Dab tsi yog qhov zoo sib xws ntawm Hemorrhoids thiab Fissures?
Ob qho xwm txheej cuam tshuam rau thaj tsam anorectal
Dab tsi ntawm Hemorrhoids thiab Fissures?
Hemorrhoids vs Fissures |
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| Hemorrhoids tuaj yeem txhais tau tias yog ib qho quav ntawm cov mucous membrane thiab submucosa uas muaj varicosed tributaries ntawm lub qhov quav vein superior thiab lub davhlau ya nyob twg ntawm cov hlab ntsha ntawm qhov quav. | Cov kab hauv qhov quav tau txuas rau ib leeg ntawm lawv qhov qis kawg los ntawm cov quav ntawm daim nyias nyias hu ua lub qhov quav li qub. Cov nyhuv scourging ntawm cov quav tawv tsim nyob rau hauv cov xwm txheej xws li cem quav ntev tuaj yeem rhuav tshem cov quav no ua cov kab mob ntev ntev uas peb txheeb xyuas tias qhov quav fissures. |
| overlying membrane | |
| Cov kab mob dhau los tsis zoo. | Kev tawg ntawm daim nyias nyias yog qhov ua rau muaj qhov txhab. |
| thaj chaw tsis muaj zog | |
| 3 ', 7' thiab 11' txoj haujlwm yog thaj chaw muaj kev phom sij tshaj plaws kom tau hemorrhoids. | midline tom qab cheeb tsam feem ntau yuav kis tau qhov quav. |
| pab | |
| Ntawm no tsis yog mob ib txwm. | Nkauj kho siab. |
Summary – Fissures vs Hemorrhoids
Cov kab hauv qhov quav tau txuas rau ib leeg ntawm lawv qhov qis kawg los ntawm cov quav ntawm daim nyias nyias hu ua lub qhov quav li qub. Cov nyhuv scourging ntawm cov quav tawv tsim nyob rau hauv cov xwm txheej xws li cem quav ntev tuaj yeem rhuav tshem cov quav no ua cov kab mob ntev ntev uas peb txheeb xyuas tias qhov quav fissures.
Download PDF Version of Fissures vs Hemorrhoids
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Hemorrhoids thiab Fissures
