Практически все проктологи поддерживают ту позицию, что излечение геморроя следует доверять одновременно нескольким препаратам. Именно целый комплекс предпринимаемых мер может помочь добиться полного избавления от геморроя.
Конечно, все индивидуально, и препараты от геморроя должны подбираться в зависимости от симптоматики болезни, уровня ее развития, а также определенных особенностей организма человека. Естественно начальные стадии формирования геморроя могут излечиваться, в большинстве случаев, полностью и лишь по средствам медицинских препаратов.
Но если пациент, что называется, откладывал решение проблемы «в долгий ящик», позволил ей укорениться в организме и развиться до 3 или 4 стадии, когда геморроидальные шишки уже имеют большие размеры, одними консервативными методами лечения уже не обойтись.
Медицинские препараты, в таких ситуациях, обычно, применяются как обезболивающие препараты, не способные убрать само заболевание. Здесь уже не обойтись без радикальных мер в виде операции по удалению геморроидальных шишек. Какие же препараты лучше применять для лечения геморроя.
Медикаментозное лечение
Геморрой – болезнь распространенная, и существует столько же, сколько живет на земле человек, поэтому полки современных аптечных киосков пестрят разнообразием средств от данного заболевания. Кроме того, наука не стоит на месте, и появляются все новые и новые препараты для борьбы с этой коварной болезнью. Сегодня против геморроя применяются медицинские средства в форме сечей, мазей и таблеток.
«Релиф»
Суппозитории при внутреннем геморрое – это самые популярные средства. Производитель предлагает лучшие свечи от геморроя с разным спектром воздействия на заболевание и по различной цене. Самыми популярными, пожалуй, можно назвать препараты линейки «Релиф», которые производятся и в форме свечей, и в виде гелей. Препараты «Релиф» лучше всего использовать на 1 или 2 стадиях развития геморроя. Свечи отлично заживляют трещинки анального отверстия, смягчают каловые массы, устраняя запоры – постоянные спутники геморроя. Тоже можно сказать и про гель данной марки.
Основу препаратов «Релиф» составляет такой компонент, как масло печени акулы. Именно ему средства и обязаны отличным противовоспалительным действием. Также мазь и свечи «Релиф» уменьшают отечность ректальной области, снимают жжение и болевые ощущения во время похода в туалет.
Существуют также свечи и мазь «Релиф Адванс». Популярность данных препаратов обусловлена также отличным противовоспалительным и обезболивающим эффектом. В состав лекарства также входит масло печени акулы, а дополнительно — масла какао. Благодаря такому составу, препараты «Релиф Адванс» назначаются беременным женщинам и кормящим мамочкам. Натуральный состав лекарства не дает практически никаких побочных действий, и воздействует на организм женщины лучше и мягче других препаратов.
И завершают линейку данного производителя свечи и мази «Релиф Ультра». Это комбинированное средство против геморроя. В его составе – гидрокортизона ацетат, т.е. стероидный гормон надпочечников. Препарат обезболивает, лучше других средств заживляет трещинки ректальной зоны, снимает зуд, отечность и воспаление, оказывает сосудосуживающее действие. Однако «Релиф Ультра» имеет определенные противопоказания, поэтому принимать его следует только после консультации с проктологом.
«Проктозан»
Это препарат применяется на ранних стадиях формирования болезни. Мазь имеет в своем составе очень сильный анестетик – лидокаин. Именно он обеспечивает практически мгновенное обезболивание после нанесения мази на ректальную зону. Кроме того, «Проктозан» избавит пациента от жжения и зуда, а благодаря второму активному компоненту в составе – буфексамаку, уберет и воспалительный симптом заднего прохода.
Мазь «Проктозан» прописывается для применения беременным женщинам и молодым мамам в период лактации, потому что не является стероидным гормоном.
Усиливают лечебные свойства препарата такие вещества в его составе, как диоксид титана и висмут субгалата. Особенно наблюдается улучшение состояния больного после применения лекарства при обострении геморроя.
«Гепатромбин Г»
«Гепатромбин» — это несколько разных препаратов, применяемых при лечении различных заболеваний. Для борьбы с геморроем применяется мазь «Гепатромбин Г», а вот просто «Гепатромбин» в таких случаях использовать не стоит. Так можно лишь навредить слизистой кишки.
В основе препарата – гепарин, прямой коагулянт, который улучшает кровоток в области малого таза. Кроме того, гепарин отлично всасывается, потому и облегчение наступает быстро. Второе активное вещество в составе «Гепатромбин Г» — преднизолон. Это самый эффективный препарат для снятия болевого симптома.
Лечение данным средством должно проводиться курсом – одна или две недели. Время приема назначает проктолог в зависимости от имеющихся симптомов. Все лечение геморроя препаратом не должно превышать 14 дней по той причине, что компоненты мази накапливаются в месте концентрации и действуют даже после прекращения использования препарата.
«Детралекс»
«Детралекс» — самый популярный препарат в форме таблеток, уже успевший заявить о себе и заработать доверие пациентов.
Эффективность «Детралекс» доказана клиническими испытаниями и многолетним опытом практикующих проктологов.
Данный препарат, лучше всего, принимать при геморрое регулярными курсами, ведь он тонизирует стенки сосудов, способствует правильному кровообращению в области малого таза, устраняет тромбоз. Средство рекомендуется для лечения геморроя, как на ранних стадиях его развития, так и уже в запущенных вариантах. Какой бы метод лечения не назначался специалистом, дополнительно следует пить препараты «Детралекс» для облегчения симптоматики геморроя.
Побочных эффектов после приема «Детралекс» замечено не было. Препарат принимается беременными женщинами и молодыми мамами в период лактации. Клинические испытания не выявили плохого воздействия компонентов лекарства на мать или на ребеночка.
«Гинкор форт»
Это еще один вид таблеток для приема внутрь. Данное лекарство облегчит состояние больного на любых стадиях развития болезни, но лучше начинать лечение, как можно раньше. Препарат способствует улучшению иммунитета человека и улучшает кровообращение в области малого таза, что предотвращает образование геморроидальных шишек.
«Троксевазин»
Это второе название, которое носит мазь «Троксерутин». Средство бывает в форме мази и капсул. Препарат отлично справляется с основной симптоматикой геморроя, убирает жжение и зуд, воспалительные процессы в области заднего прохода. Мазь от геморроя Троксевазин рекомендуется для лечения геморроя, как на начальных стадиях развития, так и при запущенном заболевании.
«Натальсид»
Эти ректальные свечи часто используются при лечении геморроя, поэтому их нельзя оставить без внимания. Средство убирает воспаление, отечность и болевой симптом. За курс лечения полностью останавливаются кровотечения. В составе препарата – альгинат натрия, который добывается из морских бурых водорослей. «Натальсид» отлично восстанавливает пораженные ткани и способствует заживлению трещинок анального отверстия.
Сегодня подобрать подходящий по цене и эффективности препарат не так уж и сложно. Главное нужно помнить, что назначать лекарство должен проктолог. Только так можно надеяться на максимально положительный результат и, даже, на полное выздоровление от столь «прилипчивого» заболевания. Берегите себя и будьте здоровы!
Образование: Окончил Российский национальный исследовательский медицинский университет им. Н.И. Пирогова, Лечебный факультет. Проходил курсы по повышению квалификации. Первичная специализация — по колопроктологии при ГНЦ колопроктологии. Работал в Городском научно-практическом центре колопроктологии Санкт-Петербурга.
Опыт работы: Врач-проктолог. Опыт врачебной практики – 25 лет. Автор более 40 статей на медицинскую тематику. Постоянный участник конференций и симпозиумов, где освещаются проблемы современной медицины.
Обеспечивает высококвалифицированную диагностику и лечение многих болезней: геморроя, анальных трещин, различных заболеваний толстой кишки, успешно диагностирует на ранних стадиях новообразования перианальной области и прямой кишки. Также проводит обследования детей.
Геморрой или варикозное расширение вен заднего прохода – серьезное заболевание, симптомы которого доставляют ощутимый дискомфорт. Наиболее популярными препаратами для его лечения являются Релиф и Гепатромбин Г. в чем заключается разница между ними и какое средство лучше выбрать?
Сравнение лекарств
Чтобы сравнить эффективность лекарственных средств, следует подробнее ознакомиться с инструкциями по их применению. Краткая информация о составе, показаниях, принципе действия и противопоказаниях поможет сделать оптимальный выбор.
Состав
Действующее вещество мази и суппозиториев (свечей) Релиф – фенилэфрин, дозировка которого определяется конкретной лекарственной формой:
Гепатромбин Г — это многокомпонентное средство для лечения геморроя в лекарственной форме суппозиториев и мази, в состав которого входят:
- гепарин – 120 МЕ или 65 МЕ (для свечей и мази соответственно);
- преднизолон – 1,675 или 2,333 мг;
- лауромакрогол либо полидоканол – 30 мг.
Механизм действия
- Фенилэфрин, активный компонент препарата Релиф, является сосудосуживающим средством. При местном применении он регулирует кровообращение в области заднего прохода, уменьшая приток крови и выраженность геморроидальных узлов (выпячиваний вен наружу). Параллельно снижаются интенсивность болевого синдрома и воспаления, характерных для данного заболевания. Вспомогательные формообразующие вещества (вазелин, минеральное масло и масло какао-бобов) дополнительно оказывают смягчающее действие.
- Гепатомбин Г действует комплексно:
- Гепарин, который относится к группе антикоагулянтов, понижает свертываемость крови и риск возникновения тромбов в геморроидальных узлах. Также он способствует заживлению и уменьшению воспаления.
- Преднизолон – это гормон-глюкокортикостероид, который обладает выраженными противовоспалительными свойствами. При местном применении уменьшает жжение, зуд и боль в области ануса.
- Лауромакрогол и полидоканол обезболивают, а также способствуют склерозированию (сужению и зарастанию) вен, за счет чего узлы исчезают.
Показания
Для мази и свечей Релиф:
- геморрой (внутренний и наружный);
- анальный зуд;
- эрозии и трещины.
Для Гепатромбина Г:
- геморрой наружный и внутренний;
- закупоривание и воспаление вен заднего прохода (тромбофлебит);
- анальные трещины;
- свищи (гнойные воспаления);
- экзема (заболевание кожи) зуд в области ануса.
Противопоказания
Релиф нельзя использовать:
- людям с повышенной чувствительностью к его компонентам;
- пациентам с тромбоэмболической болезнью (закупоривание сосудов сгустками крови);
- лицам с дефицитом гранулоцитов (клеток крови) – гранулоцитопенией.
Противопоказаниями к применению Гепатромбина Г являются:
- гиперчувствительность;
- 1 триместр беременности;
- опухоли кожи;
- предрасположенность к кровотечениям;
- поражение области применения грибками, бактериями или вирусами;
- туберкулез;
- сифилис.
Побочные действия
Релиф иногда может спровоцировать местную реакцию кожи:
Гепатромбин Г при непереносимости вызывает аллергию, а при передозировке или длительном применении – отеки и замедление заживления тканей.
Формы выпуска и цена
Релиф выпускается немецким фармацевтическим концерном в двух лекарственных формах:
- мазь, 28,4 г – 435 рублей;
- суппозитории, 12 шт. – 427 руб.
Гепатромбин Г можно приобрести в аптеке в виде свечей. Упаковка из 10 штук стоит около 200 рублей.
Релиф или Гепатромбин Г – что лучше?
Преимущества Гепатромбина Г:
- больше показаний к приему;
- выше эффективность за счет склерозирования вен (можно обойтись без операции);
- лучше снимает воспаление благодаря преднизолону;
- можно применять при тромбоэмболии (способствует рассасыванию тромбов и предотвращает появление новых;
- лучше справляется с болью и зудом;
- стоит дешевле.
Плюс препарата Релиф – меньшее число противопоказаний.
Таким образом, мазь и свечи Гепатромбин Г по многим показателям лучше и эффективнее. Они комплексно помогают избавиться от причин и, соответственно, симптомов геморроя (а также избежать операции). Релиф предпочтительнее только в том случае, если есть противопоказания к использованию Гепатромбина Г. Другая разновидность этого препарата Релиф Адванс быстрее снимает боль, но от самого геморроя не избавляет и может использоваться как симптоматическое средство.
Препараты для наружного применения, которые используются при лечении и профилактике геморроя, различных трещин, микротравмах и эрозиях анального прохода, зуде в заднем проходе. Нередко используется при подготовке анального прохода к операциям.
Релиф
Релиф — медикамент, который представляет собой средство для лечения различных заболеваний ректума. Такими заболеваниями могут быть наружный и внутренний геморрой, различные трещины заднего прохода, анальный зуд, эрозии и травмы ректума, устраняет отечность на пораженной области.
Все компоненты Релифа являются абсолютно безопасными для здоровья человека, Далее представлен их список:
- Масло печени акулы дозой 3% от общей массы медикамента. Это масло получают путем очищения акульего жира из печени. Оно способствует заживлению ран, обеззараживающее и противовоспалительное. Также улучшает пищеварение и устраняет проблемы с дыхательными путями.
- Фенилэфрина гидрохлорид дозой 0,25% от массы медикамента. Составляющее сужает сосуды и тем самым повышает кровяное давление, тем самым снимает отеки, устраняет зуд и жжение в области заболевания. В препарате играет роль вещества снимающего неприятные симптомы. Иногда используется как местная анестезия.
- Минеральное масло. Это масло получают из нефти, оно способствует увлажнению кожи, его размягчению.
- Вазелин. Вещество способствует смягчению и заживлению кожных покровов, зачищает кожу и убирает ненужные вещества из ее пор.
- Метил и пропилпарабен имеют антисептический эффект.
- Ланолин. Помогает заживлению трещин и микротравм.
- Бензойная кислота используется как противомикробное средство.
- Кукурузное масло содержит в себе большое количество витаминов и улучшает состояние кожи, убирает шелушение.
- Глицерин используется как увлажняющее средство.
- Ланолиновый спирт обеспечивает смешивание всех компонентов лекарства.
- Парафин прочищает кожные поры от грязи.
- Тимьяновое масло имеет антибактериальный и смачивающий эффект на кожу.
Из состава становится понятно, что медикамент путем размягчения и очищения кожи открывает ее поры и вводит действующее вещество, которое снимает воспалительный процесс и устраняет возбудителя заболевания или травму.
Представлен в виде желтоватой, полупрозрачной мази массой 30 грамм в упаковке, также может быть в продаже в форме свеч по 12 штук в упаковке. Имеет такие разновидности как «Релиф адванс» и «Релиф ультра»
Рассмотрим способ применения свеч. Опорожните кишечник или проведите очистительные процедуры. Продезинфицируйте пораженный участок. Лягте на левый бок и аккуратно вставьте свечу, ожидайте 20-25 минут до полного впитывания активного вещества. После промойте или протрите место использования препарата.
Перед использованием детьми до 12 лет рекомендуется проконсультироваться у врача. Возможна аллергическая реакция. При передозировке возможна коагуляция.
Хранить в защищенном месте при температуре от 17 до 27 градусов не более двух лет. Отпускается без рецепта. Перед применением посетите врача.
Гепатромбин Г
Гепатромбин Г — препарат, который используется для лечения заболеваний анального прохода и областей кожи рядом с ним. Чаще всего такими заболеваниями являются различные виды геморроя, тромбофлебит геморроидальных вен заднего прохода, свищи и зуд в области анального прохода, травмы и повреждения ректума. Также лекарство используется при подготовке пациента к хирургическому вмешательству.
Далее перечислены все компоненты Гепатромбина и их свойства:
- Гепарин натрия. Вещество останавливает воспалительный процесс и препятствует образованию тромбов, которые и являются основной причиной возникновения геморроя. Вещество впервые было выделено из печени, на нынешний день синтезируется искусственно.
- Преднизолона ацетат. Снимает шок с пораженных тканей при ожогах, ушибах, после хирургического вмешательства. Вещество фактически регулирует состав крови для скорейшего восстановления пораженной ткани.
- Лауромакрогол. Обладает веносклерозирующим эффектом, который сужает вены и увеличивает кровяное давление, что способствует снятию воспаления и отеков. Также способен денатурировать белок для избавления от пораженных тканей и имеет анестезирующее свойство.
- Парафин. Проводит глубокое очищение кожи.
- Ланолин. Способствует затягиванию ран и травм.
- Кремния диоксид коллоидный. Убирает гной из ран и помогает их заживлению.
Выпускается в форме мази, а также в форме ректальных суппозиториев (свеч).
- Гелеобразная мазь желтоватого цвета массой 40 грамм в одной упаковке.
- Способ применения: перед нанесением средства рекомендуется промыть пораженный участок и тщательно провести гигиенические процедуры при помощи влажной салфетки и ваты. Наносить средство постепенно и равномерно, не втирая в кожу. Препарат применяется 2-4 раза в сутки через равные промежутки времени, после исчезновения симптомов нужно использовать медикамент 1 раз в день на протяжении недели. Для введения мази в полость кишечника можно использовать наконечник, который следует дезинфицировать перед каждой процедурой и после нее. Возможна аллергическая реакция, при долгом использовании могут появиться отечности.
- Хранить при температуре от 15 то 25 градусов не более двух лет. Отпускается без рецепта. Перед использованием проконсультируйтесь с врачом.
- По 5 штук в контурной ячейке и по 2 ячейки в упаковке.
- Способ применения: Опорожнить кишечник или сделать очистительную клизму. Промыть пораженный участок, затем протереть при помощи ваты. Лечь на левый бок, прижав колени к груди и вставить свечу в анальное отверстие, неловкие движения могут привести к повреждению слизистой оболочки. После процедуры ждать 20-30 минут до полного впитывания. Затем протереть или промыть место нанесения лекарства.
- Хранить при температуре от 10 до 33 градусов не более 2 лет. Перед применением посетите врача.
Что общего между препаратами
Оба средства применяются при заболеваниях анальной области тела и обладают следующими свойствами: антисептическим, противовоспалительным, очищающим, способствуют заживлению травм и порезов, препятствуют образованию тромбов. Медикаменты представлены в форме мази или свеч.
Сравнение и отличия
Общее между препаратами:
- Являются мазями или свечами.
- Используются при таких заболеваниях как: геморрой, микротравмы анального отверстия, отечности в ректальной области, зуд в заднем проходе.
- Обладают антисептическими свойствами.
- Увлажняют кожу.
- Снимают отечность.
- Сужают сосуды.
- Препятствуют образованию тромбов.
- Способствуют устранению различных эрозий.
- Действующим компонентом является натуральный ингредиент, в связи с этим побочных эффектов практически нет, но увеличивается шанс аллергической реакции.
- Не рекомендуется детям до 12 лет.
- Устраняет геморрой при помощи сужения сосудов.
Особенности Гепатомбина Г:
- Действующими компонентами являются искусственно выведенные вещества и шанс аллергической реакции низкий. Однако при передозировке возможны побочные эффекты (отечности).
- Применяется в любом возрасте.
- Устраняет геморрой при помощи остановки тромбообразования.
Какое средство выбрать
Препараты в основном применяются при геморрое и повреждениях анального отверстия. Принцип их действия практически один и тот же, однако, Релиф основывается на натуральных ингредиентах и не рекомендуется детям, поэтому он подойдет взрослым не имеющих аллергии на акулий жир и другие активные компоненты. Гепатромбин лучше всего подойдет для лечения детских заболеваний, но не рекомендуется людям с болезнями сердца.
Перед использованием проконсультируйтесь с врачом и выберите нужный препарат исходя из его рекомендаций и ваших противопоказаний.
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