Часто ощущая неприятный зуд, боли и дискомфорт в прямой кишке, сопровождаемые запором либо поносом, мы не можем понять – в чем причина симптомов и как избавиться от такого состояния. Игнорировать неприятность не стоит, поскольку это может привести лишь к усугублению заболевания.
Что же вызывает такие симптомы и как от них избавиться?
Немного анатомии
Конечным отделом пищеварительного тракта является прямая кишка. Она соединена с сигмовидной частью кишечника и заканчивается анальным отверстием. Ее длина составляет примерно 14-18 сантиметров. Физиологическая функция этого органа состоит в накоплении и выводе фекальных масс. Скапливаясь в определенной части прямой кишки, кал растягивает ее, вызывая рефлекторное раздражение. Физиологический механизм срабатывает, и происходит акт дефекации.
Прямая кишка состоит из трех слоев:
- слизистая оболочка;
- подслизистая оболочка;
- мышечный слой.
Слизистая оболочка прямой кишки выстлана цилиндрическим эпителием.
В нижней ее части слизистая оболочка образует поперечные складки.
Наружная поверхность покрыта плотной соединительной оболочкой, отделенной от мышечного слоя жировой прослойкой.
При нарушении правильной работы прямой кишки могут возникать серьезные расстройства организма в целом.
Воспаление прямой кишки
С проблемами дефекации периодически сталкиваются все люди. Часто это бывают временные трудности, но иногда болезнь может перейти в хроническую стадию.
Воспалительное заболевание, при котором затрагивается слизистая оболочка, называется проктитом. Такое воспаления является довольно частым явлением. Болезнь коварна тем, что в самом ее начале симптомы могут быть выражены слабо. Часто проктит сопровождает другие воспалительные процессы в кишечнике.
Причины возникновения проктита
Что такое проктит, симптомы и лечение, а также причины этого заболевания – какие они?
Причинами возникновения воспаления прямой кишки могут быть следующие факторы:
- Кишечные инфекции;
- Глистные инвазии;
- Иммунные расстройства;
- Неспецифические воспалительные процессы, вызванные кишечной палочкой, стрептококком и др.;
- Воздействие радиации;
- Нарушение кровообращения;
- Сифилис;
- Туберкулез;
- Травмы.
Причинами болезни может быть неправильное питание, вызывающее частые запоры. Провоцирует воспаление слизистой острая, пряная и жирная пища, а также алкоголь и табак.
Воспаление прямой кишки иногда начинается из-за переохлаждения. Заболевания других внутренних органов могут также провоцировать воспалительный процесс.
Лучевой (радиационный) проктит возникает из-за воздействия ионизирующей радиации на организм человека при проведении лучевой терапии во время лечения онкологических заболеваний.
Травмы прямой кишки могут быть по следующим причинам:
- Хирургические операции по поводу заболеваний внутренних органов и анального отверстия;
- Случайные острые предметы в фекальных массах;
- Травмы при несчастных случаях;
- Анальные трещины, геморрой;
- Разрыв стенки прямой кишки во время родов;
- Гомосексуальные половые связи.
Проктит бывает в следующих формах:
- острая;
- хроническая;
- катарально-геморрагическая;
- полипозная;
- эрозивная.
При острой форме заболевания возникает сильная боль в прямой кишке, ощущается тяжесть. Боль ощущается в промежности и пояснице. Резко повышается температура. Воспаление сопровождается постоянным ложным желанием опорожнить кишечник. При дефекации выделяются слизистые, гнойные и кровяные сгустки. В анальном отверстии возникает зуд.
Если не принять меры к лечению острой формы, болезнь переходит в хроническое состояние. Периодически хроническая болезнь слизистой обостряется, доставляя сильные болевые ощущения и чувство дискомфорта.
Полипозное воспаление прямой кишки вызывают полипы, расположенные на стенке. При выявлении такой патологии необходимо сделать биопсию, чтобы установить их природу.
Эрозивная форма требует серьезного обследования, так как является самой опасной формой заболевания. Повреждения эпителия проявляются в виде язв и эрозий. Главным признаком болезни этой формы является резкая боль. Температура поднимается до 38 градусов. При дефекации выделяются гнойные и кровяные сгустки. Болезнь протекает со всеми признаками общей интоксикации – головная боль, озноб, слабость и т.д.
Болезнь может возникнуть и у младенцев.
Его причинами могут быть:
- Непереносимость молочного белка;
- Инфекции кишечника;
- Гельминты;
- Повреждение анального отверстия газоотводной трубкой или ректальными свечами;
- Повреждение прямой кишки острыми предметами, случайно проглоченными ребенком;
- Нарушение стула.
Симптомы проктита прямой кишки
Проявления воспаления прямой кишки могут быть обусловлены местным поражением слизистой либо системной реакцией организма на патологические изменения всего организма.
Местные проявления обуславливаются следующими симптомами:
- Поносы, обусловленные воспалением, отделением из эрозий, язв;
- Запоры, провоцируемые спазмами верхних частей кишечника или сужением просвета пораженного участка;
- Боли в заднем проходе, пояснице и промежности;
- Зуд заднего прохода;
- Слизистые выделения из анального отверстия и постоянное мокнутие в области наружных частей;
- Ложные позывы к дефекации;
- Недержание каловых масс;
- Присутствие слизи, крови, гноя в фекалиях.
Системные симптомы проктита проявляются в следующем:
- снижение массы тела;
- отсутствие аппетита;
- лихорадка;
- боли в суставах;
- слабость;
- кожные высыпания;
- слезотечение.
Диагностика проктита
Установить точный диагноз можно только при тщательном и полноценном обследовании.
Диагностические процедуры включают в себя следующие методы:
- Пальцевое ректальное обследование;
- Эндоскопическое исследование с взятием биоптатов;
- Гистологический анализ биоптатов;
- Ректоскопия;
- Лабораторное исследование кала;
- Рентгенологическое обследование с контрастными веществами;
- Ультразвуковое исследование;
- Клинический анализ крови;
- Бактериологический посев кала.
В острый период болезни исследование затруднено из-за спазма анального отверстия и значительных болевых ощущений.
Инструментальные обследования вполне переносимы и позволяют правильно установить причины воспаления. Во многих стационарах и клиниках процедуру выполняют при кратковременном наркозе.
Проктит – лечение
После установления диагноза на основании анамнеза врач определяет степень, причину и характер процесса. После этого решается вопрос о терапевтических приемах. Стратегия и тактика терапевтических методов сильно отличается в зависимости от течения заболевания. Болезнь можно вылечить кратковременным курсом, но некоторые формы проктита требуют постоянного наблюдения врача.
При острой и тяжелой форме терапия проводится в стационаре. Хронический проктит лечится в домашних условиях под наблюдением врача.
Лечение любых заболеваний ЖКТ начинается со строгой диеты. При проктите следует отказаться от острых, жирных, кислых продуктов, а также пищи, содержащей грубую клетчатку.
Во время болезни пища должна приниматься за 5-6 приемов небольшими порциями. Рацион должен состоять из овощных протертых супов, омлетов, киселей, отварной рыбы и нежирного мяса.
Комплексное лечение состоит из следующих методов:
- фармакологический (системный и местный);
- физиотерапевтический;
- хирургический;
- фитотерапевтический.
Фармакологическое лечение включает в себя следующие препараты:
- спазмолитики;
- слабительные;
- пробиотики;
- антибиотики;
- противогрибковые препараты;
- репаранты;
- антисептики;
- болеутоляющие;
- гормоны;
- антигистаминные лекарства;
- антидепрессанты.
Перечисленные средства назначаются индивидуально и выборочно для каждой степени протекания заболевания. В процессе терапии препараты могут заменяться.
Физиотерапия должна назначаться с осторожностью, чтобы не вызвать кровотечение. Обычно назначают электрофорез с лекарственными препаратами, УВЧ, сидячие ванны с минеральной водой, грязевые аппликации.
Лечение с применением лекарственных растений включает в себя микроклизмы и ванны с использованием отваров из растений, оказывающих противовоспалительное и антисептическое действие. Как правило, для отваров используется ромашка, чистотел, череда, кора дуба, шалфей, зверобой и др. После снижения воспалительного процесса можно использовать масляные микроклизмы и сидячие ванночки с 0,01% раствором марганца. Микроклизмы рекомендуется делать утром и перед сном. Чтобы не нанести дополнительную травму, наконечник спринцовки следует смазывать вазелином.
Кроме того, заживляющее действие оказывают примочки из масла облепихи, сока алоэ и каланхоэ.
Терапия лекарственными травами должна проводиться исключительно как дополнение к медикаментозному лечению.
В народной медицине из лекарственных трав готовят мазь в домашних условиях. Для этого измельчаются следующие составляющие, взятые в равных частях: кора дуба, льнянка, водяной перец. Смесь заливается растопленным смальцем и настаивается в течение 12 часов в темном месте. Затем полученный состав нагревают и процеживают. Для аппликации тампон с нанесенной мазью вводится в анальное отверстие на 2-3 часа.
Хроническая форма воспаления прямой кишки требует постоянного лечения.
Для поддержания нормального состояния слизистой оболочки необходимо проходить курсовое лечение в санаториях или профилакториях со следующими рекомендациями:
- диетическое питание;
- лечебная физкультура;
- кишечные орошения;
- грязелечение;
- радоновые ванны;
- массаж.
При своевременном лечении воспаление заканчивается полным выздоровлением. Хронический проктит возникает эпизодически. Соблюдение рекомендованных правил снижает частоту повторения обострения.
Если не лечить проктит, то болезнь может перейти в другие отделы кишечника. Воспаление может начаться в вышерасположенных органах ЖКТ и окружающих тканях. Проктит может привести к раку прямой кишки.
Осложнениями проктита могут быть следующие заболевания:
- колит;
- парапроктит;
- свищи;
- опухолевые образования.
Профилактика проктита
Меры профилактики сводятся к следующим простым правилам:
- Своевременное лечение заболеваний желудочно-кишечных инфекций;
- Лечение системных заболеваний;
- Гигиена половых органов и перианальной области;
- Использование контрацепции при половых контактах;
- Лечение хронических запоров;
- Своевременное лечение геморроя и анальных трещин;
- Соблюдение пищевого режима (отказ от острой, жирной пищи);
- Исключение алкоголя и табака;
- Занятие спортом;
- Прогулки на свежем воздухе.
Проктит – это не приговор. Если соблюдать правила, проходить регулярно диспансеризацию, то можно раз и навсегда избавиться от болезни.
Проктит – заболевание прямой кишки, связанное с воспалительно-дистрофическими процессами в слизистых оболочках, и имеющее множественность происхождения. Считается сочетанной патологией с другими отделами толстого кишечника, в виде изолированного нарушения встречается намного реже. Острая фаза характеризуется выраженными проявлениями, при переходе в хроническую форму симптоматика отсутствует, или приобретает стертую картину. При вялотекущем процессе выделяется несколько видов болезни — катаральный, эрозивный, геморрагический, гнойный. Лечение проктита в домашних условиях по своей эффективности уступает терапии в стационаре, однако может быть использовано как дополнительная мера, о чем мы расскажем ниже.
Симптомы
Острая фаза характеризуется внезапным началом, и протекает стремительно. Воспалительный процесс развивается в течение 2-3 дней, при этом происходит поверхностное повреждение слизистой ткани. Пациент чувствует тяжесть в анальном проходе, болезненные ощущения, которые иррадиируют в паховую область, промежность, поясницу. Процесс сопровождается:
- тенезмами (ложными позывами к дефекации), которые возникают на фоне стойкой задержки – запоров;
- признаками общей интоксикации — повышением температуры тела до высоких значений (38°С), головными болями, слабостью.
При обострении язвенного проктита в каловых массах могут появиться примеси мутной слизи или кровянистых выделений.
Хронический процесс отличается вялым затяжным течением, и характеризуется чередованием фаз ремиссии и обострения. В первом случае пациент ничего кроме дискомфорта не ощущает, во втором же проявляется симптоматика первично возникшего воспаления. Современная медицина предлагает несколько методов, как лечить проктит. Важнейшими составляющими комплексного подхода считается лекарственная терапия, народные средства, лечебное питание, специальная гимнастика. Вылечить воспаление прямой кишки возможно дома самостоятельно только при условии соблюдения рекомендаций, назначенных лечащим врачом.
Медикаменты
Основной подход к лечению патологии заключается в использовании лекарственных средств в удобных формах: таблеток, свечей, мазей. Их можно принимать самостоятельно, поскольку здесь не требуется специальная подготовка. Исключение составляют уколы, которые должен ставить медицинский работник.
Суппозитории
Свечи относятся к средствам местной терапии, в задачу которой входит:
- уменьшение болевого синдрома;
- облегчение акта дефекации;
- ускорение регенерации поврежденных тканей;
- нормализация стула.
Отлично зарекомендовали себя такие средства, как «Салофальк», «Метилурацил», «Проктозан», «Натальсид», «Ультрапрокт». Для удобства применения их выпускают в виде суппозиторий и мазей. Однако они противопоказаны, если имеются тяжелые осложненные формы после проведения радиотерапии, язвенные или некротические поражения слизистой аноректального канала. При лучевом проктите могут быть использованы свечи «Коризол» и «Мезалацин».
Данные лекарственные формы назначаются, если к основной клинике присоединяется такой симптом, как зуд. Эффективными признаны мази «Локакортен-Н», «Синалар», «Проктоседил». Хорошо помогает «Облепиховая мазь». В последнее время все чаще назначается препарат «Постеризан», который оказывает противовоспалительное и регенерирующее действие. Некоторые составы можно приготовить и в домашних условиях.
- Кора дуба, трава водяного перца, цветки льнянки обладают необходимым для лечения качествами. Смешанное в равных частях сырье тщательно измельчают и соединяют с 100 г топленого масла (сала). Полученную однородную мазь можно использовать спустя 12 часов после приготовления.
- Ректальное введение облепихового масла и прополиса в виде тампонов также помогают снять воспаление и ускорить заживление.
Таблетки
Лекарственные препараты, выбранные проктологом, назначаются в большинстве случаев в таблетках. Они удобны для приема в домашних условиях, но помимо этого, имеют некоторые преимущества перед иными формами:
- длительные сроки хранения;
- точная дозировка активного вещества;
- длительное действие лекарства;
- высокая биодоступность;
- маскировка неприятного запаха или вкуса.
В таблетках или капсулах больным назначаются:
- антибиотики – с целью уничтожения патогенных микробов – возбудителей болезни;
- спазмолитики – для расслабления мышечных волокон, облегчения стула;
- нестероидные средства – для снятия отечности, болевого синдрома, воспаления .
Дозировка медикаментов тщательно подбирается в каждом индивидуальном случае.
Инъекции
Очень часто при лечении проктита назначаются препараты в виде инъекций. Показаниями к такому введению являются:
- патологии органов желудочно-кишечного тракта;
- тяжелое течение болезни;
- ослабленное или бессознательное состояние пациента.
Особенностью уколов при проктите является:
- точность дозировки, особенно когда назначаются малые дозы;
- возможность введения медикаментов при любом состоянии пациента;
- быстрое поступление лекарственного вещества в кровь, откуда оно проникает к очагу воспаления;
- моментальное действие.
При проктите, особенно его тяжелой или осложненной форме, в виде инъекций могут быть назначены антибиотики, спазмолитики и противоаллергические препараты.
Народные методы
Для лечения проктита успешно применяются не только традиционные препараты, но и народные средства. Для борьбы с воспалением рекомендуется использовать клизмы, сидячие ванны, а также водные настои.
Клизмы с отварами трав
Считаются распространенным вариантом лечения в домашних условиях. При лучевом проктите врачи назначают дважды в сутки местно в виде клизм такие препараты, как Метилпреднизолон 40 мг или Гидрокортизон 100 мг. Курс составляет 21 день. Не менее эффективным станет применение Месаламина (4 г) ежедневно перед сном в течение 3-6 недель.
Популярным вариантом народного лечения считаются микроклизмы из травяных отваров и настоев. Для этого следует запастись необходимыми компонентами, а затем научиться их правильно готовить.
Кора дуба
5 столовых ложек измельченного сырья поместить в литр кипятка, проварить на медленном огне в течение 20-30 минут. Готовую жидкость слить через сито, и добавить в нее столовую ложку крахмала, предварительного растворенного в 50 мл воды.
Полынь горькая
4 ложки измельченных листьев всыпать в 1,5 л кипятка и проварить на слабом огне 5 минут. Смесь сразу же вылить в термос и настоять в течение 2-3 часов. Состав процедить и использовать в теплом виде по назначению.
Конский щавель
3 ложки измельченного корня растения проварить в течение 3 минут на слабом огне. Снять с огня, процедить и оставить в сторону. Сразу же приготовить отвар только в иной пропорции 1 л сырья на 100 мл воды. Первое средство используют для очищения кишечника, а второе – для лечения.
Ромашка или календула
Цветки одного из растений залить 250 мл кипятка, довести до кипения на водяной бане. Полученную смесь поместить в термос и настоять не менее 2 часов. Если не указано иное, то все процедуры проводятся после очищения кишечника. Для того, чтобы лечебный состав полностью всосался в стенки, необходимо полежать 10-15 минут на животе.
Ванночки
Не менее эффективны и полезны сидячие ванны отварами из лекарственных трав. Процедура должна длиться около 15-20 минут, при ежедневном регулярном применении в течение 7-10 дней. Для выполнения подойдут следующие рецепты.
Полевая сосенка
В кипящую воду объемом 2 литра всыпать стакан измельченного сырья. Спустя 2 минуты, снять огня и процедить. Влив в таз, немного остудить.
0,5 стакана измельченной травы всыпать в литр кипящей воды и подождать, пока она осядет на дно. Отставить в сторону на четверть часа, после чего отцедить на сито. Сырье можно заменить сбором из цветков бессмертника, сальвии, ромашки, травы спорыша, листьев эвкалипта, взятых в равных частях.
Настои для внутреннего употребления
Терапию проктита можно дополнить народными средствами для внутреннего применения. Они издавна славились своей целебной силой. Не составляют они исключения и при лечении проктита. Облегчить самочувствие и устранить симптомы болезни помогут такие рецепты.
Ромашка и календула
В чашке объемом 250 мл, запарить цветки растений, взятых по чайной ложке. После того, как чай настоится, его следует принимать ежечасно по 20 мл.
Сбор № 1.
Листья крапивы двудомной, цветки ноготков, семена подорожника продырявленного, корень одуванчика смешать в миске в пропорции 4:1:2:4. Пару столовых ложек поместить в стеклянную емкость и залить 300 мл кипятка. Проварить на водяной бане 5-7 минут. Снять с огня и процедить. Пить по 70-80 мл.
Сбор № 2.
В равных частях смешать стебли малины, цветки пижмы, корень валерианы и траву череды. В 600 мл горячей воды всыпать 5 ложек измельченного сырья и проварить на слабом огне в течение 5 минут. Прием курсовой: по 50 мл – 15 дней.
Коррекция питания
Диета при проктите считается важной составляющей в комплексе лечебных мер. Основополагающим принципом правильного питания является максимальная защита слизистой толстого кишечника и его прямого отдела. В связи с этим ежедневный рацион корректируется таким образом, чтобы полностью исключить продукты, оказывающие раздражающее действие.
Разрешенные продукты
В число разрешенных к употреблению продуктов и блюд относятся:
- сухарики, хлеб вчерашней выпечки;
- нежирные сорта рыбы, мяса;
- яйца всмятку;
- отварные и протертые овощи;
- из фруктов только яблоки в печеном виде;
- приготовленные на воде каши;
- кисломолочные продукты;
- фруктовые и овощные соки, какао, зеленый чай, кисели из ягод;
- чистая питьевая вода в объеме не менее 2 литров.
Запрещенные продукты
Из рациона питания следует исключить определенные группы продуктов, которые оказывают негативное влияние на состояние слизистой прямой кишки.
- Жирные, жареные, острые блюда.
- Копченые, соленые и маринованные продукты.
- Пряности и специи.
- Алкоголь в любых количествах.
- Крупы с повышенным содержанием клетчатки.
- Свежие фрукты, овощи, зелень в сыром виде.
- Продукты, вызывающие брожение.
При обострении исключаются сухофрукты, орехи, твердая и плохо перевариваемая пища.
Лечебная гимнастика
Ускорить лечение помогает гимнастика и профессиональный массаж. Эти методики оказывают общеукрепляющее действие на организм, что сокращает сроки выздоровления. Специалист подбирает оптимальный уровень нагрузки с учетом возраста и состояния пациента. Первая группа упражнений выполняется в положении лежа на спине, вторая – стоя. Начинать занятия следует с ходьбы на месте в течение 2-3 минут, выбирая средний темп. Необходимо следить, чтобы дыхание оставалось глубоким и спокойным. Затем переходить к основным процедурам.
I группа
- Руки расположить на груди и животе. На вдохе приподнимать их за счет наполнения организма воздухом, на выдохе – слегка надавливая на эти части тела. Повторить 6-8 раз.
- Верхние конечности вытянуть вдоль тела. Согнутые в коленях ноги наклонять поочередно в одну и другую сторону, максимально увеличивая амплитуду движения. Выполнить 4-6 подходов.
- Из положения лежа, постепенно поднимаясь, сесть, а затем и наклониться вперед, вытянув руки, и коснувшись пальцами носков. Повторить 3-8 раз.
- Выполнять ровное глубокое дыхание, расположив руки на животе и груди. Повторить 45 раз.
II группа
- Встать по стойке «Смирно». Руки вытянуть прямо перед собой, вернуть обратно вниз. Повторить не менее 5 раз.
- Опереться на спинку стула. Подняться на носки, потянувшись вверх, затем присесть и вернуться в исходное положение. Повторить 3-5 раз.
- Пальцы сцепить за спиной. На вдохе приподниматься на носках, одновременно заводя руки как можно выше. Вернуться в прежнюю позу, выдохнуть. Сделать 4-6 подходов.
- Выполнять медленные повороты в одну и другую сторону с разведенными руками и сжатыми в кулак пальцами не менее 5-8 раз.
- На вдохе руки вытянуть вверх, максимально прогибаясь, а затем сомкнуть на плечах (на выдохе).
Проктит считается опасным заболеванием, однако при правильно организованном и своевременно начатом лечении практически всегда излечивается.
Действенным и полностью безвредным способом лечения проктита являются народные средства. Заболевание поражает людей обоих полов и всех возрастов, характеризуется воспалением слизистой оболочки сигмовидной и прямой кишки. Лечение такой патологии народными средствами применяется в комплексе с медикаментозной терапией или как полностью самостоятельный метод борьбы с недугом.
ВАЖНО ЗНАТЬ! Даже "запущенный" геморрой можно вылечить дома, без операций и больниц. Просто не забывайте 3 раза в день наносить читать далее.
Причины и симптомы проктита
Заболевание развивается вследствие воспалительных процессов в организме человека или под болезнетворным влиянием различных микроорганизмов. К основным причинам возникновения проктита относятся:
- дисбаланс микрофлоры кишечника;
- заражение патогенными микроорганизмами;
- сильное переохлаждение организма;
- травмирование стенок кишечника;
- венерические заболевания;
- анальный секс;
- заболевания ЖКТ;
- интоксикация организма;
- онкологические новообразования.
А вы знали? Михаил Сергеевич.: "Я могу порекомендовать лишь одно средство для быстрого лечения геморроя" читать далее.
Симптоматика заболевания зависит от формы течения недуга. Характерные симптомы каждой формы проктита предоставлены в таблице:
Народная медицина при проктите – это доступное, эффективное и безопасное лечение заболевания на ранних этапах.
Травяной отвар для лечения проктита можно заготовить самостоятельно или приобрести в аптеке. 
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