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Та без врача это не особо безопасно.
Я думал что после операции о ней можно забыть.
Приветик, не знаю говорили ли вам, что свечи надо держать в проходе, чтоб они там растворились. Тогда эффект будет, а если просто вставлять, от они пролетают и эффекта нет. Я все таки считаю, что мазь в этом случае эффективнее свеч.Операции бояться не стоит(если назначат), да есть некоторые неудобства и страх после операции, но все терпимо. Перед операцией делают обколы в анус, первые конечно жесть, потом лучше. Всего делают около 4 уколов и потом сама операция, как наверное вы уже везде читали безболезненно. Вот когда отходит наркоз тут надо будет попить таблетки обезболивающие. Но с ними надо быть осторожнее так как их нельзя при воспалениях и язвах в кишечники, как любые нпвс. Я принимала пару раз всего, остальное просто терпела. Первая неделя самая трудная, потом нормально будет потихоньку. Но в любом случае надо к врачу, только он сможет вам сказать, что лучше(ну это мое мнение). Натальсид мой врач сказал, что только убирает кровь, не лечит.
Лулу, спасибо вам большое, прям обнадежили. Буду лечится дальше и ждать. Принимаю сейчас свечу салофальк на ночь и мазь левомеколь и салкосерил.
Скажите пожалуйста,врач сегодня сказал что трещина (зарубцевалась) это что значит? и он не сказал хроническая она или острая.
Что зарубцевалась — это хорошо. Главное, чтобы рубец был правильный. Со временем эта рубцовая ткань должна стать более эластичной.
Я борюсь с трещиной уже больше года. Появилась на фоне плотного стула из-за Ципрофлаксацина. Лечил 6 месяцев консервативно — ничего не помогало, был сильный спазм. В июне сделали операцию, иссечение + сфинктеротомию. Послеоперационная рана так и не зажила. Обратился к другому врачу. Второй врач сказал, что трещину вырезали очень экономно (узко), к тому же между трещиной два внутренних узла — нет плато чтобы рана зажила. В конце сентября сделали вторую операцию: операция Лонго + иссечение трещины с рубцовой тканью. Рана была очень большой. В принципе, все зажило, кроме одного участка внутри анального канала (там обычно хуже заживает), болит. Использовал очень много разных мазей — толку мало. Сейчас начал использовать гель метронидазол, вроде неплохо идет пока.
Вопрос к тем, кто использовал свечи Cалофальк. В какой дозировке использовать свечи 500 мг или 1 гр и как часто, и как долго? Можно ли свечи Салофальк использовать с Постеризаном?
Что зарубцевалась — это хорошо. Главное, чтобы рубец был правильный. Со временем эта рубцовая ткань должна стать более эластичной.
Я борюсь с трещиной уже больше года. Появилась на фоне плотного стула из-за Ципрофлаксацина. Лечил 6 месяцев консервативно — ничего не помогало, был сильный спазм. В июне сделали операцию, иссечение + сфинктеротомию. Послеоперационная рана так и не зажила. Обратился к другому врачу. Второй врач сказал, что трещину вырезали очень экономно (узко), к тому же между трещиной два внутренних узла — нет плато чтобы рана зажила. В конце сентября сделали вторую операцию: операция Лонго + иссечение трещины с рубцовой тканью. Рана была очень большой. В принципе, все зажило, кроме одного участка внутри анального канала (там обычно хуже заживает), болит. Использовал очень много разных мазей — толку мало. Сейчас начал использовать гель метронидазол, вроде неплохо идет пока.
Вопрос к тем, кто использовал свечи Cалофальк. В какой дозировке использовать свечи 500 мг или 1 гр и как часто, и как долго? Можно ли свечи Салофальк использовать с Постеризаном?
Я понял она зарубцевалась боль и жжение сохряняются все рано что делать дальше и сколько она будет заживать или она все так же и останется если она зарубцевалась она не хроническая?Намучались вы конечно с операциями.Я в шоке.А постеризан хорошие свечи и что лучше мазь или свечи
Если трещине уже больше трех месяцев, то по сути она уже является хронической. В таких случаях они лечатся очень тяжело, либо "подлечиваются". Признаками хронической трещинами являются: длительнось более 3-ех месяцев, сторожевой бугорок, рубцовые края, наличие волокон внутреннего сфинктера на дне трещины, фиброзный полип анального канала. Смотреть и оценивать состояние трещины должен врач во время визуального осмотра + ректоскопия.
Сказать что лучше, мазь или свечи трудно. Свечку нужно разогреть сначал в руках, потом оставить ее в анальном канале (не проталкивая), чтобы она там поработала.
Что подойдет одному, возможно не подойдет другому, так как причины "незаживления" могут быть разные. У кого спазм, у кого плотный стул, неспецифическое воспаление в анеректальной области, наличие анаэробной/аэробной флоры, проблемы с местным иммунитетом.
Мой опыт операции по иссечению анальной трещины.Мой путь до и после.
Сегодня хочу поделиться своим опытом о том, как проходила моя операция по иссечению анальной трещины, мой путь ДО и ПОСЛЕ.
Всех, кому интересна эта тема, или кому это только предстоит, приглашаю к прочтению.
Начну с того, что у меня никогда не было проблем с кишечником, и я никогда в жизни раньше не обращалась к врачу-проктологу.
Так получилось, что целый год я время от времени пила антибиотики, и начались проблемы со стулом, жжение в анальном проходе, боли, кровь на бумаге.Не сказать, что я не придавала этому значения, но думала, что " пройдет само".
В августе 2018 года наступила точка невозврата.Я заболела воспалением лёгких и месяц не вылезала с антибиотиков и капельниц.После этого в туалет стало ходить невозможно, боль, как будто режут ножами изнутри, кровь на бумаге, на белье.
Все это меня очень испугало, и в начале сентября я пошла на прием к проктологу.
Было ли неловко, стыдно? Нет, вовсе нет! Мне было настолько плохо, что мне было безразлично, в каком состоянии и виде меня увидит врач.
На первом же приеме мне был поставлен диагноз : Анальная трещина.
Основными рекомендациями врача было обильное питье — минимум 1.5-2 литра в день
Признаюсь честно, обильное питье мне давалось непросто, но я нашла выход из этой проблемы: покупала 1.5 литровые бутылки воды, брала с собой на работу и пила.
(В обильном питье тоже есть плюсы: разглаживается кожа, чистятся почки..)
Также очень важным было нанесение мази утром, вечером, и после каждого похода в туалет
Никакого эффекта от использования мази я не заметила, и пошла снова к проктологу.Примрно после начала лечения через месяц.Но уже тогда я понимала, что поздно, и шансы на то, что "все затянется само" крайне малы.
Это неудивительно, потому что чем дольше анальная трещина не зарастает, тем меньше шансов, что она зарастёт самостоятельно.
Поскольку на краях трещины образуется соединительная ткань, зарасти которой самостоятельно уже не суждено.
Врач сказал мне, что мы можем попробовать ещё 3 недели использовать мазь, и если это не поможет, то тогда — операция
Скажу ещё, что я полностью поменяла свой рацион питания , в который входило и входит до сих пор :
*Тушёные овощи, печёные яблоки
*Сухофрукты (чернослив, курага)
*Много, очень много свеклы
Я полностью исключила цельное молоко , конфеты и шоколад, хлебобулочные изделия.
Изменение рациона направлено, в первую очередь, на размягчение стула, чтоб трещина не травмировалась при походе в туалет.
Я не привыкла пить много воды, и мне было довольно сложно, но я начала, ради своего же здоровья, и теперь, 3 месяца спустя я пью воду без отвращения.
Спустя 1,5 месяца после начала лечения, которое не принесло никаких результатов, мне была назначена операция под общим наркозом.
Сама операция длилась 15 минут.
Признаться честно, общий наркоз — это то, чего я боялась больше всего.Меня постоянно посещали мысли — а вдруг я не проснусь? А вдруг я проснусь во время операции?😀
Моя операция проводилась амбулаторно, поэтому за 2 недели до операции я пришла на консультацию к анестезиологу, заполнила бумаги о своем весе и росте, перенесенных заболеваниях.
Анестезиолог предупредил меня, что из-за введения трубки искусственной вентиляции лёгких пару дней может болеть горло.
А также сказал мне, что я должна позаботиться о том, чтобы первые 24 часа после операции кто-то был дома, на случай, если что-то пойдет не так.
Разрешалось поесть за 6 часов до операции.
Не разрешается жевать жвачку и сосать конфеты, потому что вырабатывается желудочный сок, и это крайне опасно, так как во время операции содержимое желудка может попасть в лёгкие.
Этого я тоже очень боялась, поэтому встала в день операции в 5:30 утра, и поела немного гречки.Которую я пережевывала ооочень тщательно,сама не знаю, зачем.
Настал день операции.
Пока я ждала, когда меня позовут в операционную, то и дело к глазам подступали слезы.
И тут . меня позвали в операционную, сказали снимать все ниже пояса, выдали эластичные трусы, и сказали ложиться на кушетку.
Ноги нужно было поднять как на гинекологическом кресле, их пристегнули ремнями , к мизинцу левой руки подключили пульсометр, в вену поставили катетер.
Через некоторое время анестезиолог сказала мне : сейчас будем слушать музыку!
И тут, буквально через 10 секунд я почувствовала очень сильную усталость, и то, как закрываются мои глаза. Последнее , что я сказала : я уже чувствую сильнууую усталость.
И все. Провал.Никаких ужасных прекрасных снов мне не приснилось.А я надеялась встретить прекрасного принца хотя бы во сне
Когда я открыла глаза, я уже лежала в другой комнате, полностью одетая и под пледом.Очень кружилась голова, но боли я не чувствовала.
Сразу же написала сообщение, что я проснулась.От введения анестезии прошел ровно 1 час.
Пальцы плохо попадали по клавиатуре, но уже буквально через 15 минут я полностью пришла в себя, не было никаких побочных эффектов, ни головокружения, ни боли, ни тошноты.
Я вообще хотела пойти домой сама, но мне строго-настрого запретили, поэтому пришлось поехать на такси ))
Мне вкололи обезболивающее и я поехала домой на такси.Но вышла не около дома, а около аптеки, чтоб купить компрессы, перчатки. мазь.
После операции нужно было
*Мазать противовоспалительной мазью
*Первые дни ставить валик из компрессов между ягодиц
*Тщательно промывать раны после каждого похода ( стул) в туалет
*Пить много воды, соблюдать диету
Скажу честно, первая неделя после операции была адом.
Больничный лист был мне выдан на 10 дней.Все эти 10 дней я лежала дома в кровати, так как сидеть первые 1.5 недели я не могла вообще.
Было больно, но не так, как было ДО!До было гораздо больнее!Или, скажем так, это была уже другая боль.Ведь помимо одной раны у меня появились ещё 2 — от сфинктеротомии.
Место операции болело, будто синяк или растяжение.Было больно сидеть, и ещё больнее вставать.
На 14 день после операции боль стала отступать, а на компрессах было уже меньше сукровицы, но каждый раз, когда я в латексных перчатках наносила мазь, мне хотелось рыдать, потому что я чувствовала раны от сфинктеротомии, которые были снаружи.
Сейчас прошел месяц после операции.Я по-прежнему использую компрессы, постоянно тщательно моюсь в душе, не занимаюсь спортом и не поднимаю тяжёлое.Сидение уже не доставляет никакого дискомфорта.
Все ещё идёт реабилитация, но я нисколько не жалею, что избавилась от анальной трещины посредством операции!
Передо мной не стояло выбора — делать, или не делать, потому что мне было очень плохо, так что я готова была на все, в том числе на операцию!
Надеюсь, что мой отзыв подбодрит кого-то, кому только предстоит пройти этот путь.
Мой главный совет — не затягивайте с походом к проктологу! Не стесняйтесь говорить о своих проблемах .Чем раньше вы обратитесь к врачу, тем более короткой будет путь вашей реабилитации.
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