Анальная трещина может появиться после родов, при наличии геморроя, длительном запоре, повреждении анального канала механическим путем или посредством занятия нетрадиционным сексом.
Мазь от трещин в заднем проходе помогает восстановить поврежденные ткани, оказывая обезболивающий, обеззараживающий, регенерирующий и противозудный эффект.
Помимо этого, лечение анальной трещины подразумевает соблюдение рекомендованной диеты и образа жизни. Если выполнять все назначения врача, то выздоровление наступает в течение 10 дней. При запущенной форме может потребоваться оперативное вмешательство.
Общие сведения об анальной трещине
Для патологии характерно состояние, когда надрывается слизистая оболочка прямой кишки, при этом аномальная зона имеет щелевидную продолговатую форму.
Основные причины появления трещины: хронический запор, твердые каловые массы, механическое повреждение, травмы при родах, недостаток гигиены, воспаление в данной области.
Патология проявляет себя наличием боли, зуда, дискомфорта. Может присутствовать кровь в каловых массах или на нижнем белье.
Роль мази в лечении
Чтобы заживление тканей происходило быстрее, при диагностированной патологии проктолог рекомендует:
- Изменение образа жизни, увеличение активности.
- Ликвидацию запоров.
- Устранение неблагоприятных факторов, например, жесткой туалетной бумаги.
- Соблюдение интимной гигиены.
- Отказ от анального секса.
- Применение различных свечей, мазей, ванночек.
Мазь для лечения трещины помогает оказать противовоспалительное, обезболивающее, регенерирующее, подсушивающее действие.
Разнообразие мазей от трещин
Большинство применяемых препаратов оказывает комплексное воздействие на проблему. Тем не менее могут быть мази обезболивающие, противовоспалительные, противоаллергические, заживляющие, снимающие зуд.
Очень часто такие препараты можно использовать для лечения геморроя. Подобные средства будут эффективны при трещине заднего прохода, образовавшейся в результате длительного запора или из-за твердого сухого стула.
Большинство таких мазей разрешено даже при беременности и кормлении, что делает их достаточно популярными.
Если необходимо выбрать препарат, имеющий противовоспалительный и антибактериальный эффект, то лучше взять средство на масляной основе. Оно глубоко проникает в ткани и быстро достигает даже глубоких повреждений.
Лекарства на основе натуральных компонентов подойдут аллергикам, так как не вызывают негативных реакций. Следует помнить, что какие препараты лечат лишь трещины, образовавшиеся на наружной части анального отверстия.
Правила выбора мази
При покупке препарата необходимо обратить внимание на следующие показатели:
- Основа предпочтительна жирная.
- Препарат не должен вызывать раздражения слизистого слоя и кожных покровов.
- Лекарство обязано оказывать противовоспалительное и регенерирующее действие.
- Мазь должна хорошо всасываться, иметь длительный срок хранения.
В идеале препарат подбирает врач проктолог по результатам предварительных обследований. Он помогает найти наиболее эффективную мазь для заживления трещин, которая будет способствовать устранению зуда и при необходимости оказывать антибактериальный эффект и снимать спазм сфинктера.
Способ применения
Очень важно перед тем, как начинать применение лекарства, провести очистительные процедуры в кишке и распарить болезненное место с помощью травяной ванночки.
Прежде чем мазать средство непосредственно на очаг, необходимо небольшое его количество опробовать на локтевом сгибе. Если в течение нескольких часов не возникает аллергической реакции, то препарат можно использовать.
Трещину покрывают мазью тонким слоем, не втирая. Некоторые тюбики содержат специальные наконечники чтобы вводить мазь непосредственно в анальное отверстие на глубину до одного сантиметра. Это нужно при расположении трещины внутри канала.
Длительность использования лекарства зависит от степени осложнения болезни, выбранного препарата, индивидуальной регенерации тканей, соблюдения рекомендаций врача. В основном для полного выздоровления требуется неделя, иногда две.
Противопоказания и побочные действия мазей
Выбирая средства, следует обратить внимание на аннотацию к препарату. Некоторые лекарства противопоказаны при беременности или кормлении. Кроме этого, не стоит использовать мазь, если имеется:
- Аллергия или непереносимость компонентов мази.
- Болезни кожного покрова, например, грибковые или вирусные либо бактериальное поражение.
- Детский возраст пациента. Малышам назначают отдельные препараты.
- Открытая рана, язвы или омертвевшие участки кожи.
Обычно мази, применяемые на ранних стадиях трещины, хорошо переносятся пациентами. Но могут возникать следующие побочные эффекты:
- Раздражения, покраснения в зоне намазывания или аллергические реакции.
- Зуд и жжение.
- Головокружение и головная боль.
- Нестабильность артериального давления, в частности, его снижение.
Лечение трещины у ребенка
Дети довольно сложно переносят различные болезненные ощущения. Поэтому при выборе средства для лечения малыша необходимо позаботиться о том, чтобы оно полностью убирало все симптоматические неудобства, это может быть зуд, жжение, боль.
Помимо этого, препарат должен быть достаточно безопасным, обладать мягкой текстурой, не причинять дискомфорта малышу.
В основном в детской практике применяют мазь от анальных трещин Левомеколь, Вишневского, Безорнил, Солкосерил, Бепантен.
Хорошо себя зарекомендовала Нитроглицериновая мазь, которая помогает устранить спазм, расширить кровеносные сосуды в малом тазу, снять боль, обеспечить регенерацию тканей.
Малышам рекомендуют ежедневно делать травяные ванночки в качестве вспомогательного лечения трещины. Они действуют как антисептик, помогают снять боль и воспаление. Их можно приготовить из крапивы, череды, мяты, коры дуба.
Нередко врачи могут назначать для детей и суппозитории вместе с применением мази.
Лечение у взрослых
В зависимости от присутствующей симптоматики, степени заболевания и результатов обследования врач назначает соответствующую мазь.
У взрослых это может быть:
Левомеколь. Он имеет антибактериальный, восстанавливающий, заживляющий и противовоспалительный эффект. Мазь часто применяют для лечения геморроя. Наносят 1 раз в сутки.
- Солкосерил. Препарат дает противовоспалительный и регенерирующий эффект, восстанавливает обменные процессы, уменьшает воспаление. Можно наносить его при беременности.
- Гепариновая мазь. Способствует регенерации тканей, рассасыванию гематом, снятию воспаления. Используют на тампоне. Минусом является ограниченность круга лиц, которым можно пользоваться данным средством. Оно запрещено при плохой свертываемости крови, тромбопении, при наличии язв или некротических очагов.
- Мазь Вишневского. Довольно эффективное и дешевое средство. Снимает воспаление и отечность, заживляет. Средство можно использовать при беременности, в основном его вводят посредством тампонов.
Релиф. Действует как регулятор кровообращения, заживляет и снимает воспаление. В упаковке имеется специальный аппликатор.
- Метилурациловая мазь. Обеспечивает быструю регенерацию тканей, устранение воспалительного процесса, повышение иммунитета. Применяют ее на тампонах.
- Крем Троксевазин. Часто используется для лечения геморроя, различных ран и синяков. Средство предотвращает процесс тромбообразования, уменьшает отечность, быстро заживляет ткани. Когда прямая кишка имеет трещину, препарат применяют для аппликаций. Выдавив на ватный тампон, его прикладывают к очагу патологии. Лекарство можно совмещать с другими препаратами.
- Мазь Флеминга. Относится к натуральным средствам, разрешена при беременности, в период кормления, у детей, но ее эффект заметен лишь при начальной стадии болезни.
- Ихтиоловая мазь. Уменьшает боль, воспаление, обладает антисептическим эффектом.
Лечение хронической трещины
Если патология сохраняются более 2 месяцев, это говорит о затяжном процессе. Хроническая трещина не лечится обычными мазями, для этого необходимо использовать специальные, усиленные средства:
- Ауробин. Снимает воспаление, убирает боль, борется с микробами. Наносить средство можно на специальной тампон либо непосредственно в анус.
- Проктозан. Подсушивает образовавшиеся очаги. Применяют средство несколько раз в сутки после полного опорожнения кишечника.
- Нитроглицериновая мазь. Помогает убрать воспаление и запускает процесс регенерации тканей. Препарат для полного эффекта необходимо применять длительное время, около месяца.
Анальная трещина приносит много неудобств своему обладателю. При появлении первых признаков патологии необходимо обращаться за помощью к проктологу, тогда болезнь еще можно будет вылечить консервативным путем.
При отсутствии должной терапии недуг приобретает хронический характер и уже не поддается воздействию мазей. Единственным методом лечения в этом случае будет хирургическое вмешательство — иссечение трещины.
Мазь от анальных трещин характеризуется тем, что проникает достаточно глубоко, для того чтобы за довольно короткое время устранить симптоматику и нормализовать состояние пациента. Более того, такая форма выпуска лекарств будет просто незаменимой в тех случаях, когда разрыв слизистой сформировался на наружной стороне ректального прохода.
Стоит отметить, что лучше всего применять мазь или крем, как только появился дефект слизистой анального отверстия. Однако это вовсе не означает, что препараты будут неэффективными при длительном течении патологии. В таких случаях, для достижения большего терапевтического эффекта, потребуется введение ректальных суппозиториев и/или применение таблетированных препаратов.
Кремовые и мазевые формы лекарств должны соответствовать таким требованиям:
- быть достаточно жирными, что улучшит впитывание полезных компонентов;
- не вызывать дискомфортных ощущений;
- применяться не более десяти дней и наноситься трижды в сутки или после каждого опорожнения кишечника.
Мази при анальных трещинах оказывают локальное воздействие на поражённую поверхность слизистого слоя, отчего их правильное применение способствует:
- купированию болевого синдрома;
- ликвидации воспалительного процесса;
- устранению зуда и дискомфорта в зоне анального прохода;
- регенерации повреждённых тканей;
- стимуляции роста новых клеток;
- антисептическому эффекту, который предупреждает присоединение бактериальных инфекций;
- нейтрализации спазмов анального сфинктера.
Помимо местного воздействия и обеспечения быстрого выздоровления, такие препараты обладают следующими положительными качествами:
- приятная консистенция;
- простота нанесения;
- отсутствие растекания;
- минимальное количество ограничений. Сюда можно отнести лишь непереносимость активных компонентов и развитие аллергической реакции.
«Солкосерил»
Одной из самых эффективных и популярных мазей для лечения анальных трещин является «Солкосерил». Такое лекарство проявляет широкий спектр терапевтических эффектов, среди которых:
- способствование регенерации тканей поражённого участка;
- заживляющий эффект;
- образование защитной плёнки;
- укрепление и стимуляция роста сосудов;
- улучшение обменных процессов.
Лекарство выпускается в форме мази или геля. Мазать проблемную область нужно дважды в сутки. Продолжительность применения индивидуальная, поскольку рекомендуется наносить лекарство до полного исчезновения признаков анальной трещины.
Преимуществом является то, что мазь не запрещена представительницам женского пола в период беременности и грудного вскармливания, а также то, что лекарство не имеет противопоказаний и побочных эффектов.
«Ультрапрокт»
Эффективной мазью от анальной трещины считается «Ультрапрокт». Препарат состоит из противовоспалительного и анальгезирующего вещества, что влечёт за собой обеспечение быстрого и продолжительного терапевтического эффекта.
Среди лекарственных свойств стоит выделить:
- купирование воспалительного процесса;
- обволакивающее действие;
- ликвидация сильного зуда в области анального отверстия;
- снижение интенсивности проявления болевых ощущений.
Лечение может продолжаться не более четырнадцати дней. Использовать вещество нужно дважды в сутки. Однако стоит отметить одну особенность – очень важно, чтобы в первый день терапии процедура повторялась четыре раза.
«Постеризан Форте»
Хорошо лечит анальные трещины мазь «Постеризан Форте», изготовленная на основе вазелина с добавлением:
- обезвреженной кишечной палочки;
- гидрокортизона.
Первое активное вещество способствует:
- укреплению местного иммунитета;
- формированию защитной плёнки вокруг раны.
Второй компонент направлен на снижение проявления признаков воспалительного процесса, а также он принимает участие в регенерации тканей слизистой оболочки прямой кишки.
Наносить средство на анальную трещину нужно три раза в день, на протяжении трёхнедельного срока. Продлить терапевтический курс может только лечащий врач.
«Проктозан»
Препарат «Проктозан» имеет большое количество показаний к применению, среди которых присутствуют анальные трещины. Широкий спектр воздействия обуславливается тем, что в состав такого средства входят:
- титана диоксид;
- висмута субгаллат;
- лидокаин;
- буфексамак.
Из этого следует, что положительными качествами медикамента выступают:
- нейтрализация болевого синдрома;
- противовоспалительный, подсушивающий и вяжущий эффект;
- быстрое заживление трещин.
Мазь можно не только наносить на проблемный участок анальной области, но также при помощи специального аппликатора вводить непосредственно в прямую кишку. Осуществлять процедуры стоит два раза в день, но не более десяти.
Стоит отметить, что противопоказаниями к применению являются период беременности, время грудного вскармливания и детский возраст пациента.
«Синтомициновая мазь»
Для заживления анальных трещин используется «Синтомициновая мазь», которая имеет ярко выраженный противовоспалительный эффект. Рекомендуется пользоваться лекарством сразу же после появления первых симптомов недуга.
Существует несколько ограничений касательно возможности применения подобного препарата:
- период вынашивания ребёнка;
- грудное кормление младенца;
- нарушение процесса свёртываемости крови;
- детский возраст больного;
- непереносимость активного вещества;
- наличие экзем и грибковых поражений кожного покрова.
Отличительной чертой мази является то, что она имеет большое количество побочных эффектов.
«Нитроглицериновая мазь»
Лучшим современным средством для избавления от анальной трещины по праву считается «Нитроглицериновая мазь». Это обуславливается тем, что она:
- благоприятно влияет на кровеносные сосуды, а именно расширяет их, что приводит к улучшению местного кровообращения;
- расслабляет анальный сфинктер;
- облегчает процесс дефекации;
- влияет на ускорение процесса заживления.
В отличие от других медикаментов, предназначенных для борьбы с подобным недугом, пользоваться мазью нужно не менее одного месяца, а для достижения полного терапевтического эффекта нужно мазать не только кожный покров вокруг анального отверстия, но и вводить вещество в прямую кишку.
Другие лекарства
Выше были указаны наиболее распространённые лекарственные вещества, однако существует группа медикаментов, получившая ещё не столь широкую известность среди пациентов с подобным диагнозом. Однако это вовсе не означает, что они не помогают избавиться от анальных трещин.
Комбинированное средство антибактериального характера «Левомеколь» стимулирует заживление поражённых зон кожного покрова, а также оказывает:
- противовоспалительное свойство;
- противомикробный эффект.
Такие положительные качества объясняются тем, что «Левомеколь» содержит в себе метилурацил и хлорамфеникол.
Медикамент используется дважды в сутки, а курс лечения составляет десять дней.
Среди других препаратов стоит выделить:
- «Мазь Вишневского» при анальных трещинах вполне можно использовать в качестве ранозаживляющего средства, которое также оказывает бактерицидное, восстановительное, вяжущее и подсушивающее свойство;
- «Ауробин» — характеризуется тем, что среди его положительных эффектов присутствуют регенерация тканей, снижение проявления болезненности и воспалительного процесса;
- «Гепариновая мазь» — способствует заживлению, уменьшению болезненных процессов и оказывает местный обезболивающий эффект;
- «Ихтиоловая мазь» — направлена на снижение болевого синдрома и предупреждение присоединения вторичной инфекции;
- «Цинковая мазь» — обладает ярко выраженным антисептическим свойством.
Среди эффективных препаратов, используемых в лечении анальных трещин у детей, необходимо отметить:
Для того чтобы быстро избавиться от такой деликатной проблемы можно одновременно с мазями использовать ректальные суппозитории и пить таблетки, назначенные лечащим врачом. Только клиницист сможет определить, какая мазь или крем будет наиболее эффективной для того или иного пациента. Кроме этого, стоит отметить, что положительное действие от медикаментов не наступит, если больной не будет придерживаться специально составленной диеты, или будет игнорировать рекомендации клинициста относительно отказа от вредных привычек.
Для начала поговорим о том, что же собой представляет трещина заднего прохода, или анальная трещина. Это ни что иное, как продольный щелевидный надрыв слизистой оболочки наружной части анального канала, нередко переходящий и на кожную его часть.
Наиболее частой причиной их возникновения являются хронические запоры с последующей травматизацией слизистой прямой кишки твердыми каловыми массами.
Помимо этого, провоцирующим фактором могут служить механические травмы этой деликатной области, родовые травмы, различные заболевания кишечника, в частности болезнь Крона, тяжелая физическая работа.
Выделяют две формы заболевания – острую и хроническую анальную трещину, имеющие различные провоцирующие факторы и клинику.
Чем проявляет себя трещина заднего прохода и как её распознать?
Основным признаком является наличие болевых ощущений жгучего, режущего, колющего характера, причем их интенсивность находится в прямой зависимости от глубины самой трещины.
Присоединяется зуд в анальной области, человек становится беспокойным, старается реже ходить в туалет, чтобы не провоцировать неприятные ощущения. Вследствие этого нарастают запоры, кал уплотняется и во время акта дефекации еще больше травмирует поврежденную слизистую – возникает порочный круг.
Еще одним немаловажным признаком анальной трещины является появление кровянистых выделений, не смешанных с калом. Как правило, они необильны и не вызывают анемизацию больного.
Из всего вышеизложенного следует, что возникновение трещин заднего прохода способно существенно снизить качество жизни человека, особенно трудоспособного возраста, а значит, лечение должно быть безотлагательным и комплексным.
В большинстве своем лечение базируется на диетотерапии, коррекции стула, снятии болевых ощущений и создания благоприятных условий для заживления самой трещины.
В таких случаях на помощь приходят лекарственных средства в жидкой форме – кремы и мази от анальных трещин.
Крема и мази при анальных трещинах. Обзор распространенных препаратов
Все кремовые и мазевые формы лекарственных средств от анальных трещин должны отвечать следующим требованиям:
- быть достаточно жирными;
- не провоцировать неприятные ощущения в заднепроходной зоне;
- уменьшать воспаление и болевые ощущения в этой области и способствовать репарации поврежденной слизистой толстой кишки;
- применяться они должны около 8-10 дней, в зависимости от тяжести процесса, и наноситься 2-3 раза в день после опорожнения кишечника на чистую поверхность.
Солкосерил
Способствует регенерации и заживлению трещин. Выпускается в форме геля и мази. Солкосерил гель запускает процессы образования грануляционной ткани, не содержит в своем составе жиров, а потому легко смывается водой. С момента подсыхания трещины рекомендуется начать применение мазевой формы препарата, содержащей в своем составе жиры, которые участвуют в образовании защитной пленки на поверхности ранки.
Ауробин
Мазь для лечения анальных трещин. Помимо регенеративных, обладает антисептическими, анальгезирующими (уменьшает болевые ощущения), противовоспалительными свойствами. Может также с успехом применяться и при геморрое. Не рекомендуется частое нанесение, особенно на обширные поверхности.
Ультрапрокт
Эффективный крем от анальных трещин для лечения геморроя и анальных трещин. Имеет в своем составе противовоспалительный и анальгезирующий компоненты, которые способствуют быстрому и продолжительному эффекту. Помимо всего прочего снимает зуд в области заднего прохода. Противопоказан в первом триместре беременности.
Постеризан форте
Мазь от анальных трещин на вазелиновой основе с входящей в состав инактивированной культурой кишечной палочки и гидрокортизоном. Первая способствует повышению местного иммунитета и образованию тонкой защитной пленки на поверхности раны, а гидрокортизон снижает воспалительные процессы, способствуя регенерации тканей.
Применять мазь при анальных трещинах следует 2-3 раза в день на протяжении не более трех недель.
Проктозан
Выпускается не только в виде ректальных мазей, но и в виде суппозиториев (ректальных свечей). Показаниями к его применению помимо трещин заднего прохода могут быть геморрой, проктиты, свищи заднего прохода и зуд в данной области.
Вводится в прямую кишку 1-2 раза в сутки посредством удлиненного наконечника или же наносится на пораженный участок анальной области. Рекомендуемый срок применения – 8-10 дней.
Нитроглицериновая мазь от анальной трещины
Это одно из современных и эффективных средств для лечения анальной трещины. Её эффект связан с расслабляющим влиянием на анальный сфинктер. Это, в свою очередь, способствует улучшению притока крови к нижним отделам прямой кишки, и, в частности, к самим трещинам, стимулируя процессы заживления поврежденных тканей.
Также с расслаблением мышц анального сфинктера связан и анальгезирующий эффект мази. Наносится нитроглицериновая мазь от двух до четырех раз в сутки, курсом до одного месяца.
Необходимо не только местно обрабатывать аноректальную зону, но и вводить с помощью ватной палочки препарат в прямую кишку, именно таким образом достигается максимальный эффект от препарата.
Мазь Вишневского
Мазь Вишневского при анальной трещине вполне можно использовать в качестве ранозаживляющего средства. Состав препарата обладает бактерицидным, подсушивающим, вяжущим эффектами. Раздражающее воздействие на кожу приводит к увеличению кровообращения в ней. Все это приводит к быстрой репарации (заживлению) трещины заднего прохода.
Мазь Левомеколь
Мазь Левомеколь при анальных трещинах назначается оправдано, так по содержанию своему является антибактериальным препаратом, стимулирующий заживление поврежденных кожных покровов.
Ихтиоловая мазь
Ихтиоловая мазь при анальных трещинах применяется с целью снижения болевого синдрома, воспаления, а также для профилактики присоединения вторичной инфекции, так как обладает антисептическим, обезболивающим и противовоспалительным эффектами.
В заключении повторим, что лечение анальных трещин должно быть комплексным, с обязательным включением диеты, рационального применения физических нагрузок и правильным назначением лекарственных препаратов, которые может прописать только грамотный специалист.
Для полного избавления от трещины заднего прохода поможет только комплексный подход к проблеме и пред использованием любого средства лучше проконсультироваться со специалистом. Будьте внимательны к себе и своему здоровью!
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