Беременность – волнительный и ответственный период в жизни женщины, которая готовится стать мамой. Повышенные нагрузки в это время оказывают влияние на работу всех органов. Особенно страдают сосуды.
Застой крови в венах прямой кишки приводит к геморрою. Нарушается приток кислорода к стенкам сосудов. На них образуются эрозии и мелкие язвы. Во время опорожнения на каловых массах появляется кровь. При прогрессирующем развитии заболевания геморроидальные узлы во время беременности выпадают за пределы анального отверстия и образуют болезненные шишки.
Причины появления геморроя
Чтобы предотвратить развитие геморроя у будущих мам, необходимо разобраться в причинах его появления.
Факторы, которые могут спровоцировать заболевание:
- Запоры. Хроническая форма приводит к чрезмерному растяжению стенок прямой кишки во время дефекации.
Приём гормональных противозачаточных средств. Длительное применение до беременности приводит к ухудшению эластичности стенок сосудов.- Малоподвижный образ жизни. Отсутствие достаточной динамики вызывает застой крови в органах малого таза, как следствие – увеличение геморроидальных вен.
- Гормональный сбой. Концентрация прогестерона влияет на тонус мускулатуры стенок кишечника и вызывает проблемы со стулом;
- Давление в брюшной полости. Физиологическое расположение плода с увеличением сроков и массы создаёт дополнительную нагрузку на органы.
- Лишние килограммы. Дополнительный вес нарушает обменные процессы в организме, снижает перистальтику кишечника и приводит к запорам.
Приём гормональных противозачаточных средств. Длительное применение до беременности приводит к ухудшению эластичности стенок сосудов.Беременным пациенткам не стоит откладывать лечение на послеродовой период. Существуют современные лекарственные препараты, которые не навредят ребёнку.
При наличии неблагоприятных факторов развитие геморроя носит стремительный характер. Важно приступить к лечению как можно быстрее, при появлении первых симптомов.
Методы лечения
Самостоятельно решать, чем лечить наружный геморрой при беременности, медики не рекомендуют. Лечение должно проводиться под контролем квалифицированного специалиста. Препараты и схему лечения выбирают индивидуально для каждой пациентки в зависимости от сложности заболевания и переносимости препаратов.
Мази и кремы
При беременности мази при наружном геморрое стараются выбрать с минимальными побочными действиями. Наносятся на тампон и прикладываются к воспалённым узлам или вводятся в задний проход с помощью специального аппликатора. Быстрое облегчение приносят «Релиф», «Проктозан», крем «Календула».
Ректальные свечи
С положительной стороны при решении вопроса, чем лечить внешний геморрой во время беременности, зарекомендовали себя ректальные свечи.
- «Настальсид». Обладают быстрым заживляющим эффектом, останавливают кровотечения, ослабляют перистальтику, нормализуют стул. Стимулируют выработку иммунитета кишечника, повышают защитный барьер. Изготовленный на основе растительных компонентов, этот препарат безопасно применять на любом сроке беременности. Мягкое природное действие препарата в короткие сроки избавляет от болезненных симптомов, снимает раздражение и облегчает опорожнение кишечника.
- «Релиф». Основной компонент — масло печени акулы. При применении смягчает, сужает сосуды, уменьшает отёчность, снимает воспаление, заживляет трещины. Имеет ограничения. Беременным с повышенным давлением и нарушениями со стороны сердца и сосудов препарат назначать нельзя.
- «Нео-анузол». Оказывает спазмолитическое, антисептическое действие. Подсушивает и снимает зуд при выпадении геморроидальных узлов при беременности.
- Свечи с облепихой. Заживляют ткани на месте выпадения узлов.
- Глицериновые свечи. Вызывают слабительный эффект при запорах. Нельзя применять в первом триместре беременности. Стимулирующее действие препарата на матку может спровоцировать выкидыш. Использовать глицериновые свечи при беременности на поздних сроках при геморрое для очищения кишечника рекомендуется в исключительном случае.
«Релиф». Основной компонент — масло печени акулы. При применении смягчает, сужает сосуды, уменьшает отёчность, снимает воспаление, заживляет трещины. Имеет ограничения. Беременным с повышенным давлением и нарушениями со стороны сердца и сосудов препарат назначать нельзя.Применение народных средств
Как лечить наружный геморрой при беременности подскажут секреты народной медицины. Особенно результативным будет лечение, начатое на ранней стадии, когда появились первые признаки недомогания.
- Свечи из сырого картофеля. Поместить на ночь в задний проход для снятия боли.
- Облепиховое масло. Давно известное эффективное средство при лечении тромбоза геморроидальных узлов при беременности. Сок облепихи абсолютно безопасен, содержит множество витаминов, быстро заживляет раны и воспаления.
- Мёд. Природный антисептик. Мазь, приготовленную на основе мёда и облепихового масла, наносят на тампон и прикладывают на ночь к узлам.
- Зверобой. Принимают отвар зверобоя по схеме: столовая ложка каждые три – четыре часа. На стакан кипятка – две чайные ложки травы, настаивать 1 час.
- Рябина. Сок из свежих ягод выпивать три раза в день по полстакана.
- Травяные ванночки. Отвар готовят из смеси ромашки, крапивы, календулы, тысячелистника, шалфея.
Мёд. Природный антисептик. Мазь, приготовленную на основе мёда и облепихового масла, наносят на тампон и прикладывают на ночь к узлам.Сбалансированное питание
С первыми проявлениями геморроя на ранних стадиях поможет справиться специально подобранный курс питания в сочетании с физическими упражнениями и процедурами.
В меню должны быть включены продукты, которые не вызывают запоров, способствуют регулярному и мягкому стулу. Пищу принимать небольшими порциями, разделить на 5 – 6 приёмов в день.
Перечень продуктов для ежедневного употребления:
- Кисломолочные продукты, содержащие бифидобактерии: йогурты, простокваша, кефир.
- Чернослив, курага.
- Свёкла, морковь, капуста.
- Яблоки, сливы, гранат, хурма.
- Пшеничные отруби, ржаной хлеб.
- Чистая вода — до двух литров в день.
Отказаться следует от жирной, острой, жареной пищи и мучных изделий.
Необходимость лечения
Отказываясь от лечения, следует помнить, что осложнения этого состояния приведут к более серьёзным последствиям. Возникает риск перехода болезни в стадию хронической.
Внимание! Без лечения геморрой может перейти в состояние раковой опухоли!
Последствия отказа от лечения внешнего геморроя при беременности:
- Самочувствие. Развитие геморроя, особенно его острой стадии, приводит к ухудшению общего состояния. Будущая мама постоянно ощущает дискомфорт, вздутие живота, болевые ощущения при дефекации. Состояние, при котором нет возможности нормально сходить в туалет, вызывает эмоциональное расстройство и негативно сказывается на развитии плода.
- Риск развития инфекции. Поражённые участки создают благоприятную среду для проникновения патогенных и болезнетворных микроорганизмов. Ситуация осложняется в случае запущенного состояния, когда при беременности выпал геморроидальный узел. Любая инфекция опасна для ребёнка. Проникнув в кровь, может вызвать отклонения внутриутробного развития.
- Анемия. Запущенные стадии геморроя с постоянными болезненными кровотечениями приводят к снижению гемоглобина в крови матери. Последствием такого состояния станет гипоксия плода. Кислородное голодание угрожает здоровью и жизни ещё не родившегося малыша.
Риск развития инфекции. Поражённые участки создают благоприятную среду для проникновения патогенных и болезнетворных микроорганизмов. Ситуация осложняется в случае запущенного состояния, когда при беременности выпал геморроидальный узел. Любая инфекция опасна для ребёнка. Проникнув в кровь, может вызвать отклонения внутриутробного развития.Заключение
По статистике беременные женщины попадают в зону риска такого неприятного заболевания, как геморрой. Важно начать лечение на ранней стадии. Не откладывать поход к специалисту при первых проявлениях дискомфорта.
Чтобы не нарушить нормальное течение беременности, не следует назначать препараты самостоятельно. При появлении неприятных ощущений – сыпи, зуда или жжения – прекратить приём и сообщить об этом лечащему врачу.
Тромбоз геморроидального узла при беременности проявляется у многих пациенток. Этот недуг является последствием геморроя. Эта проблема проявляется вздутием живота, чувством неполного опорожнения кишечника, дискомфортом в нижней части живота.
Это осложнение считается самым опасным, а потому лечение должно оказываться как можно быстрее. Геморроидальные узлы проявляются в виде резко болезненных уплотнений. Как правило, вокруг них всегда проявляется отечность, покраснение, воспалительный процесс. В некоторых случаях узлы могут выпадать и ущемляться. Если пациент наблюдает подобные проблемы, надо сразу же обращаться за помощью к врачу.
Диета и другие лечебные меры
Геморрой продолжает беспокоить женщину даже спустя несколько месяцев после родов. Как правило, по мере отдаления от даты родов недуг начинает проходить.
Пациенты должны лечить проблему комплексно. На начальном этапе надо определить текущую диету. Главная цель — регуляция своевременного опорожнения кишечника. Только так можно добиться существенных успехов. Для улучшения состояния надо есть продукты, в основу которых входит большое количество растительной клетчатки. Кроме того, следует вводить продукты, имеющие послабляющее действие: отруби, фрукты и овощи. Незаменимыми станут молочнокислые продукты, орехи, каши.
При запорах надо почаще есть сухофрукты. Не рекомендовано употребление макарон, крепкого чая, хлебобулочных изделий. Важная роль отводится правилам гигиены. Лучше использовать не простую туалетную бумагу, а специальную, которую можно купить в аптеке. Если у пациентки выпадают узлы, можно использовать специальные сидячие ванночки на основе марганцовки и ромашки. Продолжительность процедуры варьируется от 10 до 15 минут.
Нельзя забывать о специальной профилактической гимнастике. С ней также не следует перебарщивать, достаточно 2-3 сессий в день по 10-15 минут.
Напрягая ягодичные мышцы и задний проход, надо постараться втянуть его внутрь. Такое упражнение можно делать где угодно. Приняв лежачее положение, надо периодически опускать и поднимать тазовый конец, опираться надо на ступни и плечевой пояс. Если все делать правильно, можно добиться существенных успехов. При острой форме категорически запрещаются такие нагрузки.
Если на протяжении длительного периода боли и дискомфорт не прекращаются, можно использовать специальные кремы и свечи.
Лечение тромбоза геморроидального узла при беременности должно полностью определяться лечащим врачом, поскольку ряд препаратов противопоказан при беременности и в период лактации.
Сначала надо полностью избавиться от запоров. Если правильная диета не смогла справиться с проблемой, то можно использовать свечи с глицерином. Иногда можно применять специальное средство — Дюфалак. Представленные препараты можно использовать независимо от срока беременности и лактации.
Для быстрого снятия боли можно применить препараты с анестетиком. Как правило, в их состав входит лидокаин. На втором триместре беременности можно применять Гепатромбин Г, как в виде свечей, так и крема. Это средство не противопоказано и во время грудного вскармливания.
Как следует лечиться?
Гепатромбин Г помогает снять отечность и воспаление, предотвращает развитие острого геморроя и появление тромбов. Курс лечения варьируется в пределах от 1 до 2 недель. Детралекс в форме таблеток назначают для улучшения стенок сосудов и нормализации внутренней микроциркуляции. Этот препарат можно пить не раньше 3 триместра. В период лактации его лучше не использовать, поскольку не проводились клинические исследования.
Острая форма должна подвергаться антибиотической терапии. Если консервативное лечение не дает никаких результатов, придется прибегнуть к оперативному вмешательству. Тактика устранения проблемы детально оговаривается с хирургом или проктологом. Беременным женщинам делают операцию только в крайнем случае. Главная задача врачей — снятие острой симптоматики.
Хирургия применяется в случае длительного кровотечения, которое вызывает анемию. Операцию лучше проводить на самых ранних сроках, используются самые щадящие методики. Экстренная госпитализация показана только в случае сильного кровотечения, ущемления или тромбоза узлов.
К основным направлениям следует отнести такие, как:
- Геморроидэктомия (удаление узлов с наложением швов).
- Склеротерапия (склеивание узлов при помощи специального аппарата).
- Лигирование (устье узла защемляется специальным кольцом).
- Инфракрасная фотокоагуляция (используется высокая температура, воздействующая на саму проблему).
При обнаружении первичной симптоматики надо сразу же обращаться за помощью к лечащему врачу. Чем раньше начнется комплексное лечение, тем больше шансов будет на быстрое выздоровление. Если все сделать правильно, то через несколько месяцев после родов можно полностью забыть об этом недуге. Комплекс профилактических мероприятий поможет предотвратить недуг на этапе развития. Самостоятельное лечение и самодиагностика чревата проблемами, об этом надо помнить.
Лечение тромбоза геморроидального узла при беременности
Тромбоз – осложнение хронического геморроя, которое переводит его в острую фазу.
Тромбоз наружного геморроидального узла при беременности является самым частым осложнением.
Самолечение редко дает положительные результаты, а со столь деликатной проблемой беременные женщины стесняются обращаться к врачу, чем и обуславливают затягивание заболевания.
Причины, способствующие развитию тромбоза геморроидального узла:
- Неправильный образ питания (перекусы на ходу в сухомятку, низкое содержание в пищи грубой клетчатки, недостаток в рационе питания овощей и фруктов);
- Малоподвижный образ жизни, а в большей степени сидячая работа. Длительное сидение вызывает застой в области малого таза, в том числе и геморроидальных сплетений, что и обуславливает развитие тромбоза;
- Наследственная предрасположенность. У лиц с врожденной слабость соединительной ткани гораздо чаще возникает геморрой;
- Склонность к запорам. Постоянное повышение внутрибрюшного давления при попытке акта дефекации приводит к выпадению геморроидальных узлов;
- Чрезмерная физическая активность и поднятие тяжелых предметов.
Симптомы и признаки геморроя
Симптомы тромбоза геморроидальных узлов можно разделить на ранние и поздние.
К ранним признакам относятся:
- Жжение и нестерпимый зуд в области анального отверстия;
- Прозрачное или сукровичное выделение из прямой кишки;
- Болезненные ощущения во время дефекации.
- Появление алой крови после дефекации;
- Нестерпимая боль в области заднего прохода;
- Отечность и цианоз промежности;
Геморроидальный тромбоз при беременности
Стадии развития тромбоза
В клинической картине прогрессирования заболевания выделяют три степени тромбоза геморроидальных узлов:
- 1 степень. Отмечается в самом начале заболевания. Характеризуется выпадением узлом малого размера. Они отечны и болезненны. Кровянистые выделения наблюдаются редко, чаще отмечается прозрачный воспалительный экссудат или сукровица. Характерны жжение и зуд.
- 2 степень. При отсутствии своевременного лечения тромбоз узлов переходит в следующую стадию. Выпавшие геморроидальные сплетения увеличиваются в размерах, приобретают синюшную окраску. После акта дефекации на бумаге пациентки отмечают кровянистые выделения ярко-алого цвета. Наблюдается отек ануса, бол и жжение.
- 3 степень. Самая запущенная форма тромбоза прямокишечных сплетений. Цианотичный оттенок наблюдается не только на выпавших геморроидальных узлах, но и на всей промежности. Пациентки с трудом сидят и испытывают боль постоянно. Кровотечение может открываться независимо от акта дефекации.
Виды тромбоза геморроидальных узлов:
В чем опасность?
Тромбированный геморроидальный узел является постоянной угрозой открытия профузного кровотечения, особенно при позднй диагностике.
Если беременная женщина потеряет много крови, может развиться острая гипоксия плода.
Подобное состояние может оказать серьезное воздействие на развитие нервной системы будущего ребенка, а в некоторых случаях привести к его гибели.
Лечение тромбоза геморроидального узла при беременности
Тромбоз наружного геморроидального узла можно вылечить при беременности. Начиная лечение, каждая пациентка задается вопросом: «Как быстро пройдет тромбоз геморроидального узла?».
Ответ зависит от выбранной тактики лечения. Существует несколько методик, которые позволяют бороться с тромбозом геморроидального узла во время беременности, а именно:
- Консервативный традиционный;
- Консервативный нетрадиционный – народными средствами;
- Хирургический;
Тактику лечения необходимо определять вместе с врачом проктологом. Заниматься самолечением опасно не только для своего состояния, но и для здоровья будущего малыша.
Лечение традиционными способами
Для начала стоит посоветовать будущей маме придерживаться определенной диеты, которая позволить размягчить стул. Для этого в режиме питания должны присутствовать:
Прием препаратов внутрь значительно ограничен интересным положение женщины, однако выбор мазей для наружного применения, а так же ректальных свечей, остается широким.
Самым популярной мазь при лечении тромбоза геморроидальных узлов у беременных является «Гепариновая мазь».
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Лечение тромбоза наружного геморроидального узла в домашних условиях народными способами
Беременным женщинам стоит с осторожностью прибегать к народным методам, так как большинство из них основано на использовании отваров трав.
Травы являются мощнейшим аллергенам.
Начинать курс подобных процедур стоит только после консультации с врачом проктологом и гинекологом.
Самыми распространенными народными средствами для лечения тромбоза геморроидального узла является использование тампонов смоченных облепиховым маслом и картофельные свечки.
Что делать если началось кровотечение из геморроидального узла дома?
Беременная женщина, обнаружившая кровь из прямой кишки должна немедленно вызвать скорую помощи и до ее приезда пытаться остановить кровь.
Остановка кровотечения – в первую очередь приложите холод к области промежности, затем примите горизонтальное положение. В данной позе ожидайте приезда скорой.
Тромбоз геморроидальных узлов при беременности
Лечение геморроидального тромбоза оперативным путем
На сегодняшний день существует несколько методик удаления тромбированных геморроидальных узлов. Выбор методики зависит от желания пациентки и совета врача.
Самые популярные методики удаления узла:
- Удаление при помощи лазера. Данное оперативное вмешательство гарантирует полное избавление от заболевания. Дополнительно, в результате коагулирующей способности лазера, отсутствует риск операционных кровотечений;
- Прошивание узла при помощи хирургического латекса – лигирование;
- Склеротерапия – введения склерозирующего вещества в сосуды геморроидального узла, что обеспечивает спадание данных сосудов и полное прекращение кровотока;
- Коагулирование. Выжигание геморроидального узла при помощи инфракрасного излучения.
При выборе тактике лечения стоит помнить, что только хирургическое вмешательство позволить избавиться от геморроя навсегда и предотвратить рецидивирование.
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