Za dr Galeba (Fisure)
kakogod
(student)
04. август 2009. у 23.37
Već od kraja prošle godine imam problema sa analnim fisurama.
Prošli put se povuklo od upotrebe kreme za hemoroide koja je imala malo kortizona u sebi,
a ovaj put mi ta krema nije pomagala.
Bila sam kod doktora za gastro probleme,
on mi je prporuco rectogisic (ili kako se već piše),
to je malo pomoglo, i sto oni ovde (Austraija) zovu stool softener - je učinilo stolicu meksom,
pa skoro pa da ne krvarim nikako već dvije sedmice, ali rana još nije zarasla. Tu je stoji, i prvi dio stolice bez obzira na to stoj e relativno mekan i debljine možda kaziprsta - i dalje boli.. nakon toga ide lakse...
Ovo traje već 6-7 sedmica, i iako sad mogu da sjedim kako treba i nisam non-stop u bolu, i ne budim se očajna kao prije - svako jutro pocinje mislima o bolu koji me ceka... i dalje sam zabrinuta jer ne zarasta.
procitala sam na nekoj health diskusiji ljudi koji imaju problema s tim,
uglavnom svi opisuju ono kroz šta i sama prolazim,
bolove nesnosne,
sate i sate nakon stolice - bola i osjecanja pecenja nekad svraba...
Otkrila sam da banjanje u toploj hladnoj vodi pomaze malo da opusti misice, ai brine me sto svi pišu da im se to stalno vraca, da operacija ne pomaze, te i da botox inekcije pomognu na početku i fisure se uvijek vrate - još bolnije. (Naravno to je sto oni kažu)...
A valja se nadati da će biti bolje.
Da li vi znate zašto se ovo desava,
jr moja stolica nije toliko tvrda ni bila,
ja jedem voce povrce, zdravu hranu, aktivna sam fizicki i nisam pod nekim stresom, a što se vode tiče - to mi je omiljeno pice...
Ne znam odakle ovaj problem???
I ima li rjesenje?
Takođe, znam da nije to sad smrtna bolest, ali ona me nekako lagano ubija, jer si pod bolom svaki dan, i boris se protiv svog straha...
Radost je kad imam dan da me ne boli jako, ali nikad nemam dan da je skroz pain free... Dakle to je postalo dio mog ziota.
Plasi me kako ću imati djecu jer sam planirala uskoro da krenem pokusavati trudnoću.. a vise me strah fisura nego porodjaja...
Molim vas,
znate li vi šta vise o ovome? Ima li nešto da pomaze?
Znate li ikoga kome su se fisure zauvjek povukle? I kako?
Hvala puno
OPIS-50
(OPISIVAC)
05. август 2009. у 08.25
Medikamentozno lečenje se ogleda u lokalnoj upotrebi odgovarajuće masti ili određenih kupki i dovodi do smanjenja bola i gubitka spazma sfinktera. Ova terapija se primenjuje kod akutnih fisura. Ukoliko ovakva terapija ne daje efekat, neophodno je operativno lečenje. Jedna od metoda je lateralna sfinkteretomija koja se može izvesti ambulantno.
kakogod
(student)
05. август 2009. у 11.45
Hvala na odgovoru,
interesuje me da li vam je poznato da li je to uspesan zahvat, jer prema onome sto sam citala, izgleda da se najcesce fisure povrate čak i nakon hirurskog zahvata.
Znate li nešto o ovome?
Galeb
06. август 2009. у 05.31
Da ne pišem o svemu evo vaam teekst na engleskom. Ako imate problema sa tim nadjite nekoga da vam pomogne. A sada tekst:
FISSURE ANAL
Treatment
Treatment of acute anal fissures aims to break the cycle of passing hard stools (or explosive diarrhea) and the resulting pain and spasms.
Doctors generally recommend self-care procedures such as:
* Soaking in warm water for 15-30 minutes to relax the anal sphincter muscle
* Consumption of additional liquids and fiber
* Stool bulking agents
* Acetaminophen for pain; but avoiding aspirin and nonsteroidal anti-inflammatory drugs (NSAIDS), as they affect the blood's ability to clot and could delay healing
* Hand washing the area with soap and water after bowel movements
Anal fissures which don't respond to self-care and become chronic can be treated with medication or possibly surgery.
Medication
Nitroglycerin or nifedipine paste might be prescribed to apply around the anus a few times a day. The paste relieves pressure in tissue around the fissure and increases blood flow to promote healing. Temporary headaches or light-headedness from the paste are possible side effects.
Botulinum toxin injections into the internal sphincter muscle relaxes the anus and reduces spasms. The long-term effectiveness of this new treatment is still being studied.
Surgery
When self-care procedures and medication do not heal an anal fissure, surgery may be an option.
Lateral Internal Sphincterotomy
This is the more common surgery. „Lateral” refers to side, and „internal sphincterotomy” refers to the cutting of a small portion of the inner part of the sphincter muscle. While fissures usually occur in the back or front of the anus, cutting the sphincter muscle at the side is still effective in relaxing the anus and encouraging the fissure to heal without creating another wound near the fissure.
The surgery has a very high success rate with a very small risk for gas or stool incontinence or recurrence. It's usually an outpatient procedure, performed under general, regional or local anesthesia.
V-Y Advancement Flap
This surgery is much less common — perhaps 1 in 100 anal fissure surgeries. When a fissure has created extra tissue in the form of scarring or skin tags, the surgeon might perform the sphincterotomy at the fissure site and remove the fissure.
A v-shaped flap of skin is cut with the point of the 'v' at the fissure. After the cut is made into the internal sphincter muscle, the flap is slid to cover the wound and stitched closed. In patients with weakened sphincter muscles, the flap may still be made to cover the wound, but the sphincterotomy may be omitted.
The surgery is usually an outpatient procedure and performed under general, regional or local anesthesia.
Sve najbolje, Galeb