Unfortunately, more and more people suffer from vascular diseases in recent years. Such pathologies can manifest themselves with different symptoms. Statistics show that women are more likely to go to the doctor with complaints of varicose veins. Men are worried about hemorrhoids. But do not assume that the fairer sex is immune from this disease. Varicose veins and nodes in the intestines are not uncommon. Pathology occurs for various reasons: heredity, sedentary lifestyle, malnutrition, heavy physical exertion, wearing tight underwear. In women, the development of hemorrhoids, like varicose veins, contributes to pregnancy and childbirth.
Several centuries ago, this pathology was treated surgically. Now medicine has stepped forward. Specialists create more advanced and less traumatic methods of correction. One of these is the sclerosis of hemorrhoids with the help of modern medicines. It is about him that today will tell youarticle.
Indications for manipulation
Sclerotherapy of hemorrhoids has the following indications:
- chronic hemorrhoids of the first stage;
- recurrent nodes of the second stage;
- hemorrhoids 3 and 4 stages (as preparation for surgical treatment);
- small multiple nodes inside the rectum causing inconvenience and anxiety to the patient.
Determine whether such treatment is acceptable in your case, only a doctor can. Please note that prolonged inactivity leads to the progression of the disease. Often, patients do not seek help in the early stages, when the likelihood of a positive outcome is high, due to embarrassment and inconvenience. At the same time, hemorrhoids continue to develop and move from one stage to another. When there is no more strength to endure unpleasant symptoms, a person still asks for medical help. But it can only be provided through surgical intervention.
Who should not have sclerosing of hemorrhoids?
Despite the popularity and widespread use of this type of treatment, not all patients receive permission for manipulation. As you already know, an early visit to the doctor gives you every chance of a positive outcome. A contraindication to the treatment of hemorrhoids with sclerosis is the advanced stage of the disease. If the internal nodes merge with the external ones, then the manipulation is replaced by surgery. This pathology is called combined hemorrhoids.
Sclerosis of hemorrhoids that bleed heavily is contraindicated. If there are thrombosis, fistulas, anal fissures, then the manipulation is postponed or excluded altogether. It is forbidden to do sclerotherapy to expectant mothers at any stage of pregnancy. During lactation, treatment is not carried out. If necessary, a woman should stop breastfeeding for a few days. Manipulation is not performed for patients with hypersensitivity to the active (sclerosing) substance.
Drugs, their cost and method of purchase
If you plunge into history, you can find out that sclerosis of hemorrhoids and varicose veins dates back to the end of the 18th century. At that time, physicians and healers used sclerosants such as peach oil, alcohol solutions, and acid compounds. It has been proven that these substances cause considerable harm to the human body. With the development of medicine, the latest drugs have been developed, which are now recognized as safe and effective.
You can buy sclerosing drugs without a special prescription, despite the fact that some of them are prescription drugs. According to patients, pharmacy chains sell drugs not in whole packages, but by the piece. This is quite convenient, since one ampoule is enough for several injections, and its price is not so low. The most commonly used medications in proctology are:
- "Ethoxysclerol" (0.5%, 1% and 3% solutions are available) - 5 ampoules cost 1400, 1700 and 2500rubles respectively.
- "Fibro-Wayne" (0.5%, 1% and 3% solution costs 1300, 1500 and 2300 rubles for 5 bottles).
- "Trombovar" (there are 1% and 3% solutions on sale, which cost from 1500 to 2500 rubles).
Preparing for the procedure
Despite the fact that the method of sclerotherapy of hemorrhoids is a low-traumatic intervention that does not require hospitalization, you need to properly prepare for it. On the eve, it is forbidden to eat fatty and heavy foods, eat allergens. Stay away from alcohol and foods that increase flatulence.
In the morning before the manipulation, you should refuse breakfast. If you want to eat strongly, then it is permissible to drink weak tea with crackers or low-fat broth. How many hours before the injections you need to clear the intestines. If you can’t go to the toilet on your own, which is often the case with hemorrhoids, use laxatives. What can be used in your case - the doctor will tell. It is not recommended to use long-acting drugs, for example, Senade. Give preference to such medicines as "Glycerol", "Microlax" and the like. Be sure to carry out hygiene procedures.
Technique for sclerosing the hemorrhoid
The procedure itself does not take much time. Injections are carried out no longer than 10-20 minutes. You can cut up to three knots at a time. If necessary, the doctor will schedule another visit in 7-10 days.
During sclerotherapy, the patient is placed on the operating roomtable or high couch. The doctor asks to take the most convenient position for manipulation: lying on your back or side (legs should be tucked up). Less often, a knee-elbow position is required. First, a rectoscope is inserted into the anus. The doctor evaluates the condition of the nodes and selects the most suitable site for injection. The injection is made above the hemorrhoids, on top of the dentate line. In this place, the epithelium is characterized by a lack of sensitivity. During the injection itself, the patient does not feel any discomfort. If pain is felt, then the injection is not performed correctly. The medicine is delivered slowly at a puncture depth of up to 2 centimeters. After the introduction of the solution, the needle is not removed immediately. It is necessary to wait a couple of minutes so that the sclerosant does not leak out and cause bleeding.
The action of the drug: the principle of the drug
Sclerosis of hemorrhoids (hemorrhoids) begins immediately after the administration of the medication. The drug has an effect on the walls of blood vessels, due to which an inflammatory process begins in them. This leads to scarring. The vessels stick together and after a while are replaced by connective tissue. Those channels that previously fed the hemorrhoid are turned off. Due to this, there is a decrease in hemorrhoids and its gradual death.
For some time, the detached nodes come out naturally. Sometimes the patient does not even notice it. A lasting effect is noted after the first procedure, but if additional administration of the drug is necessaryafter a while, then it is better not to refuse it. Recurrence of hemorrhoids in the treated area no longer occurs, as the main blood channels are disabled. If you follow the recommendations of a specialist, you can forget about pathology for many years.
After sclerotherapy: recommendations
After sclerotherapy, the patient is under medical supervision for one hour. If there are no complaints and unforeseen complications, you can return to your business. It is important to follow the doctor's prescriptions and recommendations:
- Abstain from strength training and heavy sports for a month.
- If you feel pain, you should take analgesics prescribed by your doctor (Nise, Baralgin, Paracetamol).
- Twice a year, prevent hemorrhoids with venotonics (Detralex, Venarus, Troxevasin).
- If necessary, use softening candles ("Sea buckthorn", "Bisacodyl").
- Regularly undergo examinations (in the absence of complaints - once a year).
- Keep active, move more, exercise (swim, bike, run).
- Refuse junk food and alcohol, stick to proper nutrition.
Pros and cons
Sclerotherapy of hemorrhoids as a method of treatment has a lot of advantages. But she also has downsides. Every patient who is going to carry out such treatment needs to know about them.
- The procedure is quick and easy, painless and does nothas a harmful effect on the body.
- The drugs used are well tolerated and non-toxic.
- No need for hospitalization. You will only have to stay in the hospital for a few hours.
- Manipulation is suitable for all age groups. It is possible to treat older people who are contraindicated in surgery.
- The effect is noticeable after the first injections.
- Several hemorrhoids are eliminated in one manipulation.
As for the disadvantages of sclerosis, we can say the following: manipulation does not solve the problem as a whole, it only eliminates its signs. In other words, if you do not change your lifestyle and do not carry out the prevention of hemorrhoids, then a relapse is inevitable. Also, some patients consider the cost of a mini-surgery to be a disadvantage. How much does sclerotherapy of hemorrhoids cost? The price depends on the stage of the disease and the number of injections. A patient with 1-3 degrees of progression of hemorrhoids will have to pay from 3 to 10 thousand rubles.
Patient opinions
Sclerosis of hemorrhoids reviews are different. But in most cases, patients are satisfied with the manipulation. Those people who, after a while, have new foci, speak negatively about the treatment. Doctors say that most often such patients do not adhere to the basic recommendations, which causes a recurrence of the disease.
Many people say that after sclerotherapy, their pain disappeared almost immediately. Patients were also able to get rid ofconstipation, their digestion returned to normal, discomfort in the abdomen disappeared. Treatment led to a complete recovery. Those people who adhered to medical recommendations could not remember hemorrhoids and its unpleasant symptoms for years.
Summarize
From the article you could learn a lot about the procedure for sclerosis of hemorrhoids. Of course, every patient is interested to know the reviews before the operation. But don't rely entirely on them. Remember that every body is different. Consult your doctor and follow his prescriptions. Live without hemorrhoids!
