1. Trĩ là gì?
bệnh trĩ không những đơn thuần là bệnh của tĩnh mạch. Đây là một số bệnh của 1 hệ thống mao mạch từ tiểu động mạch, mao mạch, thông nối động tĩnh mạch đến cơ trơn cũng như mô liên kết được lót do lớp biểu mô bình thường của ống hậu môn trực tràng. Đám rối tĩnh mạch nằm ở lớp dưới niêm được nâng đỡ vì cấu trúc mô sợi đàn hồi. Cấp độ gia tăng áp lực liên tục như rặn đi vệ sinh, kèm ứ máu hàng ngày sẽ gây phình giãn cùng với tạo những khóm trĩ vào trong lòng ống hậu môn trực tràng. Mặt khác tuổi càng nhiều, một số cấu tạo mô liên kết nâng đỡ ngày càng mắc giảm sút, những búi trĩ tuột dần ra khỏi lỗ hậu môn gây trĩ nội sa.
Đọc thêm: chi phí khám phụ khoa
2. Phân loại trĩ
trĩ chính thì có 2 loại, gồm có bệnh trĩ nội (internal hemorrhoids) cùng với trĩ ngoại (external hemorrhoids) .
- bệnh trĩ ngoại: khi khóm trĩ bắt nguồn phía dưới đường lược (hay còn gọi là đường hậu môn-trực tràng), được gọi là trĩ ngoại. Lúc này đám rối tĩnh mạch được phủ vì lớp biểu mô bệnh vảy nến (squamous epithelium) và nằm bên dưới lớp da bao quanh hậu môn trực tràng.
- bệnh trĩ nội: Nếu búi trĩ xuất phát phía trên đường lược thì được gọi là trĩ nội, và đám rối tĩnh mạch được bao phủ bởi niêm mạc và lớp biểu mô chuyển tiếp (transitional epithelium).
Đọc thêm: pha thai an toan o dau
Phân độ bệnh trĩ: Dựa vào sự tiến triển của khóm trĩ còn nằm ở trong hoặc từng sa ra khỏi hậu môn trực tràng.
- bệnh trĩ cấp độ 1: khóm trĩ nằm hoàn toàn trong ống hậu môn.
- bệnh trĩ tình hình 2: lúc thông thường bệnh trĩ nằm gọn trong ống hậu môn, khi rặn đại tiện khóm trĩ thập thò hoặc lòi ít ra bên ngoài. Lúc đi WC xong đứng dậy búi trĩ tự tụt vào trong.
- trĩ giai đoạn 3: những lần đi đại tiện hoặc đi lại không ít, ngồi xổm, làm việc trầm trọng thì búi trĩ lại sa ra ngoài. Khi này phải ngồi nghỉ 1 khi khóm trĩ mới lột vào hay dùng tay tống nhẹ vào.
- trĩ tình trạng 4: đám rối tĩnh mạch gần như liên tiếp nằm ngoài ống hậu môn.
Đọc thêm: vá màng trinh bao nhiêu tiền
3. Yếu tố nguy cơ dẫn đến trĩ
- đại tiện khó, hay tiêu chảy làm cho tăng tần suất trĩ, rặn làm cho tăng sức ép lên một số mạch máu dẫn đến căng giãn cũng như ứ máu.
- khẩu phần ăn ít chất xơ, gây tăng tần suất trĩ
- Thừa cân và béo phì, làm cho tăng cường tần suất bệnh
- cải thiện sức ép ổ bụng gặp trong những người liên tiếp lao động nặng nề như khuân vác, vận động viên cử tạ, quần vợt,..., đứng lâu, ngồi rất nhiều như thư ký, thợ may, nhân viên bán hàng làm cho cải thiện sức ép ổ bụng ngăn cản quá trình hồi lưu máu về tim đưa tới giãn mao mạch hậu môn.
- U chỗ tiểu khung gồm u đại trực tràng, u ở dạ con cùng với thai rất nhiều tháng khiến cho cản trở hồi lưu máu trở về tim gây giãn mạch máu.
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