Unfortunately, more and more people in recent years suffer from vascular diseases. Such pathologies can manifest themselves with various symptoms. Statistics show that women often turn to the doctor with complaints of varicose veins. Men are worried about hemorrhoids. But do not assume that the fairer sex is insured against this disease. Varicose veins and nodes in the intestines are a common occurrence. There are pathologies for various reasons: heredity, a sedentary lifestyle, poor nutrition, heavy physical exertion, wearing tight underwear. In women, the development of hemorrhoids, like varicose veins, contributes to pregnancy and childbirth.
A few 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 hemorrhoidal nodes with the help of modern medicines. It is about him that today's article will tell you.
Indications for manipulation
Sclerotherapy of hemorrhoids indications has the following:
- chronic hemorrhoids of the first stage ;
- recurrent nodes of the second stage;
- hemorrhoids 3 and 4 stages (in preparation for surgical treatment);
- small multiple nodes inside the rectum, causing inconvenience and anxiety to the patient.
Only a doctor can determine if such treatment is acceptable in your case. Note that prolonged inaction leads to the progression of the disease. Often patients do not seek help in the early stages, when the probability of a positive outcome is high, due to constraint and inconvenience. At the same time, hemorrhoids continue to develop and move from one stage to another. When there is no longer strength to endure unpleasant symptoms, a person still asks for medical help. But it can be rendered only by surgical intervention.
Who should not do sclerosis of hemorrhoids?
Despite the popularity and widespread use of this type of treatment, far from all patients receive permission to carry out manipulations. As you already know, an early visit to a 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 surgical intervention. This pathology is called combined hemorrhoids.
Sclerosing of hemorrhoidal nodes that bleed heavily is contraindicated. If there are thromboses, fistulas, anal fissures, then the manipulation is delayed or completely excluded. It is forbidden to do sclerotherapy for expectant mothers at any stage of pregnancy. During lactation, treatment is not carried out. If necessary, a woman should stop breastfeeding for several 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 originates in the late 18th century. At that time, doctors and doctors used sclerosants such as peach oil, alcohol solutions, and acid compounds. It is proved that these substances cause considerable harm to the human body. With the development of medicine, the latest drugs have been developed that are now recognized as safe and effective.
Sclerosing drugs can be purchased without a special prescription, despite the fact that some of them are prescription. According to patients, pharmacy chains do not sell drugs in bulk, but in pieces. 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" (produced 0.5%, 1% and 3% solutions) - 5 ampoules cost 1400, 1700 and 2500 rubles, 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 1,500 to 2,500 rubles).
Preparation for the procedure
Despite the fact that the method of sclerosing hemorrhoids refers to less traumatic, not requiring hospitalization interventions, you need to properly prepare for it. On the eve it is forbidden to eat fatty and heavy foods, eat allergens. Refrain from alcohol and bloating foods.
In the morning, before the manipulation, you should refuse breakfast. If you want to eat strongly, then it is permissible to drink a weak tea with cracker or low-fat broth. How many hours before the injection you need to cleanse the intestines. If you can’t go to the toilet yourself, which often happens with hemorrhoids, use laxatives. What can be used in your case - the doctor will tell. It is not recommended to use long-acting drugs, such as Senade. Give preference to such medicines as "Glycerol", "Microlax" and the like. Be sure to carry out hygiene procedures.
The technique of sclerotherapy of hemorrhoids
The procedure itself does not take much time. Injections are carried out no longer than 10-20 minutes. You can chop up to three nodes at a time. If necessary, the doctor will schedule the next visit in 7-10 days.
During sclerosis, the patient is placed on an operating table or high couch. The doctor asks for the most suitable position for manipulation: lying on your back or side (legs should be tightened). Less commonly, a knee-elbow position is required. Previously, a rectoscope is inserted into the anus. The doctor assesses the condition of the nodes and selects the most suitable site for injection. An injection is made above the hemorrhoids, on top of the dentate line. At this point, the epithelium is characterized by a lack of sensitivity. During the injection, the patient does not feel any discomfort. If pain is felt, then the injection is not performed correctly. The medicine is supplied 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 does not provoke bleeding.
The effect 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 the inflammatory process begins in them. This leads to scarring. The vessels stick together and after some time 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 separated nodes exit naturally. Sometimes the patient does not notice this at all. A lasting effect is noted after the first procedure, but if additional administration of the drug is necessary after some time, then it is better not to refuse it. A relapse of hemorrhoids in the treated area no longer occurs, as the main blood channels are disabled. If you follow the recommendations of a specialist about pathology, you can forget for many years.
After sclerosis: recommendations
After sclerotherapy, the patient is under medical supervision for one hour. If there are no complaints or unforeseen complications, you can return to your business. It is important to follow the doctor’s prescriptions and recommendations:
- Refrain from stress and heavy sports for a month.
- For painful sensations, you should take analgesics prescribed by your doctor ("Nise", "Baralgin", "Paracetamol").
- Twice a year, prevent hemorrhoids with venotonic drugs (Detralex, Venarus, Troxevasin).
- If necessary, use softening candles (Sea Buckthorn, Bisacodyl).
- Examine regularly (in the absence of complaints - once a year).
- Lead an active lifestyle, move more, play sports (swimming, cycling, running).
- Refuse junk food and alcohol, stick to proper nutrition.
Advantages and disadvantages
Sclerotherapy of hemorrhoids as a treatment method has a lot of advantages. But she also has cons. Every patient who is about to undergo such treatment needs to know about them.
- The procedure is carried out easily and quickly, it is painless and has no harmful effect on the body.
- The drugs used are well tolerated, they are non-toxic.
- No hospitalization required. In just a few hours you will have to be in a hospital.
- Manipulation is suitable for all age groups. Perhaps the treatment of the elderly, which is contraindicated in surgery.
- The effect is noticeable after the first injection.
- For one manipulation, several hemorrhoidal nodes are eliminated.
As for the minuses of sclerotherapy, we can say the following: manipulation does not solve the problem as a whole, it only eliminates its symptoms. In other words, if you do not change your lifestyle and prevent hemorrhoids, then relapse is inevitable. Also, some patients include the cost of a mini-operation as a minus. How much does sclerosis of hemorrhoids cost? The price depends on the stage of the disease and the number of injections. A patient with a 1-3 degree of hemorrhoid progression will have to pay from 3 to 10 thousand rubles.
Patient opinions
Sclerosis of hemorrhoids reviews has different. But in most cases, patients are satisfied with the manipulation. Those people who after some time appeared new foci respond negatively about treatment. Doctors say that most often such patients do not adhere to the main recommendations, which causes a recurrence of the disease.
Many people say that after sclerosis, their pain went almost immediately. Also, patients were able to get rid of constipation, their digestion returned to normal, and abdominal discomfort disappeared. The treatment led to a complete recovery. Those people who adhered to medical recommendations could not remember the hemorrhoids and its unpleasant symptoms for years.
Summarize
From the article you could learn a lot about the procedure for sclerosing hemorrhoids. Of course, every patient before the operation is interested to know the reviews. But do not rely entirely on them. Remember that each organism is individual. Consult a doctor and follow his prescriptions. Live without hemorrhoids!