Pathogenesis of hemorrhoids
the hemorrhoidal plexus, pathologically overflowing with blood, is not emptied completely and passing feces stretch them, each time shifting towards the anus. At the first stage, the patient feels only discomfort, a feeling of incomplete bowel movement and excessive sphincter tone, since the deformed plexus irritates the anal canal receptors.
The gradual atrophy and stretching of the muscle fibers and ligaments that hold the plexus in place, ends with periodic prolapse of hemorrhoids and their infringement by the sphincters of the anal canal. At this stage, the patient first discovers hemorrhoids and should consult a doctor as soon as possible, since without treatment, infringement leads to a slowdown in blood flow in the plexus. Further displacement of the plexus towards the anus leads to its constant prolapse and more prolonged infringement.If the blood flow stops, leukocytes, “thinking” that they have dropped out of the bloodstream into the wound, stick to the vessel wall and cause inflammation, as if “protecting” the body from an imaginary invasion of environmental factors. At this stage, as a result of inflammation, pain, burning and itching are observed, and the knots that have fallen out are no longer repaired. In response to a slowdown in blood flow and inflammation, platelets initiate thrombus formation, which can completely stop the movement of blood through the vessel, cause ischemia and tissue necrosis.
At this stage, attempts at conservative treatment are no longer effective, only surgical treatment will help. I strongly advise not to bring the disease to this stage, and give recommendations for the prevention of the development and exacerbation of hemorrhoids.Поділитися цим: