Hemorrhoids theraphy

There are two kinds of treatment, ie without surgery and with surgery. Both kinds of ways there are advantages and disadvantages. In the first way to do in order outpatient looking at the way these two patients should be treated as made ​​in a simple pembiusan.Terapi do with laxatives and high fiber diet.

While complex therapies do sclerotherapy, ligation with ties Barron, surgical Krio / frozen, and hemorrhoidektomi.

• Sclerotherapy

Sclerotherapy is the injection of a chemical solution that stimulate, for example, 5% phenol in vegetable oil. The injection is given into the submucosa in the loose areolar tissue in bwah internal hemorrhoids with the intention of causing sterile inflammation which then become fibrotic and scar. Injections made over at the top of the line mucocutaneous with long needle through anuskop. If the injections made in the right place then it will not hurt.

Injection complications are infection, acute prostatitis if entry into the prostate, and hypersensitivity reactions to the drug is injected.

• Ligation with rubber bands / Bunch Barron 

Hemorrhoid large or experienced prolapse can be treated with rubber band ligation according to Barron. With the help anuskop, mucosa above the protruding hemorrhoid clamped and pulled or sucked into the tube Ligator special. Rubber band driven from Ligator and placed tightly around the hemorrhoidalis the mucosal plexus. Necrosis due to ischemia occurred within a few days. Mucosa with rubber going off himself. Fibrosis and scarring will occur at the base of the hemorrhoid. At one time treatment only tied the hemorrhoid complex, while the subsequent ligation performed within two to four weeks.
The main complications of ligation is due to the onset of pain terkenanya mucocutaneous line. Severe pain can be caused by infection, bleeding may occur at Hemorrhoid necrosis, usually seven to ten days.

• Surgery Frozen / Krio

Hemorrhoid can also be frozen by cooling at very low temperatures. Frozen Surgery is not widely used because of the necrotic mucosa difficult to determine the extent. Surgery Krio is more suitable for palliative therapy in inoperable rectal carcinoma.

• Hemorrhoidektomi

Surgical therapy was selected for patients who experience chronic complaints and in patients with degree III or IV hemorrhoids. Surgical therapy can also be performed on patients with recurrent inflammation and anemia were not cured by other therapies are more modest. Patients who undergo IV degree hemorrhoids thrombosis and severe pain can be helped immediately by hemorrhoidektomi.
Principles for the excision hemorrhoidektomi is only possible on the truly excessive. Excision anoderm economically performed on normal skin and does not interfere with the anal sphincter.