Hemorrhoids are an ailment that occurs as a result of blood overflow of venous plexuses located in the rectum near the anus. Not without reason, with the Greek "hemorrhoids" it is translated as "bleeding": its main symptom is the bleeding of the anus, as well as the appearance of hemorrhoids, adding here itching, inflammation and secretion of a small amount of mucus, and it becomes clear that the disease is causing a lot of trouble. it reaches 60% in developed countries, the risk of becoming pregnant in the number of sufferers is 2 times higher than that of all the rest! Medical treatment of hemorrhoids in pregnancy is the topic of the article.
Causes
What influences the occurrence of the disease? The main reason - a sedentary lifestyle, contributing to stagnation of blood in the organs of the small pelvis. The absence of dietary fiber in the diet, leading to constipation and prolonged straining when you visit the toilet - is also a negative factor. Overweight, weight lifting, hereditary predisposition - all this contributes to the emergence and development of the disease. It so happens that pregnancy serves as a starting point for the onset of the disease or aggravates it. As a rule, this happens already in the second half of pregnancy. Why?
♦ The growing uterus presses on the pelvic floor, the intestine and the hemorrhoidal venous plexus, causing stagnation of blood in the pelvic organs and problems with bowel movement.
♦ During pregnancy, hormones are produced that reduce the susceptibility of the intestine to substances that stimulate its work (peristalsis). This is explained by the fact that the intestines and uterus have the same muscular structure. Any excessively active peristalsis of the intestine under certain circumstances can increase the contractile activity of the uterus, causing a threat of abortion.
♦ Emotional instability and stress in pregnant women contribute to a decrease in intestinal activity, causing constipation, which is the main cause of hemorrhoids.
♦ Allergic, autoimmune processes, disturbance or malfunction of the endocrine system during pregnancy contribute to the appearance of constipation.
♦ Age aspect: for women, expecting the first child in 20 years, this unpleasant disease occurs 3 times less often than in women at the age of 30. Medics noted that hemorrhoids occur more often in the first and second pregnancies than in subsequent pregnancies. If a woman suffered from a disease before pregnancy, then while waiting for the baby it can become aggravated. Therefore, if you know about your illness or suspect its presence, do not hesitate to hide it from the doctor. Diagnosis is carried out by examination of the rectum, if the cause of bleeding is in doubt, additional diagnostic methods are prescribed.
Typically, hemorrhoids are manifested by several of the listed symptoms, each of which can be expressed in varying degrees. The most simple classification of hemorrhoids is built on the severity of the main symptom. When the hemorrhoids become wet, the disease appears with itching and colorless discharge from the anus. The painful form of hemorrhoids can be determined by the pain existing constantly or appearing in the process of defecation. Bleeding hemorrhoids are a form of the disease, the most pronounced symptom, which is the discharge of blood from the anus. The most widespread classification of hemorrhoids in stages, it is it allows you to choose the most accurate treatment tactics. Hemorrhoids, which manifest themselves sluggishly in the early stages, may adversely affect the course of pregnancy in the later period, and also affect the process of birth of a crumb. That's why the attending physician-gynecologist should be aware of your illness in order to choose the right tactics for conducting your pregnancy. Of course, the presence of hemorrhoids is not taken into account when choosing the method of delivery, but still it can not be ignored: because acute manifestations often occur in the generic and postnatal periods, when the baby's head sharply presses on the venous plexuses, which can even lead to the infringement of nerve endings .
Golden Rules
Drug treatment methods for hemorrhoids are symptomatic - that is, hemorrhoids are not radically treated, but they can temporarily cope with its unpleasant symptoms. It is proved that if a woman after the drug treatment will follow the doctor's recommendations for the prevention of recurrences of this disease, further operational treatment can be avoided.
1. It is necessary to get rid of constipation and to adjust the intestine. This can help a diet with an abundance of fruits and vegetables (for example, beets, prunes) - foods rich in fiber. Eliminate salted, spicy, spicy, pickled and fatty dishes.
2. After each trip to the toilet, you should conduct hygienic procedures - it is recommended to wash with cool or cold water.
3. Try not to work too long in one position - standing or sitting. Change your pose more often. Try to arrange a small workout once or twice per hour - at least, walk five minutes along the corridor at an average pace.
4. Do special exercises or at least 2-3 times a day for 15 minutes lie on your left side, lifting your legs slightly (for example, by placing a pillow).
5. Choose the right toilet paper - it should not be hard or contain dyes or flavors. Before use, moisten it in cold water or replace it with wet wipes containing a moisturizer.
6. Do not be tempted to scratch your hair. Itching should be endured.
7. Do not lift the weight (this applies not only to pregnancy, but also to the postpartum period).
8. Take time to take sedentary baths with broths of herbs: nettle, pepper mountain, clover or ready hemorrhoidal collection. Sedent fitovanny useless for internal hemorrhoids, but effective in exacerbations of the external. Prepare the infusion simply: the grass is poured with boiling water and cooled to +36 C. The infusion can be poured into the bath, and it is recommended to take it no more than 15-20 minutes. If the herbal infusion has turned out too much, it can be frozen and applied to the anus at the time of exacerbations. This will help relieve pain - because applying ice narrows the blood vessels and stops bleeding. However, it should be remembered that this method is only used to relieve symptoms.
9. If the doctor prescribed a medicine, it is better to buy it in the form of a cream. Candles are absolutely useless for external hemorrhoids, but they can penetrate too deep when inside.
10. In case of exacerbations try to sit on the inflatable circle.
11. Never practice self-medication. Hemorrhoids have many nuances, and you can harm yourself and your future child.