Vì Sức Khỏe Cộng Đồng
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Vì Sức Khỏe Cộng Đồng

Chuyên cung cấp các thông tin về y tế, giúp người đọc kiến thức về các loại bệnh phổ biến hiện nay và lựa chọn được cơ sở y tế thăm khám, điều trị tốt nhất.


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Căn nguyên cũng như nguyên nhân bệnh trĩ

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1. Trĩ là gì?
trĩ không chỉ đơn thuần là bệnh của mao mạch. Đây là một số bệnh của 1 hệ thống tĩnh mạch từ tiểu động mạch, tĩnh mạch, thông nối động mao mạch đến cơ trơn và mô liên kết được lót do lớp biểu mô thường thì 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. Hiện tượng gia tăng sức ép hàng ngày như rặn đại tiện, kèm ứ máu liên tiếp sẽ gây phình giãn và tạo những đám rối tĩnh mạch vào trong lòng ống hậu môn trực tràng. Ngoài ra tuổi càng nhiều, một số cấu trúc mô liên kết nâng đỡ ngày càng bị suy yếu, các khóm trĩ lộn dần ra khỏi lỗ hậu môn gây nên bệnh trĩ nội sa.
Đọc thêm: giá khám phụ khoa
2. Phân biệt trĩ
trĩ chính liệu có 2 dạng, bao gồm bệnh trĩ nội (internal hemorrhoids) cùng với trĩ ngoại (external hemorrhoids) .


  • bệnh trĩ ngoại: khi búi trĩ bắt nguồn phía dưới đường lược (hay còn gọi là đường hậu môn-trực tràng), được gọi là bệnh trĩ ngoại. Khi này đám rối tĩnh mạch được phủ vì lớp biểu mô bệnh vảy nến (squamous epithelium) cùng với nằm bên dưới lớp da bao quanh hậu môn.

  • bệnh trĩ nội: Nếu khóm trĩ bắt nguồn phía trên đường lược thì được gọi là trĩ nội, và đám rối tĩnh mạch được bao phủ vì niêm mạc cũng như lớp biểu mô chuyển tiếp (transitional epithelium).

Đọc thêm: địa chỉ phá thai ở hà nội
Phân hiện tượng bệnh trĩ: Dựa vào quá trình tiến triển của đám rối tĩnh mạch còn nằm bên trong hay đã sa ra khỏi hậu môn trực tràng.


  • trĩ tình hình 1: búi trĩ nằm hoàn toàn trong ống hậu môn trực tràng.

  • bệnh trĩ cấp độ 2: khi thường thì trĩ nằm gọn trong ống hậu môn trực tràng, lúc rặn đi vệ sinh đám rối tĩnh mạch thập thò hay lòi ít ra bên ngoài. Khi đi cầu xong đứng dậy khóm trĩ tự tụt vào trong.

  • bệnh trĩ mức độ 3: mỗi khi đi WC hay đi lại nhiều, ngồi xổm, làm việc nặng nề thì búi trĩ lại sa ra ngoài. Lúc này phải nằm nghỉ một lúc đám rối tĩnh mạch mới lộn vào hoặc lấy tay đẩy nhẹ vào.

  • trĩ tình hình 4: búi trĩ gần như liên tục nằm bên ngoài ống hậu môn.

Đọc thêm: va mang trinh het bao nhieu tien
3. Yếu tố khả năng gây nên trĩ


  • táo bón, hoặc tiêu chảy làm cho tăng tần suất trĩ, rặn khiến cho tăng áp lực lên các mao mạch gây nên căng giãn cũng như ứ máu.

  • khẩu phần ăn ít chất xơ, làm tăng tần suất trĩ

  • Thừa cân và béo phì, làm gia tăng tần suất bệnh

  • tăng cường áp lực ổ bụng gặp trong một số nam giới hàng ngày làm việc nặng như khuân vác, hoạt động viên cử tạ, quần vợt,..., đứng lâu, ngồi nhiều như thư ký, thợ may, nhân viên bán hàng gây nâng cao sức ép ổ bụng ngăn cản sự hồi lưu máu về tim đưa tới giãn mạch máu hậu môn.

  • U vùng tiểu khung gồm u đại trực tràng, u ở tử cung và thai rất nhiều tháng làm cản trở hồi lưu máu trở về tim gây giãn mạch máu.

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