Nguyên nhân cũng như nguyên do bệnh trĩ

1. Bệnh trĩ là gì?

bệnh trĩ không những đơn thuần là bệnh của mạch máu. Đây là một số bệnh của một đội ngũ mao mạch từ tiểu động mạch, mao mạch, thông nối động mạch máu đến cơ trơn và mô liên kết được lót do lớp biểu mô thông thường của ống hậu môn trực tràng. Búi trĩ nằm ở lớp dưới niêm được nâng đỡ bởi cấu tạo mô sợi đàn hồi. Mức độ gia tăng sức ép thường xuyên như rặn đi đại tiện, kèm ứ máu thường xuyên sẽ gây ra phình giãn và tạo những khóm trĩ vào trong lòng ống hậu môn trực tràng. Ngoài ra tuổi càng cao, những cấu trúc mô liên kết nâng đỡ ngày càng bị suy yếu, một số búi trĩ lột dần ra khỏi lỗ hậu môn gây ra trĩ nội sa.

Đọc thêm: chi phí khám phụ khoa

2. Phân loại trĩ

bệnh trĩ hàng đầu có 2 dạng, bao gồm trĩ nội (internal hemorrhoids) và trĩ ngoại (external hemorrhoids) .

  • bệnh trĩ ngoại: khi khóm trĩ xuất phát phía dưới đường lược (hay còn gọi là đường hậu môn-trực tràng), được gọi là bệnh trĩ ngoại. Khi này khóm trĩ được phủ do lớp biểu mô bệnh vảy nến (squamous epithelium) và nằm bên dưới lớp da bao quanh hậu môn.
  • bệnh trĩ nội: Nếu đám rối tĩnh mạch bắt nguồn phía trên đường lược thì được gọi là bệnh trĩ nội, cũng như khóm trĩ được bao phủ bởi vì niêm mạc cùng với lớp biểu mô chuyển tiếp (transitional epithelium).

Đọc thêm: phá thai ở đâu an toàn

Phân hiện tượng bệnh trĩ: Tùy thuộc vào quá trình tiến triển của búi trĩ còn nằm bên trong hoặc đã sa ra khỏi hậu môn trực tràng.

  • bệnh trĩ mức độ 1: đám rối tĩnh mạch nằm hoàn toàn trong ống hậu môn.
  • bệnh trĩ tình hình 2: khi thông thường bệnh trĩ nằm gọn trong ống hậu môn trực tràng, khi rặn đi WC đám rối tĩnh mạch thập thò hoặc lòi ít ra ngoài. Khi đi đại tiện xong đứng dậy khóm trĩ tự thụt vào trong.
  • bệnh trĩ tình trạng 3: mỗi lần đi WC hay đi lại rất nhiều, ngồi xổm, lao động trầm trọng thì búi trĩ lại sa ra ngoài. Khi này phải nghỉ ngơi một lúc đám rối tĩnh mạch mới lộn vào hoặc sử dụng tay đẩy nhẹ vào.
  • bệnh trĩ hiện tượng 4: búi trĩ gần như liên tục nằm bên ngoài ống hậu môn.

Đọc thêm: va mang trinh bao nhieu tien

3. Yếu tố khả năng gây ra bệnh trĩ

  • đại tiện khó, hay tiêu chảy làm cho tăng tần suất trĩ, rặn làm cho tăng áp lực lên các mạch máu gây nên căng giãn cũng như ứ máu.
  • khẩu phần ăn ít chất xơ, khiến tăng tần suất bệnh trĩ
  • Thừa cân và béo phì, làm cải thiện tần suất bệnh
  • gia tăng sức ép ổ bụng gặp trong các nam giới liên tục 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 làm tăng cường áp lực ổ bụng ngăn cản sự hồi lưu máu về tim đưa đến giãn mạch máu hậu môn.
  • U khu vực tiểu khung bao gồm u đại trực tràng, u tại dạ con cùng với thai rất nhiều tháng làm trở ngại hồi lưu máu trở về tim gây ra giãn mạch máu.

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