Bạn có triệu chứng của bệnh trĩ? Nhưng bạn không biết cách phân biệt bệnh trĩ mà bạn đang mắc phải. Bài viết này sẽ tổng hợp các triệu chứng để phân biệt các loại bệnh trĩ hiện nay.

1 CÁCH PHÂN BIỆT CÁC LOẠI TRĨ
Bệnh trĩ có ba loại: trĩ nội, trĩ ngoại và trĩ hỗn hợp. Đây là bệnh lý phổ biến đứng hàng đầu trong các bệnh lý về hậu môn trực tràng.

1. 1 Trĩ nội

Bệnh hình thành các búi trĩ xuất hiện bên trong của hậu môn, phát triển bên trên đường lược, khiến bệnh nhân đau đớn và khó chịu, đi ngoài khó khăn, đi tiểu ra máu, máu có lẫn trong phân hoặc dính ở giấy khi đại tiện.

Nếu trĩ nội cấp độ 1, 2 bệnh nhân khó có thể nhìn thấy các búi trĩ. Tuy nhiên nếu trĩ chuyển sang cấp độ 3, khi mà các búi trĩ sa ra ngoài thì sẽ không thể tự động co lại, phải dùng tay để ấn vào bên trong. Nếu trĩ nội chuyển sang độ 4 sẽ biến chứng nguy hiểm, gây thắt nghẹt thậm chí có thể hoại tử búi trĩ.
1. 2. Trĩ ngoại

Trĩ ngoại là các búi trĩ xuất hiện bên ngoài của hậu môn, bên dưới đường lược. Vì thế rất dễ dàng để quan sát bằng mắt thường. Khi đại tiện chúng dễ dàng sa ra bên ngoài hậu môn và phải dùng tay để đẩy thì mới co vào được.

Triệu chứng trĩ ngoại thường là vướng víu và khó chịu ở hậu môn, búi trĩ cản trở phân đào thải ra bên ngoài. Ngoài ra người bệnh sẽ thấy máu xuất hiện, vùng hậu môn ngứa ngáy và khó chịu vì các búi trĩ cọ xát với quần.

Trĩ ngoại dễ dàng phát triển nhanh chóng khiến các búi trĩ to nhanh và sa hẳn ra bên ngoài hậu môn. Nếu không điều trị kịp thời sẽ gây ra nhiều phiền toái, búi trĩ có thể gây nhiễm trùng và hoại tử, gây mất máu nhiều và ảnh hưởng đến tính mạng.
1.3. Trĩ hỗn hợp

Đây là sự kết hợp của cả trĩ nội và trĩ ngoại. Các triệu chứng của bệnh như: xuất hiện búi trĩ cả trong và ngoài hậu môn. Búi trĩ loét, rớm máu, lớp niêm mạc đoạn dưới trực tràng lỏng lẻo, phân đi qua hậu môn bị tắc nghẽn, gây khó chịu và đau đớn mỗi khi đại tiện. Ở hậu môn và trực tràng có vết sưng lạ thường, có thể chảy máu màu đỏ tươi.

Trĩ hỗn hợp là cả trĩ nội và trĩ ngoại nên là tình trạng bệnh nặng , gây đau đớn hậu môn. Điều trị cũng khó khăn hơn và tiềm ẩn nhiều biến chứng đến sức khỏe.
2. PHƯƠNG PHÁP ĐIỀU TRỊ TRĨ THEO TỪNG LOẠI
Các loại bệnh trĩ khác nhau sẽ có phương pháp điều trị không giống nhau. Cụ thể:

Điều trị nội khoa: sẽ áp dụng đối với bệnh nhân bị trĩ nội nhẹ. Nội khoa tức là sử dụng thuốc để điều trị bệnh. Các loại thuốc có tác dụng giảm nhẹ đau đớn ở hậu môn, kìm hãm sự phát triển của các búi trĩ nội, giúp đại tiện dễ dàng hơn.
Điều trị ngoại khoa: các trường hợp bị trĩ nội nặng, trĩ ngoại hay trĩ hỗn hợp thì sẽ áp dụng phẫu thuật ngoại khoa để loại bỏ các búi trĩ ra khỏi cơ thể. Có hai phương pháp phẫu thuật đang được sử dụng hiện nay là phẫu thuật bằng PPH hoặc HCPT.
Phẫu thuật trĩ nội bằng PPH: đây là phương pháp cắt bỏ vòng niêm mạc trĩ trên đường lược và khâu nối tự động bằng máy PPH. Phương pháp nhằm cắt bỏ nguồn mạch máu đến các búi trĩ đồng thời kéo niêm mạc trực tràng bị sa lên phía trên.

Phẫu thuật trĩ ngoại, trĩ hỗn hợp bằng HCPT: cắt trĩ HCPT được hoạt động dựa theo nguyên lý sinh nhiệt của sóng điện cao tần. HCPT sẽ tác động lên thành mạch máu để làm đông, thắt chặt và cố định búi trĩ cần cắt. Phương pháp cắt trĩ HCPT giúp người bệnh hạn chế tổn thương xuống mức thấp nhất, chảy máu ít và không gây nhiều đau đớn.
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