What is the doctor's proctologist. Doctor-proctologist: what to kill wine, like ailments rejoice, and how to get ready to look around

Publication date: 26-11-2019

What does the doctor-proctologist specialize in?

People don’t know what kind of doctor the proctologist is happy with women and with some kind of ailment, it’s necessary to go to the right doctor. Proctology is a science, as it reveals and cures intestinal ailments. If you talk about her, then it’s better to have surgery, and therapeutic and diagnostic procedures should be carried out by a colonoproctologist. Ale, for the goodness of people, as if they were not related to medicine, two straight went into one. Therefore, the proctologist in both men and women, and in children enjoys the same thing - ill intestines and organs, like to lie down.

Illness, like a rejoicing fahivets

Insanely, the proctologist exults a lot of different illnesses, but even more so, the most wide of them are given below:

  • hemorrhoids;
  • anal fissures;
  • carrying;
  • virazkovі utvochennya;
  • igniting processes in the intestinal mucosa;
  • be-yakі utvochennya in the intestines;
  • paraproctitis;
  • evil spirits;
  • bowel protrusion.

ARVE pardon:

Not long ago, such a doctor, having carried out the diagnosis and treatment of ailments of only the rectum, at the same time the sphere of its activity expanded, and at once the proctologist examined all the intestines of that organ, as if they were close to the new one.

Show to look

Visit to the proctologist obov'yazykovy, as follows:

  • the patient suffers a trivaly hour through the passage or constipation;
  • to blame the inability to see in the area of ​​the anal opening, as a result of severe pain;
  • like the rectum has lost its elasticity and falls out of the anus;
  • yakscho after the act of defecation is blood;
  • yakscho for the anus is a vision;
  • it is possible to watch for redness of soft tissues in the anus area and in the anal opening, the presence of a third-party body is observed;
  • as a patient, you know that the mucous membrane of the intestine is teased.

In addition, the services of a proctologist may be needed by pregnant women and young mothers in order to correct any defects associated with physiological processes. Under the hour of wine-making, the children are immediately blamed for the problems with the style, which are typical for hemorrhoids.

Women who are undergoing menopause may also need a consultation with a proctologist, in order to know what hormonal processes are going on during this period to the woman's organism, can provoke an illness in this sphere

A visit to the doctor-proctologist varto periodically apply to people who may zaiva vaga and suffer from obesity, as well as quiet, who, for the sake of their profession, spend a lot of time in a sitting position. If there are children, then they need a consultation with a proctologist in quiet situations, as they grow up. As the act of defecation calls out the crying of a child, it is also his fault to go to the proctologist.

The process of defrosting

After investigating with the patient and explaining the reasons for this concern, the doctor can ask the patient to sit on a special chair, then look at the anal opening for the presence of hemorrhoids and other pathologies. With a superficial visual inspection, the drug can show condylomas, papillomavirus, perianal dermatitis, external hemorrhoids, anal fissures, and normalization on the external side of the anus.

After which doctor the sphincter camp is required, for which guilt is guilty of yogo promacy. With a finger examination of the veins, swelling can be seen in the rectum, hemorrhoids of the internal localization, weak sphincter mucus, veins, insertion on the walls of the lower intestinal tract, and also become the ovaries of the uterus.

As a matter of necessity, the doctor will look at the problem area for additional tools. Either anoscopy or colonoscopy is possible, for these procedures preparation is necessary, and at first it is hardly possible.

The easiest way to follow up with additional instruments is anoscopy, it is carried out from the stop of an anoscope. Vin is injected into the rectum, and the drug can be succulent, which can be found in it at a depth of up to 15 cm. If in the anorectal region there is inflammation, then anoscopy is not possible, the shards of the cream are increased sensitivity of the mucous membrane, the other mother’s place is rotten, which negatively affects the process of inserting an anoscope. For the help of a sigmoidoscope, the doctor can turn the intestines up to 40 cm.

The most recent investigation of the intestine is colonoscopy. Tse doslіdzhennya allows you to sign whether or not the intestines are ill for all yogo. Performed under local anesthesia. For a diagnostic look, the procedure allows you to take some deaky analyses, and to carry out small surgical interventions, for example, prikadnya. In especially serious and zanedbanih moods, the patient will experience severe anesthesia.

How to prepare for a proctological examination?

Today's medicine is known to be richly ill, and proctology is not to blame. Ale, a friendly prognosis is rich in what to lie down in addition to the fact that the patient suddenly turned to the doctor, and he was adequately healed. At the proctologist's appointment three more than a year, then the preparation before looking back will take more than an hour. The essence of the preparation is for a complete and proper bowel cleansing.

ARVE pardon: id and provider shortcodes atributes - mandatory for old shortcodes. It is recommended to switch to new shortcodes that need only url

Before the first trip to the clinic, it’s not necessary to make special preparations, it’s not necessary to prepare a smut - morally and make an appointment. You will tell the doctors that you are in trouble, and you will be able to explain to you what needs to be done, to get ready for the procedure. Most often, vines are taken from the diet of some products and bowel cleansing for the help of carrying or enemas. For a few days before looking back, it’s not necessary to drink gassed water. If you are afraid to go to the proctologist, drink calmly or read the reviews of patients, as they have already gone through this procedure and did not know anything terrible about it.

For those who are afraid to be ashamed, there are special disposable shorts for an instrumental look at the proctologist, the stink may be opened in the necessary place. It is important to understand that a proctological review is absolutely safe and at the same time an informative procedure. Patients її endure calmly, and vіdomosti, as if it happens, is necessary for an accurate diagnosis and correct exaltation.

Doctor-proctologist to carry out diagnostics, see different likuvannya, scho rozroblyaє come on prevention of pathology of the colon. At the consultation of the proctologist, the patient takes for the recommendation of the therapist or gastroenterologist. To explain to the fahivtsy themselves what an exuberant coloproctologist is and can see straight to the bottom.

A proctologist is a doctor of a higher profile. Fahivets diagnosing and identifying the pathology of the colon and rectum, the zone of the anal opening.

The name of the specialty of a proctologist (proktos z walnut - rectum) since 1997 has become old in Russia. Vono recognized the clarification, a special regulatory document (decree) adopted a decision on the renaming of the profession. Now the doctor is called a coloproctologist (colon - colon, the term includes all її vіddіli - straight that rim). As a matter of fact, nothing has changed and there is no sustenance: and earlier, chey fahivets was treated with ailments of the rectum and colon.

The proctologist (coloproctologist) prescribes both conservative therapy and the best surgical method. Yogo main specialization in medicine is surgery. The area in which such a doctor practices can be called coloproctology. The most likely name is proctology. Vono maє on uvazі less operatively likuvannya.

How to pass the examination of the doctor?

At the first examination, an examination is carried out (scargi and anamnesis are taken into account), then the doctor looks at the patient. At the polyclinic office, an external examination and finger examinations are carried out. Qi method and its own screening. The stench is informative, it is allowed to be diagnosed with the methods of further diagnostics. As a remedy for the diagnosis, after the diagnosis has been made, a course of treatment is prescribed.

A proctological glance is observed on the couch in the knee-elbow position, or on the back with legs pressed to the stomach. Severe patients are laid down when looking at the lion's beak from the knees stretched to the chest.

How to get ready to look around?

Oskіlki for clarification of the diagnosis, the proctologist z'yasovuє not only a scarg and an anamnesis of ailment, but looking at the ailment, it is necessary to get ready for the visit. On an outpatient basis, digital examinations are carried out, as it requires a clean intestine. Preparation is carried out 3-4 days before the arrival of the doctor and includes:

  • dietary eating;
  • enemas;
  • bring your own.

Dietary eating can be sparing. It is recommended to enable:

  • produce, which to spriyat podvischennomu gasification (vital bread, Syrian vegetables that fruit, legumes, non-alcoholic milk);
  • gassed licorice, juices with pulp, unselected milk;
  • gostri spices;
  • fatty, smoked herbs;
  • cowbasi, canned food.

There is no relief at the pit, there are no more listings.

Evenings before the appointment and on the day of the examination it is necessary to carry out 2 cleansing enemas (evenings and vrantsі, 3 years before the diagnosis). There is no way to constipation, it is enough to grow by one enema. It is better to use Esmarch's kuhl, one volume (approximately 2 l) can be injected once. An enema in a looking pear is not very good for a mature person.

As if carrying out cleansing procedures for additional enemas, which are not acceptable for any reason, the doctor prescribes the admission of carrying benefits. Your choice to lie down in the stomach of the intestines, constipation. Tse mozhe buti pharmacy mikroklіzmu Mikrolaks, zruchna at zastosuvanni that svidkodіyucha. The drug can be recognized as Fortrans - the drug is irradiated with water and drunk. It is dispensed from dosing packages in the form of powder, the quantity is covered by the improvement of the patient's vag. It is important to vicorate in the case of constipation.

You can take more than one tablet with rectal suppositories.

When gassing is promoted, even though it does not matter on a diet, it is not used, an enterosorbent is prescribed - whether it is a drug from this group in an adequate dosage (activated vugillya - 4-6 tablets one-time, polysorb, enterosorb). Effektivniy Espumizan is a stump that can also change flatulence.

If the proctologist plans to conduct an endoscopic examination using a special accessory (rectoroscope, irigoscope), the preparation may be especially relatable, the shards of the depth of the eye are more closely related to the fingers.

  • with sigmoidoscopy - 25 cm (the rectum and sigmoid colon are visualized);
  • during colonoscopy, the entire colon is looked at up to the blue flap, which strengthens the colon through the small intestine.

With high lability of the patient, fear of the procedure, it is recommended to take a sedative drug.

What laboratory tests are prescribed by a proctologist?

From laboratory analyzes of obov'azkovymi є:

  • global clinical blood analysis;
  • analysis of feces for attached shelter;
  • coprogram.

In the analysis of blood, the formula is controlled - in case of blood loss, anemia can develop.

The coprogram gives low indications, with which it is possible to differentiate obviously ill. With this help, you can reverse the manifestation of the pathology of other organs of etching, reveal inflamed intestines, helminthiasis, fungi. Pіd hour spent dolіdzhennya:

  • be evaluated old look, smell, consistency of feces;
  • pathological houses appear;
  • microscopy, determination of proteins, fats, carbohydrates;
  • untreated m'yazovі and spoluchnotkaninnі fibers are indicated;
  • the presence of helminths, yeasts is being reconsidered.

All the results look like an inventory of the revealed pathology.

The analysis of feces for blood adherence is indicated for pain symptoms, constipation and other manifestations, with any visual blood loss during the day. A plus is the possibility of diagnosing adherent bleeding. The analysis is more sensitive - it's a kind of minus. When indicated, an insignificant rib appears like a human hemoglobin, and a third-party, taken away from the plant (meat, ribi). That needs a trival preparation:

  • one week before the analysis, take the next intake of salt, bismuth, acetylsalicylic acid and other, other non-steroidal anti-inflammatory drugs;
  • for 3 dobi, switch to a diet of meat, fish, vegetables and fruits, switch to dairy products, rice, bread;
  • for 2 dobi it is not possible to brush your teeth through the temple.

In case of non-violent cihs, the result of the follow-up will be positive and non-informative. Yogo to happen to repeat.

A list of pathologies that lie within the competence of a proctologist

The list of pathologies that the proctologist excites is long. Vіn includes illness not only of the colon, but also of the posterior proximal zone. Acts of them:

  • trivali constipation;
  • hemorrhoidal ailment;
  • vipadannya intestines chi zbіlshenih venous vuzlіv;
  • whether it is damage to the integrity of the mucous membrane (cracks, burrows, erosions, virazki);
  • newborn;
  • born pathology (dolichosigma, megacolon);
  • inflammation of various etiology (colitis);
  • functional impairment (IBS - irritable bowel syndrome);
  • diverticula, warts;
  • intestinal obstruction;
  • helminthosis.

Hemorrhoids and anal fissure

Hemorrhoids is a pathology of the rectum, which is often enlarged. Ce varicose veins of the rectum from the filling of nodes. With a steady injection of factors, the risk is blamed on stagnation in the vessels of the small pelvis. The venous caverns of the rectum are perepovnuyuyutsya blood. At the connection with a damaged vein, from the venous vein, there is a sharp increase in the number of hemorrhoidal plexuses near the intestinal lumen with stubborn cones. In the course of the year, the ligaments of the rectum grow stronger, weaken, which strengthens the venous plexus. Nodules with physical sussilli (strained during defecation or increased heaviness) begin to fade.

It goes up to the internal hemorrhoidal cones, as they appear earlier and grow progressively in their sizes. Zovnіshni vuzli roztashovuyutsya pіdshkіrno near the opening of the zvnі, that cannot be overlooked.

The appearance of hemorrhoidal disease, the patient can remember early stages. Ale, do not take care of the symptoms, which lie before it:

  • damaged deformity;
  • sverbіzh or liver;
  • seeing a third-party object;
  • watch the blood.

If you show ailments, they are most often ignored. To the doctor, to whom the steps are rarely taken. If there is bіl, bleeding through poshkodzhennya vnutrіshnіh vozlіv, vipadannya z utiska, ailments come to the reception to the doctor. Often the pathology appears at the advanced stage, if complications develop:

  • vypadannya uzliv iz utiskom i necrosis, іnodi – sepsis;
  • proctitis, paraproctitis;
  • bleeding;
  • established thrombus in the middle node.

Tse gostri become. Ailment will require nadannya help for the minds of the surgical hospital.

Even though there is no acute blood loss, but turbulent vision of blood in minimal bones, anemia develops throughout the year. The losses are manifested in the sight of traces of blood:

  • on white and toilet paper;
  • in kali after defecation.

Step by step they are:

  • weakness, unmotivated stubbornness;
  • ass that heartbeat;
  • tormented appetite and sleep.

With an early age to the doctor, you can її povnіstyu vilіkuvati. The doctor after looking around recognizes additional methods of diagnostics, a stock plan of investigation. At the first stages, a conservative treatment is carried out. Yogo can be eaten with folk methods. With all the recommendations of fakhivtsya pathological changes, which are blamed on the cob of ailment, you can easily get lost. With a trivial overrun, if complications have been formed, surgical methods are victorious. The dropping knots are visible. A way to lie down at the stage of hemorrhoids.

An anal fissure is a defect in the mucous membrane. Vaughn maє linear or elіpsopodіbnu form (virazka). Utvoryuetsya when traumatized by the mucous membrane of hard feces, as the patient suffers from constipation. May be accompanied by pain, traces of blood in the feces or on the bliss.

Before the crack develops, it causes spasm of the sphincter, if the blood supply to the tissues of the anus is broken.

With the appearance of a crack, it is rejoiced conservatively: over-the-counter preparations and ointments or creams are prescribed for medical treatment.

Polypi and Norits

Polypi is the same term, which means whether or not it is newly created at the intestinal wall. For their histological routine, they are subdivided into the following:

  • reference;
  • pardon.

Spravzhnі - plump utvorennia (good and evil). Before them one can see:

  • hemangioma;
  • lipoma;
  • adenoma;
  • carcinoma;
  • leiomyoma.

Pomilkovi polypi - tse adoption of the ignition character or anal papillae, which have reached greater expansion. Stink and be kind.

Vrahovyuchi, be it a polyp, instill an insignificant size (0.1 cm) can be malignant, it is necessary to see it. Tse to fight for the hour of carrying out instrumental methods of follow-up, without intermediary after the manifestation of enlightenment. After polypectomy, the same tool is used for liquor: it is more conservative.

Diffuse (familial) colonic polyposis develops - an illness that accompanies nayavnistyu majestic number polypiv - in the number of hundreds to thousands. May have a recessive nature. Mayzhe always malignize.

Fistula - canal between two nearby organs. The rectovaginal fistula is often irritated, spreading between the rectum and the needles, the shards of the woman's organs lie one to one. Іsnuє kіlka reasons for the appearance of a fistula:

  • purulent inflammation of one of the organs, if the walls of the organs collapse under the influx of the pathological process;
  • trauma to the walls after surgical treatment of their organs.

The fistula is aggravated by infection after the penetration of fecal masses from the rectum in the penis.

Treatment of pathology only surgically:

  • rozsіchennya channel noritsі;
  • underlined the walls of the organs;
  • strap removal of all pathological tissues;
  • suturing of defects.

Constipation and retraction of the rectum

Constipation is a disruption of the normal passage of feces and of the intestines. Accompanied by flatulence, pain, feeling of incontinuous bowel disease, almost bloating.

The reasons for this pathological will also be:

  • wrong eating;
  • low-grade way of life;
  • stress;
  • injuries to the swelling of the intestines and the spinal cord;
  • pathology of other organs of the herbal tract;
  • vagity.

Constipation is one of the main risk factors in the development of hemorrhoids, diverticulum. Bring up the rise of the arterial pressure.

With chronic constipation, self-deception is categorically blocked. It is necessary to see a doctor to explain the reasons for the recognition of adequate therapy. Fahivets for the need to carry out a meal, explain what needs to be changed in the way of life that eating. After a deaky hour, look back again, check the results of the recognized glee.

For likuvannya constipation are prescribed:

  • diet;
  • change the way of life;
  • carry it;
  • surgery for intestinal obstruction - as if a fecal stone has settled, making the intestinal lumen sound sharply like a fluffy fluff.

Constipation may be in the rectum: it protrudes beyond the interanal opening. Pathology is not life-threatening, but to bring impersonal handlessness through clinical manifestations:

  • non-trimannya kalu;
  • cosmetic defect.

The exact causes of the illness have not been established, but it may appear:

  • congenital pathology of the development of the small pelvis and intestines;
  • movement of the intracranial vice (sharpening in terms of vagity);
  • weakness of the mucous membranes of the crotch and the ligament of the rectum.

These are the main factors of risk that are often measured.

The most common defect is to be seen by a surgical path. There are a lot of techniques for fixing the rectum to the necessary tissues. In times of impossibility of such a decision, a resection of the rectal part of the intestine, which is performed, should be performed.

Injury and presence of third-party bodies

Injury to the abdomen can lead to tearing of the large intestine in any place. As a result, feces begin to go into the empty stomach with a development of peritonitis, which is manifested by the clinic of an acute abdomen (intense pain, tedium, vomiting, hyperthermia). Inflammation of the peritoneum in such conditions develops quickly, stools of feces are free of lifeless bacteria, herbal enzymes. Without neganaya nadanny help, a lethal end may come.

A third-party body in the intestine perestrodzhennuyu feces, lead to perforation of the yogo wall that swedish rosette peritonitis.

A third-party object is taken to the intestines:

  • through the mouth - most commonly seen in children;
  • through the posterior passageway - with a decrease in rectal temperature;
  • zzovnі - in case of injuries after accidents, falls, injuries.

Possibly furnish some more.

For a remote body to be seen, it is necessary to state its nature:

  • for the price of negligible subject of insignificant rozmіrіv (knocked by a child's buzz), zastosovuyutsya therapeutic methods (carrying preparations, enemas);
  • when milking large sizes and signs of perforation of the intestinal wall, an operation is performed on a child's coloproctological child to improve the patient's life.

Anal severbіzh and іnshі ill

Anal Sverbіzh - tse unacceptable in anus, Shcho postyno or periodically vinikaє after bowel movements. With hemorrhoidal ailment, sverbіzh is a sign of internal hemorrhoids. Mucus, which covers the internal knots that fall, follow the feces on them to work the skin. It is unacceptable to blame for large hemorrhoid cones, if after defecation with insufficient hygienic entry, excess feces are trimmed in crypts and on the surfaces of the cones themselves, which can lead to teasing that inflammation of the cervical curves c.

Cream of hemorrhoids, viklikati anal sverbіzh can:

  • helminths;
  • fungi;
  • anal fissure;
  • diarrhea;
  • inflammation in the anorectal cavity;
  • insufficient toilet.

With the appearance of a sverblychka, it is not a sign of dragging on seeing the doctor in the hope that everything went through on its own. In such cases, it is necessary to go to the doctor earlier, so that after the explanation of the causes, the unacceptable symptoms will appear forever. Fahivets z'yasovuє causes sverblyachki and in the shortest terms її usuvaє.

Complicated hemorrhoids can become paraproctitis - inflammation of the near-rectal fat cells. Tse v_dbuvaєtsya through the hit of infection. The result of such a pathology may be the development of:

  • infiltrate - non-rotten inflammation;
  • phlegmon - a bunch of rotten masses without clear boundaries;
  • noritsi - the sound of the inner.

A frequent pathology of the large intestine is the manifestation of diverticulum - a bulging of the intestinal wall in the lumen. Can show up alone gryzhopodіbnі utvochennya and mnozhinnі - diverticulosis. The veins develop in patients, as if only one pathological change in the intestinal wall was found in the patient. Diverticula for walking can be:

  • born;
  • nabutimi.

There are 2 types of diverticulosis:

  1. Skhіdny type - vipinannya is importantly localized in the blind and viskhіdnіy intestines, the inhabitants of the Far Skhod suffer.
  2. Zahidniy - illumine in the lower and sigmoid colons. This type is the most common in dozens of times. Extensions in Russia, Europe, USA.

The irritable bowel syndrome is a pathology that is often aggravated. Ce functional impairment of the intestinal dyalnosti due to the presence of organic lesions in yogo walls. The reason is:

  • stress;
  • shkidliva hedgehog;
  • acceptance of certain medical benefits;
  • dysbacteriosis.

In addition, the term IBS refers to intestinal dysfunction, if the cause is not identified, and in case of obstruction, gross pathology is not found.

Dolichocolon is a congenital anomaly of the colon: too big a bowel. Won can be lifted by a stretch of a mustache or only in one of the vіddіlіv. It proceeds with unacceptable symptoms, right up to the development of a serious state. Turbulent constipation due to chronic obstruction and accumulation of fecal masses in the intestinal lumen, її significant expansion, with a tribal excess, intestinal obstruction develops, anemia through permanent microtrauma of the walls, as a result of which it can become pronounced. Ale with a stretch of dozens of years, dolichosigma can run asymptomatically.

Megacolon is also considered to be a congenital pathology of the intestine - a congenital expansion of the empty colon. Ale can hide through the scars or other causes of buzzing (puff, external body). Although no cause has been established, megacolon is indicated as idiopathic.

Why is there a difference between a proctologist and a coloproctologist?

Proctology consists of several disciplines - therapy, gastroenterology, endoscopy, surgery. Oncology can be seen here when a neoplasm is detected in the intestines. Therefore, a proctologist, or a coloproctologist, who I will call one specialty (old and new: since 1997, the specialty has a bigger name - coloproctology), knowledge about Budova, diagnostic methods and pathology ї intestines, anus and other areas. Vіdminnіst іsnuіє іlki іn naming: mostly in pink movie vikoristovuєtsya, like before, calling the proctologist.

How can I have a free meal at the reception until fahіvtsya?

You can go to the proctologist for free, you need to go directly to the therapist or gastroenterologist. You can independently take the coupon from the reception of the polyclinic and show up at the appointment for an hour for a consultation. But in the likarni of the sovereign zrazka such a high-profile faculty, like a coloproctologist, can be daily. Therefore, you should turn to a long-term therapist. Vіn explain how to prepare before looking around, how to correctly create the necessary analyses, how you can work ahead of time and show them to the proctologist at the reception.

At private clinics, whether a look around is carried out for a fee. Here you can get a quota of compulsory medical insurance and, if necessary, spend on a consultation with a professor.

Can a surgeon replace a proctologist?

Coloproctologist - a specialist in a higher profile for the supervision of a surgeon in general practice. Ale, at the time of the presence of a doctor of specialization, in case of hospitalization, connected with the pathology of the intestine, I can help you with an abdominal surgeon. Vin is especially necessary for the attack:

  • hot burning process (appendicitis);
  • hemorrhoids (like vinicla bleeding, it became an outflow of internal veins, їх utisk);
  • proctitis and paraproctitis.

There is no bleeding, and there is no bleeding, but there is turbulence strong bill in the intestines, you can go to the surgeon's office. It is important to rob the yakomog earlier, in order to get rid of grave consequences.

Proctology, as a bellwether of medicine, is focused on diagnosing, investigating and examining in complex preventive visits different ailments that are relevant for the rectum, colon, and also the organs that adjoin to them. The official appointments are called the medical profession є coloproctology, the prote proctology є more expanded in the future, without regard for deak yogo innocence - in itself proctology є surgical medicine.

What is the proctologist excited about?

Visidachi Kidsevkazanovani Specifies Koloproctologiy, can Zrozumіti, Proctologist (Koloproctologist) - Tse Fakhirev, Yaki Take the Diagnovans of the Likovanni Zakhvoruvan, who are in the direct casual of the nuclear contribution, and the same. Earlier, as proctologists, they prescribed fahivtsiv of a high profile, whose activity was observed exclusively in the hallucination of the liquor of ailment, connected exclusively with the rectum, the same as the activity of coloproctologists in the shirsh. The competence of the zocrema can be on the detection and treatment of any type of pathology that affects the skin diseases, diseases of the colon, tobto, and the rectum, and the colon.

It is assumed that literally a few years ago, proctology from a narrow division of medicine was renamed to coloproctology with a wide range of specializations. For this reason, a proctologist, like a coloproctologist, are, in their essence, one and the same fahivets, regardless of how they are appointed by our spіvgromadyans as a proctologist.

Proctology: main divisions

  • Surgical proctology - zoseredzhuєtsya in the sphere of virishennia nutrition in case of unfavorable conditions, caused by ailments of the rectum. For example, he could be bleeding, which was the result of the rupture of the hemorrhoidal node, expanded under the infusion of varicose veins.
  • Therapeutic proctology - in some cases it is possible to treat intestinal intoxications, infectious colonies, helminthic invasions.

What is an organ proctologist?

From the primordial features of these specializations, we understand that the proctologist can exalt the advancing organs:

  • rectum;
  • the intestine is colonic;
  • anus.

How do you look around at the proctologist?

Vіdvіduvannya tsgo fahіvtsya rebachaє so dії:

  • experience, which includes taking an anamnesis and current scars;
  • digital rectal follow-up;
  • additional investigations (instrumental, laboratory), in case of need - anoscopy, fecal analysis, irigography, colonoscopy.

What kind of ailments do you like a doctor proctologist?

To see the broader plan of what the proctologist doctor is doing, see the list of ailments, with which wines I can right to the right:

  • injuries;
  • polypi;
  • vipadanya of the intestines;
  • third party bodies;
  • helminthic invasion;
  • anal fissures;
  • paraproctitis;
  • proctitis;
  • colitis;
  • plumpness.

Proctologist's consultation: hemorrhoids

Without a doubt, you know that the main ailments, with which they turn to a proctologist, and, well, like a proctologist, are hemorrhoids. Perebіg tsgogo zahvoryuvannya can be seen as in the complicated form, so in the form of the uncomplicated. The appearance of the first symptoms of hemorrhoids will require an obov'yazykovy virishennia nutrition in order to know the proctologist and, obviously, yoga. Even if the symptoms of hemorrhoids will be ignored by the patient, you can sometimes get stuck with rectal cancer - the most common illness is given by hemorrhoids.

How to get ready to receive a proctologist?

It is necessary to prepare your body before the introduction of your fahivtsya. Polagaє tsya pіdgotovka at clumsy for their sutti manipulations. So, next empty the intestines independently, vicorist with the same enema and carry. It is also recommended to turn off the evening ahead of the reception of the product, which should be used for gasification, including gassed water.

When to go to the proctologist?

Now let's be mindful of quiet moments, which can become important manifestations for the further need for the examination of a proctologist. Zocrema situations, which goiter is up to the point, lie at the offensive:

  • regular diarrhea, constipation;
  • appearing pain in the anus, which is relevant for trivial sitting, walking;
  • appearing pain during defecation or after it;
  • hardening of bumps, swelling in the area near the anus;
  • appearing on the toilet paper traces of blood, appearing traces of blood on feces, color її with which one can be either red or dark;
  • appearance of mucus vision;
  • chervoninnya, swollen, swollen in the area of ​​the anus or anus;
  • visibly obvious at the anus of a third-party body;
  • seen through the adoption of the norms of feces;
  • removal of the hemorrhoid node named after defecation

Obov'yazkove proctologist's advice: if it's necessary?

Vrahovyuchi the fact that the diseased area of ​​the rectum is very wide, the nutrition of a proctologist is no less wide than among grown-up people. The blame for proctological illnesses is accompanied by a number of physiological reasons, which, with their blackness, are provoked by singing camps, in which the body is being disturbed for another hour. The very reason for the obov'azkovym examination of a proctologist is in such situations:

  • the remaining trimester of pregnancy, recent canopies (about 70% of the total number of vaginal women suffer from symptoms, domineering hemorrhoids);
  • the period of premenopause, i navіt menopause;
  • zaiva vaga;
  • trivale perebuvannya z quiet chi іnshih furnishings in a sitting position;
  • transferring operations that cause hemorrhoids;
  • achievement of forty years of age for the presence of several close relatives diagnosed with rectal cancer.

If there are obvious signs of possible ailments in the region, the office of the proctologist is recommended for prevention, which is important because of these reasons, that the onset stages of hemorrhoids are characterized by a daily turn any symptoms.

Seeing a proctologist as a child: when is it necessary to look around?

Deyakі situatsії vymagayut vіdvіduvannya proctologist and child. Zocrema is not necessary in case of manifestation of symptoms similar to those seen in adults. Why, the appointment of a proctologist is necessary for a child with frequent restlessness and crying, which is blamed for defecation.

The intestine (the organ of vision and etching in humans and creatures) is the most important part of the intestinal tract. Vin is formed from the small intestine, in which the intake of vitamins and corneal elements, and the colon, which is responsible for the formation of fecal matter and water intake, is taken. The zamkayuchy duct of the small intestine is the rectum - the end part of the herbal tract, which does not miss the vagina and is pierced through the sigmoid colon to the anal opening. Coloproctologist deals with the treatment of ailment of the colon. If a sick person has signs of an anus injury, a consultation of a senior fahivtsa - a proctologist is prescribed.

A proctologist is a target doctor who treats diseases of the rectum and colon, pararectal expanse (near the rectum) and the anal canal. At the link with the reform of the modernization of health care in Russia in 1997, proctologists were retrained as coloproctologists, which made it possible to expand the range of illnesses, with which one can turn to fakhivtsya of this profile. Acting patients, as shown by the proctologist, are guided by the passage of diagnostics through psycho-emotional discomfort, not understanding the importance of this obstezhennia. In order to make the right decision and turn around, it’s necessary to figure out that the doctor is a proctologist, how to pass an appointment and how bad things can come, so that you don’t turn around for help at all times.

The main reason for the development of severe pathologies of the rectum and colon is ignoring the symptoms of obvious damage and untimely admission to the doctor. More patients (more than 80%) are ashamed to tell someone about “delicate” problems, but it’s important to understand that it’s too early to get fakhivtsya, it’s all the same, but there’s a chance on the outside of dressing up in a kilka times lower, lower at an early time no obvious pathologies.

A close look at the proctologist is necessary for people who enter the risk group for colorectal cancer and malignant bowel disease. First of all, patients over 60 years of age, individuals who suffer from obesity, chronic pain, vessel disorders, which can lead to damage to the blood supply of the gastrointestinal tract and the development of ischemic colitis. It is necessary to regularly move the intestines, and if not to comply with the principles healthy eating she is toxic with alcohol. The risk group also includes chickens: it has been proven that three years of chicken (up to 3 years old) increase the risk of developing colon cancer in the first place.

An emergency (pre-planned) consultation with a proctologist is necessary for the presence of upcoming indications:

  • anal bleeding (including hemorrhaging of the easy stage);
  • appearance of mucus, veins, interspersed with unetched particles in feces;
  • trivaly disorder of constipation (especially unsafe є cherguvannya trival constipation with functional diarrhea);
  • change the color and smell of feces, the appearance of a stinking smell in the void;
  • sore call before defecation;
  • pain syndrome before the hour of bowel movement and after;
  • sverbizh and teasing in the pararectal and anorectal zones;
  • signs of dyspepsia for the mind that the stench is blamed on aphids if only one of the listed symptoms.

Important! An unsafe diagnostic symptom is the appearance of a third-party body in the rectum, as it can be seen under the hour of passing the fecal breast. Tsya a sign can show on a plump ailment, it is impossible to ignore yoga at any time.

List of illnesses

To understand, if you yourself need to seek help from a doctor-proctologist, you need to know how ill a specialist is.

The most common pathology of the rectum, which is most important in people, is to lead a sedentary way of life. To relieve inflamed and dilated veins of the hemorrhoidal plexus can be weakened immunity, shkidlivy zvichki, endocrine and vascular disorders. In women, hemorrhoids have the widest complications of vaginess and flatness.

Symptoms:

  • swelling of the veins of the hemorrhoid plexus; protrusion of hemorrhoids behind the interanal passage;
  • sverbіzh navkolo anus, scho not to pass after the correction of the hygienic regime and the emotional state;
  • anal bleeding of varying intensity;
  • bіl at pararectal dilyantsі, scho posylyuєєєєєєє after trival sіdіnnya;
  • painful defecation.

Rectal obstezhennja ailing for help finger allows you to signify the presence of inflamed hemorrhoids, their size, number, foot set. Also, the doctor should look at the mucus rectum for erosions, ridges, advanced pigmentation, scars, and polyurethral growths. As the igniting process is accompanied by the sight of exudate, fahivets can visually assess its quantity and reveal signs of purulent processes.

Efficiency of digital follow-up with hemorrhoids becomes close to 90%. To confirm the diagnosis of a disease, a sigmoidoscopy or an examination of the rectum for the help of an ultrasonic sensor may be considered.

Injuries, injuries and cracks

Under these terms, defects (opening) of the epithelial membrane of the anal canal are understood, which spontaneously vinified. Tse friend for the breadth of the proctological pathology, which is done only by hemorrhoids. The main cause of cracks is derangement of constipation (trival constipation or carry-over, which lasts more than 3 days). As a person strives for the rules of hygiene and a sparing regimen, such cracks burn on their own for 7-10 days.

With a more severe clinical form, with some kind of illness, they sound like a doctor, chronic cracks, in those who lie on the surface of the epithelial membrane, they visualize as a local defect, and the bare dilyanki m'yaziv, which make anal th sphincter.

Symptoms:

  • strong bіl hot chi rіzhuchoy character pіd h defekatsії chi after her;
  • trival spasm of the sphincter, which manifests itself as a constant pain and vibrates the disorder of sleep and the behavior of the change (the person becomes drastic, restless);
  • anal sverbizh;
  • bleeding of varying intensity (speckled to struma).

For the diagnosis of anal fissures in most cases of depression, it is enough to have a finger examination and a visual examination of the rectum.

Swollen anal canal

Bulges of the rectum can be benign (polypi, brushes) or evil (colorectal cancer). Diagnosing pathology at an early stage is practically impossible due to the presence of specific symptoms. Puhlini can grow in the intestines for a short period of time, with the help of a single sickness, flatulence, bloating, deformity. Pain syndrome in case of good-natured puffiness, as well as stage 1-2 cancer, is practically daily, so the growth of visnovs about the camp of a healthy person for obvious meager symptoms can only be done on the basis of the results of instrumental and finger obstezhennia.

For the diagnosis of fluff, the patient should be assigned sigmoidoscopy, colonoscopy or irigoscopy, at the hour of which biological material is taken for further examination. histological follow-up. To confirm the diagnosis, a blood test for tumor markers is carried out. Velika diagnostic value may have a secondary diagnosis, directing the diagnosis of metastases (in most cases, metastases are attributed to the liver tissue).

Important! The average prognosis of survival in case of malignant bowel injury becomes close to 2-5 years from the cob of rejoicing;

Ignition processes

Inflammation of the mucous membranes of the anus is called proctitis. Pathology is often blamed on aphids for improper treatment of infectious diseases of the intestines, with poor intimate hygiene, and frequent nosebleeds. The typical manifestations of proctitis are the presence of bowel movements, bloating, flatulence, spastic pain in the lower part of the abdomen. For the diagnosis of proctitis, there are various methods of obstruction: finger examination, laboratory diagnosis of feces, apparatus and instrumental methods.

How to get ready for admission?

As a consultation with a proctologist is recognized as a person in the past, special training is not necessary, but rather to take care of diet, to spare, 2-3 days before admission. It is necessary to reduce gas formation in the intestines, relieve discomfort in the lower part of the abdomen, and eliminate mimic gas during palpation, or introduce instruments at the empty rectum. Look at the following products, which will increase flatulence and bloating, as well as rotting and rotting in the intestines. To such products lie:

  • refining tsukor;
  • vegetables with the addition of starch or purine acid (cabbage, potatoes, beetroot, green peas, spinach, artichokes);
  • gassed water and lemonade;
  • mushrooms;
  • chocolate and products prepared with the addition of cocoa oli;
  • nezbirane cow'yache milk.

In case of suspicion on the fuse, the process should be observed in the hospital and over-sour їzhі - such strains heal the walls of the intestine and may lead to a worsening of obvious symptoms. All spices, seasonings, marinade with additional otstu, rosemary, smoked meats, citrus.

The fight against bullying

What people are afraid of unacceptable perceptions, yakі can be blamed for palpation of the rectum, it is recommended to consult with a doctor before taking it about possible reception of calming benefits. In short, there will be more preparations with a slight sedative effect: stench does not call out galvanism and may be a small list side effects that contraindication. The strongest preparations of the guilty are recognized as a fakhivtsy, shards of stench can detract from the heart function.

table. Such calming preparations can be taken before taking.

Polipshiti emotional state of the patient to help you sleep, povnotsinny sleep, relaxing bath before looking ahead, herbal tea. Before going to bed, you can drink a bottle of diluted goat milk with honey - such a drink to help relieve stress and anxiety.

Important! However, none of the methods help to overcome the fear of the proctologist's eyes, so you can turn to a private clinic, where you can look around for a sedation. The method is zanurennyam in the camp, similar to a dream, in which a person is resting at the sight, that її pain receptors do not respond to the outside influx.

Proctology is a young science, but fahivtsі-proctologists do not є in our medical mortgages. The appointment of a proctologist is not the most important step, but the next step is to understand your importance, so that you can make the right decision and cover up fear with rubbish. Patients, as shown by the consultation of a proctologist, are guilty of nobility, that the untimely manifestation of pathologies of the rectum can lead to serious consequences, including to malicious puhl.

Video - How to pass a look at the proctologist?

Proctology is the science of medicine, as it deals with manifestations, cures, therapy and prevention of intestinal ailments and organs to a new extent. To be more precise, then this one is directly called coloproctology by science, the first option is the most expanded and understandable for people who are not related to medicine, although they want wine and do not understand it. Aje proctology, really, is the eye of surgeons.

What is the proctologist excited about?

Lіkar, which may be a specialty coloproctologist or proctologist, deals with the detection and treatment of pathologies of the colon and rectum, as well as the anus. An hour ago, the proctologist became a fahivtsem, who was engaged exclusively in the rectum, but with the development of the science of yoga, the sphere of activity expanded. Now, the illness of all, without blame, in the intestines, is rebuked by the competence of the proctologist.

Later, for a few years, proctology from the high-level medical field grew to coloproctology and expanded the scope of specialization. Therefore, a more prominent proctologist and a lesser known outstanding person coloproctologist are fahivits of the same profile.

Proctology: main divisions

What is an organ proctologist?

Organi, yakі perebuvayut at the competence of the proctologist:

    Rim gut;

    The intestine is straight;

How do you look around at the proctologist?

At the reception of a specialist, the sick person happens to go through:

    Standard examination, the method of which is the identification of a patient's scar and the selection of a medical history.

    Rectal care, like a doctor wins for the help of fingers.

    For the consumption of the sick, correct for the passage additive methods diagnostics: laboratory and instrumental: stool collection, colonoscopy, anoscopy or irigography.

Ailments, like a jubilant proctologist

In practice, fahivets from the intestines stick with the impersonal ailment.

Their list is wide, however, the pathologies that are most commonly discussed are:

    Polypoznі rozrostannya;

    Intestinal injury;

    Examination of third-party bodies from the intestines;

    Vipadanna of the rectum;

    Cracks in the anal opening;

  • Cancers;

    Proctiti;

    Paraproctitis.

Consultation with a proctologist for hemorrhoids

Most of the other pathologies of the doctor are brought to stick with hemorrhoids. Illness often proceeds hard, with different complications, although some people are afraid of not complicating their form. As soon as a person notices the first signs of hemorrhoids in himself, then he needs to be consulted by a fahivtsya-proctologist. If you get rid of the disease without diligent healing, then you can lead to serious consequences, even to intestinal cancer. Itself in tsomu polagaє the main problem is hemorrhoids.

Preparing to receive a proctologist?

First of all, it is necessary to carry out preparation. For which person it is necessary to cleanse your intestines well. With this method, you can buti vikoristan zvichayna enema or carrying zasib.

Do not cook in the evening ahead of the day, I will take in the products, as if to spriyat the strength of gasification. The whole rule is to drink and drink, for example, licorice gas water.



About the need to see a doctor foot signs:

    Pain in the area of ​​the anal opening. Often such a bіl is blamed after a troubling seat or after walking.

    Often blamed for constipation and diarrhea.

    Painful sight, which is blamed for the hour of the act of defecation. Watch out for the pain that comes after the bowel movement.

    Appearance of blood splatter on the toilet paper after vikonnanny of natural hygienic procedures. Flames can be mothers of different colors - from light-chervony, to very dark ones.

    Appearing reddening and sagging in the area of ​​the anal opening, viniknennya uncharacteristic vermin.

    Mucus vision from the rectum.

    Appearing of the presence of a third-party object at the anus.

    Forming fistulas and seeing feces through them.

    Appearance of a hemorrhoidal node after going to the toilet.

Obov'yazkove proctologist's advice: if it's necessary?

Don’t worry about rectal ailments - tse vinyatkove, that a small number of people suffer. The number of pathologies should be widened, especially among the middle-aged population. On їх viniknennya nadaє a number of factors that are injected into the body.

To that, it’s necessary to give fakhivtsu, like:

    Є supramіrna masa tіla.

    The woman is going through the pre-menopausal period, she entered the menopause before the end.

    How to set the people to frighten for a long time, they will be left in a sitting position. For example, professional windows.

    As before, the operative insertion was postponed, it was created for removal of hemorrhoids.

    As if the woman entered the last trimester of pregnancy, or recently she gave birth to a child who suffered from symptoms of hemorrhoids.

    It's like a diagnosis of "intestinal cancer" in some close relatives, and the person herself crossed the line in 40 years.

Well, if a person is not turbulent, then all the same is not a drive for being guided during preventive trips to a proctologist. On the right, in the fact that most serious intestinal infections at the cob stages give little symptoms.

If you need to see a proctologist for a child?

It is necessary to bring in some people to the reception before fahivtsya that child. It is necessary to be careful, as the new vinicle has symptoms similar to those of intestinal ailment for adults. In addition, consultations help crying that restless baby for an hour or after bowel movements.