Як тільки з’явився геморой у дітей – лікування слід почати негайно

Як тільки з’явився геморой у дітей – лікування слід почати негайно

Геморой у дітей , неприємність для всієї родини: як вилікувати і більше не допустити його розвиток?

Геморой , вельми поширене захворювання, від якого страждають не тільки дорослі, але, на жаль, і діти. Під цією недугою мається на увазі варикозне розширення вен прямої кишки, де відбувається застій крові (тромбоз).

У результаті вони запалюються, звиваються і утворюють так звані вузли. На певній стадії розвитку цієї хвороби їх можна побачити при зовнішньому огляді заднього проходу.

Важливо пам’ятати про наявність специфічних, властивих тільки юному віку причин, що провокують геморой у дітей , лікування цього захворювання виконується виключно за допомогою засобів, призначених лікарем.

Зміст

Перед лікуванням з’ясовуємо причину розвитку хвороби

Вагітність, пологи, зловживання алкоголем і підняття важких – все це не має ніякого відношення до дітей.

Виникають на тлі поганої мікрофлори кишечника у немовлят і неправильного харчування у дітей дошкільного та шкільного віку (сухомятка, газовані напої, фастфуд, дефіцит овочів і простої води в раціоні).

      Частий і тривалий плач, істерики

У результаті підвищується внутрішньочеревний тиск і відбувається інтенсивний приплив крові до малого тазу, що при певній частоті таких випадків провокує застій крові у венах прямої кишки.

      Довге сидіння на горщику

Перебіг хвороби в цьому випадку може бути спровоковано як психологічними причинами (небажання ходити на горщик поза домом), так і фізіологічними (сильні й марні потуги за наказом дорослих, застій крові в малому тазу від частого і довгого сидіння).

      Інфекції, пухлинні і запальні процеси в товстому кишечнику

Це найнебезпечніші причини, що викликають дитячий геморой – лікування в цьому випадку може бути радикальним (хірургічне втручання).

      Вроджена захворювання гемороїдальних вен (спадковість)

Проявляється вже з самого народження, коли при плачі дитини або потугах дефекації вузлики вен випинаються назовні.

      Обмеження фізичної активності

Не секрет, що сучасні діти ведуть, в основному, малорухливий спосіб життя. Після шкільних занять, вони приходять додому і знову сідають за стіл, щоб пограти в комп’ютерні ігри або подивитися телевізор. У цьому випадку лікування дитячого геморою необхідно починати з хової активності дитини.

Перебіг захворювання у дітей

Найлегше виявити перебіг цієї хвороби у дітлахів старшого віку, здатних розповісти дорослим про своє дискомфорті. Ознаки геморою у дітей мало чим відрізняються від тих же симптомів у дорослих. До них відносяться: кров’янисті виділення з прямої кишки, відчуття стороннього тіла, печіння і свербіж в області анального отвору.

У грудних немовлят і зовсім маленьких дітей геморой може протікати і зовсім безсимптомно. Набряклі вузлики гемороїдальних вен батьки виявляють випадково, при плачі дитини або напруженні при дефекації. А коли дитина спокійний і розслаблений, вони зникають.

Сліди крові, що вказують на наявність у малюка геморою, можуть виявитися і на поверхні його калових мас, а у випадку, коли в тріщинку прямої кишки або гемороїдальної вени потрапляє інфекція, піднімається температура від 37 ° до 38 ° С.

У рідкісних випадках у дитини може розвинутися, так званий, гострий геморой. Його викликає закупорка вен прямої кишки згустками крові (тромбоз). Фахівці виділяють три стадії перебігу цього захворювання:

Гемороїдальні вузли невеликі за розміром, присутні незначні больові відчуття. Поряд зі збільшеними вузлами, яскраво виражена набряклість всієї періанальної області (області м’яких тканин навколо заднього проходу). Гемороїдальні вузли випадають з анального отвору, набряк поширений на весь задній прохід. Больові відчуття дуже сильні.

Чим лікувати?

З постановкою цього неприємного діагнозу дитині в голові у батьків виникають сотні тривожних питань. «Як лікувати геморой у дітей?» – Мабуть, найактуальніше з них. Сучасна медицина за останні роки досягла чималих успіхів у цій галузі, часто поєднуючи їх з народними методами. Головне, запам’ятати правило: при будь-якій стадії цього захворювання лікувати дитину потрібно тільки під контролем лікаря! Адже іноді ознаки дитячого геморою можна легко переплутати з іншими, часто дуже серйозними патологіями товстого кишечника, наприклад, пухлинний процес. Так, іноді батьки приймають за гемороїдальні «шишки» кісту в області заднього проходу або випала пряму кишку. Природно, лікування протигемороїдальний препаратами та методами тут може бути не тільки марним, а й небезпечним.

Тому всі наведені нижче рекомендації повинні бути використані тільки з дозволу дитячого проктолога, який знає історію хвороби вашої дитини.

З часто вживаних консервативних засобів офіційної медицини можна виділити мазі і свічки від геморою для дітей. На жаль, на даний момент спеціальних дитячих препаратів ще не придумали, тому використовуються дорослі кошти, але в зменшених дозах. Скільки частин від звичайного їх обсягу використовувати, вам може сказати тільки ваш лікуючий лікар!

Також необхідно врахувати, що далеко не всі свічки від геморою, що продаються в аптеці, можна застосовувати до дітей. Щоб не нашкодити дитині, уважно читайте розділ «Протипоказання» в інструкції препарату. Наприклад, такі свічки, як «Ультра», «Реліф», «Гінкор прокто», «Гепатромбин Г» не містять вікових обмежень. Свічки «Проктоседил» не рекомендується використовувати у дітей грудного віку, а «Міл-Пар» призначаються дітям тільки з 3-х років. Добре загоюють мікротріщини слизової оболонки кишки і звичайні обліпиховий свічки.

Ці ж рекомендації відносяться і до мазей від геморою.

З метою активізації кровообігу та усунення венозного застою в області прямої кишки дитини, лікар може додатково призначити і спеціальний масаж. При цьому необхідно пам’ятати, що існують кілька протипоказань для проведення такої процедури:

    Туберкульоз кишечника і очеревини Шлунково-кишкові захворювання, зі схильністю до кровотечі Злоякісні і доброякісні пухлини черевної порожнини Шлунково-кишкові захворювання в гострій стадії і в період загострення Гострі запальні захворювання внутрішніх черевних органів

Народні засоби

Одне з простих засобів, що допомагає зняти неприємні симптоми, які супроводжують геморой – дитячий крем. Особливо, якщо до його складу входять такі компоненти, як пантенол, масло какао і вітамін А. Він допоможе при сверблячих тріщинах, зніме на якийсь час набряклість і навіть зменшить кровоточивість вузлів. Дитячий крем (наприклад, компанії «Невська косметика») може непогано виручити батьків страждає дитини. Особливо, коли кою немає нічого іншого.

Також прекрасним ефектом володіють сидячі ванночки з відварами протизапальних трав: череди, ромашки, календули.

Готуються вони так: 2-3 столові ложки квіток вищеперелічених трав заливають 1 склянкою окропу. Закривають посуд щільно кришкою і настоюють протягом 1 години. Далі відвар потрібно процідити і використовувати для сидячих ванночок (гемороїдальні вузли повинні бути занурені в рідину) або мікроклізм. Відвар застосовувати до полегшення симптомів захворювання, але не рідше 1-2 разів на тиждень.

З ромашки готується також парова ванна – прекрасне старовинне засіб для профілактики і лікування геморою.

Приготувати її не складно, вам знадобиться:

    Тазик невеликого розміру (з високими бортиками), відро або просто літрова банка Засушені квіти ромашки 300-500 мл гарячої води

Залити ромашку водою, накрити ємність кришкою і залишити на 5 хвилин. Після цього посадити дитину голою попою над тазиком і накрити теплою ковдрою. Приймати парову ванну можна протягом 5-6 хвилин по кілька разів на день протягом 3-5 днів поспіль.

Дітям можна робити і мікроклізми з маслом шипшини або обліпихи. Для однієї процедури потрібно взяти 30-100 мл олії (залежно від віку дитини), нагрітого до 37- 40 ° С. Вводити за допомогою маленької гумової груші з м’яким наконечником (попередньо обмазаною маслом). Після цього, потрібно змусити малюка полежати спокійно 10-15 хвилин. Така процедура сприяє розслабленню кишкової мускулатури, м’якому виведенню калу і загоєнню мікротріщинок прямої кишки.

Для зовнішнього змащування гемороїдальних вузлів можна застосувати мазь Вишневського на основі березового дьогтю.

Профілактика

Ніяке, навіть саме ефективний лікарський або народний засіб від цієї недуги не допоможе, якщо не змінити радикально спосіб життя дитини та її звички харчування. Пам’ятайте, що всі питання, які супроводжують постановці такого діагнозу, як дитячий геморой: як лікувати, як розпізнати, яким саме засобом користуватися – потрібно вирішувати із застосуванням посильних для малюка заходів профілактики.

Особливе значення в цьому випадку має нормалізація стільця дитини. Уважно стежте, щоб у нього не було ніяких запорів. Для цього включайте в дитячий раціон: фрукти, овочі, хліб з цільнозерновий борошна і висівки. Всі ці продукти містять харчові волокна, які стимулюватимуть скорочення кишечника і перешкоджати накопиченню калу в прямій кишці. Намагайтеся годувати його частіше, але малими порціями. Уникайте гострої, смаженої і надто солоної їжі. Корисні при геморої і кисломолочні продукти. Вони сприятимуть нормалізації мікрофлори кишечника дитини, що, в свою чергу, допоможе у ліквідації запорів.

Слідкуйте за вагою дитини. У огрядних дітей ризик розвитку геморою завжди вище, ніж у тих, хто має нормальну вагу.

Для того, щоб позбутися від запорів, необхідно випивати достатню кількість води протягом дня. Для дитини ця норма становить близько літра (в залежності від ваги і віку).

Привчіть свою дитину підмивати область ануса прохолодною водою після кожного випорожнення. Це підвищить тонус судин прямої кишки, поліпшить венозний відтік, що, відповідно, зменшить набряки області ануса або гемороїдальних вузликів.

Найголовніше, обмежте час, який дитина проводить сидячи за телевізором або комп’ютером. Сидячий спосіб життя – це один з головних чинників розвитку геморою! Частіше гуляйте з ним або заохочуйте його жваві ігри у дворі разом друзями, запишіться в яку-небудь спортивну секцію (якщо дозволить лікар) і т. д.

Пам’ятайте, що недотримання всіх цих заходів неминуче призведе до повторного розвитку геморою у дитини!

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