MUDr. Bálková: Hemoroidy sa dajú vyliečiť. Tak načo nimi trpieť?!

Napísal Mária Halajová 03. jún 2024

Všetko čo by ste mali vedieť o zlatej žile zhrnuté v 9 bodoch MUDr. Bálkovej: ako viem, že ju mám, prečo vznikla, kto ju lieči, kedy treba vyhľadať lekára, čo na ňu zaberá, ako aj ďalšie cenné rady pre efektívnu liečbu.

hemoroidy_foto_dobexil

Nie ste v tom sami! S hemoroidami alebo so zlatou žilou, sa stretáva až polovica ľudí s ochoreniami žíl a aspoň raz za život sa s ním potrápi takmer polovica populácie nad 50 rokov, pričom výnimkou nie sú ani dospievajúci. Trpiaci sa zdráhajú poradiť s lekárom o ich probléme pri počiatočnom štádiu, veľakrát trpia až do stavu, kedy prichádza značné narušenie komfortu, bolesť, svrbenie, pálenie, či krvácanie. To všetko je ale zbytočné, pretože hemoroidy sa dajú úspešne vyliečiť a najrýchlejšie v samom počiatku.

Prečítajte si 9 faktov MUDr. Bálkovej súvisiacich s ochorením a čo je nové v ich liečbe.

1.     Ako hemoroidy vznikajú?

„Hemoroidy sú výsledkom rozšírenia a opuchu žíl v koncovej časti hrubého čreva. Môžu byť spôsobené množstvom faktorov, napr. chronickou zápchou, tehotenstvom, dlhým sedením na toalete, zdvíhaním ťažkých bremien, obezitou alebo rodinnou anamnézou.“

2.     Ako viem, že ich mám?

„Často sa prejavujú nepríjemnými príznakmi, ako je svrbenie, pálenie, bolesť a zápal v oblasti konečníka, hlienovitý výtok z konečníka alebo aj krv na toaletnom papieri alebo v stolici. Krv je jasne červená na povrchu stolice, na toaletnom papieri alebo odkvapkáva z konečníka do misy.“

3.     Kto to lieči?

„Hemoroidy liečia rôzni lekári, vrátane praktických lekárov, proktológov, gastroenterológov a chirurgov. Lekár vykoná potrebné vyšetrenia, poradí s úpravou životosprávy, odporučí lokálnu liečbu (masti, čapíky) a rozhodne o používaní liekov na posilnenie žilovej steny. Práve pre intímny charakter ochorenia je najmä pri ľahších stavoch populárna a častá samoliečba, v taktom prípade je neoceniteľná pomoc odborníkov v lekárňach.“

4.     Kedy je potrebné navštíviť lekára?

„Ak sa pri problémoch s hemoroidmi objavia neobvyklé a opakované krvácanie, neobvyklé bolesti v konečníku, striedanie zápchy a hnačky, bolesti brucha alebo ak príznaky neustupujú aj napriek samoliečbe, odporúča sa vyhľadať lekára. Silné krvácanie z konečníka, ktoré môže byť sprevádzané závratmi alebo mdlobami, si vyžaduje okamžitú lekársku pomoc.“

5.     Čím sa hemoroidy liečia?

„Na hemoroidy môžu pomôcť rôzne lieky, ako sú rektálne masti, krémy a čapíky, ktoré uľavujú od bolesti a svrbenia, potláčajú zápal a zastavujú krvácanie. Ďalej môžu byť účinné lieky, ktoré sa užívajú ústami, určené na posilnenie žilového systému, ktorého oslabenie je základnou príčinou vzniku hemoroidov. Ďalšími možnosťami sú chirurgické zákroky sklerotizácia, koagulácia, kryodeštrukcia, alebo rozsiahlejší chirurgický zákrok.“

6.     V čom spočíva domáce ošetrenie?

„Pri liečbe hemoroidov sa úspešne používajú rôzne účinné látky a ich kombinácie, v závislosti či ide o tablety, masti alebo čapíky. Ich cieľom je: po prvé znížiť nepríjemné svrbenie a bolesť, napríklad lidokaínom, ktorý obsahuje viacero homoroidálnych liečiv a po druhé upraviť narušenú funkciu stien hemoroidálnych žíl, tlmiť ich zvýšenú priepustnosť, zvýšiť ich odolnosť a znížiť tvorbu opuchov, napríklad kalciumdobestilátom. Masť s touto kombináciou, okrem iného, mechanicky chráni okolie konečníka. Prínosom je tiež fakt, že môže pomôcť ako dospelým, tak aj dospievajúcim od 15 rokov.“

7.     Ako dlho trvá liečba?

„Liečba hemoroidov sa môže líšiť v závislosti od ich typu a závažnosti. Drobné vonkajšie hemoroidy väčšinou vymiznú do niekoľkých dní až dvoch týždňov. Rozsiahlejšie vnútorné hemoroidy sú záležitosťou dlhodobej liečby. Dobrou správou však je, že hemoroidy je možné vyliečiť a v súčasnej dobe naozaj nie je dôvod na to, aby pacient znášal utrpenie, ktoré toto ochorenie so sebou prináša.“

8.     Čo hemoroidy zhoršuje?

„Niektoré činnosti a návyky môžu stav hemoroidov skutočne zhoršovať. Patrí sem neliečená chronická zápcha alebo hnačky – tieto stavy v žiadnom prípade nepodceňujte, dlhé sedenie na toalete – skutočne, noviny, magazíny a mobily so sebou na toaletu neberte, podľahnutie obezite, zlé stravovacie návyky, ako je konzumácia potravín s nedostatkom vlákniny, taktiež horúce kúpele, ktoré môžu podporovať vznik infekcie a zhoršovať už existujúci zápal.“

9.     Čo robiť aby som ich vôbec nedostal/a?

„Prevenciu hemoroidov je možné dosiahnuť niekoľkými jednoduchými zmenami životného štýlu. Dôležité je pravidelne konzumovať potraviny s vysokým obsahom vlákniny, ako je ovocie, zelenina a celozrnné produkty, piť dostatok tekutín, udržiavať telesný pohyb a primeranú telesnú hmotnosť a dbať na hygienu ritnej oblasti.“

hemoroidy_normalny_stav_nalez_freepik.com

Tip z lekárne:

DOBEXIL H UNG rektálna masť

Obsahuje zmes látok (lidokaín a kalciumdobesilát) tlmiacich príznaky hemoroidálnych a ďalších ochorení konečníka. Používa sa u dospelých a dospievajúcich starších ako 15 rokov ako podporná liečba pri hemoroidoch a ďalších ochoreniach konečníka, ako sú bolestivé trhliny kože (análne fisúry) a svrbenie v okolí konečníka (pruritus ani).

Masť sa aplikuje 2x denne (ráno a večer), najdlhšie počas 14 dní. Pred každým ošetrením, a obzvlášť po stolici, treba okolie konečníka starostlivo umyť, najlepšie osprchovať studenou vodou. Následne sa nanáša masť do okolia konečníka alebo sa vtláča do konečníka pomocou priloženého aplikátora.

Liek Dobexil H UNG je dostupný bez lekárskeho predpisu. Pred použitím si prečítajte písomnú informáciu alebo sa poraďte s lekárom či lekárnikom.

Zdroj foto: Dobexil, Freepik

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    In addition, Patrick is an skilled writer who has authored three health and exercise books, dozens of e-books, hundreds of articles, and various other fitness movies.
    He’s not simply an armchair health skilled; Patrick practices what he preaches!
    He has competed at a excessive degree in quite a few sports activities, together with rugby, triathlon, mountain climbing,
    trampolining, powerlifting, and, most lately, stand up paddleboarding.
    When not lecturing, coaching, researching, or writing, Patrick is busy enjoying the sunny climate of Cyprus,
    the place he has lived for the last 20-years.

    The leg extension workout routines should solely be used to heat up your
    quads, pre-exhaust them before squats, or flush them at the finish of a leg workout.
    The seated leg extension is an isolation train that is
    performed on a leg extension machine to construct and shape your quad muscle tissue.
    Leg Press is considered one of the greatest exercises to build thigh muscles.
    If you have again problems or are involved about lower
    back pressure, then leg presses are the best thigh constructing
    and toning workout routines. This train could be carried out anyplace with a
    dumbbell solely, and it's also potential to perform the train with no machine.

    To work consistent with your obliques’ muscle
    fibers, carry out the wood chop from a excessive to a low place.
    To make it harder, pause with your legs in the L-position or keep transferring them all
    the way up until they touch the bar (also generally recognized as the toes-to-bar
    exercise). The ab wheel roll-out is certainly one of the best exercises you are in a place
    to do for the entrance of your core, primarily your rectus
    abdominus but additionally the front-most muscle fibers of your obliques.
    Your core muscle tissue are all the muscular tissues surrounding your spine and abdomen,
    stabilizing your pelvis and trunk.

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    BCAA stands for "branched-chain amino acids," important amino acids that can not be produced by our bodies and must be obtained through food plan or supplementation. Stimulant-free pre-workouts use different methods to increase power, similar to improving
    blood flow or delivering extra oxygen to muscular
    tissues. This could be done with elements like l-citrulline, nitrates, and beetroot powder.

    These dietary supplements are a superb choice for those
    who are sensitive to stimulants or those who workout late
    at night and don’t want to have trouble sleeping.
    Monitoring your response to creatine supplementation requires a multi-faceted strategy to actually understand how creatine works in your unique physiology.

    Our testers appreciated its vitality boost, non-jittery
    feel, tasty fruit punch flavor, and easy mixability.
    Altius supplies a considerable energy kick with a excessive dose of citrulline malate, perfect for these who train exhausting and early.

    I was part of the staff testing Cellucor C4 pre-workout, and the explosive vitality
    it promised? Turns out, other testers also felt a significant enhance in power and muscle pumps.
    Cellucor C4 promises noticeable power boosts and improved muscle
    pumps, however the vagueness of its blend might deter some.


    Body Fortress advertises 60g of protein and 12g of BCAA per 2 scoop serving.
    The NSF certification signifies that a product has been examined by a highly revered independent third-party
    organization, and the product undergoes regular testing versus only a one-time take a
    look at. This also places you at elevated threat of negative digestive side effects like diarrhea, gassiness, or constipation. Muscletech Nitrotech is a mix of whey focus,
    whey isolate, and whey peptides, which is a mixture of medium and fast-digesting proteins.

    The flavoring is perfect, with the tartness you'd expect with out being overly sweet.
    The beneficial dosage for BCAA and pre-workout
    might range depending on physique weight, tolerance levels, and individual goals.
    It Is always finest to comply with the instructions on the label
    or seek the assistance of with a healthcare skilled for customized advice.
    They say it delivers as a pre-workout boost and is effective for
    them. It has them feeling good all day and
    is one of their favorite pre-workout manufacturers.
    We’re dedicated to serving as your most trustworthy
    athlete resource, on your sport and fitness journey.

    We try to teach and inform our visitors so that they will make the proper training, vitamin and supplement decisions.

    They can assess your dietary habits, fitness targets, and potential deficiencies to suggest probably the most
    appropriate supplements and dosages. Beta-alanine is known for its capability to increase muscle carnosine levels, which may help
    delay muscle fatigue throughout high-intensity activities.
    Pay attention to how your physique responds to the mix of creatine, BCAAs, and glutamine.

    Some individuals experience digestive discomfort when starting creatine,
    significantly during loading phases. Dividing the daily amount into smaller doses and
    consuming creatine with meals can significantly cut back these short-term results.
    Many fitness lovers find success with this range,
    which successfully replenishes what the physique naturally breaks down every
    day. The scientific evidence facilities on shortly saturating muscle tissue to maximize creatine's ergogenic
    benefits.
    The product is made with natural caffeine you could
    adjust based in your needs. It incorporates a reasonable 55mg per serving, which allows
    for individual changes. They discover it supplies a lift of energy with out jitters or tingling.

    However, if your goals are more centered on endurance or weight administration, you could opt for completely different supplementation strategies.
    Think About your particular fitness goals when deciding whether or not to mix these dietary supplements.
    BCAAs are recognized for his or her capacity to minimize back exercise-induced muscle soreness.
    They say it is delicious and never bitter or chalky like many pre-workout powders.
    As creatine is definitely pretty inexpensive, you might find that you have some more money laying around.
    If this is you and you understand the reality of the effectiveness of BCAAs, then you should
    take a look at post that covers the Best BCAA Supplements on the market.


    As mentioned above, many of those power drinks will incorporate an entire
    listing of elements, together with BCAAs or
    EAAs. Actually talking, a good portion of those added components
    are put in there to extend the pricing to make it appear it has a superior product whereas
    giving no benefit apart from a potential placebo effect.
    All this considered, new analysis has shown that BCAAs don't actually present benefits and have been taken off the "efficient dietary supplements" by ISSN,
    the Worldwide Society of Sports Vitamin. Properly, it isn't impossible, however it will take a extremely very lengthy time and be of little benefit as pre-workouts all have the same
    intent; enhance your exercise.
    Prospects respect the energizing effect of this dietary complement.
    They find it helps them get via their exercises, has a nice taste and no odor.
    Caffeine is among the most researched and effective efficiency enhancers ever.

    Named a Prime 5 Can’t-Miss Sport Complement in a 2024
    study, caffeine boosts alertness, reduces fatigue, and increases power and endurance.

    At 300mg per serving, Pre JYM Plus delivers the optimal dose that can help you train more durable and
    longer.
    Supplementing with creatine will increase the stores of creatine inside the muscles which can help
    to regenerate ATP, and in turn, can enhance the
    capability for high-intensity actions. When it comes to exercise,
    the muscular tissues have a small amount of ATP inside them and
    that is used for explosive actions, similar to sprinting, weight-lifting, and different high intensity bouts of train. Clients report stomach discomfort from the nutritional supplement.


    BCAA dietary supplements is probably not protected for all folks, so remember to speak
    with a healthcare skilled earlier than taking
    any of the merchandise listed above. Nevertheless, the calorie
    content isn’t always listed on supplement labels as a result of totally
    different laws concerning the calorie content material of whole proteins and individual amino acids.
    If you might have questions regarding the protection of BCAA supplements
    and whether or not you ought to be taking them day by day, you probably can speak with a trusted healthcare professional.
    Hold in thoughts that dosing and frequency change depending on what the BCAA complement is getting used for.
    For example, an athlete taking a BCAA supplement to assist performance and recovery could require a
    special day by day dose than someone utilizing a BCAA complement to enhance a liver condition.
    Suggesting, the multi-ingredient complement used within the investigation had effects on anaerobic efficiency solely,
    which has similarities to the present findings. Variations
    between findings could be associated to the themes and
    protocols used within the investigations. Extra research is needed relating to continuous anaerobic operating capability, crucial velocity,
    and pre-workout supplements containing comparable elements
    to those discovered in the SUP.
    One physiological functions attributed to betaine is that it acts as an osmo-protectant,
    which implies it might possibly help defend cells towards dehydration by
    appearing as an osmolyte and increasing the water retention of cells.
    Other studies suggest that betaine supplementation can lower plasma homocysteine concentrations and scale
    back irritation. In addition, betaine also acts as a methyl donor that can synthesize
    creatine in skeletal muscle. Research reveals that betaine supplementation appears to scale back lactate accumulation in the blood and helps maintain mobile
    hydration in cells. Analysis also suggests that enhanced muscle
    oxygen consumption happens when supplementing with betaine.
    A BCAA complement will options three of the nine essential amino acids, including l-leucine,
    l-isoleucine and l-valine.
    Protein, EAAs and BCAAs are associated as they are all simply different combinations of amino acids.
    These amino acids are available various combinations and quantities, depending on the source.
    Regardless, nine of these amino acids are considered important amino acids; our EAAs.
    The "essential" signifies that we should consume them through our food regimen as they can't be synthesized in our our bodies as the opposite amino acids can. Creatine is a non-proteinogenic amino acid that's
    naturally found in our bodies always. This can be the primary main misconception about creatine, as some folks seem to assume
    it’s a international substance. Again, creatine is
    100 percent natural as we MUST have creatine in our our bodies for optimal perform.

    One Other reason BCAA dietary supplements are so in style amongst athletes
    is because of their capability to assist mitigate the consequences of post-exercise muscle soreness and the extent of muscle injury incurred
    throughout coaching. All supplements work by offering you
    with the power you need to push out more work or provide you with enhanced physiological processes to heal faster after muscle injury.

    Additional, in case your sleep or vitamin is out of whack, that ought
    to be your first concern earlier than stressing out about utilizing BCAA or a pre-workout for training.

    Additional, since we now know that bolus protein is simply a protracted chain of amino acids, even taking EAAs
    doesn't seem to supply advantages during the time of sufficient protein consumption.
    This is why it’s at all times finest to get recommendation from a healthcare professional to ensure
    you use BCAA dietary supplements effectively and appropriately.

    Some people, including those with well being conditions that intervene with the breakdown of BCAAs,
    like maple syrup urine illness, ought to keep away from taking BCAA dietary supplements.
    Nonetheless, it’s finest to examine with a healthcare skilled before beginning
    a brand new supplement, especially in case you have a well being condition. Nevertheless, the manufacturer doesn’t disclose whether the components are sourced from animal products, so the supplement isn’t
    suitable for individuals following a vegan diet.
    Ensuring your BCAA, Creatine, and Pre-workout dietary supplements meet excessive requirements like Organic Muscle means nurturing your physique with the finest ingredients.
    Keep In Mind, whereas these dietary supplements can be highly effective tools in your health arsenal, they should complement, not exchange, a balanced diet, correct hydration, and a constant sleep schedule.

    Always consult a healthcare professional before beginning any new complement regimen to ensure it
    aligns with your needs and objectives. Some of the most typical artificial sweeteners included in pre-workout dietary supplements are sucralose, aspartame, and saccharine.There is a few debate on whether or not stevia is a natural or artificial sweetener.


    I've been seeing that in the health club with individuals who've switched to taking betaine on top of the
    creatine and beta-alanine, but now the research is supporting that.
    It actually can improve muscle growth, so that's one other amino acid
    that you simply wish to be getting pre- and post-workout, and that's why it's in Pre and Submit JYM.

    Most BCAA supplements do not present glutamine, which renders them less efficient for both lowering muscle protein breakdown or
    assuaging muscle soreness and fatigue from train. To this
    point, a study examined the muscle protein synthesis response to completely different BCAA supplementation protocols in younger men. One of the protocols used 6.25 grams
    of whey protein with 2.25 grams of leucine, and a second used 25 grams of whey
    protein, which contained the same amount of leucine as the first.

    "However creatine makes me puffy" is one thing you may
    hear many people say who don't truly know what the advantages of
    including creatine to your stack are. All in all, pre-workouts positively work however be mindful of flashy advertising and exaggerated
    claims. And all the time remember, pre-workouts only work if you put out
    the extra effort. Properly, even that is not entirely true as
    it can have an result on your amino acid uptake.

    Regardless, as lengthy as you're not consuming copious amounts of BCAAs, you are good to go.

    In reality, a quantity of EAAs is what differentiates animal
    protein and plant protein, as most plant
    sources of protein lack one or more of the 9 EAAs.

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