便血必要“小题大做”,痔疮和直肠癌更要分清楚!
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">不少人会在排便时<span style="color: black;">发掘</span>大便表面有少量鲜红色血液,或是排便结束擦拭时<span style="color: black;">发掘</span>厕纸上有血迹,有时候还可<span style="color: black;">显现</span>排便过程或排便后鲜血滴出或喷出,将马桶里的水染红。但<span style="color: black;">都数</span>人都会认为是“上火”<span style="color: black;">导致</span>痔疮在作祟,殊不知,这种自以为是、司空见惯或许就会有意外<span style="color: black;">出现</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q5.itc.cn/q_70/images03/20240527/69dc64436f67498893ba0c9b89f9f2a4.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">具先生,<span style="color: black;">没</span>论是在家还是在单位都是顶梁柱。平时<span style="color: black;">因为</span><span style="color: black;">平常</span>工作总出差等事务繁忙,很少有时间<span style="color: black;">熬炼</span>身体,更别说是去医院体检了。半年前<span style="color: black;">显现</span>间断性便血的<span style="color: black;">状况</span>,<span style="color: black;">按照</span>自己的”医学常识“,每次都是<span style="color: black;">自动</span>买药治疗,<span style="color: black;">基本</span>没放在心上。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">近期</span>,具先生再次<span style="color: black;">显现</span>便血现象,他为自己依旧诊断为痔疮,于是便再次买了痔疮药治疗。用了一段时间后症状反而越来越严重,<span style="color: black;">乃至</span><span style="color: black;">每日</span>大便的次数<span style="color: black;">亦</span>越来越多,<span style="color: black;">能够</span>有六七次,这下慌了神,到医院<span style="color: black;">检测</span>后<span style="color: black;">发掘</span>竟然是直肠癌……</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">日前</span>,<span style="color: black;">无</span>证据<span style="color: black;">显示</span>痔疮与直肠癌存在<span style="color: black;">相关</span>,但痔疮的存在容易<span style="color: black;">导致</span>其它<span style="color: black;">疾患</span>的误诊。临床上经常<span style="color: black;">发掘</span>直肠癌在痔疮的“<span style="color: black;">掩盖</span>”下,<span style="color: black;">持续</span>“生长壮大”,直至<span style="color: black;">出现</span><span style="color: black;">显著</span>症状才会被确诊,但此时<span style="color: black;">已然</span><span style="color: black;">错失</span>了直肠癌较佳的治疗<span style="color: black;">机会</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q7.itc.cn/q_70/images03/20240527/aaf223f5d701459d9df252a28432a164.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">痔疮</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">VS</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">直肠癌</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">痔疮</span></strong>是一种极<span style="color: black;">平常</span>的直肠肛门<span style="color: black;">疾患</span>,大<span style="color: black;">都数</span><span style="color: black;">没</span>症状的痔疮不<span style="color: black;">必须</span>任何治疗,对人的身体健康<span style="color: black;">亦</span><span style="color: black;">没</span>多少影响,症状较重的可<span style="color: black;">选取</span>手术治疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">直肠癌</span></strong>是消化道<span style="color: black;">出现</span>率较高的恶性肿瘤。<span style="color: black;">初期</span>(I期)根治术后5年<span style="color: black;">存活</span>率超过90%,但晚期(III、IV期)的则不到30%。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">区别点</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">便血<span style="color: black;">状况</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">痔疮:</span></strong>大便有血,<span style="color: black;">通常</span>是大便表面带血、便后手纸带血,便血的颜色多为鲜红色,严重的呈喷射状。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">直肠癌:</span></strong>便血表现为<span style="color: black;">连续</span>性、陈旧性<span style="color: black;">流血</span>,血液颜色多呈暗红或果酱色,时间长了<span style="color: black;">乃至</span>大便内的血液变成黑色,<span style="color: black;">乃至</span><span style="color: black;">显现</span>脓血便,<span style="color: black;">一般</span>与粪便混在<span style="color: black;">一块</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q3.itc.cn/q_70/images03/20240527/77f0e7e165f847ed97b140a6f29348b5.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">区别点</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">排便<span style="color: black;">状况</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">痔疮:</span></strong>便血多表现为<span style="color: black;">没</span>痛性、间歇性,有时还会有肿块(静脉团)从肛门脱出。<span style="color: black;">针对</span>脱出的痔,手指按压后很软,和身体其他部位的静脉<span style="color: black;">同样</span>,<span style="color: black;">能够</span>被压扁,<span style="color: black;">或</span>推回肛门内。痔疮不会<span style="color: black;">导致</span>严重的排便困难,尤其是大便变细。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">直肠癌:</span></strong><span style="color: black;">做为</span>实体肿瘤,位置固定,质地较硬,会<span style="color: black;">引起</span>直肠壁僵硬、受压,大便变细,从而<span style="color: black;">显现</span>大便次数<span style="color: black;">增加</span>但却排便困难,伴有腹部膨胀,症状一旦<span style="color: black;">显现</span>,<span style="color: black;">通常</span>不会<span style="color: black;">自动</span>缓解,且常呈进行性加重。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">区别点</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">后期表现</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">痔疮:</span></strong>不会合并这些直肠癌肝转移及慢性消耗性的症状,<span style="color: black;">倘若</span>内痔<span style="color: black;">长时间</span>脱出,会<span style="color: black;">显现</span><span style="color: black;">病痛</span>和硬结感,这是<span style="color: black;">由于</span>曲张的静脉团内形<span style="color: black;">成为了</span>血栓。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">直肠癌:</span></strong>晚期可能<span style="color: black;">显现</span>肝肿大、黄疸,<span style="color: black;">或</span>贫血、消瘦等表现。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://q4.itc.cn/q_70/images03/20240527/0c1052bcfbb342489f1108589d515c15.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">想要准确诊断直肠癌,</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">“一指神功”不可丢,</strong><strong style="color: blue;">还应妙用肠镜!</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">直肠指诊是区别两种<span style="color: black;">疾患</span>的最基本、最有效的<span style="color: black;">检测</span><span style="color: black;">办法</span>。<span style="color: black;">大夫</span>只<span style="color: black;">必须</span>戴上手套,将食指伸入病人肛门内,<span style="color: black;">经过</span>手指触及直肠四周黏膜进行<span style="color: black;">检测</span>,得到初步诊断。80%-90% 的直肠癌<span style="color: black;">出现</span>在直肠中下段,<span style="color: black;">因此呢</span>直肠指检能<span style="color: black;">发掘</span>75% 以上的直肠癌,而这个<span style="color: black;">检测</span>只<span style="color: black;">必须</span>简单的举手之劳。<span style="color: black;">另外</span>,当高度<span style="color: black;">可疑</span>直肠癌时,应进一步做乙状结肠镜<span style="color: black;">检测</span>,还可进行组织病理活检。</p>
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