同样是便血，怎么样区分痔疮和直肠癌
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">我大便里面带血，是不是直肠癌呀！！</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">经常会接到<span style="color: black;">伴侣</span>的咨询，我早上大便，<span style="color: black;">发掘</span>大便里面有血，鲜红鲜红的，是不是直肠癌呀？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">痔疮和直肠癌都<span style="color: black;">能够</span>表现为便血，两者的症状高度重合，非常容易<span style="color: black;">显现</span>漏诊<span style="color: black;">或</span>误诊，<span style="color: black;">怎样</span>鉴别痔疮和直肠癌呢？<span style="color: black;">咱们</span>一点一点来分析：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">第1</span>，什么是痔疮，什么是直肠癌</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">痔疮是一种良性病，是直肠肛门<span style="color: black;">周边</span>的静脉曲张，形成扩张迂曲的静脉团。<span style="color: black;">倘若</span><span style="color: black;">出现</span>在直肠里面那<span style="color: black;">便是</span>内痔，<span style="color: black;">出现</span>在直肠外面，那<span style="color: black;">便是</span>外痔。内痔和外痔都有，那<span style="color: black;">便是</span>混合痔。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-cb1e5ce98e457f118f4348fa91375792_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">大众</span><span style="color: black;">能够</span><span style="color: black;">安心</span>，痔疮是一种良性病，不会<span style="color: black;">出现</span>癌变。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">直肠癌是<span style="color: black;">由于</span>直肠粘膜上皮细胞<span style="color: black;">出现</span>恶变，变<span style="color: black;">成为了</span>肿瘤细胞，是一种恶性<span style="color: black;">疾患</span>，直肠癌<span style="color: black;">能够</span><span style="color: black;">出现</span>转移，侵犯全身各个脏器。<span style="color: black;">倘若</span>治疗不<span style="color: black;">即时</span>，直肠癌会危及生命。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此</span>，直肠癌<span style="color: black;">必须</span><span style="color: black;">初期</span><span style="color: black;">发掘</span>，<span style="color: black;">初期</span>治疗，<span style="color: black;">必须</span>与痔疮相鉴别。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第二，痔疮和直肠癌怎么鉴别：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（1）两者便血的性质不同</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">痔疮和直肠癌都<span style="color: black;">能够</span>表现为便血，痔疮<span style="color: black;">通常</span>是大便后滴血<span style="color: black;">或</span>喷血，为鲜红色血液，<span style="color: black;">或</span>擦手纸上有血液；直肠癌<span style="color: black;">通常</span>表现为暗红色血液，大便里面常混有粘液<span style="color: black;">或</span>脓液。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-5bd0a8d0e6098a3bd843ca09a9fd8368_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（2）发病年龄</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">痔疮可见于任何年龄段的患者，青年人和孕妇多见，而直肠癌多发于中老年人。<span style="color: black;">然则</span>，<span style="color: black;">此刻</span>直肠癌<span style="color: black;">亦</span>有<span style="color: black;">青年</span>化的趋势，我国<span style="color: black;">青年</span>人的直肠癌发病率<span style="color: black;">亦</span>不低，30岁以下的直肠癌并不少见，千万<span style="color: black;">不可</span><span style="color: black;">忽略</span>了。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（3）大便习惯改变</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">直肠癌的<span style="color: black;">病人</span>，<span style="color: black;">由于</span>肿瘤刺激直肠，可<span style="color: black;">导致</span>大便习惯改变，可表现为大便次数<span style="color: black;">增加</span>，排便不尽感，总想上厕所。还<span style="color: black;">能够</span><span style="color: black;">显现</span>腹泻<span style="color: black;">或</span>便秘，以及腹泻与便秘相交替的<span style="color: black;">状况</span>，<span style="color: black;">无</span>规律性。直肠癌的<span style="color: black;">病人</span>，<span style="color: black;">倘若</span>肿瘤<span style="color: black;">持续</span>生长，占据了肠腔的空间，可<span style="color: black;">引起</span>肠管狭窄，<span style="color: black;">病人</span><span style="color: black;">显现</span>大便变细，排便困难，<span style="color: black;">乃至</span>停止排便和放屁。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-0d1bc346af98b0241f8f24487d483eca_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">痔疮的<span style="color: black;">病人</span>，较少<span style="color: black;">显现</span>排便习惯改变，<span style="color: black;">然则</span>，便秘的<span style="color: black;">病人</span>常常合并有痔疮，<span style="color: black;">由于</span><span style="color: black;">长时间</span>用力大便，<span style="color: black;">能够</span>诱发痔疮，并且加重痔疮的临床表现。<span style="color: black;">因此</span>，痔疮与便秘常常相伴行。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（4）其他<span style="color: black;">状况</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">痔疮是一个肛门直肠的局部<span style="color: black;">疾患</span>，身体其他部位很少<span style="color: black;">显现</span>症状，<span style="color: black;">倘若</span>痔疮<span style="color: black;">长时间</span>慢性失血，<span style="color: black;">或</span>痔疮大<span style="color: black;">流血</span>，可<span style="color: black;">引起</span>贫血。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-3fda14685b92c0aab3f0f74dcfb7a428_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">直肠癌细胞<span style="color: black;">能够</span><span style="color: black;">出现</span>转移，<span style="color: black;">能够</span><span style="color: black;">显现</span><span style="color: black;">非常多</span>症状，例如腹痛，腹胀，体重下降，消瘦，营养不良，贫血，发热等等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（4）直肠指检</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">做直肠指检，就<span style="color: black;">能够</span><span style="color: black;">出现</span>80%以上的直肠癌。<span style="color: black;">大众</span>不要<span style="color: black;">欠好</span>意思，直肠指检是非常<span style="color: black;">要紧</span>的<span style="color: black;">检测</span>，<span style="color: black;">经过</span><span style="color: black;">大夫</span>手指，<span style="color: black;">能够</span>触摸直肠内部的病变。直肠癌表现为质硬的肿块，活动度差，退指后，指套可染血。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-78b5aedd64a6a3721607029a46a5da9c_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">而痔疮是柔软的肉团，指套不会染血，有经验的<span style="color: black;">大夫</span>，<span style="color: black;">经过</span>直肠指检<span style="color: black;">能够</span>鉴别诊断痔疮和直肠癌。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">做直肠指检的时候，还<span style="color: black;">能够</span><span style="color: black;">同期</span>做肛门镜<span style="color: black;">检测</span>，肛门镜<span style="color: black;">能够</span>非常直观的观察有<span style="color: black;">无</span>痔疮。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（5）辅助<span style="color: black;">检测</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有<span style="color: black;">有些</span>直肠癌，距离肛门的位置较高，用手指是触不到的，就<span style="color: black;">必须</span>结合肠镜的<span style="color: black;">检测</span>。结肠镜<span style="color: black;">检测</span><span style="color: black;">能够</span>观察<span style="color: black;">全部</span>大肠有<span style="color: black;">无</span>长肿瘤和息肉。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-134f61117171f617c0c2b688e88330c7_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">大众</span>不要满足于痔疮的诊断，有时候，直肠癌<span style="color: black;">病人</span><span style="color: black;">能够</span>合并痔疮，不要漏诊了。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">最后，治疗原则不同</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（1）直肠癌的治疗原则</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">初期</span>直肠癌以手术治疗为主，应该接受手术治疗，极<span style="color: black;">初期</span>的癌症，<span style="color: black;">能够</span>局部切除肿瘤，不需要切除肠管。中期的直肠癌，<span style="color: black;">必须</span>手术切除肠管，还<span style="color: black;">必须</span>接受放化疗。晚期直肠癌，以化疗和靶向治疗为主。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">（2）痔疮</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">痔疮的治疗原则以保守治疗为主，<span style="color: black;">无</span>症状的痔疮，不<span style="color: black;">必须</span>治疗。有症状的痔疮，以保守治疗为主，例如多吃蔬菜<span style="color: black;">果蔬</span>，多喝水，保持健康的排便习惯，防治便秘；坐浴；局部<span style="color: black;">运用</span>栓剂<span style="color: black;">或</span>外用的<span style="color: black;">药品</span>等等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">仅有</span>保守治疗效果欠佳，内痔脱出<span style="color: black;">没</span>法还纳，血栓性外痔，痔疮大<span style="color: black;">流血</span>等严重的<span style="color: black;">状况</span>，才<span style="color: black;">必须</span>手术治疗。（<span style="color: black;">照片</span>来自网络，侵权删）</p>
认真阅读了楼主的帖子，非常有益。 谷歌外链发布 http://www.fok120.com/ 楼主发的这篇帖子，我觉得非常有道理。
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