80%的便血被误认为痔疮!是痔?是癌?应该怎么样辨别……
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 俗话说“十人九痔”,痔疮<span style="color: black;">平常</span>且又容易<span style="color: black;">流血</span>,<span style="color: black;">因此呢</span>,<span style="color: black;">非常多</span>人大便<span style="color: black;">流血</span>时常常自以为是痔疮,<span style="color: black;">况且</span>认为痔疮<span style="color: black;">流血</span>只要不严重就<span style="color: black;">没关系</span>,一拖再拖,有时拖出严重后果。其实,大便<span style="color: black;">流血</span>不<span style="color: black;">必定</span>是痔疮,有些肛肠病易与痔疮混淆,<span style="color: black;">倘若</span>真的把它们当<span style="color: black;">成为了</span>痔疮,就会延误治疗,<span style="color: black;">导致</span>不可挽回的<span style="color: black;">损伤</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">孙奶奶,70岁。自述身体健康,半个月前<span style="color: black;">忽然</span>大便<span style="color: black;">流血</span>。起初自以为内痔犯了的孙奶奶并未将<span style="color: black;">这事</span>放在心上,但随着时间推移,孙奶奶出便血次数不减反增且颜色鲜红。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 得知孙奶奶症状的女儿并不像母亲那样“心宽”,在<span style="color: black;">伴侣</span>的介绍下到我院找吴和木院长看诊,经<span style="color: black;">仔细</span>询问病史,直肠指检后<span style="color: black;">发掘</span>,距肛门口6cm处触到一个已占肠腔2/3周的不规则肿物,经病理确诊为直肠腺癌。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">医生提示:除痔疮外,大肠肿瘤中、晚期<span style="color: black;">病人</span>,排便时大都会有脓血便或黑色便,<span style="color: black;">因此</span>,不要掉以轻心,失去了<span style="color: black;">疾患</span>最佳治疗<span style="color: black;">机会</span>。</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">●便血<span style="color: black;">必定</span>是痔吗?●</h2>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这种说法是错误的。之<span style="color: black;">因此</span>会有这种疑问,是<span style="color: black;">由于</span>痔的发病率较高,便血又是内痔的<span style="color: black;">重点</span>症状之一,故<span style="color: black;">病人</span>容易把便血归之于痔。但<span style="color: black;">由于</span><span style="color: black;">非常多</span><span style="color: black;">疾患</span><span style="color: black;">能够</span><span style="color: black;">导致</span>便血,如内痔、肛裂、肛窦炎、直肠息肉、直肠癌、溃疡性结肠炎等,故便血不<span style="color: black;">必定</span>是痔<span style="color: black;">导致</span>的。许多大肠癌的误诊和漏诊,<span style="color: black;">便是</span><span style="color: black;">由于</span>把癌症的便血误认为是痔的便血的缘故。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-6f9c219d13e0279aae8b9a1e265efc06_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>【免责声明:<span style="color: black;">照片</span><span style="color: black;">源自</span>于网络,如有侵权请联系删除】<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">导致</span>大便<span style="color: black;">流血</span>的<span style="color: black;">疾患</span>有许多,<span style="color: black;">流血</span>不<span style="color: black;">必定</span>是痔,要结合临床表现来鉴别。<span style="color: black;">平常</span>的便血<span style="color: black;">原由</span>有以下几种:</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1、内痔便血</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">内痔便血为<span style="color: black;">没</span>痛性便血,色鲜红、量不等,或滴血,或喷血,伴有痔块脱出,多<span style="color: black;">没</span>肛门<span style="color: black;">病痛</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2、肛裂便血</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">便后手纸擦时带血,量较少,伴有便后肛门呈刀割样<span style="color: black;">病痛</span>,剧烈难忍,平素有便秘、大便干燥史,两臀可见裂口下端。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3、直肠息肉便血</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">多见于小儿、<span style="color: black;">没</span>痛便血,色较暗,带蒂低位息肉可脱出,呈桑葚状,粉红色。高位息肉可触到球形质软的肿物,能摆动。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4、溃疡性结肠炎便血</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">多有腹痛、腹泻,严重者脓血便或水样便,每日10次以上,伴有便意或里急后重,偶有恶心、呕吐、上腹不适、发热等症状。肠镜<span style="color: black;">检测</span>可<span style="color: black;">知道</span>诊断。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5、直肠癌便血</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">起初便血症状和痔极为<span style="color: black;">类似</span>,难以鉴别,到晚期病人表现为脓血便,不完全梗阻症状。直肠癌<span style="color: black;">亦</span>有便血,<span style="color: black;">不外</span>便血量不像内痔那样多,颜色<span style="color: black;">亦</span>发暗。肿块形状不整,常呈菜<span style="color: black;">花招</span>,质硬,便次<span style="color: black;">增加</span>,常有粘液血便,初期常误诊为内痔,<span style="color: black;">另一</span>,有时与内痔并发,只做镜检见有内痔,未再行指检而漏诊。必要时做病理<span style="color: black;">检测</span>。</p>
<h2 style="color: black; text-align: left; margin-bottom: 10px;">温馨提醒</h2>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-a3c0b38f4953115aaa76728e41190fab_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;">女性40岁以上,男性45岁以上便血伴有大便规律改变者(大便次数、时间、形状改变)多提示直肠癌的可能。<span style="color: black;">必定</span>要到正规医院做直肠指检或肠镜<span style="color: black;">检测</span>,排除肿瘤,<span style="color: black;">以避免</span>误诊、误治。直肠指诊对直肠癌诊断率达80%以上。</p>
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