गुदा विदर का प्रथम-पंक्ति उपचार क्या है?
गुदा विदर का प्रथम-पंक्ति प्रबंधन रूढ़िवादी है। यह दृष्टिकोण तीव्र दर्द की तत्काल असुविधा और उस मूल मल पैटर्न दोनों को संबोधित करता है जो विदर निर्माण को प्रेरित करता है और उपचार को बाधित करता है।
उपचार लक्ष्य
बिना जोर लगाए मुलायम मल की निकासी।
References
DOI: 10.1111/codi.167
- Patients should be encouraged to aim for stool consistency which is soft and passed without straining.
- This can be achieved using a combination of lifestyle measures (increased physical activity, weight loss, if appropriate, and adequate hydration), dietary changes (at least 30 g of fibre per day) and laxatives.
- This can be in the form of acute sharp pain which may be treated with topical anaesthetic agents such as lidocaine.
- In addition, patients may also experience a burning, dull perianal discomfort which may last for several hours after defaecation and may be offered nonopioid analgesics such as paracetamol with further escalation as appropriate.
- Advice includes not ignoring the urge to defaecate and avoiding prolonged sitting on the toilet or straining.