Каково лечение анальной трещины первой линии?
Лечение анальной трещины первой линии является консервативным. Подход направлен как на немедленное устранение дискомфорта при острой боли, так и на коррекцию нарушений консистенции стула, которые способствуют образованию трещины и препятствуют её заживлению.
Цель лечения
Мягкий стул, выходящий без натуживания.
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.