Deprecated: Creation of dynamic property wpdb::$categories is deprecated in /home/.sites/659/site4770128/web/wp-includes/wp-db.php on line 760 Deprecated: Creation of dynamic property wpdb::$post2cat is deprecated in /home/.sites/659/site4770128/web/wp-includes/wp-db.php on line 760 Deprecated: Creation of dynamic property wpdb::$link2cat is deprecated in /home/.sites/659/site4770128/web/wp-includes/wp-db.php on line 760 Deprecated: Using ${var} in strings is deprecated, use {$var} instead in /home/.sites/659/site4770128/web/wp-includes/comment-template.php on line 1747 Deprecated: Creation of dynamic property POMO_FileReader::$is_overloaded is deprecated in /home/.sites/659/site4770128/web/wp-includes/pomo/streams.php on line 26 Deprecated: Creation of dynamic property POMO_FileReader::$_pos is deprecated in /home/.sites/659/site4770128/web/wp-includes/pomo/streams.php on line 29 Deprecated: Creation of dynamic property POMO_FileReader::$_f is deprecated in /home/.sites/659/site4770128/web/wp-includes/pomo/streams.php on line 160 Deprecated: Creation of dynamic property MO::$_gettext_select_plural_form is deprecated in /home/.sites/659/site4770128/web/wp-includes/pomo/translations.php on line 292 Deprecated: Creation of dynamic property POMO_FileReader::$is_overloaded is deprecated in /home/.sites/659/site4770128/web/wp-includes/pomo/streams.php on line 26 Deprecated: Creation of dynamic property POMO_FileReader::$_pos is deprecated in /home/.sites/659/site4770128/web/wp-includes/pomo/streams.php on line 29 Deprecated: Creation of dynamic property POMO_FileReader::$_f is deprecated in /home/.sites/659/site4770128/web/wp-includes/pomo/streams.php on line 160 Deprecated: Creation of dynamic property WP_Block_Type::$skip_inner_blocks is deprecated in /home/.sites/659/site4770128/web/wp-includes/class-wp-block-type.php on line 391 Deprecated: Creation of dynamic property WP_Block_Type::$skip_inner_blocks is deprecated in /home/.sites/659/site4770128/web/wp-includes/class-wp-block-type.php on line 391 Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home/.sites/659/site4770128/web/wp-includes/class-wp-term-query.php on line 1118 Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home/.sites/659/site4770128/web/wp-includes/class-wp-term-query.php on line 1118 Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home/.sites/659/site4770128/web/wp-includes/class-wp-term-query.php on line 1118 Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home/.sites/659/site4770128/web/wp-includes/class-wp-term-query.php on line 1118 Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home/.sites/659/site4770128/web/wp-includes/class-wp-term-query.php on line 1118 Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home/.sites/659/site4770128/web/wp-includes/class-wp-term-query.php on line 1118 Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home/.sites/659/site4770128/web/wp-includes/class-wp-term-query.php on line 1118 Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home/.sites/659/site4770128/web/wp-includes/class-wp-term-query.php on line 1118 Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home/.sites/659/site4770128/web/wp-includes/class-wp-term-query.php on line 1118 Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home/.sites/659/site4770128/web/wp-includes/class-wp-term-query.php on line 1118 Hinten brennt`s. Die Analfissur – MED Report
Deprecated: Creation of dynamic property WP_Term::$cat_ID is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 378 Deprecated: Creation of dynamic property WP_Term::$category_count is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 379 Deprecated: Creation of dynamic property WP_Term::$category_description is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 380 Deprecated: Creation of dynamic property WP_Term::$cat_name is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 381 Deprecated: Creation of dynamic property WP_Term::$category_nicename is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 382 Deprecated: Creation of dynamic property WP_Term::$category_parent is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 383 Deprecated: Creation of dynamic property WP_Term::$cat_ID is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 378 Deprecated: Creation of dynamic property WP_Term::$category_count is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 379 Deprecated: Creation of dynamic property WP_Term::$category_description is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 380 Deprecated: Creation of dynamic property WP_Term::$cat_name is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 381 Deprecated: Creation of dynamic property WP_Term::$category_nicename is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 382 Deprecated: Creation of dynamic property WP_Term::$category_parent is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 383 Deprecated: Creation of dynamic property WP_Term::$cat_ID is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 378 Deprecated: Creation of dynamic property WP_Term::$category_count is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 379 Deprecated: Creation of dynamic property WP_Term::$category_description is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 380 Deprecated: Creation of dynamic property WP_Term::$cat_name is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 381 Deprecated: Creation of dynamic property WP_Term::$category_nicename is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 382 Deprecated: Creation of dynamic property WP_Term::$category_parent is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 383 Deprecated: Creation of dynamic property WP_Term::$cat_ID is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 378 Deprecated: Creation of dynamic property WP_Term::$category_count is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 379 Deprecated: Creation of dynamic property WP_Term::$category_description is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 380 Deprecated: Creation of dynamic property WP_Term::$cat_name is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 381 Deprecated: Creation of dynamic property WP_Term::$category_nicename is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 382 Deprecated: Creation of dynamic property WP_Term::$category_parent is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 383 Deprecated: Creation of dynamic property WP_Term::$cat_ID is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 378 Deprecated: Creation of dynamic property WP_Term::$category_count is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 379 Deprecated: Creation of dynamic property WP_Term::$category_description is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 380 Deprecated: Creation of dynamic property WP_Term::$cat_name is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 381 Deprecated: Creation of dynamic property WP_Term::$category_nicename is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 382 Deprecated: Creation of dynamic property WP_Term::$category_parent is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 383 Deprecated: Creation of dynamic property WP_Term::$cat_ID is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 378 Deprecated: Creation of dynamic property WP_Term::$category_count is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 379 Deprecated: Creation of dynamic property WP_Term::$category_description is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 380 Deprecated: Creation of dynamic property WP_Term::$cat_name is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 381 Deprecated: Creation of dynamic property WP_Term::$category_nicename is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 382 Deprecated: Creation of dynamic property WP_Term::$category_parent is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 383 Deprecated: Creation of dynamic property WP_Term::$cat_ID is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 378 Deprecated: Creation of dynamic property WP_Term::$category_count is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 379 Deprecated: Creation of dynamic property WP_Term::$category_description is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 380 Deprecated: Creation of dynamic property WP_Term::$cat_name is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 381 Deprecated: Creation of dynamic property WP_Term::$category_nicename is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 382 Deprecated: Creation of dynamic property WP_Term::$category_parent is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 383
Start Fachbereiche Chirurgie Hinten brennt`s. Die Analfissur
    Deprecated: Creation of dynamic property WP_Term::$cat_ID is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 378 Deprecated: Creation of dynamic property WP_Term::$category_count is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 379 Deprecated: Creation of dynamic property WP_Term::$category_description is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 380 Deprecated: Creation of dynamic property WP_Term::$cat_name is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 381 Deprecated: Creation of dynamic property WP_Term::$category_nicename is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 382 Deprecated: Creation of dynamic property WP_Term::$category_parent is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 383 Deprecated: Creation of dynamic property WP_Term::$cat_ID is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 378 Deprecated: Creation of dynamic property WP_Term::$category_count is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 379 Deprecated: Creation of dynamic property WP_Term::$category_description is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 380 Deprecated: Creation of dynamic property WP_Term::$cat_name is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 381 Deprecated: Creation of dynamic property WP_Term::$category_nicename is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 382 Deprecated: Creation of dynamic property WP_Term::$category_parent is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 383 Deprecated: Creation of dynamic property WP_Term::$cat_ID is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 378 Deprecated: Creation of dynamic property WP_Term::$category_count is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 379 Deprecated: Creation of dynamic property WP_Term::$category_description is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 380 Deprecated: Creation of dynamic property WP_Term::$cat_name is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 381 Deprecated: Creation of dynamic property WP_Term::$category_nicename is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 382 Deprecated: Creation of dynamic property WP_Term::$category_parent is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 383 Deprecated: Creation of dynamic property WP_Term::$cat_ID is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 378 Deprecated: Creation of dynamic property WP_Term::$category_count is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 379 Deprecated: Creation of dynamic property WP_Term::$category_description is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 380 Deprecated: Creation of dynamic property WP_Term::$cat_name is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 381 Deprecated: Creation of dynamic property WP_Term::$category_nicename is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 382 Deprecated: Creation of dynamic property WP_Term::$category_parent is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 383 Deprecated: Creation of dynamic property WP_Term::$cat_ID is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 378 Deprecated: Creation of dynamic property WP_Term::$category_count is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 379 Deprecated: Creation of dynamic property WP_Term::$category_description is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 380 Deprecated: Creation of dynamic property WP_Term::$cat_name is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 381 Deprecated: Creation of dynamic property WP_Term::$category_nicename is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 382 Deprecated: Creation of dynamic property WP_Term::$category_parent is deprecated in /home/.sites/659/site4770128/web/wp-includes/category.php on line 383

Hinten brennt`s. Die Analfissur

0
Hinten brennt`s. Die Analfissur
Deprecated: Creation of dynamic property WP_Block::$attributes is deprecated in /home/.sites/659/site4770128/web/wp-includes/class-wp-block.php on line 179

Wenn am After Beschwerden auftreten, werden sie meist Hämorrhoiden zugeschrieben. Hämorrhoiden sind jedoch ein eher schmerzloses Phänomen, daher lohnt es sich in jedem Fall einen Proktologen Ihres Vertrauens aufzusuchen, um nach einer gezielten Untersuchung, eine gesicherte Diagnose zu stellen entsprechende Therapie festzulegen.

Bei der Analfissur steht ein mit dem Stuhlgang auftretender stechender, scharfer Schmerz, der mehrere Minuten anhält und dann in stundenlanges Brennen übergeht im Vordergrund. Sehr oft findet man Blut am Stuhl oder auf dem Toilettenpapier.  Stärkere Blutungen können mitunter auftreten. Bei einem chronischen Verlauf kommen Nässen und Juckreiz im Analbereich hinzu.  Ein typisches Zeichen stellt  der schmerzbedingt hohe Sphinktertonus (Muskelspannung des Schliessmuskels) dar, der das Absetzen des Stuhls erschwert und durch das Brennen danach noch zunimmt. In der Folge kommt es zu  einer Verschlimmerung der Symptomatik  mit einem immer tiefer werdenden Einriss.

Es gibt verschiedene Ursachen für die Entstehung einer Analfissur:

  • Verletzung des Epithels durch mechanische Schädigungen wie z.B. mit hartem Stuhl bei Verstopfung ( Überdehnung des Anoderms), bei Durchfall (Im Rahmen eines gastrointestinalen Infektes und bei Darmlavagen) oder durch Manipulationen;
  • Spastik des Schließmuskels (Sphinkter) meist stressbedingtmit folglich schlechter Durchblutung der Analschleimhaut ;
  • lokale Infektionen mit daraus hervorgehender Irritation des Schliessmuskels;
  • bestehende neuromuskuläre Fehlregulationen, die einen erhöhten Spannungszustand des Schließmuskels bedingen.

Auch chronisch entzündliche Darmerkrankungen (z.B. Morbus Crohn, Colitis ulcerosa) oder Infektionserkrankungen können zu einer Analfissur führen (sekundäre Analfissur).

Konservative Therapie

  • Stuhlregulierung: Für eine normale Stuhlkonsistenz sollte gesorgt werden;
  • Schmerzenreduzieren:  lokal anästhetisch wirksame Substanzen  (Lidocain-hydrochlorid), GTN (Glyceryltrinitrat)
  • Verbesserung des anodermalen Blutflusses bzw. sphinkterspasmus :
    • Mechanische Dehnung des Sphinkterapparates mit speziellen Analdilatatoren in Verbindung mit entspannenden Massnahmen
    • Chemische Sphinkterotomie mit Glyceroltrinitrat Suppositorien ( Zäpfchen) in Kombination mit ISDN und Diltiazem oder Botox;

Chirurgische Therapie:

  • Fissurektomie nach Gabriel: Lokales Ausschneiden des Ulkus/der narbigen Veränderungen unter Mitnahme von Begleitveränderungen (Analpapille, Vorpostenfalte) und unter Schonung des Sphinkterapparates
  • Laterale Sphinkterotomie (seitliche Durchtrennung des Musculus sphincter ani internus):  Reduzierter Sphinktertonus → Abheilung der Fissur
Deprecated: Creation of dynamic property WP_Query::$comments_by_type is deprecated in /home/.sites/659/site4770128/web/wp-includes/comment-template.php on line 1527

Kommentieren Sie den Artikel

Bitte geben Sie Ihren Kommentar ein!
Bitte geben Sie hier Ihren Namen ein