{"id":7660,"date":"2015-02-13T18:51:21","date_gmt":"2015-02-13T17:51:21","guid":{"rendered":"https:\/\/dev.93-93-113-41.plesk.page\/?page_id=7660"},"modified":"2024-02-26T17:11:10","modified_gmt":"2024-02-26T16:11:10","slug":"fissura-anal","status":"publish","type":"page","link":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/fissura-anal\/","title":{"rendered":"Fissura anal"},"content":{"rendered":"<p>La\u00a0fissura anal\u00a0\u00e9s l&#8217;esquin\u00e7ament longitudinal o \u00falcera de la pell del canal anal, situat per sota de la l\u00ednia dentada.<\/p>\n<p>Els s\u00edmptomes es caracteritzen per dolor intens amb el pas de les deposicions i posterior a aquestes, associat o no a la pres\u00e8ncia de sang vermella fresca al final de la deposici\u00f3 o al netejar-se.<\/p>\n<p>Es classifiquen en agudes i cr\u00f2niques segons el temps d&#8217;evoluci\u00f3 (menys o m\u00e9s de 8 setmanes respectivament).<\/p>\n<p>Es diagnostica mitjan\u00e7ant examen f\u00edsic de la zona que pot despertar dolor en el pacient i requereix en ocasions d&#8217;aplicaci\u00f3 d&#8217;anest\u00e8sics t\u00f2pics.<\/p>\n<p>Entre els factors de risc per presentar una fissura es troben el restrenyiment (excrements durs), l&#8217;esfor\u00e7 defecatori, la cirurgia anal pr\u00e8via, la diarrea cr\u00f2nica, el traumatisme de la zona, i en algunes ocasions poden estar relacionades amb altres malalties intestinals com la malaltia de Crohn.<\/p>\n<p>El tractament d&#8217;aquestes lesions requereix:<\/p>\n<ul>\n<li>La correcci\u00f3 del restrenyiment. Es recomana una dieta rica en fibres.<\/li>\n<li>El control del dolor mitjan\u00e7ant analg\u00e8sics orals i t\u00f2pics.<\/li>\n<li>Facilitar l&#8217;obertura del canal anal durant la defecaci\u00f3, mitjan\u00e7ant l&#8217;aplicaci\u00f3 de pomades que continguin subst\u00e0ncies que disminueixen la hipertonia (nitroglicerina, nifedipina, dinitrat d&#8217;isosorbida).<\/li>\n<\/ul>\n<p>Quan fracassa el tractament m\u00e8dic i especialment en pres\u00e8ncia de fissures cr\u00f2niques, es pot optar pel tractament quir\u00fargic (esfinterotomia), i es recomana pr\u00e8viament a realitzar la cirurgia, un estudi de la tonicitat de l&#8217;esf\u00ednter mitjan\u00e7ant manometria anorectal.<\/p>\n<p>Cl\u00ednica ServiDigest disposa d\u2019una unitat especialitzada per a l\u2019estudi i tractament d\u2019aquesta patolog\u00eda.<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>La\u00a0fissura anal\u00a0\u00e9s l&#8217;esquin\u00e7ament longitudinal o \u00falcera de la pell del canal anal, situat per sota de la l\u00ednia dentada. Els s\u00edmptomes es caracteritzen per dolor intens amb el pas de les deposicions i posterior a <a class=\"mh-excerpt-more\" href=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/fissura-anal\/\" title=\"Fissura anal\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"parent":34536,"menu_order":8,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-7660","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Fissura anal - Servidigest<\/title>\n<meta name=\"description\" content=\"fissura anal\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/fissura-anal\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fissura anal - 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