{"id":16322,"date":"2024-04-03T08:42:51","date_gmt":"2024-04-03T08:42:51","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=16322"},"modified":"2024-04-03T08:42:53","modified_gmt":"2024-04-03T08:42:53","slug":"llr-policy-for-rectal-bleeding","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-rectal-bleeding\/","title":{"rendered":"Polityka LLR dotycz\u0105ca krwawienia z odbytu"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><strong>Kategoria<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kryteria progowe<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Obowi\u0105zuj\u0105ce kody OPCS<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Niniejsza polityka dotyczy nast\u0119puj\u0105cych wskaza\u0144<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Zmiany w rytmie wypr\u00f3\u017cnie\u0144 w ci\u0105gu ostatnich 6 tygodni<\/li>\n\n\n\n<li>Hemoroidy wewn\u0119trzne<\/li>\n\n\n\n<li>Szczelina odbytu<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Uprawnienia<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Prezentacja w podstawowej opiece zdrowotnej<\/strong><br><br><strong>Czy u pacjenta wyst\u0119puje wi\u0119ksze ryzyko patologii?<\/strong><br>  \u2013 Przegl\u0105d pod k\u0105tem kryteri\u00f3w \u015bcie\u017cki wykluczenia nowotworu<br>  \u2013 Badanie cyfrowe powinno by\u0107 zawsze uwzgl\u0119dniane w ocenie pacjenta pod k\u0105tem krwawienia z odbytnicy<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Zmiany w rytmie wypr\u00f3\u017cnie\u0144 w ci\u0105gu ostatnich 6 tygodni?<\/strong><br> \u2013 Rozwa\u017c wykonanie testu FIT w kontek\u015bcie osoby doros\u0142ej z utrzymuj\u0105c\u0105 si\u0119 zmian\u0105 rytmu wypr\u00f3\u017cnie\u0144 z krwawieniem z odbytu lub bez niego. zakresy referencyjne mog\u0105 si\u0119 r\u00f3\u017cni\u0107 w zale\u017cno\u015bci od objaw\u00f3w i wynik\u00f3w krwi.<br><br> \u2013 Rozwa\u017c badanie ka\u0142u na obecno\u015b\u0107 toksyny M+C+S i Clostridium difficile, aby wykluczy\u0107 infekcj\u0119<br><br> \u2013 Rozwa\u017c badania krwi (zgodnie z NICE) i kalprotektyn\u0119 w kale u m\u0142odszych doros\u0142ych (poni\u017cej 50. roku \u017cycia) lub u kt\u00f3rych IBD mo\u017ce by\u0107 potencjaln\u0105 diagnoz\u0105<br>\u00a0<br> \u2013 Krwawienie z odbytu przy FIT &lt; 10 mcg mo\u017ce wystarczy\u0107 proktoskopia lub sztywne sigi<br>\u00a0<br> \u2013 Bezpo\u015bredni dost\u0119p do sigmoidoskopii elastycznej dla pacjent\u00f3w po 40. roku \u017cycia z krwawieniem z odbytu, nawet je\u015bli FIT wynosi &lt; 10 mcg<br><br> \u2013 Rozwa\u017cy\u0107 dalsze skierowanie pacjenta do gastroenterologii w przypadku podejrzenia IBD na podstawie wyniku kalprotektyny i powi\u0105zanego obrazu klinicznego<br><br> \u2013 Je\u015bli zdiagnozowano IBD, post\u0119puj zgodnie z planem opieki nad IBD<br><br> \u2013 Je\u015bli nie zdiagnozowano IBD, nale\u017cy leczy\u0107 IBS lub skierowa\u0107 si\u0119 na leczenie nowotworowe, je\u015bli pacjent pasuje <\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Hemoroidy<\/strong><br><strong>\u00a0<\/strong><br>U pacjent\u00f3w z hemoroidami zwykle wyst\u0119puje izolowane, bezbolesne krwawienie, ale mog\u0105 r\u00f3wnie\u017c skar\u017cy\u0107 si\u0119 na t\u0119py b\u00f3l, \u015bwi\u0105d lub inne objawy wynikaj\u0105ce z wypadania. Krwawi\u0105ce hemoroidy mo\u017cna leczy\u0107 zachowawczo, ale wypadanie hemoroid\u00f3w, kt\u00f3re jest k\u0142opotliwe, nale\u017cy skierowa\u0107 do specjalisty.<br>\u00a0<br>Je\u015bli wiadomo, \u017ce u pacjenta wyst\u0119powa\u0142y hemoroidy i by\u0142 on badany w ci\u0105gu ostatnich 2 lat, nie ma potrzeby ponownego skierowania go na leczenie, je\u015bli NIE ma nowych sygna\u0142\u00f3w ostrzegawczych (patrz wytyczne NICE dotycz\u0105ce czerwonych flag).<br><strong>\u00a0<\/strong><br><strong>Ostry<\/strong><br><br> \u2013 Proktoskopia, je\u015bli jest dost\u0119pna<br> \u2013 Uspok\u00f3j, dorad\u017a<br> \u2013 Leczenie miejscowe (brak podstaw dowodowych)<br> \u2013 Je\u015bli to konieczne, dodaj diet\u0119 bogat\u0105 w b\u0142onnik lub suplementy zawieraj\u0105ce b\u0142onnik<br> \u2013 W przypadku twardych stolc\u00f3w nale\u017cy zwi\u0119kszy\u0107 spo\u017cycie p\u0142yn\u00f3w lub makroglikolu<br> \u2013 Kontrola po 4 tygodniach<br><br><strong>Chroniczny<\/strong><br>\u00a0<br><strong>A. <\/strong>Hemoroidy, kt\u00f3re po 4 tygodniach leczenia zachowawczego nadal krwawi\u0105, ale nie wypadaj\u0105 przy wysi\u0142ku<br><br> Skorzystaj z punktu kompleksowej obs\u0142ugi\/us\u0142ug spo\u0142ecznych<br> \u2013 Dieta<br> \u2013 Elastyczna sigmoidoskopia<br> \u2013 Banda\u017cowanie<br> \u2013 Spo\u0142eczno\u015b\u0107 kieruje do opieki specjalistycznej, je\u015bli wskazuje na to patologia<br><br><strong>B.<\/strong> Hemoroidy, kt\u00f3re po zabanda\u017cowaniu nadal krwawi\u0105 <strong>Lub<\/strong> wypadanie przy wysi\u0142ku <strong>Lub<\/strong> pozostaj\u0105 trwale poza widoczn\u0105 b\u0142on\u0105 \u015bluzow\u0105<br><br> \u2013 skierowanie lekarza pierwszego kontaktu do opieki wt\u00f3rnej w celu leczenia<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Szczelina odbytu<\/strong><br><br><strong>Ostry<\/strong><br><br> \u2013 Ma\u015b\u0107 GNT\/ma\u015b\u0107 Diltiazem w przypadku skutk\u00f3w ubocznych GTN<br> \u2013 Porady dotycz\u0105ce diety i stylu \u017cycia<br> \u2013 Kontynuacja po 8 tygodniach<br><br><strong>Chroniczny<\/strong><br><br> \u2013 Skonsultuj si\u0119 z chirurgiem jelita grubego<br> \u2013 Rozci\u0105ganie odbytu\/Botoks<br> \u2013 Boczna sfinkterotomia odbytu<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Inna patologia odbytu<\/strong><br><br> \u2013 Patrz 2WW, je\u015bli pacjent pasuje do \u015bcie\u017cki nowotworu<br> \u2013 W przypadku znamion sk\u00f3rnych w okolicy odbytu nale\u017cy przestrzega\u0107 zasad LLR dotycz\u0105cych \u0142agodnych zmian sk\u00f3rnych<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Przewodnictwo<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><a href=\"https:\/\/www.nice.org.uk\/guidance\/ng12\/chapter\/Recommendations-organised-by-symptom-and-findings-of-primary-care-investigations#bleeding\">Zalecenia uporz\u0105dkowane wed\u0142ug objaw\u00f3w i wynik\u00f3w bada\u0144 podstawowej opieki zdrowotnej | Podejrzenie nowotworu: rozpoznanie i skierowanie | Wskaz\u00f3wki | \u0141ADNY<\/a><br>\u00a0<br><a href=\"https:\/\/www.nice.org.uk\/guidance\/NG129\">Przegl\u0105d | Choroba Le\u015bniowskiego-Crohna: leczenie | Wskaz\u00f3wki | \u0141ADNY<\/a><br>\u00a0<br><a href=\"https:\/\/www.nice.org.uk\/guidance\/ng130\">Przegl\u0105d | Wrzodziej\u0105ce zapalenie jelita grubego: leczenie | Wskaz\u00f3wki | \u0141ADNY<\/a><br><a href=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-benign-skin-lesions\/\">https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-benign-skin-lesions\/<\/a><br>Ballal i in. Dziennik chor\u00f3b jelita grubego 2010 12(5):407-14<br><br>Brytyjskie Towarzystwo Gastroenterologii. Sprawozdanie z uruchomienia 2012<br><br>Hamilton, W. (2009). Studia Capera<br>\u00a0<br>Leung i in. (2005). Post\u0119powanie w przypadku krwawienia z odbytu w spo\u0142ecze\u0144stwie<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>Data przegl\u0105du ARP 80: 2027 r<\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"<p>Category Threshold Criteria Applicable OPCS Codes This policy relates to the following indications Eligibility Presentation in Primary Care Does the patient have higher risk of pathology? &#8211; Review against the [&hellip;]<\/p>\n","protected":false},"author":542,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[57],"tags":[62,63,73,83],"class_list":["post-16322","post","type-post","status-publish","format-standard","hentry","category-policies","tag-gastroenterology","tag-general-surgery","tag-plastics","tag-threshold"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - 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