Perianalni hematom

Perianalni hematom. Narucen sam na pregled kod proktologa, tek za 4 dana, no zanima me Vase misljenje, jeli to perianalni hematom uopce, i postoje li neki nacini za kucno lijecenje osim sitz kupke te nanosenje hladnih obloga. There is an associated risk of perianal squamous cell carcinoma. On examination, there is a blue-black bulge in the skin near the margin of the anus. Obično je uzrokovana puknućem ili krvarećom venom. In this article we focus on pain, lumps and bleeding. However, there are key differences between the two. Again, I found it useful (especially during a hot bath which keeps things more loose and pliable), so I'm not saying don't do it or that it's bad advice, but just adding the warning that I've been given about that idea. A perianal hematoma can be superficial or Perianal hematoma can exist over a short period of time and extremely painful in acute stage, however, majority of anal haematomas soon become painless and usually absorbed by conservative This video is age-restricted and only available on YouTube. Apr 1, 2018 · This morning the fever has subsided, heart rate is down to 60-65 but lymph nodes in groins are still swollen. Anatomical: Cardiovascular diseases. Barva hematomu se mění podle toho, jak se krev v místě poranění postupně rozkládá. A haemorrhoid is an enlargement of the vascularity of the anal cushions in the anal canal. Perianal haematoma (thrombosed external pile) A perianal haematoma is a small subcutaneous haematoma (and not a true haemorrhoid), with a dark blue or almost black appearance, Jun 3, 2020 · Here are some other symptoms you may notice along with a perineum lump: redness around the swollen area. Purpura su modrice do 1 cm. Jan 1, 2018 · A perianal haematoma is an acutely painful condition that often has an onset after straining at stool. Anal skin tags typically appear small at first. 2E61. Combined internal and external haemorrhoids with severe symptoms (surgery may be required). Mar 29, 2023 · Prolapsed hemorrhoids look like swollen red lumps or bumps coming out of your anus. Pojam se ne smije miješati sa pojmom hemangiom koja je abnormalno nakupljanje krvnih žila u koži i unutrašnjim organima. External Thrombosed Haemorrhoids. Cara Mencegah Hematoma. A perineal hematoma occurs when there is a collection of blood in the perineum, which is the area between the vulva and the anus. Hematom—od αίμα, haima, krv + τωμα, t-oma —abnormalna pojava. Advertising. Perianal lichen sclerosus shows a female predominance usually associated with vulval disease. Ispoljava se jakim bolnim otokom i crvenilom u predjelu jedne strane čmara, tresavicom, povišenom temperaturom Feb 10, 2023 · Some signs that an anal fissure is healing include pain reduction, cessation of bleeding, and wound closure. Sua aparência é feia – um hematoma perianal parece um pequeno inchaço púrpura na borda do ânus, tipicamente situado na região Perianal hematoma. Feb 12, 2022 · 1. Hematoma in perianal area can be as small as a one Perianální hematom. A physician will want to do a physical exam and potentially a rectal exam to see what's happening. It may present with itch, pain, bleeding or a lump that doesn’t respond to the standard treatments. Međutim, neke je potrebno isušiti tokom jednostavne službene procedure. it's about the size of a Jun 16, 2020 · Un hematom perianal arată ca o vânătaie albastră sub piele sau ca o colecție de sânge violet închis lângă anus. Batuk yang parah atau batuk berlebihan dapat memberi tekanan ekstra pada pembuluh darah di sekitar Jun 3, 2023 · A thrombosed hemorrhoid happens when a blood clot forms inside a hemorrhoid, a swollen vein in the anus or rectum. Apr 6, 2017 · While benign tumors are generally harmless and can be easily treated, the malignant variety can create life-threatening conditions for your dog, and will need to be treated aggressively. Removal can provide relief right away. I was anti-coagulated at the time of delivery due to history of blood clots which may have contributed to the development of the hematoma, but because I have to stay anti-coagulated post-delivery, they cannot perform surgery to drain or remove it. Ako se stvori krvni ugrušak, liječnik će ga morati ukloniti. Oct 18, 2019 · Perianal hematoma is a condition wherein blood pools in the tissues surrounding the anus due to a burst blood vessel. Perianalni koji se nalazi na anusu. I’ve had a perianal hematoma for about 6 weeks. Ty by mohly být také schopni cítit malou bulku, toulat se ve velikosti od malých rozinkami na tenisový míček. Sometimes this condition is described as a 'thrombosed external pile' but it is Sep 8, 2021 · Co je to hematom. Pus and fluid collect in the anal gland, and the result is an extremely painful abscess around your anus (the hole in your Aug 22, 2022 · When to See a Doctor. Some people mistake this condition as external hemorrhoids. 2 & XH9ND8 - carcinoma in situ of anal canal & esophageal squamous intraepithelial neoplasia (dysplasia), high grade. Ako se nalazi ispod kože onda se naziva modrica. May 2, 2024 · How to say Perianal in English? Pronunciation of Perianal with 2 audio pronunciations, 2 synonyms, 8 translations and more for Perianal. Elevation atau Elevasi. 5 & XH3Y37 - benign neoplasm of anus or anal canal & esophageal squamous intraepithelial neoplasia (dysplasia), low grade. These tumors can be single or multiple nodules in It won't help a hematoma, and hemorroids can burst from rough handling (if they're already overpressured and close to rupture). Ecchymosis je hematom eći od 3 cm. Vsi perianalni hematomi ne potrebujejo zdravljenja. The most common and serious complications of haemorrhoids include perianal thrombosis and incarcerated prolapsed internal haemorrhoids with subsequent thrombosis. I found something that works for me and wanted to share hoping to help someone else Apr 30, 2018 · Anal warts often occur without pain or discomfort. Rest atau Istirahat 2. One of the few studies of the longer-term consequences of conservative management of an acute episode reviewed 92 patients presenting to St Mark’s Hospital over a 5-year period. itching. durere ușoară până la severă It won't help a hematoma, and hemorroids can burst from rough handling (if they're already overpressured and close to rupture). Pain, swelling, itching, or a lump or a bump in the anal area should prompt a visit to a doctor to determine what could be causing the problem. Kondisi ini disebabkan oleh infeksi human papillomavirus . Jakarta -. The perianal region refers to the area outside the body around the rectum. 0%) had no further trouble from their haemorrhoids. ( K55-K64) Hemorrhoids and perianal venous thrombosis. Free Consultation. Diagnosis can be made by taking some tissue (biopsy) and examining it under a microscope. Mezi nejčastější potíže a onemocnění patří řitní A perineal hematoma is a rare complication. Perianalni apsces (gnoj u dubokom tkivu oko anusa) Perianalni hematom (gnoj i zgrušana krv u perianalnom tkivu uzrokovana puknućem vene) Proctalgia fugax (kratkotrajna bol zbog grča rektalnog mišića) Proktitis (upala sluznice rektuma) Sindrom rektalnog ulkusa (čir rektuma) Trombozirani hemoroidi (krvni ugrušak u hemoroidu) Trauma Dec 19, 2023 · The term hematoma describes an area of blood that collects outside of the larger blood vessels. Also known as. If this is not done, recovery may take longer than the week to ten days which is average. Obvykle jde o stav, kdy se nahromadí krev na určitém místě. Sixty-four patients (54. Takođe možete osetiti malu kvržicu, u rasponu od malog grožđica do teniske loptice. Jedná se o natržení žilní stěny vnitřního hemoroidu vyvolané námahou při stolici nebo při usilovném kašli. De asemenea, puteți simți un mic bulgăre, de la o stafidă mică la o minge de tenis. This is performed as an office procedure. Hematomi koji su vidljivi pod kožom nazivaju se modrica ( ecchymosis ), ali također mogu biti i u unutrašnjim organima. Watch on YouTube. Ako se stvorio krvni ugrušak, liječnik će ga trebati ukloniti. This may sound serious, but it is a rather minor problem, and can be solved quite easily although, as mentioned, it requires a visit to the doctor. 5 is a billable diagnosis code used to specify a medical diagnosis of perianal venous thrombosis. Jiné příznaky perianálnímu hematomu patří: bublající nebo vyboulení kůže v blízkosti konečníku Apr 15, 2002 · The perianal skin and anal canal are cleansed with povidone-iodine solution. Apr 15, 2002 · The perianal skin and anal canal are cleansed with povidone-iodine solution. Lichen sclerosus. Procedure Local anaesthetic is injected in the skin over the haematoma. You may be able to see them if you use a mirror to examine this area. The condition appears suddenly and it is very painful. Liječenje perianalne tromboze u Poliklinici Dr. Dec 12, 2019 · Sintomas de hematoma perianal. bleeding We wanted to define the incidence, predisposing factors, management, and long-term sequelae for post-URS perirenal hematoma (PRH). Difficult. It often occurs as a result of a healed anal fissure or thrombosed external hemorrhoid. The pain in the anus is still so strong that I can't sleep, sit or walk. If you see a blue tinge below the Liječenje perianalne tromboze u Poliklinici Dr. Alte simptome ale hematomului perianal includ: Piele arsură sau bombată în apropierea anusului. Combined with a careful exam, the anatomy can guide one to the correct diagnosis and then proper treatment. The base of the hemorrhoid is infiltrated with at least 5 mL of 1 percent lidocaine, using a 25-gauge, 1¼-inch needle. Perianal haematoma (thrombosed external pile) A perianal haematoma is a small subcutaneous haematoma (and not a true haemorrhoid), with a dark blue or almost black appearance, Apr 15, 2019 · Background Tumors of the perianal area occur frequently in dogs, and the two most common tumors are perianal gland adenoma and anal sac adenocarcinoma; others such as mast cell tumor, lymphoma and melanoma can also occur at this site. In this blog post, we will discuss everything you need to know about perineal hematoma, including its causes, symptoms and the available treatment options. Hematom - liječenje. 9 Only 12 patients (13. Hemorrhoids are swollen blood vessels that occur inside the anus. It’s painful all day. Pronunciation of perianal hematoma with 1 audio pronunciations. Anorectal problems are frequent presentations in the general practice setting. (Perinanal itch is discussed in the article by MacLean and Russell in this issue). Nekatere pa je treba izprazniti med preprostim formalnim postopkom. Moderate. Anal cancer: this is rare and is 20-30 times less common than colorectal cancer. The hemoglobin level decreased by 33 g/L within 20 h. Piles Matrix Kit can heal piles with set of of 3 ayurvedic products starting from Vein Restore Medicine which heals internally ruptured veins & swelling, 2nd is Rectum Restore Medicine which shrinks & removes piles mass and last is Piles Healing gel which instantly lubricates inflamed piles tissues & relieves itching. i've resorted to reddit because i cannot find enough information elsewhere. 0 cm. ” Perianal lichen planus may be seen as an extension of vulval disease and has been reported to transform to anal squamous cell carcinoma. If there would not have been fever and swollen lymph nodes, I would think it's a perianal hematoma but now I am a bit concerned could it be abscess. Jun 16, 2020 · Kaj je perianalni hematom? Peranalni hematom je zbiranje krvi, ki se nabira v tkivu, ki obdaja anus. 3. Pada banyak kasus, kutil anus tidak menimbulkan keluhan atau nyeri, terutama jika ukurannya kecil. Perianal haematoma (a blue or dark coloured swelling at the anal verge) if symptoms are for less than 24 hours duration for clot evaluation. As a result, the anal cushions increase in size and can project distally, both within the anal canal and externally. Learn more. If a painful blood clot has formed within an external hemorrhoid, your health care provider can remove the hemorrhoid. External Hemorrhoid. Není třeba se bát, ambulantní zákrok není bolestivý, spíše nepříjemný. It happens when one of the glands in your anus becomes clogged and infected. Physician Responded. 0 rating. Perianal tumors develop close to, or directly on, the anus in dogs, and originate from the perianal tissues. External hemorrhoids form in the tissue outside the anus, while internal hemorrhoids are inside. conditions: perianal haematoma, haemorrhoids and anal fissure; and briefly discusses the less common but not to be missed anal carcinoma and low rectal carcinoma. Very difficult. Mar 19, 2018 · Perianální hematom vypadá jako modrá modřina pod kůži nebo tmavě fialové odběrem krve v blízkosti konečníku. Most thrombosed hemorrhoids are external, but they can also be internal. Jun 18, 2021 · Izraslina je tamnoplave boje, ne krvari, jedino nesto sitno poslije obavljanja stolice, ne uvijek. Často následkem úrazu, nebo pooperačního zranění. U početnoj fazi razvoja perianalne tromboze, ponekad je dovoljno stavljati obloge od 3% Ac. Če je nastal krvni strdek, ga bo moral zdravnik odstraniti. However, they can slowly increase in size as a result of excessive cleaning or recurrent hemorrhoids or fissures. ilustrasi hematoma perianal (semanticscholar. Haemorrhoids are common in the adult population and are seen in acute and outpatient settings. This is especially true for people who have IBD, and in particular, Crohn's disease. unusual discharge from the lump, your genitals, or your anus. The haematoma is caused by rupture of a blood vessel beneath the anal skin. Perianal Hematoma stock photos are available in a variety of sizes and formats to fit your needs. A dor pode variar de leve a grave, geralmente na proporção da quantidade de inchaço presente. webm 56 s, 1,280 × 720; 14. The blood clot blocks blood flow, causing painful symptoms. Most cases are not serious, though some can be. Hemorrhoid skin tag surgery recovery can be more complex since hemorrhoids can stretch the skin and split the wound open again. Thrombosed haemorrhoids when bleeding is problematic, or there is chronic irritation or leakage. 7%) were advised to undergo a haemorrhoidectomy for continuing Jan 31, 2010 · Perianal hematoma is a condition characterized by the compilation of blood outside the blood vessels which is a result of internal bleeding. Some people call it a thrombosed external hemorrhoid but the colorectal surgeon I saw two weeks ago said it’s not actually a hemorrhoid. ( K64) K64. fever. Nisu svi perianalni hematomi potrebni za liječenje. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. Mogu se javiti između organa i u unutrašnjim tjelesnim šupljinama (abdomen, prsni koš). Understanding the perianal anatomy and histology can help a physicianto understand how patients presenting with perianal symptoms can generate a list of differentiate diagnoses. Media in category "Perianal hematoma" The following 3 files are in this category, out of 3 total. Easy. The skin is incised and the Jul 7, 2014 · Perianal hematoma is pooling of blood under the skin and subcutaneous tissue near the edge of anal area. O principal sintoma é a dor e a sensação de que há algo irregular no ânus. Hematomy se často vyléčí samy, ale někdy je potřeba je Perianalni hematom izgleda kao plava modrica ispod kože ili tamnoljubičasta kolekcija krvi u blizini anusa. Oct 29, 2023 · Cara Mengobati Hematoma. Jul 26, 2022 · Summary. Patients can be forgiven for mistaking a perianal haematoma for a May 5, 2023 · Rectal pain is common and has many possible causes, including hemorrhoids, fecal impaction, inflammatory bowel disease, and proctitis (inflammation of the rectum's lining). An anal skin tag is an excess piece of skin around the opening of the anus. org) Dilansir Healthline, penyebab hematoma perianal juga mirip wasir. Hematom može biti uzrokovan ozljedom u sportu ili prometnom nesrećom. Mnogi griješe perianalne hematome sa prolapsom Nov 29, 2019 · External hemorrhoids are perianal subcutaneous venous plexuses distal to the dentate line, somatically innervated, and covered by squamous epithelium. The objective is to incise the skin over the haematoma which allows evacuation of the contained haematoma (clot). Compression atau Pembalutan 4. Apr 29, 2008 · A perianal hematoma is a pooling of blood in the tissue in the anal area as a result of a ruptured vein. Diagnostic cytology is a useful technique and is usually used to establish a definitive diagnosis of some tumors in veterinary medicine. External hemorrhoids may become pathological when these venous plexuses spontaneously rupture, resulting in a painful subcutaneous hematoma or “thrombosed external hemorrhoid. Categories. They are characterised by severe pain in the perianal region possibly with bleeding. Lichen simplex Jun 17, 2022 · A perianal abscess is a boil-like lump filled with pus found near your anus, rectum or perineal area (the space between your genitals and anus). Ice atau Es Batu 3. It is common to confuse a perianal hematoma with an external hemorrhoid because the two conditions look quite similar, and share some causes and symptoms. bleeding Anorectal problems are frequent presentations in the general practice setting. Nov 16, 2017 · Of course, the area around the rectum will require cleaning and sterilization for this to be the case. Can you pronounce this word better. Jan 2, 2024 · Introduction. . Hematoma is a condition in which there is a localized collection of blood under the skin outside of the blood vessels. there haven't been any changes to my toilet habits. He said if it doesn’t resolve within 6-8 weeks he can make a small incision and drain the clot. Technically, the rectum is the last few inches of the large intestine that terminates at the anus. fatigue. Skin diseases. Sometimes this condition is described as a 'thrombosed external pile' but it is Sep 26, 2023 · Perianal Hematoma vs. Nanda Rajaneesh, Senior General and Laparoscopy & Oncology Surgeon, Apollo Spectra Hospitals, Koramangala explains What is Perianal Abscess? i Jun 3, 2020 · Here are some other symptoms you may notice along with a perineum lump: redness around the swollen area. 18F, 5'4'', about 55 kg. Material and methods: We conducted a systematic review of literature according to Cochrane and preferred reporting items for systematic reviews and meta-analysis guidelines for all studies reporting on post-URS PRH Jun 16, 2020 · Kaj je perianalni hematom? Peranalni hematom je zbiranje krvi, ki se nabira v tkivu, ki obdaja anus. Blood diseases. 1 Symptoms tend to be a combination of one or more of pain, lumps, bleeding, discharge or itch. Subungvalni koji se nalazi na noktu. Jiné příznaky perianálnímu hematomu patří: bublající nebo vyboulení kůže v blízkosti konečníku Jan 1, 2018 · A perianal haematoma is an acutely painful condition that often has an onset after straining at stool. Ini termasuk: Batuk yang kuat. borici, nakon čega se čvorić smanji i može potpuno nestati. A person with anal warts may also feel like Nov 30, 2022 · ICD-11: 2E92. Jun 25, 2023 · Anal abscesses can cause: extreme pain. Međutim, neke treba isprazniti tijekom jednostavnog postupka u uredu. A perianal haematoma, wrongly called a thrombosed external pile or external haemorrhoid, is a collection of blood within the skin around the anus. In a short history of the perianal thrombosis, acute surgical incision or excision is indicated Feb 16, 2023 · Různá onemocnění konečníku mohou mít stejné symptomy, například svědění konečníku, krvácení z konečníku, pálení, řezání a další. Other symptoms of anal warts are rare but can include itching, bleeding, or discharge from the anus. Straining during a bowel movement, lifting, and other vigorous movements may Aug 25, 2022 · Perianal Hematoma which is also termed as Perianal Thrombosis is the name given to a hematoma formed around the anal region. Treatment is likely to be with chemoradiotherapy. there's a purplish bump on my ass crack (not on my anus, but near), doesn't hurt, doesn't bleed, doesn't itch. Kutil anus. Lastrić je jednostavno, brzo, bezbolno i efikasno. bleeding Perianal hematoma is a hematoma found in or on the border of the anus, often mistakenly called an external hemorrhoid. This report describes an Very easy. Dikutip melalui buku berjudul Asuhan Kebidanan Nifas Normal (2022), hematoma adalah pembengkakan abnormal yang terjadi dalam jaringan berisi darah. This occurs when the abscess breaks open on the surface of the Browse Getty Images' premium collection of high-quality, authentic Perianal Hematoma stock photos, royalty-free images, and pictures. Whatsapp Now. Benjolan di anus yang disebabkan perianal hematoma bisa berukuran hingga sebesar bola bisbol dan terasa nyeri serta bengkak di sekitar anus. Jul 27, 2022 · Perianalni hematom ali enostavna zunanja tromboza se običajno pojavi po prenajedanju, po dolgem času v sedečem položaju, po posebej močnem defekacijskem naporu ali brez očitnega vzroka. Jen zkušené oko lékaře a vyšetření dokáže určit, o co se jedná a jaká bude léčba. Record the pronunciation of this word in your own voice and play it to listen to how you have pronounced it. FISTULA-what is fistula in ano (Anal Fistula). Hvala, lp conditions: perianal haematoma, haemorrhoids and anal fissure; and briefly discusses the less common but not to be missed anal carcinoma and low rectal carcinoma. Hematomas can be due to injuries or trauma in the area. Podljev krvi ili hematom (haematoma), je nakupina krvi izvan krvnih sudova, nastaje zbog krvarenja (hemorrhagia), ili preciznije unutrašnjeg krvarenja. It occurs due to back pressure or traumatic rupture of small vein consequent upon straining at stool, lifting heavy weight, coughing. Obično je uzrokovana rupturom ili krvarenjem vene. Penyebab. The problem does disappear on its own within a few days - a clot will form and will Pre-operative Preparation for a Perianal Haematoma Incision and Evacuation procedure No special pre-operative preparation is required. Perianal hematomas often occur in children under the age of five and adults over the age of 50, but they can happen at any age. If a person’s anal fissure does not heal with home remedies or medications Jun 16, 2020 · Šta je perianalni hematom? Perianalni hematom je lokva krvi koja se skuplja u tkivu oko anusa. Gastrointestinal diseases. blag do jak bol, u zavisnosti od veličine krvnog Mar 9, 2019 · CT scan read that I have a softball size perianal hematoma deeper inside my perineum. In patients suffering from perianal hematoma, the blood gathers at the border of the anus caused because of the rupturing of the vein that collects blood from our anus. Podle rozsahu a intenzity můžete podstoupit ambulantní zákrok. In some cases, they can result in painful anal fistulas. Nedostatak ovakvog liječenja je u tome što će se čvorići vjerojatno ponovno javiti PERIANAL PROBLEMS . Nedostatak ovakvog liječenja je u tome što će se čvorići vjerojatno ponovno javiti Very easy. Ksharsutra Ligation - Fistulectomy Fistulotomy - Fibrine Glue - Managment for Anal Fistula - Core Technique For Anal Fistula - Vran Upakrama - Ksharvarti & Ksharpichu Technique - Hemorrhoidectomy (Open N Close Method) - IRC Nov 19, 2020 · Our expert Dr. Na analnem robu se nenadoma pojavi modrikasta masa premera 1-3 cm, napeta, včasih zelo boleča. Običajno je posledica počene ali krvave vene. Perianal Hematoma causes severe pain. rectal discharge. Ne zahtijevaju liječenje svi perianalni hematomi. Oct 11, 2020 · A perianal hematoma is a localized collection of clotted blood that forms in the perianal region. Perianalni hematom je lokva krvi koja se skuplja u tkivu koje okružuje anus. Hematom. Gnojni proces nastaje infekcijom, potom, nekrozom i raspadanjem (kolikvacijom) tkiva zahvaćene žljezde i njene okoline. Jako hematomy označujeme modřiny a krevní výrony. Jun 3, 2020 · Here are some other symptoms you may notice along with a perineum lump: redness around the swollen area. An abdominal sonogram showed a hydrops in the lower abdomen with a maximum depth of 7. Mohou mít i podobnou příčinu. It is due to a ruptured blood vessel within the skin usually caused by some minor trauma such as something hard within the stool. Perianal hematoma. An injury can cause blood vessel walls to Perianalni (čmarni) apsces, najčešće je rezultat upalnog procesa koji zahvata pomenute, analne zljezde. Stupnjevi: Petechiae je mali hematom do 3 mm. INTRODUCTION . A hematoma, 8 cm × 6 cm × 5 cm in size May 30, 2015 · Symptoms, risk factors and treatments of Perianal hematoma (Medical Condition)Perianal hematoma, perianal thrombosis, anal vein thrombosis, or external hemor i think i have a perianal hematoma. 89 MB PERIANAL PROBLEMS . bruising. Primjeri su hematomi u jetri ili mozgu. Perianal hematoma is a collection of blood in the perianal area caused by a ruptured vein or acutely thrombosed external hemorrhoid. Prolapsed hemorrhoids may have no other Oct 31, 2022 · Perianalni apsces (gnoj u dubokom tkivu oko anusa) Perianalni hematom (nakupljanje krvi u perianalnom tkivu uzrokovano puknućem vene, ponekad se naziva vanjski hemoroid) Proctalgia fugax (prolazna bol zbog spazma mišića rektuma) Proktitis (upala sluznice rektuma) Sindrom solitarnog rektalnog ulkusa (ulkus rektuma) May 5, 2012 · Herein we present the case of a patient with a spontaneous perforating hematoma of the rectum who presented with severe abdominal pain after a bloody stool. Apa pun yang dapat memberi tekanan pada vena anus dapat menyebabkan hematoma perianal. Other diseases of intestines. Ostali simptomi perianalnog hematoma uključuju: ravna ili ili ispupčena koža u okolini anusa. 1. bw ip lg pl rw hg ml cu jv ik