2020年10月28日星期三

hemorrhoids essential oils,What to do about postoperative pain of mixed hemorrhoids?

    1. What is pain

    Pain is an unpleasant feeling and emotional experience caused by tissue damage or potential tissue damage

    Postoperative pain: acute pain that occurs immediately after surgery

    Clinically, it is mainly divided into two categories: acute pain (less than 1 month) and chronic pain (more than 3 months)

    The key causes of chronic pain: poor postoperative pain control and mental depression

    2. The harm of postoperative pain

    Postoperative pain is a reaction of the body after trauma, infection, surgery and other stimuli, including psychological and physiological changes in behavior.

    Can affect mood, produce anxiety, depression, depression, fear

    Why is it more painful after anorectal surgery

    The mucosa of the anal canal is rich in nerve endings and is very sensitive to touch, pain, temperature, and squeeze caused by bowel movements

    After the operation, the wound was exposed, the nerves were stimulated, and the anal muscles contracted involuntarily.

    Postoperative wound edema or infection, improper packing of postoperative anal canal

    Feces directly irritate the wound during defecation

    Some patients are anxious due to poor pain control, aggravated nervousness, fear of defecation and dressing changes, and fall into a vicious circle

    Should the pain be endured as much as possible?

    These concepts are out of date!

    "Pain after surgery is normal"

    "Just endure the pain"

    "It hurts all the time, isn't it?"

    "Wait until the pain is over, call the doctor again!"

    Misunderstandings about postoperative pain

    Misunderstanding 1: surgical pain is normal and inevitable

    Doubt: Pain can lead to some physical and mental diseases, such as gastrointestinal dysfunction, cardiopulmonary dysfunction, blood clotting state leading to thrombosis, etc. Pain can also lead to psychological problems.

    Such as: insomnia, dreaminess, irritability and anxiety. It can be said that the side effects of taking analgesics are much less harmful to the body than pain, so you don't need to bear the pain.

    Misunderstanding 2: Too many painkillers can be addictive and affect intelligence

    Undoubtedly: Analgesics are simply used for postoperative analgesia. The treatment course is short and the dosage is small. If the medication is used on time, the concentration of the drug in the blood is relatively stable and will not change drastically. Addiction is related to the fluctuation of drug concentration in the blood, so the regular medication for postoperative pain relief will not lead to addiction dependence. The analgesic drugs currently used in the clinic are highly safe. For adults with well-developed brains, these drugs have no effect on intelligence

    Misunderstanding 3: Take painkillers only when you are in pain, not take it temporarily

    Undoubtedly: Timely administration is a basic principle of analgesia, which can maintain a stable blood drug concentration, which can effectively reduce drug resistance and drug addiction. Special attention should be paid to the fact that the patient received multi-modal analgesia during hospitalization, and the pain effect was well controlled. However, after discharge, it is considered that there will be no pain during the hospitalization, and it will be less painful after discharge. Following the doctor's advice and taking the medicine on time throughout the course will get twice the result with half the effort

    How to perform a pain assessment

    Pain is a very competent feeling. The intensity of pain mainly depends on the description of the patient. There are also some simple and professional methods to assess the intensity of pain.

    When you feel slight pain, you should assist the medical staff to assess the intensity of the pain (location, time and frequency, intensity of pain)

    Not only report the intensity of pain at rest, but also report the intensity of pain during activity, coughing, and deep breathing.

    And the impact of pain on sleep, and began to intervene in analgesic programs.

    What is perioperative analgesia?

    Postoperative pain is currently the most common clinical pain, but modern advanced analgesic concepts do not only emphasize postoperative analgesia.

    More emphasis is placed on perioperative analgesia, including continuous, multi-modal analgesia before, during, and after surgery.

    Advocate for timely analgesia during the perioperative period to ensure the analgesic effect

    What is multimodal analgesia?

    The current multimodal analgesia advocated during the perioperative period refers to the so-called application of two or more analgesic drugs or methods with different mechanisms of action, acting on different levels of pain receptors or conduction.

    Reduce single-drug dosage and avoid adverse reactions caused by single-drug overdose. At the same time, it improves the tolerance of the drug, accelerates the onset time and prolongs the analgesia time.

    The most common side effects of opioids (including morphine, fentanyl, codeine, etc.) include nausea, vomiting, constipation, lethargy and excessive sedation),

    Clinically, opioids are used in combination with other analgesics, multi-modal analgesia, reducing their dosage, thereby reducing side effects.

    Advantages of perioperative analgesia

    Reduce postoperative pain and improve quality of life

    Relieve tension and reduce cardiovascular system complications

    Let you dare to breathe and cough deeply, reduce atelectasis and lung infections

    Allows you to get out of bed early to reduce the venous thrombosis and pulmonary embolism that may be caused by long-term bed rest, and promote the recovery of gastrointestinal function

    Improve sleep, make you more energetic during the day, and better cooperate with treatment

    Allows you to fully perform rehabilitation exercises to achieve the best therapeutic effect

    Current pain treatment

    1. Non-drug treatment

    Including psychological counseling, distraction, relaxation therapy, massage, acupuncture, etc.

    2. Drug therapy

    Including selective COX-2 inhibitors, non-steroidal selective non-body drugs and opioid analgesics

    I have used an analgesic pump, do I need to use other analgesics?

    The analgesic pump mainly uses opioids, which have strong analgesic effects, but have limited effects on sports pain.

    And has certain side effects (nausea, vomiting, lethargy, respiratory depression, etc.)

    Cooperating with other analgesics can reduce the amount and side effects of opioids and enhance the analgesic effect.

    How to cooperate with medical staff to achieve the best pain relief effect

    Express the desire to understand pain and pain management with medical staff

    Communicate with medical staff to understand the analgesic treatment plan and eliminate concerns about analgesic drugs

    Actively cooperate with medical staff to implement pain relief programs

    When there is pain or when the pain cannot be relieved, report to the medical staff in time

    At present, we carry out comprehensive analgesia during the perioperative period, and the patients are basically painless after the operation.

    (The picture comes from the Internet)

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