2020年10月23日星期五

hemorrhoids or fissures,Very hemorrhoids

    Very hemorrhoids, how can everything be done

    Xin Xuezhi, Dean of Shandong Anorectal Hospital, talks about the public hospital's public responsibility

    Reporter Bai Pengfei Correspondent Li Haixiao Zheng Xia Intern Wang Nan Mu Tong

    Editor's note:

    With the development of social economy and the change of people's lifestyles, modern people are increasingly suffering from anorectal diseases, and "ten people with nine hemorrhoids" has become a common reality. However, the biggest impression of "hemorrhoids", "hemorrhoid surgery" and "anorectal surgery" is the unbearable pain of the patients at the beginning of the operation-one by one, bending over, hunched back, and clenched teeth. At 10 o'clock in the morning on July 17, 2011, at the unveiling ceremony of Shandong Anorectal Disease Hospital, a participant quietly talked with Xin Xuezhi, the director of Shandong Anorectal Disease Hospital, "Your hospital treats anorectal disease. Does it hurt?" Xin Xuezhi answered honestly, "After the operation, the pain can be tolerated by the patient now."

    "Cut when you see hemorrhoids" makes benign diseases too scary

    It’s a common practice in many hospitals to "cut hemorrhoids when you see it", but in Xin Xuezhi’s view, it’s unscientific. It is a benign disease, which is not fatal. The purpose of our treatment is to improve the symptoms, reasonable minimally invasive, reasonable analgesia, not "cutting hemorrhoids". Because each organ has its unique irreplaceable effect, we Do everything possible to retain as much as possible."

    Xin Xuezhi emphasized that common anorectal diseases include internal hemorrhoids, external hemorrhoids, mixed hemorrhoids, anal fissure, perianal abscess, anal fistula, constipation, anorectal inflammation, etc. The incidence of hemorrhoids is the highest, accounting for about 70% of the entire anorectal disease. Therefore, knowledge of hemorrhoid prevention and health care is particularly important. Hemorrhoids are the product of pathological hypertrophy of the normal anal pad tissue in the human body, that is, "hemorrhoids" are common to everyone. Only when it has symptoms such as pain, bleeding, prolapse, swelling, can it become "hemorrhoids" and need to be treated. The treatment concept has gradually evolved from the early years of advocating surgery to the current focus on treating symptoms and improving symptoms, and when necessary, carefully choose the principles of surgery. From these changes, it is not difficult to see that the preventive health care and conservative treatment of anorectal diseases occupy an increasingly important position in the diagnosis and treatment of anorectal diseases.

    "It is said that everything exists for good reason. It is not about cutting hemorrhoids when you see it, otherwise it will affect the function. Of all the methods of treating such diseases, surgery only accounts for 15%. Benign diseases will not endanger human lives. "Xin Xuezhi said.

    Behind "tolerable" is the adoption of new technologies

    "Tolerable" is Xin Xuezhi's commitment to all patients. "In the past, the traditional technique of'external stripping and internal ligation' was used. One operation left a large lump, and the patient almost'jumped in pain'. Now this is generally not used. Kind of method."

    Shandong Anorectal Disease Hospital relies on advanced theories of anorectal diseases at home and abroad, and uses minimally invasive Western medicine technology to treat various anorectal diseases; based on domestic advanced diagnosis and treatment equipment, it also selects according to the characteristics of patients with different diseases. The “individualized” surgical plan uses minimally invasive and painless surgery to stop bleeding with electrocoagulation to achieve the goal of small wounds, less bleeding, and short time. On this basis, they combined the characteristics of traditional Chinese medicine to significantly reduce the symptoms of common anorectal diseases such as anal fistulas, mixed hemorrhoids, and anal fissures. Patients are prone to wound pain and edema after surgery, speed up wound healing, and relieve patients' pain. Xin Xuezhi said: "The average operation time is 8-15 minutes, and there is very little bleeding during the operation. Postoperative anal pain is light and short. Because there is no wound on the anal skin and the common edema after external stripping and internal ligation. The postoperative hospital stay is short, returning to normal life and working early. The average postoperative hospital stay is generally 1 to 4 days. Many patients can walk around after two or three days. The kind of stooping and staggering that people have seen before , The scene of abnormal pain is a thing of the past."

    Exclusive "anorectal health exercises" to make patients move

    The most common anorectal diseases include cylinder cushions, blood in the stool, abscesses, and constipation. Xin Xuezhi said that from the perspective of clinical practice, more and more "office workers" are now suffering from anorectal disease. "Many office workers, especially office workers, have very little exercise and activity, and they usually don’t bother to move and eat. Things are processed in detail, and some people are even used to reading newspapers in the toilet, surfing the Internet with their mobile phones, etc., and move their offices to the toilet. This leads to many problems, especially the decline of the pelvic floor muscles, which causes the anus to fall and have poor bowel movements." Prolonged surfing the Internet, reading the newspaper or even squatting in the toilet can easily cause the pelvic floor muscles to fall, anus fall, pain, inexhaustible solution, congestion and erosion, and even make the patient's spirits and mood down. The high incidence of anorectal disease is those who have been working in the office for a long time, sedentary, women who have decreased estrogen levels during menopause, people with obesity, and young people who love spicy food and have irregular eating habits. However, some patients are ashamed to seek medical treatment, leading to delays and even aggravating their condition.

    When the reporter and his party came to Shandong Hospital for Anorectal Diseases, the patient and the medical staff were doing a strange exercise together in the lobby. The big guy was smiling, tapping on special acupuncture points on his body, from his head to his feet. "In the course of daily clinical treatment, I found that too many patients are too nervous about anorectal diseases, and at the same time I don't exercise much. My main purpose is to make the patients move," said Xin Xuezhi, the inventor of this set of "anorectal exercises" , "This set of anorectal health exercises is divided into two different routines before and after surgery, adjusting personal emotions in a pleasant atmosphere."

    "Happy" treatment is a distinctive feature of Shandong Anorectal Hospital which is different from other hospitals. This is actually a qualitative change in the concept of diagnosis and treatment under the modern way of thinking, reflecting the human nature of doctors, and this is also the hospital Has been specifically implemented in the daily diagnosis and treatment activities.

    Public hospitals set up "specialties" to better serve the people

    On July 17, Shandong Anorectal Disease Hospital, which is affiliated with Qianfoshan Hospital, was officially inaugurated, which also marked that Shandong anorectal disease medicine has a better development platform. "Shandong is a populous province. It needs more hospitals, more specialized hospitals, and more professional diagnosis and treatment. The establishment of Shandong Anorectal Hospital complies with this requirement, so that patients with anorectal diseases can be treated in hospitals. Especially for patients to be able to see the disease. I used to see many nearby students go to such informal hospitals for treatment. It didn’t need to spend too much on the disease, and it cost thousands of people at once. A heavy burden, this is a distressing phenomenon, and public hospitals have the responsibility to change this situation."

    According to Xin Xuezhi, there are more than 2,500 people engaged in anorectal disease diagnosis and treatment in the province, some in specialized hospitals, some in general surgery, and some in clinics. "The best way to diagnose and treat anorectal diseases is Chinese medicine. Discipline. If Shandong does a better job in this area, it must implement standardization, standardized training, and diagnosis and treatment." It is reported that Shandong Anorectal Hospital is currently introducing a "clinical pathway" for the treatment of Shandong anorectal disease. How to treat, what procedures are needed for treatment, and medicines to achieve standardization, "this can better serve the people, let them avoid detours, and reduce medical expenses."

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