2020年11月23日星期一

hemorrhoids and anal fissures,Anal function adjustment and exercise after rectal cancer operation

    In rectal cancer patients undergoing anal preservation surgery, due to the removal of most of the rectum and the transection of nerves that exist in the rectum, and the influence of the operation on the anal sphincter, the function of the anal sphincter is short-term imbalanced, and the stool storage capacity and defecation reflex of most patients Function, defecation sensation, and ability to control bowel are all impaired to varying degrees. Diarrhea, constipation, fecal incontinence, tenesmus and other conditions often occur within 6 months after surgery; some patients still have the above even 1 year after surgery problem. The occurrence of this situation not only greatly reduces the patient's quality of life, but also easily leads to distress, embarrassment, and depression. For this kind of situation, it is a simple, easy and effective natural therapy to strengthen the anal function while cooperating with dietary adjustment, drug treatment, and warm water bath.

    1. Diet adjustment: Choose to eat light and soft foods that are high in protein, high in calories, high in vitamins, easy to digest and contain appropriate amounts of cellulose. People with constipation can add honey or sesame oil to their food, drink plenty of water, and avoid spicy, hard, and crude fiber foods, and beans, garlic, milk and other gas-prone foods.

    2. Medication: For patients who have more than 10 bowel movements per day and have unshaped stools, they can take the compound phenethylpiperidine or loperamide (Imodium) as appropriate until the stools are formed, or the stools should be controlled below 3 times a day. Can be disabled.

    3. Sit bath with warm water or 1/5000 potassium permanganate solution: 1 to 2 times a day, 15 to 20 minutes each time; it can reduce inflammation and edema in the anus, and promote the recovery of anal contraction and defecation reflex. But be careful not to take a long squat position when sitting in a bath, so as not to increase abdominal pressure and anastomotic tension, and increase the occurrence of anastomotic complications.

    4. Anal function exercise: not only is beneficial to the recovery of anal function after operation, but also can promote local blood circulation, reduce blood stasis and expansion of hemorrhoidal veins, and treat and prevent hemorrhoids. It should be noted that when doing anal exercises, you must be persistent and not eager to achieve results, which may cause excessive fatigue. It is better to feel comfortable. The method is as follows: Bring your legs close to the buttocks and tighten toward the anus. Under the condition of deep breathing, do levator and anus atresia (anal clamping) exercises; repeat this exercise 20 to 30 times, exercise once every 3 to 4 hours; stand up , Sitting or lying down. For patients with weak physique, the number of exercises can be appropriately reduced according to the situation.

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