2021年11月2日星期二

Postoperative medication and precautions for hemorrhoids

Hemorrhoids are the most common anorectal diseases. According to statistics in recent years, the incidence rate of hemorrhoids is 50.28%, and the incidence rate is highest in 35~59 years old. It is divided into internal hemorrhoids, external hemorrhoids and mixed hemorrhoids. The clinical diagnosis is examined by anal earthquake and anoscope.

The treatment of hemorrhoids is divided into conservative treatment, mechanical treatment and surgical treatment. Generally speaking, conservative treatment is mainly used to alleviate symptoms and prevent dehydration. Including anal training, dietary changes (especially fiber intake), local diet, etc. If conservative treatment fails, surgery can be accepted. How should postoperative patients use drugs to improve symptoms and improve quality of life? Listen to the pharmacist.

1. Intravenous active drugs

It can improve venous tension, stabilize capillary permeability and increase lymphatic inflow.

Osmanthus fragrans liquid extract (stop) (oral diet is recommended for 30 minutes).

Mailing tablet (oral after meal).

Artemisinin tablets (pay attention to lunch and dinner.

2. Laxative.

Relieve hemorrhoid symptoms and reduce bleeding

Wheat cellulose granules (vitamin glutelin) vitamin glutelin can be eaten in food or beverages. Soup, porridge, milk, fruit juice, etc. it is best to take about 200 ml of liquid together each time.

Eugene control: non steroidal anti-inflammatory drugs (NSAIDs) and non opioid analgesics) have rapid effect, no anesthetic, and will not cause drug dependence. Pay attention to serious gastrointestinal, renal and cardiovascular adverse effects during taking.

3. Topical drugs

Directly disinfect and clean the wound.

Compound Cortex Phellodendri liquid applicator: dosage: soak it with gauze and apply it in the infected wound or panong Yang. When the ulcer is serious, insert a sterile hose with a diameter of 0.5 ~ 1.0 cm into the deep part of the ulcer and use a syringe to extract the product for cleaning. The dosage is generally 10 ~ 20 ml per day.

Benzalkonium chloride solution: 0.1% solution for skin disinfection, 0.05% solution for mucosal disinfection and 0.01% solution for wound disinfection. Methods dilution: add 0.05% solution, 1 part of this product, 2 parts of sterile injection water or fresh sterile distilled water. The solution is 0.01%. Take out 1 part of this product and add 10 parts of sterile injection water or fresh sterile distilled water.

Jinxuan hemorrhoids and fumigation spills (put 1000 ml of boiled water in each bag, wash the affected area after hot fumigation). Once and a half hours, twice a day.

Potassium permanganate for external use: add 1:1000 solution (add 100ml water), disinfectant cotton or cotton swab before use, and then clean it. Please strictly follow the use methods and conditions. For example, too high concentration will damage the skin and mucous membrane.

Compound squalene cream) for the convenience of medication in the workplace, each cream is equipped with a plastic tube. When used, the tube and the cream aluminum tube are tightened, and the front end of the tube is placed in the rectum and slowly extruded the aluminum tube.

Povidone iodine (this product is a disinfectant and preservative. It has bactericidal effect on a variety of bacteria, spores, viruses, fungi, etc. Its Mechanism of action is that the iodine contained in this product is released after it comes into contact with the wound or affected area. It has bactericidal effect. It is characterized by little irritation to the tissue and is suitable for skin mucus infection.

1. Defecation habits:

Constipation or abnormal bowel habits (such as tension, sitting for a long time and frequent defecation) are one of the important causes of hemorrhoids. Therefore, it is recommended that patients maintain good defecation habits and a happy mood.

2. Eating habits:

It is suggested to increase the intake of fiber and liquid such as wheat cellulose particles to improve bleeding symptoms.

Reviewers: Yu Suyan and Zheng Zhuoling of the Sixth Affiliated Hospital of Sun Yat sen University.

没有评论:

发表评论