Wednesday, January 16, 2013

The colitis patient's enema attends to _'s general knowledge

The colitis patient's enema attends to _'s general knowledge
The intestines subject enema of anus, are different from general enema to operate, confirm the anal canal is inserted in the rectum direction under the circumstances that the regular anus mean examining, change the anal canal to stretch in operation into direction and angle at any time on the basis of anus rectum angle change at the same time.
The regular rectum means examining, dip in and lubricate the paraffin wax oil, touch anus week, anus rectum angle and rectum mucous membrane and patient's sick position situation with the forefinger, thus direction, angle, attentive matters of inserting in rectum of anal canal,etc. make essential preparations.
Enema operate with the intersection of anus and the intersection of rectum and corner when the anal canal head touch the urgent rectum mouth, several rectums step up shrinking, rectum mention at the the intersection of basin and the intersection of bottom and skin, at the place, present, defecate, reflect because of stimulating the rectum wall as the intersection of anus and the intersection of rectum and corner, Damien of anal canal, patient have the intersection of defecaion desire and the intersection of sense and main suit, some the intersection of patient and the intersection of anus and the intersection of skin and group show as easy state of contracting defecate, rectum limp, basin bottom skin shift down and the intersection of anus and the intersection of rectum and corner lean towards large, anus rectum corner drift angle diminished. At this moment, make anal canal according to the intersection of anus and the intersection of rectum and drift angle count, fasten excessively, North Korea be able to the bone is stretched into the rectum axially. On the contrary, some patients display the sphincter of rectum to tighten all the time too, carry skin of anus, pubic bone rectum to shrink, physical sign shows the anal canal to insert in astringently, carry, split and strengthen between two buttocks on the basin bottom skin of rectum, the rectum angle of anus must be diminished at this moment, the rectum drift angle of anus is strengthened. This patient makes the anal canal greater than and " close to the coccyx to stretch into the rectum axially after fastening. Anal canal deepen about 10cm, then transfer the intersection of enema and switch to, feel, tolerate situation make it from light to flow into rectum the intersection of enema and liquid gradually in accordance with patient. Notice anal canal the intersection of order and the intersection of anus and the intersection of rectum and corner become angle count, from great to being small to need until different the intersection of patient and rectum limp to shift down the intensity, determine with the intersection of basin and the intersection of bottom and skin it.
The inflammation change of colitis and patient's colitis has intestines mucous membrane congesting, edema but fragile, especially ulcer easy to touch, bleed press, mean, examine with anoscope examining behind the clear the intersection of pathological change and all situation going on and then enema treatment to the intersection of patient and example this kind of, the liquid temperature of the enema of time spent should be cooler.
If careless anal canal insert direction and angle in or find out about incompletely to the intersection of patient and condition in the operation, it is apt to present the potential dangerous factor, or cause greater agony to patient, enema regular to mean, examine, examine application,etc. in conformity with Sichuan, anoscope, patient of colitis, know first-hand clinical materials, requirement that is operated smoothly of security for the operator.
|

0 comments:

Post a Comment