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    便后肛門保健
    來源:    時間:2007/1/17    閱讀:11020次

        一、收縮肛門
       
    肛門排便時舒張,結束后自然閉合,這是肛門的自我休息和保健。我們可以利用這種生理現象便后有意識地做三至五次收縮肛門的動作。在通常情況下,排便后肛管下端的皮膚往往向外翻,便后人為地增加收縮可有助于外翻部分恢復原狀。
       
    有病態排便感的病人,在大便后肛門部的便意感仍不消失,有一種里急后重的感覺,通過肛門收縮運動,可以縮短便意的時間或使之消失。某些輕度脫垂的肛門直腸病,如輕度內痔脫出、輕度脫肛等,通過收縮運動可使脫出物容易縮回。另外在用手紙擦肛門時可做適當的按揉和向上方托壓動作,這對肛門的復原更有好處。
       
    二、還納脫出物
       
    一些肛門直腸部的腫物,發展到一定程度,排便后會脫出肛外,程度輕者一般可自行回縮,但如果脫出的時間拖長,組織水腫或病情較重,脫出物太大就很難自然縮回了。
    對大便以后從肛內脫出不能縮回的腫塊,不論是什么病,都應在排完便后立即用手送回。如果不立即送回,不僅有墜脹不適感,而且容易引起組織發炎腫脹,增加還納困難。有的因病情較重、脫出時間過長會使脫出的腫物發生壞死破潰、疼痛增加,還可以引起發熱。所以便后脫出肛外的腫物應隨即推回。遇多發性內痔全部脫出時,可以逐個分別推回。在方法上可從每個脫出痔核的外緣向肛內按壓,按壓時肛門放松、張口呼氣,進去后肛門收縮。在順序上可先送小的,后送大的,便于全部還納。環狀內痔脫出時可出現此進彼出不易還納的情況,這時可用幾個手指將全部脫出物的邊緣一齊向中心部捏住,再用另一只手的食中二指逐個向肛內按壓。待全部退回后用一手指伸入肛內按壓、使痔核復位。對一些極易滑脫者,在痔核全部還納后應在肛門部用棉花墊在肛門口,并用布帶前后收緊,然后爬在床上休息,以便鞏固。如遇脫出物表面干澀者,可在脫出物的表面涂上潤滑劑或無刺激性的軟膏,可減少疼痛,便于送回。如還有困難者應隨即去醫院請醫生幫助處理。
       
    值得注意的是對肛門外腫脹的外痔部分,因本身不屬于肛內脫出,不能硬向肛內按壓,一旦誤將這些腫物按入肛內,會增加疼痛,所以要區別對待。
       
    三、坐 浴
       
    所謂坐浴,就是把肛門部坐在溫水內泡洗,也是肛門保健的方法之一。用坐浴的方法不僅可以洗凈肛門部皮膚皺折內的污物,而且能促進局部的血液循環,對保護肛門的清潔衛生和生理功能有重要作用。對于病重體弱不能蹲坐的病人可由別人幫助擦洗。
       
    人們在排便后肛門周圍皮膚的皺折里,常有一些用紙擦不凈的細小糞便殘渣,或在肛門排氣后可帶出少量滋水等。這些污物可以刺激肛門引起痙攣等肛門疾病,通過坐浴可以消除這些刺激因素,又能幫助恢復肛門部肌肉的疲勞和增強抵抗疾病的能力。痔瘡手術后常常使用這一方法。肛門皮膚病可用中藥煎湯坐浴治療。部分南方城市及有些海外華僑,有用香料熏洗肛門的習慣,香料如果選擇得當,對防治肛門疾病很有裨益。
       
    坐浴方法:可在大便后或每天晚上睡覺前坐浴,每次時間約十分鐘左右,要用溫熱水,不能太燙,以免燙傷皮膚。坐浴時可配合使用藥物,如肛門部潮濕,滋水、分泌物多時可用千分之一的高錳酸鉀水或稀明礬水坐浴。如肛門部干裂疼痛時可用千分之零點五的新潔爾滅水坐浴。有刺激的藥水如酒精、來蘇爾、肥皂水等都不應在坐浴時使用。
       
    因肛門部喜干不喜濕,坐浴后要用干布或吸水紙將局部擦干,有條件者可上一點撲粉。
       
    四、熱 敷
       
    熱敷是用各種工具敷在肛門部,利用熱的能量改善肛門部的血液循環,降低局部的張力,減輕疼痛,緩解病情的方法。這種方法簡便易行,消炎止痛的效果好,已被人們廣泛用來治療多種疾病,肛門病的預防和治療也可使用。
       
    常用的工具有熱水袋、鹽水瓶。熱水袋質地柔軟,可以敷到凹在臀內的肛門部,對痔瘡引起的腫脹、疼痛及其他不適感均有一定的作用,對肛門墜脹(里急后重)熱敷后效果也很好。使用鹽水瓶時應屈腿收腹才能敷到肛門。
       
    另外也可用黃沙、食鹽炒熱,用布袋包好后作局部熱敷,也有同樣效果。有必要時亦可用有關中藥浸濕隔水蒸后用布包好作局部熱敷,可起到消炎、止痛、消腫的作用。
       
    熱敷注意事項:
        1.
    肛門部熱敷時可躺在床上進行,俯臥、側臥均可,但一般側臥較好。把熱水袋緊貼在肛門部,不能坐在熱水袋上,以免損壞。
        2
    .熱水袋內裝水不能太滿,要留三分之一左右空隙,并排除空隙部分的空氣,擰緊口塞后再用,以防漏水和損壞熱水袋。
        3.
    熱敷時要注意防燙傷,水太燙時可在熱水袋外包一層布或做個套子。每次熱敷時間一般不要超過一小時,每天可熱敷2-3次。

        五、使用肛門帶
       
    患有肛瘺的病人,肛門部常有膿性分泌物,患有直腸脫垂或內痔脫出的病人因粘液分泌使肛門經常潮濕,很不衛生,行動也不方便。有些病人自己就用布做成帶子兜在肛門部,這就是原始的肛門帶,也是肛門保健的衛生工具。
       
    使用肛門帶有幾個好處:①上面放吸水的紙或棉花可以吸收膿液或滋水性分泌物,以免刺激肛門、污染內褲。②肛門部敷藥時,運用此帶后可以固定。③腫物脫出還納后可以加壓托住肛門,以防脫出。
       
    肛門帶是一長方形布帶,比月經帶短(因為只要兜住肛門),兩頭用布帶固定,使用時就象婦女用月經帶一樣。使用肛門帶時應松緊適宜,以保持接觸皮膚而不磨擦皮膚為度(如果為了防止還納腫物脫出時可收緊)。肛門帶的制作可根據各人的身體尺寸而裁剪,宜用柔軟、吸水性能好的棉布做成。使用后要勤換,并用開水燙洗,再放在日光下曬干后備用。


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