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      便后肛门保健
      来源:    时间:2007/1/17    阅读:11168次

          一、收缩肛门
         
      肛门排便时舒张,结束后自然闭合,这是肛门的自我休息和保健。我们可以利用这种生理现象便后有意识地做三至五次收缩肛门的动作。在通常情况下,排便后肛管下端的皮肤往往向外翻,便后人为地增加收缩可有助于外翻部分恢复原状。
         
      有病态排便感的病人,在大便后肛门部的便意感仍不消失,有一种里急后重的感觉,通过肛门收缩运动,可以缩短便意的时间或使之消失。某些轻度脱垂的肛门直肠病,如轻度内痔脱出、轻度脱肛等,通过收缩运动可使脱出物容易缩回。另外在用手纸擦肛门时可做适当的按揉和向上方托压动作,这对肛门的复原更有好处。
         
      二、还纳脱出物
         
      一些肛门直肠部的肿物,发展到一定程度,排便后会脱出肛外,程度轻者一般可自行回缩,但如果脱出的时间拖长,组织水肿或病情较重,脱出物太大就很难自然缩回了。
      对大便以后从肛内脱出不能缩回的肿块,不论是什么病,都应在排完便后立即用手送回。如果不立即送回,不仅有坠胀不适感,而且容易引起组织发炎肿胀,增加还纳困难。有的因病情较重、脱出时间过长会使脱出的肿物发生坏死破溃、疼痛增加,还可以引起发热。所以便后脱出肛外的肿物应随即推回。遇多发性内痔全部脱出时,可以逐个分别推回。在方法上可从每个脱出痔核的外缘向肛内按压,按压时肛门放松、张口呼气,进去后肛门收缩。在顺序上可先送小的,后送大的,便于全部还纳。环状内痔脱出时可出现此进彼出不易还纳的情况,这时可用几个手指将全部脱出物的边缘一齐向中心部捏住,再用另一只手的食中二指逐个向肛内按压。待全部退回后用一手指伸入肛内按压、使痔核复位。对一些极易滑脱者,在痔核全部还纳后应在肛门部用棉花垫在肛门口,并用布带前后收紧,然后爬在床上休息,以便巩固。如遇脱出物表面干涩者,可在脱出物的表面涂上润滑剂或无刺激性的软膏,可减少疼痛,便于送回。如还有困难者应随即去医院请医生帮助处理。
         
      值得注意的是对肛门外肿胀的外痔部分,因本身不属于肛内脱出,不能硬向肛内按压,一旦误将这些肿物按入肛内,会增加疼痛,所以要区别对待。
         
      三、坐 浴
         
      所谓坐浴,就是把肛门部坐在温水内泡洗,也是肛门保健的方法之一。用坐浴的方法不仅可以洗净肛门部皮肤皱折内的污物,而且能促进局部的血液循环,对保护肛门的清洁卫生和生理功能有重要作用。对于病重体弱不能蹲坐的病人可由别人帮助擦洗。
         
      人们在排便后肛门周围皮肤的皱折里,常有一些用纸擦不净的细小粪便残渣,或在肛门排气后可带出少量滋水等。这些污物可以刺激肛门引起痉挛等肛门疾病,通过坐浴可以消除这些刺激因素,又能帮助恢复肛门部肌肉的疲劳和增强抵抗疾病的能力。痔疮手术后常常使用这一方法。肛门皮肤病可用中药煎汤坐浴治疗。部分南方城市及有些海外华侨,有用香料熏洗肛门的习惯,香料如果选择得当,对防治肛门疾病很有裨益。
         
      坐浴方法:可在大便后或每天晚上睡觉前坐浴,每次时间约十分钟左右,要用温热水,不能太烫,以免烫伤皮肤。坐浴时可配合使用药物,如肛门部潮湿,滋水、分泌物多时可用千分之一的高锰酸钾水或稀明矾水坐浴。如肛门部干裂疼痛时可用千分之零点五的新洁尔灭水坐浴。有刺激的药水如酒精、来苏尔、肥皂水等都不应在坐浴时使用。
         
      因肛门部喜干不喜湿,坐浴后要用干布或吸水纸将局部擦干,有条件者可上一点扑粉。
         
      四、热 敷
         
      热敷是用各种工具敷在肛门部,利用热的能量改善肛门部的血液循环,降低局部的张力,减轻疼痛,缓解病情的方法。这种方法简便易行,消炎止痛的效果好,已被人们广泛用来治疗多种疾病,肛门病的预防和治疗也可使用。
         
      常用的工具有热水袋、盐水瓶。热水袋质地柔软,可以敷到凹在臀内的肛门部,对痔疮引起的肿胀、疼痛及其他不适感均有一定的作用,对肛门坠胀(里急后重)热敷后效果也很好。使用盐水瓶时应屈腿收腹才能敷到肛门。
         
      另外也可用黄沙、食盐炒热,用布袋包好后作局部热敷,也有同样效果。有必要时亦可用有关中药浸湿隔水蒸后用布包好作局部热敷,可起到消炎、止痛、消肿的作用。
         
      热敷注意事项:
          1.
      肛门部热敷时可躺在床上进行,俯卧、侧卧均可,但一般侧卧较好。把热水袋紧贴在肛门部,不能坐在热水袋上,以免损坏。
          2
      .热水袋内装水不能太满,要留三分之一左右空隙,并排除空隙部分的空气,拧紧口塞后再用,以防漏水和损坏热水袋。
          3.
      热敷时要注意防烫伤,水太烫时可在热水袋外包一层布或做个套子。每次热敷时间一般不要超过一小时,每天可热敷2-3次。

          五、使用肛门带
         
      患有肛瘘的病人,肛门部常有脓性分泌物,患有直肠脱垂或内痔脱出的病人因粘液分泌使肛门经常潮湿,很不卫生,行动也不方便。有些病人自己就用布做成带子兜在肛门部,这就是原始的肛门带,也是肛门保健的卫生工具。
         
      使用肛门带有几个好处:①上面放吸水的纸或棉花可以吸收脓液或滋水性分泌物,以免刺激肛门、污染内裤。②肛门部敷药时,运用此带后可以固定。③肿物脱出还纳后可以加压托住肛门,以防脱出。
         
      肛门带是一长方形布带,比月经带短(因为只要兜住肛门),两头用布带固定,使用时就象妇女用月经带一样。使用肛门带时应松紧适宜,以保持接触皮肤而不磨擦皮肤为度(如果为了防止还纳肿物脱出时可收紧)。肛门带的制作可根据各人的身体尺寸而裁剪,宜用柔软、吸水性能好的棉布做成。使用后要勤换,并用开水烫洗,再放在日光下晒干后备用。


      介绍一款卫生座垫:


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