Patients after extirpation of the rectum
Abdominal-perineal extirpation of the rectum is carried out with the imposition of unnatural anus on the anterior abdominal wall. This operation is performed in cancers of the middle, lower divisions of the ampullar and anal rectum, when along with the tumor tissue must be removed from the pelvic lymph nodes and the external sphincter. Timely produced, it saves the patient from the deadly disease, but it makes it impossible for any discharge of feces and gas. Recovery of patients after this intervention - a long-term. It aims to restore the working capacity and the possibility of finding a patient in a team. The main task - to develop the reflex of the periodic patients stool decorated stool. This is achieved by programming the exact quality and quantity of food eaten. The patient should know what foods in what form and amount of influence on bowel function in general and in particular to him. For example, to thicken the stool are recommended steep rice or buckwheat porridge, breaks a chair for - fresh fruit, yogurt, yogurt, boiled beets and prunes.
However, these recommendations do not always correspond to the individual characteristics of the patient. Patients are encouraged to have a special notebook, which enter as there are these products individually on him. In this notebook, the patient should record their observations on the dependence of stool consistency from meal times, the ratio of thick and liquid portions of it, the degree of heating and quality of mastication. Necessary to teach the patient with the responsibility to treat all these little things, because only they can provide him the opportunity to live and work in a team. Ignoring these small things make a person disabled, denies visiting public places. The patient must be able to use and medication, regulatory consistency and stool frequency. Diarrhea - sulgin reception, enteroseptol, you can take the powder of dried and pounded the eggshell. At a delay of chairs - reception vaseline oil a tablespoon twice a day or half a cup of infusion of rhubarb, blizzard. With abundant gases - by carbol tablet 2-3 times daily. Carbol recommended for a steady steep chair while excluding from the diet of peas, beans, grape juice, fresh rye bread. The propensity to intestinal gas production plentiful - systematically make dill water a tablespoon 4-6 times a day.
In cancer surgery facilities abdominoperineal extirpation of the rectum terminates normally imposing a single-flat anus on the anterior abdominal wall on the left. It does not remove feces and gas, but it allows early detection of recurrence of the stump begins to produce bowel and colon stump finger examination and pelvic area. Caring for an artificial anus simple single-barreled and carried by the patient after a single coaching him. In the first weeks after hospital discharge, the patient should periodically bougienage finger anus to strengthen the mucous membrane, its resistance to trauma and to prevent its rumen contractions. Incontinence bag constant possession injure the mucous membrane of the stump, contribute to its loss. They are allowed only in special cases: an unstable chair, finding a way. Much hygienic and totally traumatic cotton-gauze bandage disposable Held elastic melt or individual special belt. The patient should always reserve gauze bandages or disposable paper towels. After the leather chairs around the anus wiped it dry and applied a fresh bandage. In the special treatment the skin does not need it. Lubricate her tanning agents or disinfectants should not be. It's annoying and makes the skin thin-skinned. In relevant cases, local produce wash with soap or shower the entire body. At night the skin should be lubricated anus baby cream or Vaseline.
If skin irritation around the anus, when plot maceration or bleeding, sealing areas in the mucosa of the stump, the patient should be examined by an oncologist, regardless of the date previously scheduled checkup. If the patient is not able to attend the oncology office, Oncology Service provides visiting him at home.
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