Medical road

Chrysanthemum, there are many poems about chrysanthemums, but in modern times, this one is more famous: When the autumn comes on September 8th, I will kill the flowers after they bloom.The incense soars through Chang'an, and the city is full of golden armor.

Moreover, I don't know which great god it is, and used the chrysanthemum to compare the anus.This great god is very good, and the description and metaphor of the anus are very good.Not in the medical profession, it is estimated that they are specialized in chrysanthemum and anal related professions.

Otherwise, most people would never describe such an appropriate metaphor.Why describe the chrysanthemum as an anus, not a lily or a daffodil?

There are two types of flowers on the inflorescence of chrysanthemums. One of them is the simple chrysanthemum, commonly known as "flower heart". The corolla is connected into a simple shape. It is a bisexual flower with a pistil in the center, two stigmas and two stigmas. There is 1 room in the lower part of the room, with 5 cumin stamens surrounding the main flower.

It is this kind of flower, which looks like an anus.Especially it looks like a tight anus.

The anus has a complicated structure.It is about 4cm long. When it derives from the rectum to the anus, it begins to thicken, just like lips.There are also vertical anal posts.

The mouth has teeth, and the anus has anal column, just like the teeth from the throat, the anal column is such a muscular cord, like a toothless old man or an old lady.It's not an exaggeration. For some strange diseases, anal teeth will appear, and this tooth comes out of the anal column.

It is estimated that Nuwa was lazy when she created human beings, just holding her mouth as an anus.

People are so strange, things that were originally unrelated to each other, but if you analyze them carefully, you will find that they come from the same source.

For example, the kidney and testicle (a) are cousins, and the kidney is almost an enlarged version.They both played close together until the moment before birth.

There are abundant sublingual venous plexus under the tongue and super-developed internal and external rectal venous plexus in the anus.How developed this terminal venous plexus is, almost like a spider web lying around the anus.

At present, there are many theories about the etiology of hemorrhoids, such as falling theory and varicose vein theory, but they are all inseparable from this venous plexus.

Sitting for a long time, squatting in the bathroom and looking at the phone for half an hour, and stuffing foreign bodies in the anus are the culprits that cause hemorrhoids.

Many people had a white wine feast the day before, and the next day they had headaches and pain in the anus. This is because a large amount of irritating food can cause congestion at the end of blood vessels.

Over time, the blood vessels were blown up and thickened by the blood, and then congested, and then the congested blood vessels took the surrounding fat and turned into a bag.

Suddenly one day, the bag suddenly fell out of the anus and hung on the anus like a pill. This is the origin of hemorrhoid prolapse.

Hemorrhoids prolapse not only looks weird, but also very painful, the squeezing pain after incarceration.Can make a brawny man cry his father and his mother scream in tears: Yao!Yao!Yao!

What hero does not have tears, let him try a prolapse and incarceration.

There is a white line in the anus, which tightens the intestinal derivation like a rubber band. This is the dividing line between the famous internal and external hemorrhoids.

Above the white line are internal hemorrhoids, and below the white line are external hemorrhoids. Of course, since there are internal and external hemorrhoids, there is a mixture.

Anal fistula is a disease that seeks another way.90% of anal fistulas are caused by perianal abscesses.This thing is to make a hole in the buttocks directly through the intestines, forming an anus without anal column!

It is troublesome to treat anal fistula.If there is incision treatment, directly violently incise the lumen, allowing the body to grow new granulation and block it, which is very painful.

The second type is thread-hanging therapy.Use a rubber band or a corrosive medicine thread to enter through the fistula opening on the buttocks, then pass through the rectum and finally out from the anus, and then tighten.

In fact, the tissue in the passage of the anal fistula is tightly ligated with a rope to make it ischemic and necrotic, and then new tissue is regenerated by the body itself.

The third is to cut off the entire fistula directly, which was originally a thin channel with a toothpick, cut into a thick channel with chopsticks, and then stitched.

The most frightening thing is complex anal fistula, which cannot be treated.You can only hang the thread for drainage. In technical terms, living with a fistula is also a safe choice.Along the way, stinks all the way!

Because of some special anal fistulas, once the estimation is insufficient, the levator ani muscle is damaged during the treatment, which is a major event.Maybe you can breathe in the cool breeze, and you can eject fecal residue from the anus.

"Raise the bed!" Zhang Fan said to the itinerant nurse after standing in front of the operating bed and making gestures after finishing packing.The advanced operating bed is like a tower crane, underneath is the kind of cross-triangular hydraulic steel bar, through the electric remote control, after slowly unfolding, the bed will rise.

The old-fashioned operating bed is like an old-fashioned cannon. When raising the bed, itinerant nurses have to hold a disc with a handle to rotate, because without a booster, people with no strength on their arms can't shake them.

After adjusting the operating bed, Zhang Fan started the operation, which is very simple to perform.

Use a guide wire with a certain degree of hardness but capable of turning, a thin guide wire like a hard plastic rod, tie the wire at one end, and slowly enter it.

The anal fistula is not necessarily straight. It is like a bullying person who is afraid of hardship. When it encounters a place with abundant blood vessels and many immune factors, it will go around.

Zhang Fan slowly used a plastic rod to insert the anal fistula. This must not be anxious, or it would either go the wrong way or insert it into the normal fat layer.

This kind of operation is usually performed by married doctors, and unmarried doctors cannot do it, especially if you are single, you don't know what it means to take it slowly.And because Zhang Fan has a system, he will.

The guide wire with the silk thread entered the anal fistula little by little, and Zhang Fan approached the patient's anus, which was disinfected, otherwise the smoke would be killed.

Zhang Fan closed his eyes and felt the direction of the guide wire through the feeling of his hand.Insertion bit by bit, when suddenly feeling a sense of breakthrough, Zhang Fan knew that at this time the guide wire had entered the rectum.

Even textbooks say it is a sense of breakthrough, but what is a sense of breakthrough.Inserting into the normal fat layer is also a sense of breakthrough, and protruding from the fistula is also a sense of breakthrough.

How can a novice doctor understand?Really, this kind of feeling can only be experienced after being married.For example, when you play with a balloon, the moment you pierce the balloon with your finger is a sense of breakthrough.

Those who don't understand will never understand, and those who understand, the teacher will understand as soon as they speak.

For example, Zhang Fan closed his eyes and felt the sense of breakthrough from the guide wire, and he understood that he had entered the rectum and absolutely no fat.

After entering the rectum, you have to be more careful. The intestinal wall of the rectum is very thin. It is easier than inserting the fat layer here. If you use improper force to puncture the rectum, it will be funny.

Feel, experience, surgery under such conditions without visibility is too important.The perception that one more operation can make one more operation is not wrong at all.

Experience can be practiced through work.

The cultivation of the feel is very troublesome.It is necessary to practice more and not to practice too much.

For example, the sensory system of the abdomen is the most sensitive, but once used too much, the skin of the abdomen becomes keratinized and its sensitivity decreases.

So Zhang Fan never came to do housework at home, just to keep the skin on his hands sensitive.

Entering the rectum, Zhang Fan then used soft energy to turn the guide wire from the opening, parallel to the rectum.This is a small difficulty. What is rubbing strength? For example, if you quarrel with your wife, you push others, and then pull a little bit of strength into your arms. This is soft strength.

"Tooth tweezers!" Zhang Fan said to Zhuang Hongxu when he felt almost to the anus.

Zhuang Hongxu quickly handed the tooth tweezers to Zhang Fan.Loosen the closure, open the mouth of the tooth forceps slightly, and then insert it along the anus. When the tooth forceps enter about three or four centimeters, open it.

It is a simple anal spreader.

"It's out, it's out." The touring nurse saw the black guide wire for the first time with sharp eyes.Zhang Fan pulled the thread on the head of the guide wire to match the tail of the guide wire in his hand.

The difficulty of the operation is coming.Although the front is difficult, there are still traces to follow.But the last step is really based on experience.

Not only Zhuang Hongxu, but even the tube bed doctor watched Zhang Fan's operation with wide eyes.

Zhang Fan held the guide wire in one hand and the rubber band in the other, and slowly began to operate...

The eyes of several assistants were getting wider and wider. The most critical step was the collapse of the operation. The previous director would not explain at all, but Zhang Fan spoke at this time!~