Medical road
Chapter 970
In terms of pressure, the human body is roughly three vacuum plastic bags, one for the brain, one for the chest cavity, and one for the abdominal cavity.
Normally, in these cavities, the fast control is electrical control, which is the so-called neural reflex, and the slow control is the body fluid control, which is commonly referred to as hormone control.
This is a very general description.Another control is the pressure control that is ignored.
Simply put, for example, coughing, exhaust, and defecation are actually caused by the pressure on the muscles of the body.
Once the pressure is abnormal, it will cause physical problems.
For example, some people have mild coughing all year round and not violent. Sometimes they disappear when they are busy, but when they stop, they can’t help but cough.
Then, there was no problem with the lungs, the hernia came out, and the anorectal prolapse came out.
He asked the doctor, my cough is a mouth cough, not a cough in my ass, why do you say that I coughed and coughed up the head of the large intestine, you quack, you know what a fart!
Some people don't like to eat crude fiber, and when they go to the bathroom, they are like practicing qigong. Their faces are suffocated with purple and red, and the thick stools that come out can block the toilet.
Over time, hey, the stool didn't come out, and the large intestine came out.
This is not an exaggeration.You have to force to change the virtuous circle of your body, and your body is not vulgar, it can change the position of your organs.Therefore, when frequent coughing and long-term constipation should be paid attention to, solve the treatment as soon as possible, and don't feel okay. When something happens, it is the lotus mist hanging between the hips!
After comforting the patient and the patient’s family, Zhang Fan took Zhao Zipeng to prepare for emergency surgery, and he could not delay it. It would be troublesome to drag the infection into the blood and cause sepsis.
Anorectal, anorectal, to be honest, in major hospitals are inconspicuous departments, but this organ is particularly difficult to provoke, because it is too complicated.
In terms of complexity, the complexity of the lips is the younger brother in front of the anus.Especially for some special prolapses and hemorrhoids, you have to perform surgery externally, but also tighten the loose areas internally.
Release surgery is particularly common in medical treatment, but tightening surgery is rare because it is difficult.
Especially some hemorrhoid surgery, after the operation, it looks like a clover, just like the logo of Adidas, without thinking about it, the operation failed.
Therefore, in anorectal surgery, the routine is to be conservative and conservative, and surgery is the last resort, because the degree of failure of the operation is particularly high, you don't know whether it will cause fecal incontinence after the operation.
Therefore, there are generally two requirements for anorectal surgery. One is to judge the time and the situation, that is, the operation can be done or not, and don't force it.Second, find a respected veteran on the battlefield.
Anorectal surgery is not a simple resection, this thing involves a reconstruction.
It is necessary to combine the actual situation to provide people with a smooth passage for defecation and exhaust. Therefore, a doctor who has seen 5,000 operations is absolutely not a good doctor who has done anorectal surgery in person.
Fecal incontinence is often caused by anorectal surgery. In fact, most surgeons are more than brave, and not caused by disease development.Originally, there was no fecal incontinence, but after the operation, the doctor told you that it was caused by the development of the disease. You can slap him in the face.
Therefore, in the anorectal department, there is a saying that a young surgeon holding a scalpel in his hand is definitely more dangerous than a gorilla holding a machine gun.
"Remember, when there is infection and edema, it cannot be dealt with according to general anatomy. At this time, the tissue structure will definitely change, and we must be cautious.
It's harder to go down with a knife, and it's harder than going to the sky. Therefore, I would rather hesitate before hitting the knife than regret it after hitting the knife."
Zhang Fan touched the red lotus mist in his hand and said softly to Zhao Zipeng.
"Hmm!" Zhao Zipeng nodded gently.
Cut, Zhang Fan gently cut a hole with a sharp knife at the most red and swollen part of the lotus mist.
I saw the pus poking out like a drunk drunk lying on his back and vomiting.
Regardless of the red, fruit-like abscess, the color inside will be red after being cut, but it is not.
After the incision was made, the pus, like black sesame paste, came out with a stinky smell.This kind of smell is different from the smell, it also carries a smell that is more fishy than dead fish, rotten shrimp.
The pus that burst out in an instant, the smell that bursts out directly hits his face like poisonous gas.
"Come, clean up the pus!" Zhang Fan said to Zhao Zipeng.
Because of the pressure, most of the pus was sprayed out at the first time, but there was still a lot of pus that could not be eliminated after the pressure disappeared.
Zhao Zipeng wrapped moist gauze on his middle finger, and then stuffed his finger into the incised anorectal pustule like a child stealing honey.
The pustule at this time thought it had shrunk, like a rotten persimmon that fell from a tree and broke a mouth. With the activity of the intestines, a little thick water will flow out from time to time.
The pus water at this time, because most of the pus was removed, blood appeared, and the pus was mixed with blood, which was distinct, just like a flower on top of high-grade coffee.
Zhao Zipeng stuffed it in with a finger and wiped it in circles, coming out once in a circle, and out once in a circle.From the brown color at the beginning, it slowly changes to brown and then to bright red.
At this time, the pus is clear and hurry up, almost dozens of gauze have been used.
This kind of wiping is more thorough than any chemical disinfection.Many people are injured and broken, and then go home and apply a little bit of iodophor. In fact, the effect of iodophor must be wiped away to take away the bacteria.
This is why the doctors in the hospital often scream and cry when they change their medicines.
Because it was a prolapsed piece, you can’t put it in. You put a newspaper on the grave when you put it in. It's fooling you. People just pulled it out again after a stool.
Therefore, for adult prolapse, surgery is generally required. Bath treatments and ultraviolet light are all deceiving the RMB in your pocket.
Why is there prolapse, anorectal prolapse.
To be honest, the cause is uncertain.
But analyzing from the effect to the cause, most male patients with anal prolapse have symptoms of an enlarged prostate!Therefore, when you now feel that your male prosperity is quite awesome.
But when you get older, you should suffer. You stand in front of the urinal for half an hour while holding the faucet ticking with one hand, and cover your butt with the other hand, otherwise the anal canal may fall out for you.
This is the pee did not come out, the egg came out first!
Therefore, men must not hold back urine. When they are young they hold back their urine, and when they are old, they are very sad.
There is also long-term coughing and long-term constipation. Long-term chronic diarrhea can cause prolapse.
After handling the infected lesions, Zhang Fan began to hang.
In fact, I was trying to find a point inside the abdominal cavity to suspend the prolapsed intestines.
To tell the truth, this operation is not easy to do. The length of your suspension is not appropriate. If it is too short, it will cause incontinence. After a few days, people will no longer pull out the lotus mist, but it will turn into meatballs again.
Therefore, this kind of surgery is quite a doctor's experience.Regardless of what the textbooks say, the data seems to be particularly detailed. In fact, the data in medical textbooks are approximate.
For example, if the needle is inserted 6~7cm, is it 6 or 7?No one can tell you about this stuff, you have to see a doctor to feel it, experience it, and cover it yourself.
This kind of experience is useless if others tell you, what a sense of breakthrough, what a sense of emptiness.
To be honest, it’s hard to let a young guy feel a sense of breakthrough!
"Be careful here, don't break the intestinal wall!" Zhang Fan gently picked up the edema in the intestines and gave Zhao Zipeng a little with his fingers.
The intestine, the normal intestine is like silk, tough and smooth and warm, while the edema in the intestine is rich in water, making the intestine wall like a piece of paper.
A little carelessness will be torn.Once the intestinal wall ruptures, the suspension operation will be renamed, and it will become a repair operation.Moreover, this kind of tear is particularly troublesome and difficult to repair, and sometimes the intestines have to be cut off.
This becomes an intestinal resection.
As you can imagine from the name, this kind of surgery is more difficult.
Zhao Zipeng looked at Zhang Fan holding his intestines, and he swallowed continuously, not greedy, but nervous.
The edema in the intestines is like a big maggot, lying in Zhang Fan's hands as if to say: "Come on, kid, come on, you can touch me if you have the ability!"