直肠指检很尴尬?看了你就不害怕!
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/v4vz52CcB11CiaDO7tf4O56jR3u5nwC9O8lfgcINAbEfPB9FP6HrTzwONRpo9oGWibtvYPvib5WPfyEejT0D5qvSQ/640?tp=webp&wxfrom=5&wx_lazy=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_gif/7mjAFtZh42rcY38dcQDZCdewPPJk4Gj9DXAibRJ0siaIfsf5g5dgp6ez223gbMqdP8el5sGy1I5IWaflcdCJGDHw/640?wx_fmt=gif&tp=webp&wxfrom=5&wx_lazy=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/7mjAFtZh42ric3N3wDrhuxfl0TdWGHWTicSMfRbIudZcRkhV2owSUXQLaQCBFb4tQQSsSrOu5Vc2tI5fvuyI9A3Q/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">前不久,在<span style="color: black;">肛肠科门诊</span>碰到一位60岁的大叔,反复便血1个月,自己没当多大事,以为<span style="color: black;">便是</span>个小痔疮,<span style="color: black;">无</span><span style="color: black;">注意</span>,没想到病情越来越严重,还<span style="color: black;">显现</span>肛内坠胀、排便困难和排便不尽等<span style="color: black;">状况</span>。<span style="color: black;">大夫</span><span style="color: black;">需求</span>做直肠指检,<span style="color: black;">病人</span>因<strong style="color: blue;">“<span style="color: black;">欠好</span>意思、难为情”</strong>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">剧烈</span>拒绝,后反复跟<span style="color: black;">病人</span>及家属沟通才勉强答应。真的是不摸不<span style="color: black;">晓得</span>,一摸吓一跳,在距肛门约7cm的位置扪及一肿块,质硬,表面<span style="color: black;">不但</span>滑,积极完善肠镜、病理切片等<span style="color: black;">检测</span>后,<span style="color: black;">知道</span>诊断为直肠癌。</p>
<h3 style="color: black; text-align: left; margin-bottom: 10px;"><span style="color: black;"><span style="color: black;">那样</span>什么是直肠指检?<span style="color: black;">那些</span><span style="color: black;">状况</span><span style="color: black;">必须</span>做直肠指检?直肠指检到底要怎么做?跟<span style="color: black;">博主</span><span style="color: black;">一块</span><span style="color: black;">认识</span>一下吧。</span></h3>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/7mjAFtZh42ric3N3wDrhuxfl0TdWGHWTicSFQrbdKNROrYh65QNwvbpjUEBBRFckzyNb644jGFgCq24LAoicEYgRw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><strong style="color: blue;"><span style="color: black;">什么是直肠指检?</span></strong>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">直肠指检<span style="color: black;">亦</span><span style="color: black;">叫作</span>肛门指检、肛门指诊,是<span style="color: black;">大夫</span>用一根手指伸进被检者肛门进行触摸,不需任何辅助设备,是肛肠科最常用且简便易行的一种<span style="color: black;">检测</span><span style="color: black;">办法</span>,在肛肠科<span style="color: black;">检测</span>中占有极其<span style="color: black;">要紧</span>的地位,指诊<span style="color: black;">能够</span><span style="color: black;">认识</span>到许多肉眼观察不到的<span style="color: black;">状况</span>,被<span style="color: black;">叫作</span>为<strong style="color: blue;">“一指禅功”、“指诊眼”</strong>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">小到息肉,痔疮,大到癌症等<span style="color: black;">疾患</span>,都<span style="color: black;">能够</span><span style="color: black;">经过</span>直肠指检来<span style="color: black;">发掘</span>。<span style="color: black;">另一</span>,<span style="color: black;">经过</span>直肠指检,可触到男性<span style="color: black;">检测</span>者的前列腺,<span style="color: black;">帮忙</span><span style="color: black;">发掘</span>前列腺肥大或前列腺癌;可<span style="color: black;">经过</span>触及女性<span style="color: black;">检测</span>者的子宫,<span style="color: black;">发掘</span>有<span style="color: black;">没</span>子宫后倾、子宫颈肿瘤、附件肿瘤或炎症等。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/7mjAFtZh42ric3N3wDrhuxfl0TdWGHWTicJFuqElwnd3TBicmxS30bqibNNSjVs49eyIvQqOSqSpWBls5y6SxPSNGg/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><strong style="color: blue;"><span style="color: black;"><span style="color: black;">那些</span><span style="color: black;">状况</span><span style="color: black;">必须</span>做直肠指检?</span></strong>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">1、排便习惯改变:</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">如<span style="color: black;">没</span><span style="color: black;">显著</span>诱因<span style="color: black;">显现</span>大便次数<span style="color: black;">增加</span>、便秘与腹泻交替、排便不尽感、大便变细或变形等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">2、大便性状改变:</span></strong><span style="color: black;">大便变稀、大便带血和黏液。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">3、肛门<span style="color: black;">病痛</span>:</span></strong><span style="color: black;"><span style="color: black;">平常</span>于肛裂、肛周脓肿,肛周脓肿应<span style="color: black;">初期</span><span style="color: black;">发掘</span>并及早切开排脓,<span style="color: black;">通常</span>的抗感染<span style="color: black;">药品</span>治疗是<span style="color: black;">没</span>效的。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">4、肛门流脓、流液:</span></strong><span style="color: black;">可能是肛瘘的症状,指检能<span style="color: black;">知道</span>诊断。肛瘘<span style="color: black;">不可</span>自愈,<span style="color: black;">必须</span>手术治疗。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">5、反复便血:</span></strong><span style="color: black;">不排除肛裂、痔疮、直肠癌,<span style="color: black;">重视</span>区分,肛门指检多能作出鉴别。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">6、肛内肿物脱出:</span></strong><span style="color: black;">可能是内痔、直肠脱垂、肛乳头瘤等。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/7mjAFtZh42ric3N3wDrhuxfl0TdWGHWTicTvA3EvIo79WRLQNl76eTiampC4VIPG4BkVuJQSrtk1UTndD5icGs1D6A/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><strong style="color: blue;"><span style="color: black;">直肠指检到底要怎么做?</span></strong>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">直肠指检是非常</span><span style="color: black;"><span style="color: black;">要紧</span>的<span style="color: black;">检测</span>,<span style="color: black;">非常多</span>人在体检时却<span style="color: black;">选取</span>放弃。大<span style="color: black;">大都是</span>觉得害羞、害怕。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">其实<span style="color: black;">全部</span><span style="color: black;">检测</span><span style="color: black;">亦</span>就在一瞬间。脱下裤子,跪在<span style="color: black;">检测</span>台上,撅起屁股,闭上眼睛不要乱想,一下子就好了。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">第1</span>步 清洗双手、佩戴手套</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/7mjAFtZh42ric3N3wDrhuxfl0TdWGHWTicoJZX9ETylhtxQR34l1vm23dlOovDpoibEhb4ruJBaibCmrOkMal2daKg/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">第二步 宽慰病人、嘱病人侧卧</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/7mjAFtZh42ric3N3wDrhuxfl0TdWGHWTichV4LyX0S4WUsZ56a9S1ymtm8pVftXibqKv2mGxZCmwDfhYM4A5Ycf4Q/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">第三步 润滑食指</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/7mjAFtZh42ric3N3wDrhuxfl0TdWGHWTicBnFM4jLVzzNRzvvibM8f7ib711UZprl0zoy6RicBibHqmGMUGqCn0OWF5g/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">第四步 经肛门<span style="color: black;">插进</span>手指</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/7mjAFtZh42ric3N3wDrhuxfl0TdWGHWTic9Sue3NfsZ1iavojML19P3Ip5zFUuicy6qh4m8ib6K5Ir6Rq0XdkPZGrvA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">第五步 触诊寻找<span style="color: black;">反常</span><span style="color: black;">状况</span></span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/7mjAFtZh42ric3N3wDrhuxfl0TdWGHWTicX09Jc0zbqicT9tv6UC5RawXUM7hqFueIUBibV9fVGDm4bezuWBzrQRhQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">第六步 移出手指、清洁肛门</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/7mjAFtZh42ric3N3wDrhuxfl0TdWGHWTicuDWGibJj6hXQgrMibp78APaCiaN60QRB5eZf1zVnjC1towqibfrljZ8Ijw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><strong style="color: blue;"><span style="color: black;"><span style="color: black;">要紧</span>提醒</span></strong>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">直肠指检是<span style="color: black;">日前</span>诊断直肠癌的最易行、最<span style="color: black;">基本</span>、最<span style="color: black;">要紧</span>的<span style="color: black;">办法</span>。一般<span style="color: black;">能够</span><span style="color: black;">发掘</span>距肛门7~8cm之内的直肠肿物。</span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">我国低位直肠癌的比例很高,大部分都能在直肠指检触到,但位置高的不<span style="color: black;">必定</span>触到。<span style="color: black;">因此</span>触不到的不<span style="color: black;">必定</span><span style="color: black;">无</span><span style="color: black;">直肠肿瘤</span>,<span style="color: black;">倘若</span>您有腹泻腹胀、排便习惯改变或便血等<span style="color: black;">状况</span>,直肠指检没能<span style="color: black;">发掘</span>问题的话,<span style="color: black;">能够</span>进一步做肠镜<span style="color: black;">检测</span>,<span style="color: black;">知道</span>诊断。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/7mjAFtZh42ric3N3wDrhuxfl0TdWGHWTicR6LOUHhcZ8Lnu1iamxLrASwjh1r8YQiaexLLomhAFzATwE9XBia9ZLxvg/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<h1 style="color: black; text-align: left; margin-bottom: 10px;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">要紧</span>的事情说三遍</span></strong></h1>
<h3 style="color: black; text-align: left; margin-bottom: 10px;"><span style="color: black;">直肠指检不可<span style="color: black;">忽略</span>!</span></h3>
<h3 style="color: black; text-align: left; margin-bottom: 10px;"><span style="color: black;">直肠指检不可<span style="color: black;">忽略</span>!</span></h3>
<h3 style="color: black; text-align: left; margin-bottom: 10px;"><span style="color: black;">直肠指检不可<span style="color: black;">忽略</span>!</span></h3>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">***************************************************************</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">供稿:</span></strong><span style="color: black;">肛肠科 匡碧艳</span></p>
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