能发掘直肠癌?体检中的肛门指检别再跳过了
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;"><img src="https://mmbiz.qpic.cn/sz_mmbiz_jpg/LVGqG38hDickyrjb7yNX1GjbuBYqUfUNf0G9zNibBImMW5ljHXD9u6x0xNssWmdry7fS5pDFXO9mMYib5153LLJhQ/640?wx_fmt=jpeg&from=appmsg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></a></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">随着<span style="color: black;">大众</span>健康<span style="color: black;">认识</span>的<span style="color: black;">加强</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">非常多</span>人都能做到每年一次的体检</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">但<span style="color: black;">亦</span>有<span style="color: black;">非常多</span>人<span style="color: black;">选取</span>忽略掉<span style="color: black;">有些</span><span style="color: black;">检测</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肛门指检算其中之一</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肛门指检</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">光听听</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">就让人“菊花一紧"</p><img src="https://mmbiz.qpic.cn/sz_mmbiz_gif/LVGqG38hDiclbeyj3oJibggyrs80ayQeTZA9iceD6ibAvpsibOaJuKJJgPtklLV73jhCjho1tJFLfdicQGURs1Khog0Q/640?wx_fmt=gif&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">通俗<span style="color: black;">来讲</span><span style="color: black;">便是</span>肛诊,<span style="color: black;">大夫</span>用一根手指伸入<span style="color: black;">病人</span>肛门触摸,不借助任何设备,是一种简单方便的临床<span style="color: black;">检测</span><span style="color: black;">办法</span>,江湖人<span style="color: black;">叫作</span>“一指禅”!</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">一</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">肛门指检是什么操作?</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肛门指检是一种<span style="color: black;">经过</span>手指对肛门和直肠进行的<span style="color: black;">没</span>创伤<span style="color: black;">检测</span>,能够确定距肛缘7-10厘米的直肠有<span style="color: black;">没</span>病变和病变的性质。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这种<span style="color: black;">检测</span><span style="color: black;">办法</span><span style="color: black;">没</span>法被其他<span style="color: black;">检测</span>方式取代,<span style="color: black;">由于</span>肛管远端难以<span style="color: black;">经过</span>内窥镜观察到。肛门指检<span style="color: black;">重点</span>分为肛外指检和肛内指检两种。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">详细</span>操作是<span style="color: black;">大夫</span>用右手食指在<span style="color: black;">病人</span>肛门<span style="color: black;">周边</span>及深入肛管直肠内进行触诊,<span style="color: black;">根据</span>特有的“指检三步曲”执行。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">首要</span>,<span style="color: black;">大夫</span>会让<span style="color: black;">病人</span>保持特定姿势,<span style="color: black;">而后</span>涂抹润滑油/剂,<span style="color: black;">通知</span><span style="color: black;">病人</span>即将<span style="color: black;">起始</span><span style="color: black;">检测</span>,将手指缓缓伸入肛门进行“三步<span style="color: black;">检测</span>”。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">一看:</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">看肛门<span style="color: black;">周边</span>有<span style="color: black;">没</span><span style="color: black;">显著</span>症状,如红肿、发炎、伤口等;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">二触:</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">手指伸入肛门处<span style="color: black;">检测</span>,触摸男性前列腺后壁或女性子宫、盆腔,确定有<span style="color: black;">没</span><span style="color: black;">反常</span><span style="color: black;">状况</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">三观察:</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">待到手套伸出后,观察手套上<span style="color: black;">是不是</span>有血、脓液。<span style="color: black;">重视</span>血迹是鲜红色还是暗红色;黏液的颜色、性质、气味<span style="color: black;">怎样</span>等,可<span style="color: black;">做为</span>诊断的参考。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肛门指检简便、经济且侵袭性小,能够<span style="color: black;">帮忙</span><span style="color: black;">大夫</span>快速诊断多种<span style="color: black;">疾患</span>。但<span style="color: black;">病人</span>对此项<span style="color: black;">检测</span><span style="color: black;">不足</span><span style="color: black;">注意</span>,<span style="color: black;">引起</span>漏诊、误诊的病例,<span style="color: black;">尤其</span>是对肿瘤的漏、误诊并不少见。</p><img src="https://mmbiz.qpic.cn/sz_mmbiz_gif/LVGqG38hDiclbeyj3oJibggyrs80ayQeTZAGWemcelBTyIojWc0E4c77xgS8NOaaEtnn742zsQZDTh9cVvcxdnGw/640?wx_fmt=gif&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">二</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">肛门指检可<span style="color: black;">发掘</span><span style="color: black;">那些</span><span style="color: black;">疾患</span>?</strong></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;">1.痔疮等肛肠<span style="color: black;">疾患</span>:</span></strong>透过指检,感觉<span style="color: black;">是不是</span>有压痛、触痛和肿块,判断<span style="color: black;">是不是</span>有肿瘤;<span style="color: black;">检测</span>时如触摸到柔软可推动的肿块,以指套上留下的鲜血判断有<span style="color: black;">没</span>息肉;<span style="color: black;">经过</span>指检还<span style="color: black;">能够</span>判断有<span style="color: black;">没</span>痔疮、肛瘘、肛周脓肿等肛肠<span style="color: black;">疾患</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;">2.直肠癌:</span></strong>约80%的直肠癌<span style="color: black;">病人</span>在就诊时可<span style="color: black;">经过</span>肛门指检被<span style="color: black;">发掘</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.急腹症:</span></strong>肛门指检<span style="color: black;">针对</span>急腹症有特殊<span style="color: black;">道理</span>,如急性阑尾炎在直肠右前方处会<span style="color: black;">显现</span>压痛。</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.前列腺<span style="color: black;">疾患</span>:</span></strong>可<span style="color: black;">经过</span>触摸直肠前壁<span style="color: black;">认识</span>前列腺<span style="color: black;">是不是</span>存在前列腺炎症、前列腺癌等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5、妇科<span style="color: black;">疾患</span>:直肠指检可扪及子宫颈,可判断女性盆腔<span style="color: black;">是不是</span>有病变。</p><img src="https://mmbiz.qpic.cn/sz_mmbiz_gif/LVGqG38hDiclbeyj3oJibggyrs80ayQeTZBE9JnSJJLIyhWXmoVdicF7C5Qc8rUqrNG8ksA7ZsMufrI1I6icbiaCianA/640?wx_fmt=gif&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">三</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;">那些</span>人<span style="color: black;">举荐</span>做肛门指检?</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">40岁以上有肛肠症状的人,如<span style="color: black;">没</span><span style="color: black;">显著</span>诱因<span style="color: black;">显现</span>大便变细、大便带血或黏液、腹部固定部位<span style="color: black;">病痛</span>、大便次数<span style="color: black;">增加</span>、腹泻与便秘交替等症状。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有肠癌家族史的直系亲属。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肠腺瘤治疗后的人群。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">长时间</span><span style="color: black;">身患</span>溃疡性结肠炎的<span style="color: black;">病人</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肠癌手术后的人群。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">6</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">50岁以上<span style="color: black;">没</span>症状人群。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">另外</span>,肛门<span style="color: black;">病痛</span>、肛门流脓流液的人<span style="color: black;">亦</span>要<span style="color: black;">即时</span>做直肠指检,这些表现<span style="color: black;">平常</span>于肛裂、肛周脓肿和肛瘘等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">温馨提示</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肛门指检在肛肠<span style="color: black;">疾患</span>诊治中至关<span style="color: black;">要紧</span>,<span style="color: black;">因此</span>,<span style="color: black;">大众</span>在体检的时候,不要因害羞而放弃。<span style="color: black;">协同</span><span style="color: black;">大夫</span><span style="color: black;">检测</span>,<span style="color: black;">显现</span><span style="color: black;">反常</span>指标时<span style="color: black;">即时</span>进行下一步<span style="color: black;">检测</span>和治疗,避免<span style="color: black;">错失</span>治疗<span style="color: black;">机会</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">*本文内容不<span style="color: black;">做为</span>医学诊断,仅供参考</span></p>
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