送博主一杯咖啡

2012年3月1日 星期四

Check for chronic constipation


Slow transit constipation usually presents the number of bowel movements to reduce the difficulty in defecation; stool or touches the hard stool in the anal rectal examination, anorectal manometry is normal; colonic transit time. Constipation refers to stool frequency decreased to less than 3 times a week, there is bowel movement is not smooth, effortless, fecal dry hard, such as performance. Organic or functional lesions in the intestinal constipation. The life about 1/10 the occurrence of constipation, causing trouble and pain of everyday life, affecting the quality of life. Long-term constipation lead to colon cancer, breast cancer, hemorrhoids, as early as possible, of the Alzheimer elderly cardiovascular and cerebrovascular diseases lethal incentives, so in the event of constipation should promptly consult a specialist, in order to get good treatment, prevents constipation the harm.

Classification of chronic constipation

Chronic constipation is divided into slow transit constipation and outlet obstruction constipation and mixed constipation.

Slow transit constipation usually presents the number of bowel movements to reduce the difficulty in defecation; stool or touches the hard stool in the anal rectal examination, anorectal manometry is normal; colonic transit time.

Outlet obstruction constipation manifests itself defecation effort, not the flu or a sense of falling, defecation; anal rectal examination rectal memory in a number of mud-like feces; normal colonic transit time shows, the majority of marker retention in the rectum; anal manometry show abnormal or rectum by the rectal pressure paresthesia.

Mixed constipation with slow transit constipation and outlet obstruction constipation.

Check for chronic constipation

Constipation in patients under the guidance of a doctor conduct routine examination to exclude organic disease, such as digital rectal examination, fecal occult blood test, colonoscopy, etc.. Especially the elderly, obese and other patients with symptoms of blood in the stool, anemia, weight loss, fever, melena, abdominal pain alerts, should lead to a high degree of vigilance, because these symptoms are often the junction cancer, hemorrhoids, acute inflammation, intestinal polyps, manifestations of inflammatory bowel disease and other diseases. When found to have intestinal lesions, according to the original treatment. If you do not find the problem, should be considered a functional disease, constipation special disease outpatient consult a specialist doctor will have a choice depending on your situation, the following special checks.

Determination of colonic transit time: breakfast with the test meal swallow 20 through X-ray markers, separated by a certain time (for example, clothing markers after 24 hours, 48 ​​hours, 72 hours) shooting abdominal X-rays. Types of doctors based on the distribution of the markers on the abdominal X-rays to judge constipation, constipation-a major inspection methods.

Anorectal manometry: can detect the pressure of the anal muscles, and the perceived function of the rectum and rectal wall compliance, determine whether the anal pressure and sensory function abnormalities, it is also constipation typing a detection method.

Colon pressure monitoring: is a continuous 2448 hours under physiological conditions to monitor colonic pressure changes. Determination colon is motor weakness, guiding significance for the treatment of constipation.

The balloons discharge test: screening test anus with or without discharge barriers. The inspection found to be positive patients, the need for further examination.

Defecography, pelvic floor electromyography, pudendal nerve latency measurement, anal endoscopic ultrasound and other tests, you can understand constipation causes.

After the above examinations, specialists will be based on test results to determine the cause of constipation, extent and type of constipation, make a diagnosis of constipation involving the range (colon, rectum, anus, or with upper gastrointestinal tract), the affected tissue (myopathy or neuropathy ), with or without localized structural abnormalities and constipation causality make a comprehensive judgment, and then to develop effective treatment programs and predict efficacy.

Check for chronic constipation


Slow transit constipation usually presents the number of bowel movements to reduce the difficulty in defecation; stool or touches the hard stool in the anal rectal examination, anorectal manometry is normal; colonic transit time. Constipation refers to stool frequency decreased to less than 3 times a week, there is bowel movement is not smooth, effortless, fecal dry hard, such as performance. Organic or functional lesions in the intestinal constipation. The life about 1/10 the occurrence of constipation, causing trouble and pain of everyday life, affecting the quality of life. Long-term constipation lead to colon cancer, breast cancer, hemorrhoids, as early as possible, of the Alzheimer elderly cardiovascular and cerebrovascular diseases lethal incentives, so in the event of constipation should promptly consult a specialist, in order to get good treatment, prevents constipation the harm.

Classification of chronic constipation

Chronic constipation is divided into slow transit constipation and outlet obstruction constipation and mixed constipation.

Slow transit constipation usually presents the number of bowel movements to reduce the difficulty in defecation; stool or touches the hard stool in the anal rectal examination, anorectal manometry is normal; colonic transit time.

Outlet obstruction constipation manifests itself defecation effort, not the flu or a sense of falling, defecation; anal rectal examination rectal memory in a number of mud-like feces; normal colonic transit time shows, the majority of marker retention in the rectum; anal manometry show abnormal or rectum by the rectal pressure paresthesia.

Mixed constipation with slow transit constipation and outlet obstruction constipation.

Check for chronic constipation

Constipation in patients under the guidance of a doctor conduct routine examination to exclude organic disease, such as digital rectal examination, fecal occult blood test, colonoscopy, etc.. Especially the elderly, obese and other patients with symptoms of blood in the stool, anemia, weight loss, fever, melena, abdominal pain alerts, should lead to a high degree of vigilance, because these symptoms are often the junction cancer, hemorrhoids, acute inflammation, intestinal polyps, manifestations of inflammatory bowel disease and other diseases. When found to have intestinal lesions, according to the original treatment. If you do not find the problem, should be considered a functional disease, constipation special disease outpatient consult a specialist doctor will have a choice depending on your situation, the following special checks.

Determination of colonic transit time: breakfast with the test meal swallow 20 through X-ray markers, separated by a certain time (for example, clothing markers after 24 hours, 48 ​​hours, 72 hours) shooting abdominal X-rays. Types of doctors based on the distribution of the markers on the abdominal X-rays to judge constipation, constipation-a major inspection methods.

Anorectal manometry: can detect the pressure of the anal muscles, and the perceived function of the rectum and rectal wall compliance, determine whether the anal pressure and sensory function abnormalities, it is also constipation typing a detection method.

Colon pressure monitoring: is a continuous 2448 hours under physiological conditions to monitor colonic pressure changes. Determination colon is motor weakness, guiding significance for the treatment of constipation.

The balloons discharge test: screening test anus with or without discharge barriers. The inspection found to be positive patients, the need for further examination.

Defecography, pelvic floor electromyography, pudendal nerve latency measurement, anal endoscopic ultrasound and other tests, you can understand constipation causes.

After the above examinations, specialists will be based on test results to determine the cause of constipation, extent and type of constipation, make a diagnosis of constipation involving the range (colon, rectum, anus, or with upper gastrointestinal tract), the affected tissue (myopathy or neuropathy ), with or without localized structural abnormalities and constipation causality make a comprehensive judgment, and then to develop effective treatment programs and predict efficacy.

Home elderly patients with depression how to do



Families with elderly patients with depression, how to do? How do we do care for elderly depression in their lives? We all know that the elderly are "old child" in the home, and sometimes do anything to be like coaxing as care them we found them and see the symptoms of depression, which caused a great impact on their lives, they become more sensitive, we do not know how to do it can help them get rid of this disease, we asked the following The experts tell you about.

Home elderly patients with depression how to do:

The first is to take care of life. This is the care of geriatric depression. Patients should hand care, it is best to relatives. If the relatives busy with work, but also asked people to care, in short, 24 hours should not be away from people. Care and focus on work and rest, to avoid the elderly sedentary, long-established, long lying.

Second, food taboos. Geriatric depression care in the diet should pay attention to nutritional balance, mainly the elderly preferences. But bearing in mind that the more water, avoid alcohol, avoid spicy food, and close observation of patients with food and water intake, and to observe the situation of the records of patients with defecation.

Third, insist on serving Yao. This is the most important part of the geriatric depression care. Family members should strictly follow the doctor's orders for the elderly serving Yao. Not free to change the Yao objects, the situation can be reflected to the doctor, and not Yao material adverse stopped service in order to avoid the treatment of naught.

Fourth, the prevention of accidents. Patients more prone to suicide attempts of suicide, senile depression care, family members should pay close attention to the conversation, behavior of the elderly usually must not be negligent. Who can become a tool and Yao matter of patient self-injury suicide should take good care of.

The fifth is the spiritual communication. Geriatric depression care not to take care of the elderly life, should also include the elderly psychological support, understanding and encouragement. Family members usually should communicate with patients, elderly tiny emotional changes their psychological contradictions, conflicts, etc., and to encourage and open solutions that help the elderly to establish the confidence of a cure.

Sixth, to divert attention. Families during the care of elderly depression should try to encourage patients to do some of the usual things of interest to divert their attention, and gradually forget the unpleasant things, the mood gradually brightened.

Home elderly patients with depression, how to do? More than for everyone to do a brief introduction, I hope we all know. Experts suggest that in life we ​​need to improve the care of geriatric depression, which can help them get rid of the disease problems at an early date.