Contests?"Stepped" treatment method, say goodbye to the pain of "difficult to solve"

Qilu.com · Lightning News, June 27th. When it comes to constipation, everyone must be familiar with. We or our family members and friends have more or less stools, difficulties in stools, resolving difficulties, or a few days to solve the stool. Some people may be relieved by adjusting their diet, some people need to take some drugs that help bowel movements, and some constipation is particularly powerful. It may not be intentional for a long time. rely.

However, most people may only use constipation as a state of not very healthy intestinal function. They think that they are such physiques, especially for the elderly, constipation as a "old age" does not attract enough attention. In fact, chronic constipation is a disease. In addition to the pain of constipation itself, it will also bring great harm, such as causeing hemorrhoids, anal fissures, rectal prolapse, colon black stool diseases, etc., and may even increase the colorectal cancer. risk. For those patients with medium -weight constipation, they have great pain in their minds and minds.

At present, everyone's understanding of constipation is generally insufficient, and they often enter misunderstandings in treatment. So, under what circumstances can be diagnosed as chronic constipation? What do you need to pay attention to in the constipation life? How to treat it through drugs? Under what circumstances can we consider surgical treatment? Today, I will talk about the topic of constipation.

1. Do you really have chronic constipation?

Chronic constipation is generally manifested in decreased defecation (less than 3 times a week), dry stools and difficulty in bowel movements, difficulty in defecation including time and effort, need to be assisted by hand, insufficient bowel movement, anal swelling, etc. In addition to the above symptoms, chronic constipation also has the requirements of the course of time. Generally, the above -mentioned symptoms are required for more than half a year in order to be called "chronic constipation".

2. How is chronic constipation caused?

With the improvement of living standards and changes in the diet structure, young people work for a long time, sedentary and sedentary, and the aging of the population aging in my country, the incidence of chronic constipation is showing a tendency to increase year by year. According to reports, the incidence of chronic constipation of adults in my country is 4%to 6%, and as they increase their age, the incidence of chronic constipation over 60 years of age is as high as 22%. The prevalence of women is higher than men, and the ratio of men and women's prevalence is 1: 1.22 ~ 1: 4.56.

At present, everyone has a low awareness rate and overall diagnosis rate for chronic constipation. Statistics show that 47%of patients are simply adjusting and treating constipation by relying on diet. 45%of patients go to pharmacies to buy drugs for treatment. Only 8%of patients will go directly to the hospital for treatment for treatment Essence But in fact, the cause of chronic constipation is very complicated, not just taking some proper drugs. Some people have long colon; some people are insufficient colon dynamics and poor peristalsis; others are problems such as rectal mucosal prolapse, incomplete function of pelvic floor muscles, and pockets in the front wall of the rectum. These situations can only be diagnosed and distinguished by detailed specialized examinations in the hospital.

There are many types of drugs (some belong to health products) on the market. Although some drugs are good, they cannot be taken for a long time, such as some traditional Chinese medicines often used in treating constipation, rhubarb, faxiat, aloe, etc. Component, long -term use may cause damage to the intestinal smooth muscle atrophy, make the intestinal peristaltic function worse, and may cause chronic damage to the intestine, such as colon melatonin disease (research believes that colon melatonin disease will induce intestinal polyps), which can induce intestinal polyps). Some drugs may also cause liver function damage. In addition, drugs such as phenolic slices and fruit guidance tablets contain phenolic ingredients, because of the foundation of carcinogenic effects in animal experiments, have been banned by the State Drug Administration for sale and use.

3. The "stepped" method to treat chronic constipation

In fact, for the treatment of chronic constipation, the "stepped" treatment method is recommended.

① Basic therapy: Adjusting diet and living habits

For example, drinking more water to ensure that the daily drinking water volume reaches 1.5 ~ 2L; increases the intake of dietary fiber (18 ~ 30g); appropriate exercise; establish good bowel habits to avoid extension of defecation time to play mobile phones during the toilet.

② Second stairs treatment: standardize and reasonable use of drugs

Drugs not only refer to laxatives, but also include probiotic drugs, which can help the intestine build a good micro -ecological, change the traits of the stool, and improve the intestinal function. Probiotics have few side effects and can be taken safely. It should be noted that some probiotic drugs may need to be kept refrigerated. In addition, there are drugs that promote intestinal power and drugs that promote intestinal secretion.

③ Third step treatment: surgical treatment

This is mainly aimed at patients with poor drug treatment effects, formation of drug dependence, and heavier constipation. This part of the patient may have no intention for a long time, and even the effective drugs have lost the curative effect, and a few patients have had intestinal obstruction caused by constipation. Chronic constipation for surgical treatment is safe and effective. It has been written into a surgery textbook. The country has also published professional specifications and expert consensus to guide the implementation of the safety norms of constipation surgery. Generally, a series of inspections will be performed before surgery to evaluate the degree of constipation, identify the cause of constipation, and take scientific and effective treatment methods and surgical methods for the cause. And at present, surgery can generally be performed in a minimally invasive way. The patient has less trauma and recovery quickly.

Constipation is a painful chronic functional disease. Unsteady treatment, irregularity, and abuse of drugs can cause poor treatment effects, and even further aggravate.Volkswagen needs to further increase the understanding of chronic constipation, increase attention and concern for patients with chronic constipation, and increase the willingness of patients with chronic constipation to go to the hospital for treatment. Scientific, standardized, and effective treatment can give constipation patients a healthy and comfortable life.Author: Liu Bingtian, attending physician of the Second Hospital of Shandong University