Treatment of anal sepsis
Anal perusal sepsis refers to acute sepsis infection in the soft tissue around the anal rectum or in the margins around it, and the formation of sepsis. The present document details the treatment of anal auscultosis, including non-surgery and surgical treatment, with the aim of providing a reference basis for clinical treatment to increase the rate of auscultation, reduce the occurrence of complications and promote the rehabilitation of patients.
Anal sepsis is a common anal disease and, if not treated in a timely manner, can cause serious complications such as anal fistula, causing great pain and inconvenience to patients. Therefore, understanding and effective treatment are essential.
I. Non-surgery treatment
1. Antibiotic treatment
Drug selection: Antibiotics, e.g., head bacterium, nitromite, etc., that are effective for gebrane vaginal bacterium are commonly selected on the basis of experience, and the type of antibiotics can be adjusted on the basis of sepsis culture and drug sensitivity tests. For example, for a patient with a milder condition, drugs such as thalcolo and thalmazole may be administered orally; for a person with a high level of condition, with a full body of symptoms such as fever and white cell rise, with an intravenous drip of thorium sodium, onitraz, etc.
The course of treatment: usually three to five days after normal antibiotics are applied to the body temperature and symptoms are mitigated, and the general course of treatment is about 7 to 10 days, depending on the patient ‘ s recovery.
Take a bath.
Method: Placing an appropriate amount of warm water (water at about 40 – 45°C) in a bath, with the patient taking a bath for 15 – 20 minutes 2 – 3 times a day. In the bath, care should be taken to keep the anus clean and a suitable amount of potassium permanganate (at a concentration of 1:5000) may be added to the water for disinfection.
Effect: Temperature baths can facilitate local blood circulation, reduce inflammation and pain, and facilitate sepsis limitations and absorption. At the same time, bathing also cleans the skin around the anus and prevents further spread of the infection.
3. Local physiotherapy
– Infrared exposure: increase local tissue temperature through thermal effects of infrared, promote blood circulation and metabolism, increase local tissue resistance to infection, and reduce pain and swelling. General exposure of 20 – 30 minutes per exposure, 1-2 times per day.
– Microwave therapy: Microwaves can produce heat for water molecule vibrations in the tissue, thus achieving therapeutic effects. It is able to penetrate deeper tissues and has a certain effect on the deep abscess, with each treatment lasting approximately 15 – 20 minutes and 3 – 5 times a week.
II. Surgery
1. Separators
(b) Timing of the operation: When anal abscess has become apparent, with a sense of volatility, it should be performed in a timely manner.
Surgical procedure: Under local anesthesia or epidural anaesthesia, the most visible irradiated in septosis is the irradiated cut, which is large enough to ensure a smooth flow. When the skin and subcutaneous tissue are removed, the sept is separated from the sepsis by angiogenesis, so that the sepsis is fully released, and the sepsis is washed with saline water or hydrogen peroxide solution, followed by a venom or rubber flow bar.
2. One-time root cure
Surgery certificate: This applies to cases where the anal auscultation is shallow, the inside is clear and the condition of the patient permits.
Surgery methods: On the basis of cutting the flow, further search for the inside, removing the infected tissue from the inside and its surroundings, and then treating the puss, which can be treated with a combination of acoustic therapy or a direct suture, in order to prevent anal acoustic incontinence as a result of excessive acoustic muscle damage, while ensuring a smooth flow and avoiding reoccurrence.
III. Post-operative care
1. Trauma care
Keep the wound clean, regularly replace dressing, and observe if there is blood seepage, seepage, red edema and secretions. In the event that an abnormal secretion or healing of the wound is detected, it should be dealt with in a timely manner, such as a clean-up exchange.
In the case of a patient who places a bar, care should be taken of the location and smoothing of the bar, to avoid the premature release or congestion of the bar, to replace the bar at the appropriate time, depending on the condition of the bar, to replace it after the general surgery one or two days, with a gradual extension of the replacement time as the circulator of the wound decreases.
2. Dietary adjustment
The early post-operative period should be dominated by light, digestible foods, such as rice congee, noodles, egg crumbs, etc., and avoid eating spicy, greasy, irritating foods, such as peppers, fried foods, white wine, etc., in order not to stimulate the anus and increase the pain and inflammation response.
As the wound heals, the intake of dietary fibres, such as vegetables, fruits, coarse grains, etc., can be increased over time in order to keep the poop open and to prevent constipation from causing irritation and damage to the wound.
3. Decay management
After the operation, a good practice of defecation should be developed, with a view to avoiding prolonged defecation and minimizing the defecation period, which is generally within 5 minutes.
In the case of defecation, appropriate oral ablution, e.g., e.g., lactose or oral glucose, or the use of portable drugs such as open trachea, should be avoided, but excessive defecation should be avoided in order to avoid haemorrhage or cracking from the wound.
Summary: The treatment of anal sepsis requires the selection of appropriate treatments, including non-surgery and surgical treatment, depending on the patient ‘ s specific condition, while after-surgery care plays a key role in the rehabilitation of the patient. Through timely and effective treatment and care, most patients are able to heal, reduce complications and improve their quality of life. In clinical practice, lessons should be learned to improve the level of anal sepsis treatment and to provide better medical care to patients.
