How to care for an anal fistula?

Anal fistula surgery is to cut off the intestine with the mass and then make a new opening for defecation. After the fistula surgery, care is also very important. Be sure to carefully observe whether there is any abnormality in the fistula opening and pay attention to the hygiene around the incision.

1. Observe the blood circulation of the intestinal mucosa of the stoma and whether there is retraction, bleeding or necrosis of the stoma.

2. Change the dressing frequently in the early postoperative period, and protect the intestinal tract with Ji Shilin gauze until the incision is completely healed.

3. After using the ostomy bag, the color, nature and amount of the liquid in the bag should be observed. If there is gas or excretion in the bag,

It means that the intestinal peristalsis has recovered and you can start taking liquid food.

4. After removing the stitches at the stoma, perform anal dilation once a day to prevent stoma stenosis.

5. Protect the skin around the stoma to reduce the irritation of intestinal fluid and the appearance of eczema. Zinc oxide ointment or anti-leakage ointment is often used for protection.

skin.

Suggestions:

1. Pay attention to personal hygiene, prevent diarrhea caused by food poisoning, and avoid eating too much crude fiber food, such as bamboo shoots, celery, etc.

Avoid onions, garlic, beans, yams and other foods that have pungent odors or flatulence, so as not to cause intestinal and stoma obstruction.

And the frequent use of ostomy bags causes inconvenience in life and work. Adjust the diet to make the stool form, and take astringent medicine orally when necessary.

2. Teach patients to perform self-care, such as the use of anal bags, local skin care, etc.

3. Training bowel habits. For patients with descending colon or sigmoid colostomy, repeated stimulation can be performed regularly to develop good bowel habits.

4. Control the intensity of the activity appropriately to avoid excessive increase in abdominal pressure, which may cause prolapse of the colon mucosa in the artificial anus.

5. Use 1:5000 potassium permanganate warm water for sitting bath on the perineum incision. The concentration should be based on the red color of bayberry. If the incision is not complete,

Those who have fully healed should be taught how to disinfect the incision and change the dressing.