TCM Improves Colostomy Defecation Regularity

Millions of people undergo enterostomy worldwide, and colorectal cancer is the most common. Currently, radical resection is the primary treatment method for rectal cancer. The main surgical procedure for low rectal cancer is a permanent colostomy. In 1917, Lockart-Mummcry proposed stoma care and colonic lavage. The appearance of the stoma changes the original physiological defecation pattern of the patient. Since the colostomy has no sphincter function, the patient loses the ability to control defecation, which causes great inconvenience to the patient's daily life. Whether the elimination is regular is related to the patient's physical function, psychological function, and quality of life. With the extension of the stoma time, the defecation time is not fixed, there is no feeling during defecation, and the phenomenon of defecation discomfort has not been significantly improved. Most of the early patients have irregular elimination. , And the number of bowel movements is more, with the extension of the stoma time, the number of daily bowel movements will gradually decrease; in addition to mastering the routine stoma nursing methods, how can we make the bowel movements more regular? Let's take a look.

Traditional Chinese Medicine Acupuncture:

The artificial anus is a necessary procedure for transabdominal perineal rectal cancer radical resection. After permanent colostomy, patients experience life function limitations and stoma stool smell. Life. Through the combined effect of acupuncture and rubbing the abdomen, the gastrointestinal function can be adjusted, the overall recovery can be promoted, defecation will be announced, and defecation regularity will be formed naturally so that the patient's self-confidence in life can be enhanced. To reduce the interference and hindrance of diarrhea to the postoperative recovery of patients with colorectal cancer, effective intervention measures were taken according to the causes and influencing factors of diarrhea and combined with individual circumstances. Chinese medicine treatment is a good choice. The most common intestinal diseases treated with Kampo are allergic bowel syndrome. In addition, chronic diarrhea and chronic constipation have sound effects. In addition to traditional Chinese medicine treatment, acupuncture is also a standard method for postoperative treatment of colorectal cancer, which positively impacts the prevention and treatment of diarrhea. Take Shenshu, Pishu, Dachangshu, Zusanli, Shangjuxu and Taichong. Shenshu, Pishu, and Dachangshu are located in the bladder meridian. In the process of acupuncture and moxibustion, they can produce the effect of nourishing the spleen and kidney and have the power of right. Acupuncture at Zusanli is used to invigorate the spleen and replenish qi. Acupuncture at Shangjuxu and Taichong points can dredge the meridians, which can be used to reconcile qi and blood, eliminate dampness in the body, and achieve the effect of strengthening the body; consolidating the root, and help prevent "diarrhea." Acupuncture treatment is generally used as an auxiliary method of traditional Chinese medicine treatment, improving the prevention and treatment effect.

TCM abdominal massage therapy:

TCM's abdominal massage is a compound massage technique that integrates massage, pushing, and kneading. Indications for abdominal distension, diarrhea, constipation, bowel sounds, pain around the navel, and other symptoms. Abdominal rubbing treatment for postoperative abdominal distension, no gas, constipation, that is, poor gastrointestinal motility, the curative effect is ideal, but also beyond the acupuncture and moxibustion medicine. The connection of the gastrointestinal tract is a long pipeline, just like a natural food processing plant; from entry, digestion, absorption, transportation, and excretion, the gastrointestinal function is smooth. The rotation direction of the force is determined according to the clockwise direction of the food. If the gastrointestinal motility is dysfunctional due to the operation, the movement and excretion of the food will be abnormal. Too slow, food residues and water remain in the body for too long, toxins are being absorbed, constipation, functional disorders, and so on. Tuina can promote the gastrointestinal tract's regular peristalsis and help stool's normal excretion. The effects of massage include: First, adjusting the function of the viscera. Massage is the use of manipulation techniques to make the dysfunctional viscera functions tend to a new balance to achieve the purpose of curing diseases and strengthening the body. Second, clear the meridians and blood. Qi and blood are the main substances that sustain life, and meridians are the channels through which the human body's Qi and blood run, conducts, and communicates. Once the qi and blood of the meridians are abnormal, exogenous pathogens can be transmitted to the viscera and cause disease. The disease of the viscera can also be reflected on the body surface through the meridians. Through manual stimulation, the function of meridians and the generation and operation of qi and blood can be promoted so that the parts of the zang-fu organs can be coordinated, external pathogens can be prevented, and internal diseases can be cured.

Acupuncture and moxibustion directly act on the bowel to promote the peristaltic function of gastrointestinal physiology. Combined with regular meals and life, patients can form frequent defecation in an average of 66.08 days and establish a new defecation process. Regularity eliminates the trouble of removing the fecal bag at any time, reduces the odor, reduces the psychological pressure on the patient, and improves the quality of life.

Acupuncture and abdominal massage therapy :

1. Therapeutic principles: promote qi, eliminate fullness, clear bowels, resolve stagnation, regulate qi, laxative, promote clearness and lower turbidity, mediate up and down, strengthen the spleen and remove dampness.

2. Acupuncture prescriptions include Zhongwan, Tianshu, Cinque, Guanyuan, Zusanli, and Shangjuxu.

3. Acupuncture at Zhongwan, Tianshu, and Shangjuxu points, lifting, inserting, twisting, and reducing method, Shenque moxa cone moxibustion, Zusanli supplementation method. Finally, use the abdominal massage method, put the hands together, rub the hands together to generate heat, put the five fingers together, empty the palms, align the palms with the center of the navel, and take the center of the navel as the central axis, sink the arms, drop the shoulders, drop the elbows, hang the wrists and palms, and rub the belly clockwise. , both pressing and rubbing, applying force according to the patient's tolerance level, the rhythm is uniform, it can be rotated about 60 times per minute, scratched and rubbed for 10 minutes until the hand accumulates heat, the patient feels relaxed and comfortable. The stoma was started five days after defecation, once a day, 30 minutes each time, for six days, and the effect was observed after five treatment methods.

Diet Note:

Descending colostomy and sigmoid colostomy, and sometimes constipation occurs. Generally, it is caused by eating less cellulose food or drinking too little water. The stool will be grainy and hard. Therefore, colostomy patients usually need to drink more water and juice and eat more fresh vegetables, fruits, and crude fiber foods.

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Bibliography:

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5. Wang Yufang, Yan Cuilan, Zhao Fangfei, Bi Jinling. The effect of acupuncture and moxibustion on the abdomen promotes colostomy formation and defecation regularity[J]. Journal of Nursing Education, 2010,25(08):740-741.DOI:10.16821/j.cnki .hsjx.2010.08.036.

Editor: kiki Jia

Date: July 12, 2022