「內外科護理學-手術後護理」痔瘡手術後常見問題與照護Common problems and care after hemorrhoid surgery

痔瘡切除手術後,由於手術部位接近泌尿系統,可能影響排尿功能。因此,定時監測病人的解尿型態,如尿量、頻率、顏色等,是重要的護理措施。若病人出現尿量減少、頻尿、血尿等異常,應及時通報醫師,以排除尿路感染或其他併發症的可能。
After hemorrhoidectomy, due to the proximity of the surgical site to the urinary system, urinary function may be affected. Therefore, it is important to monitor the patient's urinary pattern, including volume, frequency, and color. If the patient experiences decreased urine output, frequent urination, or hematuria, the physician should be notified immediately to rule out urinary tract infection or other complications.

痔瘡手術後通常建議溫水坐浴,溫水坐浴有助於舒緩疼痛、促進血液循環,而冰水坐浴可能導致血管收縮,反而加重疼痛。
Warm sitz baths are generally recommended after hemorrhoidectomy to relieve pain and promote blood circulation. Cold sitz baths may cause vasoconstriction, which can worsen pain
初期應避免攝取過多高纖維食物,以免增加腸道蠕動,導致傷口疼痛加劇。應先從軟質食物開始,逐漸增加纖維量。
Initially, a high-fiber diet should be avoided to prevent increased bowel movements and exacerbate wound pain. A soft diet should be started first, and fiber intake should be gradually increased.
手術後病人可依自身舒適度選擇姿勢,並無絕對的禁忌。
Patients can choose their own comfortable position after surgery, and there is no absolute contraindication.
痔瘡手術後護理還包括以下方面:
Postoperative care for hemorrhoidectomy includes:
傷口護理: 保持傷口清潔乾燥,定期更換敷料。
Wound care: Keep the wound clean and dry, and change dressings regularly.
疼痛管理: 根據病人的疼痛程度,給予適當的止痛藥。
Pain management: Administer appropriate analgesics according to the patient's pain level.
飲食指導: 飲食宜清淡,避免辛辣刺激性食物。
Dietary guidance: Encourage a bland diet and avoid spicy or irritating foods.
排便訓練: 幫助病人建立規律的排便習慣。
Bowel training: Help patients establish regular bowel habits.
心理支持: 給予病人心理上的支持和鼓勵。
Psychological support: Provide psychological support and encouragement to patients.

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