2024-01-25 23:02:00
Business owners who love to socialize are “suffering”, and they are found to have diabetes. High blood sugar is easy to cultivate bacteria. To prevent perianal abscess, you should pay attention to three points.
As the New Year approaches, new year dinners, reunion dinners, dinners with friends and other social events are coming one after another. Among them, drinking has become an indispensable step to ignite the atmosphere at the party. As the boss of the company, Mr. Chen (pseudonym) has countless entertainment at the end of the year. But behind the frequent communication, in addition to obvious physical and mental fatigue, it also induced his perianal disease, leaving him in unbearable pain and unable to sleep all night. Later, after extensive digging by doctors, they discovered that this perianal disease was actually closely related to diabetes.
Frequent dinner parties during Chinese New Year
Cause anorectal “emotion”
Some time ago, 56-year-old Mr. Chen went to various dinner parties for many days. He drank a lot and drank a lot, which caused a dull pain around his anus that lasted for a week. At first, Mr. Chen thought he just had hemorrhoids and didn’t take it to heart until recently. In the past two days, his perianal pain became more and more obvious, and the pain was so painful that he had difficulty sleeping for two consecutive nights, which seriously affected his daily life. In desperation, he had no choice but to seek help from Mao Jiehong, chief physician of anorectal surgery at the Second Hospital of Zhejiang University of Traditional Chinese Medicine (Zhejiang Xinhua Hospital).
“We performed B-ultrasound and digital anal examination on the patient, and found that the abscess in the perianal area had infiltrated half of the anal opening, and some abscesses had penetrated deep into the anal sphincter. A seton was needed to drain the deep pus out.” Mao Jie Hong said that if the anal sphincter is incised at one time, it will inevitably cause anal incontinence; the seton drains the pus and protects the anal sphincter function to the greatest extent.
“In addition, when asking about the medical history, we also found that Mr. Chen himself suffers from diabetes, but he has not controlled it before. This time, the fasting glucose measurement has reached as high as 16.5mmol/L, which is three times the blood sugar level of a normal adult male. The blood sugar in the body Each part affects each other and affects the whole body. High blood sugar will make it easier for perianal inflammation to spread, and further infection of perianal abscess will be detrimental to blood sugar control; therefore, patients need a two-pronged approach, draining the perianal area at the same time. Abscess, while also controlling blood sugar in a timely manner.” Mao Jiehong said.
At present, Mr. Chen has successfully completed the perianal abscess surgery and is recovering well after the operation. After being discharged from the hospital, he began to actively carry out hypoglycemic treatment. For this reason, he also significantly reduced the number of gatherings, worked hard to change his eating habits, quit smoking and limited alcohol, just to stabilize his blood sugar at normal levels.
Perianal abscess meets diabetes
Please keep these precautions in mind
Mao Jiehong pointed out that because Mr. Chen suffered from diabetes a few years ago and was catalyzed by excessive eating and drinking, it is easy to cause diabetes and perianal abscess infection. “Diabetes is a very common chronic disease in clinical practice. Compared with normal people, the microvascular lesions and neurological lesions of diabetes can easily cause damage to the skin and mucous membranes, leading to infections that are difficult to heal, and high blood sugar is a culture medium for bacteria, so Diabetic patients are more likely to be infected than patients without diabetes; diabetic patients are often associated with a micro-inflammatory state and are more likely to cause anal adenitis, which is caused by the patient’s high blood sugar level and disordered glucose and lipid metabolism. It is related to hemodynamic changes, etc. When perianal infection occurs, the micro-inflammatory state promotes the inflammatory stress process of perianal infection and aggravates its degree, thereby further developing into anorectal abscess, and even in severe cases, the infection spreads and is life-threatening. “
Therefore, experts say that patients with diabetes need to pay special attention to the risk of perianal abscess and take corresponding preventive measures. Control of blood sugar levels, attention to personal hygiene, and regular physical examinations are keys to preventing perianal abscesses.
Control of blood sugar levels. Measure blood sugar regularly, follow the doctor’s treatment plan, and adhere to medication and diet control.
Eat wisely. The staple food of diabetic patients is generally rice and flour, but coarse grains such as oats, oatmeal, cornmeal, etc. contain more inorganic salts, vitamins, and are rich in dietary fiber. Dietary fiber has the effect of lowering blood sugar and is beneficial to blood sugar control; Soybeans and their soy products are the best sources of protein for diabetic patients. They do not contain cholesterol and have lipid-lowering effects.
Pay attention to personal hygiene. Keep the rectal area clean by washing it daily with warm water and avoiding soaps or harsh lotions. Treat constipation or diarrhea promptly and maintain good bowel habits.
Get regular physical exams. Diabetic patients should undergo regular physical examinations, control blood sugar, and actively treat local anal diseases, such as local anal infections, anal sinusitis, etc.
Source: Daily Business Daily Author: Trainee reporter Zeng Runyue Correspondent Zheng Sha Editor: Chen Dong
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