How to properly put the enema
As for constipation, as well as in preparing for examinations in the rectal area often used by enema, talk about the correctness of their execution.
There are three types of enemas: cleaning, oil and drug.
For setting the cleaning enema use mug Èsmarha. You need to buy in a pharmacy.
Squirt is the tank (glass, enamel or rubber) capacity 1.5-2 l. At the bottom of the mugs have a nipple, which put on thick-walled rubber tubing. At rubber tank tube is its direct continuation. The length of the tube around 1,5 m, diameter — 1 cm. Tube ends with removable tip (glass, plastic) length of 8-10 cm. The tip must be an integer, with smooth edges. It is preferable to use plastic tips, because the glass tipped with skolotym edge you can seriously injure the gut. After drinking tip well washed with SOAP under warm running water and boil. Near the tip of the tube there is a faucet, which regulate the flow of liquid in the intestines. If the crane is no, You can replace the linen bussiness card holder, clip, etc..
For enemas, use water only from trusted sources (such, You can drink). For children it is better to use only boiled water. The water temperature is about 37 — 38 ° C. More cold water considerably increases the motor activity of the bowel, causing unpleasant painful sensations. Use for enema water with a temperature of more than 40 ° C is dangerous for health.
Ways of staging the enema
1-the third way
Lie on the bed closest to the edge on the left side with knees bent and legs to the abdomen toned. Under the buttocks, put an oilcloth (polyethylene film), free edge lower in a bucket, in case, If you will not be able to retain water. The mug Èsmarha pour 1-1, 5 l of water at room temperature, lift it upwards to a height of 1-1, 5 m and lower the tip down, to release a small amount of water and with it air out of the tube. Fill tube (display a little fluid from the tube), then, without dropping a mug, close the tap on a rubber tube. Check, not whether the tip is broken, lubricate it with Vaseline (SOAP, vegetable oil) and, parted buttocks, Insert the tip into the rectum light rotational movements. The first 3-4 cm insert the tip toward navel, then another 5-8 cm — parallel to the coccyx. If you encounter obstacles and tube rests on the intestinal wall or hard stool, remove it for 1-2 cm and open the faucet. Pressurised water reaches the large intestine. Almost immediately the feeling of "filling" the bowel, the urge for stool. In these moments you need to reduce the speed of the fluid from a mug, closing the tap on the tube or perežav it. Reduce the unpleasant sensations will help pie soft stroking of the abdomen.
When the tip of the pulmonary kalovymi masses it should extract, clean and enter again. If the rectum is full of feces, try to dilute it with water. Mug Èsmarha empty need not fully. Leaving a little bit of water at the bottom, to the intestines do not hit the air, close the faucet, regulating the flow of fluid, and remove the tip.
The crotch pad pre-prepared put (fabric, repeatedly folded toilet paper and Ribbon t. P.), you want to pinch between your legs.
2-the third way («by Hegaru»)
Step on fours in bathtub (the knee-loktevoe position), leaning on one elbow, second hand insert the tip into the rectum.
The tip must be introduced slowly, gently, especially with hemorrhoids. Typing tip head and shoulders lower below and start to deep, but not often breathe belly, "pulling air through the mouth or nose». If the water is not all seated, and you already feel pain in intestine, turn off the tap on the hose, deeply breathe in the.
When the water in the mug ends, remove the tip, put on the anus pre-prepared gasket.
It is desirable to retain water during 10 minutes. To do this, you should lie on your back and glubiko to breathe. Pain, the feeling of bloating in the abdomen uspokaivajte stroking. If you can, to go with the water or lie down on your stomach. Enema from plain water is not always leads to evacuation of the bowel. To strengthen its actions to the water, you can add or 1/2 TSP pounded into a powder of children's SOAP, or 2-3 tablespoons Glycerin, or 1-2 tablespoons table salt, or 1 the glass standing or Chamomile and t. d. When agreed to keep an enema cleaning, that at one time imposed no more than 1.5-2 litres. If you want to put two consecutive enema should observe the interval between them 45 minutes — 1 time, making sure, that the scourage of first enemas went completely.
When performing drug enema preparations are absorbed into the bloodstream, in so doing, they do not fall into the liver and significantly less collapse, acting more actively. The drug can be called any enema using herbal infusions.
For 30-40 minutes before drug enema cleansing and put only after emptying bowel injected medicine. Medicinal enema is basically microclysters, their content must not exceed 50-100 ml. Drug temperature should not be less than 38-40° c, because at lower temperatures occur craving for defecation, and medicine can't be absorbed.
Lie on your left side, bend the legs at the knees and pull up to the stomach. Pushing the left hand buttocks, the right Rotary movements enter oiled Vaseline oil for catheter 10 see in the rectum. Then connect the catheter with a syringe, where is the medicinal substance, and slowly squeeze the grout into the catheter small portions under slight pressure. To do this, you can use a small woman. Hold and squeeze the outer end of the catheter, to prevent the liquid from it protrusion of an inverse. Carefully remove the syringe from the catheter, dial it air, reinsert the catheter and purge, to push the remaining liquid in it.
Oil enema is used for refractory constipation. To do this, use vegetable oils: Sunflower, olive, hemp, Vaseline. For one enema take 50-100 ml warmed up to 37-40° c oil. Enter oil usually rubber balloon through a syringe with catheter, that further into the rectum to 10 cm. Oil spreads on the wall of the colon, envelops Kal, relaxes the intestinal muscles and promotes the excretion of feces. The patient must lie quietly for 15 minutes-10, that oil is not followed.
