Yates Ann
Director of Continence Services, Cardiff and Vale University Health Board, Cardiff.
Br J Nurs. 2020 Apr 9;29(7):393-398. doi: 10.12968/bjon.2020.29.7.393.
Historically, the use of colonic irrigation or transanal irrigation (TAI) has been viewed as an alternative therapy for the treatment of a wide variety of conditions not relating to bowel dysfunction, including nausea, fatigue, depression, headache, anxiety and rheumatism. However, these days it is viewed as an effective treatment in individuals who may present with bowel dysfunction and related symptoms of constipation and faecal incontinence. Such individuals would include people with neuropathic bowel disorders, conditions that affect sphincter control or bowel motility disorders. injury to the rectum, sphincter or bowel, slow transit times, evacuation difficulties or prolapse due to a weak/damaged pelvic floor, and chronic faecal incontinence. TAI may be performed by the person with bowel dysfunction, or by a carer or health professional. An individual's ability to use a device to undertake the procedure will be influenced by a range of factors, which are explored in this article.
从历史上看，结肠灌洗或经肛门灌洗（TAI）一直被视为治疗多种与肠道功能障碍无关的疾病的替代疗法，这些疾病包括恶心、疲劳、抑郁、头痛、焦虑和风湿病。然而，如今它被视为对可能出现肠道功能障碍以及便秘和大便失禁等相关症状的个体的一种有效治疗方法。这类个体包括患有神经性肠道疾病、影响括约肌控制的病症或肠道动力障碍的人。直肠、括约肌或肠道损伤、传输时间缓慢、排空困难或因盆底薄弱/受损导致的脱垂，以及慢性大便失禁。TAI可由肠道功能障碍患者自行进行，也可由护理人员或医疗专业人员操作。个体使用设备进行该操作的能力将受到一系列因素的影响，本文将对此进行探讨。
