Chrysanthemums, there are many poems describing chrysanthemums, but in modern times, the more famous one is this one: When autumn comes to September 8, I will kill a hundred flowers after the flowers bloom. The heavenly incense array penetrates Chang'an, and the city is full of golden armor.

Moreover, I don't know which god it is, and he used chrysanthemums as a metaphor for the anus. This great god is very good, and his descriptions and metaphors of the anus are very in place. It's not in the medical field.,It's estimated that it's also specialized in chrysanthemum and anal-related professional work.。

Otherwise, ordinary people would never be able to describe such an apt metaphor. Why do you describe chrysanthemums as anals, not lilies and trumpets?

There is a reason for this, there are two forms of flowers on the chrysanthemum inflorescence, one of which is the simple chrysanthemum, commonly known as the "flower heart", the corolla is connected into a simple shape, which is a bisexual flower, the center has a pistil, the stigma is 2 lobed, the ovary is lower 1 chamber, and the flower dwellers live around the main 5 zizi medicinal stamens.

It's this kind of flower, which looks like an anus. Especially with the constricted anus, it is very godlike.

Anus, complex structure. It is about 4 cm long, and when it is derived from the rectum to the anus, it begins to thicken, like the lips. There is also an erect anal column.

The mouth has teeth, and the anus has an anal column, just as the teeth begin to open from the throat and eyes, and the anal column is such a muscular cord, like a toothless old man or an old lady. It is no exaggeration to say that there are some peculiar diseases that cause anal teeth, and this tooth comes out of the anal column.

It is estimated that Nuwa was lazy when she created people, and she just took her mouth as a template to make an anus.

People are so strange, things that were originally unrelated, but if you analyze them carefully, you will find that they are from the same origin.

For example, the kidneys and testicles (a) are cousins, and the kidneys are almost enlarged. The two of them play together until the moment before they are born.

There is an abundant sublingual venous plexus under the tongue and a super-developed intraordinal venous plexus in the anus. The venous plexus at the end of this is so well developed that it's almost like a spider's web lying around the anus.

At present, there are many theories about the cause of hemorrhoids, such as the theory of falling and the theory of varicose veins, but they are all inseparable from this venous plexus.

Sitting for a long time, going to the bathroom to look at the mobile phone for half an hour, and plugging foreign bodies in the anus are all the main culprits of hemorrhoids.

Many people have a liquor banquet one day, not to mention a headache the next day, and the anus also hurts, because a large amount of irritating food can cause congestion at the end of the blood vessels.

Over time, the blood vessels are blown up by the blood, blown rough, and then they are bruised, and then the bruised blood vessels take the surrounding fat and become a bag.

Suddenly, one day, this bag suddenly fell out of the anus and hung on the anus like a ball, which is the origin of hemorrhoids prolapse.

Hemorrhoidal prolapse not only looks weird, but also painful, a twisting pain after incarceration. can make a strong man cry and cry and scream: "Unit!

What a good man has no tears, let him try a prolapse incarceration.

There is a white line at the anal opening, which tightens the intestinal tract like a rubber band, which is the dividing line between internal and external hemorrhoids.

Above the white line are internal hemorrhoids, below the white line are external hemorrhoids, of course, since there is an inside and outside, there is a mixture.

Anal fistula, on the other hand, is a disease that seeks another passage. 90% of anal fistulas are caused by perianal abscesses. This thing is a direct opening in the butt that leads straight to the intestines, forming an anus without an anal column!

Anal fistula treatment is troublesome. If there is an incision treatment, it is very painful to directly and violently cut the lumen of the tube, so that the body can grow new granulations and blockages on its own.

The second is the suture therapy. With a rubber band or corrosive medicine thread, it enters through the fistula that opens in the buttocks, then passes through the rectum and finally exits the anus, followed by tightening.

In fact, it is to use a rope to tie up the tissue in the anal fistula channel, let it die of ischemia and necrosis, and then rely on the body to regrow new tissue.

The third is to directly remove the entire fistula, which was originally a toothpick-thin channel, cut into a chopstick-thick channel, and then suture it.

The most terrible thing is a complicated anal fistula, which cannot be treated. It can only be drained by hanging a line, and in professional terms: living with fistula is also a safe choice. All the way, all the way stinks!

Because there are some special anal fistulas, once the prediction is underestimated, the levator ani muscle is damaged during treatment, which is a big deal. Maybe if you inhale the cool breeze, your anus can squirt out fecal scum.

"Ascend to bed!" Zhang Fan said to the itinerant nurse after he stood in front of the operating bed and gestured for a while. The advanced operating table is like a tower crane, and below it is the kind of hydraulic steel bar that crosses the triangle, and after it is slowly unfolded by electric remote control, the bed is raised.

And the old-fashioned operating table, like the old-fashioned cannon, has to hold the disc with the handle to rotate when the bed is raised, because without a booster, people who don't have some strength in their arms can't shake at all.

After adjusting the operating table, Zhang Fan began the operation, which was very simple to do.

Use a guide wire with a certain hardness but can be turned, like a thin guide wire like a hard plastic rod, tie the silk thread at one end, and slowly enter.

Anal fistula is not necessarily a straight line, it is like a person who bullies the weak and is afraid of the hard, and when it encounters a place with rich vascular plexus and many immune factors in the system, it will go around.

Zhang Fan slowly inserted the anal fistula with a plastic rod, this must not be in a hurry, otherwise it will either go the wrong way, or it will be inserted into the normal fat layer.

This kind of surgery is generally done by married doctors, and unmarried doctors can't do it, especially single Wang, who doesn't know what it means to take his time. And Zhang Fan has a system, so he will.

The guide wire with silk thread entered the anal fistula little by little, and Zhang Fan was close to the patient's anus, that is, it was sterilized, otherwise the smoke would be smoked to death.

Zhang Fan closed his eyes and felt the direction of the guidewire through the feeling of his hand. Inserted little by little, when he suddenly felt a sense of breakthrough, Zhang Fan knew that at this time, the guidewire entered the rectum.

Even textbooks say that there is a sense of breakthrough, but what is a sense of breakthrough? Inserting a normal fat layer into the normal fat layer is also a breakthrough feeling, and protruding from the fistula is also a breakthrough feeling.

How do novice doctors find out? Really, this feeling can only be experienced when you get married. For example, when you play with balloons, the moment you pop the balloon with your finger is a sense of breakthrough.

Those who don't understand will never understand, and those who understand will understand as soon as the teacher says it.

For example, Zhang Fan now closed his eyes and felt the breakthrough feeling from the guidewire, and he understood that it had entered the rectum and definitely not into the fat.

After entering the rectum, you should be more careful, the intestinal wall of the rectum is very thin, here is easier than inserting the fat layer, if you do not use the right force, the rectum will be punctured, it will be funny.

Feel, experience, and surgery in such non-visual conditions are too important. There is nothing wrong with the perception that one more surgery can have one more operation.

Experience can be practiced through work.

And the cultivation of hand feeling is very troublesome. It is necessary to touch more and practice more, but not too much practice.

For example, the sensory system of the abdomen of the hands is the most sensitive, but once it is used too much, the skin of the abdomen of the hands is keratinized, and the sensitivity decreases.

So Zhang Fan is at home and never comes to do housework, just to keep the skin of his hands sensitive.

Entering the rectum, Zhang Fan then used soft strength to turn the guidewire from the opening, parallel to the rectum. This is a small difficulty, what is kneading, for example, you quarrel with your wife, you push someone, and then with a little bit of strength to pull into your arms, this is softness.

"Tooth tweezers!" Zhang Fan said to Zhuang Hongxu when he felt that he was about to reach the anal opening.

Zhuang Hongxu handed the tooth tweezers to Zhang Fan. Loosen and close, the tooth forceps open the small mouth slightly, and then plug it down the anus, and when the tooth forceps are about three or four centimeters in, stretch out.

It's just a simple anal opener.

"It's out, it's out. The roving nurse had sharp eyes and saw the black guidewire for the first time. Zhang Fan pulled the thread of the head of the guidewire and the tail of the guidewire in his hand.

Here comes the difficulty of the operation. Although the front is difficult, there are traces to follow. But the last step is really all about experience.

Not only Zhuang Hongxu, but even the doctor in charge of the bed widened his eyes and paid attention to Zhang Fan's operation.

Zhang Fan held the guide wire in one hand and the rubber band in the other, and slowly began to operate......

The eyes of several assistants widened more and more, the operation was reversed, this step was the most critical step, the previous director would not explain it at all, and Zhang Fan spoke at this time!~