Ректальный приём препаратов, или ректа́льно (лат. per rectum ) — способ введения лекарств в прямую кишку с целью их абсорбции кровеносными сосудами прямой кишки [1] и поступления в систему кровообращения. С током крови лекарственные препараты распространяются по органам и системам органов, [2] на которые оказывает своё воздействие.
Несмотря на широко распространенное заблуждение, лекарство, вводимое ректально, обычно (в зависимости от препарата) не начинает быстрее действовать и не имеет более высокую биодоступность, чем при приёме перорально.
Преимущество ректального введения лекарств состоит в том, что оно вызывает намного меньшую тошноту по сравнению с пероральным способом приёма, а также позволяет предотвратить потерю препарата из-за рвоты.
Кроме этого, при ректальном приёме препаратов, возможен «эффект первичного прохождения», а это означает, что лекарство теоретически может попасть в систему кровообращения со значительно меньшими изменениями (венозная кровь из нижней трети прямой кишки поступает в нижнюю полую вену минуя печень и лекарства не претерпевают метаболических изменений) [3] . Также применяется в детском возрасте и при некоторых патологических состояниях, когда затруднен пероральный приём препаратов.
- Как вводить ректальные свечи
- Как часто нужно ставить свечи при высокой температуре
- Какие свечи обезболивают при геморрое
Одним из самых эффективных методов лечения нарушений в оболочках кишечника, является использование ректальных свечей. Перспектива, возможно не приятная, однако её эффективность не оспорима. Кроме того, ректальные противовоспалительные и бактерицидные свечи назначают в целях профилактики.
Столкнуться с таким назначением, для некоторых становится сложным испытанием. Большинство просто не представляют, как же правильно вводить свечи, а спросить о чём-то подобном даже у лечащего врача стесняются. Подробная инструкция на этот счёт врядли повредит кому-либо.
Чтобы правильно вводить свечи, нужно принять для этого соответствующую позу. Вариантов может быть несколько. Всё зависит от состояния больного и от его физических возможностей. Предписанной является коленно-локтевая поза. Однако далеко не все смогут её принять. Поэтому допустим вариант, лёжа с высокоподнятыми ногами, лёжа на боку с согнутыми в коленях ногами и лёжа с валиком под крестцом.
Анатомическая форма свечи продумана и удобна, насколько это вообще возможно. Вводить свечу нужно заострённым концом. Минимум глубины, на которую нужно вводить свечу, это длина указательного пальца. Если у Вас проблемы с сигмовидным отростком или тонким отделом кишечника, то лучше ввести свечу глубже.
После того, как все предписания выполнены, нужно выдержать в начальной позе 20-30 минут. За это время, свеча растает и дискомфорт уйдёт. На самом деле, дискомфорт уйдёт раньше, но предписания к препарату говорят, что так она лучше и быстрее всасывается стенками прямой кишки.
Очень важно отнестись к процедуре, как к лечению. Если Вы расслабитесь, это значительно облегчит Вашу участь и процедура пройдёт с меньшим дискомфортом для Вас.
Лечение при помощи свечей чрезвычайно эффективно. К нему прибегают в случае острых воспалений, геморроев, колитов, язвенных болезней, и некоторых венерических болезнях. Главное, это нормально отнестись к ситуации и весь ужас развеется.
Помните, что использовать подобные средства нужно по предписанию врача, в противном случае они могут серьёзно навредить. По незнанию можно повредить слизистую, что повлечёт за собой ряд куда более неприятных проблем.
Приветствую вас, дорогие читатели! Получая назначения от медиков для лечения малышей, вы наверняка нередко встречали в записи слово «ректально»: это куда вставлять, думали вы. Оказывается, все очень просто. Рассмотрим, куда и как вводить ректальные препараты.
Ректально – это как?
В медицине выделяют два основных способа самостоятельного приема медикаментов (без помощи медицинского персонала, как, например, с формой инъекций): ректальный и пероральный.
Первый означает, что свечи (иными словами «суппозитории») вводятся в прямую кишку через анальное отверстие. Нередко ректальные препараты назначают детям, особенно грудничкам, которые не могут принимать медикаменты перорально.
Ректально можно не только вводить медикаменты, но и измерять температуру тела. В этом случае градусник вводится в прямую кишку, пациент должен лежать неподвижно. Например, женщина может измерять температуру в прямой кишке для того, чтобы определить изменения в менструальном цикле, выявить начало беременности или овуляции. Измерять температуру ректально желательно с утра, не вставая с постели.
Чтобы лекарство подействовало, необходимо точно знать, куда вставлять и как правильно использовать ректальные препараты. Это несложно, нужно лишь следовать инструкции:
- Перед тем как приступать к процедуре тщательно вымойте руки, чтобы не занести патогенные бактерии в прямую кишку.
- Ректальные свечи или таблетки можно вводить стоя или лежа, но для маленьких детей оптимальным является последний способ.
- Если необходимо использовать половину суппозитория, лучше разделить его вдоль, чтобы он не поранил слизистую.
- Уложите ребенка на спину и приподнимите ножки одной рукой (такая поза предпочтительна для деток до года). Если лечение требуется ребенку от 1,5-2 лет, малыша можно уложить на бок и слегка приподнять верхнюю ягодицу.
- Смажьте анальное отверстие маслом или вазелином, чтобы облегчить прохождения свечи в прямую кишку.
- Старшего ребенка попросите максимально расслабиться. Новорожденному просто придерживайте ножки в приподнятом состоянии. В таком положении введите суппозиторий, пока не почувствуете сопротивления. После этого продвиньте его еще на 0,5 см. Для малышей оптимальной глубиной введения считается 1,5 см.
- Попросите кроху полежать полчаса неподвижно. Новорожденного возьмите на руки или полежите рядом с ним, чтобы обеспечить нужную позу.
Старайтесь вводить свечу максимально быстро, чтобы не травмировать слизистую. Лучше всего вводить суппозитории после опорожнения кишечника. Если кроха просится в туалет, попросите его потерпеть. Как правило, по мере рассасывания свечи это желание проходит.
В случае если новорожденный сразу после введения суппозитория произвел акт дефекации, введите полную дозу или половину в зависимости от того, сколько времени прошло до опорожнения, в противном случае лекарство не успеет подействовать. Лучше всего ставить суппозитории на ночь, можно даже во время сна.
Способ введения препаратов в прямую кишку считается медиками одним из наиболее предпочтительных благодаря его особенностям.
Как действуют?
Ректальное применение препаратов используется при различных заболеваниях: от вирусных инфекций до геморроя. Для деток выпускаются жаропонижающие свечи с парацетамолом, которые также можно применять путем введения в прямую кишку.
Преимущества такого введения состоят в том, что активное вещество попадает непосредственно в кишечник, минуя желудок, и начинает действовать незамедлительно. Через органы пищеварения оно всасывается в кровь и разносится по всему телу. Благодаря этому способу введения удается быстро снимать отеки, жар, устранять воспаление.
Зная, как действуют такие препараты, многие мамочки при лечении малышей отдают предпочтение именно суппозиториям. Они удобны в применении, не требуют особых условий для приема и дают быстрый результат.
Если информация в статье была вам полезна, оставляйте свои комментарии. Сведения были предоставлены с целью ознакомления. Ждем вас на блоге!
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