便秘2周!30歲女竟從嘴巴噴出排泄物 原因曝光

一名30歲女子,因腹內長子宮肌腺瘤而進行手術切除,但術後返家卻長達2周都未排便,某日半夜突腹痛掛急診,竟從嘴巴吐出排泄物。事後檢查才了解,因開刀有疤痕沾黏,腸子彼此就像被「綁粽子」動不了,導致糞便一直累積,最終從口腔噴出。
物理治療師葉懿昕在《醫師好辣》節目上提到,該女子過去從來沒有過便秘,但術後出現嚴重便秘的情況,肚子一直感覺很脹,且雖會感到飢餓,卻始終沒辦法吃多,只要一吃多就會想吐。後來某日半夜腹痛到急診,竟吐出咖啡色、像糞便的東西。
葉懿昕接著說,當時收治的急診醫師在聽了女子病史後,就為她檢查大腸,結果一照發現裡面全都積滿了糞便,於是開立軟便劑協助對方順利排便,怎料返家後又連續5天沒有排泄,讓其相當緊張,便在醫師建議下,前往復健科進行檢查。
至於為何女子要到復健科檢查?葉懿昕說明,腸子平常是由自律神經控制,它平常都會自己活動,可是因為她開刀有疤痕沾黏,令皮膚、筋膜、內臟筋膜全部沾在一起,造成腸子彼此好像被「綁粽子」,完全動不了,糞便就會一直持續累積。
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葉懿昕說,所幸最後幫助女子找出塞住的點,按照其腸子的方向慢慢按摩,並建議她多運動鍛鍊核心,把腰椎骨盆位置調正,藉此讓腸子有更大活動空間,後續就再也沒發生口噴排泄物的情況。文章來自: https://www.chinatimes.com/realtimenews/20240703001920-260418
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