Huknah Technique: Theoretical Concepts

Huknah Technique I. Theoretical Concepts Huknah is inserting a solution that functions as a laxative into the rectum and colon. The main reason for huknah is to increase defecation by stimulating peristalsis. The volume of fluid introduced breaks up fecal matter, stretches the rectal walls, and initiates the defecation reflex. Huknah is also given as a means of transporting drugs that cause local effects on the rectal mucosa. II. Objective 1. Increases defecation by stimulating peristalsis 2. Softens hardened feces 3. Empty the rectum and colon for diagnostic examination or surgery III. Types of Huknah 1. Low huknah Low huknah is a nursing action by inserting warm fluids into the descending colon using a rectal cannula through the anus. a. Objective : 1) Empty the intestines before surgery to prevent obstruction of food and bowel movements during surgery 2) Stimulates bowel movements/stimulates intestinal peristalsis to expel feces due to difficulty defecating (in constipated patients) b. Indications: before surgery/before surgery and patients who experience obstipation c. Contraindications: 1)Patients with diverticulis, ulcerative colitis, Crohon's disease. 2) Post surgery 3) Patients with impaired heart function or kidney failure, hemorrhoids, rectal and colon tumor 4) The patient gives birth with complete dilatation d. Procedure: Principle of action: clean 1) Wash your hands 2) Wear gloves 3) Prepare tools: pad, irrigator complete with rectal cannula and clamps, warm liquid (700-100 ml with a temperature of 40.5 degrees-45 degrees), bend, , bedpan, sling, gloves, towel and soap. 4) Position the patient (SIMS to the left) at an angle 5) Place the plaster and base 6) Bring the bend closer 7) Attach the cannula to the enema tube 8) Fill the enema container with 1-1.5 liters of warm water 9) Flow water into the cannula to remove air into the cannula 10) Smear the tip of the cannula with jelly 11) Insert the cannula into the descending colon 12) Raise the enema container 50 cm from the TT 13) Remove the cannula if the fluid has run out or the client wants to defecate 14) Collect feces in the potty 15) Clean the anal area with warm water and soap 16) Dry with a towel 17) Tidy up the patient and clean up the equipment 18) Washing hands 2. High huknah High huknah is the act of inserting warm fluids into the ascending colon using an intestinal cannula. a. Objective : Emptying the intestines to prevent undesirable things: defecating during surgical procedures, emptying as a diagnostic/surgical measure b. Indication: Performed on patients who will undergo general surgery. c. Contraindications: 1)Patients with diverticulis, ulcerative colitis, Crohon's disease. 2) Post surgery 3) Patients with impaired heart function or kidney failure, hemorrhoids, rectal and colon tumors 4) The patient gives birth with complete dilatation d. Procedure: Principle of action: clean. 1) Wash your hands 2) Wear gloves 3) Prepare tools: pad, irrigator complete with rectal cannula and clamps, warm liquid (700-100 ml with a temperature of 40.5 degrees-45 degrees), bend, jelly, bedpan, sling, gloves, towel and soap. 4) Position the patient (SIMS to the right) at an angle 5) Place the plaster and base 6) Bring the bend closer 7) Attach the cannula to the enema tube 8) Fill the enema container with 2 liters of warm water 9) Flow water into the cannula to remove air into the cannula 10) Smear the tip of the cannula with jelly 11) Insert the cannula into the ascending colon 12) Raise the enema container 30 cm from the TT 13) Remove the cannula if the fluid has run out or the client wants to defecate 14) Collect feces in the potty 15) Clean the anal area with warm water and soap 16) Dry with a towel 17) Tidy up the patient and clean up the equipment 18) Washing hands 3. Huknah glycerin Glycerin huknah is an action carried out by inserting glycerin liquid into the intestinal tract using a glycerin syringe. a. Objective: 1) Stimulate bowel movements by stimulating intestinal peristalsis 2) Emptying the intestines before surgery b. Indication: This action is used to stimulate intestinal peristalsis so that patients can defecate (especially in patients who experience constipation) and can also be used to prepare for surgery. c. Contraindications: 1)Patients with diverticulis, ulcerative colitis, Crohon's disease. 2) Post surgery 3) Patients with impaired heart function or kidney failure, hemorrhoids, rectal and colon tumors 4) The patient gives birth with complete dilatation d. Procedure: 1) Wash your hands 2) Wear gloves 3) Prepare tools: glycerin syringe, glycerin and holder, bend, mat, sling, gloves, towel and soap. 4) Place the plaster and base 5) Bring the bend closer 6) Position the patient (SIMS to the left) at an angle 7) Fill the glycerin syringe with glycerin liquid in a 1:1 ratio 8) Remove the air in the cannula 9) Smear the tip of the syringe with jelly 10) Insert the glycerin syringe into the sigmoid colon slowly 11) Remove the glycerin syringe and advise to hold for a moment 12) Collect feces in the potty 13) Clean the anal area with warm water and soap 14) Dry with a towel 15) Tidy up the patient and clean up the equipment 16) Evaluate actions 17) Washing hands