Adjust the strong emanation treatment nose swallows a cancerous nursing

Adjust strong put to treat(the radiation therapy of the Intensity modulation, IMRT), is international currently ascend most the project of forerunner cure means, it can make Gao Ji4 Liang2 of irradiation is on 3D space in the human body in accordance with the actual shape of the Ba area make inside Ba area and Ba surface of quantity everywhere equal, protect thus the tumor surroundings normally organize, raise the tumor area irradiation quantity, lower part to relapse a rate and prolong a patient existence to expect.Now application IMRT the technique cure the nose swallow the cancer sufferer's nursing to realize introduction as follows.



Mental nursing Explain in detail IMRT advantage, principle and process toward the patient, make the patient have a correct comprehension to the IMRT.Explain in detail the IMRT is in recent years to develop of put of a forerunner, precision treat a technique, it puts with commonness to treat to compare a lot of advantages, it can more and significantly increase the tumor amount of and reduce normally organize of be subjected to quantity, raise a tumor control a rate and lower normal organization complications of incidence rate, prolong a patient of existence period and improvement put to treat behind of existence quality.The strain which relieves a patient fear mental state, determine to cure of paroxysm confidence and courage, aggressive match treatment and nursing.



The body fix The IMRT is project of a kind of high accuracy treatment, in the process of curing an implement, make use of many leafs quasi- keep a machine to slice the 1 F treatment method to carry on adjust strong all consume longer, put to treat to grow to have another than the normal regulations, so have to adopt a valid body fix equip the fixed patient's irradiation district, this case all adopt the heating Su mask of the individuation appropriation foam Zhen fix, while promising thus to cure to put each time the accuracy of the body with repeated.Nursing:Have to strengthen a body instruction and train before cure, warn a patient to listen to put instruction of treat the technician, never move or move a body in disorder, in order to prevent result in unnecessary harm.



Impatient the observation and nursing projected reaction



1., swallow a nursing of glue the film reaction:, Swallow to glue film reaction is in order to shooting line to the harm which glues film organization.The sufferer can appear the glue of different degree film reaction.Main performance for light glue a film swollen and inflamed, dry, light degree ache.The heavy glues a film to have erythema and ulcerate formation and obviously swallowed painful with take a meal difficulty.Nursing keep mouth cavity to sweep, give A nitric Shi the liquid gargle, the food used 1% cards of Pu Lu because of gargle ago and give the gram of Wei Si 30 joined 500 milliliters in physiology brine after contain slow-moving swallow, give the gram of Wei Si 1+1:40 mint water be 20 milliliters+1% cards of Pu Lu are because of 10 milliliters+celebrate a big mildewed vegetable 80,000 units super voice fog to turn inhalation.3~4 divas, sufferer's symptom of the great majority obviously turns for the better.



2.thirsty:In order to projecting line to cause saliva gland to hurt, the saliva secrete shortage, greatly parts of sufferers probably appear the thirsty of different degree, give to promote the body fluid to stop coughing herb medicine in type to take, indoor should keep certain air degree of humidity at ordinary times, also need to have another a drinking to swallow by keeping moist, soothe ache.



3.the nose swallow a nursing:The normal nasal cavity can produce secretion and be a nose to swallow a department to have a swollen thing a growth and the secretion increase and influence to put a curative effect fruit.The sufferer can adopt a Chinese herbal medicine liquid(the yellow cypress be 40 grams, the yellow Mao is 40 grams, the dandelion is 60 grams, mint 10 gram) to flush a nose to swallow a department, the clearance partial secretion, the increment puts to treat sensitivity, pure and hot counteract poison, reinforce body fluid to decline fire in the meantime, there is part eliminating inflammation a function.



4.skin nursing:The sufferer will appear the skin of different degree to respond.The main performance is for the skin Chong blood, have fever, scorching hot, Sao Yang.Nursing should notice to keep a skin of project light upon the part to sweep dry, strictly forbid to grasp a Nao skin, forbid to wipe to wash with the soap, avoid sunlight suddenly and violently basking, forbid an usage stimulating to skin strongly and outside use medicine.Wear the clothes should with cotton quality soft is proper, should avoid dress turning Xian and the neckband harder clothes, prevent°from chafing a skin.The skin which projects light upon part appear scorching hot, Sao Yang can use a palm to lightly tap a partial skin, 0.2% ice slice starch or infant's talcum powder.All obtain very nice effect.



5.food nursing:The nose swallows a cancer to put to treat a sufferer because of thirsty, sense of taste decrease, take a meal ache but appear the appetite of different degree to descend, take a meal little.Plus immunity dint lowly, easily cause an infection, consume increment.Therefore, putting to treat a period should notice mouth cavity hygiene and take a meal simple elegance and hot quantity, high egg white, high vitamin, have no incitement, easily digest of food, eat fresh fruit, vegetable more, with raise machine body of immunity ability and complement put to treat the depletion toward the machine body.The one who take a meal difficulty, enter half liquid substance or liquid substance food, avoid into the stem hard food.In the meantime, the encouragement is sufferer's many drinkings, 3000 milliliters of above everyday, making the tumor bad dead organize output toxin can eject the outside of the body as soon as possible and promote the sufferer is get well soon.



Realize



1.the fix of correct body is to carry out IMRT of precondition, therefore, the nursing personnel should strengthen the body of the sufferer instruction and train before cure, the accuracy of the body while keeping to cure to put each time with repeated.



2.IMRT can in the meantime carry out several quantity level of characteristics, in the whole treatment process, in the meantime carried out tumor area and prevention to project light upon an of area dissimilarity quantity to request, and availably protected parotid to wait normal organization, the side effect is lightly obviously more traditional to put to treat, but the patient still have different degree of the acute project reaction and particularly glue film reaction more heavy.This probably with should partition way tumor the single time of the area amount of higher relevant.Therefore strengthen nursing measure, the tight observation puts to treat of various reaction, for ease a sufferer pain and sufferings, the exaltation puts a curative effect fruit, reduce normal organization harm and promise to project to cure of smoothly progress have to close an important function.



3.IMRT is develop in recent years of a forerunner of the precision put to treat a technique and is projected tumor to learn a house to be called to put to treat a revolution on the history and 21 centuries project to cure of inevitable develop trend.The nursing personnel should constantly study with summary, further understanding and control this new technique, with exaltation the sufferer's existence period and existence quality.