The lung cancer is the lung department familiar malignant tumor and the its main treatment method is a surgical operation treatment(lobe of lung or all excisions).The Shu often appears temporary breath function behind lowly and because of surgical operation wound with lead to flow part ache, the sufferer can't carry on valid deep breathing and cough, row phlegm, can appear lung not piece, the lung department complicationses such as infection and respiratory failure etc..
1 breathe the training and instruction of function before the Shu
(1) Educate before the Shu:To the bane which has a smoking history the sufferer to explain smoking to the health and the surgical operation, absolutely quit smoking for a week before the Shu.Also explain the breath that clearance anaesthesia and surgical operation cause to respond, Shu behind may appear of complications and Shu lie bed inaction behind to breath of influence, make the sufferer know to carry on breathing the importance that the function toughen, thus and actively match with.
(2) Guide the sufferer masters a deep breathing method, distinguish the seat practice chest type, the deep breathing peaceably lies a contact stomach type breath, everyday 2 and 3 times, the 15 mins is or so each time.The Shu starts carry on the first 1 week, and carry on appropriate athletics to toughen to increase lung capacity.
(3) The study is valid of a cough method, after guiding a sufferer to deeply inhale, the strength which uses a chest and belly department makes the biggest a cough and cough of voice should with chest vibration but send out, practice 3 times everyday, 20 or so each time.Pass valid cough toward the sufferer's explanation, can prevent°from lung not a piece, lung department to infect.
(4) Guide the training that the sufferer carries on the lung function enlargement machine.This sufferer is each to go together with 1 each lung function enlargements to train a machine and train the machine up has already engraved a degree and can show to don't eat inspiratory tolerance and easily cause interest in the sufferer.The Zhu sufferer after taking seat, half to lie to deeply inhale the larynx mouth which contain the conjunction lung function enlargement machine makes biggest inhale.Everyday sooner or later 1 for each, the Shu starts carry on the first 1 week and the surgical operation pauses on that day, the Shu can continue to carry on on the 3rd day behind, and the number of times can do what the strength allows.Pass lung function an enlargement to train a toughen of machine before the Shu toward the sufferer explanation, can increase the sufferer's lung capacity with biggest ventilate quantity, improve lung function thus.
(5)Have the sufferer of chronic bronchitis, emphysema or lung department infection to the merger, press to cure Zhu to carry on to solve a Jing anti- burning, if the phlegm liquid glue dense, not easy Luo, give to celebrate big mildewed plain 80,000 Uses+the Mi egg white Mao 5 mgs+20 mls in physiology brine, everyday 2, 3 times give super voice fog turn inhalation.
2 Shus breathe the training and instruction of function behind
(1) Full town pain, relief strain with relax a muscle:Shu future trouble often because the nervous restriction of the whole body muscle of the wound ache breathe, breath quick but the form be shallow, in addition to applying an analgesic thing, can adopt half to lie, the bottom of the knee puts a pillow, keep posture comfortable, lightly activity or massage neck and shoulder department with cancellation muscle strain, make the breath keep appropriate frequency and range.This set 15 all of sufferers after adopt the Shu detain the hard film outside anaesthetizes a tube to lose to note an analgesic and combine the method that the muscle relax, ex-72 hs 90% sufferers breath number of times is 22~28 times/min.
(2) Carry out the recover from illness of activity of the assistance breath training:Because the sufferer breathes out action to by hand oppress chest Kuo, so can make to inhale chest Kuo to extend, the to build up inhales the quantity friendly current velocity degree, and then urges bronchus endocrine the ambulation of the thing, chest Kuo can also because of sport but unlikely stiff, promote the inflation of survive lung thus.
(3)Guide breath:This case at anaesthetize awake after all give breath instruction, separate a 2 hs to carry on deep breathing 10~20 times each time, even lie to strengthen stomach type breath, until the 48~72 h chest leads to flow a tube to pull out, guide breath to be advantageous to lung to extend, improve lung to ventilate function, raise the conformance of lung.
(4)Help row phlegm:Repress a cough glint because of the anaesthesia medicine before the Shu, plus the ache can't effectively cough, particularly the one who have to smoke cigarette a history over a long period of time, stingy way function bad, often have a breath way the Zhu to stay a thing, the phlegm liquid is more and need to help row phlegm.The sufferer takes seat, operate a station bedside, the palm presents a cup form, the Kou beats the chest wall which corresponds with phlegm part, and encourage a sufferer a cough in the meantime, counteract a pair of palms press press the Shu side chest Kuo, the hands relax while inhale, a cough the hands add to press, with protection wound, decrease chest wall vibrate cause of slice a people's ache.Can also adopt the nose pipe attraction windpipe towards coughing a nerveless sufferer separately, , stimulate a creation to effectively cough to eject secretion.If the above-mentioned method be all invalid, the sufferer's breath way secretion again more hour, can adopt to pass the method that the bottom of the bronchus fiberscope absorbs phlegm.This set appears 3 old-age sufferers a cough to have no dint, through pay the bottom of the mirror to absorb phlegm with the Xian, the effect is good.Moreover, all of this sufferers adopt super voice wave fog to turn inhalation, with fog turn a machine dispel a phlegm, solve a Jing and eliminate inflammation to become small spirit fog, get into a breath way with the inhale of patient, make spirit way degree of humidity accommodation, attain to dispel phlegm, eliminate inflammation, the function of solution Jing.
(5) Exercise in early days training:The activity canned prevent°from fall to accumulate sex pneumonia and legs vein blood to bolt formation in early days, the surgical operation day after anaesthetize the instauration canned immediately guide and help a sufferer to come into play.Some sufferer after the Shu because wound ache or worry that the wound spilt open but don't wish to exercise, so, in response to full elucidation whole body sexual function train of necessity, carry on the practice in the movable scope in the arms and the shoulder joint, from the Shu after grasped to fasten to start to sit by oneself at bed tail the bandage on the column with the Jian side from the 1st day, the 48~72 hs after pull out the tube can descend a bed after the Shu the activity is indoors.
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