Nose's swallowing a cancer is one of the our country familiar malignant tumor, project a treatment has been being a nose to swallow a cancer treatment of the head choose treatment means.But because the nose swallows cancer irradiation much wilder, treat a distance long, sufferer's part and whole body respond greatly, main the performance ulcerates for the mouth cavity, ache, infect, many patients still exist worry anxiously, suppress Yu and fear, seek knowledge etc. mental state respond, bring sufferer pain and sufferings of different degree, seriously influenced the patient's living quality and cure of smoothly progress.
◆Cure a method ◆
All patients adopt the 6 MVs-X line linear accelerator to project light upon a treatment.Cure for good sex puts to treat:The nose swallows to be taken bad cooking stove to give emanation to measure for the 65 Gy ~ 70 Gies at first and the neck lymphoid knot gives the prevention the irradiation;Appease sex puts to treat:Disease period to compare with night, physical endowment, worse patient, be taken bad cooking stove to give appeasement to measure a 50 Gies at first or so with alleviate symptom, prolong an existence period, exaltation life quality.
◆Digest way the nursing for respond ◆
The patient is in the process of projecting a treatment in, all will appear whole body tired, dizzy, disgusted, vomit, the tasteless in the decrease of Wei Na, or change flavor, suffer from insomnia or love to sleep etc. badly respond.We should enter high egg white, high vitamin according to putting to treat a sufferer, low fat of food principle, cooperate with nourishment section transformation to usually cook a way, notice a color, joss-stick, flavor of dispensation or after eating before take a meal fewly openning stomach food, beverage, Chinese herbal medicine, with increase patient's appetite, if feel tiredly, should take a rest first, need physical strength instauration take a meal again.To the disgusted, we suggest a little food many meals, give geniality have no stimulating food, avoid eating too sweet or too greasy food, the meat food proper and cold food with ease smell.Physical endowment agree with stomach bowel way responds greatly, extremely weak patient, should give when it's necessary vein nourishment etc. support rapy, if lose to note a fat milk, amino acids, white egg white etc. to improve the patient's nourishment condition.
◆Mouth cavity nursing ◆
The nose swallows a cancer to put to treat a rules to often establish wild include greatly parts of saliva glands, throat department, mastication muscle and the joint of Nie Han, because of project line harm and saliva secrete decrease, often with the result that thirsty, sense of taste decrease, easily induct an infection in the meantime, with the result that the gum mouth cavity glues a film burning.Because project after the treatment saliva decrease, lose to protect a function to the tooth, tooth easily loose move, shed off, so put should pull out Qu Chi and remain a tooth root before treat, cure a chronic mouth cavity disease to suffer from, in order to prevent influence project treatment.
The nursing of thirsty:Guide a patient to use soft hair toothbrush to sweep tongue noodles or usage to spray fog with after meal before rice, can help patient's taste and food to get in touch with, make use of the incitement of various foods, spice, the eating or the sense of smell of the improvement food in the meantime, make the saliva secrete benefit in swallow, join sauce juice, meat gravy, artificial butter or butter in the food, the mouth cavity dry disease can ease to take a meal.Also persuade a patient to eat fresh fruit and vegetable more, many a little amount drinkings with ease thirsty unwell.Take to promote the body fluid to reinforce body fluid a Chinese herbal medicine in the meantime, make tea to drink with three beards, wheat winter, honey-suckle...etc..
Prevent°from an infection:Strengthen the mouth cavity hygiene preach religion, each time after meal, brush with the soft hair before sleep, gargle with a shell surname liquid or physiology brine, 3 times infect an opportunity by decrease everyday.Use to contain the fluorine toothpaste prevention radio Qu Chi.
The mouth cavity glues the nursing that the film blaze:The Zhu sufferer strengthens mouth cavity hygiene, everyday gargle with thin brine 4 times above, the light sprays ulcer noodles with watermelon frost, sooner or later 1 for each;Glue film surface after deliver to infect more heavy hour can give anti- burning cure and give mouth cavity nursing, 2 times clean mouth cavity with 3% oxygens waters everyday, physiology brine gargle clean, then use to prepare good prostaglandin E and vitamin A, D ulcerate noodles, taboo smoke, wine stimulate, give soft food, much aer little amount meal, once hate hard, lead thick, lead cold, lead hot and mordacious food.For the sake of the ache eased to take a meal, the meal uses the first 30 minutes the card 1%ly contains because of, and pause to put to treat, strengthen support treatment.
◆The nursing bleed ◆
In the process of projecting a treatment in, because of the part organize bad dead to shed off with the result that the ulcer invade and blood vessel but cause issue of blood.Therefore, patient during the period of projecting a treatment, close condition variety of observation patient, discover the patient is from nasal cavity or mouth cavity run off blood, should immediately ahem, make collective report a doctor in time, and work well salvage preparation.A little amount Ti blood, nose Nyu, can use 1% ephedrine and 0.25% chloromycetin eye liquid alternation drop a nose after sweeping nasal cavity with physiology brine.Medium mete out blood, can use 1% ephedrine, 0.1% adrenalines gradually yarn or the Vaseline oil yarn the nostril stops up to stop bleeding effect after the line better.If meet nasal cavity to greatly bleed a patient, should immediately make the patient even to lie at the time of comforting a patient and the head be partial to one side and the Zhu patient vomits blood in time, prevent°from solidifying asphyxiation and stand together to namely report a doctor.The Zun cures Zhu to give to stop bleeding and tranquilizer, transfuse blood, repair a liquid when it's necessary and the tight observation life body advertises for variety and keep breath lucid.Can also the nose upper part place ice bag or by hand point to press artery outside the neck to stop bleeding, and help a doctor to use 0.1% adrenaline yarn a line nose to swallow a chamber to stop up to stop bleeding.Combine Zhu, the patient doesn't make an effort to wipe nasal discharge and prevent°from cause to again bleed.
◆The nose swallows to flush of nursing ◆
The nose swallows a cancer a patient because of the growth characteristics of tumor, easiest and outside invade and jam a nose to swallow a chamber, make it be getting more narrow and small, even Geng Zu.Cause to lead to flow not Chang, make the secretion increase, add of the tumor bad dead shed off issue of blood, put to treat oneself and result in partial Chong blood, dropsy and glue film harm, make the germ easiest grow and result in thus infection, make the stuffed-up nose symptom aggravate, the serious can appear a dyspnea, past the nose swallow to flush is importance.The nose swallows to flush not only can the clearance bad dead shed off of tumor organization, reduce a film inside the nasal cavity to glue to connect, help the secretion to eject, glue a film burning the disease dropsy fade away, improve a partial blood supply, ease to put to treat reaction, also can raise emanation sensitive degree, the to build up shoot line of wear deeply dint.The purpose, method, regulation shoulding explain to flush toward the sufferer before flush.Flush the temperature of liquid is 34 ℃s at 32 ℃~s, the in order to prevent flushes liquid temperature unwell but stimulate a nose to glue a film.While flush, the Zhu sufferer doesn't talk and the in order to prevent Qiang cough and flush the pressure should not lead greatly, the slowness flush, and the in order to prevent harm tumor results in issue of blood.In the process of flush in want to notice an observation a patient to respond a circumstance and flush a liquid run off circumstance, if the patient appear dizzy, tired and unwell or appear Qiang to cough, should immediately pause to flush, and see a circumstance to make to correspond a processing.Contain a thing towards flushing a liquid and noticing to observe its color and, have already had no blood with the run off liquid run off and its quantity of how much, if the run off liquid contain amount of blood more, the color is fresher and red, should immediately stop flush combine in time to doctor reflection with make a further processing.The Zhu sufferer doesn't make an effort to blow nose after flush, in order to prevent the pressure in the nasal cavity enlarge after deliver other part infections.If use a simple nose way to flush a machine, should guide church a patient to control a correct nose to swallow to flush a method.
◆Skin nursing ◆
The patients who project a treatment all have already projected light upon wild skin marking, skin is to project line sensitive a degree higher organization.When the skin is project light upon by certain quantity behind can produce a series to gradually enter sex change, general is red, swollen after the 3~4th week, hot etc. phenomenon of reaction, arrive may have a skin color to become the 5~6th week black of, the stem take off scraps phenomenon.Because irradiation quantity, partition time, biology, physics and chemistry factor and individual difference, the patient can produce the skin reaction that the difference hangs extremely.The impatient skin responds to generally is divided into three degrees.
%The I degree stem respond.Project light upon the wild skin appears erythema and have already burn bright stab Yang, after its dye calm and steady, skin dry take off scraps, the companion is piercing.The Zhu sufferer keeps a partial skin to sweep at this time, dry, don't spread hard get clothes, project light upon a wild skin applied soft towel to bedew water to lightly be stained with to wash, avoid cold and hot incitement and heat spread, don't use perfume or alcohol, can't stick plastic cloth in the emanation wildly, paint mercurochrome, tincture of iodine and other metals medicine.The Sao Yang hates to by hand scart to grasp and the in order to prevent tores to peel a skin to take off scraps, can use talcum powder to outside rush toward.Projecting light upon wild skin part don't directly expose in the sun, to wear to hide a sun hat while go out, the neck can round soft smooth scarf and project light upon by protection wild.
The II degree wet respond.Partial skin height Chong blood, dropsy, bubble formation, become exudation liquid, debauched, can use an ice slice, talcum powder to outside rush toward Yang, don't tore skin, in order to prevent cause issue of blood, make it natural to shed off.Take orally benzene sea to pull clear everyday 25 milligrams when it's necessary.If there is bubble formation, the boric acid ointment ties up for 1~2 days and go revelation therapy again after needing a Shen liquid to absorb.
The III degree ulcerates formation or bad dead, infringe upon to the leather, project to cure more serious skin to respond, once appear should stop put to treat, and carry on a nursing towards creating noodles in the meantime.
◆Mental nursing ◆
BE project under medical treatment us a detection, many patients swallow a cancer to lack correct understanding to the nose and fear to cure not like with is torment by slight illness, fear to put to treat of bad reaction and complications of take place hard completion to put to treat a plan, worry to put to treat result but appear to fear, pessimism, despair mental state, beginning cure person to project treatment know only superficially, fear emanation line to the injury of the human body, performance is worry anxiously uneasy.But these aring badly mental by all means will influence patient anti-cancer confidence, disadvantage after cure with prepare.Aim at a sufferer to swallow a cancer and project a treatment to lack correct understanding but creation to fear to the nose, worry anxiously of mental characteristics, our adoption broadcasting, do a blackboard report, consultation etc. method publicity the nose swallow a cancer and put to treat common sense, and carry on confabulation with sufferer and family members, explain that the emanation treatment is currently to cure a nose to swallow cancerous of better method, the nose swallowed a cancer and can pass to project treatment but cure in early days.Can explain in detail the bad reaction of purpose, synopsis step, possible emergence of project the treatment and regulation that need to be match with toward the sufferer in the meantime, make the sufferer have to certainly foresee sex.Combine patience to explain that these badly respond and can disappear toward the patient, with cancellation the patient's bad mental state, promise to put to treat planned of smoothly progress.
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