The nursing of the temple neck cancer surgical operation patient

Our country temple neck the outbreak rate of the cancer is the second of female malignant tumor and stands first in the vagina the officer the tumor.There are 6 myriad peoples dying in a temple neck cancer annually, and the age tend in young turn, seriously threaten the health of large and female friend.The earlier period surgical operation effect of the temple neck cancer shows Zhao, good after prepare, but the surgical operation wound be big and brought a certain difficulty after the Shu for nursing.Therefore, sufferer hospitalization period strengthen and adopt various nursing measure very important.



Prepare before the Shu



1, the mental state prepare.The temple neck cancer surgical operation involves take off of reproductive organs in addition to making young patient hard to accept with lose of fertility, so patience's delicately working well a mental nursing is an essential to have.To communicate with patient to communicate understand their mental activities, make it have mental state to prepare to greet with the result that cripple sexual surgical operation.Do the best to satisfy patient's request in the possible scope, for example provide safe concealment environment for the patient, encourage a patient to lift to ask, give attention to both patient's habit, and arrange family members to accompany etc..Work well patient's family members' work in the meantime, match with a nursing much to the patient to care and love.



2, vagina, bowel way and skin prepare.Hard do surgical operations an ex- nursing work, and let the patient understand various purpose, time of operations and possibility of feeling etc. with obtain its cooperation.Shu the first 3 day and Shu morning choose to disinfect temple neck and leading with 0.05% iodine Fus, everyday once, the clearance is bad dead organization, exterminate infection concealed suffer from.The type patient of condy-loma accuminata has the possibility of movable sex issue of blood and need to go vagina to fill yarn to stop bleeding.The Shu sweeps a bowel way the first 3 day, tasty golden thread vegetable.The Shu evening before last starts to forbid food water at 22:00, the Shu morning line sweeps to infuse bowel and insure a bowel way to present to sweep, empty appearance.The meeting private parts skin prepares and shaves in addition to pubic hair, clean outside Yin, belly skin and Qi with soap water.



3, the function guides before the Shu.Guide patient's deep breathing and effectively spit out phlegm, after prevent°froming Shu lung department complications.Train a patient the bed arms body activity, prevent°from after the Shu blood to bolt formation, and explain after the Shu the earlier period descends the meaning of bed.



4, the complement of nourishment.The cancer patient all has the malnutrition of different degree with down in health, if can not compare with the complement will influence heal of the instauration and the wound in Shu.Give according to the circumstance high egg white, hot quantity, easy digest, enrich food with the vitamin.Lose to note white egg white, the fat milk or amino acids when it's necessary, the anemic can lose fresh blood.



After the Shu nursing



1, body nursing.Press all numb or the hard film outside anaesthetize a nursing, close observation the patient's complexion and life body advertise for.Take in 6 hours after the Shu even lie to the Zhen, need blood pressure after 6 hours steady can go half to lie, the benefit is at the lymphoid liquid, accumulate blood to lead to flow, decrease burning the disease, lymphoid Zhu stay with abdominal distension.



2, ache nursing.The surgical operation wound is big, ache obvious, can detain a town pain pump in the Shu, effective.DOing not detain painful pump in the town can apply a pain reliever on time and make patient the rest like and the physical strength can recover.



3, slice a people's observation.Notice the observation vagina's slicing has already had no Shen blood, lead to flow a liquid form, color and measure, transformation body keep vagina from lead flowing a tube to shed off, and observe Shu after the internal bleeding circumstance, once the occurrence needs to go surgical operation to stop bleeding a treatment.Notice the belly's slicing a people's dressing has already had no Shen blood, Shen liquid.Because women the belly fat be thicker and add of surgical operation time be long and create noodles big, again and again lead long to pull easily with the result that fat liquefaction.



4, detain urine a tube a nursing.Replace urine bag everyday, dump urine liquid in time, the strict performance operates without the germ technique.Use to disinfect a liquid to wipe to wash urethra and outside Yin everyday two, keep to sweep have no blood Zi.Because basin chamber surgical operation the scope be big, domination urine bladder of the urethra greatly part of removals, blood vessel, the nerve unavoidably has harm, detain time of urine tube and grow and easily erupt bladder inflammation and urine bladder to paralyze.So detain the urine take care of over 48 hours, should go to interrupted to put urine and in fixed time open urine a tube to train urine bladder function.The Zhu is patient's many drinkings, and the attention meeting private parts hygiene, prevent°from urethritis occurrence.Every week go urine bladder to flush twice, use 500 milliliters in 0.9% physiology brines, inside add sulfuric acid to celebrate a big mildewed vegetable 8~160,000 units.Wet the tube needs to measure remnants remaining urine quantity after pull out, the oliguria is normal at 100 milliliters, such as more than 100 milliliters then need to continue to detain urine to take care of.After pulling out a tube guide a patient in fixed time line up empty urine bladder, don't wait urine bladder Chong Ying again go a row urine.Can increase stomach to press while lining up urine, reduce remnants remaining urine, help urine bladder function instauration, can also do belly hot spread.



5, food nursing after the Shu.The patient after line up the spirit can give to flow juice, the little residue half flows food, all proper can change to a Pu food.When it's necessary can the vein add nourishment.



6, mental nursing.Also want to work well a mental nursing at the time of working well various disease nursing.Although mental had certain preparation before the Shu, the condition be heavy after the Shu, the body be weak and lead to flow to have another and descend bed activity inconvenience and add of ache, will also increase certain of mental state burden.The nursing personnel wants to give in time mental state to appease and tell of surgical operation how succeed, and say to it congratulation, this is a very big consolation to patient.Be in conjunction with the family members much give together patient care and love, let companion much considerate concern a wife and comprehend a wife, husband and wife the embrace, contact of and very intimate ction etc. after fondling behavior to the temple neck cancer Shu recovers to certainly promote a function, can remove a patient to lose the standing alone feeling that the reproductive organs may bring with lose feeling.The patient actively matches with a treatment, can appear row spirit early, the ache degree be light, the wound heal like, hospitalization time shorten of effect.



The hospital discharge guide



To notice to keep outside Yin to sweep avoid heavy manual labor.If have urine Pin, abrupt blood in urine and move bowels symptoms, such as companion bloody pus and abdomen ache...etc. should come to hospital to reexamine at any time.The nurse should notice a help a patient to adjust himself/herself and revalue ego ability, provide concerning the Shu after the instruction of the life style according to the patient concrete condition.The instauration of sex life after need according to the Shu reexamine result but settle, should hard hear the viewpoint of the patient to sex problem and worry in uncertainty, provide to aim at sex help.Young patient's companion have cut off through symptom can act for a treatment to keep vagina with the estrogen flexibility, stability motion, exaltation existence quality.To hospital discharge patient should hard with visit, treatment behind at the beginning monthly once, continuously for 3 months behind change to 3 months each time once, after a year every half year once.The necessity is current to put, chemotherapy with raise an existence rate.



Pass to after the temple neck cancer Shu patient of the nursing practice and we think that the nursings of each link are all very important.Certainly, body nursing and detention's leading the nursing of urine is after operation the key of nursing.