Sunday, 18 May 2008

The hysterectomy is detailed to talk

What is a hysterectomy?

The hysterectomy(hysterectomy) means the whole statures temple is cut off with surgical operation.The womb is located on inside pelvis, close Bang Bang and rectum.(the empress of the bowel cut)The womb is an organ that the female grows system and other organs include ovary, fallopian tube, cervix and vagina.Still have the fixed muscle, ligaments assistance these organs in the pelvis, the retina(Omentum) surrounds organ to have a protection function, lymphoid liquid(gland) help body resist germ infection.

There are various different hysterectomies, you of the doctor will decide that in keeping with you, can cut off womb with part, or cut off womb, ovary and fallopian tube, retina or lymphatic gland along together.


Why want to cut off womb?

There are a few reason cutting off womb, include:

Fiber lump(fibroids):The positive(non- cancer) tumor become to°from the muscle

Bleed(menorrhagia):Uncertain expect and hold out for long time of in great quantities bloodshed

Film inside the womb different:The cell organization expands to postpone the womb and the organ of neighborhood and result in ache with in great quantities bleed or the germ infect again and again

Take off a temple(Prolapse):The womb takes off to hang vagina

Cancer:Womb, cervix or ovary grow a malignant tumor

If cut off womb because of cancer, the surgical operation doctor usually cuts off the fallopian tube, ovary of womb and two sides for you.


Which part have operation at?

The hysterectomy is generally in the belly to make horizontal of(a) or keep of(b) split open.Sometimes, can pass vagina excision womb, the outside of the body doesn't stay scar formation.


The surgical operation wanted to prepare ago what?

Usually then want to hospitalize the first 1 and 2 day in the surgical operation, let you adapt the environment of sickroom so, and know a nursing a personnel.The surgical operation doctor will check, conduct blood test and shine on X light for you.You meet anaesthesia a doctor and he will explain in detail situation and postoperative felling of general anaesthesia toward you.


The physiotherapy teacher will teach you how to practice breath and leg department to act before surgical operation;The deep breathing is in aid of you keep chest from be subjected to an infection and the leg department action can help your blood circulation.If the physiotherapy teacher can not see you, the nurse will teach you these actions.In the surgical operation in front and back, you will get the nurses nursing, work well preparation for you, and teach how you do.For example, usually need to shave to the pubic hair, the possibility infected by decrease germ.Under the nurse's help, you can shave pubic hair by yourself, or deal with it for you.If you hospitalize at the right moment menstruate tide, have to tell a nurse.


At the surgical operation carry on of time, the surgical operation doctor have no can avoid of will touch you of the bowel be dirty, because bowel's ising dirty is very close with womb.Then be subjected to anaesthetic influence, you of the bowel dirty meeting temporarily stops wriggle.You at cut off womb before, can only with drink liquid substance.Can adopt to fill a bowel, or infuse the type of bowel medicine to help unimpeded bowel dirty with promise you of the bowel be empty.You will be request before accept anaesthesia in six hours, can't the food be any thing.Preoperative preparation method probably because of individual surgical operation doctor and have a difference, you of the condition importance will also influence a dissimilarity of prepare the work.Nursing personnel will discuss in detail with you, you can put forward any problem, if not understand, not the vital part be afraid to again lift to ask.You with family, friend at this time engrave will feel anxious, some females would at this time to the expression of the most close person, or doctor, nurse worried, you might as well do so.You of the companion may also have problem to ask doctor, please as far as possible to lift to ask toward the doctor.


What can the patient s make?

If you have the habit of smoking, should reduce before surgical operation, had better is washed up smoking.If you need help and opinion of this aspect, can inquire doctor or nurse.


How is surgical operation future reunion?

After operation you will be turn to recover from illness room, let you accept observe of elaboration in the process of wake up so.When the anaesthetist is satisfied with you of circumstance after, would turn the sickroom of return oneself to you.


The ache that the surgical operation cause

The degree of the ache with how painful method because of separately patient and surgical operation category of dissimilarity but have difference.You shouldn't feel very painful with unwell, if have this kind of circumstance, please keep say toward the nurse.The hospital will take a food pain reliever for you.If you want to vomit, will also give you Ou medicine.Surgical operation because of usage general anaesthesia, so felling pain and sufferings with want the possibility for vomit not big, but if feel any unwell, please tell a medical personnel.There is 1 press the Che by the side of your sickbed, can notify a nurse at any time.Another ache of accumulate to fill inside reason and your bowel of appetite spirit relevant, although you will feel uncomfortable, continuously a short time, especially you start take a stroll with instauration food, then will recover normally.A kind of simple medicine, such as mint water, can remove appetite spirit painful.


Food?

Before the bowel dirty beginning wriggle, you can't food.The nursing personnel will carry on vein to lose to note for you, liquid substance and with the medicine of other demands from you of the arm vein lose to note a body, probably also include a blood transfusion, with complement surgical operation excessive lose blood.When you can with drinking, need not carry on again to lose to note.Mostly female after operation several day, the bowel is just dirty to start recover a normal operation.Surgical operation, a pipe enters stomach from the your nose, collections nature of secretion, in order to prevent you feel uncomfortable.Dirty pause because of bowel operation, this pipe still need to put to stay for several days, but will not influence you to talk.



Do you need to put to lead to flow a tube?

The part which cuts off organ's bleed is normal with creation fluid, so need in the wound to insert to lead to flow a tube, like to let to flow a liquid to eject a body.3 and 4 divas, leading to flow a tube then can remove.Put a soft tube in your urine bladder, in order to eject an urine liquid, avoid you feel uncomfortable.While don'ting need to lead urine, this leads an urine tube to be move then to walk.



When does the wound remove stitches?

The wound sews up with the line or clips to match with the clip, after operation 7-10 day, then can tore down.At that time, you can get out of the hospital to go home.



Still have what my demand know?

After operation in 24-48 hours, the doctor will encourage you to descend a bed to start take a stroll.The physiotherapy teacher and nurse will help and remind you and continue to make breath and leg department action a practice.The physiotherapy teacher will teach you how to practice the action that the pelvis descends a muscle and strengthen the muscle of the pelvis bottom of the of your legs.If the muscle of this part is weak, be your cough, sneeze, cachinnation and lift a thing or rush about, wet the liquid may leak to flow.You after master these actions should keep on to practice for a few months.Stop practice previous, should ask physiotherapy teacher.

After finishing do a hysterectomy, you of the abdomen probably tiny bulge, this is probably because of muscle flabby with the result that.The physiotherapy teacher can teach you how to practice some actions and make this part muscle fructify.But arrive to back to normal, then need for week or longer time.After operation, the internal wound is in the completely recovered process, the vagina will eject a little amount excrement or slightly bleed and be like to menstruate tide similar, this kind of circumstance will keep on for week.At this period, you need to use health cotton(pad), the in order to prevent makes dirty clothes, but don't use health cotton, because of may result in the germ infect.



I feel a meeting how?

Be like to finish do other big surgical operationses, hysterectomy after, you may feel depressed and not talking much or want to cry.These be the normal reaction, doctor and nurse also understand.So don't you of the felling reaction collect, can talk toward the nursing personnel Qing and so you will feel a little bit comfortable.Lead a period of time, you start feel very some, but the motion still rise and fall not certain.You may want for 6-12 weeks, in physique and spirit top would the real orientation come over and this is normal.Some females discover to talk their toward the doctor, nurse Qing it's worried, will have a help.



After go home how do?

Each female reply the speed of dollar not to exert a homology, but at two first weeks, you probably compare expectation to get weariness, should much take a rest, let the other people do household chores and shopping for you.You can only with do the affair that you make out, from the easy and convenient household chores beginning, for example do dishes a disc, cook and sport of the geniality, be like a short way on foot or not violent swimming.After operation in six weeks, unwell proper carry on the activity which costs physical strength, for example go out shopping, absorb a dust, park operation and lift heavy object or strenuous exercises.Finish do greatly and after operation, the patient's concentrated dint and reaction demand for week then can back to normal.If you drive, should advertise for before recovering a driver car the doctor agree.There is a period of time, you trample pedal while drive, will also feel a little bit uncomfortable.If you are to have a work before surgical operation, after about 6-8 weeks, you the big body can return to a work post, but the before the event have to ask for the doctor's opinion.Because can recover a work, see you of work type but settle.

Not a few females worry that their scar formations will break.In fact and only the skin is completely completely recovered and then need not for this but worry.After operation 6-12 around months, you of scar formation would gradually thin Tun, become a young thin white line.



The meeting accepts in advance through?

Finish do a hysterectomy to mean you will not have menstruation again and can't be pregnant, either.However, unless you of or so ovaries all cut off, otherwise you will not have already cut off through of symptom, for example the fever be red and the vagina be dry to wait phenomenon.



Does need the He Er receive a complement treatment(Hormone ReplacementTherapy)?

Can.If you cut off through symptom, can acquire He Er to receive a complement treatment(HRT).Relevant this matter, can ask you of doctor or nurse.



Sex is living how?

After operation then can recover sex life around six weeks.After ovary is cut off, vagina may not enough lubrication, the sexual intercourse will be uncomfortable.But can use lubricant, for example the KY ointment canning buy in the pharmacy, will have a help.The He Er receives a complement treatment(HRT) and can also increase lubricate and decrease uncomfortable.After womb cut off, the vagina would be a little bit short, so may try the posture of dissimilarity while have sexual intercourse, until feel comfortable.Please remember and the fun of sex activity not only depends sexual intercourse and make love to still have other methods.If you have the worry in uncertainty of this aspect, can tell you the felling of companion, or tell doctor or nurse the difficulty, if necessary, there is expert in aid of you.



Does the meeting increase to put on weight?

The surgical operation will not increase you of weight, but cut off womb after operation for week, you eat much and especially little in sport, unless you notice food more, otherwise will have already increased to put on weight of tendency.The food of health well balanced provides our enough nourishments and energy and cope with the activity in everyday need, make body operation good.Balanced health's instruction policy of the food is:Low fat, low sugar, low salt and high fiber, enough protein with multivitamin, mineral quality;Moreover, the wine wants to be proper can but.If you need a concrete suggestion in the food, can ask nourishment an expert.



Do you need to return to hospital check?

Need.The womb cuts off after operation and the doctor request you periodically return to hospital and arrive out-patient department to check.After a period of time, the number of times of the check then will reduce.The hospital will make you notify you of surgical operation detail of general practitioner(a family doctor), so when you convalesce at home, if feel to can not back to normal gradually, please tell a family doctor.Friends and relatives or other patient give of good intentions you data, may be false, even startling statement creates a sensation.Not a few females are embarrassed with discussing oneself postoperatively of circumstance, , but worried tell you of a family doctor or nurse be helpful.If you still feel worried, please contact a hospital.After the hysterectomy, you probably need to accept a further chemistry treatment(chemotherapy), or project a treatment(X light).If have thus of demand, the doctor will have something to do with you discuss treatment.



Question

Please write down the problem, in order to ask doctor or nurse next time.



Who can help?

Please remember, the many people would like to help you with you of family.With some and you of the disease directly didn't close to connect of person Qing talk, sometimes on the contrary and more easily start to talk.You probably discover to talk with a mental adviser Qing which once is subjected to professional training, will greatly do good;Also some people acquire great consolation from the religion and faith in this time.

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