The cheek department gland kind bag cancer the sufferer round a surgical operation period nursing

The gland kind bag cancer, used to call "cylinder cancer", is also one of the gland malignant tumor of the most familiar salivas, is more familiar than the Mao department small saliva gland and the parotid, secondly is a Han gland ［ one ］ .Take place the gland kind bag in the cheek department the cancer is very seldom seen, my hospital accepted to cure a cheek department gland kind bag cancer in May, 2006 sufferer.The tumor's position deeply at, involve organization category many, the surgical operation gets into a difficulty, since want and consider surgical operation thoroughly sex wants and considers that the surgical operation permits in front and function again of influence, because of involve after the mouth cavity Shu an opportunity to be infected is many, the sufferer is particularly a youth sufferer the thought concerns have very high request towards rounding a surgical operation period nursing very greatly, the nursing quality influences surgical operation of preparing of effect and sufferer after.The writer obtains some experience to this sufferer's successful nursing, is introduced as follows now.
1.Clinical data
Sufferer, male, 18 years old, student.Had no obvious inducement 20 days ago bottom, the right cheek department was greatly swollen and grew a little bit quickly and had no ache.For explicit diagnosis with further treatment but hospitalize on May 19, 2006.Check-up:The right cheek face is swollen big, the swollen thing is an oval, size about is the 5.0 cm × 3.0 cms, in the quality, the activity has never glued connect, week boundary clear, the top end postpones to under the Quan bow, have no ache.Go cytology to wear a sting check on May 21, 2006, report is"the cheek department gland kind bag cancer".Pass by aggressive prepare before the Shu on May 25, 2006, the general anaesthesia descends to go right cheek gland kind bag cancer resection and keep slice in deep freeze check in the Shu the confirmation further go extension to cut off for"the cheek department gland kind bag cancer", parts of Nie muscles, bite the Han bone excision in muscle, muscle inside the wing and part, Shu after through tight observation, prevention infection, with meticulous care treatment and nursing, the Shu recovers from illness hospital discharge smoothly on the 7th day behind, Shu after pathology report"right cheek department gland kind bag cancer".
2.Nursing
2.1 hospitalize the area environment and regulation system of preaching religion the active introduction disease, let the sufferer know to wash a Shu, bathroom, boiled water building and change the position of medicine room etc., know the operation method and function of bedside pager.The check item and regulation that understands oneself to need to be had after hospitalizing helps a sufferer to adapt to hospitalized environment as soon as possible.
2.2 the mental nursings are mental nursing embodiment's each link in treatment, nursing process and combine a professional characteristics, at professional knowledge and technique ability aggressive inside the scope influence sufferer mental state, help various appearance under of the sufferer keep the best heart body appearance ［ 2 ］s.The mental nursing isn't simplicity and sufferer's confabulation, but with carry out various treatment, nursing measure to combine together, carry on in the meantime.
2.2.1 build up goodly protecting to suffer from a relation to want to set up to make people the center first of nursing idea, sympathize with and concern a sufferer, patiently listen to a getting off the heart of sufferer, answer the question that the sufferer poses, build up protecting of mutual trust to suffer from a relation, use popular the language easily understanding honestly communicate with sufferer on one's own initiative.
2.2.2 help the sufferer set up to win a paroxysm confidence's malignant tumor to result in to fear biggest to the sufferer and lack confidence to the treatment.Help a sufferer to set up to win paroxysm confidence in the nursing process, introduce disease on one's own initiative related knowledge, cure project, nursing measure, finally won sufferer and guest the trust for belonging to.
2.2.3 relief the thought worry of blemish cut off the part bottom Han bone to make after sufferer Shu face shape occurrence change but cause abnormal, this to a year only 18-year-old young man to say being very ruthlessness.Sufferer load the scheme design future reunion is sneered at, discriminated against by the other people and produced from the vulgar mental state.Pass patience, meticulous explanation, explain the importance and necessity of surgical operation, beautiful mind and fine life are more more important than beautiful outward appearance.Person as long as you treat any thing with a common heart, his life necessarily will be gorgeous and colorful.Pass our effort, the sufferer actively matches with a medical treatment nursing, joint effort, complete a treatment.Sufferer means that he certainly would not be the living and the weak, will be definitely strong happily living.
2.3 prepare to help to work well various general circumstances that check before the Shus, understand a sufferer completely before the Shus, check such as the chest slice, electrocardiogram and bio-chemical, blood type and go together with a blood circumstance, work well a skin to prepare and give first aid the preparation of drugs, the detention leads urine and works well full preparation for surgical operation before the Shu.
2.4 mouth cavity nursing the mouth cavity is a pollution environment and exist 40 varieties is 3 ］s to the germ ［ .The oral hygiene heals to pass importance to the wound in Shu, instruction sufferer everyday take a meal have to gargle behind, had better brush teeth, keep mouth cavity to sweep, use 1.5% oxygens waters to gargle on the 3rd before the Shu, work well a Jie Chi, tooth stone calculus inside the clearance and dental calculus on the first before the Shu 4 times everyday, heal to create a condition after the Shu for wound.
3.After the Shu nursing
3.1 general nursings press after whole numb Shus normal regulations to ready to various product.The sufferer goes to Zhen after returning to the sickroom even lie, understand surgical operation process to the anaesthesia doctor.The dynamic state serves as guardian an important life body to advertise for:The tight monitor breath, pulse, blood pressure and heart rate, the variety of the blood oxygen saturation degree also works well a record.
3.2 keep a breath way the lucid and tight observation wound bleed a circumstance, fall to but cause dyspnea, clearance mouth cavity in time and the phlegm liquid and blood in the nasal cavity after having the for no reason throat the dropsy, tongue and prevent°from asphyxiation.
3.3 lead to flow the tube nursing tumor's position deeply at, involve organization category much, stay a bigger dead chamber hard exterminate, surgical operation be over in create to place 7# self-made skin of head needles to lead to flow a tube inside the chamber, circumscribe a 60 mls to inject a machine, take out to negative press fixedly, formation negative press to lead to flow.The check leads to flow at any time whether the tube is press, distort, jamed, whether fix good, keep to lead to flow to take care of lucid, and observe to lead the color of flowing the liquid, property and quantity, work well a class of class to hand over to answer.While replacing to lead to flow to equip should strict have no germ operation, lead to flow a tube to generally place a 24~72 hs, if the 24 hs leads the discharge ≤ 30 mls, can report that the doctor considers pulling out a tube.
After 3.4 mental nursing Shus on the first day, the sufferer discovers he or she's face became dissymmetry, while the mood is anxious, the emotion is low to fall and don't match to match a treatment.Afterwards transpose the sufferer to the room of sufferer little disease, keep the room environment of disease calmness, reduce noise, make use of the whole opportunities, communicate with sufferer, cure after explaining Shu with the purpose and meaning of nursing, the sufferer means to make great effort for winning disease together with everyone.
3.5 mouth cavity nursing the mouth cavity nursing is very important after the Shu.In addition to the instruction sufferer is after taking a meal gargle, the nurse has to work well a mouth cavity nursing every day and counteracts 1.5% oxygens waters to gargle and keep mouth cavity to sweep 4 times everyday, prevent°from a wound infection and help the wound to heal soon.
4.The hospital discharge guides
Bring trouble draw up a detailed instauration plan, guide to continue liquid substance food for a week, soft eat to change to Pu after a week of food, brush teeth after developing to take a meal or habit of gargling, keep mouth cavity to sweep, teach disease health education knowledge, guide to arrive specialty hospital to carry on projecting a treatment after 2 weeks.The tumor carries bottom, the sufferer effectively absorbs decrease and add of the tumor high metabolism consume increment to the protein, malignant tumor sufferer's many companions have the protein of different degree to lack.Moreover, surgical operation, put to treat, chemotherapy also to machine body as usual the organization result in the harm of different degree, the repair of harm organization still needs a great deal of protein ［ 4 ］s.Work well food instruction, follow the principle of high egg white, high vitamin, high sugar, low fat, take a meal fresh vegetable, fruit and mushroom mushroom, milk and bean, egg and lean meat and seafood article, as far as possible choose the food of sufferer's fancy and use some medicines that are good for the stomach to eliminate a food when it's necessary and encourage a sufferer to drink boiled water more and notice a rest and raise the ability of recovering from illness, the Zhu sufferer periodically comes to hospital to reply to diagnose.
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