The later period nursing of liver cancer

The hair liver cancer was our country and the familiar disease of Asia region at first, not a few liver cancer have already belonged to in the later period or erupted other diseases(if the liver is hard to change) while discovering, with the result that is more unwell than surgical operation to cure.Get involved liver artery to infuse to note a chemotherapy to bolt to fill under medical treatment through the pipe for later period the liver cancer can availably control a cancer body growth and become medium later period not ability surgical operation cut off of liver cancer in common use method, and to original hair liver cancer and transfer sex liver cancer all effective.We from January, 2000~in July, 2006 to 500 in the implementation of the liver cancer in later period get involved the sufferer of treatment to carry on a clinical observation and strengthen a nursing, now the nursing important point introduction is as follows.
1 before the Shu nursing
1.1 foundation nursing ex- beard attention nourishment of patient Shus adds, encourages the high nourishment, high vitamin and low fat food that the patient absorbs easy digest and promises ample sleep.The surgical operation is wild to have skin before the Shu, the iodine allergy experiments, and the 4 hs forbids a food before the Shu.Various perfect check before the Shus.The sufferer is been responsible for by the nurse of responsibility after hospitalizing, for make to get involved a treatment ability safety smoothly progress, reduce poisonous side effect, the responsibility nurse has to control the relevant data of curing the ex- sufferer, like the sufferer's condition and mental appearance;Paroxysm process and treatment circumstance;The understanding that the sufferer plans currently to the treatment etc..In the meantime, should make an evaluation, including nourishment condition, physical examination and laboratory check etc. to the sufferer's body condition.To body condition bad, such as extremely emaciated, anemic, blood platelets and white cell are lower than a normal value, should strengthen support therapy first, need body condition amendment empress again go this treatment.
1.2 before the Shus nursing
(1)the knowledge educate:Provide toward the sufferer and the family members concerning the disease treatment and recover from illness knowledge and professional nursing instruction, according to the relevant nursing problem, guide a sufferer to carry on himself/herself nursing, help to build up effective knowledge system, control ego nursing technique.
(2)healthy education:The later period lung cancer sufferer has the mental obstacle of different degree more and lacks confidence towards getting involved a treatment, the performance includes worry in uncertainty, fear, strain etc. is mental.The responsibility nurse has to patiently and delicately work well mental state to appease to reach agreement to release a work and elaborate on the basic treatment principle and process of getting involved the treatment, concern considerate the sufferer be also pain and sufferings for its relief in time and make the sufferer accept a treatment by the best appearance.Also lie bed and the Shu limb system dynamic importance and necessity after explaining the Shu to the sufferer and the family members, train a sufferer to line up an urine and the method for having a bowel movement on the bed.
(3)the normal regulations prepare before the Shu:Before the Shu in response to the normal regulations check liver, kidney function and blood normal regulations and Ning blood Mao original time, the 6 hs forbids food water before the Shu, the Zhu sufferer washes wear sting part clearly to of skin, work well a pair of sides stomach ditch area have skin.Pressing to cure Zhu to do iodine and penicillin, the card of Pu Lu is on trial because of allergy.
1.3 mental nursings gets involved a treatment the patient is majority of fidgety performances, fear, worry anxiously, pessimism etc., to treatment hold doubt an attitude, or to treatment the expectation value lead Gao, if surgical operation before healthily educate, the mental nursing isn't good enough, will seriously influence treatment effect.And majority of liver cancer patients by himself[herself] really don't know of condition, therefore the medical personnel wants many mental reactions that carry on a communication with patient and family memberses, understand a patient to the paroxysm understanding and the patient and have of put the Shi ground carries on a mental nursing, because the person teaches to draw up an effective healthy education plan.For mental state sound and bright optimism, know what happened to the disease of patient, the nurse much gives encouragement, patiently and delicately explain in detail the vice- reaction and processing principle of the process of getting involved the treatment, possible emergence, the increment patient wins paroxysm confidence, the exaltation sufferer's ego protection ability.To the mental state flimsiness and to the patient whom this disease has no knowledge, nurse at with its exchanges communication in should careful, tactful, optimism, the transfer patient's aggressive, inform to patient's a kind of actively upward mental state, the exaltation patient's mental defense ability, in the meantime many matches that carry on an exchanges communication with family members, obtain family members, establishment together protecting of participation type suffer from a relation and raise treatment effect thus.
The nursing gets involved treatment process in 2 Shus, nurse in addition to work well a patient mental nursing, return to infuse into a medicine circumstance in response to the tight observation, notice an observation to bolt to fill a movement circumstance, slice to hate to bolt to fill to return inflow non- Ba blood vessel;Tight observation patient the life body advertises for of variety, if have a fidgety discomfort, cold war to feel chill, hair Gan etc. the symptom should immediately enlarge to the oxygen discharge and the density, and work well a first aid preparation;The observation didn't spit out phlegm at any time and phlegm secretion circumstance, give processing in time.
After 3 Shus nursing
3.1 wear a nursing patient who stab the part to absolutely lie a bed to take a rest a 24 hs, wear sting part to add to press the salt bag 6 hs, avoid dust leaking to cause a wound infection because of using sand bag, Zhu patient Shu side the body stretch to keep making to move 8 hs.The tight observation Shu side body skin temperature, instep artery pulsates and skin color, observation's wearing a sting to order a skin has already had no blood clot, blood swollen, the dressing is free from pollution, the salt bag haven't moved, unusually in time handle.
Nursing after the Shu:
(1)wear the nursing of sting part:Get involved to cure the most familiar of the complications is to wear to stab partial blood swollen, the past Shu wears a sting to wear a sting to order with a spool of bandage oppression after ordering oppress a 15 mins behind and goes bandage to add to press to tie up, Shu side body in stretch to keep system to move a 8 hs, the sufferer lies a bed 12 hs.Close observation's wearing sting part don't ooze the extravasated blood in blood and skin, if have already oozed blood, should replace a dressing in time, keep to wear a sting to order aridity, prevention infection.
(2)tight observation sufferer the life body advertise for of variety:The Shu empress should notice the variety of the sufferer's body temperature, pulse and blood pressure and body color, particularly is the Shu side instep artery to pulsate circumstance and end blood luck, skin temperature.
(3)water turn a nursing:Because part infuse to note the anti-cancer medicine that the big measures, poisonous pair reaction a little bit obviously, water turns treatment particularly for importance, after the Shu 3 day, the expert vein loses a liquid everyday 2500~3000 mls, according to sufferer circumstance adjustment drop soon, 60~80 drops ofmin, such as old age or heart kidney function not whole gradually reduce.Encourage sufferer's many drinkings, the drinking is no less than a 2500 mls everyday and line up urine to request a 3000 mls above, for the purpose of medicine toxin can pass kidney to eject as soon as possible.
(4)the monitor of body temperature:Close observation the variety of the body temperature, give according to the condition the physics in time reduce the heat and adopt medicine to reduce the heat when it's necessary.Perspiring much in time replace bed sheet, bed sheet and dress trousers for sufferer, work well mouth cavity and skin nursing.
(5)the nursing of stomach and intestines way reaction:Should forbid to eat a 4~6 hs after the Shu, because of the bad reaction of chemotherapy medicine, can cause disgusted, vomit symptom.Works well to explain a work on the nursing, give the stomach reply Anne and Shu Dan to inject and make stomach and intestines way the reaction have to ease.The food is proper simple elegance, much aer little amount meal, strengthen a mouth cavity nursing, reduce bad stimulate, help the toxin to excrete.
(6)the nursing of ache:Get involved to cure in 2~3 days, organize bad dead to cause tumor area because of the tumor ache.While strengthening a condition observation, the nurse work well the sufferer's consolation work.To the ache not when the ability be subjected to closely observe sore part, property and degree, in order to and the ache distinction that other complications cause open and press to cure a Zhu usage a pain reliever when it's necessary.
The observation nursing of 3.2 complicationses synthesizes to advertise for after bolting fill is bolt to fill after the treatment familiar complications, main performance for have fever, stomachache, disgusted, vomit and paralyze sex bowel Yu bulge.The nurse should closely observe a patient the life body advertise for variety, the 30 min goes around and inspects sickroom once each time, and each 4 hs measures body temperature once.Have fever usually after bolting to fill a treatment more than 38.5 ℃ not, 1 with in the week can recover gradually as usual, if the body temperature leads Gao and give in time the alcohol wipe a bath, ice-packing and give when it's necessary the medicine reduce the heat, and notice to keep warm, prevent°from catching a cold, drink humidity in time, in order to prevent reduce the heat excesssive occurrence debility.In bar of infection can in Shu before, Shu behind use antibiotics.When right top stomach ache was violent, painful in the applied town.Close attention have have no dyspnea, spit out phlegm, hair Gan, breathe frequency, heart rate and heart Lyu variety, unusually in time give processing.
4 discuss to get involved a treatment technique to is a kind of safe effective treatment technique, pass to get involved a treatment to 500 liver cancer a sufferer to carry out a whole nursing.Expressed before the Shu educating of the system and detailed, concrete of guide before the Shu and after the Shu effective nursing, can ease a sufferer worry anxiously, the reaction period of medicine make sufferer safe to accept a treatment, pass through to get involved a chemotherapy smoothly, ease pain and sufferings, raise the sufferer's living quality, attain to expect emollient assurance of the treatment.BE promise surgical operation success, the decrease complications takes place of key.Encourage patient establishment self-confidence, protect to entertain optimistic a bright mindset, strengthen to win cancer of subjective can move sex, in the meantime reasonable meal, strengthen nourishment, carry on athletics to toughen appropriately, strengthen a machine body anti-disease ability.Take a medicine on time, periodically arrive hospital to reply to diagnose.
Say currently, probably any medicine all has no use to save.The Chinese herbal medicine may be an imagination because HCC is big part of born at harden of in the knot stanza(nodules), much the time that the time discovers all already at double leaf liver up.According to in the liver, the HCC growth's liver compares the chemistry material sensitive to the toxicity and pluses it to usually infringe upon a vein, these all result in chemotherapy to it have no from start, efficiency high factor.
The current target isn't only pure to want to prolong life, but wants time at the end inside make the life quality of your grandmother kept, offer utmost effort to ease pain and sufferings.These include liver to wear sting alcohol to inject cancer, the Shuan fills a chemotherapy(because people discover its weakness because it is a blood vessel lump to need blood vessel to provide an existence condition) and also has rapid refrigeration or electricity repeatedly the heat kills cancer cell, if can earlier usage vitamin K and another of the material can procrastinate a door to bolt to fill of formation(day the invention), Japan still discovers that AN acids medicine(a kind of vitamin A) may take an effective benefit, the female sex hormone depressant(effect of having no of male) benefits at hormone therapy parts of persons of the reagents, another proton Fu shines on, the artery Fu shines on etc. can turn down ache.But these cure if effective benefit jaundice or stomach water should have an amendment.