Listen to the nerve lump originate to listen to the nerve sheath film cell, is a typical nerve sheath lump.This disease is one of the familiar tumors inside the Lu.Because the tumor grows variety and oppresses the bridge on the side outside the brain and cerebellum ex- good luck, Be been full of to the cerebellum bridge brain Cape cave inside.Listen to the nerve lump is generally welldelivered to middle age so much at 30~50 years old.Clinical performance:
(1)ear Gua and ex- court symptom:Express for dizzy, faint, have a ring in the ear, deaf;
(2)the headache companion sick side back part of skull big bore area of unwell;
(3)the cerebellum totally help maladjustment and act not moderate;
(4)the close by Lu nerve damaged symptom:The on the side department ache, face that expresses for the disease has muscular spasms, the face feel decrease, and surroundings noodles Tan...etc..
(5)press to increase high symptom inside the Lu:See a nipple dropsy, headache to turn worse, vomit, reply to see etc..Listen to the nerve lump much cut off for surgical operation, now tally up its nursing experience as follows.
2.Nursing
2.1 before the Shus nursing
2.1.1 hospitalize a nursing nursing's personnel to receive a sufferer in response to enthusiasm, detailed introduction hospitalization environment and responsibility nurse, lord cure a doctor, get rid of a sufferer to fear, unfamiliar feeling.
2.1.2 attention protection the patient has nerve to paralyze should notice food, drinking temperature and wash face a water temperature degree so as not to burn a patient and have deaf and action the coordinator doesn't should help patient's daily life(include to go to toilet, wash Shu, take a meal...etc.) in order to prevent fall and hurt a patient.
2.1.3 close observation the condition mainly observe a patient headache circumstance and have have no Lu inside press to increase high symptom, such as the headache turn worse, vomit, reply to see etc. report the doctor handle in time.
2.1.4 mental nursings because of tumor growth's position in the bridge brain cerebellum Cape, the patient single on the side Tan happens after the Shu and appear eyelids to shut to match not whole, drool etc., the patient easily produces anxious, nervous and fidgety etc. emotion.Therefore, should go around and inspect sickroom more, communicate with sufferer at any time, carry on publicizeeing education, fight for a sufferer aggressive match.
2.1.5 prepare before the Shus to take a shower late on the first before the Shu, the Zun cures Zhu to have skin, goes together with blood, does antibiotic skin to try, 12:00 p.m. hereafter forbid food water.
After 2.2 Shus nursing
(1)the tumor is located on behind Lu cave, the bridge brain cerebellum Cape, close to brain stem, the dissection relates to complications but importance, the surgical operation difficulty is big, time long, therefore tight observation patient's state of mind, eye pupil and life body advertises for after the Shu of the variety is a key.Particularly the change of breath and state of mind, the most important.
(2)after operation the companion has the harm, eyelids of the noodles nerve, trigeminal nerve to shut to match not whole and easy occurrence cornea ulcer, the serious contains the danger to result in to become blind.Use eyedrops when it's necessary and medicine cream, wear eyeshade, even notify that the doctor goes eyelids to sew up Shu to protect a cornea.
(3)the trigeminal nerve hurt face to feel to lose and take a meal and prevent°from burn.The [ cures to learn education net collection to tidy up ]
(4)hurt behind having set Lu nerve often the companion have voice hoarse, the Qiang cough, so after operation temporary forbid a food for 3 days, give the nose Si the food when it's necessary, keep Qiang food from causing mistake's absorbing.
(5)have already swallowed a glint to weaken or disappear, can take place to swallow a difficulty, a cough has no dint, the patient lines up phlegm on his/her own initiative difficulty, need to turn over on time the body and Kou carries on the back and absorbs phlegm at any time and in fixed time does fog to turn inhalation and prevent°from breath way jam with pneumonia of occurrence.
(6)the windpipe work well spirit to slice a nursing after cutting open the Shu.
(7)appear to suffer from an on the side department for a week a Varicella-Zoster virus after the Shu, the Zun cures the Zhu daubery medicine cream and prevent°froms being infected after the hair.
Listen to the nursing important point of nerve lump
3.12.2009
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