The nursing of larynx cancer

The nursing of larynx cancer works always close around wear the treatment of larynx cancer launch.Larynx cancer at cure a method mainly the adoption project treatment or surgical operation treatment.The special of the larynx cancer treatment makes larynx cancer the nursing work very important.According to the type in cent, voice last area in the door regards the emanation treatment or the surgical operation treatment as principle.Voice area adoption in the door projects treatment and parts of larynx resections or whole larynx resection before the Shu, voice door next the area adopt a whole larynx the resection aggravate to set up pronunciation surgical operation.The nursing of larynx cancer is divided into:
A, the mental nursing of larynx cancer:
Whole larynx resection the front should work well a thinking of patient and family members to want to work and explain clear surgical operation to cure a necessity, can also invite patient(Shu behind reexamine a patient) personally appear, the elucidation after operation can practice pronunciation or solve Shu with the artificial larynx after the exchanges of the language.With the cancellation patient's worry to the surgical operation, to build up larynx cancer the sufferer resist paroxysm confidence and face with the good appearance.Zhu after attaching larynx formation the Shu of once the patient with in the week can not do to swallow action to slice by promoting to heal, and as for slice that have good paper and pen or painting before requesting patient Shu, and signal to express a demand.3 days before the Shu beginning shell Er the liquid gargle, everyday 4 times.If there is tooth disease, should to treatment.
Two, the treatment nursing of larynx cancer:
1, the Shu presses whole varieties that numbs nursings closely observes blood pressure, pulse, breath and body temperature behind.Anaesthesia awake the blood pressure change half to lie after being steady and go the larynx formation Shu the beard Be even to lie, the side lies to fit together by easing a people's tension before the head.
2, cut open a nursing and carry out to have no germ operation technique and prevent°from a wound pollution and keep a breath way lucid according to the windpipe, suck out a windpipe endocrine thing at any time, keeping indoor the relative humidity is 50~60%, 2~3 fog turn inhalation everyday when it's necessary, or drop 1% baking sodas is more 1~2 drops of than the windpipe set takes care of and has already turned a phlegm function and keep phlegm Jia from set tube but cause patient's asphyxiation.Parts of larynxes cut off, the strap must knot dead to button up and prevent°from taking off a tube, but result in patient's dyspnea.The windpipe set tube cleans four times everyday.
3, the observation bleeds tendency, the neck places ice-cubes, the prevention slices a people's issue of blood, if discover a neck blood vessel ligation slippery take off or unknown quiet, artery break bleed, should immediately oppress issue of blood to order, stand together namely report doctor actively match salvage.
4, the neck lymphoid close account after sweeping the Shu lead to loiter to connect negative press attraction, keep to lead to flow lucid, help the wound to heal.
Three, the living nursing of larynx cancer:
1, Shu's strictly forbiding behind is taken a meal into water by, the saliva absolutely not to swallows bottom, keep mouth cavity to sweep, behind the Shu the 3rd day since usually contain Shu with a shell Er liquid or 1.5% oxygens waters to help the wound to heal, the attention wound hasn't oozed a liquid and oozes blood, attention body temperature variety, the prevention fits together a people Lou.Combine Zhu the patient prevent°from constipation and keep facile defecation and avoid manual labor and notice a prevention to catch a cold to catch a cold, don't catch a cold, and periodically reexamine at the hospital.
2, nose Si mixture the milk food infuse to note for 7~10 days, every day 4~5 times, each time 500 mls, infuse into boiled water's 200~300 mls after infusing to note, with maintenance ample humidity, and keep stomach tube from blocking or take off, the Zhu patient chews thoroughly and eats slowly while starting taking a meal, parts of larynx cut off should forerunner glue dense half to flow food, prevent°from a mistake resulting in Qiang's coughing into the windpipe.
3, train oesophagus pronunciation, after the wound heals, take part in the practice oesophagus pronunciation class, can make the patient swallow inside the next current of air existence oesophagus, then slowly eject and deliver the sound action of E, attention belly, chest action and oesophagus Luo spirit action and the form act organic coordination to go together with to put together, can immediately send out a sound.Usually train a good enough to maintenance daily life demand.