Daily care for uterine tumors

The daily care of uterine tumors includes many factors. In daily care, we should pay attention to adopting different nursing measures for different patients.

In general, patients should be given a high-calorie, high-protein, high-vitamin diet. For patients with psychological fear, non-technical language should be used as much as possible so that patients can understand, help patients reduce their anxiety and fear of the disease and surgery, build confidence, and actively cooperate with treatment and care.

The daily care of uterine tumors should include routine preparation before surgery, including visceral function examination and skin preparation. Patients should be warned that surgery is the preferred treatment method. As long as the patient's general condition can tolerate it and there are no contraindications to surgery, laparotomy should be performed.

Patients in the early stage generally undergo total hysterectomy and bilateral salpingo-oophorectomy. Stage II patients should undergo extensive total hysterectomy and bilateral pelvic lymph node dissection. For patients in stage Ia, if cancer cells are found in the ascites or there is cancer infiltration in the deep muscle layer, and lymph node metastasis is suspected or positive, external irradiation should be added after surgery, using 60CO or linear accelerator external irradiation. For patients in stage Ib whose uterus is larger than 2 months of pregnancy, stage III and some stage IV patients can be irradiated before surgery or intracavitary irradiation with 137Cs, 192Ir, etc. Surgery should be performed within 1 to 2 weeks after the end of radiotherapy.

If hormones and other drugs are used for treatment, the dosage is generally large, such as 200-400 mg/day of medroxyprogesterone acetate and 500 mg/day of progesterone acetate. It will take at least 10-12 weeks to preliminarily evaluate whether the effect is effective. During the treatment, it is necessary to pay attention to the side effects. Generally, the side effects are mild and can cause water and sodium retention, edema, and drug-induced hepatitis. Tell the patient that the condition will gradually improve after stopping the drug. For patients treated with tamoxifen, it is necessary to pay attention to the side effects of the drug, such as hot flashes and chills similar to menopausal syndrome, and bone marrow suppression reactions. A small number of patients may experience vaginal bleeding, nausea, and vomiting. If side effects occur, they should be reported to the doctor. Tamoxifen is a non-steroidal anti-estrogen drug, generally taken orally at a dose of 20-40 mg/day. It can be used for a long time or for a course of treatment.

If chemotherapy is used for treatment, the daily care of uterine tumors should be the same as the routine care of chemotherapy, which is often used in advanced cases that cannot be operated on, radiotherapy, or recurrence after treatment. Commonly used drugs include 5FU, CTX, MBC, etc.

The nursing work for traditional Chinese medicine treatment should ensure that patients take the medicine consistently and without interruption.

In addition, patients with high-risk factors, or menopausal women with menstrual disorders or postmenopausal women with irregular vaginal bleeding should pay great attention to the daily care of uterine tumors.

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