Postoperative care for bladder cancer is very important. We must pay attention to the above issues because they are related to the recovery of our body. If we carry out scientific and reasonable care, we can promote the active recovery of the body and greatly reduce the patient's pain. What other issues need to be paid attention to after the disease is treated with surgery? Diet is an indispensable key part. Only a reasonable diet can help you better find your own health. So what should bladder cancer patients pay attention to in their diet after surgery? Provide postoperative nutritional support. Bladder cancer is a disease that consumes the patient's body function very much, so it is easy to become abnormally thin, weak, and malnourished after surgery. Nursing measures after bladder cancer surgery Postoperative nursing measures for transurethral bladder tumor resection (I) General nursing: follow the doctor's instructions for body position (lying flat without pillow until blood pressure is stable and consciousness is clear), activities (bedside activities on the first day after surgery), and diet (semi-fluid for 6 hours after surgery) (II) Condition observation: 1. Observe the patient's bleeding, continue bladder irrigation after surgery, closely observe the color of the irrigation fluid, and adjust the irrigation speed accordingly. ③ Daily care and health care for patients with in situ ileal bladder replacement: Since urine is still discharged from the original penile urethra, in order to prevent urinary incontinence, levator ani muscle training should be performed to exercise the perineum and pelvic floor muscles, 30 times as a group, and 30 groups should be completed every day. Usually, the shape, color, height, and size of the stoma should be observed. After surgery, the stoma (some are composed of ureteral walls, and some are composed of intestinal walls) is edematous and bright red. If it becomes gray or dark purple, the blood supply may be obstructed, and the doctor and nurse should be informed immediately. Why can't patients undergoing radical cystectomy have bladder preservation? The tumor grows relatively shallowly, that is, a superficial bladder tumor. Doctors will not perform a total cystectomy. However, the bladder has invaded the muscular layer of the bladder. The most dangerous thing is that the risk of distant metastasis is extremely high. In this case, if you want to keep the bladder, you are taking a great risk. In fact, in this case, total cystectomy and lymph node dissection will bring great benefits to the patient's long-term survival, but the bad thing is that many people cannot accept this surgery, and their quality of life may decline. However, for such patients, we hope that they can survive for a long time. Therefore, for primary invasive bladder cancer, the first choice is to perform a total cystectomy. Radical cystectomy should pay attention to imaging examinations before surgery to evaluate the size, location, and relationship of the tumor with surrounding organs, evaluate whether the patient's lymph nodes have metastasis and the range of metastasis, and determine whether there is metastasis to distant organs. Pay attention to giving cleansing enemas to reduce perineal infection. In radical cystectomy, attention should be paid to clearing the pelvic lymph nodes during surgery to prevent lymph nodes from remaining in the body. |
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