Giving birth to a second child 8 years after cervical cancer surgery How to care after cervical cancer surgery

Ms. Wei (pseudonym) became a mother for the first time 10 years ago and had surgery for cervical cancer eight years ago. She never thought she could have a second child. She was surprised when she found out she was pregnant unexpectedly at the beginning of this year. Under the guidance of the doctor, she gave birth to a healthy boy, which also ignited the hope of becoming a mother for the patients. At present, Ms. Wei has been successfully discharged from the hospital.

Review of cervical cancer treatment methods

1. Surgical treatment

Wide hysterectomy and pelvic lymph node removal are used. The removal range includes the entire uterus, bilateral adnexa, upper vagina and paravaginal tissues, and pelvic lymph nodes (paracervical, obturator, internal iliac, external iliac, and lower common iliac lymph nodes). The operation needs to be thorough, safe, with strict indications and prevention of complications.

2. Radiotherapy

Radiotherapy is the first choice for cervical cancer treatment and can be applied to all stages of cervical cancer, including the cervix and adjacent vagina, uterine body, parauterine tissue and pelvic lymph nodes. The irradiation method generally adopts a combination of internal and external irradiation, mainly targeting the primary cervical lesions and adjacent parts, including the uterine body, upper vagina and adjacent parauterine tissue (point "A"). External irradiation is mainly aimed at the pelvic lymph node distribution area (point "B"). The internal radiation source uses intracavitary laser. (Ra) or 137cesium (137Cs), which is mainly aimed at primary cervical lesions. The external radiation source is 60 cobalt. (60Co), which is mainly used for metastatic lesions outside the primary lesion, including the pelvic lymph node drainage area. The dose is generally 60Gy. At present, internal irradiation is mainly advocated for early cervical cancer. For advanced cancer, especially those with huge local tumors, active bleeding, or accompanied by infection, external irradiation should be used first.

3. Chemotherapy

So far, cervical cancer is insensitive to most anticancer drugs, and the efficiency of chemotherapy does not exceed 15%. Advanced patients can be treated with comprehensive treatments such as chemotherapy and radiotherapy. Chemotherapy drugs can use 5-fluorouracil, doxorubicin, etc., which can be injected intravenously or locally.

IV. Traditional Chinese Medicine Treatment

Traditional Chinese medicine uses local medication and vaginal medication in the early stages of cervical cancer to cause the cervical cancer lesions to coagulate, necrotize, and fall off; in the late stages of cancer, syndromic differentiation treatment is needed to correct the evil, supplement, symptoms and root causes, which can alleviate the symptoms of cervical cancer patients and prolong their life. Commonly used drugs include Eshu, Arisaema, Brucea, Lithospermum officinale, etc.

Careful care after cervical cancer surgery

More activities: After cervical cancer surgery, more exercise can promote the recovery of intestinal peristalsis and reduce intestinal adhesion and intestinal obstruction. Early activities are conducive to ventilation and the discharge of tracheal secretions, but also promote blood circulation and prevent venous thrombosis. Six hours after routine surgery, patients should move their limbs and turn over in bed.

General practice: On the first day after surgery, the patient can turn over and sit up. After the condition stabilizes, the patient can get out of bed and stand and walk with the help of a nurse or family member to effectively avoid complications.

Supplement trace elements: After cervical cancer surgery, treatment should pay attention to timely supplementation of trace elements. Some trace elements are also very helpful for cancer prevention. Therefore, it is recommended to supplement more trace elements in the diet after cervical cancer surgery. For example, after cervical cancer surgery, the diet should pay attention to supplementing more vitamins, because low intake of B-carotene is a risk factor for cervical cancer. This can improve the body's ability to fight cervical cancer and effectively reduce the recurrence or development of cervical cancer.

Drug-assisted treatment: Abdominal pain is a common phenomenon after cervical cancer surgery, and the pain usually gradually eases on the second day after surgery. There are usually two ways to relieve wound pain. One method is for the anesthesiologist to indwell a postoperative analgesic pump to inject painkillers;

Another method is to inject painkillers when the pain is severe. This method has a good analgesic effect, but the duration is very short, usually lasting 2 to 4 hours. But you need to take the medicine under the guidance of a doctor.

Body position: After returning to the ward after surgery, the patient should be placed in a supine position with a pillow, and in a semi-recumbent position after 6 hours (the time for changing body position is determined according to the anesthesia requirements).

Diet: Full liquid diet after fasting for 6 hours, oral Simo decoction on the first day after surgery; semi-liquid diet after anal gas discharge; food can be eaten after large gas discharge.

Functional exercise: Turn over once every 2 hours after surgery, passive lower limb exercise, and get out of bed 3 days after surgery.

Disease observation: After surgery, closely observe blood pressure, pulse, and respiration, and measure them every 30-160 minutes until they are stable; pay attention to whether the wound dressing is bleeding, and change the dressing in time; observe whether the drainage tube is unobstructed, and record the color and amount of the drainage fluid. The drainage fluid is bloody 12 hours after surgery, but the drainage volume does not exceed 300mL. If the drainage fluid is bright red and the amount increases after 12 hours, there may be internal bleeding, and the doctor should be notified in time for appropriate treatment.

Catheter care: properly fix to prevent falling off; during the indwelling of the catheter, scrub the vulva twice a day; encourage the patient to drink more water, more than 2000mL a day, to dilute the urine and flush the bladder; start to close the catheter on the 7th day after surgery, open it every 2-3 hours, and open it at night to exercise the bladder contraction function; after the catheter is removed, tell the patient to urinate every 1~2 hours; if the patient still cannot urinate after removal of the catheter, or the residual urine volume after removal of the catheter is >100mL, reinsert the catheter to continue training the bladder function.