Warning: Bilirubin is high after liver cancer surgery, we can do this

After liver cancer surgery, no matter what the cause of the postoperative bilirubin increase, patients should pay attention to it, find out the cause as soon as possible, and treat it symptomatically. In addition, what are the nursing points that need to be paid attention to after liver cancer surgery?

First of all, elevated bilirubin may be related to hepatitis virus replication. Checking HBV-DNA is to understand the replication of the virus, so that doctors can determine whether antiviral treatment is needed.

Secondly, elevated bilirubin may be caused by tumor nodules around the liver or malignant lymph nodes at the liver hilum compressing the bile duct, leading to abnormal bile metabolism. Therefore, B-ultrasound is needed to see if there is bile duct obstruction.

Finally, tumor markers are sensitive indicators for postoperative monitoring of liver cancer, which facilitates doctors' judgment.

Regardless of the cause of the postoperative bilirubin increase, patients should pay attention to it, find out the cause as soon as possible, and treat it symptomatically. In terms of diet, first, avoid dirty food, it is best to cook at home and buy food from small vendors outside less; second, avoid overeating, eat in moderation, especially during festivals; third, avoid alcohol to protect the liver.

So how should we care after liver cancer surgery?

1. Respiratory care: Due to the large surgical trauma, elevated diaphragm, and limited respiratory movement, if the patient has difficulty coughing and expectoration, nebulization inhalation can be given. After each nebulization inhalation, the patient should be turned over in time, tapped on the back, and instructed to press the incision with both hands, take a deep breath and cough. Encourage the patient to cough up the sputum.

2. Diet care: Generally, patients should fast for 3 days. After intestinal peristalsis is restored, they should be given full flow, half flow and normal food. Due to liver dysfunction, loss of appetite and poor nutritional status, nutritional support should be given. When patients can eat, they should be guided to choose some high-calorie, moderate-quality protein, high-vitamin, low-fat, low-sodium and easily digestible foods. The basic principle is to eat small meals frequently, avoid raw, cold and hard foods, and measure the patient's weight regularly to understand the nutritional status.