In fact, hamartoma is not a difficult disease to cure, and patients do not need to worry too much all day long. During the treatment process, as long as they actively cooperate with the doctor's treatment and do a good job of relevant preoperative and postoperative care, I believe they will be able to recover to normal health soon. Below I will analyze for you what hamartoma nursing analysis is? Surgery is a common treatment for hamartoma. Generally speaking, patients have a high chance of recovery after surgery. However, surgery is very harmful to the human body. To ensure the good recovery of patients, good preoperative and postoperative care is particularly important. Preoperative precautions: 1. Observe the patient's local characteristics. Tumor bleeding stimulates the peritoneum and often causes pain in the renal area, sometimes accompanied by nausea, and physical examination shows signs of acute abdomen. 2. Pay attention to the patient's complaints. If the patient complains of increased pain or other symptoms such as palpitations, nausea, etc., it should be taken seriously and analyzed whether the above symptoms are caused by bleeding. 3. Prepare for rescue and emergency surgery. Hamartomas are prone to spontaneous bleeding. If the bleeding is large and continues, shock may occur. Then, surgical treatment is necessary. Therefore, on the one hand, rescue work should be done well. On the other hand, preparations for surgery should also be done, such as skin preparation, emergency examination, blood preparation, and psychological preparation of the patient. 4. Observation of vital signs. Most patients with hamartoma are admitted to the hospital due to tumor rupture and bleeding. Therefore, medical staff must first observe their vital signs, monitor changes in blood pressure and pulse, and detect shock signs early to provide information for timely treatment. 5. Control the drip rate of infusion. If the bleeding is minor or controlled, the infusion rate should be controlled within 60 drops/min to avoid increasing the amount of fluid per unit time, which will increase the burden on the kidneys and aggravate the bleeding. Postoperative care measures: Inform the patient of the correct body position. Put the patient in a supine position. If there is no bleeding or the amount of bleeding is small, put the patient in a healthy side position. It is absolutely forbidden to put the patient in a side position. At this stage, the patient's subjective symptoms are not very obvious, and they lack sufficient knowledge of the disease, so they often cannot cooperate well. This requires nurses to preach and educate in a timely and appropriate manner, explaining the importance of the nursing measures taken, and not putting psychological burden on the patient. Pay attention to healthy diet and excretion. Give patients a high-nutrition and easily digestible diet to avoid constipation, and eliminate factors that induce tumor bleeding due to increased abdominal pressure caused by constipation. Understand the patient's diet and bowel habits in depth and detail, and provide timely guidance. Strictly restrict activities. Patients with tumors smaller than 4 cm in diameter and no bleeding can get out of bed; patients with tumors smaller than 4 cm and a small amount of bleeding need to stay in bed. Medical staff will assist patients in bed activities; patients with heavy bleeding or tumors larger than 6 cm in diameter must absolutely stay in bed. Quit smoking and drinking to prevent colds. Patients with smoking habits should quit smoking and prevent colds. Prevent patients from rupturing and bleeding the tumor or aggravating bleeding due to coughing. In short, good preoperative and postoperative care for patients with renal hamartoma plays a positive role in ensuring the treatment effect and promoting the patient's recovery. Good care can help patients reduce psychological pressure, put them in a relatively relaxed treatment and rehabilitation environment, and enable them to recover soon. |
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