CERVICAL CANCER

In radiation therapy of cervical cancer, cervical we can have different degrees of hemorrhage, necrosis, edema and tissue reaction. Vaginal may have edema, hyperemia, narrow, and adhesion. Shortly after the end of radiotherapy, radiotherapy response will still exist. If a husband and wife in this period of life, not only for patients with a certain pain, but also increase the impact of radiotherapy treatment response. Decades of experience has proved that cervical cancer radiotherapy after 2 to 3 months of life began to resume suitable.

Cervical cancer is the most common tumors of women, female genital cancer in the first or more of the 40 to 49-year-old, 20-year-old following rare. The incidence and causes of early marriage, early childbearing, prolific, viruses, and cervical erosion cervical chronic diseases. The development process is: precancerous lesions - atypical hyperplasia - carcinoma in situ - invasive carcinoma. The atypical hyperplasia and carcinoma in situ early cervical cancer-free general, can contact hemorrhage; The future irregular bleeding, sometimes massive hemorrhage; Pai thin serous bloody secretions, the smell; Cancer tissue necrosis, infection, a large number of pyogenic or soup-like odor of Leucorrhea. Late invasive cervical cancer adjacent tissue, involving the lumbosacral nerve, causing serious thigh and waist deep drilling or persistent pain along the sciatic nerve distribution of the radiation, with a pelvic infection, pain. Since late anemia and infection, there are phenomena such as fever and weight loss, said cachexia, transfer directly to the spread of lymph node metastasis and have less blood metastasis see.

(A) rehabilitation of the self-care
To overcome cancer and the restoration of health, cervical cancer patients addition to regular inspection and treatment, should have self-care knowledge.

1. Be reasonable rest

A good living environment can bring happiness to patients feeling less sad. Regular cervical cancer patients after treatment than poor general health, if exhausted body quickly restored, we must ensure that adequate rest. But not all the bed rest, but according to their own actual conditions, and proper rest, such as walking, reading, playing chess or fishing, do light housework, the rest is conducive to the physical and mental health is conducive to rehabilitation.

Hope for the future fertility of women, the biggest wish is to be retained, if not with the uterus. On this point, there is laser therapy for the treatment of choice. But we must discuss with the doctor with the appropriate choice of therapy lesions removed, because it has all kinds of therapy and application conditions.

If pre-menopausal women will be in charge of the female hormone secretion vital organs - ovariectomy. There may be premature menopause obstacles. As to whether ovary removal should be based on the degree of development of cancer and age, a comprehensive analysis of careful consideration, the final decision. This is also carefully and doctors decided after discussion.

A cervical cancer after brachytherapy for the care of women <BR> Cervical cancer is the most common genital tumors, but also the threat of an important women's health diseases, and radiation therapy of cervical cancer is the primary means of intracavitary radiation therapy after loading including radiotherapy and radiotherapy treatment. After loading radiotherapy is the first non-radioactive sources at the treatment site for containers, and then into containers for radioactive sources, such treatment can be avoided placing containers in the process of medical personnel from unnecessary exposure. Hospital miniature remote control using high-intensity installed after the Iridium-192 source, a computer operating system and the treatment plan <BR> machine control system, the movement of computer-controlled stepper motor implementation of the 18 channels can be treated, can be intraluminal brachytherapy, the treatment of pipeline Interstitial Brachytherapy and radiation, safe, it is within the locks, risks, and analog sources, the police, emergency retreat of UPS systems to machine safety performance and the safety of staff is guaranteed. According to the hospital after brachytherapy for Nursing described below.
A clinical information <BR> May 1996 to December 2003, we treated 516 cases of cervical cancer patients, the oldest 72 years old and the youngest 27 years old, 40 to 55 age group accounted for 65% of the total number of patients.
Two nursing <BR> 2.1 before treatment care <BR> 2.1.1 psychological care for the psychological care of patients often play an important role in cervical cancer patients with more complex psychological, fear, anxiety, was afraid of the pain, fear of long-term illness pack Grinding abandoned by their husbands, and even some fear death, have strong desire to survive and look forward to receiving treatment after lift or ease the symptoms, or even cure, extend life, we should take the initiative solicitude and care of patients on treatment to the patients as well as the current situation in the cause of tumor development, and inform their tumors not horrible, many patients can be cured through treatment, to put aside ideological burden, and enlighten patients face reality, the correct treatment of disease, elimination of fear and anxiety the patient's psychological and enhance the confidence to overcome the disease.
2.1.2 General Care (1) nurses should help doctors to the patients and their families understand the disease and patients to the attention of the relevant divisions to achieve understanding and cooperation, asking for half an hour before emptying incontinent patients. (2) Single pathology report, the results of the implementation of the malignancy, check whether the blood (WBC no less than 3.5g / L, platelet not less than 100 g / L). (3) measurement of blood pressure and body temperature, blood pressure may not be less than 13.33/9.33kPa, body temperature higher than 37.5 ° C intrauterine not radiotherapy, not higher than 38 ° C for the vagina. (4) Operation of the room used for: a disinfection kits, the contents (a curved set, a round Cup, an oval pliers, bend a pair of pliers, expansion of an overcast, a hole towel, paraffin oil a small cotton, the cotton Iodophor 3), by another dry gauze one, gauze, cotton and Purpose of probe, vaginal mold, plastic sheets and other. (5) for the treatment of the front trousers, supporting the patient bed to prevent falls, take lithotomy position, shop towel disinfection perineal hole with expansion of Yin fully exposed vagina and uterus. (6) To assist doctors and cervical and vaginal fornix of supplying operation, supplying Used gauze packing, and then tape fixed to prevent shedding. Infection such as cervical discharge, 3% hydrogen peroxide for three to four cotton scrub. (7) Room to send patients (treatment rooms), then good for joints Jan. again on Jan. fixed for the good closure of the door and began treatment (to take over full realigned to avoid cards source).
2.2 Treatment of Care (1) could be observed via closed-circuit television in the treatment of patients, and intercoms direct dialogue with the patient, if the patient does not complain or worse may beckon, we entered the room that stands to correct the patient discomfort, to a treatment room. (2) After the treatment, red lights by greening up real source to Tank, we have entered the treatment room, with loose connections-guided brachytherapy and joints, introduced the patient treatment rooms.
Nursing 2.3 after treatment (1) completed the treatment, patients from the treatment room to room to push to help doctors and Purpose of dressing removal, and observe whether patients vaginal bleeding gauze and left. (2) a vaginal bleeding, and can be used gauze packing iodoform, and explain to patients administered by doctors removed 24 hours. (3) If no special treatment of patients after a short break, back to the wards continue to observe and supervise the patients to increase nutrition. After loading the treatment of cervical cancer care must establish a good nurse-patient relationship and psychological care, strengthen psychological patients establish the confidence to overcome the disease, and actively cooperate with the treatment, that treatment success.

Most patients have varying degrees of malnutrition, and malnutrition is not conducive to the rehabilitation of cancer patients. Malnutrition from the cancer itself or the side effects of treatment caused. Thus, in patients receiving treatment before or course of treatment, doctors should fully estimate the nutritional status of patients, and targeted nutritional supplies.