Cervical cancer care and treatment
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Reproductive care of patients with cervical cancer Cervical cancer is one of the common malignant tumors of women, the incidence rate of Chinese women in the first place, and the traditional...
Cervical cancer is the most common of women 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 treatment planning systems and machine control systems, the movement of computer-controlled stepper motor implementation of the 18 channels can be treated, can be intraluminal brachytherapy, treatment and pipeline Interstitial Brachytherapy irradiation, 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 data
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
Nursing 2.1 before treatment
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 tortured abandoned by their husbands and even some fear death, have strong desire to live, to look forward to after treatment by lifting or easing 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 development of tumors, the tumor did not inform terrible, and many patients can be cured through treatment, to put aside ideological burden, Trying to face reality and the patient, 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.
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Tags: bleeding, infection, pain, patient, patients, radiation, radiotherapy, risk, symptoms, treatment, vaginal, women