What about the sequelae of total cystectomy and ileal bladder replacement

summary

No matter what the disease is, it will leave some sequelae more or less. When some patients remove the bladder, they will cause great psychological pressure and burden, because the operation will leave many complications. Let's talk about the sequelae of total cystectomy and ileal bladder replacement.

What about the sequelae of total cystectomy and ileal bladder replacement

First, the psychological burden of patients with bladder cancer is greater. After the change of urination habits and self-image in the future, if they are not suitable for the new environment, they will have anxiety and fear. Therefore, we should be affable to patients, introduce the ward environment and bed in detail, the attending doctors and nurses, patiently listen to patients' questions, and give a clear answer. Inform the surgical method, doctor and patient of the key points.

Second: preoperative, postoperative, and key points, to explain the possible postoperative complications, so that patients have enough psychological preparation. The daily communication of patients, with such confidence, can actively cooperate with the treatment. Preoperative examination, preoperative examination, understand the patient's body organs, adjust the patient's physical condition according to the results, to ensure the safety and success of the operation.

Third: nursing care of left and right ureteral stents. The left and right ureteral stents are led out through the abdominal wall, and the drainage bag should be marked. This tube can collect urine from both kidneys, reduce the pressure of bladder replacement, and is conducive to the healing of anastomotic stoma. The color, nature and quantity of urine were observed and recorded respectively; the drainage tube was fixed properly to avoid pressure and tortuosity. If it is found that the drainage is not smooth, it should be checked in time, squeezed and rinsed, and it should be removed about 2 weeks after the operation.

matters needing attention

Only choose the total cystectomy ileal bladder, patients have the opportunity to restore health, above we can see clearly, this kind of operation will have a great impact on the patient's body and mind, in the usual nursing process should also consider the patient's heart, but also care about the patient.