How to care for ileal bladder replacement

summary

Ileal bladder replacement is a very big operation, it changes the urination structure of the human body, will have a great impact on the patient's body, so the nursing before and after the operation is very important, let's talk about the nursing of ileal bladder replacement.

How to care for ileal bladder replacement

First: preoperative nursing, preoperative intestinal preparation to ensure the success of the operation. Explain the importance of bowel preparation to patients to get their cooperation. Improve the patient's sense of participation. Half flow food and clean enema were taken 3 days before operation, and intestinal bactericides were taken according to the doctor's advice. Liquid food and laxatives were taken one day before operation.

Second: postoperative care: Observation of the condition, early observation of the stoma, the normal stoma is generally red, moist, shiny. After touching, there will be a small amount of bleeding. If there is a large amount of bleeding or it turns purple black, when it loses luster, we must be highly alert to the ischemic necrosis of the stoma, and we need to inform the doctor in time. The bag was worn 3-4 days after operation to reduce exudation and promote wound healing.

Third: change the ostomy bag and get ready for replacement. When changing, pull up the ostomy bag to the direction of the ostomy. When tearing, use the other hand to press on the skin. The action should be gentle to avoid damaging the skin due to too fast and too heavy. Use sterile saline cotton ball to scrub and clean the ileal secretion in time. After thoroughly cleaning the skin, dry the skin with soft cotton cloth.

matters needing attention

Ileal bladder surgery will cause certain psychological pressure to patients, will bring a lot of inconvenience to patients in daily life, so the family members of patients should do a good job of psychological comfort, do not let patients have psychological pressure.