How to nurse after operation of bladder polyp?
summary
The treatment of bladder polyps is mainly surgical treatment, and the effect of radiotherapy and chemotherapy is not very good. How to carry out the nursing after the operation of bladder cancer is a question that many people will ask. The nursing after the operation of bladder cancer also has a great influence on the prognosis. Let's talk about the nursing after the operation of bladder polyp?.
How to nurse after operation of bladder polyp?
First, cystoscopy should be reexamined every 3 months within 2 years for patients with bladder preservation, and every 6 months for patients without recurrence within 2 years. Other optional reexamination contents include: urine exfoliative cytology, intravenous urography, urine routine, B-ultrasound and CT, etc.
Second: the daily care and health care of patients with ileal bladder passage: because the urine of patients flows out from the abdominal ileostomy, the urine collector needs to be permanently placed. The urine collector consists of a chassis and a urine bag. Generally, the chassis is replaced every few days, and the urine bag is replaced every 1-2 days. Attention should be paid to: (1) the skin around the stoma should be protected, cleaned and disinfected every day, and coated with zinc oxide ointment（ 2) When you find flocculent mucus in your urine, you can drink more water and take sodium bicarbonate tablets orally to alkalize your urine and thin the mucus to facilitate smooth urination（ 3) The patients were reexamined every 3 months within 2 years and every 6 months after 2 years（ 4) Pay attention to the occurrence of retrograde infection of urinary system, if there is sudden high fever, also need to go to the hospital in time for diagnosis and treatment（ 5) If there is bloody secretion in urethral orifice, we should be alert to the possibility of residual or urethral tumor, and come to the hospital in time.
Third: daily care and health care of patients with orthotopic ileal bladder replacement: as urine is still discharged from the original penis urethra, in order to prevent urinary incontinence, levator ani muscle training should be done to exercise perineal and pelvic floor muscles, 30 times as a group, 30 groups per day. At first, urinate once every 2 hours, sit down to urinate, relax the pelvic floor muscle, add abdominal pressure, and ensure that the urine is drained every time. At night, use the alarm clock to wake up every 2 hours and urinate on time. After 3-6 months, the urination interval was gradually extended to 3-4 hours. Instead, standing urination was used. Drinking 2-3 liters of water per day and eating more salt were used. Within 6 months after operation, liver and kidney function and electrolyte were checked every 1-2 weeks to prevent electrolyte balance disorder. The patients were reexamined every 3 months within 2 years and every 6 months after 2 years.
matters needing attention
The above is the five points for attention of postoperative nursing of bladder polyps. As long as it is in accordance with the above way, it is of great help to patients. At the same time, it still needs to be reviewed on time to understand the changes of the disease.
