What are the nursing measures after total cystectomy and ileal bladder surgery

summary

People have to go to the toilet every day, while some people can not go to the toilet for half a day, and some people have to go to the toilet every two hours. This is related to people's bladder, which varies from person to person. Now let's talk about the nursing measures after total cystectomy and ileal bladder surgery.

What are the nursing measures after total cystectomy and ileal bladder surgery

First, colostomy nursing guidance: through the patient's sitting, standing and lying posture, choose the best position of the colostomy for the patient, choose the flat position that the patient can see, avoid skin wrinkles, scars, bone protrusion, pants head and other positions, select the position of the colostomy together with the patient and mark it well. Show patients, family members and primary caregivers how to make bags and demonstrate how to make bags with stickers.

Second: Observation of the disease early observation stoma, 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

After total cystectomy and ileal bladder operation, we should pay attention to the body care, not to let the wound leak out, and pay attention to the use of pouch. To maintain the quality of the living environment of patients, when the wound infection occurs, timely treatment.