How to care after partial cystectomy

summary

Yesterday, I just had a partial cystectomy. I didn't feel any pain when the operation was just finished. Maybe it was because the anesthesia hadn't passed yet, but I began to feel very uncomfortable in the middle of the night. The doctor told me a lot of problems that should be paid attention to after the operation. Now I'll talk about the nursing after the partial cystectomy.

How to care after partial cystectomy

First: pay attention to keep the catheter unobstructed and prevent prolapse, 10 days after extubation, can micturition. The cigarettes were removed 24-48 hours after operation. Partial cystectomy was performed for bladder cancer, and anticancer drugs were used after operation. Local instillation of drugs can be used to treat superficial bladder tumor and prevent recurrence of transitional cell carcinoma. The most commonly used are piperacillin and BCG.

Second, starting from one week after the resection of bladder tumor, 60 mg of piperacillin and 60 ml of normal saline were injected into the bladder via urethra, or 120 mg of BCG were injected into the bladder, and the body position was changed every 30 minutes for 2 hours, so that all parts of the bladder wall could be exposed to the drug. Once a week, 6 times as a course of treatment. The white blood cell count should be checked before each perfusion. If it is less than 40000 / mm, the perfusion should be suspended.

Third: 5-fluorouracil is applied to the whole body. The daily dosage is 10-12mg per kilogram of body weight. It is injected intravenously for 3-5 days. After that, it was changed to 5-6mg / kg, once every other day. The total dose of 90-100 mg per kilogram of body weight is a course of treatment. The treatment can be repeated every 1-2 months. After the resection of bladder tumor, the routine urine examination and cystoscopy should be reexamined 3 months and 6 months after the operation in order to exclude or detect the recurrence as soon as possible.

matters needing attention

It can be seen that postoperative patients can not be disorderly activities, to maintain the correct position. More and more feel the importance of nursing in an operation, if nursing properly, the recovery speed of patients will be greatly accelerated. But also to pay attention to some changes in the patient's body, keep a light diet.