Pituitary adenoma is a benign tumor and is divided into many types. Common pituitary adenomas include prolactin adenoma, growth hormone adenoma, adrenocorticotropic hormone adenoma (Cushing’s disease) and non-functional adenoma, thyroid hormone adenoma, etc. Transsphenoidal sinus surgery is a safer surgical approach with less trauma, better efficacy and faster recovery. For your smooth recovery, please pay attention to the following after discharge: 1. You can eat and drink normally with no special restrictions.
2, pay attention to proper rest, if there is no special situation, you can work normally after January.
3.After surgery, the loss of taste and smell is mostly temporary, no special treatment is needed, most of them can recover by themselves.
4.For those who underwent surgery through the oronasal butterfly, the sutures of the upper lip mucosal incision are absorbable intestinal sutures, which will fall off by themselves and do not need to be removed. Those who undergo single nostril butterfly sinus surgery generally do not need stitches.
5.Some time after the surgery, there may still be blood in the sputum, if the amount is not much, it is normal and can be observed without treatment.
6, the nasal crust in the nasal cavity should not be snapped by hand, should be left to fall off on their own, such as nasal congestion can use new anesthetic solution, chloramphenicol eye drops, compound peppermint oil nose drops. Or go to the local hospital ENT department for nasal scab cleaning.
7. Pay attention to whether there is clear liquid flowing out of the nostrils. If there is, the possibility of cerebrospinal fluid nasal leakage should be considered. Test with urine sugar test paper, if positive should be considered to have cerebrospinal fluid nasal leakage, promptly review to get in touch with the ward doctor to get treatment guidance. Generally speaking, as long as there is no cerebrospinal fluid leakage during surgery, even if there is nasal fluid after surgery, it is usually not cerebrospinal fluid rhinorrhea, but secretions from the nasal mucosa.
8, attention should be paid to avoid upper respiratory tract infection as much as possible.
9. Hormones are gradually reduced after discharge. Prednisone is reduced once a week, 1 tablet each time, and finally the prednisone taken in the morning is subtracted. If anorexia, weakness and other feelings appear, prednisone can be increased by half to 1 tablet as appropriate; thyroid hormone can be reduced once every 2 weeks, half a tablet each time, during the reduction process, if chills, palpitations, slow heart rate and other conditions appear, half a tablet can be increased as appropriate.
10. If the urine volume continues to exceed 3000ml/day or >200ml/h after discharge, polyuria or even uremia should be considered. 25-50mg of dihydrocortisone can be taken orally 3 times a day, 100-200mg of painkillers 3 times a day, or 0.05mg of mydriasis 2-4 times a day under the guidance of the doctor. And restrict water intake appropriately, and measure weight daily. Blood electrolytes should also be checked, and if electrolyte disorders occur, they should be corrected at the hospital in time. Sometimes even if the urine volume is normal, electrolyte disorders may occur, especially hyponatremia and hypokalemia (often delayed antidiuretic hormone abnormal secretion syndrome, the amount of in than out, dilutive hyponatremia and hypokalemia), at this time is mostly accompanied by mild to moderate to severe nausea and vomiting, dizziness, if the above situation occurs, need to go to the hospital to draw blood to check electrolytes, if there is hyponatremia, need to take sodium supplementation, If hyponatremia is present, sodium supplementation, water restriction, diuretic and hormone treatment are needed.
11. After discharge from the hospital, you should come to the hospital for routine review in 3 months, 6 months and a year, and you should follow up for life. Generally, the doctor will tell you the approximate time of the next follow-up according to the specific situation when you come for the first follow-up.