Difficulties after neurosurgery

After neurosurgery, patients need to lie down for a long time, reduce the movement of intestinal peristalsis caused by the weakening of intestinal peristalsis, intestinal contents through the slow, resulting in changes in individual defecation habits, which are mainly manifested in the following ways: reduction in the frequency of defecation, disappearance of the urge to defecate, difficulty in defecation (or) discharge of dry and hard fecal matter. Postoperative constipation is defined as not having a bowel movement for 3 days after resumption of diet after surgery, and the incidence of constipation is generally highest from 1 to 5 days after surgery. Constipation not only makes patients feel anxious, bloating, abdominal pain, and adversely affects their diet, sleep and recovery, which makes many postoperative patients suffer, but also becomes an unspeakable secret for many people due to the shame of speaking out when constipation occurs. Neurosurgical trauma mostly occurs in the head, if the postoperative patients are constipated, then the patient in defecation too hard, on the one hand, can make the intracranial pressure increase aggravate cerebral edema, on the other hand, may increase the risk of hemorrhage, so how to prevent postoperative constipation and timely help patients to solve the problem of constipation, is an important aspect of neurosurgical postoperative care. Preoperative The gastro-colonic reflex is the strongest after breakfast. We can give patients defecation training after breakfast every day to establish the conditioned reflex, develop the habit of defecation in bed before surgery, and start practicing defecation in bed after admission to the hospital, and start training from the environment, body position and hints, etc. It is better to let the family members cooperate with the training, so as to form the habit and enhance the adaptability of defecation in bed by subconsciousness. Postoperatively, if your condition permits, you should get out of bed as early as possible, with a small range of motion. Those who can not get out of bed should also strengthen the movement in bed, such as upper and lower limb flexion and extension, abdominal leg raising, anal retraction and other pulling abdominal muscles, but also increase the abdominal pressure to promote intestinal peristalsis. Strengthening functional exercise is to increase intestinal peristalsis, improve the gastrointestinal tract digestion and absorption ability of important measures. Diet: Take in more crude fiber food, vegetables, fruits, etc. Meanwhile, pay attention to chewing and swallowing when eating to avoid bloating caused by swallowing too much air because of fast eating. Especially, the eating ratio of staple food (cereal), vegetables and crude fiber food should be adjusted within 3 days after surgery, and less or no sweeter food should be eaten. Drink plenty of water, because water soft can soften the feces, increase the volume and weight of feces, and stimulate intestinal peristalsis, so as to achieve smooth bowel movement. If the condition permits, the daily water intake should reach about 1500ml, and it is better to drink 200-300ml of light salt water in the morning to promote intestinal peristalsis. Nursing care When postoperative constipation occurs, don’t panic and don’t be anxious, inform the medical staff of the situation and they will help you to solve the pain. Abdominal massage is a good way to effectively relieve constipation, and is usually not limited by medical conditions, easily accepted and without complications. Massage, hands from right to left for abdominal wall circular massage, to promote intestinal peristalsis, 3 to 4 times a day, 5 to 10 minutes each time, this action can be carried out 20 minutes before defecation. Kaiser is a common laxative medication when constipation occurs, the main ingredient is 50% glycerol or a small amount of sorbitol, through the hypertonic liquid stimulation of the intestinal wall, increase intestinal peristalsis and thus defecation. Paraffin oil and other lubricants have a lubricating effect on the intestinal tract, can effectively impede the absorption of water, for stubborn constipation, dry feces, defecation weakness of the elderly frail people most adaptable. I hope that the above content can help patients who are troubled by postoperative constipation, but also the most important point, patients should maintain a good mood, moderate exercise, healthy diet, in order to better prevent the occurrence of postoperative constipation.