I. Life precautions.
1. You can eat and drink on the next day after surgery, walk on the ground on the second day, and be discharged on the 4th-6th day. Give nutritious and easily digestible food.
2, 1 month after surgery, it is appropriate to eat easily digestible food, and pay attention to dietary hygiene, prohibit overeating and drinking and smoking. Avoid constipation that may lead to increased intracranial pressure.
3.Rest for 1 month after surgery, avoid doing strenuous exercise; it is recommended not to have intercourse within 2 months and not to get pregnant within 3 months.
4.Recuperate in a quiet environment after surgery and avoid contact with too many people or mental work.
Second, the need to contact the doctor
1.Nasal secretion: About 1 month after surgery, nasal congestion or nasal cavity with bloody secretion constantly, you can put nasal drops in the nasal cavity to reduce inflammation. 1 week later, clean nasal secretion 1~2 times in ENT department.
2, nasal bleeding: after removing the gauze filled in the nasal cavity after surgery, individual appear after several days, the lighter nasal cavity can be seen by temporarily filling in cotton balls. In severe cases, angiography is needed.
3, headache: may be caused by a variety of factors such as nasal mucosal edema butterfly sinus inflammation, heavy cases can take painkillers.
4, hypopituitarism: manifested as fever, general weakness, headache, nausea, vomiting, not thinking about eating and drinking, etc. Review the blood cortisol and thyroid hormone, if necessary, prednisone and thyroid hormone treatment.
5. Hyponatremia: usually occurs on the 4th-8th postoperative day, manifesting as hypothermia, weakness, headache, nausea, vomiting, and in severe cases, deterioration of mental status. Blood sodium and chloride test is low. Infusion, restrict drinking water.
6, cerebrospinal fluid nasal leakage: nasal flow, low head aggravated, with headache, may have fever. Avoid sneezing, blowing nose, etc. Surgery if necessary.
7.Urinary collapse: drink more water, urinate more. 4000ml/day. Control drinking water, record the amount of water and urine, 3-5 days later more can improve. Should drink more orange juice and light salt water. If necessary, use the drug mydriatic tablets or dihydrocortisone
8, vision loss: caused by vascular spasm or bleeding.
III. Routine postoperative reexamination.
If the hormone level is high before surgery, it should be reviewed after surgery.
The MRI of the head should be reviewed 1 year after microadenoma surgery.
Adenomas (1-2 cm) should be reviewed 6-12 months after surgery.
3-6 months after surgery for large adenomas over 2 cm
Giant adenomas over 3 cm and aggressive cavernous sinus adenomas should be reviewed on MRI shortly after surgery to determine the next step of treatment.
The hemostatic items placed in the tumor cavity during surgery are bound to show abnormal shadows when MRI is reviewed after surgery, and radiologists often report them as residual tumors, so patients and their families need not be confused or panic.