1, uterine fibroids patients after surgery how to discharge self-care
①Post-operative cleaning: the incision on the abdominal wall should be kept dry after discharge, and then bathed after a week (tub bath is prohibited), because the sutures were just removed at the time of discharge, and the eye of the needle had not yet completely healed, and the scabs of the incision had not yet fallen off, so it was not advisable to bathe. Of course, the skin of the whole body still needs to be kept clean in order to wipe the bath is appropriate, every night or after the bowel wash perineum.
② Pain care.
A, general discharge may still have a little abdominal incision hanging pain, from time to time there is a needle-like pain are normal, such as incision pain is obvious, need to check whether the redness, swelling, to exclude the possibility of infection, such as pus squeezed out need to go to the hospital to change the medicine, just redness and swelling can buy infrared bulbs installed in the base of the lamp, properly placed after irradiation of the abdomen, twice a day, 20 minutes each time, to do not feel hot as appropriate.
B. Soreness in the lower back: minor soreness will generally improve on its own after a few days of rest, but if the soreness is obvious you need to go to the hospital to consult a physician to exclude the sequelae left after anesthesia and use some drugs if necessary.
C. Painful urination: A great part of patients will not have this symptom, and a small part may have radioactive pain in the small abdomen when urinating, which may be caused by surgery, because the uterus is adjacent to the bladder, and if there are adhesions in the pelvis, the uterus is separated from the bladder when removing the uterus, which may be slightly bruised and improve on its own after a few days, and usually eat more boiled water and urinate immediately when you feel like urinating, and do not hold urine for too long. If the urethral opening is painful when urinating, it may be caused by urinary tract infection. Mild cases can be treated by drinking more boiled water every day, but serious cases need to go to hospital for further examination and treatment.
③ Possible abnormal symptoms.
A. Vaginal bleeding: for those who underwent intermuscular myoma or submucosal myoma resection, there are wounds in the uterine wall, which will lead to a small amount of vaginal bleeding after surgery, usually not more than 10 days, which is normal, if it is more than half a month, they should go to the hospital for examination.
B. There is usually no bleeding after subtotal resection, but if the cervical margin is high, there may be a little vaginal bleeding every month on the day of menstruation, the amount depends on the height of the cervical margin, if the margin is high and there is a lot of endometrial residue, the vaginal bleeding is relatively high, and vice versa, the vaginal bleeding is low.
C. After total hysterectomy, there may be a small amount of yellow discharge or bloody discharge for 10-15 days, which can be observed for a few days and will subside naturally. If there is purulent discharge, it may be an infection or vaginitis in the vaginal incision stump. If a patient with secondary or total uterine incision has a lot of vaginal bleeding, it is possible that the sutures are splitting and should be checked immediately at the hospital in an emergency.
④ Diet: After discharge from the hospital, it is advisable to have a light, easy-to-digest diet with high protein, vitamins and minerals that you like. Eat more vegetables and fruits to keep the bowels open, as constipation can easily cause thinning of the vaginal stump suture and the danger of rupture and bleeding.
⑤ Sexual life adaptation: Uterine fibroids digging out prohibit sexual life for one month. Uterine secondary excision and total excision of uterus can resume sexual life after two months and three months of normal review in hospital respectively. However, the sexual problems of gynecological tumor patients are not only affected by physiological and psychological aspects, but also by the misconceptions of patients and their sexual partners, which often make women worry that they are no longer a woman, that their husbands will not love her anymore and that they will not have sex life anymore. In fact, these worries are superfluous, you can get in touch with the nursing staff or physician to ask the reason, to eliminate unnecessary concerns, so that their sexual life can be coordinated and satisfactory. 2.How to follow up after surgery for fibroids patients
①Patients with uterine fibroids excavation, once every 3 months after surgery, and once every 6 months afterwards, the review content: B ultrasound, gynecological examination, mainly to check whether the fibroids recur, the size of the uterus, whether the uterine wall wound healing, and the condition of the adnexa
② 2 months after hysterectomy, review: ultrasound, gynecological examination, check the pelvic cavity, especially the upper cervical wound and abdominal wall incision for infection, ulceration, etc.
3 months after total hysterectomy, review: ultrasound, gynecological examination (focus on checking whether the vaginal stump is healed)
④Patients with conservative treatment of uterine fibroids, regular follow-up checkups every 3-6 months to observe the changes in the condition and fibroids and decide whether to further treat them. 3.How to prevent recurrence after myomectomy? Patients need to use contraception for 2 years after myomectomy. And do the following to prevent recurrence.
① Avoid long-term and excessive stimulation of estrogen, reasonable use of hormonal drugs and less nutritional tonic.
②Maintain a healthy, stable and optimistic state of mind, which is conducive to maintaining a balance of sex hormones (estrogen, progesterone and androgen), the secretion of which is regulated by the higher nerve center.
③ Contraception and birth control, individuals suffering from uterine fibroids, although the uterine fibroids are removed, there are often the existence of some invisible small fibroids. Pregnancy can accelerate the development of fibroids, so contraception should be used to reduce the number of pregnancies, patients with fibroids should not use oral contraceptives, because the stimulation of both endogenous and exogenous estrogen can cause the development of fibroids, and intrauterine devices should not be placed, which may cause increased uterine bleeding, and other methods of contraception can be used.
④Strengthen exercise, improve physical fitness, enhance immune function and resistance to disease.
⑤ Balanced nutrition, reasonable food, to avoid the recurrence of fibroids due to insufficient intake of trace elements and utilization disorders.