How is cervical cancer cared for and diagnosed?

  Cervical cancer occurs at the junction of squamous and columnar epithelium of the uterine cervix, with squamous cell carcinoma predominating, and is one of the most common gynecologic malignancies. Human papillomavirus (HPV) infection is the main risk factor, and the incidence is higher in those who have early sexual intercourse, early childbirth, multiple births, chronic inflammation of the cervix, and a history of sexual promiscuity.  I. Diagnostic tests 1. Cervical scraping cytology: It is the most common method to screen for cervical cancer.  2.Biopsy of cervix and cervical canal: it is the most reliable method.  3.Cervical iodine test: taking biopsy in the iodine non-staining area can improve the diagnosis rate.  4.Colposcopy, angiography, cystoscopy and proctoscopy: it helps to determine the clinical stage of cancer.  (1) Psychological care: explain to the patient and family members, reduce the patient’s psychological pressure, and make the patient fully prepared psychologically.  (2) Dietary guidance: Give high-protein, high-calorie, easily digestible and vitamin-rich food. Fasting on the day of surgery, the first day after surgery, you can eat liquid food, and gradually eat semi-liquid food or general food according to the condition of exhaustion. Do not drink milk, soy milk and sugary foods before deflation to prevent abdominal distension.  (3) Activity guidance: instruct patients to practice bed turning and limb activities before surgery to prevent postoperative thrombosis.  2. Preoperative care For total hysterectomy, the preoperative preparation should be done according to open gynecological surgery; for radical cervical cancer surgery, the preparation should be as follows: (1) Skin preparation: the skin should be prepared one day before surgery, ranging from the subxiphoid to the upper 1/3 of the thigh and the perineum, and from both sides to the mid-axillary line.  (2) Blood preparation: 800 to 1000 ml of blood is routinely prepared.  (3) Vaginal preparation: The vagina should be flushed twice with 0.05% iodophor solution the day before the operation, as gently as possible to prevent cervical bleeding.  (4) Intestinal preparation: according to the requirement of clean bowel wash, semi-liquid diet three days before surgery, liquid diet two days before surgery, fasting without water one day before surgery, and rehydration at the same time. Or take Hengkang Zhengqing San orally one day before surgery to cleanse the intestine, and give bowel cleansing at night depending on the situation of defecation. The day before surgery, after 10:00 p.m., water is prohibited until the surgery, and intravenous fluids can be given on the day of surgery for the patients on the reception desk as prescribed by the doctor.  (5) Indwelling urinary catheter: insert urinary catheter in the morning of the operation day.  3, postoperative care (1) position: according to the operation according to the general anesthesia or epidural anesthesia postoperative care routine, keep the airway unobstructed, to prevent accidental aspiration.  (2) Condition observation: closely monitor the consciousness, consciousness and vital signs; observe the amount, color, nature and volume of vaginal bleeding and wound bleeding.  (3) Keep all kinds of drainage tubes unobstructed and observe and record the color, nature and amount of drainage fluid; remove the urinary catheter immediately after surgery and instruct the patient on the method of urination.  (4) Prevention of venous thrombosis: wear anti-thrombotic pressure belt correctly after surgery to promote the reflux of lower limb veins and reduce the occurrence of venous thrombosis.  (4) Symptomatic care for patients with advanced cervical cancer (1) Complicated hemorrhage from cervical cancer: promptly report to the doctor and cooperate with resuscitation, fill the vagina with gelatin sponge and gauze strips to stop bleeding by compression.  (2) If there is a large amount of rice-like or foul-smelling pus-like vaginal discharge, use 1:5000 potassium permanganate solution to scrub the vagina. The scrubbing should be done gently to avoid haemorrhage.  (3) For persistent lumbosacral pain or lumbar and leg pain, pain relievers can be used appropriately.