Psychological treatment of testicular injury

Testicular injury is not only bad after the occurrence of such diseases, and such diseases are easy to recur, so that patients suffer from torture and pain, so for such diseases we need to be more correct when the disease to treat the disease, in line with the treatment at the same time to pay attention to psychological treatment, now we will understand the psychological treatment, the patient should be helpful. Testicular injury treatment: (a) treatment Testicular injury treatment process as far as possible to preserve the testicle, injury serious shock should be anti-shock treatment. 1. trauma Clean the wound, remove necrotic tissue, repair sutures, try to preserve the testicular tissue to maintain male function, with hematoma thoroughly removed to avoid infection caused by hematoma, in the case of bilateral testicular injury, do not remove the testicle when there is no damage to the testicular artery, if the testicle has been severed, consider that the testicle should be transplanted in situ or ectopic transplantation, scrotal injury is serious then perform scrotoplasty to wrap the testicle. 2. contusions Local hematoma injury immediately after the cold compress to reduce blood leakage. If the testis is swollen and painful, a little white membrane can be cut to reduce the internal pressure of the testis, but the occurrence of varicocele hernia should be alerted. 3. Dislocation and torsion The testicle should be repositioned and fixed as soon as possible. In addition to testicular fixation, the spermatic cord should also be fixed appropriately to avoid further dislocation or torsion. If treatment is delayed and the testis is necrotic, the testis can only be removed to avoid intra-scrotal infection. (B) Prognosis Many observations confirm that early surgical exploration not only removes the hematoma and prevents infection. It also greatly reduces the rate of orchiectomy through testicular repair, thus reducing the patient’s psychological burden and infertility caused by autoimmune reaction. For example, out of 65 patients treated by Cass, 23 cases were treated non-operatively and 5 cases had orchiectomy due to delayed surgery, which was 22%. In contrast, the orchiectomy rate was only 7% in those with early surgical exploration. Non-operative treatment was unsuccessful in 45% of the patients, often due to persistent pain, infection and other complications eventually delayed exploration, and 45% had their testicles removed, in contrast to the 5% who had their testicles removed within 72h of surgical exploration. Psychological treatment of testicular injury 1. Pessimistic, manic and fearful period Patients with testicular rupture and necrosis are mostly middle-aged and young people. They are at the peak of their families and careers, whether they come from rural areas or towns. When they learned that they need to undergo emergency surgery to remove the decision, deeply manly self-integrity is destroyed, worried about the loss of sexual function, to love, marriage, family and other crises, look forward to the future, shudder, manifested as agitation, pain, anxiety, fear, some do not think of tea, emotional vulnerability, irritable, aggressive confrontational behavior, such as: refusing treatment, care, refusing to see people, destruction of goods, etc.. Individuals even have the idea of light life. 2, indifference, depression, swinging period Many patients after a certain stage, also know that testicular damage has become a foregone conclusion, disability is inevitable, there is a certain understanding of the disease, life is gradually adapted. Psychologically there has been a negative adaptation, think is good or bad are so, can not help, manifested as indifferent feelings, depression, strong pressure inner pain, sometimes happy, sometimes unhappy, will is relatively weak, easy to suggestive influence. 3, life coordinates rethinking period Many middle-aged patients friends, in the face of a series of problems such as love, marriage and family, there is a process of re-awareness, rethinking. While giving psychological guidance to the patients, the nursing staff should explain to the patients step by step the condition and the best turn of events, so that the patients can be hopeful about the future, and introduce to them typical examples of disabled people who are self-reliant, have strong beliefs in life, have a strong desire to live, have confidence in overcoming their disabilities, not only can they actively adapt to their disabled lives, but also are determined to contribute to society with strong perseverance, encourage them to communicate with similar patients They are encouraged to communicate with patients of the same kind, to realize their self-worth again, to return to society, and to raise the sail of life again. Psychological treatment is very important to help patients to treat and care for the disease more correctly, so that the disease can be cured earlier.