Hepatocarcinoma pains and attends to _'s prevention and health care
It is hepatocarcinoma and patient's most common, most typical symptom that the liver district pains, generally present the chronic stuffy pain continuously, with sick losing the appetite and whole body weak, oppress normal organization, cause by the intersection of cancer and cooking stove mainly, can often radiate to the right shoulder or back. When liver break, liver make under the membrane bleeding and blood wear the liver wrap up the film and enter abdominal cavity, can appear violent the intersection of liver and district ache, companion upper abdomen tenderness, skin nervous peritoneum irritate solicit. It is extremely apt to cause patient's anxious and depressed mood that the liver district pains, influence the patient's life quality, lose the confidence of life and treatment.
(1) Attend to the goal
1,The patient tells pain lightens or disappears.
2,The high patient's life quality.
(2) Attend to the measure
1,Observe a patient in painful property, duration and range which the patient can stand.
2,Observe following symptom of the patient, sick and vomiting etc..
3,Employ analgesic for first stage to begin from non- opium anodyne according to the tertiary analgesic method, such as aspirin, strong pain definitely ' Laurel piperazine of cloth) , flat new pain ' Endure the good fortune to melt) , Indometacin( The indole is beautiful and hard) Bolt,etc.. If can't relieve, on this basis, add weak opium anodyne, such as codeine, third oxygen phenol,etc.; If pain is violent, can use strong opium anodyne, such as Pethidine (Meperidine) , beautiful to construct Kangding,etc., have a new kind of stick to pharmaceutical to be more auspicious and lucky now, analgesic effect can up to 72 hour.
4,Observing the change of patient's life physical sign once pains and stimulates and solicits with the peritoneum vigorously, should watch out for the liver to break, report to a doctor immediately, make good preparations for rescuing.
5,Instruct patients how to lighten the method of pain
( 1) Try hard, deeply breathe at the pain, rely mainly on breathing in chest type, lighten belly pressure amazing.
( 2) Fetch the comfortable body posture. Suffer from, lie on one's side location and half lie location, can lighten belly wall nervous, lighten pain.
( 3) It is massaged gently that some, can't exert oneself, otherwise apt to cause lump to break or spread.
( 4) The diet should be selected light, high protein, low lipoprotein, having no amazing exchanging the food of digestion, unsuitable to satiate, much meal of small quantity. Keep the stool unobstructed, lighten abdominal distension, so as not to bring out pain.
( 5) Keep mood steady, anxious mood is apt to cause pain to strengthen.
( 6) Divert one's attention, can read some novels, caricatures,etc. and disperse attention.
6,Keep the environment quiet and comfortable, carry out the protective medical treatment system, listen to the patient pour out patiently, offer appropriate comfort, reduce
Light patient's psychological burden, improve the threshold of pain.
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