What are the key points of postoperative care for thyroid tumors?

We don't have a good way to treat this disease as a thyroid tumor, and the most commonly used way is surgery, but when we care for these patients, we also need to pay attention to the fact that we should observe the condition of our patients at any time, which is what we usually call nursing assessment, and only in this way can we give patients certain health guidance points. Find out about the patient's health history, past thyroid conditions, and ** conditions. Ask about the patient's eating habits, whether they have hyperphagia, and whether they smoke cigarettes.

Assess the size, shape, texture, and mobility of the thyroid mass for systemic manifestations of hyperthyroidism. The patient's preoperative preparation, T3 and T4 values, and the timing of iodine administration were obtained.

Generally, the doctor will tell you the precautions before and after the operation, if the situation is not very good, you should go to the Sichuan otolaryngology head and neck tumor consultation platform to consult and see, this examination is still very authoritative.

Condition analysis: Postoperative care 1, according to the routine of post-operative care and post-anesthesia care. 2. After the condition is stable, take the semi-recumbent position.

3. After surgery, you can eat full or semi-flow, observe the eating situation, and pay attention to whether there is choking. 4. Observe the changes of blood pressure, pulse, breathing and body temperature within 24 hours after surgery, and report to the doctor immediately if dyspnea, laryngeal edema, vocal cord paralysis, suffocation, etc. are found, and prepare for tracheotomy. For tracheostomy, follow the routine care after tracheostomy.

Suggestions: 5. Observe the wound exudate and neck swelling, the dressing should be replaced in time when it is wet, and if the neck is swollen obviously, report to the doctor immediately for treatment. 6. For patients with subtotal thyroidectomy, tracheotomy materials should be prepared at the bedside.

It is best to supplement more selenium after thyroid cancer surgery, selenium can prevent ** and metastasis, and improve the body's repair function and immunity. In terms of diet, you can eat more selenium-containing foods, such as Tihengjian Selenium Weikang Chewable Tablets, which is very helpful after surgery.

1 According to the general postoperative care routine of surgery.

2 Cervical plexus anesthesia or general anesthesia in the post-awake semi-recumbent position.

3. Closely observe the changes in blood pressure, pulse, respiration, and body temperature, and observe whether there are symptoms such as hoarseness, choking, and dyspnea.

4 Sandbags on both sides of the neck.

5. Fasting on the day of surgery, the second day of operation, drink boiled water for the first time to prevent choking and inhaling into the lungs.

6 After hyperthyroidism, continue to take compound iodine solution for 7 days, and those who take 15 drops will be reduced by 1 drop per day until stopped.

7. After bilateral thyroidectomy or total thyroidectomy, thyroxine tablets should be taken for a long time to observe whether there are signs of thyroid crisis.

8 Observe whether there are tetaniums, tonic twitching and numbness of the muscles around the face, lips and palms and feet, and should be given supplements of 10 calcium gluconate or calcium chloride 11-20ml, oral calcium in mild cases, and dietary control of foods with high phosphorus, such as milk, egg yolk, fish, etc.

Hello! Anti-inflammatory like this closely observes the patient's complexion, breathing, blood pressure, pulse, and body temperature. Detect changes in the condition in time.

After awakening from anesthesia, the above indicators are balanced. It can be taken in a semi-recumbent position, with the head slightly tilted to the healthy side, in order to facilitate smooth breathing and incision fluid drainage, to prevent vomit from choking into the trachea or contaminating the surgical wound, pay attention to whether the negative pressure drainage of the incitrusion is smooth, so as to exclude the fluid and gas in the neck, so that the postoperative residual cavity disappears quickly, which is conducive to the healing of the incition, such as the surgical incision to place the drainage strip, it should be the same as the placement of the drainage tube, change the dressing once a day, if there is no exudate to continue to exud, the negative pressure drainage tube or drainage strip can be removed after 24 hours, due to the rich neck nerves, the postoperative patient may have more severe painIf the surgical incision site is swollen or oozing more blood, you should tell the doctor in time to avoid compression of the trachea due to bleeding and cause suffocation, if the patient chokes or hoarseness after surgery, warn the patient not to be nervous, generally use the posture of raising the head to eat and swallowing with the head down, which can be relieved, talk less and rest more.

These are all nursing attention, and at the same time, it is advisable to take life guards, which can replenish vitality, regulate the body, inhibit the growth and proliferation of cancer cells, and at the same time are very helpful to increase the appetite of cancer patients, and can effectively improve symptoms such as stomach bloating, nausea, vomiting, and loss of appetite. At the same time, it can also be appropriately allowed to sit down after meals or pay attention to the daily slow walk, which is conducive to the recovery of patients.