* Preoperative preparation work that needs to be done
Surgical procedures have some risk, so make good preparations before surgery, for example: ECG, B Chao, near-infrared, mammography films, X films, and liver and kidney function tests, urine, feces, blood and other checks, Doctors should be the basis of these inspections for the patients a choice of treatment. Therefore, patients should not free to leave after admission wards, so as not to affect the preoperative examination, delay treatment.
* What was the purpose of preoperative skin preparation and the skin test
A result of surgery from a sterile concept requires the need for skin preparation, surgical wounds, wounds of breast cancer greater preoperative range of skin need to shaving (mainly armpits), umbilicus need to use gasoline for cleaning, and make bath and shear fingernails, for operation and make full preparations for personal hygiene. If penicillin, procaine, etc. Patients with a history of drug allergy should be a doctor or nurse made it clear to prevent re-do tests in allergy.
* The significance of postoperative drainage tube device
In the ipsilateral breast cancer after breast and axillary drainage tube of a home, why not? Because mastectomy to axillary lymph node dissection, a large number of lymphatic rupture, can accumulate in the subcutaneous lymph surgery when the oozing of blood can also accumulate in the skin. Therefore, must be equipped with drainage tube, with continuous suction, so that continuous accumulation of smoke oozing out of exudate, so that flap close the wound is conducive to wound healing and prevent flap necrosis and infection. Therefore, be fixed after the regular squeeze tube drainage tube to prevent blood clots blocked drainage tube compression, distortion and so on. Lying when the rate of turn around and not be too large to prevent the drainage tube slippage and maintain drainage tube patency.
* Postoperative nutrition needs of
Radical mastectomy, surgical wound larger, more oozing exudate, and fluid consumption are also great, therefore, patients should pay due attention to diet, diet rich in digestible protein plus vitamins suitable, such as pigeons, cuttlefish, lean meat, etc. and a variety of vegetables, fruits, so that an early resumption of physical body to promote wound healing, and be able to tolerate adjuvant therapy.
* The significance of postoperative limb functional training
Because breast cancer surgery resection of pectoralis major muscle and nerve required to have difficulty lifting upper extremity surgery at the same time due to axillary lymph node dissection, resulting in lymphatic flow obstruction, upper extremity edema, upper extremity function after exercise it is very important. Exercise should be started early after surgery until after the formation of surgical scar, and then exercise less effective.
* Postoperative limb functional training points:
â‘´ 24 hours after the activities of the wrist joint;
⑵ after 1 to 2 days (extensor exercise, the simple act of fist);
⑶ after 2 ~ 3 days practicing elbow flexor wrist, forearm, sitting elbow flexion movements;
â‘· after 3 ~ 5 days, with the limb and the ipsilateral hand to shoulder with the ear;
⑸ 5 ~ 7 days a flattering shoulder exercises, shoulder flexion Taizhi 90 degrees;
⑹ 7 ~ 10 days, practicing on the limb move, a “climbing walls” campaign, after increasing daily physical activity;
⑺ 10 days, the practice “rings” campaign several times a day
* The protection of postoperative limb
Surgery because of lymph node dissection, lymphatic vessel rupture, so that lymphatic flow obstruction, postoperative limb edema, if not handled properly, easy to merge lymphangitis. Therefore, in peacetime should be noted: (1) is not in limb blood, intravenous; (2) not to mention heavy limbs; (3) to avoid limb breakage and infection of the skin; (4) to avoid mosquito bites.
