What are the nursing measures for laryngeal cancer

In the dry northern winter, we must ensure sufficient humidity in the house, otherwise it is likely to cause some inflammatory respiratory diseases. The occurrence of laryngeal cancer will definitely bring serious diseases to the patient's body and family. We hope to have a full grasp of the various conditions of the disease. The surgical process of laryngeal cancer is an inevitable process for patients, so we must fully grasp the relevant nursing matters.

After a partial laryngectomy, although we can still speak, the pronunciation function is often affected and hoarseness occurs. Breathing generally does not need to be changed, and life is generally normal. However, if a total laryngectomy is performed, it will have a greater impact on the patient's life. Not only will the pronunciation function be lost, but a tracheostomy is required in the lower front of the neck. Patients often have concerns about the loss of speech function after total laryngectomy. Medical staff and family members should explain patiently and carefully, pointing out that after exercise after surgery, they can still communicate with others through electronic laryngeal can to eliminate their concerns. Routine examinations should be done before the operation, including blood matching, skin test, and temperature measurement the day before the operation. Sleeping pills and fasting should be given the night before the operation.

During the operation, the doctor will insert a gastric tube for you to pass liquid nutrition into your stomach through your nose. A drainage tube will be placed at the wound to drain unnecessary fluid and make the wound heal as soon as possible. The nasogastric feeding tube is very important for patients with total laryngectomy. Please do not remove it at will. It usually needs to be kept for 7-10 days. If the wound heals well, it will be removed. If a pharyngeal fistula occurs, continue nasogastric feeding until the pharyngeal fistula heals, and then eat orally. Pay attention to the tightness of the tracheal tube tie. Generally, it is appropriate to insert a finger without discomfort to the patient. If it is too loose, it must be tightened to prevent the tracheal tube from slipping out.

Generally, after hemi-laryngectomy, the tracheal cuff can be removed after the swallowing function is restored. Before removing the tube, the tracheal cuff should be blocked for 24 hours. If there is no breathing difficulty, the tube can be removed and the wound can be closed with butterfly tape. It must be noted that the disinfection time of removing the inner tube should not be too long, preferably not more than 30 minutes. If the time is too long, the inner diameter of the outer tube will be blocked by the secretions drying and scabbing. When the weather is dry, a mixture of α-chymotrypsin and gentamicin in a proportional saline solution can be used, once an hour, 2-3 drops, dripped into the tracheal cuff. The tracheostomy will follow you for the rest of your life. You may feel panic at the beginning. The nurse will help you take care of the stoma until you are confident to handle it yourself. Patients must remember to avoid being in a cold and hot environment because the air inhaled from the breathing hole will directly enter the patient's lungs. Be careful not to inhale exhaust gas, smoke and dust. It will also affect the sense of smell, but it will get better.

Since the throat area of ​​the human body is very important for eating and breathing in daily life, if a disease occurs and surgery is performed, it will bring great inconvenience to life. It is necessary to master the relevant nursing knowledge and precautions so that you can better cope with the development of the disease. These are all very beneficial.