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1 case of pregnancy with a high degree of cervical squamous intraepithelial neoplasia in patients with follow-up care during the observation period


Since then cut set of people 10milTrocar, placed 3O. Mirrors, the input CO2; in the left axillary incision 12mra forward to the subcutaneous tunnel built man 10milTrocar,[link widoczny dla zalogowanych], place the ultra Author: 100083 Peking University Third Hospital, Department of Nursing About the author: Su Chunyan, female, born in 1976, Master In reading, charge nurse. Research Interests: Chronic disease care and management. 2.1 preoperative care 2. 】. 1 Conventional preoperative preparation detailed history and do the routine examination, including heart, lung, liver, kidney and other vital organs function tests; determination of thyroid function before surgery: Blood F] r3, FI, TSH, heart rate, based on metabolic rate, serum calcium and phosphorus concentrations; to the patient how to self-rating of pain assessment, pain relief techniques, and effective method of sputum; preoperative fasting 12h, 8h water deprivation; skin preparation: Skin Preparation range than conventional surgery wider, from the neck down to the navel, on both sides to the axillary and upper arm. 2.1.2 Patients with preoperative psychological support for young women, worried about impact of surgical scar appearance, want to choose laparoscopic surgery. However, to carry out laparoscopic surgery is a new surgery, patients with very little understanding of this operation, do not trust this surgical procedure, a heavier psychological burden, worry about the safety of surgery. Our time with the patient before surgery, family members communicate, explain to them during and after surgery related knowledge, highlighting the advantages of endoscopic surgery, such as less bleeding, fewer complications, no harm to the appearance, etc.; also introduced past successful cases, patients patiently answered all questions, to eliminate concerns, and enhance patient confidence. On the other hand,[link widoczny dla zalogowanych], we fully explained the surgery in patients with the steps, so that all patients should be mentally prepared for all situations, such as complications or transfer of traditional surgery. It was reported], mainly due to transfer of traditional surgery are: bleeding. '_. -. -. - ◆ -. - ◆ -. -. -. -. - ◆ -. -. _. -. -. -. -. _. -. -. -. -. _. -. -. -. - ◆ _. -. -. _. - ◆ -. - ◆ -. . Colposcopy biopsy in pregnancy should be implemented, in fact, operate in any pregnancy, biopsy, bleeding are the main concerns. Significant edema during pregnancy and vascular congestion of cervical biopsy allows large amounts bleeding. Since the high risk of bleeding during pregnancy, should be minimized biopsy operation. Who have biopsy, biopsy can be used with gelatin sponge and gauze to stop bleeding tail. Zhu Huanzhe 12 ~ 24h to remove or to the hospital out. 5 healthy pregnancy education, the concept of change as people, the importance of prenatal care and increasing the degree of concern. Pregnancy education is to help pregnant women develop a healthy behavior, improve the mental health of pregnant women, sailed through perinatal, prenatal and postnatal care [. i. As a pregnancy CINHI patients, in addition to cervical disease with a doctor followed up well, she also bears the social roles of mothers, nurses must help her to understand and fulfill the social role of the rights,[link widoczny dla zalogowanych], obligations and norms of behavior. As with the normal pregnant women, nurses, health education for them, urging them in their prenatal care, to understand their self-care during pregnancy, pregnancy nutrition,[link widoczny dla zalogowanych], activity and rest; delivery of health care; postpartum and newborn health parental knowledge of science to grasp the situation. And targeted to provide psychological support, the lifting of the spirit of fear and pressure, remain optimistic about emotional stability, through a pregnancy until delivery. 6 post-natal follow-up after pregnancy weight grade squamous intraepithelial lesions (HSIL) rarely reversed, as many as 95 have been found in patients with post-partum pregnancy CINHI still cervical dysplasia. HSIL patients known to be pregnant should do 8 to 12 weeks postpartum the diagnosis of clear assessment is the time to return to normal physiological state of the cervix time. Evaluation included colposcopy with biopsy, if indicated, cervical scraping to be done. If the post-partum colposcopy was normal and sufficient, should be reviewed once every 6 months cytology and colposcopy for 2 years, then return to routine examination before. In the meantime, the responsibility nurses have to perform their duties, the patients were closely followed up, clear the seriousness of disease and inform patients and give full right to information is necessary. While respecting patient privacy,[link widoczny dla zalogowanych], patient confidentiality.
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