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- Nursing Care Of Non-adrenaline proliferative Pseudohermaphroditism-nursing Precautions-dietary Taboos
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Knowledge of diagnosis and treatment of non-adrenaline proliferative
Visiting department: reproductive health surgery treatment cost: about (5000-10000 yuan) in the top three hospitals in the city. Cure rate: treatment cycle: treatment method: surgical treatmentGeneral treatment of non-adrenaline proliferative pseudohermaphroditism
First, preoperative preparation:
1. Diagnostic tests should be carried out before operation: (1) Urine 17-ketosteroids; (2) Detection of the basic value of 17-hydroxyprogesterone in blood; (3) Chromosome examination; (4) X-ray examination; (5) B-ultrasound or CT examination; (6) Gene diagnosis.
2. Psychological nursing before operation is more than communicating and explaining the successful cases of operation to eliminate their fear, reduce their strangeness to the hospital environment and medical staff, and make them actively cooperate with the operation.
3. One day before the operation, pubic hair around clitoris should be removed and metronidazole tablets should be taken orally according to the doctor's advice.
4. Children who need general anesthesia should fast water 6 to 8 hours before operation.
5. Menstrual period should be avoided during operation, and vulva should be cleaned every night for three days before operation.
Second, the surgical method: clitoris reduction plastic surgery bilateral labia minora plasty
Third, postoperative treatment and nursing:
1. Strictly operate aseptic technology, input anti-inflammatory and hemostatic drugs according to doctor's advice, closely observe the changes of vital signs, and notify doctors in time if there is any abnormality.
2. The ward environment should be spacious, bright, quiet and tidy.
3. Nurse Ying Qin inspects the patient, keeps the dressing dry and tidy, observes whether the dressing is loose and oozes, and notifies the doctor in time for treatment if there is any abnormality.
4. If there is an indwelling catheter, keep it unobstructed, do not discount or distort it, and guide patients to drink more water to flush the urethra, so as to avoid discomfort caused by urinary tract infection. Encourage and help patients to turn over and fix one side of the catheter laterally, so as to avoid bedsore caused by long-term local pressure on the body.
5. If the patient is in pain, the nurse should guide the patient to self-adjust and distract. Such as watching TV and listening to music. If the pain is unbearable, you should inform your doctor and apply drugs to relieve pain according to your doctor's advice.
6. Dietary guidance: Take liquid food three days after operation, change to semi-liquid food on the fourth day, and take high-protein digestible diet.
IV. Discharge Guidance:
(1) Keep perineum clean and dry.
(2) Use 1: 5000 potassium permanganate solution to sitz bath or wash vulva with warm water every day for 15-20 minutes and change underwear.
(3) Continue to take hormone therapy according to the doctor's advice.
(4) Protect perineum from trauma and riding bicycles within three months.
(5) Inform patients and their families to follow up in time and review regularly if there are any changes in their illness. Tell the contact information.
Non-adrenal hyperplastic female pseudohermaphroditism masculine degree is not serious, so the treatment is relatively simple, easy to take effect. When necessary, remove clitoris or cut off the closed part of lip bursa, expose urethral orifice and vagina, and repair it slightly. This kind of female masculinity should be raised by women.
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