Patients after surgery
During surgery, the surgeon is unable to determine the true boundary of the introduction of cancer cells in the tumor surrounding normal tissue. Individual tumor cells are difficult to recognize among the normal cells of the same body, even under a microscope. Therefore, radical surgery for cancer lies in its wide excision, with the capture of healthy tissue, with simultaneous removal of regional (nearby) lymph nodes. The size and amount of tissue removed depends on the location of the tumor. If technically feasible, and physiologically acceptable, removes the entire body, which revealed a malignant tumor.
In breast cancer it is often removed along with the entire covering her skin, the pectoralis major muscle and axillary lymph nodes and infraclavicular regions. Cancerous thyroid gland is often removed completely in a single block of fat and lymph nodes neck. When a long bone sarcoma sometimes produce limb amputation. Rectal cancer it is removed along with surrounding tissue, and often with the obturator apparatus anus, imposing an artificial anus on the anterior abdominal wall. In gastric cancer is sometimes necessary to remove it completely, connecting the esophagus with the jejunum itself. Lung malignancy is often removed completely.
Thus, the surgical treatment of many cancer patients is accompanied by a drawing of a significant anatomical, functional and mental damage. The body's ability to equalize these violations are endless. But to realize this, for the complete rehabilitation of patients requires time, adequate health care, instruction and supervision.
Relationships with patients who underwent surgical treatment, to facilitate and accelerate their rehabilitation: an anatomical, physiological and psychological. In order to accomplish this important task, you need to know the typical disorders caused by surgical intervention, and measures that are recommended for their elimination.
Many cancer surgery, the saving of life, maimed patients. Amputation, the extirpation of the larynx or rectum amputation of the breast in young women, etc., not only physically maimed, but inflict great trauma. At a subsequent favorable course of illness anatomical defect can be remedied well prostheses. Exercise and physiotherapy can achieve full physical and physiological recovery, but the alignment of violations of the psyche, a full psycho-social rehabilitation can be achieved only after a lengthy and skilled process of psychotherapy, with the support and participation of relatives of sick people.
Often, young women who have undergone radical treatment for malignant tumors of the breast, change their place of residence, work, avoid meeting with officials of cancer surgeries, hospital. Some mastectomy leads to a family tragedy.
Many of the radically operated on for cancer of the rectum avoid public places, not just theater, film, and public transportation. Over time, the severity of loss disappears, there comes a reconciliation with the case, depression is reduced. Time is a great healer of all ills of every disaster.
Relationships with patients who have undergone female genital interventions requires tact, careful attention, taking into account individual characteristics of the patient.
Tactful, benevolent conversation with the patient in a relaxed atmosphere, suggested by oncologists practice examples of such patients, to restore not only physically but mentally and former condition, to preserve the family, the former social position and performance, always has a positive effect. Should not be avoided and abstract discussions on the topics of a philosophical nature and people's conventional wisdom about the power of courage, examples of literary works, as did the Commissioner of the book by Boris Polevoy, "The Story of a Real Man." In these conversations well quote the universally recognized educator : "Every disaster is always exaggerated." And to add on my own - "so be sure to be overcome."
These talks are well combined with the necessary practical advice to patients, how to overcome misfortune, how to make a good prosthesis, where he was ordered, as exercise, diet, maintain femininity, figure out how you can adjust the activity of the intestine to attend without fear of public places, to return to the previous work .
Full rehabilitation of cancer patients - is feasible in each case the task of restoring the patient physical, physiological and psychological qualities.
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