The head nurse Wang Xiaoxia answered online questions about patients and their families. We have compiled the essence of Q&A and summarized as follows.
Question 1: The patient is male, 18 years old, diagnosed with B acute lymph on December 1, 2019. Excuse me, there is a mouth ulcer in the warehouse, what should I do?
Head Nurse Wang Xiaoxia: During the transplantation warehouse, the two parts of the oral cavity and perianal area are very easy to cause infection, especially after the cells are reinfused, there is about 15 days of cell zero phase. At this stage, the incidence of infection is very high. Once ulcers and infections have occurred, even if various measures are used locally, the effect is not very obvious. When the donor's cells grow up, the rate of improvement is very fast. Of course, prevention is better than treatment. Through refined interventions of medical care, patients and their families can cooperate and implement effectively, and learn to observe themselves, report in time, and intervene in time, which can reduce the incidence and infection rate.
The usual preventive measures for the oral cavity are to use Koutai for oral care in the morning and after three meals. Sodium bicarbonate tablets are blended into warm water for regular mouthwashing, with an interval of 1 hour between the two to prevent teeth from turning black. During chemotherapy, use a 300ml vial of ice mineral water to gargle continuously. If there are symptoms of ulcers or different grades of ulcers, some drugs will be used for treatment. Some of the drugs we use include stimulant drugs, as well as Smecta, Golden Throat, Iodine Glycerin, Nystatin powder, Kangfu New Liquid, hyaluronic acid, egg butter, and ultraviolet radiation. Through basic prevention, combined with the doctor's intravenous medication, most patients can avoid ulcers, and only show mild ulcers after timely intervention, so prevention is better than treatment.
Question 2: Female patient, 27 years old, diagnosed with acute leaching on 2020/1/20. Excuse me, do I need to take a bath every day after entering the warehouse?
Head Nurse Wang Xiaoxia: If there are no special contraindications during the transplantation chamber, you must sit in a bath (female patients are not allowed to sit during menstruation to prevent retrograde infection. Infants and young children are not allowed to sit in a bath when the femoral vein catheter is indwelled. If you do not take a bath, you must Increase the frequency of perineal scrubbing and perianal care), especially patients with hemorrhoids and anal fissures should pay more attention to sitting baths. Sit bathing method: Sit bath with 1:1000 iodophor water (1ml iodophor plus 1000ml water) after each bowel movement, and then the nurse assists in applying iodoform ointment or other ointment to the anus, and then spray 3M liquid dressing to protect the skin. Prevent perianal infections. If you do not have a bowel movement a day, take a bath at least once a day.
Supplement the knowledge of sitz bath science
People should all know that the word sitz bath is a way to help many patients to treat diseases. Especially for some people with anal diseases, it is very good to choose a sitz bath, which can achieve a good auxiliary treatment effect. But most people don't know the correct way to sit in the bath. How much water temperature is appropriate? Let's take a look together.
What is the temperature of the anal sitz bath
1. The water temperature is controlled between 40-42 degrees Celsius, and the water temperature can be kept constant at this temperature for the best effect.
2. The sitz bath is to half soak the buttocks in water, so that the anus and perineum are soaked in hot water to ensure local blood circulation, not the entire buttocks and thighs are soaked in water.
3. The sitz bath time depends on different patients, and the sitz bath time is also different. The recommended time is generally 10 minutes to 20 minutes.
4. Before taking a bath, be sure to clean the bidet to prevent infection.
What are the advantages of anal sitz bath
Sit bathing anus: As the saying goes, "ten men and nine hemorrhoids", whether white-collar workers or farm workers who often stand and bear heavy weights, they are prone to hemorrhoids and perianal infections. Cause anemia. Fecal traces are often left around the anus after defecation, and the anus can be rinsed after bathing. Hot bath anus also has anti-itch and disease prevention effects on anal itching.
When people take a bath in the anus, the water temperature must be well controlled, preferably between 40 and 42 degrees, so that it will not hurt, and it has a very good auxiliary treatment effect for the treatment of anal diseases. However, before taking a bath, people must choose a special basin, and they also need to brush the basin clean so that no infection occurs. If you stick to the sitz bath every day, it can play a health care role for people.