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What should I do if the vagina has inflammation in the fourth year after radiotherapy for cervical cancer patients?
1. Psychological nursing Most patients with cervical cancer can't correctly understand their own diseases, and they are under great mental pressure. They are afraid of illness and think that they will leave this world, be eliminated by their families and society, and lose confidence in life. Nurses must do a good job in patients' ideological work carefully before treatment, introduce the incidence, cure rate and survival rate of cervical cancer, reduce patients' ideological pressure and fear, increase patients' trust and enhance their confidence in survival. 2. Do a good job in health education before radiotherapy. Most patients lack knowledge and understanding of radiotherapy. Before treatment, patients and their families should be introduced in detail about the purpose of treatment, curative effect, course of treatment, matters needing attention and possible adverse reactions, and the informed consent form of radiotherapy should be signed, and the pamphlet "Guide to Common Sense of Radiotherapy" should be distributed for them to read, so that they can have a certain understanding and psychological preparation, eliminate their fear of treatment, and be willing to accept and actively cooperate. 3. Dietary guidance and nursing of patients before radiotherapy. Before radiotherapy, we should know the patient's physical condition and nutritional status in detail, give a high-protein and high-vitamin diet, eat more mushrooms and auricularia auricula, improve the immune function of the body, and avoid gas-producing foods, such as beans and milk, and spicy and irritating foods. 4. Nursing care of vaginal irrigation (1) Importance and purpose of vaginal irrigation: Most patients with cervical cancer have irregular vaginal bleeding and leucorrhea in the middle and late stage, and the rupture of cancer tissue can produce serous secretions, while the exfoliation and necrosis of cancer tissue in the late stage and secondary infection will lead to a large number of purulent or rice-soup-like malodorous leucorrhea, so vaginal irrigation is an essential nursing measure for patients with cervical cancer after each external radiotherapy and before intracavitary radiotherapy. The purpose of vaginal irrigation is to remove necrotic and exfoliated tissues, reduce infection, promote local blood circulation, improve the nutritional status of tissues, avoid vaginal adhesion, and be conducive to the absorption and regression of inflammation; At the same time, it can remove the necrotic tissue after radiotherapy, improve the sensitivity of radiotherapy and prevent pelvic peritonitis. (2) Washing method: General patients wash with 1: 5000 potassium permanganate solution 1 time every day, and patients with excessive secretion and strong smell wash vagina twice a month; For patients with massive bleeding, it is forbidden to wash, and the action should be gentle, the washing pressure should be moderate and the temperature should be appropriate. Disinfection and isolation system and aseptic technology should be strictly implemented to prevent cross infection. 5. Nursing care of radiation proctitis Radiation proctitis is one of the early complications of radiotherapy for cervical cancer. It can be divided into mild, moderate and severe according to the severity. The incidence varies with different treatment methods and total radiation dose, which is about 10% ~ 20%. With the increase of radiotherapy times, some rectal reactions appear, such as internal urgency and heavy stool. Compound procaine enema (0.25% procaine 200ml plus gentamicin 80000 units, prednisone 10mg plus 1% epinephrine 1 ~ 2ml) can be used to closely observe the nature of stool in the morning and evening, so as to prevent water-electrolyte disorder and aggravate the whole body support treatment. 6. Do a good job of health guidance for patients after radiotherapy. External radiotherapy should keep the skin in the irradiation field clean and dry to prevent infection; Avoid cold and hot compress and soap scrubbing when irradiating wild skins, minimize the friction of rough clothes, and don't scratch with your hands. Within 6 months after intracavitary afterloading radiotherapy, vaginal irrigation 1 time per day was insisted. Because the wound did not heal within half a year after radiotherapy, patients are advised to avoid sexual life.