1 case of descending colon surgery patients after -

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1 case of colon cancer after 3 surgeries down the psychological care of patients

Abstract Summary descending colon in 1 case after 3 surgeries psychological care of patients that operative in the patient, patient's condition and recovery phase of effective psychological care, can help patients and their families set up a good state of mind and ease the psychological pressure, to the best mental state to tide over this particular period of illness, promote the body soon. Key words descending colon ; perioperative period; psychological care descending colon cancer is surgery combined therapy [1], post-operative complications may occur. In the treatment of complications while enhancing psychological care, treatment and rehabilitation of disease can not be ignored in part. The patients were implemented due to various complications have 3 surgeries, these special experiences for mental patients also experienced a relaxed, nervous, restless, anxious to calm the course. Operative in the patient, patient's condition and recovery phase of effective psychological care, can help patients and their families set up a good state of mind and ease the psychological pressure, to the best mental state to tide over this particular period of disease, and promote the body as soon as possible rehabilitation. 1 medical record patients, male, aged 66, January 20, 2005 due to falling outside the hospital from colon cancer in the left colon resection, postoperative wound infection, healing found after the incision has a mass, such as the size of a fist or standing there disappeared after supine rest, a recurrent mass in the years and gradually increase this for the sake of further treatment, in the April 10, 2006 to incisional hernia income to our department, check urine routine, liver function, complete biochemical, PT, APTT were normal; HBsAg (+); ECG showed left ventricular high voltage; X-ray no transfer of foci; no history of blood transfusion, drug allergy and high blood pressure, history of diabetes. On April 15 in the continuous epidural anesthesia for tension-free repair of abdominal incisional hernia surgery. Support to the anti-inflammatory treatment after surgery, athletic protect the incision. On April 20 began to vomit a lot of stomach contents, line symptomatic treatment is ineffective, April 21 because of abdominal distension, intermittent abdominal pain, abdominal emergency line of upright abdominal X-ray films showed the amount of intestinal gas accumulation in the , intestinal gas volume within the song, see a few different sizes of liquid surface, to conservative treatment, to April 22 can not alleviate the symptoms, on the same day at 16:30 enterolysis general anesthesia surgery, intestinal decompression, intestinal anastomosis were performed to inflammation, fluid replacement, bleeding, nutritional support and other treatment. The next day began after incision exudate, increased day by day,[link widoczny dla zalogowanych], to cut the upper and lower exudation at 1 to 2 pin removed and be tube drainage, and secretion take to do training, training results are shown in E. coli, only the imine imipenem-sensitive, due to wound infection in patients with no fever, yet the line imipenem anti-inflammatory. Line only local daily dressing. May 4 cut part of the split, purulent exudate, the skin sutures removed, retained full-thickness sutures to reduce tension, and suture the wound pus moss removal by hydrogen peroxide and burn 1 (hospital-made) washing, sterile dressings, athletic pressure, daily wound dressing of fresh granulation tissue than before, on May 8 continuous epidural anesthesia in the second phase of wound dehiscence suture, postoperative strengthen the anti-infection such as processing, athletic protection incision, May 31 recovered patients discharged from hospital. 2 operative psychological care 1st surgery psychological care: patient department at a local hospital due to lower colon cancer line left colon resection, postoperative complication was wound infection, healing after infection complicated by incisional hernia 1 year postoperatively to cut recurring mass, and gradually increased in patients troubled by the disease, after being introduced, admiring, indicating that the patient's trust in our hospital medical staff . This characteristic for patients, patients received a warm manner, timely to introduce the environment of our hospital, the bed management system and the doctors and nurses, caring and sympathetic to their experiences. In the process of active attention to its services to establish a good doctor-patient relationship, the operation, gentle movements, skilled, serious and responsible, which makes patients feel a real hospital work attitude and strength. Patients feel relaxed during this period, after careful preoperative preparation of patients scheduled after the patient received the first of this operation, the tension-free repair of incisional hernia.

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Broken or Missing Underwires - Can the Bra Be Saved

That moment of truth hits hard and fast [link widoczny dla zalogowanych], and is totally undeniable when that underwire snaps. If if it merely creeps out; making unexpected appearances... or starts to "bite" half-way through the workday; well, we can somehow put off the inevitable for awhile longer... Discovering one morning, that one cup is completely lifeless and has no wire at all; that's another "instant reckoning" moment.
When the underwire in your bra breaks
It is ALWAYS very frustrating [link widoczny dla zalogowanych], inconvenient... and aggravating when an underwire breaks. When the bra is an expensive one; it can escalate into a major problem for the wearer. A good bra costs upwards of $150. The only real comparison I can think of, that really measures up to a trauma of a busted under wire; is a tire blow-out. It has to be fixed/replaced, it's going to be expensive, and it has to be NOW!
One of my clients was driving to work [link widoczny dla zalogowanych], in heavy traffic, when she felt the snap. After a frustrating morning at work; she phoned me and made the trip across the city during her lunch hour to drop her bra for repair and hurriedly purchase a new one. It's an expensive and aggravating problem.
Why the underwires snap
When under-wires break; it's almost always a re-occurring problem for the wearer; and usually not a flaw in the bra's construction. When this tends to happen on the same side of the bra each time; it's because of asymmetry of the body. Yes; most of us us have one breast slightly fuller than the other. This explains also, why your bra may constantly pull slightly to one side, buckle in the front centre, or need one shoulder strap to be a bit tighter. The larger the cups; the more stress this imbalance of weight and volume puts on the bra's wire. Eventually something has to "give"
When the underwire in your bra works its way out
When the underwire works its way out of the casing; it can lead to some interesting moments. If you're lucky; you'll notice it before you put it on.
I professor I know was actually giving a lecture when she felt "something strange" going on. She was embarrassed to look down and discover that the wire of her bra had snaked out of it's casing and was forming a silvery metal crescent across her upper chest. Life is tough enough without moments like that!
Why underwires "work their way out"
When the wire becomes lost; that is, when you pull your laundry out of the washer or dryer and find that your bra is now irregularly-shaped and somewhat flaccid on one side; it could be because of your laundering techniques.
Underwire bras should NEVER be placed in the washer or dryer. That lost wire is likely sitting stuck under the agitator, and will soon manifest it's malevolence by wrecking havoc on your washer. That's double damage! The agitating motion of the washer causes the wires to "rock" their way out of your bra. Underwire loss is only one of the nasty things that your bra can succumb to in the washer. Stretched and tangeled straps, hooks twisted and ripped out, and shredded lace, are some of the others.
You'll be doing yourself; and your pocketbook a big favour by hand-washing your bras.
When your wires "bow out"
For fuller busted ladies, the weight and pressure of the breast on the wires may cause the wire's shape to bow out. The cups slowly become shallower and wider, compromising the integrity of the bra over time. Replacing the wires can give you that 'brand new" fit back, and [link widoczny dla zalogowanych], compared to the expense of a new bra; can be a very cost-effective solution.
In conclusion: Consistent good laundry and care of your new bra is mandatory to maintain its good fit and integrity. Reputable and high-end lingerie retailers will always repeat the mantra "hand-wash, hang-to-dry - no washers or dryers please" and they'll add "don't fold the cups into each other" (for molded cups). I would suggest you make the effort to heed your bra-specialist's (you know, the place where you spent all that money) recommendations for laundry and care Sometimes underwire failure is impossible to predict or prevent.; but a good bra lasts a long time; and replacing that errant underwire is a very viable possibility, if the rest of the bra is in good condition.
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