Abstract: because each situation is not the same, it is possible that the doctor will be more demanding after the operation, which must be i
Abstract: because each situation is not the same, it is possible that the doctor will be more demanding after the operation, which must be in accordance with the actual situation. These are just the usual, routine home care requirements.
Heart valve replacement surgery success is cause for celebration, but some daily care next is must pay attention, this is related to the recovery and rehabilitation effect of patients with valvular heart disease, and the quality of life, so we must pay attention to the families of patients under the six points. Because each situation is different, it is possible that the doctor will be more demanding after the surgery, which must be in accordance with the actual situation. These are just the usual, routine home care requirements.
Do not think that the success of heart valve replacement surgery is the end of the treatment of heart valve disease, in fact, it is only the beginning of the heart function after surgery, a turning point, a crucial start. Home care after discharge the patients gradually recovered and obtain self health care knowledge and ability, it mainly includes living, emotional recuperation, diet, exercise, medication and efficacy observation.
The key is to do the following:
1, taking anticoagulants: 48-72 hours after the transplantation, chest or mediastinal drainage tube without bloody drainage (such as incision of trachea after extubation), can remove the tube, this time should be prescribed oral anticoagulant dose as the prothrombin time (PT) and the activity of the decision. Each time after taking the record in the health manual, in order to review the reference to the doctor.
2, accompany the patient to the hospital to check the prothrombin time and activity, to reduce the error. Keep the PT in 18-24 seconds, the activity is about 35%. If anticoagulant drugs change the dose, 3 days later, the need to review the PT and activity, until close to the required indicators. The first 6 months after the operation should be repeated 1-2 times a week, after 6 months will be 2-3 months for 1 times, after 1 years can be reviewed for 3 months, 1 times, each test must have normal samples as control.
3, take medicine regularly, regular oral anticoagulant once a day, each medication time should be within 2 hours of the doctor's advice, such as leakage of anticoagulant drugs, to be served. Missed 1 times, need to adjust to the time of the original medication for 12 days. As the original 18 o'clock medication, missed, 10 o'clock the next day that supplementation is as follows: to push after 2 hours for example, first, 2, 3 days, in fourth, 5, 10 o'clock medication for 6 days, in seventh, 8, 12 o'clock medication, 9 days in fourteenth, 11, tenth at medication. 12 days in the 16 drug, thirteenth days later, the medication time adjusted back to the original location on time (18 o'clock); 1 tablets a clothing size can be relatively uniform.
4, the patient should keep the law of life, in the home happy spirit, mood, and appropriate; to prevent colds, avoid fatigue, prevent injury, infection and infectious diseases.
5, the diet should not be concentrated thick meat collocation, eating more vegetables or high-fat foods, so as not to affect the anticoagulation effect or increase the burden on the heart. Take the efflux of potassium diuretic drugs, should eat foods containing potassium, such as production, beans, mushroom and fruit, do not eat salty food.
6, appropriate activities, indoor and outdoor activities to follow, step by step, with systemic movement, such as dance, aerobics and so on, so as not to cause palpitation, asthma degree. 3-6 months after surgery prone to embolism, it should be based on recuperation, do not participate in physical labor. 6 months after heart function, gradually return to normal work.
Keyword: heart valve disease in the treatment of valvular heart disease