After breast cancer patients undergo surgery and radiotherapy, some people's affected arms will swell, usually about three months after radiotherapy. After about half a year, collateral circulation will be established locally, and edema will be gradually reduced. However, if affected by surgery and radiotherapy, the swelling of the affected arm will exist for a long time.
What measures should be taken to prevent swelling of the affected arm after surgery or chemotherapy? The following points should be noted: 1. After the operation, the patient should move the affected side according to the doctor's requirements. Exercise elbows, wrists and hands in a short time after operation, or lift the affected arm up along the wall every day, but try to reduce the movement of the shoulder joint as much as possible, and then gradually exercise the shoulder joint after removing the stitches. 2. If radiotherapy is needed, patients should wear soft clothes with light texture, reduce and avoid friction with the skin, keep the skin clean and dry, do not wipe it violently with a towel, and do not touch anything that irritates the skin. 3. Try not to inject veins and muscle needles into the affected arm, and it is not appropriate to take blood from the affected arm to measure blood pressure. It is more appropriate to use healthy arms. 4. Don't take out heavy objects from the affected side to avoid insect bites and mosquito bites. When wearing watches and bracelets, the tightness should be appropriate, and the cuffs of clothes should be appropriate.
In addition, it is also important to prevent arm infection, especially in the early stage after surgery or radiotherapy. For breast cancer patients, if the arm is accidentally broken, it should be disinfected and bandaged in time, otherwise inflammation may occur, further inducing or aggravating arm swelling, and even causing more serious complications.
Functional recovery exercise after breast cancer surgery;
After breast cancer surgery, it is necessary to exercise fist-clenching, wrist flexion, elbow flexion, touch height and shoulder joint range of motion, so that patients can reach the surgical side within two weeks after surgery and touch the opposite ear over the head without affecting self-care. Steps of functional exercise after radical mastectomy;
(1) After operation 1-3 days (bed rest stage), exercise finger extension, fist clenched and wrist flexed.
(2) elbow flexion in sitting position (negative pressure suction extraction) 3-5 days after operation.
(3) 5-8 days after operation (chest strap release), practice touching the opposite shoulder and the same ear with your hands.
(4) 9- 13 days after operation, practice the extension, elevation, adduction and flexion of the affected upper limb, and lift the shoulder joint 90 degrees to shoulder level (assisted by the nurse).
(5) After operating 14 days, practice the joints. After putting your hands on your neck, practice from head-down posture to head-up posture, and then practice touching the opposite ear with your hands over your head; Start practicing the lifting of the operating side hand-held wall, and don't leave the hospital until you recognize it.
(6) After leaving the hospital, continue to practice lifting the crib, and gradually rotate back and forth with the shoulder joint as the center, and do appropriate stretching and weight-bearing exercises.
The "100 promotion projects in ten years" of the Ministry of Health-the ordering and promotion activities of functional rehabilitation nursing exercises after breast cancer surgery and its supporting books and CDs were held in Lanzhou on June 65438+1October 65438+1October. This is the first functional rehabilitation nursing exercise for breast cancer patients in China.
It is understood that this aerobic nursing campaign was initiated by Gansu Provincial Science and Technology Commission in 2000. After four years of training practice, the patients with breast cancer have greatly reduced their edema, recovered their functions quickly and achieved good results. Many patients can lead a normal life. At the same time, middle-aged and elderly women and professional women can also prevent breast diseases through aerobic nursing exercise and reasonable health care.
At present, the incidence of breast cancer has risen to the first place in gynecological tumors. Although the 5-year survival rate of patients has reached 96%, the removal of breast and surrounding muscles has brought great mental disorders to patients and greatly damaged their physical functions. For example, it is difficult for breast cancer patients to raise their arms like normal people, which affects their quality of life.
Xu, head of women's aerobic exercise program: Aerobic rehabilitation after breast cancer surgery conforms to the transformation of modern medical model, and fully recovers from the aspects of patients' limb function, psychology and social adaptability. The purpose is to guide the patient to carry out rehabilitation training in the early and middle period after operation through walking, medical gymnastics and meridian massage, and to promote her functional rehabilitation through the combination of local limb exercise and whole body exercise. /xwzx/anews.asp? id= 17043
Of course, I still have to go to a regular hospital for review! Make specific arrangements according to your mother's situation! I hope your mother will recover soon!