Nursing care for patients with hemorrhoids surgery

Hemoroidi su neugodna tegoba od koje pati veliki broj ljudi, ali malo tko o tome priča. Zbog njihove prirode, postali su tabu tema o kojoj govorimo tek kada problem postane zabrinjavajući. Javljaju se gotovo kod svih ljudi, barem prolazno. Uvelike ovise o načinu života i prehrani, genetici, kao i općenitom stanju organizma. Pojava hemoroida može biti bolna, ali najčešće nije. Obično se radi o laganoj i prolaznoj pojavi. Tkivo u debelom crijevu protkano je krvnim žilama koje sudjeluju u stimuliranju crijeva i pokretima važnim za obavljanje stolice. Svaki jači pritisak na taj dio može uzrokovati promjene u krvnim žilama, prije svega nastanku hemoroida. Mehanizam nastanka hemoroidalne bolesti povezuje se s insuficijencijom (oslabljenom funkcijom) ventilnog mehanizma unutar arterijo-venskog šanta. Venski dio šanta ne može krv u potpunosti otpremiti dalje u venski dio krvotoka, te dolazi do povećanja čvora. S vremenom elastično-potporno i mišićno tkivo tako povećanog hemoroidalnog čvora slabi te se on postupno spušta prema vanjskom otvoru anusa. Liječenje hemoroida može se podijeliti u tri skupine, a to su konzervativno liječenje, nekirurško, te kirurško. Skrb za pacijenta od strane medicinske sestre je od trenutka prijema pacijenta na odjel gdje započinje razgovor sa pacijentom i prikupljanjem potrebnih podataka. Medicinska sestra prikuplja opće podatke, uzima anamnezu, pregledava pacijenta, mjeri vitalne funkcije, postavlja sestrinske dijagnoze, te radi plan i program zdravstvene njege. Kod izvođenja intervencija medicinska sestra treba obraćati pažnju i na male stvari koje bi pacijentu puno značile, kao npr. stisak ruke, ohrabrujući pogled ili neka lijepa riječ.Hemorrhoids are unpleasant appearance from which a great number of people are affectes, but it is uncomfortable for them to talk about it. Due their nature, they become a taboo topic of which we talk about only when it become worrying. Most people have them, at least transient. They heavily depend on the way of life, nutrition and genetics, as well as the general state oft he organism.Their apperance may be painful, but most of it is not. It is usually a passing phenomenon. The tissue in the colon is flush with blood vessels that participate in he stimulation of intestines and digestive tracts. Any stronger pressure on this par may xause change sin blood vessels, pramarily the formation of hemorrhoids. Mechanism of disease associates with a weakened function of the valve mechanism whithin the arterial-venous shunt. Venous part can not send blood on venous part of bloodstream, and this is why the node increases. Over time, the tissue weakens and the nod is lowered towards the outer part oft he anus. Treatment of hemorrhoids id divided into three groups: 1. conservative 2. non-surgical 3. surgical. A care for the patient from nurse's side is from the moment of acceptance to the department where start the conversation with the patient and collecting some helpful informations. A nurse collects general inormations, take the anamnesis, inspect the patient, measures vital functions of the patient, diagnoze it and make the plan and program of the health care. By the intervention a nurse must refer the atention for some small things which can help the patient, for exapmle handgrip, encouraging look or some nice conversation