Mastectomy: Instructions After Surgery

疼痛管理

人们在手术后会经历不同类型和不同程度的疼痛或不适. 疼痛管理的目标是评估你自己的不适程度，并根据需要服用药物. 如果你在疼痛严重之前服用止痛药，你会有更好的结果控制你的疼痛.
利来登录会给你开维柯丁治疗中度疼痛. 如果有规律的疼痛，建议服用药物治疗. 布洛芬(雅维或布洛芬)或泰诺可以加入或代替维柯丁.

每个人都是不同的，如果一个减少痛苦的计划不起作用，它就会改变. Healing and recovery improve with good pain control.
Please notify us of any drug allergies, 反应或医疗问题会阻止你服用这些药物. Vicodin is a narcotic and should not be taken with alcoholic drinks. Do not use narcotics while driving.
Narcotics also can cause or worsen constipation, so increase your fluid intake, 吃高纤维食物——如梅干和麦麸——并确保你起床并下床散步.
An icepack may be helpful to decrease discomfort and swelling, particularly to the armpit after a lymph node dissection. A small pillow positioned in the armpit also may decrease discomfort.
Although you will not have felt it at the time, nor remember it afterwards, you will have had a tube down your throat during the surgery. 这通常会导致手术后几天的喉咙痛.

Incision and Dressing Care

你的切口, 或疤痕, has both stitches and steri-strips, which are small white strips of tape, and is covered by a gauze dressing and tape or a plastic dressing.

Do not remove the dressing, steri-strips or stitches. We will remove the dressing in seven to 10 days. 我们也会在一到两周内拆除缝合线除非它们自己吸收了. 如果敷料或消毒条脱落，不要试图更换它们.
如果你有一个塑料敷料，你可以在排水管(s)出来后的一天淋浴.
如果你有纱布和纸带，你可以在手术后两天取下，然后洗澡. Use a towel to dry your incision thoroughly after showering. Be careful not to touch or remove the steri-strips or sutures.
Bruising and some swelling are common in women after surgery.
手术后的第二天，低于华氏100度的低烧是正常的.
You will have a Jackson-Pratt (JP) drain after your surgery. 这个排水管是一根塑料管，从皮肤下面通到身体外面，上面连着一个灯泡. Empty the drain two to three times per day or when the bulb is full. Write down the amount drained on a sheet of paper. Your nurse will teach you how to empty your drain. An information sheet on JP drains is included in your binder.
A home care nurse may be assigned to check your progress at home.

活动

在拆线之前，避免剧烈运动、举重和剧烈运动. 告诉你的护理人员你在做什么，他或她会帮你制定一个关于手术后“你可以做什么”的个人计划.
Walking is a normal activity that can be restarted right away.
You cannot do housework or driving until the drain is out. 当你不再服用麻醉药，并且你觉得转动方向盘和快速停车是安全的时候，你可以重新开始驾驶.
Following a lymph node dissection, don't avoid using your arm, but don't exercise it until your first post-operative visit.
You will be given exercises to regain movement and flexibility. 如果需要，你可能会被转介到物理治疗进行额外的康复治疗.
Most people return to work within three to six weeks. 重返工作岗位取决于你的工作类型、整体健康状况和个人偏好. Discuss returning to work with us.

饮食

麻醉恢复后，只要您能补充水分，您就可以恢复正常饮食.
我们鼓励每天喝8到10杯水和不含咖啡因的饮料, plenty of fruits and vegetables as well as lower fat foods. Talk with us about recommendations for healthy eating.
A nutritionist is available for consultation in the 乳房护理中心. Call the front desk to schedule an appointment.

后续护理

手术的病理结果应该会在术后一周内出来.
我们将通过电话与您联系结果或在您术后来访时通知您. 请让我们知道你的电话号码，在那里可以联系到你的结果.
手术前通常会预约你的利来登录和护士. Your sutures will be removed in approximately 10 to 14 days. 如果您没有预约或不记得预约，请致电乳腺护理中心.
Your dressing will be changed or removed at your post-operative visit.