การพยาบาลผู้ป่วยที่ได้รับการผ่าตัดเนื้องอกต่อมใต้สมองผ่านกล้องทางโพรงอากาศสฟีนอยด์
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บทคัดย่อ
การผ่าตัดเนื้องอกผ่านโพรงอากาศสฟีนอยด์โดยใช้กล้องเป็นวิธีการที่นิยมใช้มากที่สุดในการรักษาเนื้องอก ต่อมใต้สมอง การดูแลผู้ป่วยที่ได้รับผ่าตัดเนื้องอกต่อมใต้สมองผ่านโพรงอากาศสฟีนอยด์เป็นความท้าทายของ พยาบาล เนื่องจากมีความซับซ้อนเกี่ยวข้องกันหลายระบบ พยาบาลต้องใช้ความรู้ความเชี่ยวชาญในการประเมินและ ป้องกันภาวะแทรกซ้อน ให้การพยาบาลที่เหมาะสมและแก้ไขภาวะแทรกซ้อนอย่างทันเวลา เพื่อให้ผู้ป่วยปลอดภัย และฟื้นตัวจากโรคได้ดีที่สุด เพื่อให้ผู้ป่วยปลอดภัยจากภาวะแทรกซ้อนและมีผลลัพธ์ทางสุขภาพที่ดีขึ้น บทความนี้ ได้รวบรวมความรู้ ปัจจัยเสี่ยงต่อการเกิดภาวะแทรกซ้อน และแนวปฏิบัติทางการพยาบาลในการดูแลผู้ป่วย โรคเนื้องอกของต่อมใต้สมองที่ได้รับการผ่าตัดเนื้องอกผ่านโพรงอากาศสฟีนอยด์จากหลักฐานที่เกี่ยวข้อง อันประกอบด้วย การประเมินภาวะแทรกซ้อนจากภาวะเลือดออกซ้ำและความดันในกะโหลกศีรษะสูง การมองเห็น และลานสายตาผิดปกติ ภาวะ pituitary apoplexy การรั่วของน้ำหล่อสมองและไขสันหลัง ภาวะเยื่อหุ้มสมองอักเสบ เลือดกำเดาไหล ภาวะเบาจืด ภาวะโซเดียมต่ำ ภาวการณ์หลั่งฮอร์โมนแอนตี้ไดยูเรติคไม่เหมาะสม ภาวะเสียเกลือ ทางปัสสาวะ Adrenal insufficiency และคำแนะนำผู้ป่วยก่อนกลับบ้าน เพื่อเป็นแนวทางปฏิบัติในการดูแลผู้ป่วย เนื้องอกของต่อมใต้สมองที่ได้รับการผ่าตัดผ่านโพรงอากาศสฟีนอยด์โดยใช้กล้อง
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