Showing posts with label Surgery. Show all posts
Showing posts with label Surgery. Show all posts

Saturday, December 5, 2015

Vaginal Dilators

Gentle self-treatment for women receiving
1. pelvic radiotherapy for Carcinoma of cervix, Endometrial carcinoma, Carcinoma of vagina, vulva, other pelvic tumors
2. Post surgery – Hysterectomy, radical vulvectomy, other pelvic surgery. Abdomino pelvic resection

I CAN Care vaginal dilators is a range of dilators designed to help women alleviate medical conditions affecting the vaginal structure, following radiotherapy to the vagina, cervix or pelvis. Radiotherapy can cause some internal scarring (adhesions) to the treated area and make the vagina narrower, drier and less elastic.
I CAN Care vaginal dilators help to reduce the risk of scarring and offer an effective way for patients to take an active role in their treatment.
Preventing the formation of scar tissue within the vagina helps ensure that the vagina remains supple so that sexual intercourse and vaginal examinations can be performed without discomfort or pain.
I CAN CARE Vaginal Dilator is available in three graduated diameter sizes of 2cm, 2.5 cm and 3 cm to make insertion and removal easier.
Benefits:
  • Effective treatment for use in the comfort of the home
  • Treatment pace is directed by the user
  • Three graduated sizes to help users to progress gradually
  • Designed to help build confidence

After menopause, the vagina becomes dry, less elastic, narrower, and shorter. Some cancer treatments can also cause these changes within the vagina. To help you with these changes, your healthcare provider has suggested that you use a vaginal dilator and start doing vaginal dilator therapy. Vaginal dilator therapy is a resource you can use throughout your life.

It will help to:
1.       Allow your healthcare provider to perform a more thorough pelvic exam.
2.       Make it more comfortable for you to be examined.
3.       Prevent your vagina from becoming too narrow.
4.       Keep your vagina more elastic.
5.       Allow you to have vaginal sex with less discomfort.

As a result of your recent treatment, your vagina may have become narrowed and shortened due to the formation of scar tissue. I CAN CARE vaginal dilators have been designed to greatly reduce your risk of scarring and assist you in keeping your vagina supple. This will help reduce any long term discomfort from follow up examinations, further treatments and sexual intercourse.

Please read these instructions fully before using I CAN CARE vaginal dilators for the first time

Before You Begin – Prior to first-time use, wash dilators and handle in warm, soapy water, rinse thoroughly and allow to dry.

Privacy – Use the dilators in a private, comfortable setting where you will be undisturbed.

Positioning – The recommended position to use the dilators is to lie flat on your back with your knees bent at a 45 degree angle and legs slightly apart. Alternatively, you may stand with one leg raised on a chair.  Make sure you can easily touch the opening of your vagina. Practice Kegel exercise.

Progression – Start with the smallest dilator and, once you can comfortably insert it, progress to the next size up. You may find when you first use the dilators that you can only tolerate the tip of the dilator. With persistent use you will be able to gradually progress to full insertion, then larger sizes. When transitioning sizes, move from the smaller dilator to the next size in the same session, as vaginal muscles will already be relaxed and the transition will be easier. The time it takes to progress from size to size varies by individual.

Inserting a Vaginal Dilator -- 1. Apply water-based lubricant (like K-Y jelly), to the tip of the dilator and to your vaginal opening. Do not use petroleum jelly (like Vaseline) 2. Relax as best as possible. Using controlled breathing, slowly ease the dilator into the vagina going as deeply as is comfortable. Continue to insert the dilator until you feel slight discomfort or muscle tension and then stop. Since the vagina slants upwards and towards your back, the dilator should be angled upwards and in the direction of your back during insertion.  3. Once the dilator is inside the vagina move the dilator in a forward and backward motion, then a left to right motion and if possible, gently rotate the dilator in position by twisting the handle.4. Do a set of Kegel exercises. These Exercises will help you relax your pelvic floor muscles and insert the dilator a little further.  If it is still difficult to insert the dilator after doing Kegel exercises, take some deep breaths. Then, refocus on relaxing your pelvic floor muscles and try to insert the dilator a little further. Don’t worry if you can’t insert the dilator completely. Over time, you may be able to get the dilator in a little bit further. 5. Leave the dilator in place for 5 to 10 minutes. 6. Gently push it back and forth to stretch the length of your vagina. 7. Gently rotate the dilator in wide circles to stretch the width of your vagina. Repeat this at the back, middle, and opening of your vagina. Some women find it helpful to work with more than one size dilator. 8. Remove gently and slowly while rotating.

After You Are Done You may have a small amount of bleeding when you use the dilator. This is normal. A panty liner will be enough to manage this. If you have a lot of bleeding, such as bleeding that soaks up a sanitary napkin, call your healthcare provider. If you get urinary tract infections (UTIs) often, you may want to urinate after dilator therapy. If you have any questions or problems, talk with your healthcare provider at your next appointment.

Duration & Frequency – You should practice dilator therapy several times per week (i.e., every other day). The more you do it, the more you will benefit. Duration and frequency of dilation may range from three minutes twice a week up to ten minutes and twice daily*. Please consult with your Healthcare Professional.

Cleaning Instructions – I CAN CAREvaginal dilators, should be washed after each use. Wash in warm, soapy water, rinse thoroughly and allow to dry before storing in in a clean bag. Ensure all traces of soap are removed to avoid irritation. Remember to wash the dilator handle if it has been used.
Warnings and Precautions
 These instructions are intended as a guide. Further advice may be obtained from your Healthcare Professional.

Return Policy: We are not able to accept returns on the vaginal dilator product. For health and safety reasons, vaginal inserts, vaginal dilators that have been sold to a consumer cannot be restocked and are prohibited from resale.I CAN CARE Vaginal Dilators

http://www.icancare.org/treatment/radiotheraphy/vaginal-dilator

Tuesday, May 5, 2015

How to Select a Bra that Fits

How to Select a Bra that Fits


All women lose firmness as we get older, and so do our bras. When you buy a bra, try to make sure it fits you in the loosest hook. That way you can tighten the bra to the second and third hooks as it ages and still get the firmness and the lift.

Ideally, your breasts/breast forms should be midway between your shoulders and your elbows. Your bra should be level from front to back. Most women wear their bra bands too high on their torsos and this throws the fit off.

Another frequent mistake is to increase the band size, instead of getting a deeper cup. The bra needs to be snug in the back to lift the bust. The bra band is like a bridge; if it is properly placed, snug and lower at the base, it can lift and support better.

Remember to bend deeply at the waist before fastening your bra. This automatically centers it and distributes the volume of your breasts/breast forms evenly. The straps should neither fall down nor dig into your shoulders. They ought to provide only 10% of the bra’s support; the rest comes from the band.

In order for your bra to keep its shape and support, change bras throughout the week. If you wear the same bra two days in a row you will wear out the support elastic so that it loses its memory.
Here are some clues that your bra is the wrong size:
  • If your breast spills over the cup, it's time to go up a cup size.
  • If your breast form doesn’t fill the cup, matching the natural side, you need a larger size form. The measurement from nipple to bottom band should be the same on both sides.
  • If your cups dimple, it's time to go down a cup size.
  • If you have a roll of fat showing in back, you probably think your bra is too tight but, in fact, your bra is too large. Wearing the bra lower on your back with a smaller band size will eliminate the back fat.
  • If your straps fall down, your bra band is riding up and you probably need to go down a band size.

LYMPHEDEMA PRECAUTIONS

LYMPHEDEMA PRECAUTIONS

Lymphedema is swelling of the arm on the side of surgery as consequences of removal of lymph nodes from the arm pit. Prevention of lymphedema is highly desirable as it is quite resistant to treatment. It can happen to about 15-20% of people who underge surgery for breast cancer & can set in weeks, months or years after surgery.

Precaution to be taken:

v Avoid pricks and needles on the arm on the operated side.
v vius izHkkfor gkFkksa dks lwbZ rFkk [kjksap ls cpk;sa A
v Blood pressure measurement should be avoided on the side of surgery.
v vkWijs’ku dh rjQ okys gkFk ls jDr pki dh tkWp u djsa A
v Heavy weights more than 5kg should not be lifted by the arm on the operated side .
v vkWijs’ku dh rjQ okys gkFk ls 5 fdxzk ls vf?kd dk out u mBk,a A
v Cuts, stings, insect bite should be avoided.
v ePNjks ds dkVus ls cpko djsa A
v Tight garments, bracelets & rings should not be worn on the affected side.
v Rakx diMs] dMs rFkk vWxwBh dks vkWijs’ku dh rjQ okys gkFk esa u igusa A
v Be careful while paring your nails, Avoid waxing of the arm on the affected side.
v Ukk[kqu dkVrs le; lko/kuh cjrsa rFkk izHkkfor gkFzkks dh rjQ ckyks dj lQkbZ djrs le; lko/kkuh cjrsa A
v In case of any accidental cuts, wash the wound carefully and apply antiseptic ointment a once.
v ;fn fdlh nq?kZVuko’k dgha dV tk, rks mls lko/kkuh ls lkQ djds ,UVhlsIfVd dzhe yxk;sa A
v If there is redness or swelling in the arm, report back immediately to your treating physician.
v ;fn cktq esa dgha yky fu’kku ;k lwtu gks rks rqjUr vius fpfdRld dks lwfpr djsa A
v If you intend to fly, please ensure that your wear a custom made sleeve for the arm on the operated side.
v  


v If you wish to undertake a trip by flight, kindly ensure you have an arm sleeve (custom made) on during the duration of the flight. Information regarding the same will be provided to you at the hospital.

Drain Care

Drain Care
1.      Wash your hands carefully before handling the drainage system.

2.      Close the stopper and uncork the tube from the ringed collection box.

3.      Measure the fluid in the collection box. Empty the collection box by inverting it and shaking the content out at 8 a.m. (any fixed time) in the morning. Please do not wash the box.
    
4.      Measure the amount of fluid collected between 8 a.m. the previous day to 8 a.m.  the next day

5.      After emptying the box, reconnect the tube to the box by closing the cork. Press the rings firmly down before applying the cork. Now release the stopper.

6.      Please make sure that the connectors are secure firmly to the tubes coming out from the operation site. If there is only one tube coming out from the operation site, please ensure that the other connector is closed with its stopper.

7.      If there is any leakage from the side of the tube or if the collection box cannot be completely pressed down despite application of appropriate pressure, please report to your treating doctor.

8.      Clots can block your tubes and this can cause fluid to escape from the sides of the tube. If this happens, consult your physician immediately. This is a commonly encountered problem. Corrective measures involve removal of clot and restoration of flow through the tube.