肾切除术,涉及部分或完全切除一个或两个肾脏的手术方法,如果存在肿瘤或许多其他原因,则执行。在上述情况下,一名60岁的女性患者,有反复发作的症状史,胃痛,发烧,以及以前的结核病史被带到三级护理医院。患者接受了左侧肾切除术。在研究过程中进行了X射线和全血细胞计数(CBC)。患者经历了各种术后并发症,如呼吸不适,分泌物,早期疲劳,和重症监护病房获得性弱点(ICUAW)。患者被转诊接受物理治疗。在整个干预过程中,结局评估显示肺活量逐渐改善,吸气压力,和生活质量分数。根据患者症状的严重程度计划以目标为导向的物理治疗。上述病例的物理治疗康复计划计划为期六周,重点关注呼吸急促等症状,早期疲劳,分泌物,呼吸不适,由于切口部位疼痛而难以保持良好的姿势,流动性降低,以及各种术后并发症。该研究的重点是综合理疗策略在增加肺顺应性方面的功效,分泌清除,和整体呼吸健康。早期动员策略对于减少术后问题至关重要,加快功能恢复,缩短住院时间。
Nephrectomy, a surgical method involving the partial or complete removal of one or both kidneys, is performed if there is the presence of a tumor or many other reasons. In the above
case, a 60-year-old female patient with a history of recurring symptoms, stomach pain, and fever, as well as a previous history of tuberculosis was brought to a tertiary care hospital. The patient underwent a left-sided nephrectomy. An X-ray and a complete blood count (CBC) were done during the investigations. Patients experienced various post-operative complications like respiratory discomfort, secretions, early fatigue, and intensive care unit-acquired weakness (ICUAW). The patient was referred for physiotherapy. Throughout the intervention, outcome assessments showed progressive improvement in lung capacity, inspiratory pressure, and quality of life scores. Goal-oriented physiotherapy was planned according to the severity of the symptoms of the patient. The physical therapy rehabilitation program in the above
case was planned for six weeks focusing on symptoms like shortness of breath, early fatigue, secretions, respiratory discomfort, difficulty in maintaining good posture because of pain at the incision site, reduced mobility, and various post-operative complications. The study focuses on the efficacy of an integrated physiotherapy strategy in increasing lung compliance, secretion clearance, and overall respiratory health. Early mobilization strategies were crucial in reducing post-surgery problems, hastening functional recovery, and shortening hospital stays.