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What should I pay attention to after pituitary adenoma surgery?
Hello, at present, the clinical treatment of pituitary adenoma mainly includes drug therapy, surgical resection, radiotherapy and gamma knife. Matters needing attention after pituitary adenoma surgery can be summarized as follows:

1. It is suggested that enhanced MRI scan of pituitary gland should be reexamined after four to five months to understand the operation situation and check the endocrine function of blood regularly.

2. Patients with pituitary adenoma after transsphenoidal surgery should pay attention to avoid forcibly blowing their noses and picking their nostrils within one to two months after discharge;

3. If there is a little bloodshot secretion in the nasal cavity, furosemide nasal drops can be used and antibiotics (such as cephalosporins) can be taken orally appropriately;

4. Oral prednisone (prednisone acetate) tablets need to be gradually reduced. Generally, one tablet is reduced every week according to the condition until the drug is gradually stopped. If fatigue, listlessness, lethargy, anorexia and other symptoms appear after reduction or withdrawal, it is necessary to increase the dose or take prednisone again. A few patients need to take prednisone for life, and the blood cortisol level can be checked regularly to help adjust the dosage of prednisone.

5. For patients with hypothyroidism, appropriate thyroxine should be supplemented and thyroid function should be reviewed regularly.

6. For patients who have had cerebrospinal fluid leakage during the operation, it is best to avoid exertion within one month after discharge, try to avoid sneezing and coughing, keep the stool unobstructed and avoid constipation. If there is no viscous clear water-like liquid flowing out of the nasal cavity, you need to see a doctor in time.

7. For patients with diabetes insipidus who have a large amount of urine after discharge, you can take a proper amount of Minin tablets. Generally, when the urine volume is more than 250~300 ml per hour for two consecutive hours, you can take a half tablet of Minin or 1 tablet, and you need to regularly check the blood electrolyte level.

8. If the condition changes suddenly (such as decreased vision and aggravated headache). ), be sure to go back to the clinic in time.

9. For some patients who cannot be completely removed, drugs or gamma knife or general radiotherapy are needed.

10. According to the patient's physical condition, he can engage in activities within his power.

I hope my answer is helpful to you and I wish you health!