Ache management application and plan

Pain-killer reasonable application and third-level analgetic plan The so-called pain-killer is refers to these to have the alleviation ache function medicine. This kind of analgetic function is only temporary, because they cannot remove cause the ache reason; But cannot deny that stopped pain the medicine to play the vital role truly in the cancerous ache pain-relieving. In the clinical pharmacological treatment, the cancerous ache commonly used pain-relieving medicine has two kinds: A kind of right and wrong anaesthesia pain-killer, may buy directly in the general pharmacy; Another kind anaesthetizes the pain-killer, needs doctor the special prescription only then to be possible to obtain. (1) non-anaesthesia pain-killer　　The non-anaesthesia pain-killer mainly includes the aspirin, to the acetyl amino-phenol, to different Ding the hydrocinnamic acid 3 medicines. Most situations, non-anaesthesia pain-killer, if uses promptly, to alleviates cancer patient's ache to have the enough curative effect. In the alleviation mildly to the moderate ache, the effect is specially good. To the majority patients, the conventional dosage non-anaesthesia pain-killer and the anaesthesia pain-killer like codein analgetic effect compares, not obvious difference. Therefore the present advocated, if the patient uses the non-anaesthesia pain-killer then to be possible to obtain the analgetic effect, do not use the anaesthesia pain-killer. Because the anaesthesia pain-killer has the big untoward effect. The non-anaesthesia pain-killer also has the compound preparation, the goal is alleviates the medicine certain untoward effects and increases the analgetic effect. The compound pain-killer besides includes the aspirin, to the acetyl amino-phenol or to the different Ding hydrocinnamic acid 3 kinds, but also according to needs to join some chemical additives. Like joins the magnesium carbonate, the aluminum hydroxide to be possible the neutral gastric juice, reduces the stomach uncomfortableness; Joins the caffeine to be popular prepares the medicinal preparation, has reduces the ache the function; Joins the antihistamine class medicine, like the benadryl, the chlorpheniramine and so on, have the hypnosis, the sedative activity, the latter kind of medicine takes suitably in the evening, otherwise causes sleepily, listless. (2) anaesthetizes the pain-killer　　The anaesthesia pain-killer, was the person plant opium poppy (opium) withdraws in the past, therefore was also called as the opium preparation. But the present, many anaesthesia pain-killers may the synthesized. The anaesthesia pain-killer includes: The codein, the dihydro morphine, methadone, the morphine, the oxygen may the alkone and the oxygen morphine alkone. The anaesthesia pain-killer mainly uses in moderate and the specific weight ache, stops pain the effect to be obvious. Chang Yufei anaesthetizes the pain-killer to apply together, not can only control the varying degree effectively the ache, moreover is helpful to the reduced anaesthesia pain-killer amount used. The anaesthesia pain-killer's most major problem is appears becomes addicted to and the antibiotic nature. Generally speaking, in doctor under instruction, cancer patient after use anaesthesia pain-killer has the opportunity which becomes addicted to be extremely few. When the majority patients use other methods can control the ache, can smoothly stop the anaesthesia pain-killer the use. (3) other kind of medicines　　This kind of medicine may alone or uses in with the anaesthesia pain-killer the treat cancer patient's ache together. And has some to have own analgetic function, has some to be possible to increase the anaesthetic the analgetic effect, but also has some may reduce the anaesthesia medicine the untoward effect. These kind of medicines include: 1) anti-despondent medicine　　Like the imipramine, the Arab League onamot for the forest and so on, often use in the ache which the surgery, the radiotherapy, the chemotherapy cause. 2) the main center is popular prepares the medicine　　If the dextrorotary benzene isopropyl amine and so on, besides increases the anaesthesia medicine the analgetic effect, and has the resistance sleepy untoward effect function. 3) anti-organization according to medicine　　Like the benadryl, the tran-Q, settle him happily and so on, has the alleviation ache, to stop spits and sleeps soundly the function. 4) anticonvulsant　　The rising sun tegretal and so on, may alleviate, because the stimulation nerve causes ache. 5) steroid hormone　　Like Prednisone, the dexamethasone and so on, to alleviate, the constant pain to have the help anxiously. The World Health Organization proposed that “in 2000 relieved the ache for the most cancer patients” the strategic target. It manifested the control cancer ache to become implements the humanitarianism the important remedial measure. in 1984 the World Health Organization invited 28 medicine, the pharmacy and nurses the expert to discuss formulates “the third-level pain-relieving” the plan, its synopsis was as follows: ⅠLevel pain-relieving　　Is suitable in the general ache. Uses the non-anaesthesia mitigative to add and subtract the auxiliary adjuvant (non-steroid class). Namely: Aspirin 200~1000 milligrams, every 4 hours 1 time, after the food uses, to need the aspirin which the intestines dissolve or to add the antacid. ⅡLevel pain-relieving　　Is suitable in moderate continues the ache or the ache aggravation. Uses the weak anesthetic to add and subtract the non-anaesthesia mitigative to add and subtract the auxiliary adjuvant. Namely: The codein 30 milligram Canada aspirin 650 milligrams (approximately are equal to codein 30 milligrams), every 4 hours 1 time. ⅢLevel pain-relieving　　Is suitable in continues the ache intensely. Uses the strong anesthetic to add the non-anaesthesia mitigative to add the auxiliary adjuvant. Namely: Morphine 0.01 gram Canada aspirin, until ache subduction. The morphine gives the medicine way: Oral administration, tongue Next or anal suppository.　　The auxiliary adjuvant is refers to the calm tranquilizer, the hibernation to work, stably, Prednisone, dexamethasone medicines and so on steroid class, according to the condition need, chooses the auxiliary adjuvant.