The analgesia may the self-control

Regarding the terminal cancer patient, the ache is the most universal symptom. In view of the later period cancer pain, the World Health Organization (WHO) has formulated “three steps and ladders pain-relievings” in 1986 the principle of reatment, the People's Republic of China Medical department officially has also promulgated "Cancer Patient Three Steps and ladders Pain-relieving Therapy Guiding principle" in 1993, medical arena experts for many years has also been exploring eliminates the cancer pain the efficacious device. However, besides light moderate ache effect still permissible, the specific weight ache still lacked the effective means. In recent years, domestic and foreign has used one new analgesia method in the ache treatment aspect, namely the patient automatic control analgesia technique (patientcontrolledanalgesia, is called PCA). After at first mainly uses in the surgery stops pain, already widely applied in the later period cancer pain and in other stubborn ache treatment. Because many people do not understand or simply did not know that has this therapy, enables this new technology the very good service in the later period cancer painful patient. What is PCA? PCA is asks about somebody's well being handtailor Chu Yaobeng through a narrow tube places on the patient body, stops pain the medicine to enter after the PCA pump by the specific speed the medicine pump the human body to play continually the analgetic role, different may choose the different pump according to the ache degree to enter the speed. Pump's above also some automatic control button, when the patient felt when ache may hold back increases the replenishment dose. How to place? The PCA pump divides two kinds: One kind is the microcomputer control pump (also said that electronic pump), the automated control degree is high, the speed may adjust willfully, easy to operate, but the price is expensive, suits in hospital period use; Another kind is the disposable PCA pump, pours the medicine speed to be relatively fixed, the price is low, suits uses in the home. According to the ache spot, the scope and the degree are different, the medicine pours into human body's way to be possible to divide into three kinds: Hard membrane pericoel, vein and hypodermic. Generally speaking, below the chest, the ache spot and the scope relatively fixed patient, suit after the hard membrane pericoel (PCEA) the note medicine; Ache scope Guang Huoying the membrane pericoel puncture difficulty, suits after the vein (PCIA) or hypodermic (PCSA) the note medicine. Pump's size similar teacup, above has hangs the buckle, may hang in the waist, may install in the pocket, evening sleeps may place nearby the pillow. It is not hospitalized the patient may after the hospital imposition brings to go home, fixed time adds the medicine to the pump in then, is unable the hospital serious illness person also to be possible to ask ache branch doctor to treat illness in others to place. With what medicine? Generally has three kind of medicines: First, anaesthetic, like morphine, demerol hydrochloride, Fentaini and so on; Second, the local anesthesia medicine, mainly uses the cloth compared to Kain; Third, the stable calm medicine, the commonly used imidazole stable or the fluorine pai advantage are many. Merit: 1. gives the medicine automatically, but cannot be hospitalized, can participate in the general daily activity. 2. the analgetic effect is accurate, the patient may change itself according to the ache degree to supplement the medication. 3. the complication are few, is not easy to become addicted to, to the sleep, the diet and patient's spiritual influence is small. 4. the duration was long, reduced inconvenient which injected repeatedly brings. 5. uses the dose to be few, generally speaking the expense is low. The common side effect includes:①The disgusting vomit, initially uses common, reduces gradually.②The skin pruritus, take the face and the chest and back as heavy, the available antihistamine or the sedative.③The urine zhu remains, may give the ventral massage or the hot compress, when the necessity may the temporary catheterization. 4 breath suppress, generally is not obvious, is serious when gives the oxygen uptake.⑤Other, occasionally see the constipation, dizziness, to be addicted to rest and so on. Are different according to pump's quality and the performance and are different, generally speaking includes the pump and the technical cost approximately between 600~800 Yuan. a 3~7 day of Canadian medicine, the peaceful pump may use for 1~3 months. Generally the municipal above big hospital can make this kind of treatment, should look for ache branch doctor or anesthesiology department doctor receives a medical examination.