The attention “the fifth life drafts” - - the ache

Now domestic and foreign tumor specialist very much pays attention to the ache question, some hospitals even regard as the ache “the fifth life symptom”, i.e., doctor wants to care likely patient's blood pressure, the pulse, the breath and the body temperature pay attention to patient's ache question equally. Do not think “, so long as cancer certainly will have hurt, the ache was the normal phenomenon.”The ache is in itself one kind of disease, but is not only cancer's symptom, clinicians should give to take seriously. The ache will cause the cancer patient anorexia, the mood depressed even to suffer from the depression, regardless of the patient or family member's quality of life without knowing where to begin guaranteed. Therefore, takes medicine stops hurts is each cancer patient's basic right, must respect. Cancer patient stops hurts the medicine to become addicted to the probability to be inferior to 1/1000 In real life, because the people to stop hurt the medicine existence misunderstanding, enables this right not to obtain the safeguard. “thought that will stop hurts the medicine to cause the patient to become addicted to” will be in these misunderstandings most prominent. “three steps and ladders cancer pain-relieving plan” the first steps and ladders medicine, is take medicines and so on aspirin as representative's non-meconium class pain-killer, if treats invalid, needs to use the second steps and ladders medicine, namely the weak meconium class medicine, for example the codein, the wonderful graceful fourth place, this time may the 12th steps and ladders medicine union use, the dose be possible to reduce, if the curative effect were still not this time ideal, needs to use the third steps and ladders medicine, namely strong meconium class medicine, like morphine. Director Di pointed out that so long as according to the science analgetic plan, cancer patient will take medicine “will become addicted to” the proportion not to surpass 1 ‰. Cancer patient can also stop in the home hurts Cancer's order of severity with the ache degree is not completely consistent. Some cancers will cause very much the fierce ache in the early time, will cut may not, because the patient will belong to the early patient, but will imitate “three steps and ladders plans” mechanically, thought that the early time cancer patient must use the first steps and ladders medicine. Actually to use what medicine, must the seeing a doctor person's ache degree as well as the medicine curative effect. In recent years, the pain-killer research made the progress unceasingly, “three steps and ladders” the medicine belonged to the oral administration medicine, the patient may treat in the home, the curative effect was not worse than the injection, moreover maintained for a long time. Moreover, stops pain pastes and so on new dosage-form to be published lets the treatment be more convenient. For all this, still some aches took medicine invalid. In cancer ache by nerve ache most unendurable, cancer of the pancreas or when other abdomen tumor oppression abdominal cavity nerve plexus, shifts to spinal column's tumor oppression spinal cord, can cause the severe pain which not rests day and night, these patients this time often need so-called “the fourth steps and ladders pain-relieving” the treatment, the anesthetist even are surgeons, may through the cut-off or the damage nerve means alleviation ache.