The findings which according to the scientist at this week convenes the American Mind and body Association annual meeting which announces, in adult, if puts some sweet taste food on his/her tongue, can increase it to the ache tolerance. Studied for the doctorate in the McGill university Maxim D. Lewkowski to tell Reuter reporter saying:“the sweet taste liquid as if has the analgetic function.”Some research in before this once discovered that before gives an injection to the baby, gives them first oral administration sweet taste food, can reduce baby's making a tearful scene. Its reason possibly is causes the baby to ache better tolerance, but this kind of function in adult whether effective, are very actually few some people to study. In order to clarify this question, Lewkowski et al. investigated 72 young adults, lets them taste the sweet taste, the bitter taste solution or the clear water successively, then observes them to put in the hand the time length which in the ice water can endure. The result showed that when tastes the sweet taste liquid, it endures the time in the ice water to be longer, is 85 seconds equally, comparatively, when tastes the bitter taste liquid the mean time is 82 seconds, tastes when the clear water is 83 seconds. The researchers extrapolated that on tongue's sweet taste can promote the analgetic material function which to a certain extent in the human body produces naturally, these analgetic material is called the meconium class material or in fei the peptide. The researchers discovered that in blood pressure somewhat low trying, this kind of function is more remarkable. In a blood pressure somewhat low part trying, the sweet taste can make it to increase to the ache tolerance approximately 18%, but regarding these blood pressure high trying, the sweet taste does not have what function. Lewkowski said that this discovery showing or has hypertension regarding these hypertensions to favor trying, the sweet taste cannot play the alleviation ache the role. This possibly is because they produce naturally to the human body in the analgetic material reactivity reduces reason. The Lewkowski reminder said: “what is consistent with this extrapolation, hypertension's individual is bad to the analgetic material sensitivity.”
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.
Contracted serious illness Chang Yao to go to the hospital treatment, much less was cancer. But Beijing Temple of Heaven Hospital rather raises a research which the courtyard completed recently actually to demonstrate, the later period cancer painful patient is suitable in the home treats, like this its patient ache alleviation rate may reach as high as 98%, quality of life many targets also has the remarkable enhancement. Therefore the expert believed that this method suits our country national condition, should promote by the society. Regardless of being the patient or the family member, should go out the hospital treatment the erroneous zone. Cancer ache is most makes the patient frightened and unendurable. World Health Organization (WHO) lists as the cancer pain control cancer unified plan treatment the key point. Some time ago, the Temple of Heaven hospital rather raised the courtyard to develop “has eased the pain the treatment result research to the critically ill cancer painful patient in the home”. Doctor carries on the track to 32 masculine and 28 feminine critically ill terminal cancer patient, including patients and so on lung cancer, cancer of the intestines, liver cancer, cervical cancer, bone cancer, esophagus cancer and gallbladder cystocarcinoma. Before the treatment, the medical personnel have made the overall check to the patient, and makes the ache degree graduation appraisal separately. To, the critically ill cancer painful patient, according to WHO cancer ache three steps and ladders pain-relieving principle, gives the right amount oral administration or the external use strong meconium class analgesic treatment. In the treatment the basis condition change, momentarily adjusts the medicine dosage. Then presses the ache alleviation again, the appetite, the sleep, the state of mind quality point scale, fixed time carries on the curative effect observation. The result showed that the pharmacological treatment pain-relieving effect is good, alleviates 16 examples completely, the moderate above alleviates 53 examples; The ache alleviation rate reaches 98%. Meanwhile also has the remarkable enhancement in the quality of life, the appetite, the sleep and the state of mind has the enhancement. According to this courtyard expert Director Shao Jun introduced that the later period cancer painful patient treats in the home, really has many advantage. This way both are convenient, and economy, in the specialized medical care personnel or pass through entire section doctor who trains specially under the instruction to be possible to implement. Both can reduce family member many Loughton, and is advantageous for the emotion communication and psychological unblocking, enables the patient in the life which gradually passes to obtain more deathbed cares. May also alleviate our country rather to raise the bed scarce present situation.
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: ⅠThe level pain-relieving is suitable for 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. ⅡThe level 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, hypoglossis 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.
The treat cancer ache most to be commonly used is also the most essential method namely for the pharmacotherapy. Pharmacotherapy's curative effect accurate, shows results quickly, is safe, is economical. But, still some quite many doctors or cancer patient stopped pain to the medicine did not understand, when an investigation discovery, carried on to the specific weight ache patient the pain-relieving treated, some 13.25% non-tumor specialized doctor first selects Du suddenly. Cancer stops pain should follow three steps and ladders medication principle Director Di said that World Health Organization proposed the cancer painful pharmacological treatment's three steps and ladders medication principle, stresses according to the steps and ladders medication; The oral administration gives the medicine; Takes medicine on time; The individuation gives the medicine; Attention nuts and bolts. According to the steps and ladders for the medicine is from weak to strong, gradually the increment, do not wait for the patient to need only then to use, but is in a disorderly way on time applies drugs. Insisting the individuation principle namely not so-called “the maximum dose” the limit, but take achieves the effective analgesia as the goal. He introduced that this courtyard Professor Liu Shu handsome and so on summarized some matters needing attention which in the long-term application the medicine stopped pain, like should from the simple the dosage plan and the wound smallest pain-relieving therapy start; Best oral administration, if cannot take orally should consider that the rectum or after hypodermic gives the medicine; Do not use the placebo the treat cancer ache, cannot stop pain truly with the placebo, this to the patient is brutal; To the meconium class medicine, the different patient has the very big difference to untoward effect's sensitivity, time the application must pay attention; After the patient leaves the hospital, should give the written pain-relieving therapeutic schedule. The commonly used three steps and ladders stop pain which does the medicine have The non-steroid body antiphlogistic uses in the mild ache, often applies drugs has the aspirin, the paracetamol, the cloth Luo river fragrance, indomethacin and so on. To moderate ache available weak meconium class, like codein and so on. To specific weight ache available strong meconium as for example morphine, slow release morphine, multi-Switzerland lucky and so on. Cancer stops pain do not need to use Du suddenly and dihydro Egypt holds the Philippines Director Di Lijun said that Du's pain-relieving function suddenly for the morphine 1/8, stops pain the time only to be able to maintain two-and-a-half hours to three-and-a-half hours. This medicine to go to the armor in vivo metabolism pai for ding, it has the central nervous system poisonous function, cancer patient in the large dose after this medicine definitely will create the agglomeration, will present the poison, may appear trembles, the illusion, to twitch, the paramyoclonus and the epileptic paroxysm. Therefore, Du only may use in the short-time acute ache pain-relieving suddenly. Long-term use dihydro Egypt holds the Philippines to be possible to cause the obvious spiritual dependence and the body dependence, cannot use in the cancer pain the conventional treatment. In cancer stops pain with the meconium class does not need to worry that became addicted to Director Di saying that many patients and doctors worried will appear using the meconium class becomes addicted to, actually this kind of worry was nonessential. So-called becomes addicted to refers to the spiritual dependence, by now the patient cannot help but longs for obtaining the medicine resourcefully, take harmed the body and family happiness frequently seeks the medicine as the price. Some item indicated to 10000 using the meconium class pain-relieving's cancer patient's investigation that has not presented the spiritual dependence in these patients. Another item demonstrated to 11882 using the meconium class pain-relieving's cancer patient's investigation that only some 4 patients present the spiritual dependence. Therefore the patient does not need to worry becomes addicted to the question. When using meconium class medicine presents the physiological dependence and the tolerance is the normal Pharmacology phenomenon, should not affect the medicineThe thing continues the use. Director Di reminds that the long-term application meconium class medicine, specially produces the patient who to it bears the medicine, because is sensitive to the meconium class antagonist compound, after the breath suppresses corrects is been very easy to appear the serious abstention to break the symptom and the ache recrudescence. The standard medication can enable the overwhelming majority patient to get rid of the cancer pain Some patients believed that I give an injection the pain-relieving to be useless, how many tablet of medicines do you let me take to be able to have an effect? Director Di introduced that kind thought the mouth takes medicine the analgetic effect to be bad, stops pain not the prompt idea is incorrect. The research indicated that according to three steps and ladders for the medicine principle, some 80%~90% cancer patient ache alleviates, but not the standard medication not only stops pain the effect not to be good, moreover the untoward effect occurs the proportion is also high. Therefore every may through the oral administration to the medicine treatment oral administration medication as far as possible. After other process standard medication was still unable the patient who relieves the ache effectively, may use other methods. Director Di said that along with the analgetic research's progress, was not at present is helpless to this part of patients.
In 1999 in the whole world narcotic medical service consumption place, China arranged at 102nd. Compares with neighboring country Japan, in 1999 the Japanese morphine medical service consumption amounted to more than 900 kilograms, our country is only more than 100 kilograms, but our country population was Japan's more than 10 times, actual morphine average per person consumption both countries differed nearly 100 times. What creates this kind of huge disparity the reason is? Reporter interviewed partial basic unit medical service unit's clinician on this question, and has consulted the related ache control expert, the generalized analysis indicated that affects the cancer pain treatment the reason is various, but the most important question is the general medical personnel and the patient exists generally “becomes addicted to the fear” to the meconium class medicine. This kind “becomes addicted to the fear”, is the meconium class medicine use chief obstacle, is also in the ache treatment biggest bottleneck. The production “becomes addicted to the fear” the primary cause is in doctor the universal existence some wrong traditional ideas, here, it is necessary to clarify. Body dependence ≠ spirit dependence To the meconium class pain-killer's fear is because widely exists the erroneous picture, thought that the body dependence (physiological dependence) equates in the spiritual dependence (becomes addicted to, medicine dependence). After the physiological dependence is refers to meconium class analgesic long-term usage period of time, forms endures. Its characteristic performance is, applies drugs after repeatedly, affects the potency to drop, the response time reduces, needs the incremental dose or the reduction can maintain the treatment result for the medicine time. The physiological dependence's production belongs to the normal physiological Pharmacology phenomenon. The spiritual dependence is one kind of reflection psychological abnormality the behavior performance, its characteristic is pure take pursues energetic enjoyment as the medication goal, resorts to all means with cannot help but to long for that obtains the medicine; After the medication, may obtain one kind specially well satisfied “the euphoria”, thus has formed ingrained in the psychology to the meconium class analgesic dependence. Has one kind of situation on clinical to be possible to be called the vacation “to become addicted to”, because uses for to describe one kind the ache not to be able to obtain the behavior change which the effective treatment causes, is called the medical source syndrome, this and sends the meconium class medicine spirit dependence behavior to be similar especially, but the nature is different. Therefore, should differentiate the physiological dependence correctly with the difference which becomes addicted. Cannot, because the constant pain patient uses the meconium class pain-killer to produce endures treats as them becoming addicted. If cannot differentiate the body dependence and the spiritual dependence, will cause the ache patient not to be able to obtain the enough analgetic treatment to suffer the nonessential pain. Narcotic ≠ narcotics The medical application ≠ abuses The so-called drugs, are refer to use for to treat or the prevention disease's material; But the narcotics are point out in the non-medical goal but the long-term usage can produce the dependent material repeatedly. Everything lists as the state regulation the medicine, the reasonable use is the drugs, the illegal use is narcotics. So-called abuses, is refers to using the medicine achieves the feeling of satisfaction, produces is no use to the treatment effect. All narcotics have the possibility to abuse, but the normal medical application is not abuses, must and illegal abuses the reasonable use distinguishes strictly. Specially cannot to seek relieves the ache to request to obtain the treatment patient to regard is the drug addict, also cannot increase the anaesthesia pain-killer dosage to take for is substance abuse, cannot delimits the narcotic and the narcotics the equal sign, but limits patient's right use. The ache patient has the spiritual dependence to be extremely rare The clinical research discovery, the meconium class medicine in the standardization service condition, the ache patient presents the phenomenon which becomes addicted to be extremely rare. The possible explanation is, when the ache vulnerability stimulation along in the transmission ache's neural pathway upward process, ache patient's in vivo has produced the special opium receptor. These acceptor dispersion in had among the meconium class material, dispersed entered in vivo the alleviation ache medicine. But does not have the ache individual not to have these special acceptors, this time, any enters in vivo majority of the meconium class material directly with brain's in acceptor union, caused in the brain the meconium class medicine density to advance suddenly, increased the possibility which became addicted. In addition, becomes addicted to the formation rate and the medicine for the formula type related, the direct intravenous injection make the blood medicine density to advance suddenly, easy to cause to become addicted. Uses the meconium class medicine in the constant pain treatment to control releases the preparation, the medicine slowly releases in the gastro-intestinal tract, causes the blood medicine density to a certain extent maintains constant. Therefore, in does not have in the substance abuse history patient's ache course of treatment, meconium class medicine's becoming addicted to is rare. An entire US's investigation showed: 10,000 examples with meconium class pharmacological treatment several Zhou Zhishu in the month patient, the only 22 examples have the spiritual dependence, these patients once had the substance abuse history. Other 11 882 examples with in the meconium class pharmacological treatment's in-patient, only some 4 examples have the spiritual dependence. Therefore may say that becomes addicted to does not occur nearly in the ache patient, including cancer patient. Expert appeal: Renewal medication idea, breakthrough treatment bottleneck The cancerous ache is a global scale serious public health question. Because exists generally so-called " addictive nature " the wrong traditional ideas, enables many patient's aches not to obtain the effective alleviation. The experts pointed out that because is afraid the patient to become addicted to or the worry anaesthetic inflow illegal channel, gives up eating for fear of choking, because in use frequently dosage insufficient influence pain-relieving effect, even evades does not use, this is to the ache patient not the humanity procedure. Thought that the ache treatment is “the headache medicine head, the foot painful medicine foot”, is also one wrong idea. If is only looking from the angle which stops pain temporarily, the ache treatment as if is only one expedient measure, namely so-called “takes stopgap measures”. But in fact, because has controlled the ache as well as the physiological function disorder which causes by the ache, if the improvement psychology function condition, the improvement sleep, reduces anxious, improved patient's quality of life, this is also an ache treatment important achievement. Proposed at the ninth world ache congress “the ache is one kind of disease, but is not only one symptom” the new idea, the medical worker must enhance the ache treatment to treats disease to treat same likely knew highly, the policy maker and even the populace must overcome the ache treatment barrier, enables the ache patient to obtain the full treatment. The WHO medicine dependent Expert board has published stated: The request “through to the medical worker, the health devices and all public's education promotes to use the meconium class pain-killer reasonably, guaranteed that has the reasonable medical needs patient to obtain the full treatment”. China's general medical workers must renew the medication idea, the breakthrough medication bottleneck, causes China's ache treatment level and the international trail connection.
The cancer painful medicine must take the analgesia is cancer patient's primary need promptly. Although cancer patient's ache question already obtained the entire society to take seriously, takes each measure decisively to cancer ache patient, also improved patient's quality of life effectively, but the cancer patient carries on the ache treatment the popular rate and the standards is still unoptimistic. The most prominent question is, not only and family member there is common to the analgesic dread in the patient himself, even many medical care personnel also worried continually the patient uses the analgesia medicine to be able to cause the medicine dependence. But in fact, carries on the ache treatment to the cancer patient, looked like the human hungrily to eat meal is the same, was they most basic one kind of demand. On the lung cancer patient, when the cancer cell infiltration either infringement neighbor blood vessel, the nerve, the lymph vessel, the soft tissue, the internal organs and the bone tissue, have the oppression or the stimulation to it, the patient in spots and so on chest, upper limb, shoulder joint can have the ache feeling. But in view of the lung cancer patient cancer cell discovered that late, will shift quickly, the cure rate low characteristic, the ache will let them be more pessimistic, despair, will have the suicide tendency. This time, if can alleviate patient's ache symptom, can enhance the lung cancer treatment greatly frequently the effect. The analgesia needs to follow “three steps and ladders principles” Because premature or excessive use analgesia medicine, indeed will bring the unexpected bad influence to the patient, will therefore give the medicine under doctor's instruction according to patient's special details, will reduce the untoward effect which effectively the medicine will produce, the guarantee medication security. As early as in 1982, the World Health Organization proposed famous "Cancer Three Steps and ladders Analgesia Guiding principle", according to this principle, cancer analgesia uses three steps and ladders generally the drugs, based on this and adds and subtracts the union medication, may enable 90% cancer patient's ache to alleviate. So-called three steps and ladders analgesia principle, is also by specialized doctor, in makes the correct appraisal after the cancer pain's nature and the reason, divides into according to the ache fierce degree it the light, medium and heavy three ranks, according to this presses again chooses the different medicine. The mild cancer pain can endure generally, the daily life and the sleep are not affected, may select take the aspirin as representative's non-steroid body class sterilization analgesic; If develops the moderate long-enduring ache, the sleep will receive the disturbance, the appetite also has the decrease, this time will become the first choice take the codein as representative's weak meconium class medicine; But to the specific weight, is unable the patient who endures the fierce ache, then needs to use take the morphine as representative's strong effect meconium class medicine preparation. In addition, the auxiliary medication is also playing the very important role in entire “three steps and ladders principles”. The stable kind, anti-despondent kind of as well as the anti-convulsion class medicine not can only strengthen the meconium class medicine the analgesic effect, because simultaneously can also relieve the ache to bring anxious, despondent and is agitated and so on energetic symptom; But the stomach mucous membrane protecting agent, the stomach and intestines power medicine and bowel movement eccoprotics and so on can the pointed prevention or reduce each kind of analgesia medicine the side effect, like disgusting, vomit, constipation and so on, guarantees “three steps and ladders principles” smooth advance. The cancer patient analgesic becomes addicted to rarely Long-term use meconium class medicine, namely morphine class medicine whether will become addicted has been puzzles the cancer patient and a family member's big difficult problem. Has many patients, because is afraid becomes addicted, rather endures the fierce ache suffering, but does not accept the standard the pharmacological treatment, actually this is not unnecessary completely. The massive clinical practices proved that under the meconium class medicine convention dosage has the phenomenon which becomes addicted to is very rare. Becomes addicted to is substance abuse causes, is one kind of psychological abnormality the behavior performance, but the cancer painful patient is because in the central nervous system has the intense ache infection, uses the meconium class medicine under this pathological state, the analgesic effect can obtain the full display, its goal is not after appearing becomes addicted to the urgent need pleasant sensation. At the same time, “three steps and ladders principles” cause the medicine to absorb at the gastro-intestinal tract slow release, the blood medicine density can maintain stable in the long time, will protect will not rise rapidly to causes the pleasant sensation density. Certainly, the meconium class medicine will also have some side effects in view of the different individual, for instance the constipation, disgusting, the vomit or will be addicted to rests and so on, but through auxiliary will usually use some medicines, will be very easy to control, compares survival quality distinct enhancement which the analgesia medicine will bring, it may be said that will be the advantage is bigger than the shortcoming. Cancer patient is very big to the analgesia medicine's response individual difference, therefore when has the ache treats the demand, certainly must arrive at the ache special clinic or the tumor outpatient service carries on the consultation, enters according to the special details.
Is long in the family treatment regarding the course and the ache light cancer patient, should adopt the psychotherapy and the physiotherapy stops pain, not only these methods are easy to do, will also give the patient to strengthen defeats illness the confidence, will enhance the life the pleasure. First, psychology suggestion therapy: This law is mainly strengthens patient oneself to defeat disease's confidence. May unify each cancer's method of treatment, suggested how the patient does carry on own adjustment, how tells them to coordinate the treatment certainly to be able to defeat disease, makes him to strengthen the life courage, completes the eat three meals a day earnestly and carries on the essential recovery training, by transfers oneself biggest elimination cancer cell fully ability, thus achieves analgetic the goal. Second, relaxation pain-relieving law: The whole body loose may the light pleasant sensation, the muscle relaxation be possible to block the ache response. May let the patient close both eyes, does sighs, hits breathes as when warming the hands and so on movements, bows horizontal, the relaxation musculi abdominis along with the retroflexion hip, the musculi dorsi, to make the abdominal breathing slowly. Or is called the patient to shut the item in the lonesome and quiet environment to carry on deep and the slow inspiration and the expiration, causes the crisp air to enter the lungs, serves the analgetic purpose. Third, physical pain-relieving law: May through stimulate the healthy side which around the ache the skin or corresponds to serve the analgetic purpose. The stimulation method may use the massage, spread the cool pain-killer and so on, may also use each kind of temperature the stimulation, or places on the wet towel with 65℃ the hot-water bottle to make the partial hot compress, each time 20 minutes, may make certain analgetic progress. Fourth, shift pain-relieving law: May let the patient sit on the comfortable chair, closes both eyes, recalled that the childhood interesting happy event, or thought are willing to think any matter, each time 15 minutes, generally are eating food the latter 2 hours to carry on, must shut the item afterward to sit in meditation 2 minutes; May also act according to patient's hobby, elects to put some quick intonations music, lets the patient on the one hand appreciate on the other hand does along with the rhythm whips, claps and so on movements; May also let the patient look that some jokes, the humorous story, said section of vocal music take. These may serve the purpose which the shift stops pain.
The cancer pain lets the heart which the human dies have According to the World Health Organization statistics, 50% cancer patient have the ache symptom, 70% terminal cancer patient thought that the cancer pain is the cardinal symptoms, 30% cancer patient have the unendurable fierce ache. Not only the cancer pain takes to the patient is a pain, sometimes dignity forfeit. If has not experienced, the average person is unable to imagine that kind of pain radically. When the patient hurts, let alone sweats profusely, everywhere sways back and forth, seeks medical help lives “lets me die” has, even has the suicide tragedy. The cancer pain influence is not only patient, but also has their family member. It can be said that this is a social question. The cancer pain, we pay attention insufficient in 1982, WHO proposed the cancer pain three steps and ladders therapeutic schedule: Mild may endure generally, can the normal life, mainly apply the non-steroid body class anti-inflammatory agent, the pain-killer; Moderate is the long-enduring ache, the sleep receives the disturbance, the appetite has the decrease, mainly applies the weak meconium class medicine (for example codein); The specific weight receives the significant disturbance for the sleep and the diet, the ache intensifies, needs to use the strong meconium class medicine (for example morphine). The medical goal morphine's consumption is weighs a national ache treatment level the objective indicator, this kind of medicine medical service goal amount of use is higher, showed that a country more takes seriously to the ache treatment, more pays attention to the life quality. In the early-1990s, our country's average per person morphine amount of use was 0.01 milligrams/year, Denmark's amount of use is our 6500 times, the US is 2800 times. Many people have the misunderstanding to the morphine Many people to apply the narcotic the worry to be many, “the morphine” these two characters in many person eyes are the narcotics, will let the human become addicted. The such consciousness serious influence to cancer patient's medication, the main performance will be “becomes addicted to the phobophobia” - - - to bear the medicine and to become addicted to jumbles together. “bears the medicine” is refers to the medicine function to drop gradually in the use process, must through enhance the dosage to achieve the original analgetic effect, so long as ache vanishing, the patient may succeed the stop pharmacological treatment; But “becomes addicted to” or is called “the psychological dependence” is in one spiritual dependence, no matter the patient the pain with is not painful to medicine existence unusual earnestly seeking. The cancer pain is may treat The cancer pain treatment had reflected the medical idea renews the speed, the technology renew the speed and the medical management's level, it is patient's basic right. Doctor not just cures sickness, guarantees patient's quality of life more importantly. Should promote this kind of idea, the constant pain is in itself one kind of disease. As soon as has the ache, should go to look for doctor. The cancer pain may govern - - - except the pharmacological treatment, WHO's cancer pain three steps and ladders therapeutic schedule may enable 85% cancer patient's ache to obtain the effective alleviation, 75% above later period patient's ache can relieve. Moreover, some new micro creates the treatment, for instance through CT the localization guidance, damages the sensation of pain nerve and so on to be possible to achieve lasting analgetic the goal.
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