Acute-phase reaction,Adenoma

Cancer's three steps and ladders pain-relieving law, is one kind according to patient's ache degree is different, but uses the different rank to stop pain separately the medicine for the principle of reatment analgetic method. As one kind most commonly used, and the extremely effective analgetic method, recommends vigorously for World Health Organization (WHO), widely has been applied in treats each kind of constant pain. Uses three steps and ladders pain-relievings method premise is must learn the cancer painful rank appraisal. Must divide into patient's cancer pain light, medium and heavy third-level, the most commonly used method is uses 0~10 levels of aches to appraise the meter. Doctor inquires to the patient asks him to reply: “if 0 are the indolences, 10 can imagine painful for you, then how many levels your present's ache is? The ache is heaviest when is how many levels? Lightest when is several levels?” although 1~4 levels are the mild ache, the patient have the pain but to be possible to endure, can the normal life; 5~6 levels are the moderate ache, the patient ache are obvious, cannot endure, affects the sleep; 7~10 levels are the specific weight ache, the ache are fierce, cannot go to sleep, may be accompanied by the passive body posture or the nervus autonomici function disorder performance. After having clarified patient's ache rank, then defers to the cancer pain treatment 5 main principles which WHO proposed to give the medicine: First, the oral administration gives the medicine. Simple, not creates, is advantageous for the patient long-term medication, is suitable to the majority ache patients. Second, gives the medicine on time. Attention: Is gives the medicine “on time”, but is not time the ache only then gives the medicine. Third, gives the medicine according to three steps and ladders principles. According to the patient ache's light, medium and heavy varying degree, gives the different steps and ladders the medicine. Below we enumerate in various steps and ladders separately the commonly used medicine. The first steps and ladders mild ache gives the non-meconium class (non-steroid class anti-inflammatory agent) to add and subtract the auxiliary pain-killer. Attention: Non-steroid class pain-killer existence most greatly effective dose (ceiling effect note) question. The commonly used medicines including the paracetamol, the aspirin, the double chlorine fragrance sour salt, Canada gather hundred clothing Ningxia, the cloth Luo river fragrance, the fragrance to (cloth Luo river fragrance slow release capsule), indomethacin, yin duo US Xin, Italy Shi Ding (yin duo US Xin Kongshi the piece) and so on. The second steps and ladders moderate ache gives the weak meconium class to add and subtract the non-steroid class anti-inflammatory agent and the auxiliary pain-killer. The weak meconium class medicine also has the ceiling effect. Because the commonly used medicines have the codein, the strong pain to decide, Qu Maduo, wonderful graceful Ding (Qu Maduo to release slowly piece), a pair of gram (codein to control release piece) and so on. The third steps and ladders specific weight ache gives the meconium class to add and subtract the non-steroid class anti-inflammatory agent and the auxiliary pain-killer. Strong meconium class medicine non-ceiling effect, but may produce endures, must suitably the incremental dose to overcome endures the phenomenon. Formerly thought that stops pain with the morphine can become addicted to, therefore is not willing to the patient to use the morphine, now proved that this viewpoint is the wrong - - - use morphine cancer painful patient extremely little has the addictive nature. This steps and ladders commonly used medicines have the morphine piece, US and Philippines Kang (morphine slow release piece), US to execute Kangting (morphine to control release piece, but rectum gives medicine) and so on. But, demerol hydrochloride this formerly commonly used pain-killer, because its metabolite toxicity big and so on factors, has not been recommended uses in controlling the constant pain. Moreover, some auxiliary medicine's use increased the analgetic curative effect, reduced the pain-killer dosage, had the good analgetic effect. These medicines including the cerebral cortex steroid hormone dexamethasone and the strong pine, may reduce the ache which peripheral nerve dropsy and the oppression cause; Anti-despondent medicine Arab League Mi Tilin, considers thoroughly evenly, US Shu Yu, hundred sorrow solution, uses for to ease the pain, calmly, the improvement mood; Anticonvulsant card horse Siping, the benzene proper UK sodium, after may treat tearing and the cauterization type pain and put the chemotherapy, the ache; The tran-Q class antihistamine, uses in easing the pain, calmly, the town to spit. Fourth, medication individuation. The medication dosage needs to determine according to the patient individual situation that take the indolence as the goal, does not deal with the dose to limit strictly has caused the medication insufficiency. Fifth, observes the patient applies drugs the change after strictly, the stitch in time each kind of medicine's side effect, the observation evaluation medicine curative effect, adjusts the medicine dosage promptly. In addition, but must pay attention to between the medicine the interaction as well as the medicine stops pain questions and so on complex therapy which unifies with other methods. Recently, the national Drugs Surveillance Administrative bureau cancelled cancer patient to use the morphine the maximum dose limit, this has manifested the Government department regarding the promoted cancer pain three steps and ladders treatment determination, also manifested Our country Government with to appease the treatment work to the cancer pain control the support. As for the medical personnel, changes the old idea, studies the essential analgetic medication knowledge is the urgent matter.