Zhang Jian of 56 years old (alias) be in a hospital by fish colon when cancer, had been medium terminal, the near future finishs after the operation, he will be greeted change cure. But, face many period of treatment change cure, originally hopeful he what fight cancer begins beat a retreat: "People says the meeting that change cure is very torturous, disgusting vomiting does not say, the hair also drops the ground the conference is big greatly, can die quickly even. Can die quickly even..
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Change cure to have really so terrible? Disable to you can quicken illness aggravation instead not only? To this, slow journalist of evening paper of Chongqing of upriver news · is passed cover Chongqing college the tumor expert of accessary tumour hospital, will clarify a few big errors about changing cure for you.
Chongqing university is accessary internal medicine of tumor hospital tumour is postdoctoral Wang Lu jades express, turn cure and operation, put cure to be called to fight cancerous road to go up 3 drive carriage. Change cure medicine, call cellular noxiousness medicaments again, its have powerful noxiousness effect to the cell that grows quickly inside body, so ability can kill the cancer cell that grows wildly. However, the medicaments that change cure is not had discern " enemy I " ability, so, cell of the wool bursa cell in speed growing to be like medullary cell, hair with respect to faster normal cell originally partly inside body, gastric bowel path also is met by " accidentally injure " , because this changes cure patient classics,often can appear disgusting, vomiting, marrow is restrained, the harmful response such as trichomadesis.
Error one: All patients that change cure have severe undesirable reaction
The truth: The constitution also does not differ with the side-effect that change cure
Can every patient that change cure have severe undesirable reaction? Not be! Wang Lu jades express, everybody the constitution is different, difference of the side-effect that change cure will be very big, a lot of patients changing cure that do not drop a hair can see in the hospital, during changing cure bouncy also. Although go out,showed undesirable reaction, also be OK of changeover. Want to stop drug for some time only, after the course is handled to disease, the harmful response of the be caused by that change cure can restore very quickly.
In the meantime, clinical go up to often be passed " periodic change cure " and active prevention and cure is undesirable reaction, reduced the happening of harmful response again while control tumour grows. In addition, as medical development, the side effect of the medicine that change cure is less and less. So, need not hold fear to changing cure.
Error 2: Change cure to disable harmful instead
The truth: Have apparent side effect but the result that fight cancer cannot be done not have
Although change cure to have apparent side effect, but its cannot be done not have in the result on the road that fight cancer!
Got cancer, most the issue that considers first often is, can is the operation excised? It is good to was cut? Right, "The comprehensive treatment that gives priority to with the operation " it is current remedial principle. But malignant tumor is disease of sex of a kind of whole body, when a lot of patients are being diagnosed, already was medium terminal cancer patient (tumor has been transferred to the body other position) , the operation can not keep clear of all tumour inside body. Changing cure is cure of a kind of whole body, enter system through profess to convinced or vein inject inside, can amount to the whole body circularly as blood everywhere, it is important auxiliary cure step.
Different and phyletic tumour is different to changing the susceptibility of cure, some tumour are sensitive to changing cure height, wait like cancer of Burkitt lymphatic tumour, cloth with soft nap, pure can amount to higher cure rate through changing cure. Still have kind of a few cancer, because change the existence of cure,raised survival rate apparently namely, be not suddenly strange gold for instance lymphatic tumour from 40% rose 75% , spermary cancer from 67% rose 98% , leukaemia from 12% rose 62% etc, change cure result to cannot be done not have so!
Error 3: Cancer patient became an operation, do not need to change cure
The truth: Patient tumor type and body state evaluate the basis to whether suit to change cure
Inchoate cancer patient, can adopt kitchen range of operation general cancer " one boiler is carried " , however, did not discover the patient that far transfers when the operation, the time of 9 years after art, cancerous kitchen appears afresh again, produced far to transfer even. Do then these change kitchen range from why and come? These cancerous kitchen are actually the small move kitchen that clinical at that time examination did not discover develops and perhaps come by the rudimental cancer cell when the operation.
So, to eliminate small move focus of a disease, kill one fraction " escape " tumor cell, the doctor can suggest its go in time " assist after art change cure " , use at killing a likelihood to still remain the cancer cell inside body, will lower the recrudescent rate after art. Additional, still have partial patient, sending uptodate tumour at first already bigger, cannot excise completely, right now feasible change cure to make tumor contractible, the tumour that translate into can excise, we say for " before art new auxiliary treatment " .
Although be cure of a kind of whole body,change cure, but pass local the intention that changes cure to also can rise to control a symptom. For instance, some cancer patient grew pectoral water, it is difficult that painful, bosom breathes meeting occurrence bosom even frowzily, can connect the generation that the medicine that change cure makes reduce pectoral water inside associate with thorax at that time, raise a patient thereby live quality. So, what is changing cure far from " killer " , prove really effective treatment method through countless medicine practice however. But change cure to must be told get used to disease, the doctor before changing cure can reach body state according to tumor type of the patient, whether does evaluation patient suit to change cure.
Error 4: Immune cure and molecular target change cure to be able to be replaced to remedial be current
The truth: Changing cure still is the helper with beat back strong tumour
Immune cure and molecular target to remedial be current today, is the meeting that change cure replaced?
Introduction Wang Lu jading, these a few years, tumor treated a domain to obtain significant progress, include molecular target to be like EGFR-TKI to cure, immune cure is like PD-1/PD-L1 antibody to wait. PD-1/PD-L1 antibody is called to fight cancerous god drug, brought a hope for patient of countless terminal tumour.
But the problem that has a special reality is: What use PD-1/PD-L1 antibody medicaments to be aimed at major hypostatic tumour alone is businesslike have 20% only. Then, investigator took associated therapy, make PD-1/PD-L1 antibody as collective as the combination that change cure beat back tumour, did not think of to obtain the result that expect is less than unexpectedly.
Chongqing university is accessary center of tumour of bowel of tumor hospital stomach advocate treat doctor king Shuai Ji to express, for instance, in patient of lung cancer of cellule of the blame that be not scale, PD-1 antibody Keytruda changes cure a gleam of jointly businesslike can amount to 55% (change cure businesslike have 29% only) , change cure to be able to reduce the disease progress risk of 47% jointly. Still have, PD-1 antibody changes cure jointly businesslike in the patient of cancer of the stomach of first visit to a doctor be as high as 60% , disease control rate is as high as 92% .
So, changing cure still is the helper with beat back strong tumour. Anyhow, turn the role with the important person that cure is acted in cancer treatment, change cure plan commonly usedly at present, all be by tens of thousands the exemple is clinical research data confirms feasible. Professional clinician can reach body state to consider a patient integratedly to whether undertake changing cure according to patient cancer type, feasible where is planted the plan that change cure, when to stop change cure. Medical bound also is developed in ceaseless effort efficient the changing of low poison cure medicine.
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How does food choose during changing cure
During changing cure, what should notice on food. To this, king Shuai Ji expresses, if go up to notice somewhat in food, the deputy response that can let change cure is reduced or get ameliorative.
1. raises appetitive food, let food become goluptious. The patient during changing cure needs more nutrition, but the medicaments that change cure often lets a person inappetence. Can drink bit of yoghurt, vegetable boiling water, take a few sweet sock, the conserve with a few other perhaps peanut butter is wiped when taking bread. Make food taste a few heavier, a few sweeter, stomachic.
2. alleviates oral cavity ulcer, relieve disgusting symptom. During changing cure, immune force can be reduced, some patients can appear oral cavity ulcer. Should avoid to drink, the excitant food that eats acrimony, overheat, drink water more, meet with weak brine gargle helpful to cankerous heal. Additional, ginger candy, field mint candy or Jiang Chadou conduces to reduce disgusting. The food that eats a bit a few cooler food specific heat can be reduced disgusting. Avoid fat, the food of deepfry, added the food of a lot of flavor, resemble Thailand dish and so on also eat less as far as possible.
3. has much food, improvement less constipation. Eat much food less, avoid as far as possible hard digestive food, drink water more, eat more contain the vegetable fruit with tall cellulose, do a few exercise appropriately.
4. alleviates diarrhoea, avoid dehydration. Eat less or do not eat stodge and deepfry food, drink less coffee, beverage having sugar, salad, unripe feed, can drink bit of congee more. The diarrhoea that changes cure to cause and vomiting may bring about dehydration, avoid the method with the most important dehydrate to drink water in great quantities namely.
5. keeps dietary diary. Wrote down you to have what thing, after eating, have uncomfortable. Can helping you still nutrient division is judged better so is what food makes you uncomfortable, can better recuperation food.
Abstinence of smoke of 6. give up.
7. careful with filling agent. Edible does not want during the expert suggests to changing cure all sorts of vitamins, mineral, prandial fibrous fills agent. They may produce reaction with the medicaments that change cure, affect the curative effect of medicaments.
8. drinks green tea less.
9. takes bean products and honey product, remember advisory doctor. Certain tumour is sensitive to hormone, take the word of bean products and honey goods, may be opposite tumor is influential.
Zhu Ting of slow journalist of evening paper of Chongqing of upriver news ·
