Changing cure is a handle " Shuang Renjian " , in exterminate cancer cell while also can be opposite the normal cell inside body is caused damage, because this is in,often can be a lot of and serious side effect in accepting the process that change cure, a lot of patients are opposite consequently this closely guard a secret.
Change the such horror with true cure? Ministry of medicine of tumour of foundation of Wu Jieping medicine deputy advocate appoint, Dean Xu Ruihua of center of prevention and cure of Zhongshan university tumour thinks, the patient is too deep to changing the misunderstanding of cure, be necessary to understand a few basic knowledge that change cure more.
Had better be after the operation 3 begin to change cure inside week
Some patients will be interrogative " my operation is done very thoroughly, why to still need to change cure? " and some patients do not understand " I am the pathological changes before cancer only, why to also need to change cure? Why to also need to change cure??
Xu Ruihua: After the operation change cure, point to commonly effect a radical cure after sexual operation auxiliary change cure, also include to was not achieved effect a radical cure after sexual operation undertake changing cure. A changing cure is cure of malignant tumor whole after the operation main component.
Change cure to what what after cancer or caruncle effect a radical cure gender or extensive sex excise an operation, undertake, the likelihood that change cure eliminates the focus of a disease of tiny remain, reduce the risk that malignant tumor has a relapse and transfers, heighten curative effect further.
Had better be after the operation 3 begin to change cure inside week, do not be later than 6 weeks. As to the choice what patient goes after the operation auxiliary change cure, need passes well-trained professional doctor to decide.
Generally speaking, do not need to change cure after operation of the pathological changes before cancer; Do not cross some tumour even if in installment early, be like the cellule cancer of enteron, as a result of malign degree tall, light whole body is transferred, cure is changed after also needing a surgery.
Some of tumour changes cure is main cure, even if inchoate, operation hind also needs to change cure, be like the lymphatic tumour that bowel.
To terminal tumour, did not achieve effect a radical cure operation, after the operation changing cure is important remedial step, if be to change cure can the malignant tumor of benefit, body circumstance is evaluated through professional doctor can be able to bear or endure suffer change cure, operation hind suggests to change cure.
Change cure the meaning to terminal patient
Have a patient already 70 years old, when discovering cancer, had been terminal, the family member feels to do not have remedial meaning. The patient of very much terminal cancer and family member have such idea, become aware the illness has developed is terminal, afraid " person money two sky " . So change cure what to sense have after all to terminal patient?
Xu Ruihua: To terminal and malignant tumor, want to distinguish a case according to specific tumour. Have some of malignant tumor, although terminal, effect a radical cure likely also through changing cure, wait like tumour of parenchyma of tumour of cell of lymphatic tumour, reproduction, a few children;
Have some of terminal and malignant tumor, through changing cure, can make patient tumour contractible, can obtain what get the chance of the operation and achieve malignant tumor to effect a radical cure again even, be like the patient that liver of partial bowel cancer transfers;
Have some of terminal and malignant tumor, although change cure to cannot be achieved,effect a radical cure purpose, but possible control tumour develops, contractible tumour, relieve the unwell symptom such as oppressive, ache, improve life quality of the patient, prolong the patient's life.
Townsman has cure to protect now, rural patient has cooperative medical treatment, the prices of a lot of the medicaments that change cure that keep into cure are not very high, won't increase too great burden to the family.
Medicaments development reduces the side effect that change cure stage by stage
The poisonous side-effect that other a friend made in hospital or people who become friends in hospital listens to to say to change cure to bring before a lot of patients are treated is very painful, that is current the development as medicaments,
Xu Ruihua: The medicaments that change cure is in bring remedial result while also brought poisonous secondary action really. Of tumor be able to bear or endure medicine and the poisonous deputy reaction of the medicaments that change cure are two obstacles that restrict tumor to change cure to progress.
Those who accompanying pair of secondary action that change cure overcome and reduce, brought a patient the cure of more recipient plan, brought a doctor the bigger operation space to treating plan, the effect changing cure of tumor often also rises further.
As new cellular bane other people extensive and clinical application, target to medicaments in succession research and development applies at clinical, and medicaments of precaution of the noxiousness that change cure and the clinical application that support medicaments, poisonous deputy reaction is less and less after the patient undertakes changing cure, to cure be able to bear or endure it is better and better to suffer a gender.
Whether can the judgement before changing cure be able to bear or endure suffer?
Some family members think patient age is old, suffer to changing cure to cannot be able to bear or endure, can be the patient judged before is the doctor changing cure so whether be able to bear or endure suffer?
Xu Ruihua: Do not begin to change cure, everybody cannot judge a patient whether ability suffers.
This is not to say to jump over young jump over ability to suffer certainly, everybody has individual difference. Begin to change cure cannot be able to bear or endure suffer also did not concern, the doctor can move small dose accordingly, adjust the medicaments that change cure even.
Correct look upon changes the poisonous side effect of cure
Face the poisonous secondary action that changes cure, how should be the patient faced?
Xu Ruihua: The side-effect of the medicaments that change cure is itself of the medicaments that change cure is inherent, as the clinical application of new drug and the development that prevent medicaments, application, although change the side-effect of cure to be reduced somewhat, but exist objectively still.
To the patient, if undertake changing cure, need to undertake in professional doctor guidance, also need not partake too to changing cure side effect additionally care, the cure that because be in,professional doctor guidance issues, have commonly to all sorts of side-effect that change cure foretell and corresponding precaution and cure should be stimulated beforehand case, the occurrence of certain side-effect also is not evildoing certainly, side-effect and curative effect may close into positive.
Refer to the risk of clinical trial and accrual
There is the clinical trial of a lot of new drugs on platform, that attends clinical experiment to resemble " small white rat " , as the patient should how does the risk of clinical experiment mix look upon new drug accrual?
Xu Ruihua: After the patient participates clinical research, undeniable, some patient benefit, some patients still assumed remedial secondary action even without benefit.
But want to know, any medicine are treated, benefit has certain percentage, want to begin research, the remedial method that has namely is not satisfactory or treat without the standard at all, or treat a method without what.
So, the ability after the patient participates research achieves better curative effect likely, just obtain new remedial measure or remedial method to wait likely.
E.g. , we have a few clinical research, standard cure already was on international actually, but among them a few medicaments already can be bought in drug-store in our country, but the price is high, or abroad can be bought, our country did not appear on the market temporarily, the price is high, but if participate clinical research, obtain likely such already free, the price is high but medication effectively.
All research win committee of experts and ethical committee approval, the patient's content, potential to the research that participate benefit and risk are after researcher introduction it is very clear to want, any phase that entering research have authority to exit, research is the principle according to GCP undertakes, have safeguard to the patient's rights and interests.
Charity gives drug, give power but the threshold is high
Partial patient is eating charity to give drug. Does charity give medicine to have to help strength of the patient at present how old? It in what be still put in be operated actually is difficult to in what be still put in be operated actually?
Xu Ruihua: Have a lot of prices taller, cure protects the medicaments that cannot enclothe to be able to give medicine to obtain through charity, but price of this kind of medicaments is compared really tall, the patient is obtained oneself often want to buy medicaments first before giving drug, clinical use period of time, getaway cost is higher.
And program giving drug is more troubled, data of fill in a form and submit it to the leadership, take medicine to also want a doctor to fill relevant data and proof to wait every time, still need specific place, time and specific prescription to take drug, still need to use the method application such as the network even, formalities also is compared really much.
We also hope media of have the aid of appeals relevant section can simplify further flow, reduce the time that remedy uses at one's own expenses before obtaining charity to give drug further, reduce start doorsill.
Civil: Result from network, invade cutout
Graph: Your work net
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