"Cancer pain" don't bear it!How to alleviate both safe and effective?
Author:Physician reported tumor chann Time:2022.08.12
No.1
Is there a level of cancer pain? What are the specific?
Cancer pain is pain -related pain, which can be pain caused by cancer itself, or pain -related pain, such as pain caused by surgery and radiotherapy.
The level of cancer pain is different and light and heavy, which can be divided into mild, moderate, and severe pain.
Mild pain refers to pain but tolerable, not affecting normal life and sleep;
Moderate pain is unbearable and interfere with sleep;
Severe pain will appear sweating, irritability, and even shock. Sleeping is seriously affected, and it is almost impossible to fall asleep. You need to use analgesic drugs to fall asleep.
No.2
How to relieve cancer pain safely and effectively?
The World Health Organization put forward the "three stairs" analgesic principles. According to this principle, the appropriate drugs, dosage and medication methods are selected. Most cancer pain can be effectively relieved.
The first ladder is to use non -steroidal anti -inflammatory drugs for analgesic treatment. Common drugs include aspirin, ibuprofen, Fenbir and other drugs.
For patients with mild pain or moderate pain, the drugs of this ladder can also be used as auxiliary drugs for second and third -step drugs.
The second ladder is to use weak opioid drugs for analgesic treatment. Common drugs are drugs, strong pain, and Qumaro.
Mainly suitable for patients with moderate pain.
The third ladder is to give strong opioid drugs for analgesic treatment. Common drugs include Oskangding, morphine cache tablets, morphine -controlling tablets, and fentini -transparent stickers.
It is mainly suitable for patients with severe pain.
To be careful of:
Non -steroidal anti -inflammatory drugs and weak opioid drugs in the first and second stairs have ceiling effects:
After the dose is increased to a certain degree, the analgesic effect cannot be improved accordingly, but the adverse reactions will increase significantly. At this time, analgesic drugs need to be upgraded.
The strong opioid drugs of the third ladder have no ceiling effect.
In addition, the created medical methods such as regional blocking anesthesia technology and nerve damage technology can also solve the problem of cancer pain, especially if the drug is difficult to control, you can consider this method.
No.3
What are the common misunderstandings to relieve cancer pain?
Misunderstanding 1: Non -opioid drugs are small and safer.
Many people think that opioids are addictive and are similar to drugs and are unwilling to use.
In fact, patients with chronic cancer pain need to use painkillers for a long time, and the use of opioid medicine is safer, and long -term medication is lower to low toxicity such as liver and kidney.
Misunderstanding 2: Pain -relieving medicine only when pain.
Pain -relieving drugs need to be used on time. The disappearance of pain is because the blood has a continuous drug concentration in the blood. Stopping the medicine will increase unnecessary pain and side effects.
Misunderstanding 3: Anti -pain treatment can relieve the pain.
The purpose of analgesic treatment is to improve the quality of life of patients, and the minimum requirement is painless sleep.
Misunderstanding 4: In advanced or end -stage cancer patients can use opioid analgesic drugs.
It is not only a late tumor to relieve pain. Pain is not directly related to the staging of tumors, and pain can occur at any time of the tumor.
The use of painkillers in time to improve the quality of life is very good for restoring normal life.
Misunderstanding 5: Long -term use of opioid analgesic drugs will be addictive.
It has been treated with opioid pain for a long time due to cancer pain, especially oral administration on time, and the danger of addiction is very small.
Compared with the benefits, the risk of addiction can be ignored.
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