How painful is it in the advanced stages of cancer? Experts put this "black technology" in their bodies and become the new "star" of pain

All kinds of painkillers do not care about the lung cancer patients "pain not want to live" Hangzhou, 68 years old, it seems that he is actually a terminal lung cancer patients, two years ago he was found in Zhejiang University Hospital advanced lung cancer and metastasis to the left rib, lung cancer root surgery to clean the lung nodules, is undergoing chemotherapy treatment.
a year ago, Mr. Li began to experience frequent severe pain in his left ribs and chest, especially at night, and was unable to sleep all night.
Doctor diagnosed him as a cancer pain caused by advanced bone metastasis of lung cancer, at the doctor's suggestion, Mr. Li has been oral serpourned painkillers, but the effect is not good, in exchange for another drug Qumado slow release tablets still did not get satisfactory results.
Because of the real pain unbearable, the doctor gave Mr. Li a morphine, a morphine content of about 5mg, did not expect Mr. Li to take after the side effects are very large, always nausea and vomiting, sometimes eat a little yogurt will vomit.
a similar reaction to taking oxycodone tablets.
At night by pain to sleep badly, Mr. Li is depressed during the day, sometimes the mood is also very violent, and family members always talk suddenly lost his temper, and then Mr. Li sore even lying flat in bed are difficult, always muttered in his mouth: "This is better to go on than dead, anyway, it is not long to live."
" watched Mr. Li suffer great pain every day, increasingly thin, two sons worried, in a friend's introduction down to Zhejiang University Hospital pain department director Feng Zhiying specialist clinic.
implanted a "small round mirror" size pump sleep for more than two months for the first time in more than two months when the body is curled up, face pain, "Doctor, I have not slept for more than two months a full sleep!" "Director Feng Zhiying carefully understand the condition, informed Mr. Li's family, such a situation is difficult to treat cancer pain.
" difficult cancer pain generally has two kinds of conditions, one is to take all kinds of analgesics can not stop the pain, the patient or pain unbearable;
do if this happens? Director Feng Zhiying said that in cases where the tumor could not be further controlled, the implantation of an analgesial pump in the intraoperative system could be considered.
Director Feng Zhiying said that the analgesic pump implantation is currently the leading technology in the field of analgesics at home and abroad, and Zhejiang University Hospital in this area of technology is also in a leading position in the country, this is a new way of administration, that is, in the patient's body "buried" in the analgesic pump, the drug directly to the central nervous system around the play analgesic role.
implant an analgesotic pump in the body, as if implanted a remote-controlled "drug supply station", the drug can be automatically injected into the spinal cord through the "pipeline" automatically, it sounds convenient and efficient! So how does this analgesa pump work in the body? During the operation, Director Feng Zhiying opened a bag under the patient's abdomen, which was just the size of a "small round mirror" to store the electronic pump of morphine drugs, while puncturing from the back of the patient's lower back and from the puncture site A "tunnel" connects to the sac bag under the skin, which creates a transport pipe connecting the pump body to the inside of the crucible through which morphine is injected directly into the patient's spinal cord, binding to the neuropresorbation in the spinal cord.
Because the drug at this time directly acts on the pain center, no need to go through blood circulation, the effect is immediate, the amount of medication is only equivalent to the traditional oral dose of about 1/300, only need to inject 0.5 mg of morphine per day, as long as a very small dose can play a very good pain relief effect, can greatly improve the quality of life of cancer patients.
What's more, this inner analgesic pump is also equipped with an extra-body remote control, only half the size of a mobile phone, in addition to a fixed daily injection of 0.5 mg of morphine, if the patient outbreak of severe pain, you can press the remote control With an appropriate increase in injections, the drug can reach the body in less than a minute, and in just a few minutes to control the outbreak of pain, compared to oral drugs into the body need to digest and absorb at least half an hour to work, this small remote control can be faster and easier to manage pain.
After Mr. Li loaded the analgesic pump, the pain situation on the day was greatly alleviated, the beginning of a few days sometimes burst of explosive pain, Mr. Li will press the remote control once or twice, slowly no longer need additional pressure, relying on the aches and treatment pumps every day fixed input dose has been completely alleviated.
Now Mr. Li can sleep safely at night, the mental state of the day is also significantly improved, " now he often with us to actively chat, and become our original lively and talkative father, the spirit is much better, appetite is also good.
" talking about the father's changes now, the son is particularly pleased, "no matter what happens to his future disease, at least every day he lives is healthy and happy, we are happy."
" Now the old Li family has returned to a comfortable and happy life, to zhejiang university hospital doctors are very grateful.
improving the quality of life of patients with advanced cancer and facing life cancer pain with dignity is a common symptom in cancer patients, especially in advanced patients.
cancer pain is not the same as some chronic pain, it has very few intermittent periods, once the cancer progresses, the pain will become more and more serious, the degree of tissue damage is more and more serious.
and cancer pain can also cause or aggravate many physical symptoms, such as nausea, vomiting, anorexia, constipation, etc.
the length of life is unpredictable for patients with advanced cancer, so improving the quality of life is even more important.
how to control cancer pain well, so that patients can comfortably walk the last journey of life is the wish of all patients' families.
Most cancer pain can be better controlled with oral analgesics, but some patients still have poor pain control after oral analgesics, or are unable to withstand adverse reactions from large doses of analgesics, such as nausea and vomiting.
Von Zhiying director introduced, the internal analgesic pump implantation safety is high, small trauma, patient tolerance is good, fewer complications, high analgesic efficacy, the effect is obvious, reducing the patient's fear of cancer pain and the psychological burden of family members.
many cancer patients can live a high quality, dignified life and even regain confidence in treatment through timely and sustained pain relief.
Zhejiang University Hospital Pain Department has carried out patient self-controlled analgesics, abdominal nerve plexus damage, semi-implanted intra-intracional analgesic pump implantation and fully implanted intra-intraconal analgesic pump implantation and other means of individual optimization combination, so as to achieve individual, all-round, full-time control of cancer pain.
best efforts to relieve the pain of cancer patients, greatly improve the quality of life of patients, but also for patients to further chemotherapy for tumors to win an important time and conditions, thus to a certain extent to extend the survival of patients.
a cancer patient become addicted to morphine? Will a patient become addicted to morphine by injecting morphine at a constant rate every day? Director Feng Zhiying said that because morphine is directly injected into the cerebrospinal fluid through analgesic pump, not through blood circulation, in general, the mechanism of morphine addiction is through blood circulation caused by blood drug fluctuations, stimulate the brain's blue spot nucleus, thus producing euphoria, if there is no fluctuation in blood concentration, will not cause blue spot pleasure, so will not be addicted.
of morphine injected simultaneously requires a daily dose of less than 15-20 mg, which has little effect on the human body.
the most needed intra-analgesic pump Feng Zhiying director said that intra-intra-analgesic pump implantation is suitable for patients with resophageal cancer pain as well as patients with resophatic chronic pain.
1. Incurable cancer pain patients.
Difficult cancer pain is generally divided into two cases, one is to take all kinds of analgesics still can not stop the pain, or pain can not bear;
2. Incurable chronic pain.
patients with incurable chronic pain, including shingles pain, chronic pain after spinal surgery, can also use intraoperative analgesic pump implantation for pain relief.
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