Is the patient's pain normal and must be tolerated? Experts say patients who can't survive pain are wrong!

On October 3, 2020, at 2 a.m., after sending his last circle of friends, Chen Lu accelerated and jumped off the platform, his life finally stopped at the age of 55.
Chen Lu was diagnosed with advanced liver cancer a few years ago, although reluctantly underwent surgery, but at the beginning of this year, the examination showed that cancer cells are still out of control is growing mad, and it is this moment, cancer pain began day and night to erode him, in Chen Lu's family's mind, for such a result has been expected, from his circle of friends left a legacy of the pain and suffering after cancer.
" If before can be well treated, now this moment I can no longer bear, that kind of pain can not be described in words, every day someone took this knife in my stomach row, and like a million insects into every organ of my body drilling, death may be just a moment, but this pain is never ending, I really do not want to live, too painful.
" because of cancer pain Chen Lu chose to end his life, although everyone had told him to be strong, but he only thought about how to get out of the pain, the sooner the better.
S up to 70% of pain patients "suffer pain" do not seek medical treatment October 19-25 is "China Analgesic Week", the Chinese Medical Association Pain Credit Association Instaught Committee member, Nanchang University First Affiliated Hospital Pain Department Director Professor Zhang Daying said that most Chinese think that pain is just a symptom, or is a subsidiary of a disease, the disease will naturally be cured Receding, and in the middle of this period of treatment of disease, pain can only rely on gritted teeth "to endure", according to epidemiological surveys, in China, more than 70% of patients "suffering pain" do not choose to seek medical treatment, less than 30% of patients will choose to go to the hospital because of pain within 1-10 days, "but I do not know, the medical community has long formed a consensus that the elimination of pain is the basic right of patients, in the face of pain do not need to endure."
" it is known that pain in life is generally divided into acute pain and chronic pain, acute pain is mostly related to surgery, trauma, tissue damage or certain diseases, while chronic pain is present in osteoarthritis, lower back and leg pain, headache, cancer pain and other chronic diseases, the above-above Chen Lu is cancer pain, "chronic pain in addition to the impact on the body, the quality of life will be greatly reduced."
, " said Professor Zhang Daying.
reality is that with an ageing population, poor living habits and behaviour, and a surge in the number of chronic diseases, more and more people are suffering from chronic pain.
Myth 1: Pain can endure, in unbearable time only need to treat experts said that as long as there are pain symptoms, should immediately take effective measures to relieve pain, chronic pain should be treated as a disease actively.
"pain is not only a pathologically affected, it can also cause mental health hazards, such as sleep disorders, irritability, anxiety, pain, despair... The patient's coordination with the treatment will also be reduced.
" Professor Zhang Daying introduced, and long-term, persistent pain will stimulate central sensitivity, simply will let the body's neurons on the pain stimulation of the feeling threshold lowered, increasing the difficulty of treating pain.
The harm caused by
stoin" is obvious, such as after-operative pain if not well controlled, will affect rehabilitation, such as joint replacement patients, because pain often leads to can not active rehabilitation training, resulting in joint stiffness, muscle atrophy, affecting the effectiveness of surgery.
Myth 2: Pain is not a disease, pain without treatment can be accompanied by symptoms of certain diseases, such as childbirth pain, headache caused by high blood pressure, etc., but at the same time can be a disease, painful diseases, such as primary trigesent nerve pain, chronic back pain and so on.
the pain caused by this disease in the treatment of the cause of the disease at the same time, but also need to treat the disease, and chronic pain is more of the treatment of the disease, on the basis of the pathogenesis of pain for comprehensive treatment.
The first thought of a lot of people with pain is to put up with it, but it can't be delayed for acute pain, which is a sign that the body is already suffering from injury or lesions, while chronic pain continues to worsen, become easier and generalize, causing malignant deterioration and further seriously affecting the quality of life.
Myth 3: "Close" "cure not cure", can not solve the fundamental problem for the most common joint pain, clinically often use "close", local anesthetics or a small amount of hormone drugs injected into the pain point, joint cyst cavity, play a rapid analgesic effect, a small amount of hormones can also eliminate inflammation, relieve muscle spasms, improve the metabolism of diseased tissue and so on, so "close" can not only play a role in the treatment of disease.
But many patients hear that there are hormones on the strong rejection, ask its reasons, some say afraid of addiction, closed drugs are not opioids, generally not addictive, some say that fear of causing side effects, indeed large doses or long-term, repeated use of hormones will be dependent on even feidal necrotasia and other serious adverse reactions, but closed treatment each time the use of hormone dose is very small, is recognized as a safe and effective treatment.
39 Health learned that in 2107 on the application of glucosticoids in pain treatment expert consensus clearly put forward, for epidural cavity, selective nerve root block treatment, medium- and long-acting glucoticoids can not be used more than 3 times in 6 months, short-acting hormones can not be more than 5 times, and for injection therapy in the joint cavity, generally 3 months 1 time, the maximum sustainable treatment for 2 years.
Myth 4: analgesic drugs will be addictive, try not to use analgesic drugs will not be "addicted", has been debated, medical "addiction" mainly refers to mental dependence and addiction, people must use drugs desire, compulsive medication, do not have to be unable to obtain satisfaction and discomfort.
se.g. common opioids, in fact, pain patients caused by the addiction is not high, in addition to some people said that analgesic drugs relapse as soon as they stop, this situation is often the cause of the disease itself, not addictive side effects.
experts say that clinical use of analgesic drugs, no matter what kind of painkillers need to be used under the guidance of a professional doctor, doctors will be based on the patient's own situation, a comprehensive consideration of the choice of suitable medication.
Myth 5: Analgesic drugs side effects are many, so try not to know, in the clinical use of analgesic drugs including nonsteroidal anti-inflammatory drugs, opioid analgesics, anticonvulsants, antidepressants and other categories, different drugs because of the mechanism of action and adverse reactions are different, can not be "killed with a stick."
the most application of nonsteroidal anti-inflammatory drugs there are adverse gastrointestinal reactions, so patients with gastrointestinal diseases must be used with caution, if the disease requires long-term use of patients should pay attention to monitor blood routine, stool blood, etc. , once there is discomfort, should immediately inform the attending physician.
experts said that the adverse reactions of analgesic drugs due to people, in the choice of medication, can be in the doctor's know, consider their own physical conditions, drug history and other choice of drugs, the occurrence of adverse reactions to a minimum.
Myth 6: complete elimination of pain is effective for the treatment of pain, we tend to fall into a misunderstanding that only complete painless is effective, this situation is common in acute pain, but for chronic pain, induced pathogenesis complex, often can not be cured, the purpose of treatment is to alleviate the impact of pain on life, the possibility of complete pain is low.
39 Health Network Source: 39 Health Network Copyright Notice: All text, images and audio and video materials on this website that indicate "Source: Mets Medicine" or "Source: MedSci Original" are owned by Mets Medical, are not authorized, may not be reproduced by any media, website or individual, and shall be reproduced with the words "Source: Mets Medicine".
all reprinted articles on this website are for the purpose of transmitting more information and clearly indicate the source and author, and media or individuals who do not wish to be reproduced may contact us and we will delete them immediately.
at the same time reproduced content does not represent the position of this site.
leave a message here.