What should be a beautiful Spring Festival is trapped in cancer pain, how to dispel the pain

Text/Yangcheng Evening News all-media reporter Xue Renzheng

Correspondent Jian Wenyang Dai Xi'an

Photo/Visual China

"Cancer pain and acute pain are very different, pain is not immediately coming and going immediately, cancer pain is good and recurring, and it is torturous for many years." Recently, Uncle Chen, a citizen of Guangzhou who should have spent the New Year, was not happy at all, because as a tumor patient, the cancer pain on his body stimulated his nerves all the time.

According to Uncle Chen, he has always been full of fighting spirit for tumor treatment, and usually deliberately ignores the increasing back pain, does not distract from the pain, and does not take addictive painkillers. But late at night, the constant back pain still made him unbearable. Forced to turn to the Pain Department of the Sixth Affiliated Hospital of Sun Yat-sen University (hereinafter referred to as the Sixth Hospital of Zhongshan) during the Spring Festival, hoping to alleviate his pain in the slightest.

The pain is unbearable! How to express "pain" with your doctor

"It's a big misunderstanding to feel the pain and endure it." Ruan Xiangcai, chief physician of the Department of Pain of the Sixth Affiliated Hospital of Sun Yat-sen University, pointed out.

Ruan Xiangcai said that long-term pain is not advisable, it will greatly consume the patient's willpower, and it is not conducive to the doctor's diagnosis and delays the condition. Moreover, pain is a subjective feeling, doctors and relatives can not know, different moments of pain experience is different, any medical examination and test can not replace the pain of the person's own feelings.

Patients need to know how to express their pain

"Pain to speak out!" Ruan Xiangcai stressed. Communicating with a doctor can control the pain, resolve the pain, and provide strong confidence for subsequent cancer treatment.

At the time of consultation, you should reasonably express your pain. Ruan Xiangcai gave a reference table for this purpose:

In which part of the body is the pain, and how intense is it?

What kind of pain is it? (Vague pain, stuffy pain, pinprick, knife stabbing, hot pain, ice cold pain, burning pain, electric shock pain, pulling pain?) ）

When does the pain begin and end? When to relieve and when to aggravate?

Does pain affect our ability to move daily, eat, sleep, do chores, work, or socialize?

In addition, we also need to tell the doctor about the situation of seeing a doctor and treating, how it responds to drugs, etc.

Morphine is not the "devil", and three-step pain relief is the cure

What are the treatments for pain? Ruan Xiangcai provided reporters with a "three-step pain relief" relief method.

First, if the cancer pain comes from the cancer itself, then the cancer is cured, the pain disappears, and the anti-cancer treatment is pain treatment; the second, if the pain caused by surgery, traumatic operation, radiotherapy or chemotherapy and other anti-tumor treatment, the tumor is cured, the pain still needs to continue treatment; third, the pain caused by non-tumor factors is also treated after the tumor is cured.

Ruan Xiangcai believes that according to the above three steps of pain relief, most cancer pain can be basically alleviated, but patients should still actively cooperate with treatment.

In the process of fighting cancer pain, Uncle Chen is extremely resistant to worrying about morphine painkillers and worrying about their addiction. But Ruan Xiangcai gave a professional opinion: "Morphine addiction should be dialectical. While there is a real risk of addiction, the doses used in cancer pain treatment are small and addiction is rare. ”

It is understood that morphine drugs can effectively control pain and improve the quality of life of patients. Once the pain is satisfactorily and stably controlled, the cause of cancer pain has been removed, as long as the appropriate steps and methods are used to gradually reduce the dose, to avoid sudden discontinuation of the drug, it is not difficult to achieve drug discontinuation.

Specialized individualized efficacy is a powerful complement

In principle, the three-step analgesia can effectively alleviate 80% or 90% of cancer pain, but some patients cannot solve the pain problem for various reasons, which seriously affects tumor treatment and quality of life. Although this part of the patients is only less than 20%, it is a "soft underbelly" of cancer pain treatment in mainland China, and it has become a thorny problem faced by doctors and patients.

In view of the above situation, Zhongshan Sixth Hospital adopts non-drug treatment methods for cancer pain treatment as a powerful supplement to drug pain treatment. There are mainly the following types: interventional therapy, radiotherapy and chemotherapy, acupuncture, percutaneous acupuncture point electrical stimulation and other physical therapy, cognitive-behavioral training and social psychology, of which interventional therapy is the most effective.

Ruan Xiangcai introduced that interventional treatment refers to interventional treatment measures such as nerve block, nerve release, percutaneous vertebral body plasty, nerve destruction surgery, nerve stimulation therapy and radiofrequency ablation, including epidural, intraspinal or plexus block and other ways of administration, which can effectively control cancer pain through nerve block, which is conducive to alleviating the gastrointestinal response of opioids and reducing the dose of opioids.

"Don't be afraid of cancer pain, take the initiative to describe the pain truthfully to the medical staff." Ruan Xiangcai emphasized: "When treating, strictly follow the doctor's treatment plan, assist the patient's own close observation, regular follow-up consultation, timely communication, adjustment and optimization of pain treatment during the same period." (For more news, please pay attention to Yangcheng Pie pai.ycwb.com)

Source | Yangcheng Evening News Yangcheng Pie

Editor-in-charge | Wang Moyi