Ms. Yan, who lives in Wangcheng District, suffered from pain in her left abdomen for 1 year after colon cancer surgery, and the pain has intensified in the past two months, especially after activity. To relieve pain, oxycodone (a potent analgesic) has been taken regularly every day since the onset of the disease, but it also leads to symptoms such as loss of appetite, low sleep quality, and difficulty in defecation.
For two months, oral medication had been unable to relieve her pain. Ms. Yan learned through her family and friends that Huang Dong, director of the Pain Department of the Third Xiangya Hospital of Central South University, had a better treatment plan, so she came to the Pain Department Clinic. After Huang Dong understood the condition, he explained in detail the surgical plan for morphine pump implantation. In the end, Ms. Yan agreed to an analgesic plan after consultation with her family: morphine pump implantation.
After being hospitalized, after more than 3 hours of intense surgery, the morphine pump was successfully implanted into Ms. Yan's body. After the operation, Ms. Yan was pleasantly surprised to find that the pain had been significantly relieved. After the morphine pump is implanted in the body, it directly acts on the central nervous system, and the medicinal effect is remarkable, so only a small amount of morphine is needed every day to achieve the expected analgesic effect. Seeing Ms. Yan's long-lost smile, all the members of the cancer pain team were also very pleased.
In fact, in the process of cancer prevention and treatment,
The treatment and management of cancer pain is equally important!
Cancerous pain is a sensation, alias, cancer pain caused by information that needs to be repaired or regulated by the pain site after it reaches the nerve center. Advanced cancer pain is one of the main causes of pain in patients with advanced cancer. In patients with pain, 50%-80% of pain is not effectively controlled for various reasons.
The principles of cancer pain control are followed
Huang Dong introduced that pain treatment generally follows the principle of four-step treatment. The first three tiers are increasing intensity of drug therapy, from "non-opioids" to "weak opioids" all the way up to "strong opioids."
80%-90% of cancer pain patients can control pain, but there are still 10%-20% of patients who need to alleviate cancer pain through higher-order ways and enter the fourth ladder of pain treatment - interventional therapy and neuromodulation therapy, of which intrathecal drug perfusion therapy is widely used as an advanced minimally invasive surgical treatment in the field of neuromodulation.
A painless life, "pumping" into hope
Intrathecal drug perfusion therapy (TDD), commonly known as "fully implantable analgesic pump", is the "ultimate" therapeutic weapon for neuromodulation to treat moderate and severe pain such as cancer pain. Through the implanted drug perfusion pump, the drug is precisely injected into the subarachnoid cavity of the spinal cord to block the pain signal to the brain.
Schematic of intrathecal drug perfusion therapy (TDD).
With a dose of 1/300 oral drug to achieve an immediate analgesic effect, reduce the side effects of patients using morphine and other painkillers, and help patients alleviate pain and return to a better life.
April 15-21 this year is the 28th National Cancer Prevention and Control Publicity Week, the theme is "cancer prevention and treatment early action", I hope that everyone will be the first responsible person for their own health, correct understanding of cancer, active prevention and control of cancer, so as to achieve early prevention, early detection, early diagnosis, early treatment.
Author / Dai Lingzhi
Editor / Junqing Yang
Audit / Kai Jiang
Editor-in-Charge / Shan Li
Provenance / Department of Pain Eighth Party General Branch
Produced / New Xiangya WeChat Creative Circle
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