Other | Cancer complications
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Author HK HIS Date19-09-16 18:20 View892 Comment0관련링크
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Cancers that cause malignant ascites include gastric, colon, pancreatic, metastatic, hepatocellular, ovarian, Hodgkin lymphoma and non-Hodgkin lymphoma.
Cancer's ascites is a malignancy caused by a variety of malignant tumors and manifests itself as a stubborn and massive repetition of clinical manifestations common to the late stages of cancer. The prognosis for malignant ascites to seriously affect the quality of life of patients is poor, with malignant tumors of gastrointestinal origin only 12 weeks, poor survival, and about 20 weeks average survival. A special consideration for malignant tumors is ovarian cancer. When cancer spreads to the peritoneum, the first symptom you experience may be multiple. You need to determine the severity of your condition before you start multiple treatments. If you suspect a small amount of liquid, perform an ultrasonic test. Other tests, including abdominal puncture diagnosis and additional ultrasonography of the liver, pancreas and lymph nodes may be necessary.
Based on these results, additional tests may be needed, including more specific imaging to find signs of portal hypertension. Blood tests for liver function, electrolytes and whole blood counts are also required. If ascites is diagnosed, peritonitis should be tested for spontaneous bacterial peritonitis because it causes about 15% of ascites and cirrhosis. Most of the cancer has progressive malignant tumors such as advanced gastric cancer and advanced colorectal cancer, and it can be used in combination with cancer revenge. What are the multiple methods commonly used in clinical practice?
1. Traditional Therapy
Ascites and intraperitoneal injection chemotherapy, less effective. Abdominal puncture drainage Abdominal puncture drainage is the most commonly used surgery for ascites. In patients with intraperitoneal pressure symptoms such as nausea, vomiting, abdominal distension, abdominal pain, malignant ascites, respiratory or orthopnea, about 90% of patients can temporarily relieve symptoms, maintaining an average of 10.4 days. In particular, a large number of so-called high-risk patients have repeated cycles of reducing the risk of blood volume, hyponatremia, renal dysfunction and hypoalbuminemia, which can be used in albumin or dextran venipuncture during tapping
Intraperitoneal chemotherapy
Intraperitoneal chemotherapy may increase the local concentration of the abdominal cavity, which reduces the toxicity of chemotherapy, and has a significant pharmacokinetic advantage compared to systemic therapy. Chemotherapy drugs (cisplatin, carboplatin, paclitaxel, etc.), hardeners, and biological agents. Efficiency is typically between 40% and 60%. The dose usually administered should not exceed the amount administered intravenously.
2, abdominal hyperthermia chemotherapy
Combination with high fever, chemotherapy, and biological therapy is the most effective and is the best way to treat malignant ascites.
Select a specific drug
Gastric cancer: paclitaxel, taxotere, oxaliplatin, cisplatin and epirubicin;
Colorectal cancer: oxaliplatin, cisplatin and mitomycin;
Gynecologic tumors: paclitaxel, taxotere, oxaliplatin, carboplatin, cisplatin and epirubicin;
Peritoneal tumors: oxalaplatin, carboplatin, cisplatin, mitomycin and epirubicin;
Hepatic Pancreatic Cancer: Paclitaxel, Taxotere, Oxaliplatin, Carboplatin, Cisplatin, Epirubicin, Mitomycin and Gemcitabine.
Peritoneal fluid is composed mainly of physiological saline. The amount of hyperthermia chemotherapy in the peritoneum is 3000-5000 ml, perfusion flow is 300-600 ml / min, and perfusion time is 1 hour.
Dilute oxaliplatin with physiological saline Domestic carboplatin dissolves together to cause an unstable effect, and those two drugs may cause surgery blood sugar, and need to perfuse the solution with 5% glucose solution, especially if you have diabetes.
Three diuretics
Symptoms In addition to treatment, you should usually use diuretics in your life to perform the medication.
Diuretic spironolactone with albuminuria is often desirable or can be combined with furosemide, its effect is poor, liver function should be considered (<25 g / L) and administered simultaneously with administration of human serum albumin There was a slow intravenous administration of torsemide 10 mg to furosemide 40 mg. Monitor electrolytes and elements when using diuretics to avoid electrolyte imbalance.
5 Natural ways to remove revenge from your life
1. Limit salt intake.
According to a randomized study published in 1986 by Gut, half of the participants received low-sodium diet and the other half received unlimited sodium intake, both of which received diuretic therapy. As a result, limitations on salt intake have led to the rapid disappearance of vigor and reduced length of stay. The University of Gastroenterology says that the most important step in multiple therapies is to drastically reduce salt intake and put salt limits first. In daily life, eating fresh vegetables and fruits, protein and soybeans, healthy fats, germinated whole grains, and organic dairy products and limiting salty foods will help to alleviate moisture retention.
2. Have a small meal.
Low appetite is common in multiple patients and can be eaten 4-7 times a day at the recommendation of the US Department of Veterans Affairs. Eat high-protein foods and eat protein from plant-based foods, including nutritious yeast, grains, vegetables, soybeans, and dairy products instead of meat.
3. Avoid toxins and chemicals.
Get more organic food because the liver is damaged and weakened and the toxin can not be detoxified and removed from your blood. Once accumulated, toxins can migrate to the brain, causing a condition called hepatic encephalopathy.
4. Drink coconut water.
Drinking high potassium and other electrolyte drinks, coconut water, is a good drink to maintain water replenishment when there is a limit to your water intake.
5. Drink a dandelion roots tea.
Dandelion tea contains potassium, vitamins A, C and K and provides healthy minerals including calcium, iron and magnesium. You can plant dandelion, pick dandelion without pesticide pollution, eat roots and drink dandelion root tea. It can increase the frequency and volume of urination and reduce edema and fluid retention.