Cure lymphoid lump when need to cure with the emanation

The malignant and lymphoid lump be divided into what hero the gold surname lymphoid lump and not the He2 Jie2 Jin's surname lymphoid lump be two kinds of types.At Taiwan, the lymphoid lump of near 90% belongs to not He2 Jie2 Jin's surname lymphoid lump.According to statistic from the Department of Health and not the He2 Jie2 Jin's surname lymphoid lump has in Year 80 of the Republic of China the male cancer die of the ninth.Actually, they were 1 flocks to cover many different pathology organization a type, dissimilarity clinical make progress way, and different cancer disease after prepare, so these lymphoid lump also very hard and same treatment mode and strategy to generalize.



About 20 in the last yearses, provide very quite good curative effect to the lymphoid lump of high and malignant degree in the pathologic ratings because of the chemistry treatment, make to project a treatment of usage circumstance decrease.Clinical up, the treatment which projects a treatment on the lymphoid lump still plays necessary role, for whether lymphoid lump wants to give emanation treatment to depend on several to decide a factor to evaluate or not:(1)Do pathologic and malignant degree ratings and organization type(2) tumor of tumor infringe upon the purpose that the cent of scope expect(3) to cure, cure sex or alleviate sex?Have no instant urgent?(4)Can the position(5) chemotherapy medicine of the tumor effectively cure?In addition projecting a treatment to shine on wild scope and the irradiation amount of has to be also taken into cautious valuation by these factors.Such as in times before lift, because of not pathologic He2 Jie2 Jin's surname lymphoid lump type classification very complicated, although currently new of REAL/WHO classification the method more can respond disease after prepare, because the complexity of its classification may make the hard comprehension of people in general, and majority reference concerning project treatment still with pathologic NCI classification for basis to discuss, so this text is still to take the NCI pathologic classification as main basis, but emanation the treatment is cure lymphoid lump of applied simple cent time four directions to discuss.



1.He2 Jie2 Jin's surname lymphoid lump:



Because tumor invasion scope mostly with body greatly afferent flank lymphoid knot is lord, so have some fixedly put to treat to shine on wild pattern(if the candlestick shine on wild, pour Y to shine on wild etc.), treatment quantity about 30-40 Gies.



Issue 1 and 2:Current treatment method still with project a treatment is lord and have quite good curative effect, decade of livability about 80% go to 90%.



Issue 3 has no B symptom:(fever, the night perspire a lot, the weight ease)Greatly parts of patients cure is a merger to put to treat and chemotherapy, the livability of five years about reaches to 80%.



Issue 3 has B symptom and Issue 4s:The treatment regards chemotherapy as principle, whether should add emanation treatment to consider as an assistance in chemotherapy, the treatment cures boundary to be still carry on studying valuation currently.



2.the NCI pathologic ratings low and malignant degree not He2 Jie2 Jin's surname lymphoid lump:



The lymphoid lump of low and malignant degree is on the whole all quite good to the reaction which projects a treatment, the amount of with 20-35 Gies can attain 95% tumor control a rate, however the most ideal emanation quantity and shine on wild need more valuations.



Issue 1 and 2:Project a treatment in the aspect of this cancer disease already certain have quite good curative effect, the livability of decade about 60% go to 80%.But relapse because of having little parts of tumors in project light upon the outside of the scope, so shine on wild whether should more extensively cover body all lymphoid organizations need a research.



Issue 3:Because the cancer disease infringes upon scope large, some treatment centers use the lymphoid organization of big scope to project a treatment(the irradiation of the total lymphoid), its scope include a the lymphoid knot of neck, the chamber of Zong Ge, and the whole belly cavity, the livability of decade about 30% go to 50%, as for the chemotherapy merger put to treat whether can raise a livability to need a research.



Issue 4:Issue 4 has already delivered to the marrow, feeling, Pi...etc. in person, so many treatment centers try usage whole body irradiation(the irradiation of the total body), but project light upon because of the whole body the emanation amount of can't give too high, make many cancer diseases still keep on carry on.On the other hand, because chemotherapy to the treatment result of the fourth period cancer disease isn't a lymphoid very ideal and greatly part of low and malignant degree either the lump be clinical to make progress very slow-moving, also have theory suggestion to wait until these patient once having symptom, again carry on putting to treat or chemotherapy.



3.the high and malignant degree in the NCI pathologic ratings not He2 Jie2 Jin's surname lymphoid lump:



Medium the lymphoid lump of high and malignant degree bigger to the curative effect difference which projects a treatment, often relate to the size of tumor, if merge chemotherapy, the emanation amount of with 30-35 Gies can attain 80% an above tumor control a rate.The curative effect which uses a chemistry treatment alone for most tumors is alonealso quite good, so regardless is earlier period or later period currently, its treatment method all regards whole body chemotherapy as principle and project a treatment of the use can then be divided into following and a few conditions:



(1)Be used as an assistance in chemotherapy a treatment



If the tumor responds to the chemotherapy very good, cure boundary to project whether treatment needs to still contain a controversy or not to the assistance in chemotherapy currently, although the livability of merger treatment have better tendency, if tumor once relapse, the usage which puts to treat in times before will limit in the days to come again use the strength and number of times of chemotherapy.As for at first bigger tumor whether needs to annex an assistance to project a treatment, and puts to treat should give of quantity, need more researches to confirm it.



(2)Cure the partial emanation of chemotherapy ineffective tumor.



Respond to the chemotherapy bad don't represent to project treatment respond to also must be poor, but in this kind of case, the emanation cure of shine on a wild demand to infringe upon than the tumor of the scope cover more widely, and also often need a higher emanation treatment quantity.



(3)It relapses the partial treatment of tumor after the chemotherapy.



If the chemotherapy of the second line still can't effectively control tumor and generally prepare poor can to the scope of tumor invasion make part to project a treatment according to the patient's condition behind, in order to exaltation survival time or Be the mitigation which improves clinical symptom treatment.



4.lymphoid knot outside lymphoid lump(extranodal lymphoma):



They were also 1 flock to include many different pathology organization a type, different and malignant degree, dissimilarity growth position, and different tumor after prepare, have 20% of lymphoid lump around or so.The position happen in body is known as the majority of the digest way, if the other is located on Waldeyer'the nose of s ring swallow and swallow and saliva gland, paranasal sinus, central nervous system, skin, thyroid gland's etc. may take place.For the sake of convenient discussion project treatment of role, clinical up about be divided into their three ethnicitieses:The first:Using to project treatment majority alone can cure.The most isn't a low and malignant degree He2 Jie2 Jin's surname lymphoid lump.(like MALT lymphoma)



The second:Project the chemistry treatment of the treatment merger contains very high cure rate.Most is medium malignant degree and is a B cell type, often is take place in Waldeyer'the nose of the place of s ring swallow and swallow, paranasal sinus, thyroid gland, breast etc..



The third:Project treatment merger chemistry to cure still don't easily cure cancer disease completely, the one who need to specially study it again to cure a way.Most is medium high and malignant degree and is a T cell type, if deliver sex brain lymphoid lump, the nasal cavity T cell lymphoid lump, the epidermis T cell lymphoid lump etc. at first, clinical top also familiar arrive.



1)deliver sex brain lymphoid lump at first:



Give whole brains the 40-50 Gies plus tumor part of part put strong project light upon a 10-15 Gies, greatly parts of patients all have quite good effect, but most patients also relapse in two years after cure, average survival time no longer than two years, currently many research development the detection merge the chemotherapy can raise survival time.



2)the nasal cavity T cell lymphoid lump:



The good hair is in region in East Asia and the Europe and America are rare.The disease gives in early days tumor the emanation of the 45-50 Gies quantity, five years, the livability can reach to 50-60%, but such as already the distance transfer and then prepare bad behind.



3)the epidermis T cell lymphoid lump:



There is a kind of special disease name call among them the mushroom form fungi disease, the skin performance is very diverse sex and give electronics to the skin pathological changes in earlier period to shoot line of project a treatment, but the later period will spread out lymphatic gland or internal organs and regard chemotherapy as principle.



In addition to above-mentioned discuss it project treatment in the lymphoid lump of applied, at under some urgently special conditions, such as the hard meninges outside lymphoid lump merge spinal nerve oppression, or the lymphoid lump of the chamber of Zong Ge merge up the chamber vein comprehensive disease etc., quickly using to project a treatment can also improve symptom in very short time and avoid the injury that can't reply a dollar.Summary but speech, although chemistry treatment to the height in the pathologic ratings malignant of the lymphoid lump provide very quite good curative effect and plus many low degree the lymphoid lump of the ill nature while diagnose usually tumor infringe upon scope already more wide, but make emanation treatment of the role slightly is treat coldly in recent years.But regardless is make a chemotherapy behind of assistance treatment, or use alone, cure boundary to the role on the treatment which projects treatment in the lymphoid lump, all worthy of re- take in to evaluate.

Adjust the strong emanation treatment nose swallows a cancerous nursing

Adjust strong put to treat(the radiation therapy of the Intensity modulation, IMRT), is international currently ascend most the project of forerunner cure means, it can make Gao Ji4 Liang2 of irradiation is on 3D space in the human body in accordance with the actual shape of the Ba area make inside Ba area and Ba surface of quantity everywhere equal, protect thus the tumor surroundings normally organize, raise the tumor area irradiation quantity, lower part to relapse a rate and prolong a patient existence to expect.Now application IMRT the technique cure the nose swallow the cancer sufferer's nursing to realize introduction as follows.



Mental nursing Explain in detail IMRT advantage, principle and process toward the patient, make the patient have a correct comprehension to the IMRT.Explain in detail the IMRT is in recent years to develop of put of a forerunner, precision treat a technique, it puts with commonness to treat to compare a lot of advantages, it can more and significantly increase the tumor amount of and reduce normally organize of be subjected to quantity, raise a tumor control a rate and lower normal organization complications of incidence rate, prolong a patient of existence period and improvement put to treat behind of existence quality.The strain which relieves a patient fear mental state, determine to cure of paroxysm confidence and courage, aggressive match treatment and nursing.



The body fix The IMRT is project of a kind of high accuracy treatment, in the process of curing an implement, make use of many leafs quasi- keep a machine to slice the 1 F treatment method to carry on adjust strong all consume longer, put to treat to grow to have another than the normal regulations, so have to adopt a valid body fix equip the fixed patient's irradiation district, this case all adopt the heating Su mask of the individuation appropriation foam Zhen fix, while promising thus to cure to put each time the accuracy of the body with repeated.Nursing:Have to strengthen a body instruction and train before cure, warn a patient to listen to put instruction of treat the technician, never move or move a body in disorder, in order to prevent result in unnecessary harm.



Impatient the observation and nursing projected reaction



1., swallow a nursing of glue the film reaction:, Swallow to glue film reaction is in order to shooting line to the harm which glues film organization.The sufferer can appear the glue of different degree film reaction.Main performance for light glue a film swollen and inflamed, dry, light degree ache.The heavy glues a film to have erythema and ulcerate formation and obviously swallowed painful with take a meal difficulty.Nursing keep mouth cavity to sweep, give A nitric Shi the liquid gargle, the food used 1% cards of Pu Lu because of gargle ago and give the gram of Wei Si 30 joined 500 milliliters in physiology brine after contain slow-moving swallow, give the gram of Wei Si 1+1:40 mint water be 20 milliliters+1% cards of Pu Lu are because of 10 milliliters+celebrate a big mildewed vegetable 80,000 units super voice fog to turn inhalation.3~4 divas, sufferer's symptom of the great majority obviously turns for the better.



2.thirsty:In order to projecting line to cause saliva gland to hurt, the saliva secrete shortage, greatly parts of sufferers probably appear the thirsty of different degree, give to promote the body fluid to stop coughing herb medicine in type to take, indoor should keep certain air degree of humidity at ordinary times, also need to have another a drinking to swallow by keeping moist, soothe ache.



3.the nose swallow a nursing:The normal nasal cavity can produce secretion and be a nose to swallow a department to have a swollen thing a growth and the secretion increase and influence to put a curative effect fruit.The sufferer can adopt a Chinese herbal medicine liquid(the yellow cypress be 40 grams, the yellow Mao is 40 grams, the dandelion is 60 grams, mint 10 gram) to flush a nose to swallow a department, the clearance partial secretion, the increment puts to treat sensitivity, pure and hot counteract poison, reinforce body fluid to decline fire in the meantime, there is part eliminating inflammation a function.



4.skin nursing:The sufferer will appear the skin of different degree to respond.The main performance is for the skin Chong blood, have fever, scorching hot, Sao Yang.Nursing should notice to keep a skin of project light upon the part to sweep dry, strictly forbid to grasp a Nao skin, forbid to wipe to wash with the soap, avoid sunlight suddenly and violently basking, forbid an usage stimulating to skin strongly and outside use medicine.Wear the clothes should with cotton quality soft is proper, should avoid dress turning Xian and the neckband harder clothes, prevent°from chafing a skin.The skin which projects light upon part appear scorching hot, Sao Yang can use a palm to lightly tap a partial skin, 0.2% ice slice starch or infant's talcum powder.All obtain very nice effect.



5.food nursing:The nose swallows a cancer to put to treat a sufferer because of thirsty, sense of taste decrease, take a meal ache but appear the appetite of different degree to descend, take a meal little.Plus immunity dint lowly, easily cause an infection, consume increment.Therefore, putting to treat a period should notice mouth cavity hygiene and take a meal simple elegance and hot quantity, high egg white, high vitamin, have no incitement, easily digest of food, eat fresh fruit, vegetable more, with raise machine body of immunity ability and complement put to treat the depletion toward the machine body.The one who take a meal difficulty, enter half liquid substance or liquid substance food, avoid into the stem hard food.In the meantime, the encouragement is sufferer's many drinkings, 3000 milliliters of above everyday, making the tumor bad dead organize output toxin can eject the outside of the body as soon as possible and promote the sufferer is get well soon.



Realize



1.the fix of correct body is to carry out IMRT of precondition, therefore, the nursing personnel should strengthen the body of the sufferer instruction and train before cure, the accuracy of the body while keeping to cure to put each time with repeated.



2.IMRT can in the meantime carry out several quantity level of characteristics, in the whole treatment process, in the meantime carried out tumor area and prevention to project light upon an of area dissimilarity quantity to request, and availably protected parotid to wait normal organization, the side effect is lightly obviously more traditional to put to treat, but the patient still have different degree of the acute project reaction and particularly glue film reaction more heavy.This probably with should partition way tumor the single time of the area amount of higher relevant.Therefore strengthen nursing measure, the tight observation puts to treat of various reaction, for ease a sufferer pain and sufferings, the exaltation puts a curative effect fruit, reduce normal organization harm and promise to project to cure of smoothly progress have to close an important function.



3.IMRT is develop in recent years of a forerunner of the precision put to treat a technique and is projected tumor to learn a house to be called to put to treat a revolution on the history and 21 centuries project to cure of inevitable develop trend.The nursing personnel should constantly study with summary, further understanding and control this new technique, with exaltation the sufferer's existence period and existence quality.