Showing posts with label medical science. Show all posts
Showing posts with label medical science. Show all posts

Monday, 19 May 2008

Cancer patient of exhausted

The challenge of cancer treatment avoid cancer decrease vitality.The important key of an among those is exhausted:1 kind can't make the patient continue energetic felling.When healthy hour own normal vitality is a naturally of, for example sleep in the evening of good, would be natural to wake up an activity in the morning, sport, amuse, create and practice will accelerate, but rest hour can completely relax.But cancer the patient usually appears a tired felling, such as:"I am too tired".This kind of exhausted feeling may be the side effect, feeling tense of the cancer, treatment, carry on sex disease or treatment later incarnation body variety cause of result.

The characteristics and meaning of exhausted symptom

To analyze a patient particular exhausted symptom it subjective felling and behavior all have to describe.What matter harder to tackle?Is in the middle for a day when the most bad?What is to promote a factor?What is the quality and quantity of the sleep?What is a mental aspect of or body of?When the patient says that he is tired, may mean he is extremely sad;Climb a stairs meeting dyspnea;Can't concentrate;Or greatly parts of time all feel that the town is quiet in the daytime.Weariness chaperonage since then of is a blood cell to descend;Heart, lung or muscle blemish;Or the oxygen regulate to disorder.Fever, inflammation and tumor cause whole body uncomfortable:The spirit isn't clear;The movable dint is more and more subjected to a limit;Need to be sit or lie.Town's ising quiet is a familiar medicine side effect and particularly anaesthetize drugs;Because ache, upset, breath bad and sleep not good, or sleep breath to stop will also cause daytime very sleepy feel.

When the patient say:"I am too tired" means that the patient has desire but has no energy.If there is no desire, will cause apathetic or upset.The sum leaf's function lose or the chronic anesthetic abuse will cause the inhospitality is stagnant.The upset typical model performance is a worry anxiously and lose interest and weariness.

Measure with ache, exhausted degree would under the influence of worry anxiously and personal definition, but the strength of falsity symptom, for example to some patients, strong and the productivity be the most important part in its ego image.Patient how describe his exhausted, decided to be like before to the reflect of ability in him, and the necessity of this function.

The patient of the cancer is seldom exhausted to appear alone, the "I am tired"'s representative's various and various factor cause of a kind of felling.Piper to exhausted descended a definition:"A kind of can't resist of, the felling of utterly exhausted for keep on, the ability of the body and spirit descend".

The medicine cause of exhausted

Exhausted can be the first clues that cancer and cancer relapse.For example the patient of lymphoid lump be very obvious, include a fever, perspire, the weight ease above 10%.Exhausted may also make the person notice number because of blood cell continuously descend cause of anemic.The dyspnea lacks to bear to be subjected to dint may be the malignant heart wraps a film to accumulate water, tumor lymphoid transfer or fill the air sex lung transfer of alarm.The bone transfer or the tumor secrete of the hormone often takes place this kind of typical model tumor acute disease of Gao Xie3 Gai4, the characteristic is tired, fells sick, thirsty, Pin urine and felling the axis be turbid.Transfer to cause the liver function defection and damage performance to come out of may be that the whole body is tired.Infection and tumor carry quality and cell hormone increment of accompany with the bad disease, will cause the whole body is exhausted.Autoimmune anti- nerve original antibody or tumor increase to living steroid increment, cause a peripheral nerve muscle to have no dint and cause near side muscle disease, climb a stairs difficulty, may be misunderstand by the sufferer for exhausted.

Related with treatment exhausted

A, the chemistry cure

Greatly parts of chemotherapies all will cause exhausted.If the chemotherapy can ease the cancer related symptom like the dyspnea, ache or the fever, the patient then will be encourage.The chemotherapy medicine usually results in the town settle a function and fells sick, and 1-2 day of exhausted.Merge therapy, exhausted emergence at marrow function lowest, after being also a chemotherapy 14 day.When the body recover, the energy will also reply.Additional assistance's treating a distance has already increased exhausted tendency.To the women who accept a chemotherapy, sleep and sport are to make exhausted reduce minimum most valid strategy, but is the most valid just while start most , so only have a handful of men usage.After, amuse relax by taking stroll and work will be more helpful.

Two, project a treatment

Project a line treatment because of injury cell but cause exhausted.Project the line sensitive degree and measure, time- measure a difference, and cell to propagate ability relevant.Whole body's projecting a line treatment will result in more deeply exhausted.The brain projects a line treatment to result in a toxicity and cause deep slumber;Liver's projecting a line treatment will cause exhausted;Almost all lung departments projected line to cure to intermittently feel exhausted in the beginning, then continuously till the third week;Weariness and dyspnea may be the impatient performance which projects the line treatment pneumonia;Accept a head, neck, gynecology and grow Bi urine 2/3(65%-72%) in the patient of the system to contain exhausted experience, head, neck the patient who project a line treatment be more serious, in the daytime slightly the night circumstance be worse and take a nap will have some helps;The head projects a line treatment behind of exhausted be an also likely to be performance which hangs body function shortage;The chest, neck after project the line treatment may cause thyroid gland function lowly.

Part project line treatment period, exhausted of incline to gradual increment, invite on all sides behind attain high peak.Expect after cure, sleep to incline to increment.DO not accept whether weekend time of project the line treatment is true or not of not more exhausted still not clear, may be the whole week project line treatment accumulation of influence, make 12 days take a rest of the effect be not obvious.The report shows that having whole body symptom and function a worse patient is exhausted more serious, fell sick, dyspnea, upset or the worry anxiously will make symptom that project line treatment's cause a play more.

Three, the surgical operation cure

The surgical operation will accompany with after operation exhausted.The reaction of injury and repair, generally anaesthetize of follow-up influence, lie the bed cause of healthy condition out of tune, ache of alleviate and anemic may all have influence.

Exhausted motion composition

Worry, affliction and sorrow will oppress innate intelligence.The disease which lets oneself accept to contract threat life needs some kind of effort.Worry anxiously, consternation and numbness that starts break out just to treatment with recovered to have complicated influence.Like life the other pressureses are similar and the patient will build up a balance and can make the daily function exercise.Any frustrate and clinical ascend further stroke, may cause exhausted and the morale be upset.Indetermination and keep a guard to make the patient have been be placed in the bottom of the threat pressure to the disappointment, can't real rest.The characteristic of sorrow affliction is a weariness and easily shed tears of, sigh and not with concentration.The exasperation may then make a person take heart or utterly exhausted.

The energy management of psychology standpoint decides at personal meaning, value and the adaptability.The important activity has the initiative to do.Have to do of attend meeting the beard of amusement of provide the energy to hold the balance.The instauration health is an initial mission.Let the other people help, let the caregiver have flexibility, rest, variety, in case the caregiver is also fordone.A nourishment, humidity of stability and body activity plan will include the felling for recover.Diagnose the mental illness symptom cause of exhausted have to the pressure of the cancer with orientation, and disease and treatment cause of exhausted differentiation.This checking against to protect is very important and need a particular treatment because of the particular spirit disease.

A, motion abnormality

The main upset bnormality results in cancer a sufferer exhausted and the most important and particular spirit disease.Lose the energy is a diagnostic standard.Clinical upset and tired combine to seldom see.Have no motive and interest to know nothing about an activity.In the daytime worry and get up late is very familiar.Like the Parkinson's disease, the ambulation is hard to tackle.Not sleep disease or sleep too many is also a diagnostic standard.Sleep too many sufferers will be not typical upset, feel that the leg is like a lead piece and is like a felling of walk through the sugar honey.The disease of threat life makes to become more important everyday, therefore, cure the weariness has to progressively use an antidepressant first.Cognize of, behavior of with group of the strategy can increase recover of motion and body.

Two, anxious symptom

The worry anxiously will also consume energy.The cancer treatment have a lot of produce an anxious opportunity:As follows a step, will check, relapse next time of possibility.The nausea cause by worry anxiously rising because of chemotherapy, probably before cure take place.May produce worry anxiously under the heavy disease, sorrow or the upset circumstance.Abrupt mental state and body alarm usually immediately after appear exhausted, and will not take place in the same of part.Sometimes the patient says weariness or hard means the elusion of dismay disease.Antidepressant,such as benzodiazepines, can at before cure or may induct an anxious circumstance use first.Symptom and ache of treatment expectation occurrence contain a lot of methods and include cognition of, behavior of with system lower sensitive and hypnotize technique.

Chronic keep on sex ache to stimulate peripheral nervous system, make person fordone and upset.Ache duration and cancer the sufferer be exhausted and the motion perplex relevant allied.Dyspnea, chronic tuberculosis, lung cancer and ache will hurt sleep;Emetic such as:The perphenazine cause of sit in silence can't can't make the person take a rest;The tranquilizer may disrupt sleep structure but cause very sleepy in the daytime.The sleep is poor to make the patient feel more exhausted.Ache interference sleep, restriction endurance dint and activity, severity ache of the patient usually has to use anaesthesia tranquilizer with put aside ache, if the medicine quantity and ache degree control more good, rest and activity manage of function more good.

Conclusion

Be like ache, cure exhausted also become to mollify a caring target.Exhausted the dissimilarity had to learn according to source to take in to describe, the meaning of symptom has to take in to understand with the value of the patient and the background of the faith, may be the cancer directly related symptom.Sleep, sport and energy stockpiles all will do good.When exhausted have explicit medical science reason, can cure the disease.There is even no cancer, the mental illness symptom will also cause very deeply exhausted, so to particularly mollify treatment, the diagnosis of the motion abnormality and the treatment of the anxious symptom is have to.

Sunday, 18 May 2008

The modern medical science knows leukemia outbreak

(A)Epidemiology

The leukemia builds the blood system malignant disease and fasten growth to divide in the process mature obstacle of build blood cell to wait an organization gram in the marrow, the Long unusually increases to living, and gradually other organizations and dirty machine, normally build blood is repress, produce from here anemic, bleed, infection, the liver Pi be lymphoid to knot swollen greatly the etc. a series of symptom body advertise for.

The leukemia is one of the main diseases which causes the malignant tumor die, among them, the impatient leukemia have the tumor death of adult under 35 years of age first.According to the covariance, in the outbreak rate the tallest Western Europe, white man in North America leukemia death rate is 3.2~7.4/10;The outbreak rate low Asia, year death rate in South America is 2.8~4.5/10.(the AOki etc., 1982)Year outbreak rate and death rate of our country for 2~4/10.(Chu3 Jian4 lately, 1978)From total up see a male outbreak rate the Gao is at the female, about 1.3:1.The leukemia can take place to after any age, the age of total outbreak rate distributing curve to present two high peaks, baby's infancy appearing the first high peak, descending later on, 20 years oldly start rise, go to an old age period to attain the second high peak, empress a phenomenon probably with deliver sex marrow lump, chronic and lymphoid cell leukemia more, after hair leukemia etc. with age the growth increases gradually relevant.The our country leukemia type distribute impatient many in chronic, about 3.8:1, much see by Sui cell leukemia, wait the type of country with Europe and America to distribute more and obviously difference.

(Two)The cause of disease learn

The accurate cause of disease of mankind's leukemia up to now don't be clear and many factor is think to relate to be taken bad of leukemia.The virus may be a main factor and in addition still have a heredity factor, project, chemistry poison or medicine factor.

1.the virus be main with the result that cause of disease vegetable, the lymphoid cell leukemia virus Ⅰ type(HTLV-1) of mankind T contains contagion and induct an adult T cell the leukemia has already been confirm.

2.the heredity factor relate to some leukemia outbreakses and have data enunciation a leukemia a sufferer a family the leukemia outbreak in the member a rate to increase Gao.

3.project a factor electricity to leave radiation and leukemia to relate to closely, the size of its function and radiation quantity has relation with part.Have already known that the certain Y for measure shoots line and can induct a leukemia now.Such as in 1945 after Japanese wide island, atomic bomb in Nagasaki explode, the luckily survive leukemia outbreak rate presents few decuples ascension.Still have no enough proof to express that the general emanation amount of for X line to diagnosis can cause a leukemia currently.

4.the contact benzene, methyl benzene, chlorine ethylene...etc. of the chemistry factor occupation and the outbreak of leukemia contain certain relation.Cause with the anti- tumor medicine(mainly is an alkane to turn a , A Ji Xia Pian, second nitric Ji gland etc.) in the chemistry medicine the report way of leukemia gradually increases.B double the Mao may also inducts a leukemia, other like chloromycetin, protect Tai loose, the Huang An increase an effect and sleep well a town quiet medicine, melting agent, insecticide...etc., drive all Yi for may induct a leukemia. 5.other factors such as chronic germ sexy dye, fungi infection, the abnormal condition respond, external injury, bone fracture etc., but all lack an accurate proof.The machine body immunity function's ising lowly is also the important inducement of outbreak in the meantime.

(Three)Pathology

The leukemia can learn according to the course of illness, clinical characteristic and the cell appearance etc. carry on a classification.

1.the course of illness categorizes with clinical characteristic

Press the course of illness slowly nasty can is divided into a leukemia with the mature degree of the leukemia cell:(1)Impatient leukemia:Condition development quick, marrow and surroundings blood in mainly is abnormality originality and immature cell;(2)Chronic leukemia:The course of illness is slower, mainly is more mature excrescent cell in marrow and blood, secondly is an immature cell.The chronic leukemia can also press the different cell series and is divided into a chronic grain a cell leukemia(call a slow grain), chronic and lymphoid cell leukemia(the brief name slowly pours), many hair cell leukemia with young lymphoid cell leukemia.

2.the cell appearance learn a classification

Can is divided into(1) an impatient and lymphoid cell leukemia;(the brief name be nasty to pour)(2)The acute not- lymphoid cell leukemia.(brief name's being nasty don't pour)The latter mainly includes an impatient grain cell leukemia(call a nasty grain) and impatient list to check a cell leukemia.(call nasty list)

3.press the outside week the white cell total amount and the immature cell amount in the blood elephant can is divided into:(1)The white cell increases sex:The outside week white cell in blood shows Zhao to increase(15 ×s 109/L be above), also in great quantities immature cell;(2)The white cell doesn't increase sex:The outside week white cell in blood doesn't increase, even low in normal(15 the × IO 9/L the following), more difficult detection unusually immature cell in blood.

4.special type leukemia

(1)low increase a born nature leukemia;(2)The cell tumor of green lump or grain;(3)Love a sour grain a cell leukemia;(4)Love an alkali grain a cell leukemia;(5)Fatty and big cell(or the organization love alkali cell) leukemia;(6)Adult T cell leukemia;(7)The non- Hod gram kin lymphoid lump cell leukemia;(8)Strach a cell leukemia;(9)Impatient mixture cell leukemia;(10)Impatient whole Sui cell leukemia.