What method can alleviate the pain of late cholangiocarcinoma?

Suggestion: Hello! Psychological suggestion therapy: this method is mainly to enhance the confidence of patients to overcome the disease. Combined with various cancer treatment methods, we can advise patients how to adjust themselves, tell them how to cooperate with the treatment to overcome the disease, so that they can enhance their courage in life, consciously complete three meals a day and carry out necessary rehabilitation training, and fully mobilize their ability to eliminate cancer cells, thus achieving the purpose of relieving pain. Relaxation and analgesia: Relaxation can be a light pleasure. Muscle relaxation can block the pain response. Patients can close their eyes, sigh and breathe, then bend their hips and knees to lie flat, relax their abdominal muscles and back muscles, and breathe slowly. Or, patients can close their eyes and take a deep breath in a quiet environment, so that fresh air can enter the lungs to achieve the purpose of relieving pain. Physical analgesia is to achieve the purpose of analgesia by stimulating the skin around the pain or the corresponding healthy side. Stimulation methods can be massage and daubing. It can also be stimulated by various temperatures, or local hot compress on wet towels with a hot water bottle of 65℃ for 20 minutes each time, which can achieve certain analgesic effect. Transfer analgesia: the patient can sit in a comfortable chair, close his eyes, recall interesting childhood stories, or think of anything he wants, every time 15 minutes, usually 2 hours after meals, and sit still for 2 minutes afterwards. You can also play some fast-paced music according to patients' hobbies, so that patients can clap their hands with the rhythm while enjoying it; You can also let patients watch some jokes, humorous stories and tell a cross talk. These can achieve the purpose of transferring and relieving pain. Analgesic scheme: 1, class I analgesia: suitable for general pain, with non-narcotic analgesic adjuvant (non-steroid). That is, aspirin 300~600mg, every 4 hours 1 after meals (enteric or anti-inflammatory). Use a non-anesthetic adjuvant with weak anesthesia, namely: codeine 30mg aspirin 600mg (approximately equal to codeine 30mg), 1 time, once every 4 hours. 3. Class III analgesia: it is suitable for severe and persistent pain, and the non-anesthetic auxiliary drug of strong anesthesia is used, namely morphine 0.0 1g aspirin, every 4 hours 1 time. Sublingual or anal suppository. Implementation principle: the standard of analgesia requires painless sleep at night and no pain in daily life activities. 1, emphasizing the administration by the clock, that is, 1 time every 4 hours according to the doctor's advice, without waiting for the patient to ask for medicine. Practice has proved that reasonable dosage and accurate administration time can eliminate the pain of 80~90% cancer patients. Gradually increase the dose until the patient's pain is relieved. After the patient's pain is relieved, the dose can still be gradually reduced. Therefore, it needs to be re-evaluated as a reference for doctors to decide the dose. 3. When a certain level of analgesic effect cannot be achieved, other precursors at the same level should not be replaced, that is, a higher level of analgesic scheme should be entered. 4. The dosage of medicine should be increased by 50~ 100% before going to bed at night to ensure painless sleep. The plan needs to be implemented in primary health care clinics and home care. Home care measures: 1. Listen to the patient's complaint patiently and check the location, duration and intensity of the pain. 2. With good medical ethics, patients have the right to get adequate pain relief. He especially needs sympathy to relieve the patient's pain in time, so as to gain the patient's trust and eliminate the patient's anxiety. 3. In any case, the administration time should not be delayed. Or refuse to take medicine or inject placebo. 4. Excessive mental stress will aggravate the pain. Pay attention to improving patients' emotional state, using non-drug analgesia methods including massage, relaxation therapy and qigong, or watching TV, listening to music and planting flowers and plants. , can play the role of transfer. 5. Pay attention to the patient's comfort, support the painful parts and keep the environment quiet. 6. If the tumor is complicated with ulcer or infection, it is necessary to strengthen washing and keep the drainage unobstructed. Proper use of antibiotics to control infection is also an important measure to relieve pain. Scientific experiments have proved that ginsenoside Rh2 not only has the anti-cancer and anti-cancer effects of inhibiting cancer cell proliferation, inhibiting carcinogenic activity, inducing and inducing cancer cell differentiation and apoptosis, resisting tumor invasion and metastasis, and reversing tumor drug resistance, but also can improve the chemotherapy effect, overcome the toxic and side effects of chemotherapy, enhance the body's immune function, and comprehensively restore the patient's physique.