The feelings of the elderly with advanced cancer

0 1 girl's advanced cancer: "It hurts all over when touched"

My cancer has reached an advanced stage, so the pain has been with me since chemotherapy. Because it is injection, every drop of medicine enters the body, and I seem to feel their flow in the body: from the oral mucosa to the esophagus, to the stomach, and even to the anus, all organs and parts of the body are "broken". This kind of pain has a tearing feeling, as well as a continuous feeling like running water, just like a mouthful of water entering the mouth, where the water flows, the pain will follow.

Headaches will last longer, like riding a roller coaster for many days, and dizziness will last. I dare not drink water, I don't want to eat, I dare not think about the process of swallowing, because a grain of rice will bring pain, even if I think about it. Although I can not eat for a few days, my stomach actually feels bloated, which may be psychological resistance.

There is also constipation, which is a symptom of almost all chemotherapy patients. I can't pull it out. Very painful. It's like having a baby. I can suppress sweating all over, and I have no strength at all. I'm completely devastated.

Because chemotherapy leads to leukopenia, I want to have a whitening injection. After the injection, my bones ache all over. Sitting, standing and lying down, the body hurts wherever it touches, and all the bones hurt. Radiotherapy also hurts, but it doesn't hurt during radiotherapy. It only happens after radiotherapy. It feels like itchy skin, even if it is scratched, it will not stop itching. ...

Why is the cancer pain that makes patients "life is worse than death" so intense?

Cancer pain, also known as cancer pain, is the feeling when the information that needs to be repaired or adjusted at the pain site reaches the nerve center. Poor pain control will cause or aggravate patients' anxiety, depression, fatigue, insomnia, loss of appetite and other symptoms; It will seriously affect patients' daily activities, self-care ability, communication ability and overall quality of life, and even accelerate the development of tumors.

In medicine, cancer pain is divided into mild, moderate and severe pain. Mild pain can be understood as the pain felt by ordinary people and can be tolerated without much interference from life and sleep; Moderate pain, which ordinary people can't feel, is persistent, and patients will feel so painful that they don't want to eat or sleep; Severe pain, which is a feeling of "life is worse than death", will seriously interfere with the patient's diet and sleep, and even aggravate the condition.

So, you have to ask, is cancer pain the same as ordinary people? The answer is definitely different. Physical pain of healthy people is a protective reaction of human body and a defense mechanism formed by human body to avoid external harm. For example, if you burn your hands with hot water, you will feel pain. Take your hands back immediately.

Cancer pain is completely different. Cancer pain itself is a disease, and persistent pain is constantly damaging people's nervous system. Pain not only makes patients feel uncomfortable and reduces their quality of life, but also stimulates the nervous system for a long time, which will also cause pathological changes in the system itself and further harm the patient's health.

Expert: Injection is not the best way to relieve pain.

Due to the younger trend of cancer incidence, there are more and more patients with cancer pain around 30 years old in clinic.

Yao Wenxiu, director of oncology department of Sichuan Cancer Hospital, said: "Injection is not the best way to relieve cancer pain".

Because our medical conditions are underdeveloped, there are few drugs for cancer pain. At present, there are many drugs to treat cancer pain, and all of them are time-limited. Usually, doctors will tell patients when to take medicine and what kind of painkillers to take according to the classification of pain, so that the symptoms of cancer pain can be alleviated and alleviated.

Clinically, according to the classification of cancer pain, three-step analgesic treatment scheme is adopted, and different drugs are used.

Mild pain can be relieved by routine ibuprofen, paracetamol and aspirin.

Moderate pain and weak opioid drugs, such as codeine and tramadol, can effectively relieve symptoms, and can also be combined with non-steroidal anti-inflammatory drugs to enhance the analgesic effect.

Severe pain, strong opioids represented by morphine can relieve symptoms.

Cancer pain makes patients extremely painful, and some even choose to end their lives. However, under the current social concept, the public can't accept that everyone chooses to end his own life independently, which is very controversial.

At present, the legalization of euthanasia is only implemented in some western European countries, such as Switzerland. Cancer patients want to be euthanized because of their pain, which is a problem worthy of deep consideration by the whole society.