Cancer clinical manifestation of pancreas and treating _'s treatment
Pancreas cancer
Skin and malignant tumour of the cell of pancreas island on conduit gland take place in pancreas cancer, among them lead cell cancer of arm and account for more than 90%. Occur frequently on middle-aged and old. Can be divided into pancreas head cancer, pancreas body cancer and pancreas end cancer. Its characteristic is short for course of disease, develops fast, mortality is high, the median is about 6 months of life cycle. The onset relates to diet and environmental factor. It is equivalent to traditional Chinese medicine, it " Yellow subcutaneous ulcer " , " Jia " , " gather " Wait for the disease.
[Clinical manifestation ]
It does not often have obvious symptom that it is early, or only have uncomfortable upper abdomen, pain, lose the appetite etc., there can be becoming thin, weak, yellow subcutaneous ulcer, back sharp pain,etc. and behave with condition progress in later period, the belly can often touch lump or hepatomegaly. Cancer cell sow symptoms such as the enlargement of lymph nodes,etc. at scattered transformation can have ascites, not clavicular.
[Diagnose ]
1. To the middle and upper abdominal distension pain, lose the appetite, the weight is lightened, diabetes of family's history does not happen suddenly, can check, make a definite diagnosis of through Ultrasonography B, CT or MRI, do to puncture examining or cutting open the belly to ascertain alive if necessary.
2. It is distinguished with chronic pancreatitis and yellow subcutaneous ulcer hepatitis that this disease answers. Check through relevant biochemical zymologies or the tumour mark such as CEA, CA19- 9,etc. is checked and can be distinguished.
[Treat ]
1. Medicine treatment of Western medicine
(1)Surgery treatment
(2)Radiotherapy: 60 multi-purpose cobalt treatments or linear accelerators produced the ray, total amount 40-60Gy.
(3)Chemotherapy: The daily medicine is 5 - Fu, MMC,etc., the base case is FAM: 5- Fu300mg/m2 vein is instilled, 2 times every week, the third, 5, 10, 12 days; ADM (A is (mould and plain) 30- 40mg/ m2 vein is washed, the 11th day; MMC4- the intersection of 6mg/ m2 and vein wash, l, 18 day. The above is a course of treatment every 3 weeks.
(4)Immunization therapy: BP plain 50mg, intramuscular injection or intravenous Li's note, 1 times a day, uses together for 60 days. To lengthening the life, have better curative effect to improve life quality.
2,Traditional Chinese medicine treatment
(1)Cold wet tired spleen: White eyeball and skin yellow, if color smoke, the intersection of belly and secret anguish, sick to vomit, suffer from diarrhoea, tongue light tongue oily, pulse sinks late.
Manage the law: It is cold and wet that warm to melt, invigorating the spleen and stomach.
Square medicine: Herba Artemisiae Scopariae (and then leave) , Herba Lobeliae Chinensis, grow the intersection of Yi and the intersection of benevolence and 30 respectively, pale skill, umbellate pore furgus, the intersection of Sichuan and Piao, tuber of pinellia, select rush down, all 15 of son in front of the bus, do each 11 grams of gingers, dried orange peel, make 9 grams of Radix Aconiti Lateralis Preparata.
(2)Silt of stagnation of the blood of liver: One is yellow and dark and gloomy, the belly very aches, it is thin and white that the tongue has ecchymosis, tongue secretly, the pulse string is astringent.
Manage the law: Blood circulation promoting silt, disperse the depressed liver-energy and retreat yellow.
Square medicine: Radix Rehmanniae, peach kernel, safflower, Rhizoma Chuanxiong, E's skill, 15 grams respectively of Radix Paeoniae Rubra, root of red-rooted salvia, roast meat mountain first are 18 grams respectively, Hu, dried fruit of citron, fragrant to enclose, 12 grams respectively of Chinese angelica Chai, 30 grams of Herba Artemisiae Scopariae.
(3)Disease and empty silt are formed: Eye pearl and skin are yellow to the limit, the color is dark, the abdominal distension pain can and charter the piece, physique Lei is thin. It is thin and oily that it has ecchymosis, tongue secretly that the tongue is purple, the pulse string is thin and astringent.
Manage the law: Soft to break up and form firmly, support and retreat yellow.
Square medicine: Turtle shell, donkey-hide gelatin, Radix Arnebiae every Io gram, rhubarb, Radix Paeoniae Rubra, root bark of tree peony, peach kernel, tuber of pinellia, Chinese angelica, rhizome of large-headed atractylodes, Indian bread are 15 grams respectively, 20 grams respectively of ginseng, Herba Solani Nigri, wood is fragrant 12 grams.
Chinese medicine: Fit, support straight capsule for capsule, favourable good movie, loyal stilbene, preparation ache pieces of clever oral liquid, resist tumour detoxify capsule, take on fragrant alkene and health Letts inject in the the intersection of Chinese-Japan Friendship Hospital and courtyard
[Prevent and recuperate ]
1. Avoid taking the stimulating food and tobacco and wine, avoid the food difficult to digest such as being greasy. The diet should be light, enter little protein of animal.
2. Should do exercises in gymnastics as soon as possible while being postoperative, practise quiet work first, available horizontal or holding type, the personal body state takes a favorable turn, use vertical, new qigong, taijiquan,etc. instead gradually.
3. Reexamine time: Reexamine once a October generally while being postoperative. It is generally half a year to reexamine once a year since 3 years later. If recur and shift the sign and should make a diagnosis and give treatment at any time.
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