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专家称肿瘤患者须从心开始庇护 勿自认为来日不多--亲稳舆论引导监测室
2013-03-03
当听到“某肿瘤患者还有三个月、半年生存期”这种类似于“判刑”的说法,有的人当场崩溃,甚至短暂“刑期”都不能度过,但也有很多患者在医生的帮助下创造了一个又一个生命奇迹。面对这两种截然不同的结果,空军总医院肿瘤内科主任朱广卿给出一些建议。
When they hear"A tumor patients and three months/Half a lifetime"This is similar to"sentence"The statement,Some people fall apart,Even short"sentence"Don't spend,But there are many patients in the doctor's help to create a another miracle of life.Facing these two quite different results,Air force general hospital oncology Zhu Guangqing, director of the some Suggestions are given.
预计生存期 , 并不是指实际寿命 Expected lifetime , I wasn't referring to the actual life
预计生命存期实际上是对患了相对较难治愈疾病的病人生存期的一个估计。这种预期主要用于科研筛选病人,而不应作为给病人的“判决”。可能带有很大偏差。
Expects the life term of is actually to have relatively difficult to cure the disease of the survival of an estimate.Such expectations screening patients is mainly used for scientific research,And should not as to the patient"sentence".May have large deviation.
“所谓晚期病人”不能一概而论,预期不等于寿命一定会在那时终结,所以任何时候都不能轻言放弃。“预期”的积极意义是,当得知疾病可能难以治愈时,应及时调整工作、生活,将该交办的事情都提前交待给家人、同事和下属,做到一身轻松地去与疾病作斗争。
"The so-called terminally ill patients"Cannot treat as the same,Forecast is not equal to life will be end at that time,So can't give up at any time."expected"Is of positive significance,When that disease may be difficult to heal,Should timely adjust the work/life,The things are assigned by the confessed to his family in advance/Colleagues and subordinates,Do a easily to struggle with the disease.
丢下包袱 , 轻松上阵 Drop the burden , Easy to play
有一个胸腔巨大肿块、大量胸水、骨转移的老年患者。每天咳嗽、胸闷,发热38.5摄氏度,不能平卧、不能翻身,因骨转移疼得双下肢卧时不能屈曲,站时不能下蹲,体重只有35kg,预计生存期不到3个月。根据病情医生给她生物治疗和小剂量的个体化化疗,加之患者的乐观、开朗,如今三年半过去,已经76岁,体重增到45kg,成为病房的抗癌明星,还幽默地让医生保她活到80岁。
There is a chest big bump/A lot of pleural effusion/Elderly patients with bone metastases.Cough every day/Chest tightness,Fever of 38.5 degrees Celsius,Cannot lay down/Can't turn,Due to bone metastases pain double lower limbs lie without buckling,Can't squat when standing,Only 35 kg weight,Estimated survival period less than three months.According to condition the doctor gave her biological treatment and small doses of individualized chemotherapy,Combined with the patient's optimism/A bright and cheerful disposition,Now in the past three and a half years,Is 76 years old,Weight increased to 45 kg,Become a ward of anticancer star,Also in a humorous way, let the doctor she live to be 80.
还有一位肠癌肝转移的台湾病人。一年前被确诊后因畏惧放、化疗等而接受“气功”和中药治疗。入院时肝脏已成了名副其实的“瘤口袋”,上顶心脏,左挤脾脏,下达盆腔,加上大量腹水,重度黄疸,肝功异常,每天脓血便20余次,整个人简直就像个“会喘气的瘤子”。考虑他从未接受正规治疗,医生给予生物治疗和个体化化疗。两周后奇迹出现,他每天大便次数减少到6次~7次,还用手机拍下了一条许久不见的长长的大便。几个月后,“瘤口袋”快空了,肝脏回归正常,他乘飞机、坐火车来去自如,俨如常人。
And a colorectal liver metastases patients in Taiwan.A year ago after being confirmed by fear/Accepted chemotherapy and so on"qigong"And Chinese medicine treatment.On the liver has become worthy of the name"Tumor pocket",On the top heart,Left to squeeze the spleen,Issued the pelvic,Along with massive ascites,Severe jaundice,Liver meritorious service is abnormal,Purulent blood has more than 20 times a day,The whole people like"Will the panting tumors".He had no formal treatment into consideration,The doctor give biological treatment and individualized chemotherapy.Two weeks later, the miracle appear,He defecate reduced to 6 ~ 7 times a day,Also use mobile phone took a long time not see long shit.After a few months,"Tumor pocket"Is nearly empty,Return to normal liver,He take the plane/Came back by train,Just like normal people.
他们的经验就是丢下包袱,轻松上阵,积极配合大夫治疗。切忌“认命”,惶惶不可终日,更忌自认为“来日不多”,事无巨细,亲力亲为,怀疑一切。这种紧张、焦虑会耗费大量精力和体力,让家人担心、更让大夫无所适从。
Their experience is to drop the baggage,Easy to play,Actively cooperate with the doctor treatment.Avoid by all means"The fate",In fear all day long,More don't think"Every little in the future",In detail,hands-on,Doubt everything.This kind of tension/Anxiety can cost a lot of energy and strength,Let the family worry/More let the doctor.
患者 : 吃喝拉撒睡最重要 In patients with : Eat and drink pull scatter sleep is the most important
很多家属和患者都将注意力放在肿瘤治疗上,其实“充足的睡眠、合理的饮食、适当的运动和良好的心态”才是最重要的。这是保证患者治疗的最基本条件,也是对患者及家属最好的事情。不论病人处于哪个阶段,尽力做好这些,就有可能赢得更多的生存机会和时间,甚至创造出奇迹。
Many families will focus on cancer treatment and patients,In fact"Plenty of sleep/Reasonable diet/Proper exercise and good state of mind"Is the most important thing.This is to ensure that the treatment of patients with the most basic conditions,The best thing is for patients and their families.Regardless of the patient is in which stage,Try my best to learn these,Is likely to win more opportunities and time,Even to create the miracle.
有的病人晚上不敢睡,恨不得拿个牙签撑着眼皮,生怕如小沈阳所说“眼睛一闭,没睁,这辈子就过去了”。充足睡眠是治疗非常重要的一方面。如能保证充足睡眠,将胜过任何补品,是最好的免疫增强剂。
Some patients can't sleep at night,Couldn't use a toothpick with a lid,Afraid of as little shenyang says"Eyes closed,Don't open,In this life is over".Enough sleep is a very important aspect of the treatment.If you can assure enough sleep,Will be better than any supplements,Is one of the best immune enhancer.
患者要保持良好心态 Patients should keep a good state of mind
关于良好心态,病人会说:“病在身上心情怎么好得了。”特别是肿瘤病人,尤其是晚期病人。对于悲观者来说,世界末日似乎总在追着他走。他们会抱怨没有好的命运,没有好的医生。怀疑自己是否诊断错了,踏遍千山万水,遍访名医,一定要找到世界上最好的医院,最好的大夫,用上最好的药才甘心。其实,在信息高度发达的今天,医疗技术已不是独家寡方时代。病人要树立良好心态,尽早静下心来,找自己信任、有专业技术、又便于家人照顾的医院,接受合理治疗,而不是不停地打听各种信息、偏方、特效药,结果可能贻误最佳治疗时机。朱广卿强调“肿瘤治疗,从心开始”,病人要调整自己,以尽可能好的心态去接受治疗。
About the good state of mind,Patients will say:"Disease in the body feeling very well."Especially in tumor patients,Especially the terminally ill patients.For the pessimists,The end of the world seems to be always chasing him.They will complain without a good fate,Without a good doctor.Wonder if diagnosis was wrong,All around the way,Visited famous doctor,Be sure to find the best hospital in the world,The best doctor,Using the best medicine to voluntarily.In fact,In today's highly developed information,Medical technology is not the sole party time.The patient must set up a good state of mind,Calm down as soon as possible,To find your trust/With professional technology/And convenient for the family to take care of the hospital,Reasonable treatment,Instead of constantly inquire about all kinds of information/Folk prescription/specific,Results may delay the best treatment time.Zhu Guangqing stressed"Cancer treatment,Starting from the heart",The patient to adjust themselves,With good state of mind to accept treatment as soon as possible.
家属 : 多数都会焦虑和抑郁 Family members of the : Most are anxiety and depression
一个肿瘤病人的病常常是一个家庭的病,所以医生在诊治病人时也常常关注家属的心理状态,给予疏导,以便他们配合好治疗。
A tumor patient's illness is often a family illness,So the doctor in the diagnosis and treatment when patients are often pay attention to the psychological state of the family,To give guidance,So that they cooperate with good treatment.
当人们心情不好时看什么都不顺眼,听什么都不顺耳。病人心情不好,家属也跟着不好,就会形成恶性循环,极不利于患者治疗和康复。如若病人病情确已较晚,家属更应理智处理,注意心态的调整,本着减轻痛苦、延长生命的原则,配合医务人员制定合理的治疗方案。不要盲目提出过高要求,否则心理预期达不到只能徒增痛苦和留下阴影。
When people are in a bad mood what all don't pleasing to the eye,Listen to what all don't sweet.The patient was in a bad mood,Family members also follow bad,Will form a vicious circle,Hardly conducive to patient treatment and rehabilitation.If the patient condition have been late,Family members should be more rational treatment,Pay attention to the attitude adjustment,According to relieve the pain/The principle of prolonging life,Cooperate with medical personnel to formulate reasonable treatment plan.Don't blindly request is too high,Otherwise the expectations not only increased his pain and shading.
“偶尔能治愈、常常去帮助、始终在安慰”是美国著名结核医生的座右铭,他当年身患结核久治不愈而后奇迹生还成为著名医生。就用这句话来勉励我们吧,不论是医者、患者或是家属。肿瘤治疗从心开始,调整心态、放下包袱,无论何时,努力争取创造自己生命的奇迹。(王 琳)
"Occasionally can heal/Often go to help/Always in the comfort"TB is the famous doctor's motto,He was suffering from tuberculosis, cured and then miracle survival become famous doctor.Can use this sentence to encourage us,Whether it is a healer/The patient or family.Tumor treatment starting from the heart,Adjust the mentality/Put down the burden,No matter when,Strive to create their own the miracle of life.(Wang Lin)
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