Jul 23, 2008

Some of endometrial cancer fight

The development of endometrial cancer slower, also transfer to a direct violation of the main, better treatment, surgical treatment in line with work, with some increases in radiation therapy. And the fight against endometrial cancer, it is also necessary to care!

Endometrial cancer occurred in the inside cover of the uterine body of endometrial cancer, more common in 50-60 years of age or over the age of 60 women. Slow its development, also transfer to a direct violation of the main, better treatment, surgical treatment in line with work, with some increases in radiation therapy. And the fight against endometrial cancer, it is also necessary to care!

1, fear of mental patients

To maximize the use of non-technical language so that patients can understand and help patients reduce the diseases and surgery of anxiety and fear, confidence-building, can take the initiative to meet treatment and care.

2, the general care

Enhance nutrition, should be given to high-calorie, high-protein, high-vitamin diet.

3, surgical patient care

(1) pre-operative care for routine preparations, including internal organs function tests and skin preparations.

(2) Patients should be cautioned, surgical treatment is the preferred treatment, as long as the body to be in a position of tolerance, non-surgical contraindications, should be a laparotomy.

Early in general for total hysterectomy and bilateral resection of the annex. Ⅱ period should be broad hysterectomy and bilateral removal of pelvic lymph nodes. Ⅰ a period of ascites in patients with cancer or find a deep-muscle invasive cancer, lymph node-positive or suspicious transfers, and after surgery should be used in vitro exposure, with 60 CO exposure, or linear accelerator.

Ⅰ b period of uterine pregnancy more than two months are, Ⅲ Ⅳ period and some patients may increase in the preoperative intracavitary irradiation with radiation or 137 Cs, 192Ir, and so on. 1 to the end of radiotherapy after surgery two weeks by non-professionals.

4, hormones and other drugs, care and treatment

(1) for advanced cancer, cancer recurrence, not removal or retention requirements of young patients with early reproductive function, may consider progesterone treatment. The dose to the general, such as acetic acid MPA 200 ~ 400 mg / day, progesterone acid 500 mg / day, at least 10 to 12 weeks to evaluate whether the preliminary results. In the course of treatment should pay attention to observe the reaction, the general reaction light, can cause Shuinazhuliu, appeared swollen, drug-induced hepatitis. Should tell patients will be gradually improved after treatment.

(2) of tamoxifen-treated patients, should pay attention to the observation of drug reactions, hot flashes, chills menopause syndrome similar to the response, and bone marrow suppression response. A small number of patients can appear vaginal bleeding, nausea and vomiting. As a reaction to the doctors reported. Tamoxifen is a non-steroidal anti-estrogen drugs, the general dose of 20 ~ 40 mg / day oral. Applications can be long-term treatment or application.

5, chemotherapy drugs to health care

According to conventional chemotherapy care, not commonly used in the advanced surgery, radiotherapy or recurrence after treatment of cases. Common drugs are 5 FU, CTX, MBC, and so on.

6, traditional Chinese medicine to health care: patients adhere to medication, not to interrupt.

7, the anti-cancer outpatients should be universal knowledge, especially for patients with high risk factors, women in menopause or menstrual disorder, post-menopausal women irregular vaginal bleeding, should be highly valued.

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