Cancer patients should standardize the use of analgesic drugs
As
early as 1982, the World Health Organization proposed a "three-step
analgesic ladder of cancer guiding principles" that, according to the
severity of the pain will be divided into light, medium and heavy three
levels, click here to choose a different drug. Mild pain is generally
tolerable daily life and sleep are not affected, you can choose to
aspirin as the representative of the non-steroidal anti-inflammatory
analgesic drugs; if developed to moderate persistent pain, sleep will
be subject to interference, have also been decreased appetite, this
time with codeine, represented by a weak opioid drugs will become the
first choice; while severe, intolerable pain patients, you need to use
of morphine as the representative of the potent opioid drug
formulations.
An adjuvant in the entire "three-step principle" also serve as a
very important role. Stability class, antidepressant and anti-spasm
drugs can not only enhance the analgesic effect of opioids, but also be
able to lift the pain caused by anxiety, depression and irritability or
other psychological symptoms; while gastric mucosal protective agent,
gastrointestinal motility drugs and the laxative laxative and so can be
targeted to prevent or mitigate the side effects of various analgesic
drugs, such as nausea, vomiting, constipation, etc., in order to ensure
the "three step principle" to proceed smoothly.
Treatment of cancer pain analgesic drugs commonly used
non-narcotic analgesics, and two types of narcotic analgesics, narcotic
analgesics have Jiao A film-type drugs, such drugs have a dual role:
therapeutic effect and the "addiction" . Many patients or medical staff
are often resistant to opioids phenomena or due to progression of the
disease increase the dose misunderstood as "addiction." Analgesic drug
resistance performance is the first time the role of dose, efficacy
decreased, for severe cancer pain, morphine dose can be gradually
increased. Use of oral route of administration compared with
intramuscular injection means more prone to resistance, so the initial
stage of cancer pain treatment to promote oral administration.
Cancer patients should standardize the use of analgesic drugs
Today, pain management techniques to reduce the patient's opioid
drugs on demand, greatly reducing the incidence of addiction. For
example, push the tube and ventricle injection, nerve block (broken)
technology, patient-controlled analgesia, making the role of opioids to
maximize performance.
A very small number of addicts there arbitrarily increase the
amount of drugs and medication times and, therefore, in the course of
treatment of cancer pain, the medication on doctor's medical advice is
essential, do not arbitrarily increase the amount of drugs and
medication times.
The treatment of cancer pain must be out of the "addiction" of the
errors, the correct treatment of opioid pain medication to relieve
medication barriers and concerns, can the treatment of cancer pain
intensity or the use of adequate doses of opioid drugs, so that the
patient's pain satisfactory relief of pain patients to improve quality
of life.