Interventional therapies to control cancer pain
One of the things we often forget about cancer treatment is the pain that cancer patients go through. The issue of pain control due to cancer is gradually receiving more attention. What therapies can help alleviate pain in cancer patients?
1. What are the causes of pain in cancer patients?
Cancer pain is long-lasting pain that severely affects the body and mind of the patient. Each type of cancer will cause different symptoms, but generally in the late stages cancer cells overgrow and spread to other organs of the body. Therefore, the patient often suffers from constant pain due to the large tumor pressing, thereby easily making the patient's psychology depressed. Most cancer patients are detected at a late stage, so the treatment process is difficult, and the effectiveness is often not optimal.
Cancer pain can be receptor pain or neuropathic pain. Some common causes of pain are as follows:
Pain caused by the tumor itself. Pain caused by the tumor spreading to other organs in the body Pain caused by the tumor growing too large and pressing on nerves or the spinal cord. Pain due to invasive laboratory procedures such as lumbar puncture, biopsy, aspiration/biopsy. Pain caused by cancer treatment: caused by chemotherapy, radiation therapy, surgery. In some patients the pain will be short-lived. However, there are many cases where the patient will experience excessive pain suddenly.
2. Principles in cancer pain control:
Accurately diagnose the patient's primary cancer. Determine the correct stage of the disease. Receive descriptions and complaints about the patient's pain. Record symptoms and accurately assess pain levels. Select the right pain treatment method for the patient. In parallel with the treatment of pain, it must be combined with the treatment of other disorders, if any. Combining multiple methods to treat pain for cancer patients. Always pay attention to combining psychotherapy in the treatment of cancer pain.
3. Cancer pain control therapies:
Now, with new techniques, we can completely control the pain caused by cancer, helping patients live more comfortably, families also feel more comfort and relief.
3.1. Interventional therapy with medical therapy Use common analgesic anti-inflammatory drugs such as paracetamol in cancer patients with mild pain. Use weak opioid pain relievers such as cocaine, oral or injectable opioids such as morphine, Dilaudid. Use of combination sedatives, hypnotics, antidepressants .... Use of pain relievers depending on pain:
Non-opioid analgesics, with or without combination with non-specific anti-inflammatory drugs effective, with or without co-analgesics. Analgesics containing weak opioids, weak opioids in combination, can be combined with non-specific anti-inflammatory drugs, adjuvant drugs with co-analgesic effects. Oral or injectable opioid analgesics, possibly in combination with non-specific anti-inflammatory drugs. 3.2. Surgical intervention In some cases of pain caused by cancer, patients need temporary surgery to drain, orthopedic, and remove part of the tumor. Surgical removal of the pain nerve if the location is determined.
3.3. External irradiation as a cancer pain control therapy This is an effective treatment for pain caused by primary or metastatic bone cancer in patients with minimally metastatic bone cancer.
3.4. Use of radiopharmaceuticals in pain control of metastatic bone cancer: This open-source radioisotope metabolic radiotherapy can be used even for patients with metastatic bone cancer.
Radiopharmaceuticals are only indicated when the patient has a confirmed diagnosis of bone metastases.
3.5. Palliative care Palliative care is a method to help reduce pain symptoms caused by cancer or cancer treatment procedures, has a positive impact on improving quality of life in the last years of life. patient. This is a combination of treatments that include treating cancer pain as well as addressing other physical and psychological problems that patients and families are experiencing.
Để đặt lịch khám tại viện, Quý khách vui lòng bấm số HOTLINE hoặc đặt lịch trực tiếp TẠI ĐÂY. Tải và đặt lịch khám tự động trên ứng dụng MyVinmec để quản lý, theo dõi lịch và đặt hẹn mọi lúc mọi nơi ngay trên ứng dụng.