Pre-operative radiotherapy and chemotherapy options for rectal cancer treatment are specific to specific conditions
The treatment of rectal cancer is currently preferred to surgical treatment, but the treatment effect is obviously not very good if we rely solely on surgical treatment, so rectal cancer treatment requires a combination of multiple treatment methods. In the 2012 China Colorectal Surgery Symposium on the choice of preoperative treatment modalities, which one of preoperative radiotherapy, preoperative intensive chemotherapy, and preoperative radiotherapy is preferred, Prof. Wang Lei said, “It is necessary to treat specific conditions, and the main thing is to choose individualized treatment modalities.”
1.Pre-operative neoadjuvant chemotherapy, pre-operative intensive chemotherapy and pre-operative radiotherapy are all adjuvant treatments for colon cancer, but each has its own advantages and disadvantages.
2. Pre-operative neoadjuvant chemotherapy can be used as drug sensitivity test to facilitate post-operative drug use; the waiting time of pre-operative chemotherapy can allow small lesions that are ineffective for chemotherapy to “jump out” to facilitate the formulation of a more reasonable treatment plan; pre-operative chemotherapy can shrink the tumor, reduce the volume of liver resection and protect the liver. Disadvantage: Pre-operative chemotherapy lacks evidence-based medical research and may cause related complications.
3.Pre-operative intensive chemotherapy, chemotherapy can obviously reduce pain, but the cost of chemotherapy is very high, the cost is about 3000, but it takes 10 to 12 times of chemotherapy, which is difficult for general families to afford.
4.Pre-operative radiotherapy: This is the most conventional treatment method, and people in general will also choose the combination of pre-operative radiotherapy and chemotherapy.
5, preoperative choice of what treatment method, this is the need for specific analysis of specific problems. Only for individual conditions and family conditions, to develop the optimal treatment plan, in order to achieve the best treatment results.
What can be noted in preoperative radiotherapy to reduce complications?
Nausea and vomiting are the more common symptoms; sometimes there are also different degrees of abdominal pain and bloating, mainly because the amount of chemotherapy solution is closely related to the effectiveness of the drug and the incidence of bloating diarrhea can occur during chemotherapy; there will also be hair loss and other phenomena, chemotherapy-induced hair loss often occurs 1 to 2 weeks after the drug, the most significant within 2 months, generally after the drug is stopped hair will regrow, need to explain to patients to eliminate Adverse psychological stimulation.
Reduce the adverse effects from diet and psychology
1, pay attention to the use of drugs during radiotherapy, adhere to the principle of moderate flexibility.
2, the diet during chemotherapy should also pay attention to, pay attention to avoid eating high calorie, high protein, high vitamin, low fat soft food, avoid greasy food can reduce the incidence of nausea, vomiting.
3, pay attention to the construction of patients’ psychological quality.
Rectal cancer treatment needs efficacy as well as quality
Many cancer patients often ask their doctors, “What is the best food for me to eat more?” In fact, it is better not to force themselves to eat more or less, but to eat whatever they want. A variety of grains and cereals, vegetables and fruits, and a moderate ratio of vegetarian and non-vegetarian foods are beneficial to patients.
The issue of avoidance of food is often brought to the attention of cancer patients and their families. Some materials have raised the issue of avoidance of food for cancer, and even over-emphasized avoidance of food. The author believes that it is not advisable to be too particular about this, because many issues related to the taboo lack clinical verification and experimental research, and overemphasis on the taboo is prone to malnutrition. However, cancer patients should pay attention to eat more light and easily digestible products and less greasy, fatty and fried things.
Regular living to improve the quality of life of rectal cancer patients
Cancer patients should pay attention to the regularity of their living, be careful with their living, adapt to the climate and avoid evil spirits. How to do these?
1. Combination of movement and static, moderate work and rest. Movements should be diversified activities such as qigong, taijiquan, dance, etc., and quietness should be “tuned to the mind”, not to overwork and not to overstretch.
2, step by step, do not be too hasty.
3, perseverance, but when there are signs of recurrence, should promptly seek medical treatment or examination, not blindly superstitious exercise.
4, “practice the body” and “practice the heart” organic combination, adjust the mood.