Precautions after chemotherapy for small cell lung cancer-small cell lung cancer is a common malignant tumor, chemotherapy is a common treatment method for small cell lung cancer, so what should be paid attention to after chemotherapy for small cell lung cancer, let’s take a look at it specifically.
A. Precautions after chemotherapy for small cell lung cancer: diet
Many side effects may occur after chemotherapy for small cell lung cancer, and the complications after chemotherapy for small cell lung cancer may lead to the failure of previous treatment. The diet of small cell lung cancer patients is one of the most important issues.
1.What to eat after chemotherapy for small cell lung cancer
Small cell lung cancer is produced by endocrine cells of the lung and belongs to undifferentiated cancer, with high malignancy and fast growth rate. In early stage, it is more prone to distant spread and metastasis than non-small cell lung cancer, and the spread is more extensive. Therefore, active treatment after diagnosis is the basis for long-term survival of small cell lung cancer patients. Small cell lung cancer patients tend to lose their appetite during chemotherapy, and loss of appetite is one of the most common problems caused by cancer treatment.
Eating healthy meals and drinking plenty of fluids during lung cancer treatment will help you feel better. Patients with small cell lung cancer chemotherapy must immediately take high quality vitamins to fight free radicals in the body, rich in collagen to control the spread of cancer cells, and it is important not to eat foods that accelerate blood circulation in the body, because cancer is actually cancer cells in the body containing a large number of capillaries.
Precautions after chemotherapy for small cell lung cancer
For small cell lung cancer patients, chemotherapy is one of the more common treatments. However, this treatment method has many side effects on the patient’s body, the most serious of which is that it can reduce their body’s resistance ability.
In order to solve this problem, chemotherapy diet for lung cancer patients is very important. Patients should pay attention to regulating their spleen and stomach to improve their appetite, and eat more hawthorn, or boil lotus seeds and hawthorn together and add sugar to eat. Besides, patients should also eat foods with anti-cancer effect, such as white radish, apple, banana, green tea, etc.
2. Ways to improve appetite after chemotherapy for small cell lung cancer: have small and frequent meals during the day; if you don’t want to eat solid food, drink liquid; try juices, soups, shakes and liquid or powder supplements, such as ready-to-eat breakfast. Drink some liquids between meals so that you are not too full to eat at mealtimes. In addition, patients are advised to consume nutritional supplements that are high in nutrients and protein and antioxidants.
Precautions after chemotherapy for small cell lung cancer
In general, the diet should be comprehensive, high protein, high vitamin, low fat and low salt, less or no spicy and stimulating, fatty and greasy, barbecue and pickled foods, and the principle of regular and quantitative meals and reasonable nutrition. The patient should eat more fish, lean meat, eggs, soybean products, mushrooms, dates and so on. In addition, experts from Huxiang Hospital of Traditional Chinese Medicine suggest you to use foods that have the effect of relieving cough, reducing fever, stopping bleeding, relieving gas, broadening chest and relieving pain according to the different symptom performance, so as to reduce the pain. Meanwhile, appropriate exercise is very beneficial to recovery.
Precautions after chemotherapy for small cell lung cancer: psychological care
The implementation of psychological care for lung cancer patients should firstly grasp the four elements: premise, foundation, key and core. Good doctor-patient relationship is the premise of psychological care; the tacit cooperation between nurses and patient’s family is the foundation of psychological care; the correct mastering of patient’s psychological characteristics is the key of psychological care; helping patients to correctly understand the disease, actively cooperate with diagnosis and treatment, stimulating patients’ potential survival consciousness and improving the body’s resistance to disease is the core of psychological care, and nursing staff can make patients in the best state of mind by doing the four elements. The nursing staff can make the patients cooperate with the treatment in the best state of mind by doing the four elements.
Precautions after chemotherapy for small cell lung cancer
Precautions after chemotherapy for small cell lung cancer: life care
Life care after chemotherapy for small cell lung cancer can also be discussed from two aspects: psychological and physical. In terms of mentality, early stage lung cancer patients need to understand that there is a possibility of recurrence or complete cure after surgery, and they should have a correct understanding of their condition and the side effects during treatment, and must maintain an optimistic and cheerful mood, firmly believing that they can overcome the disease. Only by adjusting your mindset, building confidence and actively cooperating with the treatment can you mobilize your body’s internal anti-disease mechanism. Being negative and pessimistic and worrying all day about whether there will be a relapse is very detrimental to recovery.
Physiologically, in addition to dietary regimen, patients should pay attention to the maintenance of the respiratory tract, pay attention to the cold and warm climate changes, try to avoid colds, if the occurrence of upper respiratory tract infection, should promptly seek medical treatment with drugs, thorough treatment, to avoid pneumonia. Do not stay in places with dirty air and avoid inhaling second-hand smoke. If you have an irritating cough, you should cough up the phlegm in time. If the phlegm is sticky, you can take some expectorant drugs such as Mucosolvan; if the cough is serious and affects your rest, you can choose to take cough suppressant drugs such as compound licorice combination, federal cough syrup, etc;
If you feel the pain and numbness of the surgical wound, it is related to the nerves of the chest wall that were cut during the surgery, so the patient’s family should comfort the patient and help him/her to wait patiently. The discomfort will slowly subside only after several months.
IV. Precautions after chemotherapy for small cell lung cancer: follow-up treatment
As chemotherapy is more traumatic to the organism, those who need it generally receive radiotherapy 3-4 weeks after surgery, and chemotherapy is usually given once every three weeks for 4 times, while radiotherapy needs to be adhered to daily for a course of about 2-6 weeks. In addition, TCM treatment can be used under the guidance of experienced TCM physicians, and TCM is usually taken at the same time of radiotherapy and chemotherapy, avoiding blindly taking some so-called secret or partial prescriptions.
After lung cancer surgery, patients must pay attention to maintain an optimistic and cheerful mood and have long-term regular follow-ups, which should be conducted once every three months for two years after surgery, then once every six months, and can be extended to once a year after the fifth year. We should firmly believe that lung cancer is curable, face cancer correctly and live actively.
In addition to the above precautions after small cell chemotherapy, patients or patients’ family members should also pay attention to the following points.
1. Skin toxicity reaction. Patients are advised to avoid scratching and pay attention to keep the skin clean and dry to avoid infection.
2, muscle pain reactions. Often occurs in 2 to 3 days of chemotherapy, most of them return to normal in about a week. In addition to giving painkillers as prescribed by the doctor, attention should be paid to explaining to the patient to let him/her know that this symptom is reversible. And assist in daily life care, massage the sore place, help to distract their attention and reduce their discomfort, and physical therapy can be carried out if conditions permit.
3. Cardiac arrhythmia. Nursing staff should observe at the bedside so that problems can be detected and dealt with in a timely manner; give cardiac monitoring when medication is administered, closely observe changes in vital signs, report changes immediately to the doctor and cooperate with the doctor to make the appropriate treatment, and at the same time do a good job of psychological care so that the patient feels safe.
4. Hypersensitivity reaction. If the patient has tracheospasm, dyspnea, blood pressure drop and other hypersensitivity reactions, immediately stop the administration of drugs, and give oxygen, apply epinephrine and blood pressure-raising drugs until normalization. In the process of care, we should overcome paralysis and careless thinking, observe closely and be prepared for resuscitation.
5.Oedema and multiplasmatic fluid. The main manifestations are peripheral edema in patients and plasma cavity effusion in severe cases. The nurse should cooperate with the doctor, strictly implement the medical prescription, especially to supervise the patient to use hormones according to the medical prescription, and closely observe the patient’s weight and changes in peripheral edema. When edema appears, the edema should be evaluated, the circumference of the edema site at its most severe should be measured daily, the patient should be instructed to elevate the lower limbs to increase venous blood return, and the patient should be instructed to wear loose and soft clothes to prevent abrasion of the skin.
6. Care for toxic side effects of the digestive tract. The quality of care for gastrointestinal reactions directly affects whether chemotherapy can be adhered to and the effect of chemotherapy. Encourage patients to have small and frequent meals and a light diet. In the third chemotherapy process, chemotherapy patients generally have a poor appetite, from intravenous supplementation alone can not ensure the patient’s energy supply, which is not conducive to disease recovery, the patient can be given oral multi-enzyme tablets to help digestion, to enhance appetite.
At the same time, we should patiently persuade and encourage patients to eat. If vomiting is severe, observe the number, amount and color of vomiting and apply antiemetic treatment. In case of liver function impairment, the patient should be instructed to rest in bed, eat less and more meals, and eat a nutritious and easily digestible diet.