Don’t be too afraid of chemotherapy

The term chemotherapy should not be unfamiliar to anyone. The tragic drama is often staged “leukemia” patients, bald, pale, dragging the infusion rack breathlessly walking in the empty corridor or lying on the hospital bed vomiting more than. The audience will be saddened to see, weeping, the main character in nine out of ten is unable to save his life. Although television allows us to understand a lot of unfamiliar knowledge, but at the same time easy to mislead us. Myth 1: Chemotherapy is chosen because cancer is too advanced to be treated by surgery. Myth 2: The side effects of chemotherapy are too great and life is worse than death. Myth 3: Even if chemotherapy can save your life, you can’t have children in the future. Chemotherapy is a treatment method to treat various diseases, mainly malignant tumors, with chemical synthetic drugs. In the treatment of gynecological cancer, chemotherapy is indispensable. Especially for choriocarcinoma, chemotherapy is the main treatment method. Since the development of choriocarcinoma is very special, cancer cells are metastasized through blood circulation, and the cancer mass is not always obvious, so the treatment of simply taking surgery to remove local lesions is not appropriate. Chemotherapeutic drugs, on the other hand, can kill cancer cells more effectively by entering cells everywhere in the body through the blood. Just like a farmer planting a field, if weeds grow only in a small area, hoeing out the weeds is sufficient and at most a small piece of rice will be lost; however, if the whole field is full of weeds and mixed with rice, hoeing is time-consuming and laborious, and it is more effective than spraying herbicides because it will damage the rice. Therefore, the need for chemotherapy for gynecological cancer is not at an advanced stage. There are many types of chemotherapy drugs, and drugs need to be selected according to the disease and the purpose of treatment. These are, of course, the business of the doctor. For patients and family members need to know the side effects caused by chemotherapy drugs, which is the most worrying and fearful thing for chemotherapy patients. Fortunately, most of the side effects can be mitigated or even avoided by medical methods, so there is really no need to be too afraid of chemotherapy, and it is not worth refusing chemotherapy because of fear. The most common side effects of chemotherapy are nausea and vomiting. In mild cases, such as motion sickness, rest is sufficient, but in severe cases, vomiting is not enough to eat. Due to medical advances, there are many drugs that can reduce or even avoid the symptoms of nausea and vomiting. During chemotherapy try to pay attention to a light diet, but for the chili-loving Sichuanese and Hunanese, if you can not eat at all without chili, a little chili is not a bad idea. Mouth ulcers are also very common, and in severe cases, the mouth is full of ulcers, painful and can not eat. Because of the mucous membrane ulcers, it is easy to breed infection. Therefore, prevention is very important, pay attention to their own inspection of the oral mucosa every day, and rinse the mouth with mouthwash to reduce bacterial parasites, while eating fresh vegetables and fruits to increase vitamin intake. Avoid eating food that is too hard or has fish spines or sharp bones to avoid mucosal scratches. If the ulcer has appeared in a large area, it needs to be treated promptly by a professional doctor and should not be delayed by yourself. There was a case of a patient, after being discharged from chemotherapy, oral ulcers appeared, coupled with the lack of attention to oral hygiene, nutritional deficiencies, has been delayed until the lips, oral mucosa all ulcerated, crust caused several days can not eat, the patient is too weak to stand up when the party came to see the doctor, missed the best time for treatment. In addition, there are stool abnormalities, constipation in some people and diarrhea in others, especially diarrhea, which should be actively dealt with when there are early manifestations. The amount of urine can reflect the body’s metabolism to a certain extent, and when some chemotherapy drugs are used, patients or family members are required to count the amount of urine. Therefore, during chemotherapy, daily reports of urine and stool should be made to the doctor truthfully. Another endorsement of chemotherapy is hair loss. It’s okay to be bald, and it’s a fashionable excuse, but when it comes to thinning hair that is half gone, it feels like you’ve seen it in a horror movie. When I was a student, I joined the school’s volunteer haircutting team to serve the inpatients. I didn’t want to go to the wrong place on my first trip, to the oncology chemotherapy unit, and when I looked around, there weren’t many left to enjoy the service. In fact, these are patients with multiple chemotherapy treatments. For many gynecological chemotherapy patients, not all of them will necessarily lose their hair, and it is usually not the first chemotherapy treatment that immediately makes them bald, much less some people imagine that they lose their hair overnight. Most of it comes off slowly after chemotherapy. When hair is thinning you can choose to wear a hair cover. There are several young chemotherapy patients who buy several hair covers and take turns wearing them, and we are amazed every time we are hospitalized. In fact, it is not only a beauty, but also a confidence. In addition, there are side effects such as allergic reactions, liver function impairment, kidney function impairment, and bone marrow suppression, which will not be discussed here. The special concerns of female patients include whether they will have menstruation after chemotherapy, whether they will not be able to have children, whether the children born may be deformed, etc.? In fact, don’t be too worried and nervous. Chemotherapy does suppress ovarian function, but most of the suppression is temporary and reversible. It is not uncommon to have no or irregular menstruation during chemotherapy, but many patients can resume normal menstruation within one year after chemotherapy. Studies have reported no increase in the rate of miscarriage, fetal malformations, or obstetric complications (e.g., preterm delivery) in those who become pregnant after chemotherapy. For patients who develop abnormal menstruation and secondary infertility after chemotherapy, assisted reproductive techniques (mainly ovulation promotion) can be actively pursued and are equally safe. Therefore, if a patient wants to have another child at the time of chemotherapy, he or she needs to inform the doctor in advance so that a chemotherapy regimen with less impact on reproductive function can be chosen.