Mr. Wang came to the doctor with a distressed look on his face. After asking, he found out that his lover had all the housework at home after the breast cancer surgery, and he prepared three meals a day with nutrition. After the operation, his lover almost lay down and rested. But for some reason, she still felt getting tired. She occasionally got out of bed and moved, and she was out of breath and didn't want to move after walking two steps. She almost couldn't take care of herself, and she couldn't go to work. The family seemed to be unable to live, and the follow-up treatment fee for her lover was still unavailable. Mr. Wang was a little helpless.
Doctor said: This situation is not because you are not taking good care of yourself, but because you are taking good care of yourself. This situation occurs in most patients with cancer, especially in breast cancer patients. This situation is cancerous fatigue. In this issue, we will take Mr. Wang’s question in mind and give a picture of what is happening with cancer caused by sexual fatigue and how to effectively alleviate it.
What is cancer-related fatigue
cancer-related fatigue (CRF), also known as cancer fatigue, is a subjective feeling of physical, emotional and/or cognitive fatigue caused by cancer itself or cancer-related treatment. According to statistics, the prevalence rate of cancer patients is 30-99%. Unlike the fatigue of healthy people, CRF is more severe and painful, and cannot be relieved through rest or sleep.
CRF Common influencing factors
CRF is a multi-factor interaction throughout the entire process of cancer occurrence, development, treatment and prognosis. The influencing factors of CRF are generally divided into two categories: uncontrollable factors and controllable factors.
Uncontrolled factors mainly include socio-demographic factors, such as age, gender, etc. Studies have shown that age 60 and gender (female) are risk factors for CRF.
controllable factors are mainly effective in relieving CRF through clinical intervention, which is mainly caused by the following four aspects.
1. Direct effects of cancer
Cancer cells can produce cytokines such as interleukin-6. These factors can promote tumor growth, hinder the normal metabolism of the body, and reduce the body's function, thereby leading to symptoms such as fever, infection, and fatigue.
2, cancer treatment methods
Surgery, radiotherapy, chemotherapy, targeted therapy, immunotherapy and biological treatment are common treatment methods for cancer patients. Studies have shown that 65-100% of patients receiving chemotherapy, 82-96% of patients receiving radiotherapy, and 70-100% of patients receiving interferon therapy experience varying degrees of CRF.
3, cancer or cancer treatment-related comorbidities
anemia , pain, malnutrition, sleep disorder , etc. are the main factors that aggravate CRF and should be corrected or symptomatically treated. Studies have shown that hemoglobin levels are negatively correlated with the degree of CRF, that is, the lower the hemoglobin level, the more severe the CRF; pain is a common symptom in cancer patients and one of the factors affecting CRF. Nutrition is closely related to CRF, and the utilization rate of food in cancer patients decreases. In addition, related adverse reactions after cancer treatment (such as nausea, vomiting, etc.) lead to a decrease in food intake, resulting in malnutrition and thus fatigue. Sleep disorders are closely related to the patient's fatigue level. Improving the patient's sleep quality can effectively relieve CRF.
4, social and psychological factors
Anxiety, depression and other emotions are related factors for CRF in cancer patients. Unhealthy emotions such as anxiety and depression make patients lose confidence in treatment, treat diseases and treatment negatively, reduce their quality of life, and thus aggravate CRF.
Activity exercise—The magic weapon to relieve CRF by yourself
Cancer patients feel tired and weak, and cannot relieve themselves after rest, and even the symptoms are more obvious after rest. They should pay attention to the occurrence of CRF. Activity exercise is proven by first-level evidence. It is an intervention that effectively relieves CRF and can significantly reduce the fatigue symptoms of CRF patients and improve the quality of life.
Aerobic exercise : The best way to relieve CRF patients is aerobic exercise, such as jogging, brisk walking, swimming, bicycle, Aerobic exercise , etc. Aerobic exercise can stimulate pituitary to secrete endorphin , causing nervous system to produce microelectric stimulation, relieve muscle tension and mental depression, reduce psychological tension, and relieve fatigue. Analysis shows that aerobic exercise can effectively improve CRF caused by chemotherapy in breast cancer patients, especially in Asian populations, and the performance is more obvious.
During the implementation of aerobic exercise, the patient can grasp the intensity of exercise, proceed step by step, and adjust the exercise plan at any time to achieve the purpose of reducing fatigue; aerobic exercise can also help the patient's emotional effect, effectively reduce his negative emotions, and psychologically reduce the patient's helplessness in controlling fatigue symptoms.
Recommendation: Exercise time is 20-60 minutes each time; exercise frequency is 3-5 times a week, lasting for 8 weeks.
Resistance Movement : For example: push-ups, squats, pull-ups , resistance bands, barbells, equipment and other training can improve muscle strength and endurance, improve functional status, and maintain and improve bone density . Studies have shown that patients with nasopharyngeal carcinoma radiotherapy and chemotherapy and breast cancer patients can effectively relieve fatigue and improve quality of life through resistance training.
Recommendation: Resistance exercises are performed 2-3 times a week, 2-3 groups each time, 10-15 times a group each.
2019 American Society of Clinical Oncology reported that the exercise method combined with aerobic walking and resistance training for breast cancer patients can improve the interference of CRF and CRF on daily activities in breast cancer patients and can improve the patient's muscle strength.
After some popular science, Mr. Wang suddenly realized that my wife's fatigue symptoms cannot be relieved through rest. She should exercise and even do housework. With these answers, Mr. Wang left with satisfaction.
Here, Northwestern University Affiliated Hospital·Xi'an Third Hospital Lu Yonggang's breast aphrodisiac surgery team reminds breast cancer patients that if their bodies allow, they should carry out exercise early and formulate individualized exercise plans based on their own situation, so as to strive to return to normal life as soon as possible.
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