lecturer: Zhang Li Associate Professor Tongji Hospital Affiliated to Tongji Medical College Affiliated to Huazhong University of Science and Technology
A friend asked, if the patient feels uncomfortable after treatment, and the family members and patients are unwilling to continue to suffer such sins , what should we do? In fact, sometimes we treat it like climbing a mountain, as if we climbed a mountain, rested, and looked up, there was another mountain in front of us! This is because anti-tumor treatment is a cycle treatment of , and there is no effective way. After all, the growth of tumors is also cyclical.
If you encounter a patient, it’s really uncomfortable, and finally recovered, and it’s time to undergo treatment, what should you do?
First, tell the doctor that the adverse reactions of the patient have lasted for a long time , which means that the patient's body cannot resist this intensity of treatment, which is very common. No one's body will look as standard as a textbook. The dosage regulations are determined based on the average value of the general public. It is common for a certain dose to be unsuitable. It does not necessarily mean that the better your health is, the stronger your ability to fight tumors. Some people are born with particularly sensitive to drugs. As long as they use the medicine, their reaction will be very big. By the same token, you may not need to use the same dosage as others. Therefore, if the patient's side reaction lasts for a long time and it is difficult to recover, the doctor will generally postpone the treatment as appropriate. Then the question is, if I extend the rest time, will the efficacy be reduced? In fact, there are regulations in the international community: Take chemotherapy as an example. We allow the chemotherapy period to be extended within two weeks. In other words, if you rest within two weeks, it will not have any impact on your second treatment.
2 . If the lowered dose side effects are smaller, will it affect the efficacy? There are also relevant regulations in the international community: is reduced by less than 25% according to the standard dose, which has no major impact on treatment. is because everyone has different physical foundations and different sensitivity to drugs, so it has a down-regulation requirement. Of course, few people have raised this ratio, which is generally down-regulated. If the patient's body still cannot bear it, it means that the patient is indeed not suitable for such medicine. If you say I'll reduce it from 75% of the original dose to 50%, is that okay? Can't! The effective dose of chemotherapy drugs is reduced to less than 75% of the standard range. It is that will significantly affect the efficacy. At this time, it may be necessary to change the treatment plan.
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