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Tuesday, June 1, 2021

Diet of lung cancer patients , lung cancer what is good , lung cancer diet attention what problem

 Patients with lung cancer should eat - Yi

    (1) It is advisable to enhance the body's immunity, anti-lung cancer effect, such as glutinous rice, sweet almond, rhodium, oyster, sea otter, yellow fish, sea turtle, crab,  sea cucumber, yam, jujube, black Snake, four season beans, mushrooms, walnuts, turtle.


    (2) Cough, Peach, orange, pomelo, etc.


    (3) Heat is suitable for eating cucumber, melon, bitter gourd, lettuce, eggplant, hair dish, lily, leek, vegetables, vegetables, lame, purslane, plum, watermelon, pineapple, pear, persimmon, orange, lemon, olive , Mulberry,  duck, green fish.


    (4) Heat blood should eat green plum,, sugar cane, pear, cotton, sea otter, sea cucumber, lotus seed, rhoda, kelp, mustard, black beans, tofu, vegetables, eggplant, milk, squid, turtle, squid, squid, yellow fish, Turtay, oysters, mussels.


    (5) Applying food: geese blood, mushrooms, shark, longan, jaundice, walnut, turtle, turtle, kiwi, vegetables, gold jacket, jujube, sunflower seeds, apple, squid, green beans, soy, Chioma, Shrimp, Crab, Silver Bean, Loach, Tangpon, Fish, Mahafish, Green Tea, Fair.


    Patients with lung cancer should drink 

(1) Avoid smoke, wine.

(2) Avoid spicy food: onion, garlic, leeks, ginger, pepper, pepper, cinnamon, etc.

(3) Available in hot food such as fried, barbecue.

(4) Avoid greasy, viscous food.

Tumor care , lung cancer care measures , care for patients with lung cancer - Psychological care

 Psychological care


    Psychological physiology of patients with advanced lung cancer is more vulnerable, and when they have just been diagnosed, patients and families are unacceptable. When admission, nurses should take the initiative to accommodate patients, introduce their hospital environment, introduce the supervisor, supervisor, eliminate patients' sulfum and tension Reduce the patient's fear of hospitalization, helping the patient to meet the patients, and guide the family members to give strong support in spiritual and life, and timely grasp the patient's psychological changes in various forms to do patient psychological counseling.


    1.1 Application of language art comfort

Nurses should be sincerely treated sincerely. When they talk, they should naturally, and the time form is exposed to the patient's concern, sympathy, solicit the help of patients, so that the patient has trust the nurse and can talk to the nurse. Nurses can take timely capture information with the patient, and give it to the patient's concerns, stabilize their mood, stimulate the confidence of patient growth, and actively cooperate with medical care.

    

    1.2 Establish a good care relationship

Establishing a good care relationship is a premise of timely and effective psychological counseling, so nurse should often communicate with the patient. Take the distance between the patient through chat, patiently listen to the patient's Chen, and use the knowledge of the knowledge you have learned, and use the conversation to consider the feelings and emotional changes hidden in the patient's language, and take effective psychological care in a timely manner. .


    2. Meet the patient's needs psychology

    There are many demand for advanced cancer patients to be restricted, which in turn affects emotions and behaviors, so you must carefully observe the needs of patients to meet the needs of patients.


    2.1 Demand for survival

    Survival is the strongest need of cancer patients, they are eager to continue to feel the value of life and need people's understanding and support. Therefore, it is necessary to establish a good care relationship with the patient and the family, encouraging family members and relatives to care about patients, often visiting patients, making patients feel warm. As the medical staff, extraordinary departments and nurses, but also often visit the patient, encourage the patient, so that the patient feels in the extraordinary family in the hospital, there is warm and caring everywhere, so that he firmly defeats the confidence of the disease, active Active cooperation treatment.


    2.2 Physiological needs

    Patients with advanced lung cancer, the biggest feature is difficult to breathe, astishing, leading to low quality of patient life. Many patients have irritated, irritating, pessimistic disappointment, insomnia, and even suicide, nurse should promptly understand the dynamic changes of patient thinking, timely discovery, and give corresponding treatment. 

    For example, a female patient, 64 years old, admitted to small cell lung cancer, after 1A repeated treatment, the condition has not improved, there is a side of the pulmonary change, and only three points left on the other side, and is accompanied by the heart , Patient cough, asthmatic, irritability, poor sleep, emotion is extremely unstable, and the quality of life is not guaranteed. When chatting with the patient, it was found that the patient was repeated due to the disease, and the development of the disease was influenced to sleep, and the patient lost the confidence of treatment and exposed suicide tendencies. 

    The nurse led the patient to introduce the patient with the same disease. The patient's attitude is optimistic, encourages the patient to give up any scruples as much as possible, seek spiritual support; timely, the medical treatment, church patients, such as numbers, listening to light music, etc., and give patients Get rid of insomnia pain, re-rumor spirit and actively cooperate with treatment.

Tumor care , lung cancer care measures , care for patients with lung cancer - Postoperative care

 Postoperative care

    1. After lung cancer surgery, patients should be banned from smoking to avoid recurrence. If the lung function is reduced, it is necessary to guide the patient to gradually increase the amount of exercise.


    2. Waiting for patient recovery after surgery, if there is recurrence, it should be immediately went to the hospital to ask a doctor to consult, decide whether to radiate or chemotherapy.


    3. After the blood cancer surgery, it is easy to violate the local recurrence of the chest.


    4. Pulmonary adenocarcinoma or undifferentiated cancer is easy to transfer, such as transferred to lymph nodes, bone, liver, brain and opposite side lungs.


    5. To pay attention to the patient without fever, blood, blood, qi, chest pain, headache, vision, hepatic pain, bone pain, lymphadenopathy, liver, etc., the above symptoms should be Hospital see a doctor. At the same time, the patient should go to the hospital regularly to make a chest explosion and leave fresh sputum to check cancer cells.

Tumor care , lung cancer care measures , care for patients with lung cancer - Daily care

 Daily care

    1. Acne prevention: the nutritional status of patients with lung cancer is generally poor, sometimes combined with systemic edema, which is easy to produce acne, and rapidly expand, it is difficult to cure, prevent acne is particularly important. Reduce local pressure, replace the position on time, the body is easy to press the gas ring, soft pillow, etc., to avoid long-term pressure. Keep the skin clean, especially for patients who are incontinent, keep the bed clean, flat, and irradiate the rubbing of the broken skin, maintain local drying.


    2. Relieve symptoms: fever is one of the main symptoms of lung cancer, should pay attention to keep warm, prevent colds, to avoid pneumonia; for irritating cough, can give calcardia; at night, patients continue to cough, can drink hot water, To reduce the stimulation of the throat; if there is a coughing blood, hegaside should be given a lot of cough, and immediately notify the doctor, while the patient's head is biased toward one side, timely remove the intracardiazine to prevent suffocation, and assist the doctor to rescue.


    3. Observation and nursing of illnestrial patients often have different symptoms of different symptoms, and should pay attention to the corresponding nursing. Such as liver, brain metastasis, can suddenly coma, convulsions, unclear, nursing staff should find symptomatic treatment. Bone metastasis should strengthen the protection of limbs, abdominal metastasis often occur in intestinal obstruction, should pay attention to observation of patients with abdominal swelling, abdominal pain, etc., due to weakness, fatigue, loss, activities, etc. Luxury pond. Due to malnutrition, edema can occur in low plasma proteins, and should reduce edema by increasing measures such as nutrition, raising the limbs.


    4. Psychological care: Patients with advanced lung cancer will have anxiety, fear, sadness, etc. Single ward, language is kind, sincere, encourage patients to tell their own psychological feelings, timelyly guidance, and take the initiative to introduce the patient's improvement information.


    The care of patients with late lung cancer is mainly controlling symptoms, alleviating patients 'pain, and creates a comfortable cultivation environment, giving patients' biggest mental support and psychological comfort. In addition, it is also possible to regulate anti-cancer Chinese medicine. Although the western medicine is fast, it is extremely unstable, it is easy to relapse, and the side effects are large, and the drug resistance is easy to produce.

What are the diagnostic methods of lung cancer, ulficoma early diagnosis,ulfic cancer diagnosis criteria, How to symptomor is lung cancer?

1. Imaging examination

    1.1 Chest X-ray Check: X-ray chest is an important means of discovering advanced lung cancer, and is also the basic imaging examination method before and after treatment in advanced lung cancer.

    1.2 Chest CT examination: Chest CT is important for the diagnosis, installment, efficacy evaluation and treatment of advanced lung cancer, is the most important and most common imaging examination method of lung cancer.

    1.3 MRI inspection: MRI is particularly suitable for judging the brain, and there is no transfer in the spinal cord. In addition, the MRI check can be used to determine whether the chest wall or the mediastill is invasive; showing the relationship between pulmonary tumor tumors and armospanes and blood vessels. For patients with injection of iodine artifacts, MRI is the preferred examination method for observing mediastinal, pulmonary vessel invasion and lymphadenopathy.

    1.4 Ultrasound examination: Mainly used to find abdominal real importance organs and abdominal cavity, abdominal lymph nodes have no transfer, also for inspection of lymph nodes on bilateral clavicle; ultrasound is often used in pleural effusion and cardiac content. Positioning.

    1.5 Radioactive Nutrient Bone Scanning Check: It is a conventional inspection used to determine the metastasis of lung cancer. When the bone scan inspection suggests suspected bone suspected transfer, MRI, CT or PET-CT and other inspection validations are verified.

    1.6 PET-CT examination: It is the best way to diagnose, installment and re-disclosure, efficacy evaluation and prognosis evaluation of lung cancer.


2. Endoscope check

    2.1 Bribex mirror inspection: bronchoscope inspection technology is the most common method of diagnosing lung cancer, including bronchoscopy, biopsy, biopsy, needle suction, and bronchioma acquisition cytology and histological diagnosis. The above methods described above can increase the detection rate.

    2.2 Bronchial adhesion insurgents (TBNA) and ultrasonic bronchoscopy (EBUS-TBNA): contribute to lung cancer diagnosis and lymph node.

    2.3 Bronchial Pulmonary Localization (TBLB): It is an important means of non-surgical diagnosis of lung nodules.

    2.4 Longitudinal Mirror Check: As an effective method for deterging lung cancer and assessing lymph node stages, it is currently a preliminary assessment of a gold standard of lung cancer mediastinal lymph nodes.

    2.5 Thoracicoscopy: Decentralized lung cancer diagnosis and staging can be accurately carried out, and the early lung cancer of the pathological specimen cannot be obtained for TBLB and the chest flubsenes induced, and the early lung cancer cannot be obtained, especially the slight tone of the lungs. Less lens lesion wedge cut removal can achieve clear diagnosis and treatment purposes.


3. Laboratory examination

    3.1 General examination: Patients should be inspected before treatment, should be inspected in laboratory such as blood routine, liver and kidney function and viral indicators to understand the general conditions of patients and whether it is suitable for adopting corresponding treatment. Patients with innovation or surgical treatment also need to perform coagulation function detection.

    3.2 Tumor Markers, TMS, lung cancer related serum tumor markers include

1) CEA, carcinoembryonic antillars (Carcinoembryonic antigen)

2) CA125, sugar antigen 125 (Carbohydrate Antigen 125)

3) CA153, sugar antigen 153 (Carbohydrate Antigen 153)

4) CYFRA21-1, cytokine fragment 19 (CytoKeratin Fragment)

5) SCCA, squamous epithelial cell carcinogen (Squamous Cell Carcinoma Antigen)

6) Progrp, Progastrin-release peptide (PROGASTRIN-RELESING PEPTIDE)

7) NSE, neuron-specificuous enzyme,

8) CK-BB, creatine kinase BB (Creatine Kinase Bb Isoenzyme)

9) CGA, pheochromocyrin A

3. Gene mutation detection: For advanced NSCLC, adenocarcinoma or other types of lung cancer-containing ingredients, genetic testing should be performed while diagnosis

1) EGFR gene mutation

2) ALK fusion gene

3) ROS1 gene fusion

4) RET gene fusion,

5) K-Ras gene mutation

6) BRAF gene V600E mutation

7) HER2 gene amplification

8) MET gene high level amplification and exontion of exaggerators on the 14th


4. Other inspection technology

4.1 cytology examination: It is one of the simple and convenient diagnostic methods for diagnosing lung cancer.

4.2, TTNA: The chest mass or lymph nodes can be performed under CT or ultrasound.

4.3, chest puncture: Thoracic puncture can obtain pleural effusion, cytological examination.

4.4, pleural biopsy: For a diagnosed pleural effusion, pleural biopsy can improve the positive detection rate.

4.5, superficial lymph nodes and subcutaneous metastasis episodes: For the superficial lymph node and subcutaneous transfer nodules, it should be contracted or biopsy to obtain pathological diagnosis.

 

How to screen for lung cancer , best way to screen lung cancer , lung cancer screening

    Lung cancer usually does not have obvious early symptoms, even if there is a symptom, it is often not paying attention to infection or long-term smoking, so early screening is very important.

    It is recommended that the high-risk population is carried out annually, and the sensitivity of early lung cancer is 4 to 10 times the conventional chest radiocarpiece, and early surrounding lung cancer can be detected. International Early Early Lung Cancer Action Plan data show that the annual screening of LDCT can discover 85% peripheral lung cancer, and 10 years of expected survival rate of 2% in 10 years. US national lung cancer screening trial proves that LDCT screening can reduce the mortality rate of 20% of lung cancer, and is the most effective lung cancer screening tool. The high-risk population defined in China is:

    1. Age 50-75 years old

    2. At least one risk factor:

A. Smoking ≥ 20 packs / year, including smoking, but smoking cessation is less than 15 years

B. Passive smokers

C. Occupational exposure history (asbestos, beryllium, uranium,, etc.)

B. History of chronic obstructive pulmonary disease or diffuse pulmonary fibrosis

The National Comprehensive Cancer Network (NCCN) guide suggested that the high-risk group was screened for lung cancer, and did not recommend a low-risk group and a mid-danger group for screening.

Prevention method of lung cancer ,how to prevent lung cancer, lung cancer prevention

    1. Quit smoking, although it is clear that smoking is the primary factor that leads to lung cancer, whether in developed countries and developing countries, smoking is still a common phenomenon, active smoking and passive smoking (second-hand smoke) will cause a lot of harm to the body, Therefore, quitting smoking is the preferred method of preventing lung cancer, and the country has limited people in public places through policy intervention.

    2. Screening, annual periodic chest test or CT scan can help people are especially high-risk people in lung cancer, in case of no symptoms, lung cancer, and then conduct detailed examination, and achieve early discovery early treatment.


    3. At the room, pay attention to avoid high radon content, and take care of air pollution in outdoor, and should take effective protection measures for workers who often contact to carcinogens.


    4. Healthy diet, has evidence that for smoking or non-smoking people, fruit and vegetables can reduce the risk of lung cancer, but for smoking crowd, any healthy diet is far from harm to smoke. Taking vitamin drugs does not prevent lung cancer.