2011年4月8日星期五

Gastric cancer alert

Stomach ulcers are common in the elderly, is one of the serious consequences of a relapse into cancer. If the following conditions should be vigilant.

1. The nature of pain and patterns of change in performance of ulcer pain and more pain on the abdomen, was burning like or dull, and with the consumption of the onset of pain, generally in 1 to 2 hours after a meal there, then gradually reduced. If the pain out of these laws, and changes from time to time attack, or a persistent pain, or pain than ever before the nature of significant changes have taken place should be alert for the precursor of cancer.

2. Although the use of anti-ulcer drugs ineffective recurrent ulcer is easy, but usually after taking anti-ulcer drugs, can alleviate the symptoms generally. If you routinely take anti-ulcer drug treatment for some time, the effect becomes obvious, or ineffective, it should be suspected to be a precursor to cancer.

3. Progressive weight loss patients in the short term loss of appetite, nausea, vomiting, fever and progressive weight loss, then the likelihood of cancer significantly.

4. Occur in the near future patients with hematemesis and melena frequent vomiting blood or stool appears tar-like stool occult blood test results were positive for sustained and serious anemia, these phenomena show that gastric ulcer may be malignant as cancer.

5. Abdominal mass in gastric ulcer patients are generally not formed abdominal mass, but if cancerous, the ulcer will become large, hard, patients with advanced touch in the left upper abdominal mass. Mass texture, hard, nodular, not smooth, the pressure of pain.

Gastric ulcer patients and their families should pay attention to changes in condition, if it is found to be alert to the clues of a timely go to hospital for examination, identify problems for early treatment and prevention of adverse consequences.

How to choose to take drugs to prevent ulcer recurrence?

Drug prevention and treatment of ulcer recurrence and practical to be much the same, there are two categories, one is an attack factor inhibitors, and the other is a gastric protective drug, which is based on the pathogenesis of ulcer and applications. Because the incidence of gastric ulcer is due to excessive secretion of gastric acid erosion of the mucous membrane, and the factors that protect the gastric mucosa caused by weakened for some reason, and from two types of drugs to choose a species. Former type of drugs used were: cimetidine, ranitidine, famotidine, Tagamet and so on. To cimetidine, for example, medication of 400 mg, 1 every night before bedtime, but the side effects of cimetidine limit its use of high-dose and long-term, long-term application, there may be a result of gynecomastia, a few old renal dysfunction who also suffer from mental disorders, in addition to neutropenia, interstitial nephritis, serum transaminase elevation, also occasionally occur. The role of ranitidine and famotidine acid stronger than cimetidine, side effects are significantly less than cimetidine, if the conditions can be taken, ranitidine 150 mg, day 1; or the law Mo D 20 mg for 1-2 times a day. In the application of these drugs, attention should be regularly observed in liver and kidney function changes. Mucosal protective drugs are commonly used in marzulene-S, Di music, have fun, stomach Taining and so on. By Di Le, for example, dose can be gradually reduced from 4 times a day 1 time a day, but long-term medication, but also may cause bismuth poisoning. Comparison of these two types of drugs, from a security point of view, to select the appropriate mucosal protective drugs. Protection of the many drugs in the sticky secretion, it is recommended that marzulene-S.

How self-care patients with gastric ulcer?

Gastric ulcer is the frequently-occurring disease, chronic disease, easy to repeated attacks, was chronic, and thus to cure gastric ulcer, you need a more difficult long-lasting process. In addition to the medical staff in patients with active treatment, we must also do self-care.

(L) must adhere to long-term medication: the ulcer is a chronic disease, and easy to relapse, to make it fully healed, we must adhere to long-term medication. Must not be a slight improvement in symptoms, then suddenly stopping, and do not play fast and loose, just after taking a drug a few days, see the symptoms do not improve, but also for other drugs. Generally, a course of medicine to take 4 to 6 weeks, had to consolidate the treatment of pain relief after the l ~ 3 months or longer.

(2) Avoid stress: peptic ulcer is a typical psychosomatic disease, a great impact of psychological factors on gastric ulcer. Nervousness, agitation, or excessive anxiety adverse stimulation of the cerebral cortex, making the central regulation of the hypothalamus under the weakening or loss caused by autonomic dysfunction, is not conducive to food digestion and ulcer healing. To maintain a relaxed and happy state of mind, the key to cure gastric ulcer.

(3) pay attention to patterns of life, attention to climate change: life in patients with gastric ulcer have a certain regularity, and avoid fatigue, overwork not only affect the digestion of food, but also impede the healing of ulcers. Ulcer patients to pay attention to rest, daily life regularly. Ulcer disease episodes and climate change have a certain relationship, so ulcer patients must pay attention to climate change, according to solar terms cold, and in time add less clothing.

(4) attention to food hygiene: pay attention to food hygiene, the partial eclipse, Yao food, hunger and loss of degree of saturation or excessive consumption of cold drinks cold, or hobbies pepper, tea, coffee, spicy food, can lead to gastrointestinal disorders, not conducive to the healing of ulcers. Attention to food hygiene, regular meals do quantitative, hunger and eat moderate, slowly, is to promote good habits of ulcer healing.

(5) to avoid taking the drug on the gastric mucosa damage: Some drugs such as aspirin, dexamethasone, prednisolone, indomethacin, etc., have a stimulating effect on the gastric mucosa may aggravate ulcer disease, should be avoided. If you need to have to be taken due to illness, or to your doctor and switch to other medicines, or compliance, with some other supplementary drugs, or placed after meals to reduce gastric side effects.

(6) to eliminate causes of bacterial infections: the past, that the gastric ulcer and gastric digestion, but not with neuroendocrine dysfunction, and they lead the traditional therapy is, acid, pain relief and pain relief. According to the researchers found that in recent years, some stomach ulcers are caused by bacterial infection, the most common is H. pylori. These patients must be treated with antibiotics Cable

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