Esophageal cancer is in the middle and advanced stages
A senior "drunkard" was admitted to the ward. According to the patient's own report, he drank 1 pound of liquor at every meal, and drank it for most of his life, if it wasn't for the difficulty in swallowing and difficulty swallowing half a year ago, it is estimated that he would continue to drink heavily. When I saw this "drunkard" during the ward rounds, he had a dark face and an extremely thin figure, and it was not too much to describe his appearance as withered. By looking at the case, it was known that he was already in the middle and advanced stages of esophageal cancer.
In fact, such patients are not uncommon, esophageal cancer is a high-incidence tumor in China, and the "2020 Global Cancer Statistics Report" pointed out that there were more than 600,000 new cases of esophageal cancer in the world in 2020, accounting for 31%, and more than 540,000 deaths related to esophageal cancer, accounting for 55%。In 2020, the number of new cases of esophageal cancer in China was 3240,000 cases, accounting for 5370%。Therefore, the disease burden of esophageal cancer is also one of the major public health problems facing China at present.
In addition, eating too hot, eating irregularly and eating too fast are also important causes of esophageal cancer. Some food factors, such as nutritional deficiencies, high-fat foods, pickled vegetables and moldy foods, especially nitrosamines, play an important role in the development of esophageal cancerConversely, eating fruits and vegetables may be a protective factor against the development of esophageal cancer.
Clinicians know that esophageal cancer is often staged by TNM, N represents whether there is lymph node metastasis in the esophageal cancer area, and M represents whether esophageal cancer has metastasized to distant places, which is divided into four stages.
Stage 0**: Endoscopic resection is recommended for patients with cancer remaining in the mucosa, i.e., esophageal cancer detected at a very early stage. If the lesion is extensive and there is a high possibility that the esophagus will become thinner or narrower after endoscopic resection, radiation therapy or surgery may be performed.
Stage I**: Surgery is generally chosen for stage I**, and surgery and chemoradiotherapy may be selected depending on the patient's specific situation.
Stage II+III**: Chemotherapy is usually given first followed by surgery**, and if it is judged that the medical condition is not suitable for surgery or surgery is not desired, chemoradiotherapy or radiotherapy alone** are used.
Stage IV**: Chemotherapy and radiotherapy are recommended as standard in stage IVA**, but if there are symptoms such as pain or dysphagia caused by cancer, aggressive improvement of the patient's symptoms is required.
Regardless of the stage of esophageal cancer, dysphagia is the core symptom, and improving dysphagia has become the main appeal of patients. Mild dysphagia is mostly manifested by choking when swallowing food, so the diet should be based on soft liquid food or semi-liquid food, avoid cold, spicy and other foods, reduce the irritation of the esophagus, so as to avoid aggravation of symptoms. Symptoms of moderate dysphagia persist, and pain worsening behind the sternum may be felt after swallowing. For the patient's dietary care, the patient can be fed with homogenized mixed milk or vegetarian diet through nasogastric tube to avoid weight loss during this period and prevent malnutrition. Patients with severe dysphagia usually need to mechanically dilate the patient's esophagus through esophageal stent intervention**, so as to relieve the symptoms of swallowing discomfort. Patients who have difficulty eating orally after surgery can supplement nutrition through jejunostomy.
It is commonly used in clinical practice for patients with esophageal cancer who have different degrees of dysphagiaThe esophagus is flatto alleviate it. This Chinese patent medicine is based on the principle of desaprophytic muscle, that is, it can promote the shedding of "carrion" and promote the growth of new meat, which can not only quickly relieve the difficulty of patients who can't swallow things, but also inhibit the proliferation of tumor cells to a certain extent, prevent the further spread of cancer cells, and use it in combination with basic means such as surgery and chemotherapy, and the effect is also good. The method of use is very simple, just put it at the base of the tongue about half an hour before meals, swallow it with saliva after containing, the effect is very fast, and the patient can eat after 10 to 30 minutes of medication.
And it is also within the scope of medical insurance, and the patient's drug burden is greatly reduced, which brings more hope to the patient.
After repeated communication with the family and the patient, the patient underwent chemoradiotherapy combined with oral Chinese medicine**. After 2 weeks, the symptoms of dysphagia and straining to swallow were significantly relieved.
Finally, I would like to remind everyone that for patients who are already in the middle and advanced stages of esophageal cancer, even if the process is difficult and the body is deteriorating, we must maintain a positive and healthy attitude. Esophageal cancer is not impossible, even if there is swallowing dysfunction, don't give up on yourself and give up eating, as long as you actively solve the problem, the hope of improvement and ** is ahead!
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