We all know that liver cancer is a very serious disease that develops rapidly, but most people are not very clear about what is the specific serious method.
Bleeding
Bleeding is one of the most dangerous symptoms in patients with liver cancer, usually gastrointestinal bleeding, manifested by ** and blood in the stool.
The mechanism of the digestive tract of liver cancer patients is similar to that of liver cirrhosis, which is caused by gastric bleeding caused by gastric varices. If there is little bleeding in the stomach, melena may be seenIf the amount of bleeding is large, it can be seen**;Heavy bleeding can be life-threatening.
With the progression of liver cancer, the risk of bleeding will increase, so family members should pay attention to the patient's stool condition, if black stool is found, it means that gastrointestinal bleeding has occurred, and communicate with the attending doctor in time. If there is **, it means that the bleeding is large and should be sent to the hospital for emergency treatment in time.
Some traditional Chinese medicine and Chinese patent medicine can help relieve bleeding, such as Yunnan Baiyao, Panax notoginseng powder, Shi Ash San, etc., which are suitable for use when the amount of bleeding is small.
Fever
Fever is one of the common symptoms in liver cancer patients, mostly 375 to 38, and some can reach more than 39.
The causes of fever in patients with liver cancer include infectious fever and cancerous fever, with cancerous fever being the main cause. The cause of cancerous fever is generally thought to be the rapid progression of the tumor, resulting in insufficient blood supply to the center of the tumour and necrosis. It is also believed that the tumor itself is an endogenous source of pyrogen, and the presence of the tumor causes a lung-specific inflammatory response, leading to fever.
Fever in patients with liver cancer can be recurrent and persistent. Infectious fever can be relieved by anti-infective**;Cancerous fever is usually difficult to eliminate, and antipyretics only work at the time, and fever continues after the drug has taken effect. Therefore, if the cancer fever of liver cancer patients is carried out for the tumor, the tumor is controlled, the fever will improve, and the tumor cannot be controlled, and the fever will not fundamentally improve.
Traditional Chinese medicine believes that the fever of liver cancer patients belongs to internal injury fever, and its syndrome types include qi depression fever, blood stasis fever, qi deficiency fever, blood deficiency fever, yin deficiency fever, etc., generally yin deficiency fever is more common, and the commonly used traditional Chinese medicine prescriptions include Qinggu San, Artemisia annua and turtle Jia decoction, etc., which can relieve the fever symptoms of patients for a long time.
Ascites
Ascites is also one of the common symptoms of liver cancer patients, and many patients are found to have liver cancer only discovered after they go for examination.
There are three types of ascites: leaky, exudative, and bloody. Leakage ascites is caused by portal hypertension and increased splanchnic vascular pressure, which leads to decreased reflux and absorption of interstitial fluid, resulting in fluid leakage into the abdominal cavity; Exudative ascites is due to portal hypertension combined with low albumin, resulting in a change in osmotic pressure and fluid infiltration into the abdominal cavity; Hemorrhagic ascites is caused by increased vascular permeability or coagulation dysfunction, resulting in blood leaking into or leaking into the abdominal cavity.
All three types of ascites liver cancer can be seen, so ascites in liver cancer is usually more severe and difficult to completely eliminate. In general, patients with small ascites volume are not recommended to drain or ascites, and try to take diuretic, protein supplementation, and water and sodium restriction methods. When the amount of ascites is too large, or it affects breathing and abdominal distension is unbearable, then release ascites**, but the amount of fluid aspirated at a time should not be too much.
Traditional Chinese medicine calls ascites "bulging", * often focusing on qi, removing stasis, strengthening the spleen and improving water, and at the same time focusing on nourishing the liver, kidneys, and spleen. Swollen is one of the "four stubborn diseases" in traditional Chinese medicine, which is critically ill and often prolonged, and can be relieved for a long time through rational medication. If in the early stage, the righteousness still exists, and the illness can be prolonged; If the disease is in the advanced stage, the abdomen is as large as an urn, the umbilical heart is protruding, and the limbs are emaciated, the prognosis is poor; If you see **, blood in the stool, fainting, convulsions, etc., it is a crisis.
Jaundice
Jaundice is a common complication of liver cancer, and some patients are diagnosed with liver cancer because jaundice is found.
Jaundice is generally divided into three types: hemolytic, hepatocellular and cholestatic, and cholestatic jaundice caused by tumor mass is more common. Because most of the patients with liver cancer in China gradually develop chronic viral hepatitis, hepatocellular jaundice can also be seen.
Cholestatic jaundice caused by tumor mass can be drained by drainage in the acute stage, combined with bilirubin-lowering drugs, such as adenosylmethionine and ursodeoxycholic acid. After the bile is discharged, it is also necessary to target the tumor**, and if the tumor mass problem cannot be solved, jaundice will also be **.
Traditional Chinese medicine believes that jaundice is a dampness block, which can be transformed from cold or heat, and is mainly used to dispel dampness and urinate according to the different cold and heat. Commonly used prescriptions include Yin Chen Artemisia Soup, Yin Chen Si Ling Soup, Yin Chen Shu Attached Soup, etc. Traditional Chinese medicine can play a role in relieving jaundice, but if the tumor occupancy cannot be removed, it cannot fundamentally solve the problem of jaundice.
Hepatic encephalopathy
Hepatic encephalopathy is one of the leading causes of death in patients with liver disease, and patients often have neurological or psychiatric abnormalities.
Hepatic encephalopathy occurs because the liver's ability to detoxify is reduced, so that many toxic products from the intestine are not removed and enter the brain through the blood-brain barrier. At present, the theory of ammonia poisoning is more discussed, which holds that when the liver fails, the liver's ability to synthesize ammonia into urea decreases, and the ammonia in the intestine directly enters the systemic circulation without detoxification, which increases the blood ammonia and causes ammonia poisoning.
After the occurrence of hepatic encephalopathy, there may be cognitive impairment, depression, euphoria, abnormal orientation, disordered behavior, slurred language, personality changes and other neurological or mental changes, and in severe cases, drowsiness, confusion and even coma may occur, which can be life-threatening if not timely. **On the drug** mainly. For example, lactulose acidifies the intestines and reduces ammonia absorption; Intestinal bacteria have been overly generalized, reducing the production of ammonia rifaximin; Branched-chain amino acids that correct imbalances in amino acid metabolism, and so on. Severe cases may require artificial liver support.
Hepatic encephalopathy can be classified into diseases such as dizziness and epilepsy syndrome in traditional Chinese medicine according to different symptoms. Hepatic encephalopathy is one of the serious complications of liver cancer, and it is necessary to seek medical attention in time once related manifestations appear.
Tumor rupture and hemorrhage
Tumor rupture and hemorrhage is one of the most dangerous complications of liver cancer, with a rapid onset, dangerous disease and high mortality rate.
The main causes of ruptured hemorrhage in liver cancer are: tumor invasion obstructs venous return, and venous pressure increases, resulting in vascular rupture; The tumor grows too fast, and the tumor membrane cannot be stretched, resulting in surface ulceration; Tumor growth is too fast, central blood supply is insufficient, necrosis secondary infection, causing tumor rupture; The tumor directly invades the intrahepatic blood vessels, resulting in the rupture of the blood vessels; The tumor is too large or positional, and ruptures after being impacted by an external force.
Depending on the size of the rupture, the rate and amount of bleeding varies. If the amount of bleeding is small, it can be relieved spontaneously; If the bleeding is heavy, the condition will deteriorate rapidly, shock will occur, and even death will occur. First aid measures for ruptured hepatocellular carcinoma hemorrhage include hepatocellular carcinoma resection, hepatic artery ligation, liver suturing and tamponade to stop bleeding. If the amount of bleeding is small, an abdominal band can be compressed and bandaged to relieve bleeding.
Liver cancer rupture and bleeding can be classified into the category of diseases such as swelling and blood syndrome in traditional Chinese medicine. If the amount of bleeding is small, the bleeding can be stopped by traditional Chinese medicine, commonly used drugs such as Shishensan, Yunnan Baiyao, Panax notoginseng powder, etc.; If the bleeding is large and the first aid effect of traditional Chinese medicine is poor, you can pay hemostatic drugs first, and at the same time send them to the hospital for emergency treatment.
The above are some of the common critical and urgent symptoms and complications of liver cancer patients. When we take care of liver cancer patients, we must pay close attention to the changes in the patient's symptoms and seek medical attention in time if there is any abnormality.