![结直肠癌診治 | 调理 | 养生 | 康复护理联盟网 [Colorectal Cancer Rehabitation]](https://colorectalcancerrehab.com/wp-content/uploads/2021/12/cropped-CM-YouTube-Channel-Art.png)
正确认识患者接受放化疗耐受力的因素，老人病不是不合适放化疗的借口
第一节 科学认识老年人是否耐受化疗，别一念之差错过治疗良机后悔莫及
“我觉得老人家身体有很多病，耐受不了化疗”和“我觉得患者状态很好，癌症应该治好了”——这两种观念都是很普遍也是妨碍患者治疗的有害观念！
患者每次化疗前，医生都要做抽血做血常规、生化指标、肿瘤标志物指标化验检查，以排除患者不适合接受化疗的隐患，医生化疗前都要抽血查：1，肝功能，2，肾功能，3，血小板，4红细胞，5，白细胞五项指标。因为化疗药有很大的毒性，化疗时需要正常的肝肾功能把毒性代谢出体外，而血小板，（凝血功能）白细胞，（免疫功能）红细胞（是否贫血）是一个人身体素质的几个最关键的指标，也是患者身体素质是否可以接受化疗治疗的前提条件，化疗医生都会在患者每次化疗前把好这个关，也是化疗规程很重要的一环。
医生检查这5项指标合格，几乎所有（年龄接近80岁的老年患者除外）的患者都耐受也适合做化疗，而放化疗是患者术后辅助治疗不可或缺的一环，患者和家属不要因为患者有一些常见的老人病，就跟医生讨价还价患者的化疗强度、放疗强度的问题，或担心患者是否耐受得了化疗的副作用反应，其实，做好止吐止泻工作的化疗疗程，老年患者照样很轻松可以耐受，而不处理或处理不好患者上吐下泻反应的年轻患者，照样会苦不堪言；化疗副作用反应的辛苦不在于患者有什么老人病和年纪大一些，而在于医生、患者和家属有没有能不能处理好化疗期上吐下泻的副作用反应。
患者和家属忌讳化疗要求医生少做或者不做，应该做奥沙利铂化疗的，要求医生做口服化疗，医生迁就你少做化疗，冒复发转移风险的是患者，而不是医生！其实，肠癌患者40至60岁占90%以上，50至60岁占50%以上，谁都有这个那个的老人病，而这些病都不妨碍救命的化疗疗程的进行，医生在整个化疗疗程都密切的监控着患者的身体指标的变化，指标不合格你让医生做化疗医生也不让化疗。
患者和家属没有必要也不能够自作聪明、自我判断患者是否适合继续化疗，而打乱医生科学的治疗计划和疗程，而错过术后放化疗的治疗良机，后悔莫及。做群解答6年来见过无数的这类术后1-3年复发转移的病例，梳理患者各种治疗期的报告，询问患者整个治疗过程时，家属或患者因为所谓：“当初患者化疗上吐下泻反应太大，化疗一次之后就停止化疗了”“因为患者有高血压，有肝炎，怕受不了化疗就没有化疗了” “心疼老人家化疗太受罪，不想让她（他）化疗”“第一次化疗老人家上吐下泻之后，就拒绝化疗，老人家很固执”的原因不化疗或者停止化疗的病例不在少数。所以我专门另辟一章专门讨论有害的治疗观念问题。
第二节 不能够用患者身体的外在表现去判断患者的病情
“我觉得患者状态很好，癌症应该治好了”这种观念一样有害！
癌细胞不是一种病毒，也不是一种细菌，病因是这两者之一的，病情轻重会影响患者的身体和精神状态，也容易从外表判断病情；因为细菌和病毒性疾病一般都会影响到身体的其它的器官、令到患者发炎、发烧，对患者的身体状态和精神状态影响很大，家属很容易从患者的外在表现去相对正确的判断患者的病情是更严重了，还是有好转了。
但是，癌细胞它本来就是人身体的一部分，它本来就是人身体上正常的细胞异变、癌变了而已，它就像你家里的坏孩子，是你生你养的变坏了的孩子而已；它是患者身体上自己的细胞变异癌变了，它之所以是个致命的病，是它变异和癌变之后癌细胞快速裂变和超强的繁殖能力，和随着血管和淋巴管全身游走，转移到身体其它适合它生存和快速繁殖的重要器官上聚集繁殖，当癌细胞聚集到足以堵住重要器官的关键功能时，才是它致命一击的可怕之处。所以，肠癌从息肉生长到腺癌的过程长达10年，肺转的时间也长达2-5年，只要肿瘤不侵犯气管，结节再大患者都没有感觉，都不会咳嗽和呼吸问题，你不做影像检查根本发现不了它。要是是细菌或者病毒引起的肺部疾病通常会发炎，你不用做影像检查也可以发现它。
所以，你可以看到很多前几天还生龙活虎，很强壮的人，查出癌症晚晚期时，很快就走了，走得让人目瞪口呆难以置信，就是癌细胞已经堵住患者的要命的器官部位了！而科学治疗到疗程后期的患者，在手术之后化疗结束时的身体和精神状态是最差的，血指标和肾功能几乎都处于最低值或崩溃的临界点；但是患者已经完成了科学的治疗，患者身体没有癌细胞了，在癌症的复发转移风险来说，患者是初步治愈了，西医治疗结束患者只需要用中药调理好身体，患者就可以慢慢恢复过来了。所以，患者身体和精神状态好不等于癌症治愈了，患者的身体和精神状态差也不等于患者的病情恶化了。
而很多手术切不干净，或放化疗治疗不足的患者，复查出来的指标和影像结果不好，或者已经复发转移的人，你表面看起来，他生龙活虎的一点问题都看不出来，很多把核磁报告或者派特ct报告发到群里问病情的群友，听完初次确诊或复查报告分析之后经常会脱口而出说；“那不可能！患者一直身体非常好，不可能就进入晚期了”！那是身体的癌细胞和癌结节再多，只要不侵犯到有疼痛感觉的地方，或者不堵住要命的部位，患者一般是没有感觉的！像肠癌我们一般要等到它堵住了肠道，影响大便排出了，或者肿瘤表面已经破溃出血，产生痛感和出血了，患者才有感觉，才去做肠镜检查，不检查出来肠癌之前，个个都是健康人一个！——所以千万不要用患者的身体状态去判断患者的病情，那往往会得出完全相反的结论！
I’ve read several good stuff here. Definitely worth bookmarking for revisiting. I wonder how much effort you put to create such a excellent informative web site.
I’d have to examine with you here. Which is not one thing I usually do! I take pleasure in reading a post that may make folks think. Additionally, thanks for permitting me to comment!
I have recently started a site, the information you provide on this web site has helped me greatly. Thanks for all of your time & work.
Wow that was unusual. I just wrote an incredibly long comment but after I clicked submit my comment didn’t appear. Grrrr… well I’m not writing all that over again. Anyhow, just wanted to say great blog!
I like this blog so much, saved to favorites. “I don’t care what is written about me so long as it isn’t true.” by Dorothy Parker.
Thanks a lot for sharing this with all folks you really know what you are talking about! Bookmarked. Kindly additionally consult with my web site =). We will have a link change agreement between us!
Hi there, i read your blog occasionally and i own a similar one and i was just curious if you get a lot of spam responses? If so how do you prevent it, any plugin or anything you can recommend? I get so much lately it’s driving me crazy so any help is very much appreciated.
I like this web site very much, Its a rattling nice berth to read and receive info . “The mark of a good action is that it appears inevitable in retrospect.” by Robert Louis Stephenson.
I like what you guys are up also. Such intelligent work and reporting! Carry on the excellent works guys I have incorporated you guys to my blogroll. I think it’ll improve the value of my website 🙂
I enjoy the efforts you have put in this, thankyou for all the great posts.
I view something genuinely interesting about your site so I saved to bookmarks.
Some genuinely wonderful posts on this web site, thank you for contribution. “It is not often that someone comes along who is a true friend and a good writer.” by E. B. White.
After study a few of the blog posts on your website now, and I truly like your way of blogging. I bookmarked it to my bookmark website list and will be checking back soon. Pls check out my web site as well and let me know what you think.
I like the efforts you have put in this, regards for all the great content.
Would you be keen on exchanging hyperlinks?
I am glad that I observed this blog, exactly the right info that I was looking for! .
Nice blog here! Also your site loads up fast! What web host are you using? Can I get your affiliate link to your host? I wish my website loaded up as fast as yours lol
I discovered your blog site on google and check a few of your early posts. Continue to keep up the very good operate. I just additional up your RSS feed to my MSN News Reader. Seeking forward to reading more from you later on!…
I discovered your weblog web site on google and check a number of of your early posts. Proceed to maintain up the very good operate. I just extra up your RSS feed to my MSN News Reader. In search of forward to studying more from you in a while!…
What is FlowForce Max? FlowForce Max Advanced Formula is a holistic blend designed to promote optimal prostate health
I got what you intend,saved to my bookmarks, very decent website .
I love what you guys are up too. Such clever work and coverage! Keep up the very good works guys I’ve included you guys to my blogroll.
Some genuinely interesting info , well written and generally user pleasant.
Hello. excellent job. I did not expect this. This is a splendid story. Thanks!
I conceive you have observed some very interesting details , regards for the post.
obviously like your web site however you need to take a look at the spelling on several of your posts. Many of them are rife with spelling issues and I in finding it very bothersome to tell the reality then again I’ll certainly come back again.
You actually make it appear so easy together with your presentation but I find this matter to be really something that I feel I’d never understand. It sort of feels too complex and very broad for me. I’m looking ahead on your next put up, I?¦ll attempt to get the cling of it!
Hmm it looks like your site ate my first comment (it was super long) so I guess I’ll just sum it up what I submitted and say, I’m thoroughly enjoying your blog. I too am an aspiring blog writer but I’m still new to everything. Do you have any tips and hints for first-time blog writers? I’d really appreciate it.
Thanks, I’ve just been searching for info about this subject for ages and yours is the greatest I have found out till now. However, what in regards to the conclusion? Are you certain concerning the supply?
You have brought up a very great points, thankyou for the post.
Java Burn: What is it? Java Burn is marketed as a natural weight loss product that can increase the speed and efficiency of a person’s natural metabolism, thereby supporting their weight loss efforts
Sight care is a vision enhancement aid made of eleven carefully curated science-backed supplements to provide overall vision wellness.
I am impressed with this web site, really I am a fan.
I was studying some of your posts on this website and I think this site is really instructive! Continue putting up.
I’m not sure why but this site is loading very slow for me. Is anyone else having this problem or is it a problem on my end? I’ll check back later and see if the problem still exists.
There are some attention-grabbing closing dates in this article however I don’t know if I see all of them center to heart. There may be some validity however I’ll take hold opinion until I look into it further. Good article , thanks and we would like extra! Added to FeedBurner as properly
Thanks for your marvelous posting! I really enjoyed reading it, you might be a great author.I will make certain to bookmark your blog and definitely will come back in the future. I want to encourage yourself to continue your great writing, have a nice afternoon!
Great work! That is the type of info that should be shared across the internet. Disgrace on the search engines for not positioning this publish upper! Come on over and visit my site . Thanks =)
Hello! I’m at work surfing around your blog from my new iphone 4! Just wanted to say I love reading through your blog and look forward to all your posts! Keep up the fantastic work!
What Is LeanBiome? LeanBiome, a new weight loss solution, includes beneficial strains of gut bacteria that work fast for weight loss.
A person essentially help to make seriously articles I would state. This is the very first time I frequented your website page and thus far? I surprised with the research you made to create this particular publish incredible. Fantastic job!
What Is Sugar Defender Supplement? Sugar Defender is a plant-based supplement and it helps to regulate the blood sugar levels in the body.
What is Java Burn? Java Burn, an innovative weight loss supplement, is poised to transform our perception of fat loss.
Wonderful work! That is the kind of information that are supposed to be shared around the net. Shame on Google for no longer positioning this put up upper! Come on over and visit my web site . Thanks =)
I¦ve learn several good stuff here. Certainly value bookmarking for revisiting. I wonder how so much attempt you place to make this kind of fantastic informative website.
I¦ll right away seize your rss feed as I can’t find your email subscription link or e-newsletter service. Do you’ve any? Kindly permit me recognise in order that I may just subscribe. Thanks.
I’ve been absent for a while, but now I remember why I used to love this blog. Thank you, I will try and check back more frequently. How frequently you update your site?
hi!,I like your writing very much! share we communicate more about your post on AOL? I need an expert on this area to solve my problem. May be that’s you! Looking forward to see you.
I truly appreciate this post. I’ve been looking everywhere for this! Thank goodness I found it on Bing. You have made my day! Thx again
Thank you for the good writeup. It in fact used to be a leisure account it. Look complicated to more introduced agreeable from you! By the way, how can we keep up a correspondence?
You made some decent points there. I looked on the web for the difficulty and found most people will go together with together with your website.
obviously like your web site but you have to test the spelling on several of your posts. Many of them are rife with spelling issues and I in finding it very troublesome to inform the truth however I¦ll surely come back again.
I simply couldn’t leave your site prior to suggesting that I really enjoyed the usual info a person supply in your guests? Is going to be again incessantly in order to check out new posts
I got what you intend,bookmarked, very decent web site.
You made some clear points there. I did a search on the topic and found most persons will approve with your blog.
I’m usually to running a blog and i actually admire your content. The article has actually peaks my interest. I am going to bookmark your site and maintain checking for brand spanking new information.
Some genuinely nice stuff on this web site, I enjoy it.
What is CogniCare Pro? CogniCare Pro is 100 natural and safe to take a cognitive support supplement that helps boost your memory power. This supplement works greatly for anyone of any age and without side effects
I am no longer sure the place you are getting your info, however good topic. I must spend some time finding out more or understanding more. Thank you for magnificent information I used to be looking for this info for my mission.
I precisely wanted to thank you very much once more. I’m not certain what I would have done without those opinions shown by you concerning my industry. It was actually a real scary circumstance in my opinion, but discovering the expert manner you treated the issue took me to leap with fulfillment. I will be thankful for this guidance and then hope that you comprehend what an amazing job that you are carrying out training many others by way of your blog. I’m certain you haven’t come across all of us.
Whats Taking place i’m new to this, I stumbled upon this I’ve found It positively helpful and it has aided me out loads. I’m hoping to give a contribution & help different customers like its helped me. Good job.
I’ve been surfing on-line more than three hours as of late, yet I never discovered any fascinating article like yours. It’s lovely price enough for me. In my view, if all web owners and bloggers made good content material as you probably did, the internet will likely be a lot more useful than ever before. “No nation was ever ruined by trade.” by Benjamin Franklin.
You have noted very interesting details ! ps nice website .
Generally I do not read article on blogs, but I would like to say that this write-up very forced me to try and do so! Your writing style has been surprised me. Thanks, quite nice post.
WONDERFUL Post.thanks for share..more wait .. …
I went over this website and I conceive you have a lot of fantastic info, saved to bookmarks (:.
Woah! I’m really enjoying the template/theme of this site. It’s simple, yet effective. A lot of times it’s tough to get that “perfect balance” between superb usability and visual appeal. I must say that you’ve done a superb job with this. In addition, the blog loads super quick for me on Opera. Outstanding Blog!
fantastic points altogether, you just gained a brand new reader. What would you recommend about your post that you made some days ago? Any positive?
Thank you, I’ve recently been searching for information about this topic for a long time and yours is the greatest I’ve came upon till now. But, what about the conclusion? Are you positive about the source?
I went over this website and I think you have a lot of superb info , saved to my bookmarks (:.
Heya i am for the first time here. I found this board and I find It truly useful & it helped me out a lot. I hope to give something back and aid others like you helped me.
Having read this I thought it was very informative. I appreciate you taking the time and effort to put this article together. I once again find myself spending way to much time both reading and commenting. But so what, it was still worth it!
Some really interesting points you have written.Aided me a lot, just what I was looking for : D.
I am continually invstigating online for tips that can benefit me. Thx!
I am typically to running a blog and i really admire your content. The article has actually peaks my interest. I am going to bookmark your web site and keep checking for new information.
The next time I learn a weblog, I hope that it doesnt disappoint me as much as this one. I mean, I know it was my choice to read, but I truly thought youd have one thing interesting to say. All I hear is a bunch of whining about one thing that you could possibly fix in case you werent too busy in search of attention.
Wonderful site. A lot of useful info here. I am sending it to a few pals ans also sharing in delicious. And of course, thank you on your effort!
Hello! This is my first visit to your blog! We are a collection of volunteers and starting a new project in a community in the same niche. Your blog provided us useful information to work on. You have done a outstanding job!
I will right away grab your rss feed as I can not find your e-mail subscription link or newsletter service. Do you’ve any? Please let me know so that I could subscribe. Thanks.
Thanks, I have just been searching for information about this subject for ages and yours is the best I have discovered so far. But, what concerning the bottom line? Are you positive about the supply?