It is also symptomatic of cancer treatment. symptomatic therapy

Is the therapy also symptomatic? Symptomatic therapy is: Symptoms of manifestation of ailments (symptoms) without a direct infusion on the main reason and mechanisms of development (in the remaining cases, speak clearly about ethiotropic or pathogenetic). Vona is aimed at usuning about the symptoms of illness (for example, consuming analgesics for pain).

Chemistry and biological methods. Prior to them, the main conservative ways of pouring into organism ailments are introduced. physical conservative methods... Prior to them, they include physiotherapy, hydrotherapy, massage and physiotherapy. Basically, the methods are used as additional ones.

Meta? lodging of a sick person, for example, weakening of pain with neuralgia, trauma, coughing with severe pleurisy, bloating in case of myocardial infarction, etc. Neridko S. t. inconspicuous treatment- until the establishment of an accurate diagnosis (for example, infusion of blood or blood cells in case of poor health, piece dichannya and massage of the heart in case of death. Inodi usunennya symptom is underestimated (for example, the introduction of feverish gross belly I will accelerate the diagnosis).

The main principles of symptomatic therapy 1. The vision of the main reasons for the loss of self-esteem and the sick person (for example, the deterioration of consumption and communication processes, problems in the neuropsychic sphere, compression of vital organs, dysfunction syndrome) 2. The value of the provincial lanka, which is associated with the diagnosis of the syndrome (manifestation of a swollen process, its nonspecific acceleration, paraneoplastic damage, inherited from an earlier carried out anti-swelling, or symptomatic reaction, irritation, aggravated 3. Timely diagnostics of state-of-the-art werewolf camps, including operative involvement, hospitalization, if necessary, for intensive therapy or surgical symptomatic treatment. 4. Organization of the system for the look-out, for the out-of-the-box regime, for the sick, come in from the stem of the friendly psychological classroom. 5. Corrections of psychomotional damage in a sick person. 6. Appreciation lykarsky zasobiv for the shown, vicoristyuchi step the scheme - from a mild-acting drug to a strong-acting one by a fast-moving drug, with the aim of increasing the appearance and development of fallowness. 7. The vibe of rational and functional factors for vicariousness in the home minds of the nobility is introduced to the character of functional impairments, so that we can change the manifestation of extraordinary pharmacological effects.

Smartly all therapy can be applied to the following items: 1. Chemotherapy - treatment with drugs, which are taken away by chemotherapy. Preparations can be found in viglyadі ін'єкцій, tablets, tinctures, ointments, etc. Preparations of the whole group are recognized at all stages of the patient's care. 2. Biotherapy - treatment with drugs that are taken from the tissues of people and creatures. Preparations can be found in viglyadі ін'єкцій, vytyazhki, ointments, emulsions, tablets, etc. - often combinations are effective and the most effective for the body

3. Phytotherapy - treatment with drugs, eliminated from Russian lykarskoy syruvina. Preparations can be found in infusions, infusions, vitamins, additives, ointments, emulsions, tablets, etc. - often combinations are effective and new for the body. 4. Physiotherapy - the treatment of infectious ailments from the stagnation of medical conditions. Physiotherapy in case of illnesses is stagnant to endure often, even in the period of debilitation, but it can also stagnate at all stages of therapy for ailments. 5. Balneotherapy and hydrotherapy - the treatment of prolonged and chronic forms ailment with vikoristannyam natural dzherel... Most often balneotherapy and hydrotherapy are carried out in the sanatorium-resort minds. In the great polyclinic institutions, balneotherapy and hydrotherapy are organized, deluxe to be carried out in piece-flashed minds with custom mud and mineral waters.

Symptoms, for which they indicate symptomatic therapy For pain. I am especially painful with puffs є їх steel, progress and lack of escaping. There may be more symptoms of direct nerve obstruction in case of swollen or paracancrotic inflammation of the inflammation, depression of the latter in case of peritumoral swelling, necrosis, impaired blood flow, obstruction of internal arthritic organs, paranoid arthritis. With the recognition of anti-inflammatory treatment, follow the same rules. It is necessary to assess the situation from the point of view of how to maximize the possibility of symptomatic, surgical, exchange, or chemotherapy-therapeutic treatment, and to consider the formal conclusion of the oncologist about carrying out symptomatic treatment In case of pain of moderate and weak intensity, follow the therapy with the intake of non-narcotic analgesics. The drugs need to be taken "according to the years", at once and, as needed, often, not punished, at the first signs of discomfort. It is more important to control the pain of the disease, with a large dose of drugs required.

IF nudity and bloating. The causes of boredom and bloating are malignant: metastases in the brain, hypercalcemia, laxity of the intestinal tract; the smell can also be tied with drugs, the first for all chemotherapy, exchange therapy, taking narcotic analgesics. The meta of anti-memeticism is to prevent nudity and vomiting. Name a combination of drugs, but you need to use one. LIKUVANNYA with fever. Diagnosis of a chubby feverish woman infectious acceleration oncological illness. Most often, you are susceptible to ailments for lymphogranulomatosis, for malignant lymphoidomas, for leukemia, for bowel cancer, hepatocellular cancer, Nirka cancer, fenestration, metastatic disease. The management of the therapy is unique to the sharp changes of temperature, some of the changes in temperature, you will get sick with chills, and the decrease - to the delicacy and weakness, so that you can make a child so hungry. It is necessary to establish the nature of the temperature crooked, antipyretics need to be fixed at a time and "according to years", to "overwhelm" the entire period of the transferred temperature adjustment. The therapy is repaired with the maximum single doses and because of the optimal dose.

Often, chemotherapy and the appearance of a reaction to the patient's backward physical stance is much worse, and intoxicating (tediousness, blues, appetite, weakness, jumps). Here we can propose to carry out a course of ad-hoc therapy at home, for the knowledge of people who have suffered from symptoms, like in their own heart, do not allow to carry out other methods of getting ill.

Visnovok It is hard to thoroughly examine the whole complex of drug treatments in symptomatic therapy, as it is necessary INDIVIDUAL PIDHID to lіkuvannya skin ailment. It is important to note that for the realization of the goals of symptomatic therapy there is not a clear indication, and it is necessary to work out as much as possible with the help of coping with fellow sickness.

On the basis of symptomatic treatment, there are all ways to think about it, so that it can help you to understand the symptoms of ailments and the onset of sickness, but you do not understand the reasons. In case of advanced sclerosis, symptomatic treatment does not directly help to show unacceptable symptoms, or, bit by bit, when it comes to rehabilitation, as in the first place may be on the basis of physical therapy.

The meta of symptomatic treatment is polish to preserve the health of the sick and to be quicker. In that period, the development of ailments is greater than that of ailments rosy sclerosis one or more forms of symptomatic treatment are required. The development of a manifestation of sclerosis, especially if the stench rotates in a light form, you can change for the sake of completing simple primes, your own way of living and getting new calls to the new ones, adding more sophistication to the situation for the situation. Symptoms of ailments, which are manifested more strongly and slow down the whole life, are often brought about with medication (Table 10).

Table 10

smarter plan

It is often possible to change such a situation when it comes to a rapidly advancing snow condition for a small amount of time in a properly folded regime of the day. In case of physical transfer, amantadine (drug PK-Merz) is often supplemented, it’s useful to be victorious with Parkinson’s ailments to make sure it’s trustworthy. Antidepressants, which are active in activating diyu (for example, Pertofran and Noveril preparations), are helpful in physical and mental conditions, especially if they immediately help to prevent easy depression, to help them to find that they are unable to see them. However, it is necessary to fix the cost in case of damaged functions sectional mikhura You should be super smart until you get overwhelmed, a bit of stench can help you to show your smartness. In cich vipadkah, you can vikoristovuvati drug Fluctin. In case of deterioration of concentration, it is recommended to use piracetam (preparations Pirabene, Nootropil). However, the drugs should not be taken from the other half of the day and in the evening, the smell of the stench can cause disruption to sleep. In іnshomu Denmark, there are not a lot of vicious effects, and it is good to get along with the little ones. If, for the most part, due to the fact that they are suffering from an illness, they have developed sclerosis by their own means, it is impossible for them for any reason, For example, shortage of hair, decrease in the place of erythrocytes, decrease in function thyroid gland, Instead of the salts of the blood, the deterioration of the strength of the nirok, the heart-damn and the legacy of the disease, as well as the whole unhealthy way a life that turns into a bad dream, an irregular and an irrational grudge and a sinister tyutyun.

It is necessary to take medication

In order for you to get spasticity, and in those who are more likely to suffer from sclerosis, it is not necessary to regularly find special rights (medical physical culture), but also accept the symptoms. More and more often Baclofen (Lioresal) is used. It is even more effective and can be tolerated well by the sick. However, there is a high dose of the drug. The dose of the drug in the skin vapad is assigned individually, depending on those who change the spasticity, but do not allow it, but the legs will be "vatyanimi". Frequently take a large dose of the drug before bedtime, at least during the day, so that spasticity becomes stronger for a quiet period of sleep for an hour. In especially important cases, it is necessary to win the titles of the liquid catheter (gum or a plastic tube), which is connected with the "pump", we introduce the ailing one into the cerebrospinal fluid without a median in the cerebrospinal fluid. The pump, filled with the drug Baclofen, will ensure that the correct amount of liquor is not regularly and dosed, as it is necessary to regularly add it to the pump.

An anti-spastic drug, vikoristovuvanim the same dose for a long time, є tizanidine (drug Sirdalud). It is wonderful to transfer wine. Ale inodi vin can also be seen as a visitor. Tsey drug for a little weak, lower Baclofen, you docilely vikoristovuvati in mild forms of spasticity. In some cases of varto vikoristovuvati on the same day both drugs, in the case of the stench fall on one to one, more efficiently the spasticity is strong.

In some cases, in the form of antispasticity, you can use diazepam (the drug Valium), especially if a sick person is sick, to become mentally ill before a spastic court. Most often, the goal is to get stuck in the reception with the drug Baclofen. Diazepam can slightly reduce the blood pressure, however, it can be a little bit sick, but it’s antispastic as a result of a wiklik. zaspok_ilive zasob_v(Tranquilizer). A slid of a unique trivial drug, some of which can be reduced to a large amount of staleness. In case of severe spasticity, a botulinum toxin (drug Dysport) can be injected into the ointment. Yogo day to take hold, stretching out three months. Oskіlki daniyu drug є

Supplement physiotherapy procedures

As a result of weakness and parallels, which can be diagnosed in case of rosy sclerosis, it is possible to get confused only as a result of trivial abuse and intensive abuse, which is indicated in case of aggravated, as well as additional therapy procedures. Dodatkovyh symptomatic methods of treatment are not absent. Lykarsky speeches, which use the synthesis of wine and the growth of meat oil, so called anabolics, do not help with disseminated sclerosis, but navpaki, being hormonal drugs, can be dangerous bitter appearances.

Often people with ailments on the development of sclerosis, a ruptured lesion can also be infused only with a start of a disease, designated for an hour of burning, and a tricky addiction, as well as for additional physiotherapeutic procedures. Dodatkovo symptomatic drug treatment in a wide range is not indicated. We do not have enough ailments, in some cases the deterioration of the intestinal tract is associated with a deficiency in the organism of vitamins B12, as well as the deterioration of the functions of the intestinal tract, it is possible to inject internally with a chain of vitamins.

Lіkuvati yak morsku hvorobu

When you come to get lost and find yourself in the middle of your life, you can often get help for someone else when you have a sea ailment, especially when you get sick at the same time. Zasib, when I paint the mood, Dogmatil, start their own work on the brain, but also regulate the exchange of words, also often in a small dose (50-100 mg of vrance and for the sake of it), it is beneficial to start on the stage of ailments. Danium drug be well tolerated by the ailments. It is not recommended to take yogo in the evenings; You can also try out the vicoristovuvati with the drug Vertirosan and Betaserc.

The suspicion of zapamorochennya in ailments on the development of sclerosis can be caused also by impaired blood circulation. At the end of the day, it’s not about the overturned spoiled, but sooner about seeing the unstable, especially with the tricky shifting on the legs and getting up quickly, as well as being spoiled, as the winnies lie, if the day lasts. At the same time, it is possible to help regulate blood circulation, such as preparations of rіzhkіv (drug Dihydergot), or the only number of drugs that appear in the sale of drugs, such as to regulate blood circulation (for example, preparations of the Effor group). For any type of person, it is necessary to have a physical right to work with physiotherapeutic procedures, for example, baths and water-based procedures according to Kneipp, which stimulate blood circulation. Tsi come in to paint the bloodstains of shkiri and m'yazyv, so in your own heart it is pleasantly recognized on the ruddy health and on the health of the witness.

As a result of a diagnosis of ailments in developing sclerosis, tremor, unfortunately, there is still little pir. effective likings... In the first place, in the first place in the first place, you should pay more attention to the results of the treatment, which is recognized in case of sharpening, and trivial treatment. Deyakim ailments add to the so-called beta-blockers, for example, the speech propranolol (the drug Inderal). Oskilki tsya speech can be very power to reduce the grip, it is necessary to have a lot of it, we can’t acknowledge it. Children can be helped by easy zaspokilivi (for example, the drug Adumbran), however, in high doses, the stench can be very sensitive. Moreover, the systematic reception of such zasobіv is brought up to the sound of them. In an hour, I came to the weekend, and my children’s tremors will change as a result of receiving a new one, when I’ve changed my mind: Fluoxetin speech (Fluctine preparation). Rechovina Isoniazid (drug 1NH), which is vicious in case of tuberculosis treatment, also helps to change tremor in ailments to developing sclerosis. However, it’s hard to get sick, so as it’s taking in high doses for a trickle hour, it’s possible to get serious failures, including when you’re getting nervous ends, when you’re able to break down and break down. Inodi from the tremor additional help the drug Delpral.

Necessary accurate diagnosis

The deterioration of the functions of the cuticle is a superficially unacceptable vestige of rosy sclerosis, the manifestation of which can be helped by a number of drugs. It is also due to the fact that the elements of the folding system, which regulate the process of seeing, in the spinal cord of the spinal cord, there is a change in the formation of the breakdown of the effectiveness of the successive paths, which, however, may occur only one way or another. To that, in a large number of vapors, it is inadmissible to mix up quiet ones on such occasions, and then on the cob go through the neurological conditions and advanced functions of the secular paths, in order to establish them. In the course of neuro-urological pre-treatment, urodynamics and ultrasound dosage slice mikhura. It is also important to develop analysis in order to detect the presence of malignant bacteria, and if it is necessary to conduct a course of treatment of infectious diseases of certain people for an additional type of antibiotic.

Infectious infringement of the secular nobles may not only be able to manifest the obvious deterioration of the functions of the chasm michur, but the viciousness of the seriousness. The drug Acimethin, I am souring (in a sour medium, poisonous bacteria can be nasty to multiply), additionally helps to get rid of infectious diseases.

With the establishment of a surplus cut and with an obstructed ear of a cut, it is necessary to try to change the manifestation of the deterioration of the functions of the secular nobles behind the auxiliary so-called trenching of the cut-cut (Div. Lower). Since it is not necessary to go into the process of vipozhnennya slice mikhura only after the additional training, it is recommended to use vicoristovuvati, for example, preparations Dibenzyran, Nehydrin or Hydergin. In important cases, it is necessary to regularly empty the catheter behind the aid of the catheter (if there is a certain illness without proper procedure, you can independently carry out the procedure). Conduct catheterization on its own more beautifully, so it’s not like a permanent catheter (a catheter that can be inserted into a catheter for a trivial hour; it’s often necessary and occasionally minus). Whatever kind of vipadku importantly makatatsya zapobіgati approval of surplus slaughter, soob unique Infectious diseases secular nobles.

Skillness to the non-triviality of the battle, that is, E. sechovim mikhur(If there is a small piece of meat, it is reflexive to see the vision of small portions of the section). Non-customary cutting can also be explained by the description of the centers, which regulate the process of cutting. In general, you can use Cetiprin. It’s uncomfortable for you to go out of your way with a medication, and then you’ll get a permanent catheter, or if you’re cowardly with special gaskets. Vikoristovuvati special gaskets are more beautiful, not a long-term catheter, so how do you tie it with a risik of infectious diseases of everybody's way. However, the gaskets are often slipped, and the triviality of the shkiri with wet gaskets can be affected by the shkiri and bedsores. In case of important breakdowns in the functions of the secular nobles, they often add small operations, for example, the shortening of the cut of the cutter or the splitting of the internal sphinkter.

Often in ailments on the development of sclerosis, they are promoted so the titles of the development of sečovy mikhur. At the same time, there is a lot of positive for the cut, the process of cutting off the cut glass is normal. In cich vipadkah, supplementation of antidepressant drugs, for example, drugs Ditropan or Tofranil, which are administered to a group of antidepressants, and the drug Uroflo.

It is even more common for ailments to develop sclerosis to be promoted so the titles of an imperative posit for a severance. With a lot of mova ide about the building of the building for a day, I’m going to cut it down to winn’t positive for the sechovipuskannya. Most often, it is possible to have an unpleasant manifestation of ailments, if you regularly go to the toilet for two years. It is not often the cause of imperative positives for spasticity, in which case it is recommended to take antispastic conditions (for example, Lioresal).

Affection for the growth of sclerosis / suffering from a non-trivial slaughter, a worn-out slaughter, or immediate positives for a secular sclerosis; It is categorically unacceptable, because as a result of the interconnected hopefulness of birth in the body, stones are set in nirkas, and chronic illnesses of nirok develop.

Regulate for an additional general change to the race

Disorder of intestinal functions often results in symptomatic treatment. Oscillations in the reception of strong liquids such as constipation, for example, Dulcolax, can be prickly and in case of trivial regular reception of intestinal lymph nodes, which, therefore, in the presence of viperous intestines, try to regulate the intestines in a natural way. As far as possible, take into account the reception of the carry-overs. It is recommended, for example, to include in the menu more spices, rich in ballast rhymes, drink plenty of ridini, when cooked with a head of roselinna oil, regularly soak in water with prunes and іnfats. Without the sums, it is possible to consume milk sugar, vaseline oil abo ricinov olia, girku sil, mineral water, and also not to tease the intestinal mucosa, and I will be weak for the cakes, for example, for ready-made candy In some cases, it is possible to use drugs that stimulate intestinal peristalsis, for example, Prepulsid. Brown also regularly work on the massage of the intestines (more without interruption Press the stroking of the abdomen behind the old arrow, fixing it on the right, approximately in the opening of the appendix).

In case of mental illness before being carried, it is necessary to take care of the food, to prevent water from getting rid of it more firmly, in important cases it is necessary to take drugs that galvanize the peristalsis.

Victory speeches to stimulate activity

When the state of the spheres breaks down, especially when there is often a problem, the number of drugs is not large for people in weakened erections. In some people, they do not know how to use the words, which stimulate the state of activity and sprinkle blood flow into the pelvic area, for example, the drug Damiamura. A consultation with a urologist and a sign of a specific dose, ailments may before the statute act of self-reliance on papaverine in the statute of a member, but in some cases it is possible to try to reach the triviality. The lack of such a method of the field is in the fact that it is uncomfortable to regulate the triviality of the erection. Hormonal drugs in this vypadku do not help, so as the status function in ailments on the development of sclerosis, viclikano is not short of hormones.

Dopomagaє lіkuvannya, scho to be recognized with sharpening

symptomatic lykuvannya it is impossible to correct the development of the defect in the case of rosy sclerosis. It is especially important for him to fix it before ineffectively lіkuvannya, Yaka is indicated when sharpened. The eyepieces do not polish the state of health after the transferred neuritis of the healthy nerve. Dvoynnya in the eyes can be changed for the help of special eyepieces.

Periodically, in case of advanced sclerosis pain in the area of ​​exposure, accumulation of neuralgia of the tripartite nerve, in the hospital phase, it is necessary to prescribe earlier for additional corticosteroid drugs, which are more likely to become aggravated. Good results with a decrease in pain in the presence of additional help should be sought with carbamazepin (drugs Tegretol CR, Nenrotop). At the cob stage of drug use, the drug is wiped out in the sick when it is lost, and that dose needs to be taken up, as a rule, up to three times a day with one tablet. In small cases, if the drug does not bring relief, it is recommended to neutralize the nerves hirurgic path, Oskіlka pain will be even more painful and will adapt to the growth and development. A taste of the operation seeing it on the side of the individual, but in general it is not so unacceptable, since the pain is strong.

In the period of sharpening, there may be more in the first place, or in the beginning, as the next rank. When ciches are often even stronger, they spry out and shoot, prickly, bake, or pierce them with an electric discharge of pain, add the drug carbamazepin. You can also vikoristovuvati antidepressants, for example, the drug Sinquan, or zaspokilivi from a group of so-called neuroleptic drugs, for example, the drug Nozinan. For the rakhunok їkh dії dії dіlyanka to the brain, how to take off the bіl, become less sensitive, and the ailment sees not so much bіl.

Spasticity of the back muscles or spasticity in case of malignant sclerosis can be of a greater nature. In many cases, anti-spastic cushions, for example, Lioresal, can be used as a supplement. In case of attack-like spastic attacks, they often appear in the form of so-called subtle attacks (such as attacks, which are not supervised by the second evidence), to become stagnant against antiepileptic attacks (for example, Epilan). You can also vikoristovuvati tranquilizatori, in the first place of Valium, however, the stench viklikayut vіdchuttya vtom.

With mild spastic pains, you can also try vicoristovuvati drugs with magnesium or calcium.

Special ways of drinking

Often, with advanced sclerosis, pain occurs in the ridge, such as severe rupture of ruff, or unstable physical activity. In general, they enjoy in the same way, as in people who do not suffer for the development of sclerosis: for the help of others, they know my wife's spirits (for example, Norgesic, Trancopal, Parafon), antirheumatic drugs (for example), antirheumatic drugs (for example) the drug (for example, the drug Dolpasse in the second place with such a muscle-anesthesia in the same way, as Prokain, in the case of a high dose of Vitamin B12, or in the case of such a disease, as Novalgin), for additional use , de paciєnt vidchuvah bil) or for additional physiotherapeutic procedures (massage, ultrasound therapy).

For all types of pain that occur in case of rosy sclerosis, acupuncture can be used, as well as neural and laser therapy.

Psychic deterioration in those with a developmental sclerosis, as they have already lost their mind, are diagnosed for other reasons. The form of a symptomatic lykuvannya lies in the fact that the psyche has been damaged.

Forms of depression, which are supervised by frequent awakenings before sleep, seeing little and no strength (especially vrance), fear, appetite (this is the name of endogenous depression), reasoned with low nerve cells... In a wide variety of cases, it is shown that drugs are used to regulate the exchange of rechovin. Most often it is called tricyclic antidepressants, for example, drugs Saroten, Noveril, Clomipramin or combined drugs, such as Dianxit or Harmomed. We have to admit that some of them have a tendency to be cunning before catching a slash and setting up a surplus, and also suffer from severe constipation, and medications are not recommended, as the stench may become more symptomatic. For patients, it is possible to take Fluctin and maprotiline (the drug Lyudiomil). We are averse to developing sclerosis, as, suffering from depression, we feel stronger internally, more painfully than the drug Sineguan. Ailments on the development of sclerosis, sickness to endogenous depression, after an hour of the course of taking corticosteroid drugs, which is indicated at the moment of aggravation, be guilty of taking a mild antidepressant (for example, Insidon or Harmomedisone), as a result of corticosteroids.

With a difficult zasipanny for an hour the course of treatment with cortisone, it is necessary to take it easy (for example, Praxiten or Lexotanil). Iakshko ailments schilny before falling asleep, unaffected by cortisone on the day out, first to go into the sleep of sleepy ones and sleepy ones, then there is a chance to try to make a dream with natural, technical methods, for example

In any case, the cause of depression and mental breakdowns in case of rosy sclerosis is followed by delightful illnesses and zyasovuvati, since often the stench is not a typical rosy sclerosis, but manifests itself as a reaction to ailments. In general, in the first place, psychotherapeutic methods of treatment are recommended. Drug treatment you can serve deprived of additional features.

Symptomatic methods of treatment are important additions in the overall course of treatment of rosular sclerosis. It is possible to alleviate the symptoms of a symptomatic illicit treatment in cases of unacceptable manifestations of ailments and morbidity. However, those who are not guilty are not guilty of being important in cases of illnesses on the development of sclerosis reabilitation come in, And if you don’t have to do it.

The palliative care of the GRVI is all those who can become "easier".

In fact, one of the most obvious cases of colds at the time of the ear of 2017 is most symptomatic.

Scho tse

Also, if you got sick, they assessed the lack of prospects of pharmacotherapy, and you want to be able to get rid of your camp, don't worry about getting sick and not right.
Niyak - it means not in the best, not in the side, not more, not more, without the reduction / reduction of the risk of slowing down: vasno, tse and і "symptomatic therapy", so it is possible to focus only on the sides of the symptom pathogenetic. Ale pouring into pathogenesis does not mean that it’s going to change the way of the ailment, and if it’s not going to change, then the main thing is simply symptomatic.

Chi є is more symptomatic of liking likuvannyam? є:
a) є two styles of three lanes: ethiotropic therapy bacterial infections), Pathogenetic therapy (if there is a reason for not coming, we’ll do it on the mechanism of developing ailments - remember to insulin with a syringe for diabetics), symptomatic therapy - either in addition to the previous points, or through marriage.
b) if there is a change in symptoms, I will reduce the patient's self-esteem and the quality of life and unevenly 2/3 success.

Yak tse pratsyuє

The first thing for everything is clear intelligence: deyaki, if not everything is in the background, the symptoms of GDVI are purely sub'active manifest ailments. yaksho temple temperature We are objectively controlled by a thermometer, then the axis of a person is disgusting when it comes to seeing only the ailment itself, and it is not very efficient to find it efficiently.
Moreover, here itself I have the right to "And I accepted * I will name the leeks * and helped me!": Kupiruvati symptoms can be practically readily available at the hearing, abi became more beautiful, but not worse; To that, you can drink alcoholic infusion of vlasny feces, and if you become lighter, then in general you can legally call symptomatic therapy. However, the symptoms do not mean the symptoms of ailment - the signs of the symptoms showing up for the overrun / result / prognosis are not injected. The improvement of symptoms is the same as the “improvement of self-respect”.

There is even more nutrition: and who needs symptomatic therapy in preliminaries and proof, and also effective in the main sub-active? So, you will need: in Perche, you can see potentially useful methods, in a different way, you can see efficiently... It's a pity that the symptomatic therapy is not so important / cicavo, as ethiological / pathogenetic, but most importantly, it is seen in the main statistics, but here it is, looking around the whole line.

Beat in the throat

• Ice cakes, pastilles and suckers: all strepsils, Adjusept, Geksaliz, Gorpils, Hexoral, Grammidin, Lorsept, Angi sept, Anti angin, Astrasept, Gorpils, Dinstril, Netel, Loris , Stopangin, Septolete, Teras, Travisil, Falimint, Faringosept and Bagato-Bagato Halls. Independently from the warehouse, there is a head-start for the promotion of slime products, which will help you to put on a squeezed throat; in the greater part of anesthetics, which is known from the painful throat; in acts of antiseptics, as they are not guilty of evil microbes, but not at all efficiently to anybody uncomfortably (more for everything, not at all). One of the antiseptics (Heksetidine) is used directly in the literature, as it has an anesthetic effect. Vibirati is possible for gusto.
• Honey, milk, propolis: I will envelop the slime, change the tease.
• Throat sprays: Geksoral, Geksangin, Proposol, Stopangin, Maxikold and also. The situation is absolutely analogous to icemen.
• A pair of Іngalyatsії over a kartopley, a teapot, or a castrule without a glaze.
• Raztirannya alcohol, bitter, otstom, chaff, fat, oil - can bring relief of symptoms, albeit merciless and not safe, recommend. With the use of paracetamol / ibuprofen, use the same methods that can be recovered by using these methods, albeit infinitely, transformed or manually.
• Thawed frosty and cold sic: it is obvious to cool down the burning throat and not to block it at all, if the temperature is not overwhelming - be afraid of cold drinks you need BEFORE you get a sore throat, already without a difference.

cough

In 1898, rotsi bouv vinaideny vіdminny zasіb against cough - heroin.
There is a lot of fallout synthesized for this fence, including protozoan, ale of opioids, and it’s not really good for them, and without them there’s nothing really good: there’s a lot of good evidence, but there’s no prescription for antipastid drugs. diphenhydramine) and decongestants (ephedrine) are effective for both adults and children. Canada and the USA have a fence for storing children up to 6 years old. , With bromhexine and its metabolite ambroxol history and. (I want to know the stench in case of pneumonia and any bronchiectasis).

• Spices, jars, pepper plasters and іnshі znushchannya: whether it is a miscellaneous progression of many local effects in the tissues of the vyglyadі vyglyadі vyglyadі vyglyadі vyglyadі vyglyadі vyglyadі vyglyadі vyglyadі vyglyadі blood, alluding specific magic to the surface of wines breast cancer and the legend is not easy - it’s dashingly-deliberately for everybody. Moreover, it’s a matter of mind, when you catch a banal cough for an hour, GDVI senses a lot of eye-less procedures in a square: a cold cold is practically not a problem. If the lungs are damaged, then there is either bronchitis, or pneumonia, which is already an acceleration of the important GDVI. The current medicine does not vazhaє hіrchichniki with friends with an effective method of coughing coughs, from vіdnosyachi їх to bybutovyh, to folk methods of coughing.
• Grasshoppers: the sputum can be rotated for a rakhunok drativnoy on the shlunok, with a direct release it is not tied. Sweet syrup, no more.
  • Mukaltin: invented effervescent tablets with an unwavering relish of the special herb of althea lykarskoy, neither of which can be guilty of reflexively help in reducing coughs and reducing coughs, altogether. From the point of view of DM juicy tablets, no more.
• Dextromethorphan (DXM) and codeine: the first has a modest effect, the other was previously the gold standard, but then it went wrong. Unfortunately, the insult from the recent 2013 rock mayzhe went after the heroine (now only for the prescription), more of them evaporate and use drugs. , Ta y pluvati.
  • Codelac: herbal codeine (licorice and thermopsis);
  • codeterpin / terpyncode: codein s Terpingidrat (vidharkuvalny) - not the most beautiful one, some of the antitussive and discharging efficacy in general, it needs to be vicious.

Butamіrat (sinekod / omnіtus), similar, closer to fuflomіtsіnam.
About Rengalin (homeopathy) and іnshі magіchnі miracles and do not speak much.

Div. At the bottom there is a dry cough, and it’s still written.

pace

Here, everything is sensible about the main statistics, more than the temperature in a large number of vypadkiv appear by the very accepting likuvannya.
So, paracetamol or ibuprofen. Ні, not aspirin.

• Teraflu, coldrex, antigrippin, fervex: paracetamol is simply delicious, quick and expensive. To go to the warehouse additionally, to the fenilephrine і fenіramina / chlorfenamina / diphenhydramine kshtalt, guilty of still struggling with symptoms, albeit, as it is supposed to be, it’s not good for coughing, maybe it’s right on the nose. To be similar - accept; lіtnіm with protection.

nis

What about your nose? Mitya fizrozchinom (including tim, which is in fashionable packages) і fill it with ship-sounding (no more tizhnya).
Physiotherapy - into the furnace. Introducing third-party items, incl. tsibuli, to the chaplain, honey, vidihannya dima to the chaplain - there w.

Doctor, will you be with me?

There will be a meal of choice: the style of everything is delicious! Well take it?
Obviously, it is possible to use everything at once, even if the obvious principle of the chill out “Less of the essence” is ruined. Take pills, promity nis, throw the lozenges down the throat - as soon as you have already polished your stan from rivnya "I'll die!" Then just lie there and listen.

pislya

In addition, for 2-3 days the temperature does not rise steadily, the depths of self-feeling and mood have grown, and the throat hurts 10 inches of cob, it is possible to ascertain that you will never die again. Now all the symptoms in general can justly be called surplus manifestations, and there is a problem with them.

• Weakness, muscle pain, discomfort, and all the same - none of the same paracetamol, but ibuprofen, but at temperatures, very few of them are not surrounded by fever-lowering, as well as painkillers, painkillers. As weakness with the company drags on for a month or two without changes, smoothly turning into asthenic syndrome, then there is nothing especially uninvited here, but only a few consultations; Inodi can see antidepressants in a gift, the cycle tezh is normal.
• Dry cough is a mabut, the king of persistent symptoms, which can be trivial in case of a cold, especially in vapers of kurts. Seeing yak "stifle your throat" or zagal niyak, just fix a quick barking cough with a couple of wounds: go through those who are old poochy will slug your body organism in your minds and onovitikim, ale a couple allergic reaction, as you can go right up to the smallest ones, if you have a demo version of asthma. Logically, there are some anti-allergic things that are allergic to the genesis: it is wonderful to enter the inhalator Berodual, you can use beta-adrenoceptors and m-holinolytics, you can get around with suprastin, like a spratsyu. There are many side effects and problems with children for meals, so consult in person.

And in the first place, with a cob of remission (if the temperature has stabilized), you need to leave the sofa and go for a walk in the chatter of a fresh meal, as long as your back is not sick.

shte

Home reading

• Seems to cough and undead. Andrew Chetli, "Problem Liki".

Dr. med. M.Є. Isakova
Russian oncological science center im. MM. Blokhina RAMS

All-time Organization of Health Protection (WHO) - a special organization established by the Organization of the United Nations, the main function of a field in the world's most popular problems is to protect health and protect the health of the population. For the help of the organization of organizing, the workers of the protection of the health of 165 countries share the knowledge and knowledge so that we can achieve such a level of health for all the inhabitants of the earth, which would allow them to lead the whole social life.

The number of ailments for growth cancer in the US. About 9 million new people get sick, like, according to the assessment of the WHO, they are diagnosed chorically, more than half of them fall on the edge of the country, so they develop. At the hour of setting the diagnosis, a large number of ailments appear nevilikovnyh - to get clear, that in a large region in the light the mortality from cancer will grow, mainly through the older population.

Fighting pain and other symptoms of cancer is one of the leading WHO programs for fighting cancer.

Through the daytime, you can reach effective visits to prevention, early detection and radical therapy for cancer, as well as a backward medical base and quality frames in Maybut rock active supportive therapy We will be the only real help and manifestation of humanism in relation to being diagnosed with cancer. In connection with the cymbals, the widening and stagnation of the already obvious knowledge of how to fight the pains and other symptoms of the sickness, we do not have the best world to get rid of the life.

in the middle of suffering evil new creaturesє the contingent of patients, which through the broadening of the fluffy process, or through the manifestation of important fellow patients, does not tolerate surgical, exchange, chemotherapeutic methods of abuse. Tim is an hour of progressing ill health to develop a whole series of painful symptoms, which require more palatial assistance.

It also means that some of the ailments, who have undergone radical surgery to induce cancer, and have previously discarded the exchange of chemoradiation therapy, in the singing stage of tissue congestion, are indicative of recurrent metastases, the importance of metastasis key manifestations... The stench will also require symptomatic treatment, which will lighten the most severe symptoms of ailment.

For the rest of the rock, the fallen fellow citizens have come to a singing progress. It is not the style of the emergence of new methods of sickness that has been added to the price, but rather to the polish of the same characteristics as already existing.

Ethical aspects of the problem and additional help to the children, directing them to improve the quality of life. Difficulties in carrying out symptomatic therapy are identified, if the sick need additional help in the minds of the home.

Symptomatic treatment - the patient is actively involved in helping an oncological patient in the th stage of becoming ill, if the anti-inflammatory therapy appears to be ineffective. In this situation, the fight against pains and other somatic manifestations, as well as the solution of psychological, social and spiritual problems of the ailing one, is of a first-rate significance.

The meta of symptomatic treatment is with a minimal supportive prognosis, without preserving the maximum mind and life.

Palliatively lіkuvannya my turns in rusі along the stem of pritulkіv (hospіsіv). In the rest of the rock, there was a lack of official recognition in the Bagatio regions, including in Russia. In Great Britain in Danish hour it became a medical specialty.

I would like to be palliative for the treatment of cancer; palatial treatment... Until then, at the beginning of the work, protect your health from a given form, help to see it too little or not to see the catastrophe.

The last period of life of the ailments, doomed to death, can be clearly polished for the knowledge of the current knowledge in the field of palatial treatment, as it is not easy to ignore or to look at an alternative to the method of respect for the lack of respect.

The program for the development of paliative care includes: assistance at home, counseling service, day assistance, stationary assistance, assistance after the death of a patient.

The basis of the postal help is a permanent professional visualization. Patients of health care for the health of those who are sick, since they appreciate the consumption and capacity of those with ailments, I will gladden those who are sick, as well as the members of those who are in principle for the basic provide psychological support to both patients and members of their families.

Ideal assistance at home allowance without interruption in the rate of decline in the treatment carried out by the stationary and the office. All tyagar to look after the ailments from the progressing illnesses in the home minds to rely on this. Members of the family, in such a rank, are guilty of advancing the choice and preparing for the treatment, the introduction of analgesics and other necessary necessities, as well as the generalization of specific medical problems.

Negligence and fear in the home of a sick person may be the main reason why the system of palatial treatment of misfortune is organized.

Palliative therapy can be done on the basis of politics as well as the life of the sick, but the efficiency can be assessed without the "criteria" to be judged.

The sub-activity of the greater assessments of the quality of life is often not seen, as a factor that will intertwine them. As a rule, physical symptoms, preserving the functions of the body, as well as the psychological status of a sick person and social well-being є warehouse assessments of the first. Be-like a testament, to appreciate the quality of life, in ideals of guilt, spiraling on zalnulyudski values.

The triviality of "vision" is not easy to pick, as a single criterion for assessing the success of the conducted treatment. A look at the past in the field of chemotherapy of incurable oncological ailments did not show any tributes, so that one could tell about the improvement of the sickness camp.

And all the same, how can you evaluate the number of additional life stories that were removed as a result of expensive treatment and supervised by serious side effects, suffering from pain and lack of involvement? And it’s not the least bit that you don’t get in the way of thinking about a hypochondriacal treatment, as it appears to be unsuccessful.

Thanks to the tribute of the authors, oncologists on this year's day have great knowledge and technological capabilities at their disposal. For pivstolittya cancer has ceased to be a fatal diagnosis. An hour of life - 5 years old from 40% in the 60s to 50% in the 90s, and for children and children it reached 67% - 28%, including all chicks and all stages. Admission to a number of chicks older and older children 80% .

For the ailing, SSMSC vvazhalisya ranіshe nevilіkovnimi now іsnuє spetsifіchne lіkuvannya scho it becomes routine, yak, napriklad, reduktsіya obsyagu puhlini of the following promenevoyu abo hіmіopromenevoї terapієyu, hіrurgіchnі vtruchannya at rozpadі puhlini - nekrektomіya, nefrektomіya, nezvazhayuchi metastasis cancer Nirk, hіmіoembolіzatsіі metastases in the oven.

In case of solitary metastases of sarcomas in the leg, liver, melanoma, if important symptoms of failure develop (delay of the leg, especially in the case of the patient, the threat of a fracture of the cyst), it is also shown that it is promptly delayed, as much as possible without symptoms.

Orthopedic surgery is tied both to the visible puffiness, as well as to the clinical osteosynthesis with the advanced diagnostics (compression of the ridges, instability of the pelvic bones, risk of fracture of some or even flat cysts).

radio therapy

Name of exchange therapy

Mistseve oprominennya є in an efficient way Relief of pain in the cysts in 85% of the ailments, moreover, an increase in pain is evident in 50% of cases. Bil, as a rule, is very quick, in 50% and more the effect is more likely to last after 1-2 days. Even the polyphenia is not spasmodic after 6 months of treatment, the quantity of the analgesic effect is low.

Few of the fakhivtsi did not come to a single thought of the most effective doses and modes of fractional optimization. The efficiency of the new modes of optimization is based on the technical equipment of the installation, as well as the form, localization, growth of the poop and the stage of illness.

Those who are authoritative undergo a one-time diagnosis in an important group of patients with severe pain syndrome, by the way, but it is not less effective in the case of fractional courses and not in the possibility of repeated pain relief.

In the case of multiple localization of pain, there is a change in therapy with the expansion of the field to the extent of half of the body.

An analgesic effect of values ​​in 75% of ailments, however, in 10%, toxicity is susceptible to the reduction of the cystic marrow, acceleration from the side of the intestinal tract, pneumonia.

Targeted radioisotope therapy

Transferring more precisely the dose to the chubby for reaching the maximum lіkuvalnogo efectu and reduction of toxicity.

Radioisotopic strontium-89, which can be used for b-promenade, can be easily stashed with multiple mts in the hand. The analgesic effect can be reached in 80% of the ailments, and in 10-20% of them there is an apparent pain.

Samariy-153 vipuskaє b- and g-exchange and stagnate in diagnostic and clinical purposes. As an isotope, mint EDTMP (ethylene amintetra - methylene phosphonate) pharmacological drug, Selectively accumulate in cyst metastases. Є Occasionally, the drug at a single dose of 1.9 μl / kg has become less painful in case of pain relief in 60% of patients. The analgesic effect is taken up to 16 times.

In case of pain as a result of the lesion of the sheath of the brain, cranial nerves and spinal cord oprominennya є therapy vibor, both in case of primary lesions, and in the case of metastases.

Chemotherapy is recognized in large regions as an independent discipline. Efficiency of treatment with chemopreparations visoka, ale develops side reactions the bitter life of the ailments. nezazani efekti specific behavior can be hospitable (non-mediated reactions), early (polyneuritis, mucitis) and verbose (second pukhlini, neuropathies, psychotic problems).

bisphosphonate

Unimportant to those who have not precisely established the mechanism of bisphosphonates, the drugs can be successfully stagnated in oncology and with vibration drugs for weakening the intensity of pain. There are no overkill tributes to the consumption of oral bisphosphonates to reduce the intensity of pain in the hands.

Multiple courses of internal introduction to pamidronate caused pain relief in 50% of patients at a dose of 120 mg. Vikoristannya of pamidronate in higher doses (up to 600 mg per dob) gave a greater effect, protein-intestinal toxicity of the drug is widespread.

Judging from the previous tribute, the most incoming contingent for eliminating bisphosphonates, ailments with metastases in the skeletal cysts of breast cancer. Median vision in a group of ailments to become 2 rock.

The quality of life and the triviality of the specific treatment of life is not enough, however, as it is infused with the application of palatial therapy to the quality of life, which has become redundant. It is a provincial symptom in ailments of III-IV stages є from a small to severe.

The sickness is awful because it knows its own diagnosis and prognosis for life, but because of the fact that it is more difficult for you to find it. If a citizen wants to be more broad-minded, not more, for the time being, it is necessary to understand the threat to the mental, forest and social integrity of a skin disease.

Bil - one z terrible heritage for an oncological patient. For clinicians, one of the most important problems of diagnostics and treatment in oncology.

Bіl rіdko winyk on the cob of congestion (10-20%). The published tributes are about 4 million. People in Danish hour every day suffer from a pain of low intensity, of which about 40% of ailments are in the middle stages of the process, and 60-87% are from generalization.

In case of severe pain syndrome, he becomes involved in his physiological function and becomes a blind man, an obstinate person, who grows over such a rank into a folding medical and social problem. The rest of the life and the misery of the illness in the stage of generalization of the puffy process should be carried out in the state of extreme discomfort. That is why I am in pain with a vinyatkovo important meaning, to navigate the world that is very palatial in terms of delivery to the main ailment.

At the earliest of the third thousand years of life, cancer has become more and more complex, so that it will allow more and more people to live more and more ailments while saving well-trained minds.

Among the clinics of the oncological profile of our country in the preparation of symptoms of symptomatic therapy, they are qualified in nutrition for diagnostics and treatment of pain. Together with the oncologists, the stench is coordinating the special therapy for pain with the help of other methods of treatment.

The bile in the row of vipadkiv is tied without the middle with a chubby or є hereditary її lіkuvannya. Bіl can be potiynoyu or posilyuvatisya, to know or to appear in an hour, change the localization.

I will look at the richness of the manifestation of chronic pain and the versatility of diagnostic methods for assessing the effectiveness of clinical visits, it is necessary to demonstrate a complex perception, which can be seen in three basic tensions.

Structures of chronic pain syndrome You may be present or dominate the type of pain: somatic, visceral, deafferentation. Skin type of pain step by step popping tissue and organs of a painful yak by the plump itself, as well as by metastases.

In cancer patients, especially on in different stages sickness, it is possible to prevent the pain of decile types at once, differential diagnostics... Otzhe, the principle of a comprehensive and adequate treatment of pain syndrome in oncological ailments is primed, first for everything, for the reasons and mechanisms of diagnosis and development of pain in a specific skin type.

lіkuvannya pain

Meta treatment for pain - oncological patients who are ill last month and during the first days of his life, he did not see the overworldly citizens. Naybіlsh is simple and affordable for people with illnesses and for people with specialties є the method of pharmacotherapy. Knowledge of the pharmacology of analgesics can be used to develop effective therapy for cancer pain.

Likuvannya is guilty of being carried out with the help of individual peculiarities of the sick, and the stasis of medical therapy, analgesics, neurosurgical, psychological and behavioral methods - as a result of the need for aminosity. Delivered, scho likarskі will be effective in 80% of ailments with the correct їх sososuvannі: skin ailments otrimuє the drug consumed by iom in an adequate dose through the correct vibranium interval for an hour.

In a given hour in the therapy of pain, to take non-narcotic and narcotic analgesics according to the three-step scheme of the WHO Immediately, due to the signs of zenoluvannya, it is necessary to start the therapy of the fluffy process.

Achieving adequate healthiness is based on 3 basic rules:

1. Vibirati is a drug that absorbs or changes pain in 2-3 days.
2. Assume the analgesics of Suvoro for the old-fashioned scheme, so that Chergov's dose of the drug of ailments is guilty of pretreating until the next dose is applied.
3. Acceptance of noxious drugs is guilty of being reported as "viscous" - from the maximum weakly-active dose to the minimum strong dose.

When a patient is sick with analgesic and cob dose, the following steps are taken: zagalny camp, sickness, pain, intensity of pain, earlier, the painfulness of pain and efficiency, preparation, function, stove

The assessment of the triviality of the sick person's life is not to blame for the vibration of the analgesic. Independently from the stage of getting sick and forecast patients with severe pain are guilty of treating strong painful medications ... Victory of narcotic analgesics becomes more common, forgive and effective in stopping severe pain... The correct dose is taken - the whole dose, which gives a good effect.

Victory of opioid analgesics is associated with the development of physical morbidity from them and tolerance to them. The price of normal pharmacological reactions to trivially administered drugs. If you have severe pain syndrome, you can take one and the same effective dose with a long stretch of time and weight.

It is crazy, overwhelmed by the turbulence of the problem of mental depletion, to lead to the fact that patients and patients consume opioid in insufficiently high doses, but do not lead, unfortunately, to relieve the pain. It is necessary to assess the effectiveness of skin treatment for 24 years and adapt the dose according to the illness, effective analgesia and the power of bruising.

Between the fixed drugs injected into the morphine in times of consumption ("prostrate" pain), the analgesic of a short period of time, for example, prosidol, which is vicious, should -yakoi new pain.

Coefficient to pererakhunku falloff, but the amount to finish is smooth, that is rational designate narcotic analgesics for "visceral gatherings" - promedol, omnopon, morphin.

The risk of drug overdose is not great, as there is ailment under continuous medical control.

To our knowledge that ailments, who take a trivial hour to get adequate doses of narcotic analgesics, do not develop mental staleness. By taking opioid drugs, it is possible to pinpoint, as the problem of pain has been successfully resolved for an additional change or chemopromene therapy, at a time when the dose is lowered until the next time you see it, you should not allow symptoms to appear.

On the basis of the nutritional history of struggling with pain in case of oncological illnesses, they were allowed to recognize new cases of the cause of the diagnosis and specialty of the pain, and the smut - to improve the mechanism of the diagnosis of the disease for cancer. It has been reported that in ailments, as it takes a trivial hour to take narcotic drugs, tolerance, physical and mental depletion can grow very rarely.

Otzhe, the development of such a depletion is not to blame, but it is a factor that is not responsible for the loss of nutrition about the consumption of opioids in ailments with severe pain syndrome.

The morphine preparations can be safely administered in growth-resistant doses up to quiet periods, as long as there is no adequate antibiotic treatment. "Correct dose" - a whole dose of morphine, which effectively lays down until quietly, while we are ill. What is the standard dosage for morphine not insane (WHO, 1996)

In general, as a result, the last few days of receiving reports from oncological ailments should be told about those who are huge, as well as professional leaders to protect their health, so they can pay more for the better, for the best method.

However, on the current day, there are many reasons why there is no need for a major pain treatment in oncological ailments:

1. The visibility of a single, straightforward policy in the field of love and palatial politics.
2. It is rotten that the organizers of health protection are aware of the possibilities of methods for sickness.
3. Stagnation of opioidiv with pain in oncologic ailments is brought to the development of psychic debris and to the malignancy of them.
4. They are right to obmezhennya, which is imposed on the administration of opioid analgesics and on the system of securing them.

On the cutaneous stage of treatment of perspiration, no dose of analgesics, it is necessary to take co-analgesics (a group of drugs, such as volodia, the main cause, effects, for the cough of some stinks will relieve painful antipsychotics):

With numb pains of a painful nature, so called neuropathic, opioid is not very effective. In the case of pain in the whole group, the ailments were successfully stopped Tramal - a cob dose of 50 mg of skin for 6 years., An adjustable dose of up to 100-150 mg and a fast interval of administration of skin for 4 years, the maximum dose of 900-1200 mg.

One hour, amitriptyline was taken at a cob dose of 10-25 mg of vrantia, with a high tolerance, the dose was increased to 150-200 mg. Carbamazepin 10mg x 2 r for doba, so the dose was taken step by step until the analgesic effect was removed. After 7-10 days, as a rule, pain relief persists. The side reactions are correlated with the dose of the skin preparation.

For the conservative treatment of pain syndromes, the most widely used drugs are tramadol hydrochloride (Tramal), which is considered, according to the recommendations of the WHO, up to another stage of antibiotic therapy, which is used by some other drugs.

The drug has a unique subordinate mechanism of action, which is realized through a linkage to m-opioid receptors and instantly triggers a vocal accumulation of serotonin and norepinephrine. The very synergism of both mechanisms is responsible for the high analgesic efficacy of Tramal in treating pain syndromes.

In addition, it is critically important є the fact that the synergy of side effects is evident, which explains the greater safety of the drug in conjunction with the classic opioid analgesics. On the basis of morphine, Tramal does not lead to depletion of blood circulation, motility of the intestinal tract and secular paths, and in case of trivial stagnation, do not lead to the development of lesion.

Prolongation of Tramal is indicated when there is an overall efficiency of the previously conducted therapy with non-opioid drugs for oncological pain of moderate intensity.

Analgesic potential Tramal, according to the data of the recent authors, is to change from 0.1 to 0.2 from the potential to morphine, whether the decile or the decimal has overturned the potential of the code; by efficiency 50 mg Tramal equivalent 1000 mg metamizole. Tramal especially indications for pain relief in case of somatic and visceral swollen statements.

The drug is vikorized in different forms: solutions for injections (ampoules 1 and 2 ml), 50 mg per 1 ml, capsules 50 mg, rectal suppositories 100 mg and tablets formulated 100 and 150 mg, which is optimal for administration with different localizations of pukhlin.

The maximum dobova dose is 400 mg per doba. with ineffectiveness maximum dose indications for the transition to opioid analgesics (morphine hydrochloride, promedol and in.) to save non-opioid therapy or additional indications of non-opioid analgesic.

Lіkuvannya Tramalom is kindly tolerated by ailments: the quality of life (normal sleep, appetite), as well as a drug of narcotic analgesics, which induce the physiological state of the rose Moreover, it is impossible not to vrakhovuvati the psychosocial aspect of the drug in important oncological ailments, which will reduce the quality of their life, lay down the work of the medical staff in the plan to eliminate the ailments.

In quiet people, if there is a possibility of drug therapy, there are special ones, so called invasive methods of antibiotics (epidural, subarachnoid blockade).

somatic symptoms

It is a common symptom in oncological ailments due to the advanced form of cancer є asthenia (weakening), so you should start to develop a second appetite and deterioration. However, the basic mechanism of symptoms, such as cachexia - anorexia - asthenia, is insufficiently clear at this hour. Such ailments are guilty of being transferred to a hospital for parenteral feeding (fatty emulsion, amino acids, carbohydrates, vitamins, etc.).

There is an urgent need to educate further in the course of the development of rational therapy.

Therapeutic reasons are guilty of intercourse of symptoms, the role of a causative factor for the change in the manifestation of symptoms. Tse zavdannya more beautifully vikonutsya at the zd_snenn_ palіative treatment by the drug users, scho to specialize in the whole direct.

There are also some areas of cancer care, the emphasis is on prevention and early diagnosis Negative symptoms with regular examination of the sick.

If a sick person is treated with cold symptoms, then if he is guilty, he is regularly used to prevent boredom, blues, and constipation. The reception of likiv in the world of "consuming" replaces the regular consumption of often є the reason for the failure of the citizens, but not for the liking.

Immediately after taking some drugs, if there is a need for a whole lot of medication, it is possible to treat the patient with a collapsing condition, because of this weakening, the normal metabolism of the medication was ruined.

To add to the midst of stone-sick people, the development of physical and mental health can be taken in a comfortable place for a sick person. In addition to the provision of non-drug therapy, it is necessary to supplement the range of pharmaceutical preparations, allowing one to reduce the dosage of the drug and the development of side reactions.

Psychic manifest: reactive triviality (loss of attachment) is more likely to occur in 20-32% of cases. Depression - from 50 to 65%, is susceptible to ailments, who have learned about the diagnosis, if the stench first comes to nich-in-vich with inevitability and death. It is not often the case that supervise is carried out by the camp of the psychotic disorder... Itself in the whole period, like a nikoli, a sick person needs an education (emotional, social, spiritual).

1. Reconsideration of large provincial paths: a) conservative methods (blockade of peripheral nerves with muscle anesthetics and neurolithics, para-vertebral sympathetic, peri and epidural, caudal Central and intrathecal blockages); b) neurosurgical methods (somatic, visceral and cranial neurotomy and neuroectomy, sympathectomy, chordotomy and tractotomy).

2. Modification of pain relief: a) neurosurgical methods (prefrontal leukotomy and in.); b) pharmacotherapy with narcotic and non-narcotic analgesics, sedative antipsychotics and other drugs (additional signs of tranquilizers, psychotropic drugs); c) acupuncture and electroacupuncture.

attending to the presentation robotic scheme when trying to get us to feel pain, it is necessary to first evaluate all the assessments of the possibilities and professionalism of the assessment of the palate and symptomatic surgical engagement- a vision of one of the most great chubby vognisches, partial resection of chubby, revitalizing surgeries, which for a trivial hour will spare a sick person from an important discomfort.

Intense and intense pains, viciousness of the great mischief-Ale widening of the first new cases (sarcoma) with viral, may be indicated before the palatial amputation of the symptoms (I would like to see it for the sake of clarity. The current level of surgery and anesthesia allows viconuvati in case of lesions of the upper and lower belt cysts lower kintzivok paliative surgery right up to the interscapular-thoracic and interscapular amputation, which is completely correct to navigate the world in terms of pain syndrome. Іnshim butt є mastectomy in case of inoperable infestation of breast cancer, elimination of pain, burning, bleeding and infections.

One of the most visible signs of eliminating the pains of the original chubby head is to produce the reduction of long-term metastases. Oncological practice has been reliably established for clear cell carcinoma of nirka and neuroblastoma in children. The mechanism of regression of metastases is not clear, it is more difficult to transmit, but it is better for all the dressings with immunological overdose in the body.

Causal therapy of pain syndrome is not easy to think about the need to eliminate the surgical path of the puffy obstruction of the organs in the intestinal tract of the mucous membranes, the gut ducts, the arterial ducts. Palliative gastrostomy, gastroenteroanastomosis, cholecystostomy, gastrointestinal tract infection, colostomy, colostomy, in some cases, transplantation of intravenous and intravenous tissue transplantation in some cases, it is impossible to diagnose in some cases.

It is far from often that it is technically successful and operations are carried out to drive the occlusion of the vessels. Mabut, depriving with occlusion of sleepy artery shvidko developmental chemodectoma (paraganglomy) or metastases stagnate resection of the dilenca of the court with the replacement of Teflon prosthesis.

Practically in the daytime operative ability to change pain syndrome through compression lymphostasis. Ailments with the broadening of the plump process will not live to see the realization of the effect of the complex and foldable in the minds of the reduced reparative functions of reconstructive operations.

Terminova laminectomy suppressed by the spinal cord by epidural growths of chickens (in the main malignant lymphomy) is shown to be better for paraplegia, or through pain syndrome.

Conservative decompression in case of obstructive pain syndrome is not very specific. The stench can be felt in the release of the corkscrew through the probe (collar stenosis), the introduction of a gum probe on the singing term (obstruction of the small intestine), evacuation of the pimetry (cancer of the uterine cervix and cervical canal), etc.

To change the pain in case of lymphostasis of the uterus (the camp of the development of mastectomy and replacement therapy for the induction of breast cancer, parametric recurrence and metastasis of cancer of the uterine cervix, development of metastatic and developmental diseases of the head ) bandage, light massage from the fingers of the fingers to the proximal ones, the appearance of the secular conditions and special ones to the right (swinging the hands, wrapping the raised arms, calling the foreheads), in the most distant fields

There are no serious thoughts about storing there, even though they admit the nature and localization of the new solution, the anti-social exchange treatment (including the stage of palatial radio therapy). Above the decisions about the antibiotic exchange therapy, the very fact of the extended plump process is not to blame. The residual assessment of the indication and implementation of the plan of a similar treatment, obviously, is the prerogative of the radiologist, or the possibility of radio therapy to fight against the more guilty but be kindly seen by the surgeon and the therapist, who supervises the phase of the ailment. Discussion of nutrition about antibiotic (paliative) exchange therapy is justified in case of primary inoperable cancer, metastasis of malignant swelling in lymphatic universities, Kistki i m'yak_ fabric Relapses of surgical involvement in the number of symptoms in the midst of colic evaluation. The initial effect of an anti-colic exchange factor can be a factor in increasing the radioactive sensitivity of the chubby.

Vіdomo scho zloyakіsnі novoutvorennya dіlyatsya on radіochutlivі (semіnoma, Tіmom, lіmfosarkoma i INSHI zloyakіsnі lіmfomi, Kaposi Yuіnga, mієloma all bazalnoklіtinny cancers i deyakі epіtelіomi) pomіrno radіochutlivі (ploskoklіtinny cancers) pomіrno rezistentnі (adenocarcinoma) i Radіorezistentnіst (neyrofіbrosarkomi, osteogennі sarcoma, fibrosarcoma, teratomy, melanoma, chondrosarcoma). On the sensitiveness of the chubby to the ionizing viprominuvannya, one can also see the steps of differentiation of chubby clitins, the differentiation of stroma and parenchyma. Greater radio-sensitive low-differentiated options for cancer with a small stromal component, small size, good blood loss and an extraordinary type of growth [Pereslєgin I. A., Sarkisyan Yu. X., 1973].

The intercourse of the antibiotic exchange treatment allows the development of a symptomatic effect in cases where the radioresistance of fluff is evident in case of obvious compression syndrome and infiltrative fluff with a percfocal anterior aseptic nerve structures If you want to respect those who have metastases, as a rule, they are less sensitive to ionizing radioactivity, not the first puddles.

Disease, symptomatic or palatable anti-swelling effect of being treated as an intermediate dose of 10-30 Gy (i.e., 1 / 4-2 / ​​3 of a serous therapeutic dose) in acute inoperable forms of breast cancer and metastases of the neoplasm vuzli (suppression of the brachial plexus), metastatic cystic lesions with cancer of the anterior mucosa, primary and metastatic cancer of the tract, shkiri, papillary cancer of the thyroid, parametral recurrences of intestinal metastases of the cancer also about more radio-sensitive new solutions. Nygіrshі results are spontaneous in case of metastases of clear cell carcinoma of nirka, overwhelming of radio-resistant sarcomas of cysts and soft tissues. In the borderline of the versatility of the protobolic exchange lymphoma with primary widened and metastatic cancer of the shlunk (cardial viddil), colon, pidshlunkovoy zalozi.

The appearance of many chubby vognisches is by itself not guilty of being a psychological bar for an antipolitic exchange lick, straightened in a perch for one or a few ounces, to summarize an important pain syndrome.

For an exchange flow for more than a little, it is not necessary to pick up megavolt dzherel (distance gamma therapy). In case of metastases in cysts and peripheral lymphatic nodes, superficial swollen puffs, a significant symptomatic effect can be eliminated for additional glib X-ray therapy (at pressure of 200-250 kV). Stagnation of contact methods of optimization with the method of pain relief (internal, internal tissue) is really deprived of vinyatka diseases and in special installations [Pavlov A. S, 1967].

In oncological ailments, who only suffer from symptomatic disease, as a rule, they appear to be picked up at the next stages of cytostomy therapy. For a new solution to localization, cytostatic treatment is uncomfortable. In addition, metastases in lymphatic universities, liver, legends, cysts to a number of primordial fluffs, often sensitive to visible cytostatics, are clearly more resistant to quiet chemotherapeutic agents. In skladnіy situatsії dosit vazhko pokladati of Hope on efektivnіst hіmіoterapії, ale all Well sprobi vikoristovuvati cytostatics abo їh kombіnatsії for otrimannya sub'єktivnogo protibolovogo efekta for rakhunok hour Neznachny regresії puhlini not possible not vrahovuvati, Yakscho tsogo zagalny camp ailing іstotno not pereshkodzhaє (vіdsutnіst virazhenoї kaheksії , lack of liver and nirok, contaminate the bleeding from the swelling with a decrease in the number of platelets and in.).

Cytostatic and hormonal therapy with antibiotic methods, naturally, can be used in an inpatient clinic or on an outpatient basis with continuous consultation with a chemotherapist or an oncologist.

For the out-of-the-box orientation of the doctor in the designated aspect hormonal drugs, Cytostatics or combinations, guided in section VII in the description of methods of paliative chemotherapy hormone therapy for some private manifestations of an extended swelling process. The methods for newly approved localizations allow the development of the anti-inflammatory effect.

Pererivannya bolyu not Yea samotsіllyu at lіkuvannі uskladnen puhlinnogo Process abo spetsifіchnoї protipuhlinnoї terapії, pov'yazanih of bakterіalnoї, vіrusnoї that gribkovoї іnfektsієyu, broken-winded i necrosis (іnfіkovanі puhlinnі virazki, stomatitis, toksichnі neuritis flebіti, steroїdnі virazki shlunka "hіmіchny" cystitis, exchange of skirts and mucous membranes). Sickness in these diseases is attainable in the result of complex symptomatic therapy, which is not meaningful in itself, so it allows you to see it in special sections (Div. Chapters VII, VIII and IX).

We will expand it with an accessible method for treating pain syndrome in ailments; they have gone far into the plump process, if it is more specific than a hypochondriac or a "causal" symptomatic treatment is unpromising, є drug therapy... An arsenal of illnesses in a given hour to reach an optimal choice of analgesics and the possibility of an optimal choice of analgesics, one by one drugs, Potential pain relief.

We do not know about the fact that for practical purposes it is more difficult to find out about the number of likars' problems, especially those who are kindly aware of the drugs in details and allow for the majority of the reasons for differentiation

Before drugs with antipolyvny activity, it is not easy to go to the other infusions (antiapaline, heat-lowering and inn.) It is called so small (non-narcotic) and great (narcotic) analgesics. The combination (ready) drugs include a number of non-narcotic analgesics or drug groups.

Independently, the characteristics of the vicarious ones are based on the fundamental principles, albeit, unfortunately, do not expect to see the rules of analgesic therapy in case of malignant new ideas. First of all, there is a choice for a drug that is adequate for the effect of the cause of pain, for the first time dose, the optimal way of introducing that regimen of stasis as soon as possible to the stage of pain syndrome. At the same time, there is a particularity of specific reactions, an individual sensitivity to an analgesic, and his tolerance and sometimes a side effect.

Often this practice is called the reasoning of analgesics "for pain" is absolutely wrong from the ethical and pathophysiological positions. Cleansing pain є, first for everything, a moral depressing and stress factor for a sick person, not wailing to them, but, navpaki, lowering the risk of taking away more seeing, as a heritage, wishing to need an answer.

Zneboluyuh therapy is more effective, as long as it is possible to work on the basis of a solid order, average gravity through skin 3-6 years, with a glance at those who have more drugs not for the better term). Without it, “erasing the memory and fear of pain” is uncomfortable; The rules of "prophylaxis" are of great importance for the pain to be found, so that it’s possible to wake up the sick person for the doctor’s reception, or even an analgesic, who doesn’t care about those who, in the Danish moment, may be in pain.

Іnshim rule Je poetapnіst vikoristannya analgetikіv od Mensch silnodіyuchih (i vіdpovіdno low-toxic, scho not give zvikannya) to silnodіyuchih i od preparatіv for Priya vseredine to rectal i іn'єktsіynim lіkarskim forms of postupovim scho yde parallel іntensivnostі bolovogo syndrome pіdvischennyam razovoї, dobovoї Dozy drug and more often the rhythm of its introduction.

In order eskalatsії іntensivnostі protibolovy farmakoterapії to okremih nenarkotichnih analgetikіv pіdklyuchayut sedativnі i neyrotropnі zasobi, nevelikі Dozy narkotichnih analgetikіv type kodeїnu i promedol vseredine, sumіshі quiet i іnshih preparatіv, nareshtі, opіati i sumіshі scho skladayutsya perevazhno of narkotikіv i Central holіnolіtikіv (skopolamіn vseredine abo rectally) and only in case of renewed pain, vikoristovyt in the form of the drug.

The correct vibration dose during the transition to the onset of pharmacological data about the equivalent effect during oral, rectal and parenteral administration of analgesics. Zokrem, for non-narcotic medications for spirits, in the case of certain methods of preserving the dose 1: 1: 1. Butadione in the tablet form of the first preparation to become 0.125 g, and in the formulation for the drug (ampoule with 5 ml size) 0.75 g, apparently for indomethacin - 0.025 g in capsules or 50 mg dragees in one bag. For the most common narcotic analgesics in practice - codeine, ethylmorphine (dionin), promedol, omnopone (pantopone) and morphine in one dose, which can be stagnant orally and rectally, approximately the same, in the , internal) can be reached at a high-speed dose by 20%, omnopon (small) - by 1/3, morphine by 1 / 2-2 / 3 (internal) or 4-5 times (internal).

If there is any sign of glucocorticoids with a sign of zenoluvannya (although, as for other indicators) in suppositories, a single dose should be moved approximately 4 times in proportion with the preparation in the middle, so that 25% of the intestine will be close to the whole of the neck. Equivalent є storing the pediatric, internally or internally increased by 1.5-2 times the oral dose of glucocorticoids due to the peculiarities of the activity of the lykarsky forms. Dose okremikh glucocorticoids - prednizolone, triamcinolone, methylprednizolone, dexamethasone and other For the blame of glucocorticoids, ni, one of the reasons for drug analgesia in case of malignant new solutions should not be brought to the same, or even more severe, malignant effect, when given in the middle, in a parenteral manner.

The tactics of symptomatic therapy for pain in the skin stage, so that it will not allow for the correct and planned increase in the intensity of analgesia, in terms of the guidance of the rules, and it is possible to be in the first place of this type of dosage (or the dose of combination of both It is necessary to work out and try to set the minimum dose rate, so that you can do the same. On the other hand, the reduction of pain for reasons, we will guess the problem, it is easier to get sick more easily, not at the incremental adjustment of the dose to the least effective. Some tactics may be stagnated to all, ale vimagan viklyuchennya for the type of opiates in the kidnapped and old man, and we also get sick with the rotated cachexia. I will look at the non-predictable side reactions in the whole category of skin ailments, but there is a chance of taking the smallest doses of narcotic analgesics - promedol, omnopon, and especially morphine (not more than 5 mg) and a minimum of 50-1 Intensification of antiphlogistic opiates when reaching high doses (20-30 mg of morphine) is carried out carefully, by way of increasing the skin time by 10-50%.

Dodavannya to analgesic zasobіv barbіturatіv and antihіstamіvі s swerving sedative dієu spriy to be able to harden the sickly effect, or to bring the sick to the camp stunned, passiveness, do not expect bazhano.

An early sign of synthetic, napivynthetic and natural opiates in pain syndrome, clearly relieved by non-narcotic analgesics, a typical pardon. For a skin ailment who needs a sickness, the doctor is guilty of a viral plan of pharmacotherapy for urahuvannya pain syndrome, variability, reactions to a teratoma and an immoral triviality of a sick life. The effect of sickness when tsomu, as a rule, is growingє.

There is only one method of analgesia for the numerical variants of the fluffy process and all oncological ailments. Differentiated according to hikes and severe pain lykarska therapy in case of evil new establishments, base, crim foreign principles stagnation of sensitive analgesics, a variety of specialties pharmacological activities and the mechanism of the art.

Non-narcotic ("little") analgesics are chemically and heterogeneous for the structure and for the other group of drug addicts - elderly salicylic acid(Sodium salicylate, acetylsalicylic acid, Salicylamid), pirazolone (antipyrine, amidopirin, analgin, butadion), paraaminophenol (phenacetin, paracetamol), and so-called non-steroidal antiaphenic drugs: indomethacin (methindolov), mefenamophene acid In oncological practice, as for analgesics, they are most frequently used for stagnation of acetylsalicylic acid (aspirin), amidopyrin (pramidone), analgin, phenacetin, paracetamol, indomethacin, test for deyakin baraginovan

Mechanism of painless action of non-narcotic analgesics is not a whole lot of drugs. Transmit, how the smell of water is central and peripheral inflow: into the central nervous systems(Hypothalamus) stench drive more pulses in the synapses and at the same hour, drive the establishment of prostaglandins in the ignition, advance the sensitization of pain receptors to mechanical abnormalities. Mabut, which is more significant than the analgesic effect of pererakhovannyh catastrophe through the anti-firing effect [Salyamon L. S, 1961]. To that it was sensible that non-narcotic analgesics are especially for when the swollen process is slowed down by the inflammation, the pain syndrome becomes more varied, as well as in case of pain, such as in the organs of the pelvic arteriosus.

On the basis of non-narcotic analgesics, narcotic (codeine, hydrocodone, tecodin, ethylmorphin abo dionin, promedol, fentanil, estotsin, pentazocin abo lexir, omnopon, morphineral) However, it is very important to show that non-narcotic analgesics, when prescribed in adequate doses, can be applied to the analgesic effect, stopping more views, Including and go from internal organs. K. Batz and spivavt. (1976) vvazhayut, for a complete dose of acetylsalicylic acid is responsible for 4-6 g, analgin up to 3 g, phenacetin or paracetamol 1.5 g, indomethacin 100-150 mg. Skladaєtsya vrazhennya scho skeptical representations to rolі nenarkotichnih analgetikіv in symptomatic lіkuvannі Khvorov on zloyakіsnі novoutvorennya Got direct phone reception of vikoristannyam zvichaynih preparatіv doses, for dostatnіh dosyagnennya neobhіdnogo efekta at bagatoh іnshih vipadkah (zokrema in pіslyaoperatsіynіy praktitsі zagalnohіrurgіchnih klіnіk) when no ale chubby illnesses. The argument for the cinnamon tsiy lіkuvannya serve the guidance in the table. 7 dan N. Herbershagen (1979), show the level of doses of children from the assigned group, to ensure the control of pain syndrome in oncological ailments. It is important to respect the rhythm of the drug administration.

Table. 8, an approximate characteristic of the therapeutic activity of non-narcotic analgesics, both narcotic and non-narcotic, is given, according to the data of S. Moertel and spivavt. (1974), who cleaned the preparations in the middle of the disease with inoperable puffs.

Table 7.

Effective doses and regimens for the administration of non-narcotic analgesics for malignant new drugs

The yak is seen from the table. 8, acetylsalicylic acid should be taken in an altogether small dose (0.3-0.6 g of skin for 4 years) є in a way that is very competitive in terms of analgesic effect in case of ineffectual malignant powders with large doses of drugs from the same group. Protein acetylsalicylic acid is not a universal analgesic for broader forms of malignant fluff. In case of a dose of acetylsalicylic acid in a dose of 3 g per day, it is possible to have a disease-free effect in the first hour in case of relapses and metastases. feminine genitals in lymphatic universities and pelvic structures, metastases of breast cancer grow in the cysts and tissue (especially in the pleura).

Obviously, in the analgesic activity of non-narcotic analgesics in certain cases, acetylsalicylic acid could be used as a standard drug in the treatment of pain in cancer patients. At the same time, it is impossible not to get rid of the vicarious features of therapeutic and side effects of non-narcotic analgesics.

Table 8.

A proportional characteristic of the effectiveness of analgesics