Does the goal of curing hepatocarcinoma have life cycle only

Does the goal of curing hepatocarcinoma have life cycle only
Surgical professor of the subsidiary heroic spirit of west district of Beijing Chaoyang hospital of Capital University of Medical Sciences Sun WenBing
If the doctor lacks enough cultural and educational feelings, lack essential self-awareness and humble, slightly neglect, the operation this " double-edged sword " Will produce the injury that can't be retrieved to the patient. Under this background, ponder over philosophical questions such as the life meaning, medical essence,etc., and lead medical science to be practised and have important realistic meanings.
The patient wants It is not merely life cycle
The hepatocarcinoma patient's purpose to seek medical science and help is mainly three: First, lengthen the time of surviving through dispelling disease; Second, while getting rid of illness, try not to regard reducing the cost or obviously reducing the quality of surviving as, safeguard its value of life and dignity to the maximum extent; Third, the hospitalization cost is the lower, it is the better, do not hope that " a person cures the disease, the whole family causes poorly " to appear Situation. Unfortunately, in the clinical treatment of hepatocarcinoma, the doctor pays close attention to more seeming it is only a patient's existence time, it is not enough to pay attention to its important problems such as quality, hospitalization cost,etc. of surviving. The surgeon still favours it having an operation as before, excising hepatocarcinoma has already become their main purpose to treat hepatocarcinoma in the heart, even the only purpose, has seemed to really already forget " purpose to set out " .
" judge by liver and manage " Stronger than " judging by cancer and managing "
Often there is such a phenomenon in the specialized department ward of hepatocarcinoma: Three right hepatocarcinoma patients, the gender is the same, age is similar, the diameter of cooking stove of cancer is all about 5cm, the position is basically the same, but the healing solution is far from each other. The first excises the main fact of the skill with liver, the second melts (RFA) with the radio frequency It is a main fact, but the third implements the liver and transplants the skill. Its reason is that three patients' liver function stores very big difference. Their though long and similar hepatocarcinoma, the first patient liver function stores well, can tolerate liver, excise skill well, should be first-selected liver, excise the skill; The second have more obvious liver cirrhosis, liver function can still be compensated better, in addition family economies terms rich, suitable to a little create and treat while being relying mainly on RFA; The third patient's liver cirrhosis intensity is serious, wither obviously, with more serious portal vein hyperbarism, the oesophageal fundus of stomach is variceal and serious, it is great to break the possibility to bleed, liver transplantation is undoubtedly an ideal healing solution, can already remove the cooking stove of cancer to the maximum extent, can eliminate basic hepatopathy such as liver cirrhosis completely, can receive " a stone and more than birds " Its result.
The above-mentioned case says an important modern hepatocarcinoma treats the idea: The therapeutic cardinal principle of hepatocarcinoma is to safeguard liver structure and function to the maximum extent, treat decision and answer " Judge by liver and manage " ,But not " Judge by cancer and manage " . The establishment of this idea, it is exactly our country's RFA,etc. achieved and treated and been praised highly with the liver transplantation skill a little in more than ten years in the past too, and the liver narrower and more small important reason of excising the range of application of the skill.
The hepatocarcinoma treatment needs to protect the immunological function
Hepatocarcinoma grows slower at initial or immature stage, young hepatocarcinoma period is usually relatively long; The greater hepatocarcinoma is, the faster development speed is. In addition, hepatocarcinoma is seldom shifted at stage in early days, as diameter of cooking stove of cancer> 5cm, the chance shifted obviously increases. Balance of force while escaping in this immune state and hepatocarcinoma immunity mainly because of the organism. In early days at hepatocarcinoma, the immune system of the organism can produce stronger immune inhibitory activity on tumour, and by middle, big hepatocarcinoma stage, the obvious change takes place in the balance of force that organism immune system function and tumour immunity tolerated, tumour can develop fast. Therefore push it, ideal hepatocarcinoma healing solution not only be able to totally dispel tumour, can also safeguard or promote the organism immunological function. Comparatively speaking, because the tumour organization after melting leaves on the normal position, is exposed to the blood circulation, can be regarded as the endogenous antigen of tumour, further stimulate the antitumor immunity to reply and react, seem stronger to the protection of the immunological function.
In a word, medical science is scientific, art, more cultural and educational. How the intersection of pool and various treatment means scientifically and rationally, meet the intersection of patient and demand, it is an endless scientific proposition.
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