What to do with the pain of bone cancer

What should we do with the pain of bone cancer? Pain is the most significant symptom of bone cancer, which makes patients very painful and directly affects their self-care ability, rest, sleep, etc., causing them to feel anxious, depressed, irritable and other emotions, and their quality of life is extremely low. So what should we do with the pain of bone cancer?

The WHO mainly follows the three-step treatment principle for bone cancer pain control, which mainly selects first, second and third step analgesics according to the severity of the patient's pain;

The first tier is non-opioid drugs represented by aspirin;

The second tier is weak opioids represented by codeine;

The third stage is strong opioids represented by morphine;

Non-opioid drugs can enhance the analgesic effect of opioids, and auxiliary drugs can be used according to the different natures of pain.

There are several key points to note when using painkillers:

① Oral administration is convenient and economical, which can avoid the discomfort of invasive administration and increase the independence of patients; ② On-time administration means administration at prescribed intervals, for example, morphine should be administered once every 4-6 hours, and controlled-release preparations should be administered once every 8 or 12 hours, which can keep the analgesic in the body at a stable blood concentration and ensure continuous pain relief;

③Administer medication in a stepped manner, choosing different levels of analgesics according to the pain;

④ Individualized dosing means that different patients have different sensitivities to narcotic analgesics, so there is no standard dosage for opioids. The correct dosage is the dosage that can effectively relieve pain.

⑤ Closely observe the degree of adverse drug reactions, such as constipation, nausea, sedation, etc., and deal with them in a timely manner to ensure that the pain is relieved to the greatest extent while minimizing the adverse reactions caused by analgesics.

The use of fat-soluble small molecule drugs such as elemene liposome injection or oral emulsion to treat bone cancer can relieve bone cancer pain. In terms of diet, eat foods that have analgesic and swelling-reducing effects: asparagus, lotus root, arrowhead, hawthorn, otter meat, heron meat, crab, horseshoe crab, sea turtle, sea snake. In short, pain relief is the most important part of improving the quality of life of bone cancer patients.