與疼痛抗衡 2017-2-19

盡管我的肺科專家醫生把去疼藥的劑量加大了一倍，背後還是在做疼。夜裏醒來幾次都難以再入睡，隻好再服用了一片去疼片才又睡了三個小時。

周二將去做一次CT，以確定疼痛的確切位置，接著就對疼痛部位做放射治療。醫生說放療和化療可以同時進行的。

我現在沒有服用可的鬆了，因為新藥的化療不適宜可的鬆。這樣一來，放射治療的副作用會不會很大？周三去化療時要問問醫生了。

 

 

[隨緣無我]

聽說有一種靶向治療，效果不錯的， 請問問醫生。 為你加油！

[曉青]

為你加油！保重！

[MoatCity]

We pray for you, some targeted therapy proved to be very effective, just like miracle.

[霞]

回複 'MoatCity' 的評論 : 今天去做了CT，圖片今天就拿到了。
結果還要等到明天才能出來。
明天就要去用新藥做化療了，明天看醫生怎麽說吧。

[MoatCity]

回複 '霞' 的評論 : You whole heart (100%) can tolerate 40Gy (4000 cGy) dose, 67% of your hear can tolerate 45Gy, and 33% can tolerate 60Gy. If they design the plan to try to avoid as much heart as possible, you can still take a lot of dose to treat the bone with radiation.

[霞]

回複 'MoatCity' 的評論 : 謝謝你的提醒，我會注意的。目前我體力不行，很難鍛煉。
我從不抽煙，我丈夫偶爾抽，但很少在我身邊抽。工作單位是全部禁止吸煙的。
癌細胞已經擴散到後背的骨頭上了，所以疼痛難忍。放療就是要控製擴散的癌細胞不再f繁衍。
隻是疼痛的部位離心髒很近， 恐怕放射治療會有一定的難度。

[MoatCity]

Please don't force yourself to do physical exercise, if tumor spread to spine, your bones will be very brittle, you got to be very careful.

[MoatCity]

If your physical condition allows, you should start chemo therapy, which will be more effective in controlling the spread of the tumor to other areas. Radiation therapy can only help with local control, chemo therapy is more systemic. PET-CT scan is critical in finding out if the tumor has gone to other areas.
Reading your blog, feel you are an active, dynamic, energetic person. Sad to learn you got this. Is there a risk factor? Did you ever smoke? or there is a second hand smoke factor in the family? Job-related environment risk factor?

[霞]

回複 '亮亮媽媽' 的評論 : 謝謝你的鼓勵和支持！我跟著視頻做了一些運動，我體力有些跟不上，慢慢來吧。

[霞]

回複 '喜鵲' 的評論 : 謝謝你的鼓勵！給我增加了信心。

[霞]

回複 'MoatCity' 的評論 : 謝謝你的信息，明白了很多！

[喜鵲]

霞，加油，一定會好的！

[MoatCity]

The side effect from radiation therapy is minimal, and way easier to tolerate than chemo therapy. You already had radiation (brain), and the treatment to spine would be much easier.

[MoatCity]

If the tumor has spread to spine, radiation therapy will be needed. MRI would be a better test to find out details (better imaging modality for bone metastasis). The best approach would be to have them prescribe a PET-CT for you. The PET-CT will find out all the areas in your body the tumor has spread to. That is a standard test in the whole systematic workout in the US. You mentioned Stage IV before, a PET-CT scan would be necessary.

[亮亮媽媽]

問候霞姐。哪裏疼都不好受。與疾病抗戰是長期的，不疼的時候抓緊時間休息，在吃上也注意保證營養。為你禱告。希望治療有效，希望身體哪裏也不疼。
給霞姐一個我以前寫的伸展鍛煉的帖子，做幾下也許能感覺舒服些。
http://blog.wenxuecity.com/myblog/7072/201603/717880.html

[霞]

謝謝 'cxyz' ，謝謝小聲音！有你們為我加油，我會積極爭取早日康複的。

[cxyz]

為你加油。 保重。

[小聲音]

祝福霞，希望新的化療放療可以控製病情，早日恢複！
為你加油！