At the first stage of the disease, the patient does not feel any discomfort at all( finding a tumor focus inside the tissue, organ), painkillers are not used. Scientists say that the age of tumors reaches twenty years, during this time several generations of cells grow. The pain begins after the occurrence of mechanical jaundice, clogging the duct( corresponds to the end of the second, the beginning of the third stage).
Types of pain in pancreatic cancer
The initial period of the disease( clinical) is characterized by local pain in the right / left side of the abdomen. The direction is influenced by the location of the tumor inside the organ:
- head - right hypochondrium
- body, tail - left hypochondrium
- total lesion - passes into the shroud
Shingles appear when the cancer from pancreatic cancer to other organs, metastasis. The sternum, shoulder, left shoulder blade or spine is worried about only 17% of patients with this diagnosis. The discomfort makes you take comfortable poses, stay in them for a long time:
- lying on your side with the knees of the
- tightened to your chest sitting, leaning forward( removing the adjacent organs from the gland)
The ice pack that helps in exacerbations of pancreatitis does not help, soothing( and narcoticlate stages) drugs.
Anesthetic for pancreatic cancer
Scheme is always individual, because there are always different concomitant ailments( and along with them, drug courses).The stage, the size of the tumor, the results of the tests, the presence / absence of operations on the pancreas and border organs are taken into account. Used as anesthetics:
- nonsteroidal drugs - indomethacin, ketoprofen, diclofenac, ibuprofen, aspirin, they reduce kidney function, cause ulcers, block the enzyme COG-2
- selective non-steroids - nimesulide, celecoxib, analgesic have anti-inflammatory effect of
- based on paracetamol -four grams, Panadol, Solpadein, including effervescent, are used up to the third stage of
- opioids - are dangerous addiction, relieve pain in cancer, are similar to morphine, tradol and trimal are superioryat codeine, are not drugs( available on free sale), prosedol in tablets and solution lasts up to five hours, drug tolerance high
- buprenorphine - solution or tablets are administered every eight hours, can be replaced with nalorphine, pantazocine, nalmefene
An anesthetic patch withdepot fentanyl with oncology of the pancreas, known as Durogesic. It lasts for three days, the only drawback is the cost.