Breast cancer patients usually underwent surgery after which they will be subject to certain physical and psychological effects, but by the rehabilitation team is the early intervention and treatment can make the cancer itself caused by the phenomenon of disability, reduce to a minimum level, effectively improving the living quality.
Surgery is the most commonly used treatment for breast cancer, now more common surgical method adopted is to keep the chest muscles, and axillary lymph nodes were selectively removed, together with postoperative chemotherapy and radiotherapy, these treatments are even with physiological changes caused by psychological trauma. And patients for different treatment in various stages of recovery the focus of rehabilitation and his role, are described as follows:
After the completion of surgery for breast cancer patients should maintain the upper limbs in the direction of outreach, you can arm Xiadian pillow, and daily grooming, eating and other activities are also encouraged to use the affected hand. The second to third day after surgery to guide the patient in the exercise. Including hand pump movement, through the turn of the extension, flexion in order to avoid local edema. Elbow and wrist on both sides to conduct active and passive exercises to prevent atrophy and stiff joints. Another deep breath and sputum should guide the patient skills to avoid because of the pain caused by lung atelectasis or concurrent infection. And control with the drug after surgery to guide the patient to relax some of the essentials in order to reduce the patient's pain.
In patients with drainage tube removed, you can start to do the shoulder joint activities, and gradually increase the number of joint movement, to your fingers, and treatment with other assistive devices to assist the affected side of the good side of the joint activities.
Once the wound stitches, you can be a positive increase in joint activities, and allows for the patient's actual situation, select the appropriate rehabilitation equipment, such as the various thermotherapy, electrotherapy, so as to swelling, pain and prevention of atrophy.
Month after the surgery, you can start to do scar massage to soften and reduce connective tissue Zensheng. And some home exercise guide the patient, namely the use of some of the home facilities to cope with movement, such as using make-up units to support the affected arm, and gradually raise the arm to comb her hair. Front or side of the wall or do your fingers, so you can gradually increase the level of activity between the bladder.
Another way through some games, such as the use of small ball to hand grip and drop the training and exercises with skipping rope swing to do, and gradually try to rotate to the greatest extent, while smooth, counterclockwise should return to do so. Can also use the palm of your hand crumpled old newspapers, membership in order to strengthen the muscles of the forearm and hand strength. Usually you can observe both sides of the shoulder facing the mirror is balanced, if a high degree of symmetry, you can always remind patients adjust their attitude.
Basically, when the patients after four weeks, if the arm shoulder activity remains restricted, unable to return to normal, you should seek treatment as soon as possible to the rehabilitation for early active intervention to prevent joint atrophy. If the patient received local radiation therapy should be started from the continuation of joint activities during treatment with at least two years in order to avoid sequelae.
Some common complications after surgery for breast cancer are:
Ankylosis
Often because of reduced activity after surgery, along with pain caused by not caused by movement. Through placement of technology and range of motion exercise to maintain the activity level. When the joint stiffness atrophy has been generated, they can membership by hyperthermia from shallow to deep, and through the way of deep friction massage and some traction in the campaign to soften the fibers have been rigid and connective tissue.
Lymphedema
Because the affected area affected lymph nodes, resulting in blocked lymphatic flow, thereby causing ipsilateral upper extremity pain, swelling, and even affect the joint activities. Clinically simple way of measuring the amount of arm circumference, if the increase of up to two centimeters, said in meaningful ways need to be actively involved in rehabilitation therapy.
The early onset of symptoms can be affected limb elevation, or the patients themselves as to guide the direction of the massage and with the heart muscle pump activity. When the swelling when you can use elastic bandage or a pressurized air pump means to promote lymph return. However, when the affected area with secondary infection or spread of tumor cells when such treatment is absolutely contraindicated, so the root cause should be, after detailed assessment by a physician to be able to adopt such a treatment.
Pain
After the breast surgery, often caused by the phenomenon of ipsilateral sensory abnormalities, and some pain and discomfort, and even phantom limb pain after surgery, if symptoms persist, you can use a massage or go to the sensitivity of local law and transcutaneous electrical nerve stimulation method solution. Also note whether there is local soft tissue lesions, such as supraspinatus muscle two tendinitis, frozen shoulder affected side are common problems. In addition, as some superficial vein thrombosis bolt race and go far, and the resulting radiation neuropathy after treatment, all lead to pain. So for prolonged unhealed pain patients will need treatment by the physician to determine the cause.
Muscle weakness and poor posture
As part of the tissue resection and less active, often cause a decline in muscle strength, you can meet some of the activities, training of muscle strength gradually. When the patient was unable to continue the phenomenon, they will be excluded if the case of nerve injury industry, so as not to cause delays in patient treatment or even adding insult to injury.
In short, the patients after the surgery, you should begin to maintain the muscle strength, joint range of motion. If the affected area has the feeling of pulling or pain when you should relax and then continue movement, from simple to complex and progressive action. Generally speaking, prior to discharge to the activities of the main light. Discharged from the first month of the activity to moderate the main, take heavy weights no more than three to five pounds, a month after the can engage in heavy activities. If there is doubt produce sequelae are necessary to the doctor for treatment, to avoid delay in treatment.
Drug treatment
1, Chinese medicine: Cidan capsule, 10 boxes, 5 tablets, 4 times daily, after meals orally. Righting capsule, 5 capsules, 4 times daily, after meals orally.
2. Herbs: Bupleurum 35 grams, 35 grams of white peony root, Citrus aurantium 35 grams, 35 grams Chuanxiong, Cyperus rotundus 35 grams, 25 grams of peel, angelica 25 grams, heterophylla 25 grams, 25 grams Atractylodes, Poria 25 grams, 25 grams of licorice, white beans 10 grams, 10 grams of yam, Suanzaoren 10 grams, 10 grams of Polygala, Campanulaceae 10 grams, 10 grams of Coltsfoot Flower and so on. 30, Shuijianbi, morning and evening hours service.
Psychotherapy
People's mood disorder is caused by people's irrational beliefs, so briefly, this therapy is the treatment of non-rational to rational to help Qiu Zhizhe a reasonable way of thinking on behalf of the unreasonable way of thinking, on behalf of a reasonable belief irrational beliefs, thereby minimizing the irrational belief that the adverse effects to the mood, mainly through changes in cognitive therapy to help Qiu Zhizhe reduce or eliminate their existing emotional disorder, usually after a about group therapy on cancer patients with psychological response state and there will be significant changes in cognition, negative emotions have been alleviated, can improve their helplessness, despair, anxiety and depression, showed the spirit to fight the disease enhanced treatment of patients with a variety of easy to accept.
So maintain a healthy state of mind and optimism, is conducive to the normal regulation of endocrine activity, the prevention of breast cancer and breast cancer, an important aspect of the development. Practice has proved that, where the spirit of optimism, confidence in treatment than enough, patients and doctors with better efficacy better; the contrary, the poor. Correct despair, negative, and other psychological state. The establishment of good doctor-patient relationship, and enhance the confidence of the patient overcome the disease, is conducive to rehabilitation of the disease.
Diet therapy
Performance according to the tumor disease and the patient's own yin and yang, cold and heat rise and fall of Dialectic meal, from the set of square, screen side to the experiment, to develop a variety of anti-cancer diets, such as liver blood deficiency diets, herbs and other lung qi deficiency, and its main advantage :: ① also eat also governance; ② is effective; ③ no side effects; ④ wide range of applications; ⑤ plenty of raw materials; ⑥ made easy; ⑦ easy Jiufu.
1, time, and quantity consumed, not overeating, the partial eclipse, a planned intake of nutrients and calories.
2, eat foods rich in vitamin A, C vegetables and fruits. Eat foods with inhibition of cancer cell, such as cabbage, shepherd's purse, mushrooms and so on.
3, eat white rice, refined face, eat more whole grains, corn, beans and other grains.
4, low-fat diet. Eat lean meat, eggs, yogurt. Eat less salted, smoked, roasted, burned the coke, bad food.
5, eat dried foods, such as sesame, pumpkin seeds, watermelon seeds, peanuts, raisins and so on. They are rich in vitamins and trace elements, fiber, protein and unsaturated fatty acids, high nutritional value.
Exercise therapy
Physical therapy with physical exercise, encouraging the body upright, resist cancer Evils for the purpose of aerobic exercise based, designed to improve immune function; anti radiotherapy and chemotherapy toxicity; improve the environment for the body inhibit the growth of cancer cells; adjustment disorder of the nervous system; direct killing effect on cancer cells. To physical therapy under the guidance of teachers, and Hill & Knowlton presented a CD-ROM aerobic exercise cancer, ask the patient in the physical conditions permit, as far as perseverance.
Follow-up treatment: Cidan capsule, 10 boxes, 5 tablets, 4 times daily, after meals orally. Participation Capsules: 4 capsules, 3 times daily, after meals orally. Herbs: Bupleurum 30 grams, 30 grams of white peony root, Citrus aurantium 30 grams, 30 grams Chuanxiong, Cyperus rotundus 30 grams, 30 grams of peel, angelica 30 grams, heterophylla 20 grams, 20 grams Atractylodes, Poria 20 grams, licorice 20 grams, 20 grams of white beans, yam 20 grams, 20 grams of astragalus, angelica 20 grams. 10, Shuijianbi, day one.
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