癌症复发、转移、复查常出此刻什么时间？—焦作中海中医肿瘤医院
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">癌症在恢复<span style="color: black;">时期</span>复发、转移<span style="color: black;">通常</span>常<span style="color: black;">出现</span>在5年之内，大<span style="color: black;">大概</span>70%-80%的病人<span style="color: black;">这里</span>之间复发、转移，5年之内<span style="color: black;">无</span><span style="color: black;">出现</span>复发、转移的癌症<span style="color: black;">通常</span>认为临床治愈，其后<span style="color: black;">亦</span>不是完全的不复发。只<span style="color: black;">不外</span>复发、转移的<span style="color: black;">出现</span>率就很低了，并且时间越久复发率越低，基本算治好、治愈。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-dc6e69196146b54ba8b2cf5d92e6f9f0_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">癌症复发的客观<span style="color: black;">原由</span>有<span style="color: black;">非常多</span>如肿瘤的类型、分期早晚、<span style="color: black;">病人</span><span style="color: black;">自己</span>的身体体质等。复发的客观<span style="color: black;">原因</span><span style="color: black;">没</span>法改变，<span style="color: black;">那样</span>，减少复发、转移<span style="color: black;">咱们</span>只能从主观、可改变的<span style="color: black;">原因</span>去分析避免。<span style="color: black;">病人</span>的复查就要<span style="color: black;">作为</span>重点关注了。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">癌症<span style="color: black;">病人</span>复查的时间和频率，以及复查的内容，<span style="color: black;">重点</span>有以下原则：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">第1</span>，癌症术后前两年要密切的观察</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">尽管<span style="color: black;">大夫</span><span style="color: black;">已然</span>把肿瘤切除了，<span style="color: black;">然则</span>，<span style="color: black;">大夫</span>切除的是肉眼可见肿瘤包块。身体里面可能还会有肉眼看不见的，非常少量的肿瘤细胞，这些细胞可能<span style="color: black;">隐匿</span>在淋巴组织中，<span style="color: black;">或</span>藏在肝脏、肺等远处器官中。这些只能够在显微镜下看见的肿瘤细胞，就有可能<span style="color: black;">作为</span>日后复发<span style="color: black;">或</span>转移的源泉。从大规模的临床数据来看，肿瘤复发和转移的高峰期是在术后前五年，<span style="color: black;">尤其</span>是前两年，复发率最高。只要超过5年<span style="color: black;">无</span>复发和转移，<span style="color: black;">咱们</span>就<span style="color: black;">叫作</span>之为临床治愈了，复发和转移的概率就非常低了。<span style="color: black;">因此</span><span style="color: black;">通常</span>术后前两年<span style="color: black;">或</span>前五年<span style="color: black;">必须</span>密切的随诊，以大肠癌为例，<span style="color: black;">按照</span>最新的指南指示，术后前两年要每3个月复查一次，以后每半年一次，<span style="color: black;">必须</span>终生复查。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第二，<span style="color: black;">倘若</span>复查<span style="color: black;">发掘</span>问题，<span style="color: black;">必须</span>更加密切的关注</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>在复查的过程中，<span style="color: black;">发掘</span>了<span style="color: black;">反常</span>，例如肿瘤标志物<span style="color: black;">上升</span>，胸片<span style="color: black;">或</span><span style="color: black;">彩超</span><span style="color: black;">发掘</span>有问题，<span style="color: black;">是否</span>有复发，有时候<span style="color: black;">无</span>确切的证据，很难确定，<span style="color: black;">尤其</span>是<span style="color: black;">初期</span>的，非常微小的病灶。<span style="color: black;">此时</span>候可能就<span style="color: black;">必须</span>过一两个月再去复查，例如过<span style="color: black;">一月</span>再次复查肿瘤标志物，<span style="color: black;">倘若</span>还是<span style="color: black;">上升</span>，<span style="color: black;">或</span>比上次更高，那就可能复发了，<span style="color: black;">必须</span>做进一步的<span style="color: black;">检测</span>，来<span style="color: black;">知道</span>诊断。<span style="color: black;">倘若</span>复查后肿瘤标志物降下去了，那就可能问题不大，不<span style="color: black;">必须</span><span style="color: black;">尤其</span>处理。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第三，肿瘤<span style="color: black;">倘若</span><span style="color: black;">无</span>根治，复查<span style="color: black;">必须</span>更频繁</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span><span style="color: black;">病人</span>的肿瘤是中晚期的，<span style="color: black;">无</span>根治，在经过不同方式治疗后就<span style="color: black;">必须</span>更加认真的<span style="color: black;">评定</span>，<span style="color: black;">按照</span>病情<span style="color: black;">选取</span>复查时间，<span style="color: black;">瞧瞧</span>肿瘤对治疗有<span style="color: black;">无</span>效果，肿瘤<span style="color: black;">是否</span><span style="color: black;">发展</span>了，耐药吗，<span style="color: black;">可否</span><span style="color: black;">必须</span><span style="color: black;">调节</span>治疗方式？<span style="color: black;">非常多</span>时候<span style="color: black;">病人</span><span style="color: black;">自己</span>感受<span style="color: black;">亦</span>很关建，用药以后身体各处很舒服，就<span style="color: black;">能够</span>暂缓复查。当然这还要<span style="color: black;">按照</span><span style="color: black;">实质</span><span style="color: black;">必须</span>和主治<span style="color: black;">大夫</span>来定。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此</span>，每个肿瘤<span style="color: black;">病人</span>的复查<span style="color: black;">机会</span>都不<span style="color: black;">同样</span>，<span style="color: black;">必须</span><span style="color: black;">按照</span><span style="color: black;">每一个</span><span style="color: black;">病人</span>的病情，肿瘤<span style="color: black;">可否</span>根治，<span style="color: black;">选取</span>不同的复查间隔，<span style="color: black;">况且</span>每次复查的内容<span style="color: black;">亦</span>不<span style="color: black;">同样</span>。总的<span style="color: black;">来讲</span>，术后时间越短，复查的频率越高，间隔时间要越短。<span style="color: black;">通常</span>过了5年，就<span style="color: black;">能够</span>比较<span style="color: black;">安心</span>了，复发的几率就小<span style="color: black;">非常多</span>了。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">虽然<span style="color: black;">咱们</span><span style="color: black;">奋斗</span>了，<span style="color: black;">然则</span>众多客观<span style="color: black;">原因</span><span style="color: black;">没</span>法改变，监测复查<span style="color: black;">必要</span><span style="color: black;">注意</span>，治疗结束时间越近复查越频繁，大<span style="color: black;">都数</span>癌症<span style="color: black;">举荐</span>2年之内每3-6月复查1次，2-5年内每年复查1次，当然还要结合<span style="color: black;">详细</span><span style="color: black;">状况</span>，<span style="color: black;">亦</span>是早<span style="color: black;">发掘</span>、早治疗的策略！</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">随访的时间<span style="color: black;">通常</span>是前两年，每3个月随访一次；后三年，每6个月随访一次；五年之后，每年随访一次。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">复查和随访的项目，不同的肿瘤有所不同，<span style="color: black;">通常</span>肿瘤<span style="color: black;">病人</span>常规<span style="color: black;">检测</span>的项目有：</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1、三大常规、肝肾功能、胸片、<span style="color: black;">彩超</span>及肿瘤标记物、D-二聚体、C-反应蛋白。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2、<span style="color: black;">针对</span>消化系统肿瘤，便常规是<span style="color: black;">必要</span>的，<span style="color: black;">针对</span>泌尿系统肿瘤，尿常规是<span style="color: black;">必要</span>的。<span style="color: black;">按照</span>病情的稳定<span style="color: black;">状况</span>，2-3个月检测一次CT，<span style="color: black;">倘若</span>有脑转移还<span style="color: black;">必要</span>做脑部的核磁共振。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3、<span style="color: black;">针对</span>食管癌和胃癌的<span style="color: black;">病人</span>，每半年<span style="color: black;">或</span>一年进行一次胃镜<span style="color: black;">检测</span>；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4、<span style="color: black;">针对</span>结肠癌和直肠癌的患者，每半年<span style="color: black;">或</span>一年进行一次肠镜<span style="color: black;">检测</span>；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5、<span style="color: black;">针对</span>子宫内膜癌、宫颈癌、外阴癌的<span style="color: black;">病人</span>，每半年进行一次妇科<span style="color: black;">检测</span>；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">6、<span style="color: black;">针对</span>乳腺癌的<span style="color: black;">病人</span>，乳腺钼靶摄片每年一次；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">7、全身骨扫描，一年一次。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">什么<span style="color: black;">状况</span>应随时复查</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1、<span style="color: black;">连续</span>的<span style="color: black;">病痛</span>，尤其是同一部位<span style="color: black;">显现</span>更要<span style="color: black;">重视</span>；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2、局部的肿胀<span style="color: black;">或</span>包块；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3、难以解释的恶心呕吐，食欲不振、腹泻、便秘；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4、<span style="color: black;">连续</span>的发热、咳嗽、咯血；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5、视力模糊，走路不稳；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">6、异乎寻常的皮疹和<span style="color: black;">流血</span>；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">7、不明<span style="color: black;">原由</span>的体重下降。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">预防肿瘤转移<span style="color: black;">平常</span>的预防<span style="color: black;">办法</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">癌症复发、转移虽然<span style="color: black;">平常</span>，却<span style="color: black;">亦</span>不是<span style="color: black;">不可</span>避免的，<span style="color: black;">病人</span>在进行综合治疗之后，要做好以下几个方面，避免癌症转移。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第<span style="color: black;">1、</span><span style="color: black;">加强</span><span style="color: black;">病人</span>免疫力</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">病人</span>的免疫力能<span style="color: black;">控制</span>肿瘤的扩散和转移，<span style="color: black;">因此呢</span>癌症治疗时<span style="color: black;">必定</span>要<span style="color: black;">重视</span><span style="color: black;">加强</span>病人的免疫力。加强营养、保持良好<span style="color: black;">心情</span>，适当<span style="color: black;">熬炼</span>，<span style="color: black;">吃下</span>稀有人参皂苷，这些<span style="color: black;">办法</span><span style="color: black;">能够</span><span style="color: black;">加强</span><span style="color: black;">病人</span>免疫力。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">每<span style="color: black;">2、</span>避免局部刺激<span style="color: black;">导致</span>癌症扩散和转移</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span><span style="color: black;">已然</span><span style="color: black;">发掘</span>可能是肿瘤的肿块，尤其是已<span style="color: black;">知道</span>其病理性质是属于恶性的肿瘤，<span style="color: black;">尽可能</span>不要触摸、挤压、热敷、理疗，<span style="color: black;">以避免</span>促进肿瘤细胞脱落而诱发或加速扩散、转移。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第<span style="color: black;">3、</span>局部治疗前后，<span style="color: black;">协同</span>全身性疗法</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在进行局部治疗(手术或放射治疗)的前后，<span style="color: black;">协同</span>全身疗法，<span style="color: black;">例如</span>化疗，中医中药治疗等。这<span style="color: black;">针对</span>肿瘤细胞的扩散转移<span style="color: black;">亦</span>有<span style="color: black;">必定</span>预防<span style="color: black;">功效</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第<span style="color: black;">4、</span><span style="color: black;">必定</span>要<span style="color: black;">定时</span>到医院复查。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这个是重中之重的，<span style="color: black;">必定</span>不要以为做过癌症手术了<span style="color: black;">便是</span>好了，就<span style="color: black;">忽略</span>了复查，科学的<span style="color: black;">检测</span><span style="color: black;">能够</span><span style="color: black;">帮忙</span>癌症<span style="color: black;">病人</span>更清楚自己的身体<span style="color: black;">情况</span>，对症下药，<span style="color: black;">帮忙</span><span style="color: black;">病人</span>保持身体的状态。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第<span style="color: black;">5、</span>养成良好的生活习惯。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">良好的生活习惯<span style="color: black;">包含</span><span style="color: black;">非常多</span>方面，<span style="color: black;">重点</span>是<span style="color: black;">膳食</span>习惯和<span style="color: black;">行径</span>方式，<span style="color: black;">膳食</span>方面要<span style="color: black;">重视</span>营养搭配、健康<span style="color: black;">膳食</span>，避免食用易致癌食品，如烧烤、腌制食品、油炸食品等等。生活方式上呢，要<span style="color: black;">保准</span>充足的<span style="color: black;">睡觉</span>，不熬夜、不抽烟、不酗酒，早睡早起身体好。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第<span style="color: black;">6、</span>养成<span style="color: black;">连续</span>的运动习惯。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">按照</span><span style="color: black;">自己</span>的身体<span style="color: black;">状况</span>和个人<span style="color: black;">爱好</span>，癌症<span style="color: black;">病人</span><span style="color: black;">能够</span><span style="color: black;">选取</span><span style="color: black;">慢跑</span>、慢跑、有氧操、瑜伽、太极等多种形式的运动，保持<span style="color: black;">每日</span>30分钟--50分钟，<span style="color: black;">提高</span>身体机能和免疫力，让身体<span style="color: black;">能够</span>抵御住癌症细胞的侵害。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">第<span style="color: black;">7、</span><span style="color: black;">必定</span>要有<span style="color: black;">阳光</span>健康的<span style="color: black;">心理</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">多与人交流，多<span style="color: black;">认识</span>癌症治疗成功的案例，多<span style="color: black;">认识</span>医学的最新<span style="color: black;">开发</span>成果，<span style="color: black;">能够</span>参加<span style="color: black;">有些</span>抗癌组织，让自己时刻保持<span style="color: black;">自信心</span>，相信科学、相信<span style="color: black;">大夫</span>、相信自己。</p>
<div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-bf1a6ec3496c2704b1fa5d5c98a20e70_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
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