It is recommended to treat as soon as possible, and the cost is about 654.38+ 10,000. If bone marrow transplantation is carried out, it will be about 500 thousand, but there will be hope of recovery.
Bless you. Recommended to Beijing for treatment.
According to the types of leukemia cells, they are clinically divided into acute lymphocytic leukemia (ALL) and acute non-lymphocytic leukemia (ANLL).
For patients with this disease, the most important thing is to control the disease first. Patients must be hospitalized for chemotherapy, given a high-calorie, high-protein and high-vitamin diet, pay attention to oral hygiene, strengthen nursing, conduct aseptic isolation, and treat regularly to prevent infection. Because the number of healthy blood cells in leukemia patients is very small, blood and platelet transfusion are usually needed to enhance the natural immune function and hemostasis ability. Patients should also receive some other drugs to prevent some side effects during chemotherapy, such as nausea and vomiting. All types of patients can wait for satisfactory relief after several weeks of hospital treatment. To control the disease, patients need to continue to receive low-dose chemotherapy and radiotherapy for 1 month or longer to completely eliminate cancer cells.
After the efforts of generations of hematologists, today, the demon of hematological tumor has to bow to people. Nowadays, in the hematology ward, what people see is no longer the sad scene in the past. When admitted to the hospital, patients with acute leukemia were black and blue, with high fever, pale face and speechless. After combined chemotherapy, 60-80% of patients may get complete remission-that is, after bone marrow examination, less than 5% of patients have abnormal cells on bone marrow smear, and their symptoms completely disappear. After years of efforts, the treatment of acute leukemia has also achieved satisfactory results. The complete remission rate of acute non-lymphocytic leukemia is about 75%, while the complete remission rate of acute lymphocytic leukemia can reach 85%.
After induction remission combined with chemotherapy, the patient's condition was completely relieved. The patient looks like a normal person and can live and study normally, but there are still residual leukemia cells in the patient. The total number of leukemia cells in patients can reach 108, which means there may still be hundreds of millions of leukemia cells. These residual leukemia cells are the bane of leukemia recurrence, and most patients often relapse after treatment for a period of time. Therefore, it is an arduous task for hematologists who are struggling with hematological tumors to prevent the recurrence of leukemia. Fortunately, great progress has been made in the study of preventing leukemia recurrence.
The development of hematopoietic stem cell transplantation has added a powerful weapon for hematologists who are struggling with hematological tumors. Hematopoietic stem cell transplantation includes bone marrow transplantation, peripheral blood stem cell transplantation and umbilical cord blood stem cell transplantation, and can also be divided into autologous transplantation and allogeneic transplantation. For the treatment of leukemia, allogeneic stem cell transplantation is the best, while umbilical cord blood stem cell transplantation is mainly used for children at present. According to statistics, the long-term disease-free survival rate of acute leukemia patients treated by allogeneic stem cell transplantation can reach 50%. Bone marrow transplantation is divided into three periods: preparation period, operation period and recovery period. First of all, control the cancerous white blood cells of patients, take chemotherapy at ordinary times, and mechanically separate cancer cells from the blood if possible. During the operation, the bone marrow was chemically cleaned to avoid rejection with the newly injected bone marrow, and then about one tablespoon of bone marrow was received from the donor. The recovery period is the most dangerous period. The newly implanted bone marrow has not yet begun to produce white blood cells, and the patient may die of infection at any time. It was not until 2-6 weeks later that new bone marrow began to produce blood cells effectively. Bone marrow transplantation is very expensive and dangerous, but it gives AML patients and all relapsed patients a good chance of survival.
Nutrition guidance for leukemia patients
1, high protein
Leukemia is caused by pathological changes of blood cells. The consumption of protein in these patients is much higher than that in normal people. Only by supplementing protein with high quality can the functions of various tissues and organs be maintained. Another function of protein is to form antibodies, which can protect the body from bacteria and viruses and improve the body's resistance. Therefore, leukemia patients should adopt a high-protein diet, especially choose some high-quality plant proteins and bean proteins, such as tofu, tofu, dried tofu, yuba, soybean milk and so on. To supplement the body's demand for protein.
Protein has the function of regulating the acid-base balance of human body. If the human body lacks protein, it will make the body fluid acid-base imbalance, make the weak alkaline environment of the human body acidic, and lead to various endogenous diseases of the human body, including cancer.
2. Eat more foods rich in vitamins.
Clinical data prove that about 70 ~ 90% of patients with malignant tumors have vitamin deficiency in different degrees. Foreign medical research has proved that eating more vegetables and fruits rich in vitamin C can prevent the formation and spread of cancer cells. Taking a large amount of vitamin C can also enhance the local matrix resistance and immune function of the whole body, thus achieving the purpose of controlling and treating cancer. Foods rich in vitamin C include rape, potherb mustard, tomato, small white radish, leek radish, leek radish, hawthorn, citrus, fresh dates, kiwi fruit, seabuckthorn and lemon.
Vitamin A can stimulate the immune system of human body, arouse the anti-cancer enthusiasm of human body and resist the invasion of pathogenic substances. Foods rich in vitamin A include carrots, pumpkins, alfalfa, sweet peppers and pineapples.
Vitamins can be divided into water soluble and fat soluble. Water-soluble vitamins include VitC and B vitamins, and fat-soluble vitamins include A, D, E and K. Water-soluble vitamins are easily absorbed by human body and easily lost from body fluids, which will lead to vitamin deficiency if not supplemented in time. Fat-soluble vitamins are easily stored in adipose tissue and liver, and are slowly excreted from bile, so excessive consumption will lead to poisoning. Human vitamins should be supplemented reasonably, neither too much nor too little, and supplemented in moderation. The lack of vitamins can also lead to the formation of acidity, and the human body should supplement the vitamins it needs from plants.
3. Eat more foods rich in iron.
Anemia is one of the main manifestations of leukemia, so patients are encouraged to eat some foods rich in iron, such as moving peas, black beans, vegetables, jujube, brown sugar, black fungus, sesame sauce, egg yolk and so on.
4, eat less and eat more, easy to digest
Leukemia patients, especially in the treatment process, often appear nausea, vomiting, abdominal distension, diarrhea and other symptoms. At this time, we can eat less and eat more meals, or supplement some small, high-calorie and nutritious foods besides three meals, such as cakes, chocolates, bread, kiwi fruit, fresh vegetable juice and so on. Adverse reactions of digestive system, patients should eat more alkaline food to reduce gastrointestinal discomfort,
5. Adjust your diet according to your illness.
If the patient has poor appetite and indigestion, semi-liquid or soft rice can be provided, such as rice porridge, steamed egg soup, yogurt, tofu and steamed bread. , can also be supplemented by hawthorn, radish and other foods.
In short, leukemia patients need to be given a high-calorie, high-protein, vitamin-and mineral-rich and digestible diet to supplement the body's calories and consumption of various nutrients because of hypermetabolism and low immunity. Especially during chemotherapy, patients often have digestive tract reactions such as loss of appetite, abdominal distension, diarrhea, nausea and vomiting. Attention should be paid to the color, aroma, taste and shape of dishes to arouse patients' appetite. A series of adverse reactions of leukemia patients during treatment are all caused by acidic body fluids, which damage the digestive system and immune system, change the acidification of body fluids and restore the functions of digestive system and immune system.
8. Treatment of leukemia
The main treatment methods are chemotherapy, radiotherapy, targeted therapy and traditional Chinese medicine. Some high-risk patients need bone marrow transplantation. 10 In recent years, with the progress of molecular biology and biogenetics, the understanding of the etiology and pathology of leukemia has been deepened, and the discovery of new therapies and drugs and the use of traditional Chinese medicine have greatly improved the prognosis of leukemia. "Leukemia is incurable" has become a thing of the past. Regular and systematic treatment can make most leukemia patients live disease-free for a long time, or even recover.
8. 1 There are still some differences in how to choose chemotherapy, transplantation and targeted therapy for acute and chronic treatment. First of all, you should choose chemotherapy, no matter what type you are, myeloid or non-myeloid, acute or chronic, chemotherapy is the first choice. It's just that the types of drugs used in chemotherapy are different. Chemotherapy used for acute leukemia is intravenous chemotherapy, softener for drugs and so on. The treatment of chronic myeloid leukemia adopts different treatment methods in three stages: chronic stage, accelerated stage and rapid change stage.
Besides chemotherapy, transplantation and targeted therapy, are there any other immunotherapy? Interferon is a part of immunotherapy. Immunotherapy is the treatment of immune cells and the treatment of drugs. The treatment of immune cells refers to the separation of patients' cells from blood, making them into killer cells with some cytokines in vitro, and then infusing them into blood. This killer cell can recognize tumor cells and kill them.
8.2 Advantages and Disadvantages of Chemotherapy Chemotherapy is different from surgical treatment and radiotherapy. It is integrated in the treatment of human body and plays a role in the whole body through oral and intravenous administration. On the other hand, cancer is a local manifestation of systemic diseases. The biggest threat to patients is diffusion and metastasis. Chemotherapy is unique in eliminating distant metastasis or preventing cancer recurrence, and it is an indispensable part of cancer treatment.
Chemotherapy is more and more widely used in tumor treatment. It has been proved that at least 10 kinds of tumors can be cured by chemotherapy alone, such as choriocarcinoma, acute lymphoblastic leukemia, testicular seminoma, partial malignant lymphoma and so on. About 20 kinds of tumors can be relieved by simple chemotherapy, especially for some systemic tumors such as leukemia and multiple myeloma, which have metastasized and spread, chemotherapy can be the first choice for treatment. More than half of cancer patients need chemotherapy at different stages of the disease course; The combination of chemotherapy and other treatment methods has greatly improved the therapeutic effect of malignant tumors and effectively controlled the spread and metastasis of cancer.
Chemotherapy is the most advanced treatment method in tumor treatment in recent years. Chemotherapeutic drugs are often "unclear" and "indistinguishable from the enemy", killing both tumor cells and normal human cells. Therefore, chemotherapy may have the following toxic effects and adverse reactions:
1. When intravenous chemotherapy drugs are injected, careless operation and liquid leakage may cause local tissue necrosis and thrombophlebitis. Therefore, medical personnel must be very careful and take preventive measures seriously;
2. Inhibit the decline of bone marrow hematopoietic system, mainly leukocytes and platelets. Before each chemotherapy, the blood picture should be checked. If the white blood cells are lower than (2.5 ~ 3) × 109/L and the platelets are lower than (50 ~ 80) × 109/L, the chemotherapy should be stopped temporarily, and the drugs for raising blood cells should be used according to the doctor's advice. In addition to shark liver alcohol, hematopoiesis, nucleotide, vitamin B6 and other original therapeutic drugs, as well as traditional Chinese medicine for invigorating qi and blood, some colony stimulating factors produced by gene recombination engineering in recent years have obvious effects on promoting blood cell proliferation. Only when these drugs are used in time after chemotherapy, the white blood cells will not decrease significantly;
3. Liver cells can be damaged to varying degrees, such as alanine aminotransferase, bilirubin, hepatomegaly, liver pain, jaundice and so on. Seriously, it can cause liver cirrhosis and coagulation mechanism disorder, so check liver function before and during medication, find problems in time, solve them in time, and stop chemotherapy when necessary;
4. Some chemotherapeutic drugs have toxic effects on cardiovascular system, which may lead to severe heart failure. Therefore, ECG should be checked before and during medication, and the drug should be stopped immediately and treated in time if any abnormality is found. For patients with heart disease, chemotherapy drugs that are toxic to the heart should be avoided.
5. Chemotherapeutic drugs with toxic effects and adverse reactions on respiratory system can cause acute chemical pneumonia, chronic pulmonary fibrosis and even respiratory failure. Therefore, pulmonary toxic drugs (that is, chemotherapy drugs that are toxic to the respiratory system), such as orthophotericin, should be checked regularly during the medication period, and attention should be paid to follow-up after stopping the drug. Discovered pulmonary toxic reaction, immediately stop chemotherapy and hormone therapy;
6. The side effects and adverse reactions of urinary system include proteinuria, oliguria or anuria, and some have hematuria. In order to clearly understand the renal function, we should check it regularly before and during medication, and treat it in time when problems are found. During the treatment, we should drink more green tea water and take Chinese herbal medicine for diuresis and stranguria, so that the daily urine output is 2000 ~ 3000 ml. Experience has proved that this can reduce the toxic effects and adverse reactions of the urinary system;
7. Some drugs will affect fertility and lead to teratogenesis. During chemotherapy, male patients should do birth control well, and female patients should stop or avoid chemotherapy if they are pregnant. Generally, reproductive function can be restored after stopping chemotherapy.
8. Not all patients have hair loss and skin reaction. Even if it happens, don't worry too much, because after the general patient stops taking the medicine, the hair that has fallen off will grow back, and the erythema, rash and pigmentation of the skin will improve or disappear;
9. Among the systemic reactions of chemotherapy, the toxic side effects and adverse reactions of the digestive system are the most distressing to patients, such as nausea, vomiting, loss of appetite, abdominal pain, diarrhea, oral mucosal ulcer, pharyngitis, etc.
8.3 immunotherapy
1 activates immune cells such as phagocytes, natural killer cells and nociceptive T cells, and induces the secretion of cytokines such as leukocytes, interferon-γ and tumor necrosis factor-α.
2. Induce cancer cell apoptosis.
3, combined with traditional chemotherapy drugs (mitomycin, carmustine injection, etc. ), which not only increases the curative effect, but also reduces the side effects of chemotherapy.
4. It has synergistic effect with immunotherapy drug (interferon -α2b).
5. Relieve the pain of patients with advanced cancer, increase their appetite and improve their quality of life.
Medicated diet formula for leukemia dietotherapy
1? Jiaozi with fresh mushrooms and cabbage?
[Formula] 500g flour, 500g Chinese cabbage, fresh mushrooms 100g, and proper amount of seasoning. ?
【 Method 】 Flour was added with a small amount of refined salt and 200g of cold water, repeatedly kneaded into a smooth and soft dough, covered with a lid, and proofed 15min. Blanching Chinese cabbage in boiling water, chopping, mixing with fresh mushroom powder, adding Jiang Mo, chopped green onion, yellow wine, refined salt, sesame oil and monosodium glutamate to make stuffing, and dividing the dough into 60 portions. ?
[Efficacy] Detoxify and fight cancer. ?
Indications: suitable for leukemia, uterine cancer, skin cancer, sarcoma, etc. ?
2? Braised tofu with mushrooms
[Formula] Tricholoma 15g, tofu 1, chopped ham and chopped peas 10g, and appropriate seasoning. ?
【 Method 】 The soaked Tricholoma was washed and clarified with soaked mushroom water for later use. Cut tofu into long strips, blanch with boiling water, remove and drain. Boil fresh soup and soaked mushroom water in a pot, add Tricholoma, tofu, minced ham and peas, add salt, stew for about 10 minute, thicken, add monosodium glutamate and sprinkle with a little sesame oil. ?
[Usage] Accompany meals. ?
[Efficacy] Yiqi Jianpi Yiwei. ?
Indications: It is suitable for infant lung diseases, leukemia, anemia, calcium deficiency and iron deficiency. ?
3? Stir-fried mussel meat with garlic seedlings
[Formula] 250g of garlic sprout and mussel meat, 2 cloves of garlic, and proper amount of seasoning. ?
【 Method 】 The garlic seedlings were washed and cut into 2-3 cm long segments. Pat mussel meat with the back of a knife, scald it with boiling water and cut into pieces. Add yellow wine and salt, cook the vegetable oil, then cool for a while, and fry the garlic until it is half cooked. Jiang Mo, stir-fry garlic seedlings, add mussel meat, add refined salt and sugar, cook for about 4 minutes, and then add monosodium glutamate. ?
【 Efficacy 】 Clearing away heat and toxic materials, resisting cancer and promoting diuresis. ?
Indications: It can be used for adjuvant treatment of all malignant tumors and leukemia. ?
4? Garlic tofu?
[Formula] 400 grams of tender tofu, green garlic 100 grams, and proper amount of seasoning. ?
【 Method 】 Vegetable oil was heated. When the temperature drops to 60%, stir-fry the garlic until it becomes soft, add the bean curd, stir-fry and add some seasonings such as yellow wine, soy sauce, refined salt and white sugar, add a little water to boil, thicken and add monosodium glutamate. ?
[Efficacy] Tonifying deficiency and detoxifying. ?
Indications: The diet of all patients with malignant tumor and leukemia. ?
5? Garlic eggplant?
[Formula] Garlic 25g, eggplant 500g, salt 2g, sugar 5g, soy sauce 10g, monosodium glutamate 1g, ginger 5g, onion 10g, dried starch 10g, vegetable oil 50g and clear soup 20g.
[Method] Eggplant is peeled, washed, cut in half, cut into cross knives with a width of about 1 cm on each half surface, and then cut into long squares with a length of about 4 cm and a width of about 2 cm. Cut each clove of garlic in half, heat it in a pot with vegetable oil, refine it until the oil bubbles are exhausted, and leave the fire when smoking. When the oil is slightly cool, stir-fry the eggplant one by one, add Jiang Mo, soy sauce, salt, garlic and clear soup, boil and simmer for 10 minute, turn over evenly, sprinkle with chopped green onion, thicken the juice with sugar and starch, and add monosodium glutamate. ?
【 Efficacy 】 Clearing blood heat, promoting qi circulation to relieve depression, promoting diuresis and expelling toxin. ?
Indications: It is suitable for the treatment of purple spots and leukemia. ?
6? Toad boiled eggs
[Formula] One toad (live) and one egg. ?
[Method] Toad was washed, eviscerated, 1 egg was put into abdominal cavity, stitched and boiled for 30-40 minutes. ?
[Usage] Take eggs every day for 7 days as a course of treatment, observe the symptoms and hemogram, and take them again without adverse reactions. ?
[Efficacy] Detoxify and resist cancer, strengthen the body resistance and eliminate evil spirits. ?
Indications: Acute leukemia. ?
7? shiquandabutang
[Formula] Radix Astragali, Radix Codonopsis, Poria, Rhizoma Atractylodis Macrocephalae, Radix Rehmanniae Preparata, Radix Paeoniae Alba each10g, Radix Angelicae Sinensis 5g, Cortex Cinnamomi 5g, Rhizoma Chuanxiong 3g, Radix Glycyrrhizae 3g, Fructus Jujubae12g, ginger 20g, half a fat chicken, half an old duck, 250g of elbow and 250g of pork belly.
[Method] Remove the reed head of Astragalus membranaceus, slightly soak it in water, slice it, dry it, brush the jujube with wine, wash the elbows of chickens and ducks, soak cuttlefish until soft, tear off the membrane (without removing the bone), mash it with a stick, slice the winter bamboo shoots, cut the mushrooms into two pieces, cut into pieces, put it in a boiling water pot, take it out and let it cool. Four kinds of Radix Codonopsis, Radix Astragali, Fructus Jujubae and Peanut are put into a bag, and nine kinds of Rhizoma Atractylodis Macrocephalae are put into a bag for later use. Put 6000 ml of cold water into the pot, bring it to a boil with high fire, add duck and chicken, elbow, pig, cuttlefish, cudgel, two medicine bags, onion and pepper, and cook for 30 minutes. Switch to slow fire, add cooking wine, continue to stew until the soup is concentrated to 3000 ml, then reduce the fire and stew until the chickens and ducks are cooked. Take out the cooked chicken and cut it into pieces, duck into strips, pork belly into shreds 12 pieces, cuttlefish into bones. Put the above into 12 bowl, take another small pot, add winter bamboo shoots, mushrooms and mushrooms, pour some original soup, and after boiling, evenly put winter bamboo shoots, mushrooms and mushroom slices into 12 bowl. Filter all the original soup, remove impurities, pour it into a small pot to boil, add salt, vinegar and pepper, stir well, and scoop it into the above 12 bowl respectively. ?
[Usage] Every day 1 time, each time 1 bowl, and eat on an empty stomach in the morning. ?
【 Efficacy 】 Radix Astragali, Radix Codonopsis, Rhizoma Atractylodis Macrocephalae, Poria, Radix Glycyrrhizae, and Fructus Jujubae tonify the middle energizer, invigorate the spleen and regulate the stomach, Radix Angelicae Sinensis, Radix Rehmanniae Preparata, Rhizoma Chuanxiong, Radix Paeoniae Alba, cuttlefish bone, fat chicken, old duck, elbow, peanut, wooden stick, nourish yin and enrich blood, and cortex Cinnamomi help yang to generate blood. This product can tonify qi and blood, strengthen spleen and stomach, and support weakness. ?
Indications: chronic physical weakness, yin and yang deficiency, adjuvant treatment of leukemia, leukopenia. ?
8? Winter melon glutinous rice soup?
[Formula] 300g of wax gourd and 30g of coix seed. ?
[Method] Both of them were co-boiled 1 hour. ?
[Usage] Take soup and add salt or sugar to taste it./kloc-0 once a day or every other day. ?
【 Efficacy 】 Strengthening the spleen and promoting diuresis, detoxifying and clearing away heat. ?
Indications: It can promote cellular immunity and humoral immunity, and has certain anticancer effect. It can be used for adjuvant treatment of leukemia and other tumors, and diseases caused by children's hypoimmunity. ?
1 1. Continuing treatment of leukemia after rehabilitation
Abstract: Leukemia recurrence is the key problem that affects leukemia rehabilitation at present, and it is also one of the important factors that affect the curative effect after bone marrow transplantation, and it is also a big problem that endangers patients' lives after bone marrow transplantation.
Leukemia patients who are completely relieved after treatment are called leukemia recurrence if one of the following situations occurs in the later stage of the course of the disease:
(1) The number of primitive cells or primitive cells+immature cells or primitive lymphocytes+immature lymphocytes in bone marrow is more than 5% but less than 20%, and after a course of effective anti-leukemia treatment, the bone marrow has not reached the standard of complete remission;
(2) Patients with more than 20% granulocytes in bone marrow (original single plus young single or original lymph plus young lymph);
(3) Patients with leukemia cell infiltration other than bone marrow, such as chloroma, central nervous system leukemia and testicular leukemia.
The factors leading to leukemia recurrence mainly include the following aspects:
Relaxation therapy often meets some patients in our clinic. After achieving complete remission, they think everything is fine and no longer follow the doctor's advice. No longer take medicine and review on time, contact with doctors is reduced, and it is often too late to regret when relapse occurs.
Patients with physical and mental fatigue have huge economic expenditure and heavy family burden after illness. Therefore, they are eager to work after their illness is stable to reduce family pressure. But at this time, the patient is in the initial recovery period, and his physique has not fully recovered. Once he is tired, healthy qi declines, and his disease resistance weakens, the disease will take advantage of it and make a comeback.
Frequent colds are the most common factor leading to leukemia recurrence, so we must pay attention to prevention in our daily life. Pay attention to the weather changes, increase or decrease clothes in time to avoid rain.
Being in a bad mood, angry and depressed will make the qi and blood in the body run abnormally and the circulation is not smooth, which will lead to the dysfunction of zang-fu organs and the recurrence of the disease.
Some patients have no scruples about diet and think that eating and drinking is more conducive to recovery. So big fish and big meat, overeating, the burden of spleen and stomach function is too heavy.
The way to keep fit for irregular life is to "go to bed early and get up early, and live regularly", that is, to preach that people should live regularly, which is beneficial to health. In today's society, the world of flowers and colorful nightlife, many young patients indulge in it, forget to rest, and their daily life is irregular.
In order to keep healthy, patients who are excessively comfortable seldom go out and reduce their activities. In fact, besides drugs, proper exercise can obviously promote the recovery of immune function, and it is also an important measure to prevent recurrence and move towards rehabilitation.
In addition to the above factors, there are other unclear factors. Therefore, the rehabilitation of leukemia is related to many factors. There is no doubt about the importance of medication, but nursing is also very important. Doctors, patients and their families need Qi Xin to work together and cooperate closely to lay a good foundation for rehabilitation.
Nursing before chemotherapy
1) explain the purpose of chemotherapy to patients and inform them of some possible adverse reactions such as nausea and vomiting, loss of appetite, etc. Don't worry, it will be relieved after treatment. If the adverse reactions are serious, antiemetic drugs can be given.
2) Keep the venous fluid path unobstructed, ensure that the needle can be administered in the blood vessel, closely observe the local reaction during the administration, immediately stop the pain and reduce swelling, and replace the puncture site again.
3) Pay attention to the protection of venous blood vessels. Multiple treatments should start from the distal vein, and small veins should not be selected to prevent phlebitis caused by drug stimulation.
4) Inform the patient to minimize physical activity during the infusion of chemotherapy drugs, pay attention to prevent the needle from being ectopic and unable to adjust the dropping speed by itself, and notify the nurse in time if there is any discomfort.
5) Instruct patients to minimize activities and pay attention to rest during chemotherapy.
6) Prevention of infection: keep the mouth, skin and anus clean; Keep visits to a minimum.
7) Diet: It is advisable to eat light, high-protein, high-calorie and digestible food. Avoid hard and spicy food. Drink plenty of water and dilute urine during chemotherapy to prevent urinary calculi and hemorrhagic cystitis.
Note: After radiotherapy and chemotherapy, patients have decreased whole blood cells and low immunity, which is easy to be complicated with various infections. Protective isolation measures should be taken for patients: all operations should follow the principle of aseptic technology; Check in the isolation room; Pay attention to keep the skin, mouth, nose and anus clean; Eat a sterile diet; Less visits, etc.
The vitamin level in the body is low, and the side effects of leukemia treatment drugs are obvious.
The latest research results show that if children with leukemia cannot get enough antioxidants-vitamins, their risk of adverse reactions during chemotherapy will also increase.
Kara M. Kelly from Columbia University and others wrote in the latest issue of American Journal of Clinical Nutrition: "Some changes caused by chemotherapy can activate the body's antioxidant defense system, so it is very important for cancer patients to contain a certain amount of antioxidants in their diet."
During the six-month study, the researchers investigated 103 patients with acute lymphoblastic leukemia (ALL) to understand the intake of antioxidants and the side effects of chemotherapy.
The researchers pointed out: "According to the results of the third American Health and Nutrition Survey, the dietary intake of vitamin E, total carotenoids, beta-carotene and vitamin A recommended by the US government reached 66%, 30%, 59% and 29% of the above standards respectively during this study. With the increase of vitamin C intake, the treatment delay, side effects and hospitalization time decreased. Similarly, as the intake of vitamin E and β -carotene increases, the risk of infection and other side effects will also decrease. The results suggest that all patients should receive nutrition consultation to ensure the intake of antioxidants.
Traditional Chinese medicine prescriptions are mainly based on proven prescriptions and folk prescriptions.
Prescription: ① Toad 125g (eviscerated and washed) and yellow wine 1500ml. Put the yellow wine toad in a porcelain jar and seal it, then put the porcelain jar in a pot and boil it with water for 2 hours? Filter out the liquid medicine for later use. Treatment: Adults take15-30ml after meals three times a day; Children use it less. Keep taking the medicine until the symptoms are completely relieved. After that, maintenance treatment, taking medicine for half a month, intermittent for half a month. In the meantime, other supportive therapies can be applied.
Efficacy: 32 cases of various leukemia were treated with this recipe (all taken for more than 20 days), with a total remission rate of 75% and a complete remission rate of 25%. Among them, acute gonorrhea has the best curative effect, with a complete remission rate of 33.3% and a total remission rate of 88.6%.
Fiona Fang: Qian Jiaming, et al. Clinical observation on treating 32 cases of leukemia with toad wine. Liaoning Traditional Chinese Medicine (IV): 18, 1984.
② Liushen Pills (commercially available): 90- 150 capsules (270-450 mg) per day, taken 3-4 times.
Efficacy: leukemia 10 cases were treated, including 7 cases of CML7 and 3 cases of acute leukemia. In 7 cases of CML, 1 case was in complete remission, 1 case was in partial remission, and 5 cases were in progress. In the other 3 cases of acute leukemia, 1 case of AML was completely relieved.
Folk prescription: Dishwashing 3-6 yuan. Decoct with water, three times a day.
Efficacy: 1 patient with CML was relieved within 25 days.
Fiona Fang: Yunnan Institute of Traditional Chinese Medicine.
Traditional Chinese medicine prescription
Yiqi Yangyin Jiedu Decoction
【 Syndrome Differentiation 】 Deficiency of both Qi and Yin.
[Treatment] Supplementing qi and nourishing yin, clearing away heat and toxic materials.
[Composition] Radix Astragali 30g, Radix Pseudostellariae 20g, Rhizoma Polygonati 15g, Rhizoma Atractylodis Macrocephalae 12g, Poria 10g, Radix Rehmanniae 20g, Radix Ophiopogonis 20g, Radix Asparagi 15g, Eclipta prostrata 18g and Fructus Ligustri Lucidi/kloc-0.
[Usage] Decoct with water, daily 1 dose, twice a day.
[Treatment]: clearing away heat and toxic materials, promoting blood circulation and nourishing yin.
Viola yedoensis 18 honeysuckle 15 madder 10 Anemarrhena asphodeloides 12 Ophiopogon japonicus 10 Paeonia lactiflora 12 Glehnia littoralis 12 Schisandra 8 Artemisia annua/kloc-0 dandelion/kloc.
[addition and subtraction]:
(1) In case of high fever and coma, add water, ox horn 35 and gypsum 30.
(2) Eat less loose stool and Hu Aishan 18 white bamboo 15.
(3) For patients with lymphadenopathy, turtle shell 15 seaweed 15 raw oyster 30 and Prunella vulgaris 20 are added.
(4) palpitation, shortness of breath, sallow complexion, insomnia and dreaminess. Radix Polygalae 10, Radix Glycyrrhizae Preparata 5 and Fructus Corni 10 are added.
(5) If there is bleeding, add Panax notoginseng 8 lotus root node 15 Ejiao 10 (dissolve).
Erman Baitang
Efficacy of invigorating qi and blood, benefiting spleen and kidney.
Indications: Chronic leukemia. Dizziness, tinnitus, palpitation, shortness of breath, anorexia, sallow complexion, edema, low back pain, fatigue, hot flashes, abdominal distension, loose stool, thin and white tongue coating, and thready or slow pulse.
Consists of Radix Codonopsis 9g, Radix Angelicae Sinensis 9g, Rhizoma Atractylodis Macrocephalae 9g, Radix Astragali 15g, Rhizoma Dioscoreae 15g, Poria 15g, Semen Ziziphi Spinosae preparata 15g, Radix Polygoni Multiflori Preparata 15g, Radix Bupleuri 3g, parched Radix Paeoniae Alba 6g, and 6 red dates.
For addition and subtraction, see Resources.
Shan Zhi sugar
Clearing away heat and toxic materials, cooling camp and stopping bleeding.
Indications: Acute leukemia, headache due to cold and heat, chest tightness, restless night sleep, delirium and hyperhidrosis, dry mouth and sore throat, mouth and nose bleeding, yellow greasy or rough tongue coating, dry and dark tongue, red tongue tip and heavy pulse.
It consists of honeysuckle 15g, forsythia suspensa 15g, rhinoceros horn powder 1.5g (orally taken), blackberry lily 6g, isatis root 9g, trichosanthin 15g, Paeonia Rubra 9g, Paeonia suffruticosa 9g, Gardenia 6g, Jiao Shan 6g, Rhizoma Phragmitis 30g and Lophatherum gracile/kloc.
Adding Flos Lonicerae 15g, Ramulus Uncariae cum Uncis 12g, and antelope powder 2.4g (orally); Stir, adding 3g picrorhiza rhizome and 9g scrophularia root; For blood spots on skin, loofah sponge 15g and imperata rhizome15g are added; Hematuria and hematochezia, increase thistle 15g, Sanguisorba officinalis 15g and Sheng Di12g; ; Oral cavity and throat rot, add 2.4g of indigo naturalis, 4.5g of pale puffball, 6g of human yellow and 6g of human white.