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癌症患者在平时生活中已经是非常普遍的一种疾病，因为它是一种根本无法彻底治愈的疾病，给身体带来巨大痛苦的同时还会影响到生命，所以做好提前预防就显得尤为重要。当然，癌症患者作为弱势人群，如果想病情快速恢复，还得在饮食上加以注意，但也不能什么都不吃，这样对身体百害而无一利。

 

关于饮食，较常见的误区：

饿死癌细胞？错！

很多人都会认为少吃一点就会将癌细胞饿死，但实际上这是一种错误的想法，癌细胞是会消耗掉人体的营养，通过各种渠道吸收身体营养物质，即使是少吃也不能够杀死癌细胞，反而会让病人身体变得更加虚弱。

 \"癌症需要忌口吗\"

不能吃鱼？错！

还有很多人认为鱼肉也是不能够吃的，实际上瘦肉和鱼等都是优质蛋白质的主要来源，因为病人如果缺乏蛋白质的话就会导致营养不良，它是身体必需的最基本的营养物质，一旦缺乏，就会导致免疫力下降，很容易会造成感染。不过，鱼的做法要讲究，最好选择无鱼刺的鱼，采取蒸、煮的方法，这样更易消化。

 \"2类食物吃一口都麻烦\"

不能吃发物？错！

在生活中有一种广为流传的说法就是癌症患者不能吃发物，比如说羊肉猪蹄儿，猪头肉等，但是实际上羊肉是属于热性的，对于一些发热或者是有上火症状的人群来说是不适合吃的，否则就会使症状加重，对于癌症患者来说也是有一定的刺激作用，但只要少量食用的话也不会有太大的问题。

 

癌症患者都有哪些忌口？生冷、辛辣食物不能吃

哪些食物不能吃，一直以来都是很多病人比较关心的问题，除了疾病本身的原因以外，和人的体质也是有很大关系的，比如说本身身体就是比较虚弱的，像一些比较生冷寒凉的东西是一定不能吃，最为常见的就是西瓜，当然对于很多的癌症患者来说，还要尽量避免吃辛辣刺激的食物，比如说辣椒、大蒜等。

 \"癌症吃肉选择\"

其实基本上只要避免食用一些过敏原以外，其他的都是没有太大问题的，如果过度的忌口对于身体也是有很大影响的，因为癌症患者由于放化疗，身体尤其虚弱，如果再营养不良，等于雪上加霜，不利于病情康复。再者，适当进食含有维生素、蛋白质和食物，也能增强身体抵抗力。

 


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建议胶质瘤病友少打营养神经的针水。我们在成都时，医生和我们说营养神经的针水800一瓶，自费，心里想着只要能好，管他的，我们打到第三天，复发。我总怀疑营养脑瘤细胞去了。正常细胞没补多少，脑瘤细胞补了，一下子就复发 



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　　近日，国际治疗胶质瘤治疗研究领域传来两个让人欣喜的前沿消息：

　　1. 杜克癌症研究所的研究人员发现了胶质母细胞瘤（GBM）患者中缺失的T细胞的踪迹，它们被大量的隔离在骨髓中，骨髓中T细胞的隔离是T细胞功能障碍的肿瘤适应性模式，其逆转或可成为一种有前途的免疫治疗辅助手段。

　　2. 利兹大学领导的一项研究发现，合成的小分子KHS101能够从胶质母细胞瘤中切除肿瘤细胞的能量来源，从而导致肿瘤细胞死亡，或许有望在未来几年开发出一种对抗胶质母细胞瘤的新疗法。

　　脑胶质瘤简介

　　脑胶质瘤是由于大脑和脊髓胶质细胞癌变所产生的，是最常见的原发性颅脑肿瘤。胶质瘤起源于外胚层，是神经系统最常见的原发性肿瘤，约占颅内原发性肿瘤的50％以上。其特点为生长迅速、侵袭性强、手术后易复发、病死率高。在所有新发肿瘤中，胶质瘤占1.4％，而死于胶质瘤的患者占所有肿瘤死亡患者的2.4％。

　　总体来说，脑胶质瘤恶性度高、易复发、预后差，根治困难。

 

　治疗方式

　　目前，关于脑胶质瘤主要有三种治疗方式：手术，放疗，化疗。

　　手术

　　外科手术切除是脑瘤的主要治疗方式，特别是良性脑瘤。当脑瘤与重要的脑组织相连或者靠近时，外科医生只能尽量拿掉一部分，剩余部分需要依靠放疗和化疗才能消除。手术治疗前，医生或通过CT定位做穿刺病例穿刺，或者手术中取出组织做切片，判断病灶性质再决定后续如何治疗。

　　放疗

　　放射治疗经常用于那些手术没有办法切除或者手术切除后残余的病灶，也可用于那些不可能接受手术治疗的病人。放疗的剂量和次数要根据不同的病理形态、部位、年龄而定，如果癌灶范围数量较小，可以做立体定位放疗，比如伽马刀。

　　化疗

　　恶性脑瘤除了手术或者放疗等手段，还需要加上化疗，比如星状细胞瘤、脑胶质瘤、髓母细胞瘤等，临床常见的恶性脑瘤是其他癌症转移过来的，比如肺癌等，这种情况下，除了要治疗原发病灶还要治疗转移病灶，因此全身性的化疗对控制病情是有一定帮助的。

　　替莫唑胺是治疗脑胶质瘤的化疗药物，可以显著延长患者的生存期，是目前效果较好的治疗手段。

　　其他非主流或未普及推广的治疗方式不作讨论。

 

　治疗难点

　　脑胶质瘤的治疗效果差强人意，一是因为血脑屏障的阻挡过滤原因，二是胶质瘤的特点所决定的。因此脑胶质瘤一直没有特别有效的治疗药物和方式，最近的两项研究进展给这个医学难题带来了喜讯。

 

　　前沿信息

　　逆转缺失免疫T细胞可对抗致命脑瘤

　　胶质母细胞瘤（GBM）会对人体免疫系统产生不寻常的影响，通常导致人体环境T细胞数量急剧下降，T细胞去向不明，因此很多激活T细胞的免疫疗法对脑胶质瘤无效。

　　近期，杜克癌症研究所的研究人员追踪到了胶质母细胞瘤患者中缺失的T细胞——他们在骨髓中发现了大量的T细胞。

　　在检查隐藏的T细胞时，研究小组发现T细胞表面缺少了一种叫做S1P1的受体，S1P1是使T细胞离开骨髓和淋巴系统的关键“钥匙”。没有了“钥匙”，T细胞就被反锁在里面，无法传播和对抗感染，更不用说癌症了。

　　为了弄清楚大脑是如何引发这种S1P1受体功能障碍的，研究小组做了进一步研究。目前的理论是，S1P1受体以某种方式接收到信号，从细胞表面缩回到细胞内部。

　　“有趣的是，当我们在小鼠体内恢复T细胞受体时，T细胞离开骨髓并进入肿瘤，所以我们知道这个过程是可逆的，”该课题负责人Fecci兴奋地说道。

　　Fecci的团队正在与杜克大学的科学家RobertLefkowitz（因发现S1P1所属受体类别获得2012年诺贝尔化学奖）合作，致力于开发能够恢复细胞表面受体的分子。

 \"估计治疗胶质瘤最新治疗方法\"

　　KHS101-致命脑癌克星

　　利兹大学的Heiko Wurdak博士领导了这个国际研究小组，他说:“当我们开始这项研究时，我们认为KHS101可能会减缓胶质母细胞瘤的生长，但我们惊讶地发现，当癌细胞暴露在它面前时，基本上是自毁的。”

　　具体来说，这种化学物质破坏了癌细胞内的线粒体和新陈代谢，切断了能量供应，导致了癌细胞自我毁灭。

　　为了测试KHS101是否能穿过哺乳动物的血脑屏障（血脑屏障通常会阻止大部分分子进入大脑，严重限制了治疗的选择），研究人员将癌细胞从人类身上转移到老鼠体内。

　　结果发现，与服用安慰剂的小鼠相比，KHS101成功地穿过了血脑屏障，显著降低了肿瘤生长(约50%)，从而提高了存活率。重要的是，正常的脑细胞不受这种化学物质的影响。

　　研究小组还回顾了KHS101对肿瘤内细胞和不同患者肿瘤之间的不同基因图谱的有效性。过去，肿瘤的遗传变异使得确定治疗方法的工作变得复杂，但研究小组发现，所有经过检测的胶质母细胞瘤亚型细胞的变异都对现有治疗有反应。

 

　　展望

　　脑胶质瘤的治疗方法几十年来基本没有变化，因此迫切需要进行这样的临床前研究，以识别和鉴定潜在的新药。虽然这些发现令人鼓舞，但作为一种实验性的研究，在人类试验开始之前，需要进一步严格检测和改进，或许会发现更多的应用场景。

　　希望这些新发现可以提供更多治疗方法，让脑胶质瘤以及更多的肿瘤患者获益。

 \"????.jpg\"/

欢迎扫描二维码加入QQ群，里面有专业医务人员帮病友们解答问题


 


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我是胶质瘤复发，原来12年开刀的，目前发现又长1.9*1.5cm，有人建议2种治疗方案①开刀+术后帕博利珠单抗，局部放疗+靶向药物治疗②质子疗法+术后帕博利珠单抗。哪种好？如果质子刀不错，是否有渠道推荐？


","barId":"1337","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1557,"score":0,"partCount":0,"replayCount":4,"publishStatus":1,"publishTime":1557588782494,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1565537596802,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558064862570,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25486","isDel":0,"createAt":1557588350682,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"胶质瘤放疗后假性进展","content":"

我爸正要开始第三个疗程的化疗，药都开好了，可以他头疼的受不了，去住院了，外科觉得我爸是复发了，还找了肿瘤医院主任来会诊，他们各持己见，最终我们选择了肿瘤医院主任的意见保守治疗。到现在为止没人确定我爸是不是复发，应该只是胶质瘤放疗后假性进展


","barId":"1337","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1695,"score":0,"partCount":0,"replayCount":6,"publishStatus":1,"publishTime":1557588350683,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1565537165070,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1557588626272,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25479","isDel":0,"createAt":1557585299835,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"胶质瘤分子检测的意义是什么","content":"

请问下这里面的胶质瘤患者做完手术后做基因检测，然后做分子检测，分子检测特别贵还要自费，但是胶质瘤分子检测的意义是什么,现在不知道到底要不要做化疗，很纠结，做化疗会把身体摧残了


","barId":"1337","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1861,"score":0,"partCount":0,"replayCount":2,"publishStatus":1,"publishTime":1557585299836,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1565534111336,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1557585928475,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25454","isDel":0,"createAt":1557243468425,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"胶质瘤放疗后假性进展","content":"

胶质瘤放疗后假性进展是因为放疗和化疗起效果了把放疗靶区和预防区的肿瘤组织和一部分脑组织搞死了。这部分死亡的组织也会跟胶质瘤进展一样在增强窗显示出来强化灶。从影像学上几乎是无法区分的。。带这部分死亡细胞会在几个月内被身体吸收。二消失。在高级别胶质瘤的术后放化疗同步后大约有40%以上的病人会出现假性进展。可以观察两个月复查即可。

\"胶质瘤放疗后假性进展\"

下载二维码微信识别，观看傅相平教授主讲《脑胶质瘤解密》，看完对这个病就完全明白了

\"胶质瘤放疗后假性进展\"

欢迎扫描二维码加入QQ群，群里没有广告诈骗，非常干净





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1.68基因+脑6项这个组合，价钱是12800，包含危险等级评估检测内容，外加68个基因位点，29个化疗位点，满足基本的靶药匹配需求。

2.825基因(赠送脑六项)，价格18800，包含第一条的检测内容，同时因为这个基因数更多，所以提高了靶向药匹配概率和为免疫治疗提供了参考依据。涵盖了放化疗，靶向，免疫等现有的治疗方式。
3.全外显子检测（赠送脑六项）原价34800，这是把所有基因都测了，是反映最客观真实的基因情况，包含前面所有的需求，同时提供了遗传评估。由于胶质瘤复发概率很高，全外有科研项目，可以买一赠一，科研价三万元，到时候如果复发了可以再测一次。也就平均到单次15000元。 


","barId":"1337","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":2432,"score":0,"partCount":0,"replayCount":2,"publishStatus":1,"publishTime":1555468367781,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1558060320334,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1555468537766,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25239","isDel":0,"createAt":1555217982050,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"少突星形二级胶质瘤复发时间","content":"

  我这有个病人小孩 ，星形胶质瘤8年又复发啦 ，能不能多挺久一点


","barId":"1337","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1610,"score":0,"partCount":0,"replayCount":1,"publishStatus":1,"publishTime":1555217982051,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1563080681338,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1555218268469,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"24607","isDel":0,"createAt":1548125109990,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"胶质瘤吃什么食物好","content":"

　目前对胶质瘤医学上还缺乏有效的根治手段，术后患者身体虚弱要补充营养，对患者不能一概而论，要注意饮食不慎或忌口不严导致病情复发。患者能吃什么?不能吃什么?这是患者及家属非常关心的问题之一，要因人、因地、因时而异，要辨病、辨证而定。

　　一、胶质瘤患者需常吃的五种食物

　　1、芦笋

　　芦笋是一种抗癌很好的食物，据北京三博脑科医院江涛教授称，芦笋具有调节机体代谢，提高身体免疫力的功效，在对高血压、心脏病、白血病、血癌、胶质瘤、等的预防和治疗中，具有很强的抑制作用和药理效应。

\"胶质瘤吃芦笋的好处\"

　　芦笋嫩茎中含有丰富的蛋白质、维生素、矿物质和人体所需的微量元素等，另外芦笋中含有特有的天门冬酰胺，及多种甾体皂甙物质，对心血管病、水肿、膀胱炎、白血病均有疗效，也有抗癌的效果，因此长期食用芦笋有益脾胃，对人体许多疾病有很好的治疗效果。

　　同时芦笋所含多种维生素和微量元素的质量优于普通蔬菜。营养学家和素食界人士均认为它是健康食品和全面的抗癌食品。对其它癌症、胶质瘤等，也有很好效果。国际癌症病友协会研究认为，芦笋可以使细胞生长正常化，具有防止癌细胞扩散的功能。

　　2、薏米

　　最新的医学数据显示，薏米一种抗癌药物，初步鉴定，它对癌症的抑制率可达35％以上，尤其对于大脑疾病。薏米还是补身药用佳品。据最新的医药部门化验分析，薏米含丰富的蛋白质、脂肪、糖类。与猪脚、排骨和鸡一起炖，是一种滋补食品。夏天可以用薏米做“冷饮”是很好的消暑健身的清补剂。薏米的种仁和根又能入药治病。

\"胶质瘤吃薏米的好处\"

　　3、膳食食物

　　“膳食”纤维 主要包含哪些食物，糙米和胚牙精米，以及玉米、小米、大麦、小麦皮(米糠)和麦粉(黑面包的材料)等 膳食纤维之粗粮杂粮杂粮;此外，根菜类和海藻类中食物纤维较多，如牛蒡、胡萝卜、四季豆、红豆、豌豆、薯类和裙带菜等。膳食纤维是植物性成分，植物性食物是膳食纤维的天然食物来源。膳食纤维在蔬菜水果、粗粮杂粮、豆类及菌藻类食物中含量丰富。

　　4、海蜇

　　海蜇的味道甘、咸，性平。能清热化痰，消积，润肠，降血压。 海蜇含蛋白质、脂肪、维生素B1.B2和烟酸、钙、磷、铁、碘、胆碱等成分。经调查显示，静脉注射海蜇制剂能降低家兔血压。又可使兔的耳廓体表血管及蛙的周身血管舒张。

\"胶质瘤吃海蜇的好处\"

　　海蜇味道甘、咸，但是具有清热、润肠、降血压的功效，因为海蜇具有丰富的蛋白质、脂肪、钙、磷、铁、碘、胆碱等成分。能有效降低血压，缓解头昏头胀，是胶质瘤患者最佳的选择食物。

　　胶质瘤患者常见的症状就是颅内压高，引发头疼，据调查显示，用海蜇煎液，以0.8～1.0毫升/公斤静脉注射于麻醉兔，可以降低血压，并使小肠容积增加(舒张血管)，肾容积缩小(可能由于肾缺血)。以此煎液灌注于兔耳血管及蛙全身血管后，亦有扩张血管的作用。临床上用雪羹汤(海蜇与荸荠合剂)治疗各期高血压，疗效满意及进步者达82.6％，可长期服用而无毒性与副作用，对早期患者更为适合。

　　5、炸蜈蚣

　　其实炸蜈蚣一种食品，将蜈蚣去毒油炸食用。经过现代技术处理后，含有丰富蛋白质，被称作抗脑瘤的食物之一。

　　二、胶质瘤患者饮食禁忌

　　1、忌咖啡、可可等兴奋性饮料。

　　2、忌辛辣刺激性食物，如葱、蒜、韭菜、花椒、辣椒、桂皮等。

　　3、忌发霉、烧焦食物，如霉花生、霉黄豆、烧焦鱼肉。

　　4、忌油腻、腌腊鱼肉、油煎、烟熏食物。

　　5、忌过咸食物。


","barId":"1337","topicTypeId":"3","topicThemeId":"1035","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":2116,"score":0,"partCount":0,"replayCount":1,"publishStatus":1,"publishTime":1548125109991,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1555901357431,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1555164235506,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25185","isDel":0,"createAt":1554910813055,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":1554910878765,"updateBy":"84404015eff611e6a61c00163e04584d","updateName":"13911686944","userId":"84404015eff611e6a61c00163e04584d","title":"肿瘤患者需要做基因检测吗","content":"

肿瘤患者需要做基因检测吗，这是许多患者朋友经常问到的一个话题，今天，大家就跟着小编来看看这些靠谱的解答，希望能帮助大家更好地做选择！

 

一、基因检测是什么？

基因检测是一种实验室生物学检测技术，可以通过组织、血液、唾液、其他体液、或细胞对DNA进行检测。它可以在疾病的临床症状未发生之前进行早期诊断，为临床疾病尤其是致死性疾病的预防和治疗提供了有利的条件。疾病易感基因检测如同一本个人健康说明书，它告诉我们生命该如何正确使用。

 

人的DNA是遗传物质的载体，而基因就是DNA中真正有含义的片段。癌友之所以会得肿瘤，归根结底是由于身体内累积了许多有害的基因突变，千奇百怪的变异，最终导致了癌症。基因检测就根据基因检测的结果再选择哪一种化疗药物或分子靶向治疗药物，从而实现癌症的个性化治疗。

 

基因是生命体的遗传物质。癌细胞与正常细胞，有很多不同；其中，最重要的不同就是癌细胞中不少基因是变异的：有的基因缺失了，有的基因重复了，有的基因长歪了……利用各种方法，把这些变异的基因找出来，仔细分析，可以协助临床诊断、指导治疗选择、辅助监测疾病复发和耐药、预估生存期等。

 

二、癌症患者一定要做基因检测吗？

广义上讲，所有肿瘤患者均可以接受基因检测；狭义上讲，根据指南推荐，不同的病种、不同的分期、出于不同的目的，不同的患者，适合做不同的基因检测。

 

比如，一个晚期肺腺癌患者，尚未接受任何治疗，家庭经济情况一般，只是为了看看，是否有合适的已经在内地上市的靶向药可用，那么只要测一下最常见的那几个基因就可以了。再比如，一个超级土豪，是一个肉瘤，其他药物治疗都失败了，但是依然想碰碰运气，看看是不是自己还有靶向药可用：不管是已经上市还是处于临床试验研究阶段的，不管是国内还是国外，都想知道。那么，他或许可以选择做一下跨癌种的、尽可能多的、几十上百甚至全部的基因。

 

国家卫健委之前颁布的《新型抗肿瘤药物临床应用指导原则（2018 年版）》，明确指出：抗肿瘤药物临床应用需在病理组织学确诊后或基因检测后方可使用。其中也罗列了需要和不需要癌症基因检测的常用的小分子靶向药物和大分子单克隆抗体类药物。

\"肿瘤患者需要做基因检测吗\"\"肿瘤患者需要做基因检测吗\"\"肿瘤患者需要做基因检测吗\"

但是，在癌症的治疗过程当中，有一部分人在接受靶向治疗前，选择不做基因检测，而这种治疗方法就叫做盲试。对比基因检测，盲试也有自己的优势，比如即能省钱又能节省时间。那么，到底什么情况才可以跳过基因检测，直接进行靶向治疗呢？

 

情况一：靶向药单一

一些种类的癌症，可能突变类型比较单一，对于靶向药也没有可选余地，这种情况下，可以选择盲试，一旦发现没有效果，就需要更他疗法。

 

情况二：生存期不乐观

对于一些癌友，可能医生的预估不足6个月，并且经济条件也不好，这种情况，如果拿半个月等一个不确定的结果的话，就显得太冒险，所以不如直接进行盲试，把钱用在刀刃上，挑选概率最大的进行尝试，俗称“闯大运”。

 

当然盲试也有着自己的短板，在没有基因检测之前，用药基本靠“猜”，而效果也基本靠“经验”，所以在治疗的过程中，对于是否进行靶向治疗，大家可以在咨询主治医生后慎重决定。

 

三、是不是所有靶向药，都要做基因检测？

当然不是。有些抗血管生成为主的靶向药，目前并不知道，哪个或者哪几个基因变异，与这些药物的疗效有相关性。比如：索拉非尼、阿帕替尼、舒尼替尼、贝伐珠单抗等靶向药，并不一定需要做基因检测，如表1。

 

四、基因检测，选择什么标本最合适？

做基因检测，是检测肿瘤细胞的突变，因此需要获取肿瘤细胞。临床上通常有3种方式：

① 术中肿瘤样品

 

② 穿刺活检样品

通常是在局部麻醉下，使用很细的针刺入疑似肿瘤，来获取少量细胞用于分析。这样创伤很小，可以避免不必要的手术，对患者影响小。

 

③ 液体活检

液体活检，主要是指通过分析血液里的癌细胞或者癌细胞释放的DNA进行分析，判断癌症突变类型。这之所以能成功，是因为晚期癌细胞，或者癌细胞的DNA，会经常跑到血液里面，现代技术有可能把它们捕获，进行分析。

 

“液体活检”是目前最热门的技术之一，最大的优点是无创，风险小，而且可以反复多次取样，但目前依然以组织病理切片的基因检测，准确度最高，是业内公认的金标准。虽然它也不是100%完美（比如还有空间、时间、异质性的问题）。但是，常常能遇到病友无法取得足够的组织，或者组织标本年代久远，这类情况下，也可以考虑用血液标本代替。

 

我们一般推荐的优劣顺序是：

最近手术或活检新取的组织标本>1-2年内的组织标本>最新的血标本>2年以上的旧的组织标本。

 

五、基因检测有很多方法，这些方法可信吗？会不会存在误差？

任何一种生物学检测方法，准确率都不可能达到100%。但是，目前国际、国内共识中推荐使用的基因检测方法，都是经过大量实验数据验证和临床评估的，都能很好地表现肿瘤的基因状态。

 

所以，虽然不同的基因检测方法敏感性、特异性之间稍有差别，但总体而言，只要是通过了国家官方认证的检测技术，都可以使用。

 

六、血液基因突变动态监测，有什么用？

血液中基因突变的浓度变化，很大程度上可以反映病情的变化，甚至有时候比影像学更提前，比肿瘤标志物更准确。

 

因此，对于一些携带非常常见的基因突变的病人，如果碰巧肿瘤标志物又不敏感，那么利用血液基因检测（就检测那一两个最常见的基因突变即可，价格可承受），每隔2-3个月测一次，通过基因突变的浓度变化和性质改变，可以提前发现疾病复发、提前预警药物耐药等。对于携带EGFR突变且口服靶向药治疗的病人，如果每隔2个月测一次血液中EGFR相应突变的浓度变化，国内外的众多研究提示，可以比影像学平均提前4-6个月发现耐药。

 

七、治疗一段时间后，要不要重新做基因检测？

事实上，肿瘤组织内的基因，每时每刻都在发生新的突变，过程是完全随机的。各种治疗手段可能会影响突变发生的频率，也就是说原来是平均每10万个细胞每天突变1次，现在变成了平均每1万个细胞每天都要突变1次。

 

因此，我们一般仅推荐接受了靶向治疗的病友，在药物耐药、疾病进展以后，酌情考虑再次行基因检测——因为靶向药用了一段时间以后，耐药了，有一部分病人会富集出有更新的靶向药可用的新的突变。

 

八、有基因突变，是不是一定有靶向药可用？

不是。基因突变的类型太多，绝大多数基因突变，目前无法明确是不是和肿瘤有关；大多数能明确和肿瘤一定相关的基因突变（比如P53突变、KRAS突变、MYC扩增等），目前尚无已经上市的靶向药。因此，经常发生测了基因突变，但是依然没有合适的、已经上市的靶向药可以选择。

 

九、用PD-1抑制剂，为何也要做基因检测？

① 肿瘤突变负荷（TMB）高的患者，PD-1抑制剂的有效率更高，生存期更长，更适合接受PD-1治疗。因此，在接受PD-1抑制剂治疗前，做一些TMB的检测，意义重大。

② 携带JAK1、JAK2、BM2、HLA、STK11等基因突变的患者，可能对PD-1抑制剂天然耐药，所以要提前检测一下。

③ 携带EGFR突变、MDM2扩增的病友，使用PD-1抑制剂，可能发生爆发进展，所以也要提前检测一下。

④ 携带PBRM1、POLE基因突变的患者，使用PD-1抑制剂，疗效很好。有时候，也可以测一下碰一碰运气。

 

\"肿瘤患者需要做基因检测吗\"

下载二维码微信识别，观看傅相平教授主讲《脑胶质瘤解密》，看完对这个病就完全明白了


\"肿瘤患者需要做基因检测吗\"

欢迎扫描二维码加入QQ群，群里没有广告诈骗，非常干净


 


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病友们想问下，胶质瘤手术后什么时候可以洗头

","barId":"1337","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1561,"score":0,"partCount":0,"replayCount":3,"publishStatus":1,"publishTime":1551715576254,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1559664844629,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1554740914749,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"24595","isDel":0,"createAt":1548041398578,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"胶质瘤发烧是好现象吗","content":"

【理论】

  近年来癌症是有增无减。很大的因素就是人的体温低下，当体温低至35度的时候，人体就很容易被癌细胞侵入，反之如果体温达到了39.6度以上癌细胞就会被杀死。

   早在十九世纪就有一位德国的医师记载了这样的案例，发表了很多例自然治愈的癌症。这些癌症都是一些肺炎和丹毒等疾病，它们都是持续发高烧一到两个星期然后就不治而愈了。

   癌症是可以生长在身体任何部位的，但是人们发现人体的心脏、脾脏、小肠是发病率最少的地方。这些正好是处于高温的器官，就证实了癌症不适合在高温的器官上存活和繁殖。而相反人体最容易的发病的地方就是肺、胃、大肠、食道、卵巢、子宫等器官，因为这些属干中间层空洞的器官，体温相对来说较低，所以也是肿瘤的好发部位。


【病友实践聊天记录】

昨天水都咽不下去，躺床上完全没意识了，还一直发高烧。今天早晨居然能睁开眼睛，腿能动，能吃东西，能讲话，能喝水。这种现象正常吗？

是不是发高烧烧死脑瘤细胞，还是回光返照？有病有家有过这种突然好的情况吗？

\"胶质瘤发烧是好现象吗聊天记录1\"

\"胶质瘤发烧是好现象吗聊天记录2\"

\"胶质瘤发烧是好现象吗聊天记录3\"


【胶质瘤病友经验总结】

也许热敷有用，也不会造成什么损失。。。所以，大家可以用热毛巾，敷一下肿瘤部位，我不知道有没有用，我是这么给我老爸敷的，高烧过后 越来越好。今天走路很有力，很正常 




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目前，免疫检查点抑制剂（checkpoint inhibitors）对多种类型的肿瘤有很好的抗瘤疗效，但是对于胶质母细胞瘤（GBM）的治疗效果并不理想。因为其依赖于肿瘤的高频突变负荷和对新抗原表位的反应。在胶质母细胞瘤中，免疫细胞浸润有限，并且胶质母细胞瘤仅含有30-50个非同义突变。利用肿瘤的未突变抗原和新表位，或许可以为低频突变负荷的胶质母细胞瘤提供有效的免疫治疗。胶质瘤个性化疫苗联盟（GAPVAC）的Ⅰ期（GAPVAC-101）试验发现，在新诊断胶质母细胞瘤患者中，高度个体化的疫苗接种和整合两种类型肿瘤抗原治疗可以实现极强的免疫原性。德国图宾根Immatics生物技术股份有限公司的Norbert Hilf等撰文将相关结果发表在2018年12月《Nature》在线上。


在黑色素瘤的研究中，通过肿瘤疫苗选择的肿瘤新抗原已表现出强大的免疫原性和在临床应用中有效。但是，只有少部分突变能产生T细胞可识别的和由人类白细胞抗原（HLA）呈递的新抗原。对于较少突变的肿瘤，非抗原特异性免疫疗法，如免疫检查点抑制剂可能不完全起效。在胶质母细胞瘤内，T细胞对非突变、过表达抗原产生有效反应时，临床治疗效果很好；可以成为靶向新抗原和抗瘤治疗的重要组成部分。

 

研究方法

作者运用XPRESIDENT技术，在30例胶质母细胞瘤样本中检测非突变的、由HLA呈递的新抗原。最终，33个结合HLA-A*02:01和26个结合HLA-A*24:02的多肽收入制备文库。制备文库中的每个多肽肿瘤抗原和每个肿瘤转录组分别通过质谱和微阵列分析进行检测，以了解在每例GAPVAC-101患者的反应情况。根据分析结果，作者设计具有活性的个体化疫苗（APVAC1），包含7种最佳的HLA-Ⅰ多肽、2种结合HLA-Ⅱ类的多肽和1种病毒标志物多肽。

接着，观察APVAC1能否诱发免疫反应。离体多聚体分析显示，13例患者中，12例对APVAC1的HLA-I多肽疫苗诱导的CD8+T细胞，产生1次以上反应（92.3%；中位数3次反应）；此反应通常持续数月。接种疫苗后，APVAC1特异性T细胞转变为记忆型T细胞。16例患者疫苗接种后产生的PBMC（PTP T细胞）和由APVAC1诱导的PTP-013反应性CD8+T细胞可以高度结合，以杀死表达多肽的K562-A2靶细胞。这类T细胞还能裂解胶质母细胞瘤细胞系L2，而且内源性表达PTP-013（PTPRZ1）。由此证明APVAC1诱导的T细胞功能和PTP-013可通过HLA多肽呈递。13例患者中，9例（69.2%）表现为对APVAC1的1至2种未突变HLA-Ⅱ多肽抗原的CD4+T细胞产生应答，这些多肽的总免疫原性为50%。

 

研究结果

在应用APVAC1治疗时，通过影像学检查确定肿瘤的复发和消退情况。放化疗和辅助TMZ治疗后的几个月中，影像学检查经常发现肿瘤病灶的变化。GBM诊断成立后26.8个月，肿瘤复发的患者，给予再次切除肿瘤；检测结果证实肿瘤周围的CD8+T细胞与FOXP3+Treg细胞呈高浸润。含有CD4+T细胞的肿瘤可以直接对APVAC1的HLA-Ⅱ多肽PTP-010产生反应。

 

结论

综上所述，作者采用针对新抗原的肿瘤疫苗，有效地增加胶质母细胞瘤内的T细胞浸润和获得较好的临床效果。29个月临床试验中，患者的中位生存时间不比其它临床试验逊色。进一步研究应将降低疫苗制备过程的复杂性和制作时间、以及如何利用疫苗提高机体抗肿瘤免疫力作为重要内容。

 


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吃了三个月的德巴金，不敢停啊,病友们德巴金吃多长时间

","barId":"1337","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1454,"score":0,"partCount":0,"replayCount":4,"publishStatus":1,"publishTime":1549027496372,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1556717106091,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1549027615946,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"24623","isDel":0,"createAt":1548213332801,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"胶质瘤怎么能活的久一点","content":"

我现在穿梭于各群，就想了解胶质瘤怎么能活的久一点，放化疗是不是真的对肿瘤有作用，毕竟肿瘤怕刺激 


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临床上大部分有脑胶质瘤都会复发，即使是手术切除后，复发几率还是很大，这是为什么呢? 那么，如何预防胶质瘤手术后复发？

因为医生在手术过程中，会把可见的肿瘤切除，但是胶质瘤具有浸润性生长的特点，有些肿瘤细胞正常脑组织生长在一起，很难分辨，即使知道也无法切除。因为脑组织也是有功能的，它的切除范围终究很有限，所以没切除的部分还是很有可能再长出来。所以，患者进行正规治疗后，一定要继续进行抗复发治疗。

1.术后巩固治疗。常用的巩固手段包括：放疗、化疗、靶向药物，这几方面一定要做；

2.保持良好的心态：有良好的心态应对压力，劳逸结合，不要过度疲劳。还需要保持心情愉快，避免过度紧张，这些也是防复发的关键。

3.合理运动：加强体育锻炼，增强体质，多在阳光下运动，多出汗可将体内酸性物质随汗液排出体外，避免形成酸性体质。

4.养成良好的生活习惯：预防脑胶质瘤要养成良好的生活习惯，戒烟限酒。烟和酒是极酸的酸性物质，长期吸烟喝酒的人，极易导致酸性体质从而引发脑胶质瘤。

5.不要吃刺激类的食物：不要吃辛辣刺激过期的食物，这也可以预防肿瘤，同时年老体弱或有肿瘤家族史者酌情吃一些防癌食品和含碱量高的碱性食品。

 

所以胶质瘤术后注意这几方面会减少胶质瘤的复发率，另外要定期复查。在脑胶质瘤术后，时刻监控脑胶质瘤进展，及时注意到各项指标变化，可以帮助患者发现潜伏期的肿瘤，扼杀癌细胞于萌芽期。一般建议至少每隔半年要进行一次复查，期间不可忽略细微的症状，若是出现不明原因的疼痛、肿胀、消瘦乏力等不适症状，要及时到医院确诊。最后，祝患者们早日康复！

\"如何预防胶质瘤手术后复发\"

欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说





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基因检测没有突变怎么办？尽量不要影响情绪，这病征兆就是情绪不好，头痛，头晕，莫名其妙发脾气，就是征兆，顺他意，医生说放化疗越快越好，野生的，没有突变也要尝试一下，做一下基因检测


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我就不知为啥用了贝伐单抗，还非常差，我咨询网上医生，用这个要做靶点检测，贝伐单抗的靶点是什么，但是当时感觉我们主治医生也慌乱，也是盲试，关键觉得无所谓，对这病都没报希望，所以有问题也许也不讲给我们


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胶质瘤水肿是复发吗？我父亲术后医生没让做同步放化疗，只给制定了23次放疗，我们一再坚持才给开了33次的同步放化疗，现在复查有水肿，也不知道是假性进展还是复发，同步放化疗都是33次吧


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我爸上个月24刚做完手术，过两天准备去放疗化疗了，放化疗痛苦么？有没有什么特别难受的？


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1. 一，水肿，水肿是一个长期需要控制并易反复的事。尤其是放疗期间容易加大水肿的严重性。所以要长期的控制，一般水肿严重后，病人会有头疼，头晕，严重的会导致肢体无法行动，脑汕等症状。控制水肿药物，一线：甘露醇，甘油果糖穿插使用。二线：地塞米松，甲强龙等激素类药物，不可长期使用。三线：贝伐珠单抗。也有战友用中药控制水肿很好的可以作为参考和借鉴。
二，癫痫，癫痫是一个猝不及防又极其伤脑和身体的事情。一般脑部做开颅手术的都建议用预防癫痫类药物来预防癫痫。平时查血电解质的血中钾，钠的含量。如果是低了，可以使用氯化钾缓释片来增加钾的含量。食补：香蕉，橙子，深海鱼类，海藻。药物控制癫痫：左乙拉西坦，德巴金，丙戊酸钠，卡玛西平片等。可以单独用药控制也可联合控制。如果吞咽困难的病人，可以用点滴药物，丙戊酸钠。大癫痫发作时，应打电话120，医生来之前应该防止病人咬舌头。医生来了后，需先打安定镇静剂后及时送往医院，再用药丙戊酸钠。到医院查脑ct查看是否脑出血，查血指标及电解质。病人稳定后需要到神经内科医生处咨询癫痫的控制用药情况。减癫痫药正确的做法是一片癫痫药每天用刀片划掉一点。因为一片癫痫药是以mg为单位，一天减掉一片，就是几百毫克，对于病人体制来说，并不是很稳定的。
三，血指标，长化过程中，血指标是很难控制的，一般长化前都会验血。一般查血常规，定期复查血电解质和肝肾功能。血常规只看三个指标。1，白细胞不低于3就可以长化。2，血小板正常值一般在126，我家的大夫跟我说不低于80可以不打升血小板针。具体可咨询自家大夫。3，血红蛋白，低不多的话，食补即可。升白细胞，血小板的食补及时药物很多，再次不详细介绍了。
四，肺炎，肺炎一般多发生于胶质瘤后期或长期卧床的病人。往往不是胶质瘤夺走了家人的生命，而是器官衰竭和肺炎夺走的生命。所以长期卧床的病人一般建议买气垫，定时按摩腿脚手及手臂，可预防静脉血栓。定时翻身可预防压疮和褥疮。空心手拍打后背，辅助病人吐痰，侧身按摩后背，让病人后背肌肉得到放松。
五，脑积液，一般脑积液会导致颅压过高，头疼。可腰椎埋管分压或做腹腔分流手术来缓解。也可手术去骨瓣来降颅压。
六，药物副作用，建议吃一些护肝，胃，肾的药物。止吐药昂单司琼有便秘的副作用，可在吃昂单司琼的当天做菜用灰油。（猪油）有助于便秘的缓解。地塞米松片与昂单司琼联合用药，有增强止吐的功效。地塞米松片是激素类药物，不可长期服用单独服用有去水肿的作用，所以家中可以常期备用两个药物。神经类止吐药阿瑞匹坦，止吐效果不错，但药物价格不低。

\"脑胶质瘤注意防范以下几件事\"

欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说



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吃芬苯效果如何？我爸上个月24刚做完手术，过两天准备去放疗化疗了，放疗化疗会很痛苦吗


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明天开始弄放疗的准备了，胶质瘤放疗会引起水肿吗？医生也说会水肿，会偏瘫，怎么办啊？死马当作活马医了，原位复发的，医生说放疗很可能要导致偏瘫，8年前做过一次伽马刀，有影响


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想问下大家低级别的胶质瘤，手术切除率高不高呢？低级别胶质瘤手术成功率？脑干请问这个好做吗？上次医生说观察，要是没什么变化就行，可是这是来复查有变化了，不手术还会增大呀


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