{"nowTime30":1779744022839,"lyBarModerator":null,"metaSearch":{"description":"女,52岁。目前只感觉乏力，大便变细。没有别的症状。体检过程中发现的。小肠间质瘤！跪求治疗方案！","keywords":"小肠间质瘤感觉乏力大便变细_洞医","title":"小肠间质瘤感觉乏力大便变细_洞医","channels":null},"identificate":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"realName":null,"certifiedStatus":0,"phone":null,"email":null,"hospitalId":null,"departmentId":null,"illName":null,"illId":null,"cardType":0,"cardImg":null,"idCardImg":null,"identityType":0,"stop":0,"departmentName":null,"hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"1657","isDel":0,"createAt":1483439334683,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"北京协和医院肿瘤科","type":101,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":"110000","cityId":"110101","illId":null,"hospitalId":"15009","keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"description\":\"洞医网为您提供:北京协和肿瘤医院地址、北京协和医学院肿瘤科、北京协和医院肿瘤内科病友的治疗经验等相关信息，让您在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"北京协和医学院肿瘤科_北京协和医院肿瘤内科_北京协和肿瘤医院地址_洞医\",\"title\":\"北京协和医学院肿瘤科_北京协和医院肿瘤内科_北京协和肿瘤医院地址_洞医\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"30038","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"肿瘤病友甲流群","content":"<p>病友及家属的生活交流群，广告及药贩请潜水</p><p>群内交流病情切勿盲目相信，一切治疗须有医生和自主判断</p><p><img src=\"http://01luntan.com/ly_img/uimgs/1614215992714.jpg\" title=\"1614215992714.jpg\" alt=\"ab6af2ad8d372feaf0ec74764488fdd.jpg\"/></p>","barId":"1657","topicTypeId":null,"topicThemeId":"1023","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":1,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":5},{"id":"4090","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"直肠癌手术后怎么护理?要注意哪些护理事项？","content":"<p style=\"margin-top:5px;margin-right:0;margin-bottom:5px;margin-left: 0;line-height:200%\">　　拥有健康的身体是最大的财富，每个人都要健健康康的生活着，特别要注意直肠癌。直肠癌是消化道较常见的恶性肿瘤之一，近些年来发病率高，那么，直肠癌手术后怎么护理呢<span style=\"font-family: Arial, sans-serif\">?</span>要注意哪些护理事项<span style=\"font-family: Arial, sans-serif\">?</span></p><p style=\"margin: 5px 0;line-height: 200%\">　　癌症是让人听之色变的一种重大性疾病，随着直肠癌的不断高发想必大家对这一肿瘤疾病应该也多少都有听说过吧。因为这样的患者时常出现在我们周围，导致大家心里充满了恐惧，而且这个病的复发机率非常高，所以即使做了手术患者也要多加注意平时的护理工作，避免疾病再次发作，今天我们就针对直肠癌手术之后的护理，来进行一下详细的讲解。</p><p style=\"margin: 5px 0;line-height: 200%\"><strong><span style=\"font-family: 宋体\">　　一、饮食禁忌</span></strong></p><p style=\"margin: 5px 0;line-height: 200%\">　　注意饮食禁忌这是临床上几乎每一种疾病患者都应该要注意的一个护理问题，更何况是直肠癌这样对患者身心健康有着很大伤害的疾病，饮食禁忌方面的护理一定要多加注意。直肠癌经过手术后会出现一些不适症状，出现反复的腹泻，消化能力也下降，所以在饮食上要选择好消化容易吸收的食物。</p><p style=\"margin: 5px 0;line-height: 200%\">　　直肠癌患者在手术完以后会出现这样或是那样的身体反应症状，不同体质的患者出现的反应情况不同，因此所要采取的饮食禁忌要针对患者的自身情况而定。对于有的患者出现便血、身体消瘦、发热的症状我们要增强营养，选择流汁药膳进行补充，适当的增加主食，粥类等半流食的食物，均衡营养合理健康的饮食，要注意的问题就是避免辛辣刺激性食物的摄入，更不能饮酒，不能吃高脂肪的食物，在恢复期间可以适量的少食多餐，保证营养被及时的消化吸收，减少肠胃的损伤。</p><p style=\"margin: 5px 0;line-height: 200%\">　<strong><span style=\"font-family: 宋体\">　二、心理状态</span></strong></p><p style=\"margin: 5px 0;line-height: 200%\">　　护理做完直肠癌手术后的患者还要多加重视他们的心理方面，心理状态的好坏对于直肠癌患者的身体恢复也是有着不可小视的影响作用的。除饮食之外还有很多要做的护理大肠癌的事项，必须要保持乐观积极的情绪，防止紧张、焦躁、由于造成的心理不良，及时的开导病人，缓解内心的压力苦闷，增强身体锻炼，恢复身体各大功能的正常，防止免疫力下降等现象。</p><p style=\"margin: 5px 0;line-height: 200%\"><strong><span style=\"font-family: 宋体\">　　三、其它方面</span></strong></p><p style=\"margin: 5px 0;line-height: 200%\">　　在生活起居方面家长要做好各个方面的护理工作，让刚做完直肠癌手术的病人能够有最好的休息和恢复。在大肠癌的术后护理上，就是在患者手术后，保证良好的卧床休息，不适合活动，以免术后伤口的裂开，出现任何异常情况就是去医院检查治疗。注意伤口术后防止感染，保证环境的卫生和清洁，防止交叉感染出现，还要增强患者的自信心和动手能力，保证患者健康的心理状态。</p><p style=\"margin: 5px 0;line-height: 200%\">　　直肠癌不是一种小疾病，即使是在做完手术之后也是会有很多不同症状反复发生的，鉴于此对直肠癌手术后的护理一定要多加小心和注意，护理也是治疗直肠癌疾病的不可或缺的一部分。从患者的身体和心理等多个方面去照顾护理病人，这样才能够让直肠癌患者感觉到家人的关心与温暖，这对病人的身体恢复帮助作用极大，一定要引起大家的重视。</p><p style=\"line-height:200%\"><span style=\";line-height:200%\">&nbsp;</span></p><p><br/></p>","barId":"1657","topicTypeId":null,"topicThemeId":"1022","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":5},{"id":"2975","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"克唑替尼耐药后怎么办","content":"<p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\"></span></p><h2 style=\"margin: 0px; padding: 0px; font-size: 14px; color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; white-space: normal; font-weight: normal; background-color: rgb(252, 252, 252);\">肺癌晚期克唑替尼耐药</h2><p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">alk二代药的价格是多少，印度版的事多少</span><br/></p>","barId":"1657","topicTypeId":null,"topicThemeId":"1020","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":5},{"id":"3237","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"4周岁9个月男孩骨软骨瘤是否需要手术","content":"<p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">男孩，2011年9月出生，今年4周岁8个月。今年5月24日发现右脚踝肿胀，无疼痛感，5月26日到医院检查，做了X线检查，诊断结果为：右胫骨下段干骺端骨软骨瘤。</span></p><p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">是否必须手术切除？是否需要做全身性检查，以确定其他部位是否还有骨软骨瘤？不手术切除是否会影响孩子的生长发育？</span></p>","barId":"1657","topicTypeId":null,"topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":1},{"id":"1176","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"直肠癌在早期都有什么症状","content":"<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　如果我们能在直肠癌发病的初期及时的发现病情我们或许还能在关键时刻保住自己的性命，大家在日常生活中需要注意直肠癌，在出现这种疾病的时候，患者需要长时间的用药，严重的影响到患者的身体，平时大家需要注意疾病出现，并且在日常生活中，要综合进行调理。而且要注意其中的症状，<strong>直肠癌在早期都有什么症状</strong>？</span></p>\n<p style=\"line-height: 200%;\"><strong><span style=\";line-height: 200%; font-family: 宋体; color: #333333;\">　　直肠癌在早期都有什么症状</span></strong></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">1</span><span style=\"line-height: 200%; font-family: 宋体;\">、直肠癌早期症状大便出血，是直肠癌最常见的症状，但常被大家所忽视或被误诊为痔疮而延误治疗，使病情加重。便血多为红色或暗红色，混有粪便之粘液血便，或脓血便，有时伴有血块，坏死组织。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">2</span><span style=\"line-height: 200%; font-family: 宋体;\">、改变习惯，由于肿块及其产生之分泌物，可产生肠道刺激症状，便意频繁，排便不昼感，里急后重等症状，但排出物多是粘液脓血状物，最初这些</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">&ldquo;</span><span style=\"line-height: 200%; font-family: 宋体;\">假性腹泻</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">&rdquo;</span><span style=\"line-height: 200%; font-family: 宋体;\">现象多发生在清晨起床不久，称晨起腹泻。以后次数逐渐增多，甚至晚间不能入睡，改变了往日大便习惯。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">3</span><span style=\"line-height: 200%; font-family: 宋体;\">、直肠癌早期症状肛门疼痛及肛门失禁，直肠下段癌如浸润肛管部可引起局部疼痛，如累及肛管括约肌则可引起肛门失禁，脓血便经常流出，污染内裤</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">;</span><span style=\"line-height: 200%; font-family: 宋体;\">癌肿感染或转移，可引起腹股沟部淋巴结增大。</span></p>\n<p style=\"line-height: 200%;\">　　<span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">4</span><span style=\"line-height: 200%; font-family: 宋体;\">、直肠癌早期症状肠道狭窄及梗阻现象，癌肿绕肠壁周径浸润，使肠腔狭窄，尤在直肠乙结肠交界处，多为狭窄型硬癌，极易引起梗阻现象。直肠壶腹部癌，因多是溃疡型，直甩壶腹部较宽阔，估计约</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">1</span><span style=\"line-height: 200%; font-family: 宋体;\">～</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">2</span><span style=\"line-height: 200%; font-family: 宋体;\">年左右才引起狭窄梗阻，大便形成变细，排便困难，便秘，引起腹部不适，气胀及疼痛。由于粪便堆积，在梗阻上段乙结肠部位，有时在左下腹部，可扪及条索状肿块。</span></p>\n<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　大家需要注意保持好的心态，平时大家需要注意直肠癌的症状，避免造成大便出血而且还会造成生活习惯发生改变，平时大家需要注意直肠癌的出现，避免影响到生活。而且要注意肠胃功能变化全面地进行自我调理，有效进行饮食。</span></p>\n<p style=\"line-height: 200%;\"><span style=\";line-height: 200%;\">&nbsp;</span></p>\n<p>&nbsp;</p>","barId":"1657","topicTypeId":null,"topicThemeId":"1016","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":5},{"id":"1469","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"直肠癌晚期不治疗扩散到什么器官","content":"<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　直肠癌在近几年来发病率一直上升，使不少患者承受了很大痛苦，这个病是一种危害性非常大的肿瘤疾病，人们患上直肠癌以后不仅会严重影响身体健康，也会对直肠癌患者的心理和情绪带来很大的波动。如果直肠癌患者不及时治疗的话，直肠癌还会扩散到其他部位，甚至影响身体健康。下面大家就与小编一起去看看，直肠癌晚期不治疗扩散到什么器官。</span></p>\n<p style=\"line-height: 200%;\">　　<strong><span style=\";line-height: 200%; font-family: 宋体; color: #333333;\">直肠癌晚期不及时治疗会扩散到哪里</span></strong><strong><span style=\";line-height: 200%; font-family: 'Tahoma','sans-serif'; color: #333333;\">?</span></strong></p>\n<p style=\"line-height: 200%;\"><strong><span style=\";line-height: 200%; font-family: 宋体; color: #333333;\">　　经腹膜蔓延或种植：</span></strong></p>\n<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　腹腔内的转移播散是直肠癌的主要蔓延方式。早期在原发肿瘤附近的腹膜上有散在的癌结节，显示腹膜下有淋巴管播散，晚期腹膜广泛播散，最后达大网膜和腹腔内脏器。</span></p>\n<p style=\"line-height: 200%;\">　　<strong><span style=\";line-height: 200%; font-family: 宋体; color: #333333;\">直接浸润：</span></strong></p>\n<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　直肠癌还会由癌灶边缘在肠壁内向周围蔓延，一般横向蔓延比纵向快，向深处由黏膜层逐渐向黏膜下层、肌层和浆膜层浸润，穿透浆膜层达直肠周围组织和毗邻脏器。</span></p>\n<p style=\"line-height: 200%;\">　　<strong><span style=\";line-height: 200%; font-family: 宋体; color: #333333;\">经静脉扩散：</span></strong></p>\n<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　这是直肠癌患者内脏和远隔脏器转移的主要途径，也是影响直肠癌患者长期生存的最主要因素。癌组织侵入黏膜时可侵人静脉。癌细胞通过静脉到达肝脏，或转移到肺和其他器官。</span></p>\n<p style=\"line-height: 200%;\">　　<strong><span style=\";line-height: 200%; font-family: 宋体; color: #333333;\">淋巴道转移：</span></strong></p>\n<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　这种转移占直肠癌</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">60%</span><span style=\"line-height: 200%; font-family: 宋体;\">。直肠癌细胞经粘膜下层淋巴网穿过肠壁</span><span style=\"line-height: 200%; font-family: 宋体;\">&rarr;</span><span style=\"line-height: 200%; font-family: 宋体;\">肠壁面淋巴结</span><span style=\"line-height: 200%; font-family: 宋体;\">&rarr;</span><span style=\"line-height: 200%; font-family: 宋体;\">结肠旁淋巴结</span><span style=\"line-height: 200%; font-family: 宋体;\">&rarr;</span><span style=\"line-height: 200%; font-family: 宋体;\">中间淋巴结</span><span style=\"line-height: 200%; font-family: 宋体;\">&rarr;</span><span style=\"line-height: 200%; font-family: 宋体;\">中央淋巴结</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">(</span><span style=\"line-height: 200%; font-family: 宋体;\">主淋巴结</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">)</span><span style=\"line-height: 200%; font-family: 宋体;\">&rarr;</span><span style=\"line-height: 200%; font-family: 宋体;\">主动脉旁淋巴结</span><span style=\"line-height: 200%; font-family: 宋体;\">&rarr;</span><span style=\"line-height: 200%; font-family: 宋体;\">锁骨上淋巴结。</span></p>\n<p style=\"line-height: 200%;\">　　<strong><span style=\";line-height: 200%; font-family: 宋体; color: #333333;\">种植转移：</span></strong></p>\n<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　常见种植方式有三种，一种是癌细胞侵犯至浆膜外时，脱落的直肠癌细胞种植在腹盆腔腹膜形成癌结节</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">;</span><span style=\"line-height: 200%; font-family: 宋体;\">一种是肠腔内癌组织癌细胞脱落种植到附近粘膜损伤处，粘膜完整时不能种植，这也可能是直肠癌常有多发病灶的原因之一</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">;</span><span style=\"line-height: 200%; font-family: 宋体;\">再者就是手术中的医源性种植。</span></p>\n<p style=\"line-height: 200%;\">　　<strong><span style=\";line-height: 200%; font-family: 宋体; color: #333333;\">局部扩散：</span></strong></p>\n<p style=\"line-height: 200%;\"><span style=\"line-height: 200%; font-family: 宋体;\">　　直肠癌还会先有肠壁内扩散，癌环绕肠壁一周生长约需</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">2</span><span style=\"line-height: 200%; font-family: 宋体;\">年，癌浸润至肌层后易发生血行转移。直肠癌还可以侵袭整个肠壁以致肠周围的器官</span><span style=\"line-height: 200%; font-family: Tahoma, sans-serif;\">(</span><span style=\"line-height: 200%; font-family: 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