Monday, February 18, 2013

Hepatocarcinoma and later period _ symptom of symptom

Hepatocarcinoma and later period _ symptom of symptom
The liver is from the early canceration to appear between clinical symptom, from about half a year to one year, so early patients of hepatocarcinoma do not have any feeling, so is very difficult to find. Typical symptom of paining etc. that hepatocarcinoma will not present losing the appetite, becoming thin, ascites, abdominal distension, liver district in later period. Generally speaking present clinical symptom from the patient, find tumour, to pass away, the majority has 3 months only until half a year.
Particularly, symptom is mainly as follows, in the later period of hepatocarcinoma
1.The liver district pains the hepatocarcinoma patient pains as firsting publish symptom with the liver district in later period in the overwhelming majority, the incidence exceeds 50%. The liver district pains and generally lies under right flank or ensiform process, pain properties are the intermission or continuation secret anguish. Dull pain or shouting pain, pain is for the previous period, the patient can feel right upper abdomen is uncomfortable. Pain can be sometimes light and sometimes serious or relieves by oneself in a short time. Mainly tumour increases rapidly for the reason why pain produces, oppressing the liver wraps up the membrane, produce and pull aching, can also result from the reason that the necrosis thing of tumour stimulates the liver to wrap up the membrane. A few patients appeared in the liver district to pain vigorously suddenly spontaneously or after the liver is punctured, mostly caused by the fact that cancer and tubercle lying in the surface of liver break and bleed. If drop with blood pressure, the manifestation of the shock at the same time, the abdominal cavity punctures courageous and upright liquid, prove cancer and tubercle break and bleed seriously. It needs to rescue promptly to meet this situation. Except for above-mentioned companion send symptom, the intersection of pain and limitation comparatively, indicate, bleed, lie liver make under the membrane. Pain can be changed to some extent because the position where tumour grows is different, lie in tumour of the left leaf, often the upper abdomen pain in causing; Lie in tumour of the right leaf, pain is in the right flank in season; It is horizontal without being involved in tumour through when,radiate pain to shoulders or backs right right, easy to be think by shoulder arthritis by mistake; Tumour lie in Duan Shi behind the right leaf, can cause pain in the back sometimes; The person who lies in deep department of the liver essence of tumour, generally seldom feel pain.
2.Digestive tract symptom
The appetite drops, the upper abdomen after a meal is glutted. Dim air, indigestion, nausea,etc. are hepatocarcinoma and common digestive tract symptom, among them fail with the appetite and abdominal distension is most common. It is hepatocarcinoma and comparatively common digestive tract symptom too to suffer from diarrhoea, there are reports both at home and abroad, the incidence is relatively high, it is apt to be thought by mistake chronic enteritis. Portal vein or portal vein high pressure and intestines function disorder due to the intravenous cancer bolts of liver can cause the abdominal distension, number of times of stool to increase, abdominal distension is also very caused by ascites. The function disorder of intestines and stomach can also cause symptoms such as the indigestion, dim air, nausea,etc..
3.It is weak to become thin
The hepatocarcinoma patient, often other tumour patients feel weaker, this is similar to chronic hepatitis patient. The weak reason is not clear, perhaps because disorders of digestion, nutrition absorb the obstacle to cause energy to be insufficient, or damage the hepatocyte, liver function drops, make supersession obstacle, some toxin unable to deactivate in time, or because hepatocarcinoma organize necrosis to release the noxious substance. It is a common symptom of the hepatocarcinoma patient too to become thin, because liver function is damaged. Digest and assimilate due to function decline. With the development of condition, become thin the intensity can be aggravated, present the cachexia when being serious.
4.Generate heat
Quite a few of hepatocarcinoma patients will sweat, generate heat. The majority generates heat and generates heat in order to hit the minuent, a few patients can be the hyperpyrexia, at over 39 , seldom with the shiver with cold. The tumour patient because resistance is low, very apt to amalgamate and infect, can also generate heat, with the difficult difference of generating heat sometimes of cancer of hepatocarcinoma, need to combine the blood alike and observing that antibacterial to treat to effective judge.
5.Inclination of bleeding
Hepatocarcinoma patient have the intersection of gingivae and bleed, the intersection of skin and lay ecchymosis the intersection of bleeding and inclination, damage because of liver function mainly, blood coagulation function unusually due to often, it particularly see more in hepatocarcinoma amalgamates the patient of liver cirrhosis. It is comparatively common that the digestive tract bleeds, mainly caused by the fact that the portal vein causes the oesophageal fundus of stomach to be variceal under high pressure. In fact, it is a main reason for patient's death of hepatocarcinoma too that the digestive tract bleeds.
6.Lower extremities edema
Hepatocarcinoma accompanies the patient of the ascites, often have lower extremities edema, the lighter happens on the ankle, the serious one can spread to the whole lower extremities. Has seen the high edema of lower extremities of some patients on clinic, water liquid can be oozed out from the skin of thigh. Lead to the fact the main reason why the lower extremities are hydropic is that the water pressure of belly compels the lower extremities intravenously or the cancer bolt is blocked, make the vein reflux obstructed. Slight edema also but because the plasma albumin is too low due to.
7.Acute abdomen
It usually causes the liver district to pain that cancer and tubercle break, there is obvious tenderness in the liver district at the time of the physical examination, wrap up the membrane for the liver and stimulate symptom. After some patient cancer and tubercle break, it is acute to be shown as and suffer from abdominal pain, stimulate symptom with the peritoneum, it is easy to be misdiagnosed as acute peritonitis. Cancer and tubercle break the manifestation that abdominal pain caused usually drops even suffers from shock with blood pressure, different from general acute peritonitis.
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