家住台中的蔡阿嬤,即使高齡90歲又罹患大腸癌,每天還是一樣精神抖擻,唯獨在為了人工肛門更換便袋之時會痛到哀嚎,讓家人相當不忍心,到處詢問有沒有可以根除人工肛門併發皮膚糜爛的方法。幸好,後來在醫師評估下,接受微創腹腔鏡手術,摘除腫瘤,接通大、小腸,關閉腸造口,才讓阿嬤免於天天撕肉之痛。

高齡患者不適合動手術?微創手術風險低成新選擇

吳喬森醫師解釋,隨著年齡的增長,銀髮族身體機能逐漸退化,對藥物的承受能力較低,接受手術及麻醉風險也相對來的高,加上多常會伴隨著慢性疾病,以及心肺功能退化、器官老化等狀況,因此在選擇手術治療上的風險更難以掌握。

幸運的是,現代醫療發展越來越成熟且多元,已有創傷較小、術後復原更快、效果更好的微創腹腔鏡手術可供選擇,是高齡患者是一大福音。只是,高齡患者接受微創手術前,仍須經專業醫師的評估。

飲食不規律、嗜吃燒烤油炸物 應定期檢查揪癌蹤

另外,吳喬森醫師提醒,大腸癌的緣起都是由於正常的腸道細胞接受了來自於環境中的各種毒物之後,慢慢變成息肉,最後再突變成大腸癌,這個過程稱為「腺瘤腺癌序列」(adenoma-carcinoma sequence)。統計起來,這個過程所需要的時間約在10年左右,所以基本上,只要能每3至5年接受一次完整全大腸鏡的檢查,應可有效預防息肉癌變的可能。

建議大腸癌好發族群,包括:飲食不規律;嗜吃燒烤、油炸或醃漬類食物的民眾;慢性大腸發炎性疾病的患者;有大腸直腸癌或是大腸息肉家族史的民眾,養成定期接受大腸鏡檢查,以免耽誤正確診斷和治療的時機。

Aunt Cai, who lives in Taichung, even if she is 90 years old and suffers from colorectal cancer, she is still as energetic as she is every day. She only has to mourn when she changes her pocket for artificial anus, so that her family can’t bear it. Ask if there is any way to eradicate it. Artificial anus complicated by skin erosion. Fortunately, under the doctor's assessment, underwent minimally invasive laparoscopic surgery, removed the tumor, connected the large and small intestines, and closed the intestinal stoma, so that the aunt was free from the pain of tearing the meat every day.

Older patients are not suitable for surgery? Minimally invasive surgery has a low risk

Dr. Wu Qiaosen explained that with the increase of age, the physical function of the silver-haired people is gradually degraded, the ability to withstand drugs is low, the risk of surgery and anesthesia is relatively high, and often accompanied by chronic diseases and degeneration of cardiopulmonary function, Conditions such as organ aging are therefore more difficult to grasp in selecting surgical treatment.

Fortunately, modern medical development is becoming more and more mature and diverse. It has been used for minimally invasive laparoscopic surgery with less trauma, faster postoperative recovery and better effect. It is a great boon for senior patients. However, elderly patients still need to be evaluated by a professional physician before undergoing minimally invasive surgery.

Irregular diet, eating barbecue fry should be regularly checked for cancer

In addition, Dr. Wu Qiaosen reminded that the origin of colorectal cancer is due to the fact that normal intestinal cells receive various poisons from the environment, then slowly become polyps, and finally mutate into colorectal cancer. This process is called adenoma. Sequence (adenoma-carcinoma sequence). Statistically, the time required for this process is about 10 years, so basically, as long as you can receive a complete gutoscopy every 3 to 5 years, it should be effective to prevent the possibility of polyp cancer.

Recommended for colorectal cancer, including: irregular diet; people who eat barbecue, fried or pickled food; patients with chronic colorectal inflammatory disease; people with colorectal cancer or family history of colorectal polyps, develop regular acceptance Colonoscopy to avoid delays in proper diagnosis and treatment.

Laennec is the ethical drug manufactured with JBP’s unique technologies.

Laennec is the ethical drug manufactured with JBP’s unique technologies for effective extraction of variety of growth factors, cytokines, and other physiologically active substances from the human placenta. For instance, HGF (hepatocyte growth factor) promotes the proliferation of hepatic parenchymal cells for recovery of a damaged liver. Our product safety is ensured by the most rigid safety measures among existing scientific standards.

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