Buss Tomasz, Modlińska Aleksandra
Zakład Medycyny Paliatywnej Akademii Medycznej w Gdańsku.
Pol Merkur Lekarski. 2004 Mar;16(93):285-8.
Fatigue is often related to cancer, and is related to its treatment. Fatigue is the most commonly reported side effect of cancer treatment. It differs from fatigue induced by other causes, because doesn't decrease after period of rest. The fatigue reported by cancer patients is usually described as an unusual, excessive, whole-body experience that is disproportionate or unrelated to activity or exertion and is not relieved by rest or sleep. Cancer related fatigue is multidimensional, subjective experience that has profoundly negative effect on patients' quality of life. Fatigue today is the most commonly reported symptom, for some patients the most unpleasant symptom, and the most distressing side-effect in connection with cancer and/or its treatment. The prevalence of fatigue in patients receiving anti-cancer treatment has been estimated to be more than 80 per cent. The fatigue can be pervasive: patients report that fatigue begins with treatment, continues during the course of chemotherapy or radiation treatment, and declines somewhat--but frequently sustains at a higher-than-baseline rate- after treatment is over. It may also persist for several years even in patients with no apparent disease. Despite of the prevalence of fatigue and its profoundly negative effect on patients quality of life, little is known about the specific mechanisms that underline fatigue in cancer patients or how to prevent it and treat it effectively.
疲劳常与癌症相关,且与癌症治疗有关。疲劳是癌症治疗中最常报告的副作用。它与其他原因引起的疲劳不同,因为休息一段时间后疲劳不会减轻。癌症患者报告的疲劳通常被描述为一种异常的、过度的全身体验,与活动或劳累不成比例或无关,且休息或睡眠无法缓解。癌症相关疲劳是一种多维度的主观体验,对患者的生活质量有深远的负面影响。如今,疲劳是最常报告的症状,对一些患者来说是最令人不适的症状,也是与癌症和/或其治疗相关的最令人痛苦的副作用。接受抗癌治疗的患者中疲劳的发生率估计超过80%。疲劳可能很普遍:患者报告疲劳始于治疗,在化疗或放疗过程中持续存在,治疗结束后会有所下降——但通常会维持在高于基线的水平。即使在没有明显疾病的患者中,疲劳也可能持续数年。尽管疲劳很普遍且对患者生活质量有深远的负面影响,但对于癌症患者疲劳背后的具体机制以及如何有效预防和治疗疲劳,人们知之甚少。
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