There are various ways to treat cancer. Like the disease itself, none of them are fun or pleasant. You can have chemotherapy, radiotherapy and surgery. As an added bonus you can have them in any combination depending on the type of cancer you have and how advanced it is. Each type of therapy offers you a whole range of side effects, which vary in intensity depending largely on individual sensitivity. Treating cancer is a roller coaster fun ride of hospital visits; cell killing x-rays, hair loss and puking your guts out. But on the bright side, you get to live at the end of it and that’s got to be worth a few days of diarrhoea, surely. http://www.cancerhelp.org.uk was very enlightening on the subjects of chemotherapy and radiotherapy.
Chemotherapy is a treatment with cell killing drugs it can be used with one drug or a combination of drugs. There are 60 chemotherapy drugs currently in use and more are being created all the time. Chemotherapy can be used as a treatment all on its own for cancers that are chemo sensitive, or it can be used in conjunction with radiotherapy, which is known as chemoradiation, it can be used with surgery as a treatment before or afterwards, it can be sued with hormone therapy, or it can be used with immunotherapy, or it can be used in any combination of these. Chemo affects the way in which cancer cells grow. It circulates in the bloodstream and so is able to attack cancer cells anywhere in the body. It is therefore called a systemic treatment as opposed to surgery and radiotherapy, which are local treatments. Chemo is used if there is a chance of the cancer spreading or if the cancer has spread already. It is also used to shrink before surgery or radiotherapy, to try and stop cancer from recurring after surgery or radiotherapy, and as its own treatment for chemo sensitive cancers.
The side effects of chemotherapy include: sore mouth and mouth ulcers. Mouth ulcers may appear 5-10 days after the chemo treatment and clear up in 3-4 weeks. There is a chance that the ulcers may get infected in which case you should see a doctor immediately so that they can be treated properly. It might be wise to use a mouthwash but not one that contains alcohol. If your mouth get sore tell the nurse on duty at the hospital where you get your chemo, she will get you some painkillers. For some people the pain is so bad that they have to be given morphine. You may find that your taste changes. Food may taste salty, bitter or metallic. This may pass after a while or it could last the duration of your chemotherapy. It will not continue after your chemotherapy has ceased. To combat the change in taste you could try some spicy foods or new foods that you’ve never tried before. Try interesting herbs and spices in cooking to add different flavours to your food. For sore mouths try brushing your teeth gently with soft bristled toothbrushes, even children’s toothbrushes, and gargle with lightly salted water, this has a soothing as well as an antibiotic effect for mouth ulcers. Hair loss, the most well known of the chemo side effects. It is possible that hair might only get thinner and the difference will not be all that noticeable, or some people will only lose some of their hair. If you were going to lose your hair though, it would probably be preferable to lose all of it rather than some of it. In some cases other body hair will also fall out. It usually happens about 2-3 weeks after treatment starts and the loss is gradual. Hair loss depends on the type of drug being used, the dosage, individual sensitivity and past drug treatment. It is important to remember that your hair will grow back when your treatment stops, it may grow back a different colour and slightly curlier than before but it will grow back. Digestive system: loss of appetite, this can be due to changes in taste, tiredness and feeling sick.
Diarrhoea: the chemo drugs irritate the lining of the digestive system. It can be severe depending the on drugs used. It is important to keep your liquid intake up to remain hydrated and tell your doctor so that she/he can give you some tablets at your next chemo session. In a total reversal, constipation, which is relatively rare but can still occur. Drink plenty of liquids and eat as much fresh fruit as you can. If your constipation lasts for longer than 3 days, tell your doctor so that he/she can treat you with a mild laxative.
Radiotherapy is essentially being treated with radiation or x-rays. You don’t feel anything at all during the treatment. You get external radiation therapy – x-rays, “cobalt irradiation”, electrons and rarely any other particles like protons and you get internal radiation therapy – radioactive material in or close to the tumour being treated. Radiotherapy destroys the cancer cells in the area being treated, it destroys normal cells too but they are better able to repair themselves than the cancer cells. If the normal cells cannot repair themselves then it is possible that the side effects experienced could remain permanent. Each treatment session is called a fraction and there is a fraction once a day from Monday – Friday with a rest on weekends so that the cells can try to repair themselves. Radiotherapy is used for several reasons: it can be curative, palliative – to relieve symptoms, before surgery, after surgery and in total body irradiation as in cases of acute or chronic leukaemia.
Side effects are similar to those of chemotherapy. Patients feel tired, they may want to sleep all day in a condition called somnolence syndrome, they feel as if they are coming down with the flu, there is some skin soreness, hair may fall out in the treated area only, anaemia. An antidote to tiredness is exercise, it may help to take a short walk during the day when you feel least tired and gradually increase the time you spend walking until you able to walk for half an hour. Physical activity has numerous benefits for cancer patients and not all of them are physical, some are psychological.
It sounds like hell, and probably is. But then so is the alternative, depending on the life you’ve led. I jest. At least we know that we’ve got a cure and that it does work. It’s still not something that you would want to go though alone. It is a time of family, friends, love and support, use them, they want you to.
Sandra wrote this article for the online marketers Tell Her UK cervical cancer one of the most informative and reader friendly sites on cervical cancer on the web
Comments