The clinical manifestations of patients with cholangiocarcinoma are mainly progressive jaundice, loss of appetite, emaciation, itching and upper abdominal discomfort. If complicated with gallstones and biliary tract infection, chills and fever may occur. And paroxysmal abdominal pain and dull pain. For example, cancer located on one side of the hepatic duct is often asymptomatic at first, and only when it affects the opening of the opposite hepatic duct will obstructive jaundice appear. For example, cancer in the middle part of bile duct is mostly painless progressive obstructive jaundice, without gallstones and infection. Jaundice generally progresses rapidly and does not fluctuate. The examination showed that the liver was swollen and hard, and the gallbladder was not enlarged. If it is the lower end of the common bile duct, you can palpate the swollen gallbladder. If the tumor breaks and bleeds, there may be manifestations such as black stool or stool occult blood test, anemia and so on.
Proper treatment is the most important factor related to how long the advanced cholangiocarcinoma can live. Most advanced cholangiocarcinoma can't be operated, and the treatment methods of advanced cholangiocarcinoma mainly include radiotherapy and chemotherapy and traditional Chinese medicine. Cholangiocarcinoma is not sensitive to radiotherapy and chemotherapy. At present, radiotherapy and chemotherapy are commonly used to treat advanced cholangiocarcinoma, which can inhibit the tumor to some extent, improve the quality of life and prolong the survival time. In addition, in view of the toxic and side effects of radiotherapy and chemotherapy on human body, traditional Chinese medicine can be combined in the treatment of advanced cholangiocarcinoma to play a synergistic and attenuated role. For patients with advanced cholangiocarcinoma who have a wide range of metastasis, weak physical function and can no longer tolerate chemotherapy, traditional Chinese medicine can be used for conservative treatment. Although the short-term effect is not as obvious as that of chemotherapy, the long-term effect is better, and the effect is obvious in improving the quality of life and prolonging the survival period.
The diet of patients with cholangiocarcinoma should be: (1) Eat more anti-infection and anti-cancer foods: buckwheat, mung bean, rape, Toona sinensis, taro, onion, bitter gourd, lily, Malantou, tremella, carp, water snake, shrimp, loach and jellyfish. Pelteobagrus fulvidraco ?
(2) It is advisable to eat foods that are conducive to promoting gallbladder and relaxing bowels: sheep's feet, burdock roots, figs, walnuts, sesame seeds, day lilies and sea cucumbers. ?
(3) If you have a bad appetite, you should eat bayberry, yam, coix seed, radish, pond lice and cabbage.
(4) Eat more foods with anti-biliary and cholangiocarcinoma effects: shark's fin, chicken gizzard, buckwheat, coix seed, bean curd residue and Hericium erinaceus.
Dietary contraindications of patients with cholangiocarcinoma:?
(1) Avoid animal fat and greasy food.
(2) Avoid overeating. ?
(3) Avoid smoking, alcohol and spicy food. ?
(4) Avoid mildew, frying, smoking and curing food?
(5) Avoid hard, sticky and indigestible foods.
In addition, patients should first choose digestible food. In the near future after operation, try to reduce the intake of fat and cholesterol, and do not eat or eat less fat, fried food, animal offal, etc. If the taste requires it, you can cook the food properly with some olive oil. Protein-rich foods should be added to meet the needs of human metabolism, such as lean meat, aquatic products and bean products. Eat more foods rich in dietary fiber and vitamins, such as fresh fruits and vegetables. Develop the habit of eating regularly, and eat a little more to adapt to the physiological changes after cholecystectomy. The symptoms of indigestion will last for about half a year. As time goes on, the common bile duct will gradually expand, partially replacing the gallbladder, and the symptoms of indigestion will gradually ease. At this time, the diet of patients with cholangiocarcinoma can gradually transition to normal.