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Mesothelioma treatment can entail a number of therapies intended to kill cancerous cells.

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Showing posts with label Rest. Show all posts
Showing posts with label Rest. Show all posts

Wednesday 6 June 2012

Rest, fatigue, and exercise for Mesothelioma

Eating better
Eating right can be hard for anyone, but it can get even tougher during and after cancer
treatment. Treatment may change your sense of taste. Nausea can be a problem. You may
not feel like eating and lose weight when you don't want to. Or you may have gained
weight that you can't seem to lose. All of these things can be very hard to deal with.
If treatment caused weight changes or eating or taste problems, do the best you can and
keep in mind that these problems usually get better over time. You may find it helps to
eat small portions every 2 to 3 hours until you feel better. You may also want to ask your
cancer team about seeing a dietitian, an expert in nutrition who can give you ideas on
how to deal with these treatment side effects.
One of the best things you can do after cancer treatment is put healthy eating habits into
place. You may be surprised at the long-term benefits of some simple changes, like
increasing the variety of healthy foods you eat. Getting to and staying at a healthy weight,
eating a healthy diet, and limiting your alcohol intake may lower your risk for a number
of types of cancer, as well as having many other health benefits.
Rest, fatigue, and exercise
Feeling tired (fatigue) is a very common problem during and after cancer treatment. This
is not a normal type of tiredness but a "bone-weary" exhaustion that doesn't get better
with rest. For some people, fatigue lasts a long time after treatment and can keep them
from staying active. But exercise can actually help reduce fatigue and the sense of
depression that sometimes comes with feeling so tired.
If you are very tired, though, you will need to balance activity with rest. It is OK to rest
when you need to. To learn more about fatigue, please see our document, Fatigue in
People With Cancer.
If you were very ill or weren't able to do much during treatment, it is normal that your
fitness, staying power, and muscle strength declined. You need to find an exercise plan
that fits your own needs. Talk with your health care team before starting. Get their input
on your exercise plans. Then try to get an exercise buddy so that you're not doing it alone.
Exercise can improve your physical and emotional health.
· It improves your cardiovascular (heart and circulation) fitness.
· It makes your muscles stronger.
· It reduces fatigue.
· It lowers anxiety and depression.
· It can make you feel generally happier.
· It helps you feel better about yourself.
Long term, we know that getting regular physical activity plays a role in helping to lower
the risk of some cancers, as well as having other health benefits.
Can I lower my risk of the cancer spreading or coming back?
Most people want to know if there are lifestyle changes they can make to reduce their risk
of cancer growing further or coming back. Unfortunately, for most cancers there is little
solid evidence to guide people. This doesn't mean that nothing will help – it's just that for
the most part this is an area that hasn't been well studied. Most studies have looked at
lifestyle changes as ways of preventing cancer in the first place, not slowing it down or
preventing it from coming back.
At this time, not enough is known about mesothelioma to say for sure if there are things
you can do that will be helpful. Healthy behaviors such as eating well and keeping a
healthy weight may help, but no one knows for sure. But we do know that these types of
changes can have positive effects on your health that can extend beyond your risk of
cancer.
How about your emotional health after mesothelioma?
During and after treatment, you may find yourself overcome with many different
emotions. This happens to a lot of people.
You may find yourself thinking about death and dying. Or maybe you're more aware of
the effect the cancer has on your family, friends, and career. You may take a new look at
your relationships with those around you. Other issues may also cause concern. For
instance, you may see your health care team less often after treatment and have more time
on your hands. These changes can make some people anxious.
This is a good time to look for emotional and social support. You need people you can
turn to. Support can come in many forms: family, friends, cancer support groups, church
or spiritual groups, online support communities, or private counselors.
The cancer journey can feel very lonely. You don't need to go it alone. Your friends and
family may feel shut out if you decide not include them. Let them in – and let in anyone
else who you feel may help. If you aren't sure who can help, call your American Cancer
Society at 1-800-227-2345 and we can put you in touch with a group or resource that may
work for you.
You can't change the fact that you have had cancer. What you can change is how you live
the rest of your life – making healthy choices and helping your body and mind feel well.
If treatment for mesothelioma stops working
When a person has had many different treatments and the cancer has not been cured, over
time the cancer tends to resist all treatment. At this time you may have to weigh the
possible benefits of a new treatment against the downsides, like treatment side effects and
clinic visits.
This is likely to be the hardest time in your battle with cancer – when you have tried
everything within reason and it's just not working anymore. Your doctor may offer you
new treatment, but you will need to talk about whether the treatment is likely to improve
your health or change your outlook for survival.
No matter what you decide to do, it is important for you to feel as good as possible. Make
sure you are asking for and getting treatment for pain, nausea, or any other problems you
may have. This type of treatment is called "palliative" treatment. It helps relieve
symptoms but is not meant to cure the cancer.
At some point you may want to think about hospice care. Your cancer may be causing
symptoms or problems that need to be treated. Hospice focuses on your comfort. Most of
the time it is given at home. You should know that having hospice care doesn't mean you
can't have treatment for the problems caused by your cancer or other health issues. It just
means that the purpose of your care is to help you live life as fully as possible and to feel
as well as you can, rather than trying to slow or cure the cancer. You can learn more
about this in our document, Hospice Care.
Staying hopeful is important, too. Your hope for a cure may not be as bright, but there is
still hope for good times with family and friends – times that are filled with happiness
and meaning. Pausing at this time in your cancer treatment gives you a chance to focus
on the most important things in your life. Now is the time to do some things you've
always wanted to do and to stop doing the things you no longer want to do. Though the
cancer may be beyond your control, there are still choices you can make.
What's new in mesothelioma research?
There is always research going on in the area of mesothelioma. Scientists are looking for
ways to prevent, find, and treat the disease. Despite recent progress, there is still a lot to
be learned about the best way to treat these cancers.
Causes and prevention
A lot of research has focused on learning exactly how asbestos changes normal cells and
their DNA to cause cancer. Understanding how these fibers produce cancer might help us
find ways to prevent those changes.
Now that we know about the dangers of asbestos, we can limit or stop its use in homes,
public buildings, and the workplace. But rules to protect people from asbestos are much
less strict (or they do not exist at all) in some other countries.
Research is also going on to learn about the role (if any) of a virus (SV40) that has been
linked to mesothelioma in some studies.
Treatment
Mesothelioma remains a hard cancer to treat, and doctors are always trying to improve on
current methods.
Chemo
Chemotherapy drugs have not worked very well against advanced mesothelioma, but
several newer chemo drugs are now being tested in clinical trials, together with other
types of treatment.
Doctors are also looking at giving chemo drugs right into the chest or abdominal cavity,
often right after surgery. In some cases the drugs are heated before they are given.
Doctors hope that putting the drugs directly into contact with the tumors may allow them
to work better, while causing fewer side effects in the rest of the body.
Photodynamic therapy
Another technique now being studied is called photodynamic therapy (PDT). For this
treatment, a drug that is “turned on” by light is put into a vein. The drug spreads
throughout the body and tends to collect in cancer cells. A few days later (usually just
after surgery for the mesothelioma), a special red light on the end of a tube is placed into
the chest. The light causes a chemical change that turns on the drug and causes the cancer
cells to die. This approach may cause fewer side effects than use of drugs that spread
throughout all tissues of the body. Several clinical trials are now looking at the use of
PDT for mesothelioma.
Targeted drugs
As a rule, chemo drugs do not work very well against advanced mesothelioma. As
researchers have learned more about the changes in cells that cause cancer, they have
been able develop newer drugs that are aimed (target) these changes. Targeted drugs
work in a different way from standard chemo drugs. They often have different (and less
severe) side effects.
One group of these drugs keeps new blood vessels from forming. Tumors need these
blood vessels to grow larger. Some of these drugs are already used to treat other types of
cancer and are now being studied for use against mesotheliomas. Other new drugs have
different targets.
Gene therapy
Another new treatment is gene therapy. This treatment uses special viruses that have been
changed in the lab. The virus is put into the space around the lungs where it infects the
cancer cells. When this happens, the virus in turn injects a gene into the cancer cells that
may help immune system cells to attack them. Research on this type of treatment is still
in the early stages.
More information about mesothelioma
From your American Cancer Society
We have some related information that may also be helpful to you. These materials may
be ordered from our toll-free number, 1-800-227-2345.
Malignant Mesothelioma Detailed Guide (also in Spanish)
After Diagnosis: A Guide for Patients and Families (also in Spanish)
Asbestos (also in Spanish)
Caring for the Patient With Cancer at Home (also in Spanish)
Clinical Trials: What You Need to Know (also in Spanish)
Endoscopy
Living With Uncertainty: The Fear of Cancer Recurrence
Pain Control (also in Spanish)
Surgery (also in Spanish)
Understanding Radiation Therapy: A Guide for Patients and Families (also in Spanish)
Understanding Chemotherapy: A Guide for Patients and Families (also in Spanish)
When Your Cancer Comes Back: Cancer Recurrence
The following books are available from the American Cancer Society. Call us to ask
about costs or to place your order.
American Cancer Society Complete Guide to Complementary & Alternative Cancer
Therapies
American Cancer Society Complete Guide to Nutrition for Cancer Survivors
American Cancer Society's Guide to Pain Control
Cancer in the Family: Helping Children Cope With a Parent's Illness
Caregiving: A Step-By-Step Resource for Caring for the Person With Cancer at Home
What Helped Me Get Through: Cancer Patients Share Wisdom and Hope
What to Eat During Cancer Treatment
When the Focus Is on Care: Palliative Care and Cancer
National organizations and Web sites*
Along with the American Cancer Society, other sources of information and support
include:
Agency for Toxic Substances and Disease Registry
Toll-free number: 1-800-232-4636
Web site: www.atsdr.cdc.gov
Environmental Protection Agency
Telephone: 1-202-272-0167
Web site: www.epa.gov
Mesothelioma Applied Research Foundation
Toll-free number: 1-877-363-6376 (1-877-END-MESO)
Web site: www.curemeso.org
National Cancer Institute
Toll-free number: 1-800-422-6237 (1-800-4-CANCER)
Web site: www.cancer.gov
Occupational Safety and Health Administration (OSHA)
Toll-free number: 1-800-321-6742 (1-800-321-OSHA)
Web site: www.osha.gov
*Inclusion on this list does not imply endorsement by the American Cancer Society
No matter who you are, we can help. Contact us anytime, day or night, for information
and support. Call us at 1-800-227-2345 or visit www.cancer.org.
Last Medical Review: 6/28/2011
Last Revised: 1/22/2012
2011 Copyright American Cancer Society