Lying cancer prognosis. The psychological state of the patient before death. What does drowsiness and weakness of a bed patient indicate

It is registered 10 times less often than its metastatic lesion.

In most cases, cancer cells in the liver are transferred from the prostate, mammary glands, lungs and digestive tract organs (stomach, intestines). Malignant foci of screening may occur during metastasis of the underlying tumor or be detected during recurrence of the disease.

Features of the flow and classification

In 90% of cases, liver cancer occurs against the background of cirrhosis. Predisposing factors include alcoholism, prolonged inflammation (infectious, autoimmune, toxic hepatitis), and steatosis.

It is not always possible to overcome oncology, but it is quite possible to prolong the life of the patient and improve its quality. To do this, you need to accurately diagnose and begin treatment.

Treatment regimens correspond to the stage of the malignant process. The TNM classification is often used, which includes the characteristics of the underlying tumor, involvement of regional lymph nodes, and the presence of distant metastases. Usually, clinical signs of the disease appear in the second stage, but the patient most often ignores them.

As the cancer progresses and the tumor grows, the general condition of the patient worsens, which pushes him to visit the doctor.

The liver metastasizes to the lymph nodes, diaphragm, bone structures, intestines, lungs and brain with the development of symptoms typical for the defeat of these organs.

Due to the peculiarities of the blood supply, the liver is an organ that is often subject to metastatic damage. The transfer of malignant cells is carried out hematogenously, that is, through the blood, lymphogenously (with lymph), and also by implantation - with the growth of a closely located tumor.

When it appears, the following symptoms occur:

• dyspeptic disorders (nausea, heaviness in the stomach, intestinal dysfunction);
• weight loss;
• icteric syndrome;
• hyperthermia (usually not higher than 38 degrees);
• pallor;
• skin itching;
• pain in the liver.

Depending on the location of the primary focus, the patient may be disturbed by:

1. with colon cancer - abdominal pain, constipation up to complete intestinal obstruction, an admixture of pus, blood in the stool, fever and severe weakness;
2. with carcinoma of the stomach - pain in the epigastrium, nausea, vomiting with blood, exhaustion and lack of appetite;
3. with lung cancer - chest pain, hyperthermia, cough with blood, severe shortness of breath, cyanosis (blue) of the skin due to hypoxia, dizziness and weakness.

As the tumor grows and the surrounding tissues are involved in the pathological process, the patient experiences:

Symptoms of liver cancer before death

At the fourth stage of the disease, when many internal organs are affected and multiple organ failure develops, the patient has:

• marked drowsiness. It is caused both by severe weakness against the background of exhaustion and dehydration, and by brain hypoxia;
• lack of appetite. A cancer patient gradually begins to eat poorly, as it is difficult for the body to digest food. He quickly develops a feeling of fullness in his stomach. He eats in small portions and very rarely. In addition, the patient may even refuse water, which is associated with increasing pain;
• lack of physical activity. The daily increase in weakness leads to the fact that a person cannot get out of bed on his own and even turn on his side. This often causes pressure sores;
• change in psycho-emotional state. A cancer patient becomes lethargic, apathetic, even inhibited for periods. His speech is slow, quiet and slurred. Dysfunction of individual brain structures is accompanied by the appearance of hallucinations. A person is not oriented in space, place and his own personality. He does not recognize close people, often forgets information and may become delusional;
• rare breathing, shortness of breath. With the development of pulmonary edema, moist rales are heard at a distance. The patient cannot cough up;
• pronounced swelling. It is important to remember that fluid accumulates not only in free cavities (abdominal), but also in the tissues of internal organs;
• urination disorder. Renal insufficiency is manifested by a decrease in the rate of diuresis, which reduces the daily volume of urine. Organ dysfunction is caused by impaired blood supply to the kidneys and severe intoxication;
• lowering blood pressure;
• temperature fluctuations. The patient may have both fever and hypothermia, which is associated with a disorder in thermoregulation, blood circulation and brain function.

Deadly complications of cancer

Death from liver cancer can be caused both by the growth of the tumor itself and by complications associated with metastasis, portal hypertension, and cerebral edema.

The life-threatening consequences of the progression of the malignant process include:

1. preagony. It is characterized by drowsiness, lethargy and apathy of a person. He is reluctant to talk and move. Speech becomes slow and slurred. The skin is pale with a bluish tint, blood pressure gradually decreases, there is no appetite, and the frequency of cardiac contractions increases. The daily volume of urine decreases, the patient has constipation. Sometimes he becomes aggressive and may moan loudly;
2. signs of death in liver cancer at the agonal stage are represented by a coma. The patient does not respond to treatment and pain stimuli. Consciousness is absent. Increasing cerebral edema is accompanied by disruption of the respiratory and cardiac systems. Clinically, this is manifested by rare deep breathing, which gradually becomes superficial. Arterial pressure drops to 50 mm Hg, the skin is bluish, involuntary urination and bowel movements are noted. Death occurs from cardiac arrest and breathing;
3. clinical death is characterized by a lack of consciousness, respiration and cardiac activity;
4. biological. Red-bluish spots begin to appear on the skin, the pupil is dilated.

How to alleviate the condition of a cancer patient?

The dying period for a cancer patient is the most difficult, so it is so important to make every effort to alleviate his condition. For this purpose it is necessary:

• provide food. First you need to give liquid or mushy food from a spoon, then tube feeding is carried out;
• regularly drink and moisten the lips, which will facilitate breathing and reduce dehydration;
• monitor the hygiene of a cancer patient;
• turn in bed, massage the back and buttocks, which is required for the prevention of bedsores. It is also recommended to use camphor alcohol for redness of the areas and Desitin - for the appearance of ulcers on the skin;
• raise the head end of the bed, which will facilitate the person's breathing;
• talk with the patient, do not argue with him when delusions and hallucinations appear;
• reduce the severity of pain with the help of narcotic medications or alternative methods of analgesia (epidural analgesia);
• the introduction of sedative drugs - with convulsions, aggression and psychomotor agitation;
• engage in breathing exercises, which will prevent the development of congestive pneumonia.

Without treatment, the life expectancy of a patient with liver carcinoma does not exceed one and a half years.

Depending on the cellular composition of the tumor, the prevalence and stage of the oncological process at which therapy was started, the patient can live for 2 or more years. The main thing is to seek help in time and fight the disease without giving up.

Normal cells of the body lose their ability to differentiate, become atypical. There is a violation of the structure of tissues, malignant cells intensively divide, the tumor begins to grow into the surrounding tissues. Once in the lymphatic or blood vessels, malignant cells spread throughout the body. Stopping under the influence of any factors in the organ or vessels, the atypical cell begins to divide, turns into a tumor, and eventually grows into the surrounding tissues - this is how the metastasis of the primary tumor and the development of secondary foci of cancer occur.

The oncology department of the Yusupov Hospital uses innovative methods of cancer treatment; the clinic's specialists have professionally proven themselves in the treatment of skin neoplasms, breast cancer, ovarian cancer, intestinal cancer, and digestive system organs. The clinic's specialists participate in various research and development in the treatment of cancer, oncological diseases, and have international certificates. The Yusupov Hospital is accredited for clinical trials, which allows the use of drugs that other medical institutions in Russia cannot use. The use of unique drugs will help patients of the Yusupov hospital to increase life expectancy and its quality.

Stages of cancer

Malignant formation is classified by stages, by clinical signs, by histology, by morphological characteristics. A system of designations for malignant tumors has been created, which includes a complete description of the state of the neoplasm: the stage of its development, the reaction of regional lymph nodes, the presence of metastases:

• Grade 0 cancer is a non-invasive form of the tumor. Cancer is within the original boundaries of education. Stage 0 cancer is completely curable.
• Grade 1 cancer - a malignant tumor begins to grow, but does not affect the lymph nodes and distant organs. An exception is gastric cancer, which in the first stage of development affects the regional lymph nodes.
• Grade 2 cancer - a large role in the effectiveness of treatment of the second stage of a malignant neoplasm is played by the timely detection of a tumor. The tumor can begin to metastasize to the lymph nodes (regional) located next to the affected organ, cell growth in the primary tumor is enhanced. A good prognosis depends on many factors - early detection, type of tumor, localization of education.
• Grade 3 cancer - the tumor is progressing, metastases are found in regional lymph nodes, if there are no metastases in distant lymph nodes and organs - the prognosis is more favorable. The prognosis of survival for each type of tumor stage 3 cancer is different. Of great importance is not only the type of tumor, but also the state of health of the patient, the location of the tumor - the more difficult it is located, the less chance of healing.
• Stage 4 cancer is the last stage of cancer. The prognosis is negative in most cases.

Fourth stage of cancer

Stage four cancer is the terminal stage of cancer. In most cases, the first stages of cancer are asymptomatic, and when symptoms of a malignant tumor appear, it is most often at a late stage of development. Very often, in a short period, a rapid development of a neoplasm occurs - certain factors affect the rate of cancer development. The rate of cancer development can be affected by pregnancy, stress, trauma, age, and the form of cancer. The fourth stage of cancer can no longer be cured by surgery due to the spread of the tumor process. The neglect of the process does not allow to cure the patient, but modern medicine makes it possible to prolong the life of the patient for several months and years.

Signs of stage 4 cancer

Signs of stage 4 cancer are quite pronounced; Depending on the type of tumor and the location of the localization, certain symptoms are manifested. With stage 4 bowel cancer, intestinal obstruction, constipation, and severe pain in the abdomen and stomach can develop. Stage 4 breast cancer is characterized by deformity of the organ, retraction of the nipple, the appearance of discharge from the nipple, and signs of tumor decay.

Stage 4 cancer includes certain criteria:

• rapid tumor growth.
• any type of cancer.
• fatal types of cancer: pancreatic cancer, lung cancer, liver cancer, brain cancer, melanoma and other types of cancer.
• a progressive malignant disease with metastases to organs: the liver, brain, pancreas, lungs, with damage to the skeletal system.

Is it possible to defeat stage 4 cancer

Treatment of stage 4 cancer is almost impossible, the tumor has already grown into the surrounding tissues, metastasized to distant lymph nodes and organs. Treatment of stage 4 cancer is very difficult and difficult for a patient whose health is already weakened. Nevertheless, there are cases when seriously ill people defeated cancer, because each person is unique and everyone's immunity is different.

Cancer grade 4: symptoms before death

Symptoms depend on the stages that patients go through. The pre-agony stage is a condition caused by severe disturbances in the work of the central nervous system, the skin turns pale, cyanosis of the skin appears. The patient is depressed physically and emotionally. The blood pressure drops.

The agony stage is the last stage before death in patients. The patient experiences severe oxygen starvation, which leads to cessation of blood circulation and respiratory arrest. Agony can last up to 3 hours.

The stage of clinical death - the body ceases to function, the last metabolic processes take place in the cells of the body. The stage lasts several minutes, ends with the biological death of the patient.

Painkillers for stage 4 cancer

The symptom that most clearly indicates the development of a malignant tumor is pain. An actively growing tumor most often causes pain. Pain can be caused by damage to the nervous tissue, the development of an inflammatory process in the tumor. To alleviate the patient's condition, analgesic therapy is carried out. It is prescribed individually, taking into account the patient's condition, can significantly reduce the intensity of pain. Pain relief for stage 4 cancer:

• if mild pain occurs, non-steroidal anti-inflammatory drugs are prescribed.
• pain of moderate intensity is treated with combined drugs: ketorol and other potent drugs.
• severe, debilitating pain is treated with strong narcotic drugs - fentanyl, morphine, promedol.

Cancer 4th degree: life expectancy

With effective treatment, the survival of patients, depending on the type of tumor, is:

• cancer of the 4th degree of the liver - about 5% of patients live more than 5 years.
• cancer of the 4th degree of the intestine - more than 5 years live 5% of patients.
• cancer of the 4th degree of the lungs - more than 5 years survive 10% of patients.
• cancer of the 4th degree of the stomach - 6% of patients live more than 5 years.
• cancer of the 4th stage of the pancreas - 10% of patients live more than 5 years.
• breast cancer stage 4 - 15% of women survive more than 5 years.
• stage 4 breast cancer - 15% of patients live more than 5 years.
• stage 4 uterine cancer - depending on the spread of the process, the survival rate is from 3 to 9%.
• stage 4 cervical cancer - 8% of women live more than 5 years.
• Stage 4 prostate cancer has a high five-year survival rate of about 30%.

The oncology department of the Yusupov Hospital in Moscow treats cancer at all stages of the development of the disease. The diagnostic center and doctors of the oncology department make every effort to provide timely assistance to cancer patients. Prompt medical attention can save your life. You can make an appointment for a consultation by phone.

Bibliography

• ICD-10 (International Classification of Diseases)
• Yusupov hospital
• Cherenkov V. G. Clinical oncology. - 3rd ed. - M.: Medical book, 2010. - 434 p. - ISBN 978-5-91894-002-0.
• Shirokorad V. I., Makhson A. N., Yadykov O. A. Status of oncourological care in Moscow // Oncourology. - 2013. - No. 4. - S. 10-13.
• Volosyanko M. I. Traditional and natural methods of prevention and treatment of cancer, Aquarium, 1994
• John Niederhuber, James Armitage, James Doroshow, Michael Kastan, Joel Tepper Abeloff's Clinical Oncology - 5th Edition, eMEDICAL BOOKS, 2013

Prices for stage 4 cancer treatment

Cancer is a very serious disease that is characterized by the appearance in the human body of a tumor that grows rapidly and damages nearby human tissues. Later, the malignancy affects nearby lymph nodes, and in the last stage, metastases occur, when cancer cells spread to all organs of the body.

The terrible thing is that at stages 3 and 4, the treatment of cancer in some types of oncology is impossible. Because of what the doctor can reduce the suffering of the patient and prolong his life a little. At the same time, he is getting worse every day, due to the rapid spread of metastases.

At this time, the relatives and friends of the patient should roughly understand what kind of symptoms the patient is experiencing in order to help survive the last stage of life and reduce his suffering. In general, those who die of cancer due to complete metastases experience the same pains and ailments. How do people die of cancer?

Why do people die of cancer?

Cancer disease occurs in several stages, and each stage is characterized by more severe symptoms and damage to the body by the tumor. In fact, not everyone dies from cancer, and it all depends on the stage at which the tumor was discovered. And here everything is clear - the earlier it was found and diagnosed, the greater the chances of recovery.

But there are many more factors, and even stage 1 or even stage 2 cancer does not always give a 100% chance of recovery. Since cancer has a lot of properties. For example, there is such a thing as the aggressiveness of malignant tissues - at the same time, the higher this indicator, the faster the tumor itself grows, and the faster the stages of cancer begin.

The mortality rate increases with each stage of cancer development. The largest percentage is at stage 4 - but why? At this stage, the cancerous tumor is already huge and affects the nearest tissues, lymph nodes and organs, and metastases spread to distant corners of the body: as a result, almost all tissues of the body are affected.

In this case, the tumor grows faster and becomes more aggressive. The only thing that doctors can do is slow down the growth rate and reduce the suffering of the patient himself. Chemotherapy and radiation are usually used, then the cancer cells become less aggressive.

Death in any type of cancer does not always come quickly, and it happens that the patient suffers for a long time, which is why it is necessary to reduce the suffering of the patient as much as possible. Medicine is not yet able to fight terminal cancer in advanced form, so the earlier the diagnosis is made, the better.

Causes of the disease

Unfortunately, scientists are still struggling with this question and cannot find an exact answer to it. The only thing that can be said is a combination of factors that increase the chance of getting cancer:

• Alcohol and smoking.
• Junk food.
• Obesity.
• Bad ecology.
• Working with chemicals.
• Wrong medical treatment.

In order to somehow try to avoid cancer, you must first of all monitor your health and regularly undergo a doctor's examination and take a general and biochemical blood test.

Symptoms before death

That is why the correct treatment tactics chosen at the last stage of the disease will help reduce pain and illness for the patient, as well as significantly prolong life. Of course, each oncology has its own signs and symptoms, but there are also common ones that begin directly at the fourth stage, when almost the entire body is affected by malignant tumors. How do cancer patients feel before they die?

1. Constant fatigue. It occurs due to the fact that the tumor itself takes a huge amount of energy and nutrients for growth, and the larger it is, the worse it is. Let's add metastases to other organs here, and you will understand how difficult it is for patients in the last stage. The condition usually worsens after surgery, chemotherapy, and radiation. At the very end, cancer patients will sleep a lot. The most important thing is not to disturb them and let them rest. Subsequently, deep sleep can develop into a coma.
2. Appetite decreases. The patient does not eat, because general intoxication occurs when the tumor produces a large amount of waste products into the blood.
3. Cough and difficulty breathing. Often, metastases from any organ cancer damage the lungs, causing swelling of the upper body and coughing. After some time, it becomes difficult for the patient to breathe - this means that the cancer has firmly settled in the lung.
4. Disorientation. At this point, there may be memory loss, a person ceases to recognize friends and relatives. This happens due to metabolic disorders with brain tissues. Plus, there is a strong intoxication. Hallucinations may occur.
5. Blueness of limbs. When the patient's strength becomes low and the body tries to stay afloat with its last strength, then the blood mainly begins to flow to vital organs: the heart, kidneys, liver, brain, etc. At this point, the limbs become cold and take on a bluish, pale hue. This is one of the most important harbingers of death.
6. Spots on the body. Before death, spots appear on the legs and arms associated with poor circulation. This moment also accompanies the approach of death. After death, the spots become bluish.
7. Weakness in the muscles. Then the patient cannot move and walk normally, some can still move slightly but slowly to the toilet. But the bulk lie and walk under themselves.
8. Coma state. It can come suddenly, then the patient will need a nurse who will help, wash away and do everything that the patient cannot do in this condition.

The process of dyingand main stages

1. Predagonia. Violation of the central nervous system. The patient himself does not feel any emotions. The skin on the legs and arms turns blue, and the face becomes earthy. The pressure drops sharply.
2. Agony. Due to the fact that the tumor has already spread everywhere, oxygen starvation sets in, and the heartbeat slows down. After some time, breathing stops, and the process of blood circulation slows down greatly.
3. clinical death. All functions are suspended, both the heart and breathing.
4. biological death. The main sign of biological death is brain death.

Of course, some oncological diseases can have characteristic signs, but we told you about the general picture of death due to cancer.

Symptoms of brain cancer before death

Brain cancer is difficult to diagnose in the early stages. He does not even have his own tumor markers, by which the disease itself can be determined. Before death, the patient feels severe pain in a certain place of the head, he may see hallucinations, memory loss occurs, he may not recognize relatives and friends.

Constant mood swings from calm to irritated. Speech is disturbed and the patient can carry any nonsense. The patient may lose sight or hearing. In the end, there is a violation of motor function.

Last stage lung cancer

It develops initially without any symptoms. Recently, oncology has become the most common among all. The problem is precisely the late detection and diagnosis of cancer, which is why the tumor is detected at stage 3 or even at stage 4, when it is no longer possible to cure the disease.

All symptoms before death of lung cancer 4 degrees relate directly to breathing and bronchi. Usually it is difficult for the patient to breathe, he constantly takes up air, he coughs heavily with copious secretions. At the very end, an epileptic seizure may begin, which will lead to death. End-stage lung cancer is very nasty and painful for the patient.

Liver cancer

When a liver tumor is affected, it grows very quickly and damages the internal tissues of the organ. The result is jaundice. The patient feels severe pain, the temperature rises, the patient feels sick and vomits, urination is disturbed (urine may be bloody).

Before death, doctors try to reduce the suffering of the patient with medication. Death from liver cancer is very severe and painful with a lot of internal bleeding.

bowel cancer

One of the most unpleasant and most severe oncological diseases, which is very difficult at 4 stages, especially if a little earlier they had an operation to remove part of the intestine. The patient feels severe pain in the abdomen, headache, nausea and vomiting. This is due to severe intoxication from the tumor and delayed feces.

The patient cannot go to the toilet normally. Since at the last stage there is also damage to the bladder and liver, as well as the kidneys. The patient dies very quickly from poisoning with internal toxins.

Esophageal carcinoma

The cancer itself affects the esophagus, and in the last stages the patient can no longer eat normally and eats only through a tube. The tumor affects not only the organ itself, but also nearby tissues. Metastatic disease spreads to the intestines and lungs, so the pain will manifest itself in the entire chest and in the abdomen. Before death, the tumor can cause bleeding, causing the patient to vomit blood.

throat cancer before death

A very painful disease, when the tumor affects all the nearest organs. He feels severe pain, he cannot breathe normally. Usually, if the tumor itself completely blocks the passage, then the patient breathes through a special tube. Metastases move to the lungs and nearby organs. Doctors prescribe a large amount of painkillers at the end.

Last days

Usually, if desired, the patient can be taken home by relatives, while he is prescribed and given potent drugs and painkillers that help reduce pain.

At this point, you need to understand that the patient has very little time left and you need to try to reduce his suffering. At the very end, additional symptoms may appear: vomiting blood, intestinal obstruction, severe pain in the abdomen and chest, coughing up blood and shortness of breath.

At the very end, when almost every organ is affected by cancerous metastases, it is better to leave the patient alone and let him sleep. The most important thing is that at this moment, relatives, loved ones, close people should be next to the sick, who, by their presence, will reduce pain and suffering.

How to relieve the suffering of the dying?

Often, the patient's pain can be so severe that conventional medications do not help. Improvement can only bring narcotic substances that are given by doctors for cancer. True, this leads to even greater intoxication and to the imminent death of the patient.

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It is not customary to talk about death out loud in our time. This is a very touchy subject and not for the faint of heart. But there are times when knowledge is very useful, especially if there is an elderly person with cancer or a bedridden person at home. After all, it helps to mentally prepare for the inevitable end and notice the changes taking place in time. Let's discuss the signs of death of the patient together and pay attention to their key features.
Most often, signs of imminent death are classified into primary and secondary. Some develop as a consequence of others. It is logical that if a person began to sleep more, then he eats less, etc. We will consider all of them. But, cases may be different and exceptions to the rules are acceptable. As well as variants of a normal median survival rate, even with a symbiosis of terrible signs of a change in the patient's condition. This is a kind of miracle that happens at least once in a century.

Changing sleep and wake patterns
Discussing the initial signs of impending death, doctors agree that the patient has less and less time to stay awake. He is more often immersed in superficial sleep and seems to be dozing. This saves precious energy and less pain is felt. The latter fades into the background, becoming, as it were, background. Of course, the emotional side suffers greatly. The paucity of expressing one's feelings, the isolation in oneself, the desire to be silent more than to speak, leave an imprint on relationships with others. There is no desire to ask and answer any questions, to be interested in everyday life and people around.
As a result, in advanced cases, patients become apathetic and detached. They sleep almost 20 hours a day if there is no acute pain and serious irritants. Unfortunately, such an imbalance threatens with stagnant processes, mental problems and accelerates death.

puffiness

Edema appears on the lower extremities

Very reliable signs of death are swelling and the presence of spots on the legs and arms. We are talking about malfunctions of the kidneys and circulatory system. In the first case, with oncology, the kidneys do not have time to cope with toxins and they poison the body. At the same time, metabolic processes are disturbed, blood is redistributed unevenly in the vessels, forming areas with spots. It is not for nothing that they say that if such marks appear, then we are talking about complete dysfunction of the limbs.

Problems with hearing, vision, perception

The first signs of death are a change in hearing, vision and a normal sense of what is happening around. Such changes can be against the background of severe pain, oncological lesions, stagnation of blood or tissue death. Often, before death, a phenomenon with pupils can be observed. The eye pressure drops and you can see how the pupil deforms like a cat when you press it.
Hearing is all relative. It can recover in the last days of life or even worsen, but this is already more agony.

Decreased need for food

Deterioration of appetite and sensitivity - signs of imminent death

When a cancer patient is at home, all relatives notice signs of death. She gradually refuses food. First, the dose is reduced from a plate to a quarter of a saucer, and then the swallowing reflex gradually disappears. There is a need for nutrition through a syringe or tube. In half of the cases, a system with glucose and vitamin therapy is connected. But the effectiveness of such support is very low. The body tries to use up its own fat stores and minimize waste. From this, the general condition of the patient worsens, drowsiness and shortness of breath appear.
Urination disorders and problems with natural needs
It is believed that problems with going to the toilet are also signs of approaching death. No matter how ridiculous it may seem, but in reality there is a completely logical chain in this. If a bowel movement is not carried out every two days or with the regularity to which a person is accustomed, then feces accumulate in the intestines. Even stones can form. As a result, toxins are absorbed from them, which seriously poison the body and reduce its performance.
Roughly the same story with urination. The kidneys are harder to work. They pass less and less fluid and as a result, urine comes out saturated. It has a high concentration of acids and even blood is noted. For relief, a catheter can be installed, but this is not a panacea against the general background of unpleasant consequences for a bedridden patient.

Problems with thermoregulation

Weakness is a sign of imminent death

Natural signs before the death of the patient are a violation of thermoregulation and agony. The extremities begin to get very cold. Especially if the patient has paralysis, then we can even talk about the progress of the disease. The circle of blood circulation is reduced. The body fights for life and tries to maintain the efficiency of the main organs, thereby depriving the limbs. They can turn pale and even become cyanotic with venous spots.

Weakness of the body

Signs of imminent death can be different for everyone, depending on the situation. But most often, we are talking about severe weakness, weight loss and general fatigue. There comes a period of self-isolation, which is aggravated by internal processes of intoxication and necrosis. The patient cannot even raise his hand or stand on a duck for natural needs. The process of urination and defecation can occur spontaneously and even unconsciously.

Clouded mind

Many see signs of impending death in the disappearance of the patient's normal reaction to the world around him. He can become aggressive, nervous, or vice versa - very passive. Memory disappears and attacks of fear on this basis may be noted. The patient does not immediately understand what is happening and who is nearby. In the brain, the areas responsible for thinking die off. And there may be obvious inadequacy.

Predagony

This is a protective reaction of all vital systems in the body. Often, it is expressed in the onset of stupor or coma. The main role is played by the regression of the nervous system, which causes in the future:
- decreased metabolism
- insufficient ventilation of the lungs due to respiratory failures or alternating rapid breathing with a stop
- serious tissue damage

Agony

Agony is characteristic of the last minutes of a person's life

Agony is usually called a clear improvement in the patient's condition against the background of destructive processes in the body. In fact, this is the last effort in order to maintain the necessary functions for the continuation of existence. It may be noted:
- improved hearing and vision
- adjusting the rhythm of breathing
- normalization of heart beats
- recovery of consciousness in the patient
- muscle activity by type of convulsions
- decreased sensitivity to pain
The agony can last from a few minutes to an hour. Usually, it seems to portend clinical death, when the brain is still alive, and oxygen stops flowing into the tissues.
These are typical signs of death in bedridden patients. But don't dwell too much on them. After all, there may be another side of the coin. It happens that one or two of these signs are simply a consequence of the disease, but they are quite reversible with proper care. Even a hopelessly bedridden patient may not have all these signs before death. And this is not an indicator. So, it is difficult to talk about mandatory, as well as to put death sentences.

Thoughts about how people die from lung cancer visit not only those who have already been diagnosed with the terminal stage of this cancer, but also some smokers who have a long history of smoking a large number of cigarettes per day. Every year, lung cancer is diagnosed in about 1.5 million people, which is associated with bad habits and living in areas with a high content of harmful fumes from industrial enterprises. Given the increase in the number of diagnosed cases, many people who have not previously thought about such a terrible disease often encounter it, if not from their own experience, then when diagnosing this pathology from relatives or friends.

Symptoms of end-stage lung cancer

The terminal stage of lung cancer in patients is extremely difficult. The fact is that a malignant tumor that originated in the lungs is already metastasizing, which is accompanied by the appearance of secondary formations in other organs and symptoms on their part. In addition, often the primary tumor grows into the pleura and esophagus, which causes severe pain and additional suffering.

When the tumor grows into the esophagus, patients lose the ability to swallow food normally, which also exerts a certain psychological pressure. Symptoms of tumor development in the lungs at the terminal stage of cancer are very pronounced. The most characteristic manifestations of end-stage lung cancer include:

• choking cough;
• discharge of viscous sputum with pus;
• disturbances of consciousness;
• deterioration of hearing and vision with tumor metastasis to the brain;
• signs of general intoxication;
• drowsiness and apathy;
• severe pain;
• amyotrophy;
• constant feeling of cold;
• dyspnea.

The patient's condition worsens every day, and even palliative treatment does not provide significant relief. Often at this stage, narcotic drugs are used to alleviate the patient's condition, which allow temporary elimination of pain. Every day the symptomatic manifestations of the tumor are increasing. However, oncologists are far from always able to answer questions about what death from cancer will be in a particular patient. The fact is that as lung cancer and secondary tumors develop, a number of syndromes that are potentially life-threatening can be observed.

Complications of lung cancer leading to death of patients

In the case of a favorable course, when a person does not experience acute conditions that can lead to an immediate death, death from lung cancer often occurs due to suffocation.

The cells of a malignant tumor cannot perform the function of healthy lung tissue, so the affected lungs are no longer able to saturate the blood with oxygen, which leads to a number of abnormalities, and sometimes to suffocation. In addition, often such tumors affect too large areas of the lungs, which leads to respiratory failure, and so severe that even the connection of a ventilator cannot compensate for the lack of oxygen.

Among other things, against the background of the terminal stage of lung cancer, there is an accumulation of fluid in the tissues, so the patient may simply choke if a puncture is not performed in a timely manner to eliminate the exudate. Often the situation is aggravated by constant vomiting, intestinal obstruction and symptoms from other organs that have been affected by metastases.

Despite the fact that the tumor itself has an extremely adverse effect on the entire body, often the death of the patient occurs due to severe complications, which lead to an instant lethal outcome. For example, small cell lung tumors often provoke a condition such as thromboembolism. Due to this condition, death occurs within minutes if the person does not receive the necessary medical attention.

In addition, massive pulmonary hemorrhage is a common cause of death in patients with lung cancer.

As a rule, bleeding occurs against the background of a severe cough, which is not uncommon in patients with lung cancer.

A prerequisite for the development of bleeding is the penetration of malignant neoplasm cells into the walls of large blood vessels, which greatly weakens them and causes rupture.

There are several options for bleeding. Asphyctic bleeding is characterized by profuse release of blood into the lungs, resulting in hypoxia. In most cases, with this type of bleeding, the death of the patient occurs within 2-5 minutes, so even surgical treatment, as a rule, does not quickly eliminate this condition.

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Another common bleeding pattern is the undulating type. In this case, hemorrhage occurs in the tracheobronchial tree, as well as the lung tissue itself, such bleeding often develops as a result of aspiration pneumonia, and such a complication is extremely difficult to diagnose.

Often, the death of patients with lung cancer is observed as a result of chemotherapy and radiation therapy. The fact is that extremely toxic drugs are used for chemotherapy, which not only destroy malignant cells, but also negatively affect healthy tissues.

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Radiation therapy often leads to a significant decrease in immunity, which contributes to the rapid capture of a weakened organism by pathogenic microflora. In extremely rare cases, the treatment of end-stage cancer has a positive effect, so the only hope for alleviating the patient's condition is palliative therapy.