移植术后疼痛,是谁惹的祸?

2019-07-21 佚名 上海药讯

由于现代医学的进步,肝病发展到晚期,无其他治疗手段,预计短期内有生命危险时,可以通过手术摘除病肝,植入健康肝脏,从而恢复肝功能、延长生命。

由于现代医学的进步,肝病发展到晚期,无其他治疗手段,预计短期内有生命危险时,可以通过手术摘除病肝,植入健康肝脏,从而恢复肝功能、延长生命。

痛,难以言喻

老王就是这不幸但又幸运的一员,3年前做了肝移植,术后恢复挺顺利,准备拥抱新生活时,一件痛苦的事情发生了。近半年莫名出现背痛、手指关节痛,有时甚至感觉到五脏六腑被无名的手狠狠搅动了一把,疼痛难以言喻,严重影响到日常生活。大半年能看的科室基本都看过,能做的检查都做过,甚至连中华瑰宝——传统针灸术也用上了,可这疼痛就始终伴随左右,不离不弃。没辙的老王听说某山有个“器官移植药学门诊”,抱着死马当活马医的心态找上门来。

寻它千百度,药物惹的祸

其实老王遇到的是钙调磷酸酶抑制剂(他克莫司或环孢素)所致的疼痛综合征(Calcineurin-inhibitor-induced pain syndrome, CIPS)。不仅肝移植,肾、肺、造血干细胞移植等都可能发生。器官移植受者绝大多数在术后需要长期服用他克莫司或环孢素预防排斥反应发生,这类药物导致的疼痛综合征,总体发生率在1%~17%,发生时间不固定,术后3周~8年都可能发生。主要表现是下肢对称性疼痛,通常累及足、踝和膝的骨骼,也可像老王那样,出现背部、腹腔疼痛。磁共振MRI可能正常,也可能显示骨髓水肿,受累的骨骼和关节放射性示踪剂摄取增加。

出现该症状时,他克莫司和环孢素的浓度可能正常,也可能偏高。像老王,他克莫司的浓度就维持在正常范围3.6ng/ml左右。CIPS的治疗原则是:①在维持移植器官功能的前提下,他克莫司/环孢素减量或换药,保证药物浓度在正常范围;②加用钙通道阻滞剂;③使用普瑞巴林减少疼痛。该药较少在肝脏代谢,不存在与他克莫司或环孢素的相互作用,但肾功能不全时需要调整服药剂量。

经过药师的详细讲解,老王了解了疼痛的原因,满意地离开了。但要提醒大家,在考虑是CIPS前需要先排除其他疾病,因此不建议出现疼痛的移友们自行处理,仍需及时就诊,以免延误病情。

后记

历经千辛万苦度过器官移植的早期阶段,移友们为了健康、长久的新生活必然更为关注术后的全身管理和综合管理,比如服用免疫抑制剂出现的不良反应、膳食营养的补充、生活方式的管理等。而随着器官移植的不断发展,移植领域的专业分工必将更细化,比如器官移植药学门诊的出现,虽然小众,但也在为了同样一个目标——“广大移友的新生和更高的生活质量”而努力!

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    2019-09-02 cy0324
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    2019-07-23 122e052cm96暂无昵称

    0

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    2019-07-22 184****9840

    学习了,谢谢分享。

    0

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    2019-07-22 phoebeyan520

    学习了

    0

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    2019-07-22 124902dfm95暂无昵称

    学习学习

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    2019-07-22 深海的鱼

    学习学习学习

    0

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    2019-07-22 飛歌

    学习了很有用不错

    0

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    2019-07-22 122e052cm96暂无昵称

    0

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