It may all be terrible, one terrible in the body, one terrible in the heart.
It may not be terrible, because the end of life is the same. Of all the events that humanity can experience, only one is destined to happen, and it is no different for all who come, and that is death.
Let's interpret it from the perspective of the group.
According to the latest global cancer burden data in 2020, there will be 19.29 million new cancer cases in the world in 2020, of which 4.57 million will be new cancers in China, accounting for 23.7% of the world. In 2020, there were 9.96 million cancer deaths worldwide, of which 3 million were cancer deaths in China, accounting for 30% of the total number of cancer deaths.
The report shows that there were 1.5 million new HIV infections globally in 2020, a 31% decrease compared to 2010. About 680,000 people died from AIDS-related diseases globally in 2020, a 48% reduction compared to 2010. In 2020, 131671 new cases were reported nationwide, with 18,819 deaths.
Interpret it from an individual perspective. The terrible cause of cancer is the high case fatality rate. Because once the cancer is found, it may be intermediate and advanced, there is no particularly effective treatment at present, basically it is announced that the death delay, and how long it can be delayed depends on what part of the cancer and the classification, stage and classification of the cancer.
Many early cancers do not have any particularly obvious symptoms, it is not like inflammation, there are red, swollen, hot, painful performance, and most of the early cancer can be described as painless and itchy, so it is often found in the middle and late stages.
The exact cause of cancer formation is not yet clear, if you explain it from the level of cells, cancer belongs to the immature cells, at a young age to stop differentiating, and the number of such immature cells increases particularly rapidly. The early proliferation of immature cells is invisible to the naked eye, does not cause damage to tissues and organs, and has no symptoms or signs to be perceived.
Cancer cells have the characteristics of unlimited proliferation, transformation and easy metastasis, and can destroy normal cell tissue during proliferation. Cancer cells can divide indefinitely, and can also invade the surrounding normal tissues locally or even transfer to other parts of the body through the internal circulatory system or lymphatic system. This is also one of the reasons why cancer is not easy to cure, pressing the gourd to float the scoop.
A few people I know who have malignant tumors around me are mostly in the middle and late stages when they find out.
Relatives, male, 57 years old, usually have occasional stomach discomfort, stomach bloating, but did not care. Until later, after eating the food, I felt that the stomach had been blocked, indigested, and soon the weight dropped by 10 pounds. At first, I thought that gastric motility was insufficient, and poor digestion led to weight loss, so I often took morphine, stomach digestion tablets and other drugs that enhanced gastric motility and promoted digestion, and I felt relieved, but still could not completely improve. Later, at the urging of my family, I went to the hospital to do gastroscopy, and found that the gastric cardia cancer, postoperative pathology showed stage III b, which was already in the middle and advanced stages, and the previous symptoms were caused by tumor obstruction. Gastrectomy was performed immediately after discovery, removing two-thirds of the stomach. After the operation, routine chemotherapy was started, and the helpless patient was intolerant of chemotherapy drugs and switched to targeted drug therapy. However, two years after the operation, he developed intra-abdominal lymph node metastasis, and finally multi-organ failure, ending his life.
According to the family's description, the smoking age of the uncle began in his teens, when the number of cigarettes smoked every day was not less than two packs, and he often smoked the feeling of flying clouds in the room, and the body was also thin. His wife strictly controlled his smoking, so he told his wife less about the amount of bonuses, and quietly told the people around him not to say that he had leaked in front of his wife, and then left the money to secretly buy cigarettes. Suddenly, one day, the family chatted and said, your neighbor uncle always said that his back hurts, let him go to the doctor and not go. I had the audacity to predict in my heart that he might have a big lung problem, but I didn't dare to say it. Because I have seen too many lung cancer patients who have seen back pain as the first symptom, usually the cancer cells have already metastasized bone, and the uncle smokes for many years, which is a risk factor for lung cancer. Sure enough, not long after, uncle went to the hospital for an examination because of a severe cough and was diagnosed with lung cancer. Due to the age and the tumor metastasis, there is no way to do surgery, only conservative treatment, mainly to alleviate symptoms. The family was worried that the uncle could not accept his condition, so he hid the condition from the uncle and told him that his lungs were inflamed. But uncle finally lasted less than a year and unfortunately passed away.
One day I went to visit an aunt who talked about how she had been a little exhausted lately, working while running to the hospital. Asked why, it turned out that the aunt and father-in-law were hospitalized. I asked her why her father-in-law was hospitalized, and my aunt said that she had been fever for a while, but the reason was still to be investigated. Later, the aunt said that the father-in-law had a lot of herpes, mainly on the waist, and it was particularly painful, and the tossed father-in-law could not sleep well at night. I have a bad premonition in my heart, because usually some advanced cancer patients have poor immunity, prone to viral herpes, coupled with persistent fever, and can not find the cause, it is estimated that it may be a more serious disease. Later, the aunt said that the father-in-law was diagnosed with advanced liver cancer. Less than 3 months later, my aunt's father-in-law died.
Cancer is discovered late and eventually loses its life very quickly. Therefore, the damage of cancer to people is mainly in the body, as well as the loss of life. The despair when the death sentence is suspended, the pain of cancer before death, and the reluctance to give up the beauty of the world are all terrible things about cancer. But cancer may not need to endure the so-called moral judgment behind the disease. People are always pessimistic about loss, and any loss will make people regret it, and death means a complete loss of life for people. Especially the fall of young life makes people feel desolate.
Where is AIDS terrible? One is that there is currently no vaccine to prevent it, and once the infection is not completely curable, it is necessary to take medicine for life to maintain a healthy life. Therefore, the inconvenience of taking medicines for life after infection is always accompanied by concerns about health status. More importantly, the discrimination and restrictions that may be faced make it impossible for you to start your future life according to your previous plan. People may make some guesses about the behavior behind the infected, and then make a moral evaluation, and this is exactly the part that many people cannot accept. There are some friends who are afraid, and the process of communication will reveal that they would rather have cancer than AIDS, because once infected, I can't face my family. Although it is only a hypothesis, it is enough to see the pressure that moral evaluation causes on people's psychology.
Let's talk about why it's not terrible.
Although the 5-year survival rate of most cancers is not high, it is not easy to find symptoms in the early stage, but with the advancement of medical technology and the continuous improvement of detection methods, specific physical examination can often detect tumors in some parts of the body early, so regular physical examination is very important. Some friends are through the physical examination, do lung CT to check out early lung cancer, as well as through the abdominal ultrasound found kidney cancer, thyroid b ultrasound found suspicious thyroid cancer, cervical CT examination found cervical cancer and even some found cervical precancerous lesions.
In addition, although the exact cause of cancer is not clear, some cancer risk factors are relatively clear through years of epidemiological accumulation. For example, one of the clear risk factors for lung cancer is smoking, one of the risk factors for stomach cancer is Helicobacter pylori infection, etc., then we can avoid risk factors, actively exercise, maintain a regular diet and sleep, regular physical examination, and keep ourselves as far away from the disease as possible.
For AIDS, although there is no vaccine, it cannot be completely cured. However, adhering to regular antiviral therapy, inhibiting viral load, and maintaining CD4 above 500 will not lose life soon. And the routes of transmission of AIDS are very clear: blood, sexual contact and mother-to-child transmission. Precisely because the route of transmission is clear, it becomes preventable. We can prevent infection by avoiding unsafe behaviors, such as not sharing needles and taking drugs, and not having unsafe sex.
Once infected, we can also adjust our mentality to actively respond to possible discrimination. I often say that for friends who are in the asymptomatic infection period, no one can infer who is infected through external symptoms, so this worry comes more from self-worry. For infected people, try to return to their normal state of life, tell themselves that it is nothing more than a little more virus in the body, good treatment, and will not lose too much life expectancy.
And the part about psychological stress reduction, you can say to yourself that my life does not need to be judged by others, because we do not need to live for others to see. I once said that the focus of everyone's life is on themselves, just like when you think about how others judge themselves, others are also thinking about how you evaluate each other, but in fact, no one will always pay attention to other people's lives. And their own things are just the topics that others talk about after dinner, and they don't pose any harm to themselves. Let's say a tongue twister, other people's homes have other people's affairs, their own families have their own family affairs, others have no time to take care of your family's affairs, you have no time to estimate other people's affairs, so you only need to manage your family's affairs, others only need to manage other people's family affairs, the reason is basically the same.