What is remission in oncology? Remission or complete cure? Partial and complete remission in cancer

Chronic pancreatitis in remission is characterized by a decrease in the intensity of processes affecting the pancreas, as well as the absence of symptomatic signs. This period does not occur by itself; to achieve it, it is necessary to use special therapeutic procedures using certain groups medications, funds traditional treatment, as well as following a special diet before and during remission. In the materials of this article, we will consider in more detail the period of onset of remission in pancreatitis, how much time is needed for this, what it is, its signs, as well as the basic principles of maintaining the pancreas, preventing the occurrence of a re-exacerbation.

Remission stage of chronic pancreatitis

Remission is that long period of time during which the patient is completely free of symptoms and signs of a developing disease.

The main task of patients at the onset of this period is to use modern methods of preventive treatment of pancreatic disease.

The use of pathogenetic therapy is prescribed in the absence of signs of exacerbation of the pathology to normalize the secretory functionality of the stomach, stimulate regeneration processes in the pancreas, as well as to eliminate dyskinesia in the cavity of the gallbladder and bile ducts, for which a special protein diet with a reduced amount of fats and carbohydrates.

Signs of remission

There are two types of remission periods:

1. A period of complete remission, characterized by the complete absence of signs of the disease.
2. A period of partial remission, during which certain symptomatic signs remain, reminiscent of a gradually developing pathology.

The period of complete remission is also divided into two subtypes:

1. A persistent period, which is characterized by a persistent condition of the patient and a complete absence of signs of pancreatic pathology for from half a year to 3-5 years.
2. An unstable period, characterized by an unstable condition and alternating periods of remission and exacerbations.

Can there be pain during this period?

The period of remission of the chronic form of pancreatic lesions of the pancreas is characterized by the absence of symptomatic signs, which means that painful sensations also do not bother people throughout the entire period of weakening of the disease, which significantly increases the level and quality of life of people with this pathology.

Remission: stability of the stage, are new attacks possible?

Pancreatic damage to the pancreas, which has a chronic form of development, is a disease of a progressive nature, which means that the ensuing period of remission over time may be replaced by an exacerbation of the disease. As a result of this, pathological metamorphisms begin to develop in the form of diffuse and focal damage to the parenchymal gland.

After a certain period of time, the glandular tissues of the pancreas are partially replaced by fibrous ones, and the patient begins to feel a decrease in the intensity of the symptoms that appear, but the level of functionality of the affected organ is already becoming less. Over time, the pancreas completely ceases to produce pancreatic enzymatic components necessary to ensure normal food digestion processes.

It is worth noting that with pancreatic pathology of a chronic nature in the gland cavity, the absence of symptomatic signs and pain may also mean the development of complications of the disease.

How to enter the remission stage? How long does it take?

The patient’s recovery from the stage of an acute form of pancreatic pathology or from the stage of exacerbation of a chronic form of the disease should be carried out in a hospital setting in a surgical or intensive care unit under the strict guidance of the attending physician.

The duration of treatment for acute pathology directly depends on the degree of damage to the parenchymal organ and on the presence of parallel pathologies. In case of exacerbation of the chronic type of the disease, it may be necessary to treat for at least 2-3 days to eliminate acute pain, eliminate intoxication processes and conduct a complete medical history. After which, the patient is discharged home, where he needs to continue treatment of the pathology, according to the prescribed regimen. Mandatory diet therapy is prescribed, which consists of following a special diet with table No. 5.

In the acute form of pancreatic disease, a longer course of hospitalization is required, the duration of which can vary from 10 days to 2 months.

When stable remission occurs, adherence to a dietary diet is prescribed for a period of 5 years or more.

Very important! In case of pancreatic damage to a parenchymal organ, completely avoid the use of alcohol-containing products.

Traditional methods of maintaining the pancreas during remission

The following recipes from traditional healers will help to provide effective support to the affected parenchymal organ during a period of stable remission:

1. Application of the most popular method using a beekeeping product - natural honey, which helps to increase the intensity of regeneration processes. Honey is recommended for consumption in the amount of 5 grams, or 1 teaspoon, dissolved with milk half an hour before meals.
2. Taking a decoction of rosehip, which also has a preventive effect against the development of cholecystic pathology, will help speed up the processes of bile outflow. You need to take one glass with a meal.

Infusions of medicinal herbs, such as:

• alfalfa;
• golden mustache;
• calendula;
• immortelle;
• wormwood;
• chamomile;
• dill, etc.

It is important to remember that completely eliminating pancreatic pathology folk remedies will not work, but their regular use will help increase the period of remission and reduce the frequency of exacerbations.

Principles of dietary nutrition to avoid complications

The principles of the diet for remission of pancreatitis are as follows:

• provide the body with all necessary substances;
• compliance with thermal and chemical methods of sparing;
• ensuring fractional nutrition;
• maximum level of restriction of products with increased level fat content;
• chewing food thoroughly;
• preventing the occurrence of overload in the functioning of the affected organ.

Cooking must be done by stewing, boiling or baking in the oven; frying is strictly prohibited.

But, before preparing any dish, you need to know what is allowed to eat, according to the diet in remission for pancreatitis, and which ingredients must be completely excluded from the diet.

1. Vegetables: colored varieties of cabbage, potatoes, carrots, pumpkin and beets.
2. Fruit crops: apricots, apples, plums, bananas.
3. Dairy products: all types of fermented milk products, whole milk and cottage cheese.
4. Bakery products: dried bread from wheat flour, white bread croutons, pasta no more than 2 times a week.
5. Varieties of cereals: buckwheat, rice, oatmeal, semolina and wheat groats.
6. Fish products: low-fat varieties of fish meat, boiled or baked.
7. Meat products: skinless chicken and turkey, as well as beef, lamb and rabbit meat.
8. Liquid: weak tea drink, dried fruit compote, fruit and berry juice, rose hip decoction.
9. Syrups and jam are allowed to be consumed in minimal quantities.

Prohibited Products

The list of prohibited products that can cause acute pancreatitis or an aggravated phase of chronic pathology includes the following ingredients:

• all smoked and pickled foods, as well as pickled foods and spicy foods;
• fried foods;
• canned food;
• alcoholic and carbonated drinks;
• juices, fruit and berry crops with a high level of acidity;
• strong tea and coffee;
• Borodino bread;
• baked goods and confectionery sweets;
• fish and meat broth.

Prevention and physical therapy

When remission occurs in pancreatitis, therapeutic gymnastic exercises are recommended.

The primary objectives of exercise therapy are aimed at achieving the following results:

• in improving blood circulation in the gastrointestinal tract, which has a positive effect on digestive processes;
• prevention of stagnation in the gastrointestinal tract;
• normalization of the movement of juice secreted by the stomach.

• calm rhythm of walking;
• performing light massage movements on the stomach;
• breathing exercises from a yoga course, or gymnastic exercises according to Strelnikova.

Rest in resort sanatoriums with the provision of medical procedures will help to significantly improve the medical history and prolong the period of remission.

Do not forget that even in a long remission period, if the diet is violated and the consumption of alcoholic beverages, an exacerbation of pancreatic pathology may begin, contributing to even greater damage to the parenchymal organ.

References

1. Vinokurova L.V., Trubitsyna I.E. Features of the clinical course and therapy of chronic pancreatitis depending on the stage of the disease. Attending Physician, 2010 No. 2, pp. 48–51.
2. Gastroenterology and hepatology: diagnosis and treatment. A guide for doctors, ed. A. V. Kalinina, A. I. Khazanova. M. Miklos, 2007
3. Maksimov, V. A. Clinical symptoms of acute and chronic pancreatitis. Directory of General Practitioners. 2010 No. 3 pp. 26–28.
4. Minushkin O.N. Maslovsky L.V. Evsikov A.E. Evaluation of the effectiveness and safety of the use of micronized multienzyme drugs in patients with chronic pancreatitis and exocrine pancreatic insufficiency of breast cancer, section “Gastroenterology” No. 17 2017, pp. 1225-1231.
5. Zhukova E.H. Comparative assessment of various diagnostic criteria for exacerbation of chronic pancreatitis. Russian gastroenterological journal 1998 No. 1.

First, it is worth defining the very concept of the word “remission”. Remission is a period of chronic illness when all diseases noticeably decrease or disappear altogether (the latter is called complete remission). The longer it does not manifest itself, the longer the period of remission of the disease.

What diseases can be in remission?

Remission can be observed in all people suffering from various chronic (permanent) diseases. It is also worth noting that remissions are complete and incomplete: complete remission can be observed for many months or even years, and incomplete remission usually lasts no more than 1-3 months and is a sign of an approaching exacerbation of the disease. During incomplete remissions, all symptoms of the disease usually remain (the only exception is that the symptoms are less noticeable). With complete remission, signs of the disease may also remain - it is for this reason that doctors prescribe maintenance therapy (the patient also continues to take medications, but in a lower dosage).

Why is remission so important?

Usually doctors do not try to completely cure the patient, but to achieve stable remission. Many diseases are incurable, which is why, for the patient’s normal functioning, it is necessary to reduce all the symptoms that interfere with the patient’s full life.
Doctors cannot cause the onset of remission - the appearance of this period in most cases depends on the patient’s body. There are cases when, despite the optimal dosage of medications, the patient never went into remission, but on the contrary, an exacerbation of the disease appeared.

Remission or recovery

Complete remissions are sometimes often confused with complete recovery of the patient. You can be convinced of the existence of remission only after the period of exacerbation has begun. Patients who are lucky enough to achieve remission need only rejoice at the onset of such a period and use the recommended doses of medications. Otherwise, remission may quickly end, giving way to another exacerbation of the disease.

The concept of remission does not apply to drug addicts who reduce the dosage and frequency of drug use or stop using them (except in cases where drug addicts do not go to specialized medical institutions).

Remission is a word doctors often use when talking about cancer. It means that after therapy there are no signs of cancer. If you've been diagnosed with cancer, you're probably hoping to hear your doctor use the term "remission" to offer hope and relief. Especially when undergoing often grueling trials of drug therapy or radiation therapy.

If you're lucky, it's time to enjoy life to the fullest. Even when oncologists say that remission ends and cancer begins to appear, this does not mean that treatment is necessary right away. The good news is that remission indicates that the cancer is improving in a measurable way.

Tumors shrink or disappear, symptoms may improve or go away, and there is less cancer in the body overall. Typically, remission means limiting or stopping treatment, at least temporarily. Unfortunately, anyone who has fought cancer knows that cancer treatment is not as easy as we would like. This marks a major shift in care and long-term health.

Remission is almost always the result of some form of cancer treatment, like radiation or chemotherapy, although there are documented cases where cancer goes into remission on its own. But treatment doesn't always work. For example, treating cancer with chemotherapy may not work for every patient. In milder forms of cancer, such as childhood leukemia, testicular cancer and Hodgkin's lymphoma, cure rates can be as high as 90%. In other forms, treatment may be almost impossible.

Types of remission

There are two types of remission:

• Partial remission indicates that the therapy has destroyed some cells, but not all. The cancer has shrunk but is detectable on scans and does not appear to be growing. Treatment can stop the cancer from growing. Or it may make it smaller so that other treatments, such as surgery or radiation therapy, can help. Partial remission means that the cancer is still there, but the tumor has shrunk—or, for a type of cancer such as leukemia, there is less cancer in the entire body. Some doctors tell patients about cancer as a “chronic” disease, like heart disease. This is something that will need to continue to be checked. If you are in partial remission, this may mean you should take a break from treatment until the cancer begins to grow again.
• Complete remission indicates that tests, physical examinations and scans show that cancer symptoms have disappeared. Cancer was not detected by x-rays or blood tests. Some doctors also refer to complete remission as "no signs of disease." This doesn't mean you are cured.

Doctors are not aware of the disappearance of cancer cells in the body, which is the reason why many doctors do not use the word “cure”. If cancer cells do return, they usually do so within 5 years of first diagnosis and treatment.

Cancer cells can remain undetected in the body for many years after treatment. If the cancer comes back from remission, it is called a “recurrence.” It's okay if you're worried about what happened. Every situation is different, and there is no clear way to predict future events.

Although complete remission is the ultimate goal, many people live healthy lives in partial remission. Certain types of cancer may never completely go away—this often happens with ovarian cancer, chronic leukemia, or some types of lymphoma. In these cases, it is helpful to think of cancer not as a one-time event, but as an ongoing health condition that requires regular care, like diabetes or heart disease.

What does relapse mean?

The doctor may tell you that the cancer has returned. This usually occurs after a period during which the cancer could not be detected. Cancer can return to the same location as the original (primary) tumor or to a different location in the body. It's called recurrent cancer. Doctors cannot be sure that cancer will completely disappear after therapy. After 5 years, you are less likely to relapse. Sometimes, depending on the type of cancer, after 10 years the doctor may say that you are cured. Unfortunately, certain types of cancer may appear many years after initial diagnosis.

The doctor or health center will continue to check for signs of cancer or treatment-related health problems. It is extremely important to get recommended checks even if you do not have any existing symptoms. Follow-up care may include physical exams, screenings, blood tests, and imaging tests.

Remission I Remission (from Latin remissio - decrease, weakening)

a period of chronic disease in a person or animal, characterized by a weakening or disappearance of its symptoms. R. may occur due to the cyclical nature of the disease (for example, Malaria, Manic-depressive psychosis, Periodic illness) ; spontaneously (for example, with kidney stones (See Kidney stones)) ; as a result of treatment (eg, schizophrenia (See Schizophrenia) , chronic dysentery (See Dysentery)). Depending on the degree of reduction in subjective and objective signs of the disease, complete and incomplete R. are distinguished. Complete R. in some cases (for example, with Lymphogranulomatosis) last for months and years, in others they are unstable and are quickly replaced by a new exacerbation (relapse) of the disease. With complete R., some signs of the disease also persist (for example, chromosomal abnormalities in leukemia), therefore, in many cases, maintenance therapy is continued. In other cases, long-term complete R. is difficult to distinguish from practical recovery (for example, with acute lymphoblastic leukemia in children).

II Remission

in economics, rounding down the payment amount on an invoice.

Great Soviet Encyclopedia. - M.: Soviet Encyclopedia. 1969-1978 .

Synonyms:

See what “Remission” is in other dictionaries:

Discount for rounding the invoice payment amount. Dictionary financial terms. Remission Remission is a refusal to exercise the right of claim under a bill of exchange. In English: Remission See also: Bills Financial Dictionary Finam... Financial Dictionary

- (from the Latin remissio weakening), weakening (incomplete remission) or temporary disappearance (complete remission) of the manifestations of the disease ... Modern encyclopedia

- (from Latin remissio weakening) temporary weakening (incomplete remission) or disappearance (complete remission) of the manifestations of the disease ... Big Encyclopedic Dictionary

Return of valuables, as well as a concession made to round up payments. Dictionary of foreign words included in the Russian language. Chudinov A.N., 1910. remission (lat. remissio decrease, weakening) 1) com. rounding the invoice payment amount into... ... Dictionary of foreign words of the Russian language

Remission- (from the Latin remissio weakening), weakening (incomplete remission) or temporary disappearance (complete remission) of the manifestations of the disease. ... Illustrated Encyclopedic Dictionary

Weakening, refusal, rounding, liberation Dictionary of Russian synonyms. remission noun, number of synonyms: 4 rounding (10) ... Dictionary of synonyms

remission- The stage of the disease at which there is a decrease (weakening) of the symptoms of the disease. [English-Russian glossary of basic terms in vaccinology and immunization. World Health Organization, 2009] remission Discount for... ... Technical Translator's Guide

Commercial discount for rounding down the invoice payment amount... Legal Dictionary

English remission exemption from payment. Dictionary of business terms. Akademik.ru. 2001... Dictionary of business terms

- (from Latin remissio weakening) a discount on the price of the goods sold, which is made by the seller in order to round up the price. Raizberg B.A., Lozovsky L.Sh., Starodubtseva E.B.. Modern economic dictionary. 2nd ed., rev. M.: INFRA M. 479 p.. 1999 ... Economic dictionary

REMISSION, remission, women. (lat. remissio decrease, weakening). 1. Relief of symptoms, disappearance of signs of disease (med.). 2. B exchange transactions return of valuables upon liquidation of a transaction (fin.). 3. Discount from the account to equalize the amount... ... Dictionary Ushakova

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Remission is the subsidence of a chronic disease, in which clinical symptoms disappear. In case of incomplete remission, some symptoms of the disease persist.

Remission

Remission is a temporary weakening (incomplete remission) or disappearance (complete remission) of symptoms of a usually incurable disease. Remissions are characteristic of chronic diseases, often occurring cyclically. They are observed in cancer, malaria, peptic ulcer disease, Addison-Biermer anemia and some other diseases and can be explained both by temporary resistance to the body's defenses and by the characteristics of the disease, when a change in its phases is accompanied by a temporary disappearance of painful phenomena. This term is commonly used to refer to the absence of cancer or inflammatory bowel disease activity when these diseases are expected to recur in the future. Growth slowdown cancerous tumor 50 percent or more can be called incomplete remission. Complete remission is defined as the complete disappearance of all manifestations of the disease.

However, remission cannot be regarded as a return to a state of full health. The duration of remission ranges from several days to several years and even decades (for mental illnesses, blood diseases). In the latter cases, they can create a false impression of recovery.

Remission (from Latin remissio - decrease, weakening) is a temporary weakening or disappearance of the symptoms of the disease. The presence of remission is characteristic of the course of a number of diseases - peptic ulcers, malaria, some infectious diseases, Addison-Birmer anemia, etc. The presence of remission is especially characteristic of a number of mental illnesses, in which it is sometimes very persistent (lasting many years and even decades), creating a false impression of recovery. However, more often remission is much shorter (weeks, months). There are complete remissions (disappearance of all symptoms of the disease) and incomplete (weakening of the symptoms of the disease).

What is remission?

What is remission?

Remission is a word of Latin origin - from remissio - decrease, weakening.

Remission is a temporary improvement in the condition of the patient (human or animal). Remission stops the progression of the disease, dulls pain and inhibits the progression of chronic diseases. Remission either slows down or temporarily stops the course of the disease, until the characteristic symptoms completely disappear.

Remission may appear as a result of a correctly established diagnosis and effective treatment, climate change and human mental state.

Remission can last for years, but does not guarantee the absence of relapse. Remission is not complete recovery.

Remission is a medical term used in the classification of diseases and intended to determine the dynamics of the pathological process.

During the period of remission, the manifestations of the disease decrease both clinically (in terms of complaints and symptoms) and laboratory criteria and instrumental research. For example: for bronchial asthma, spirography indicators improve, for ischemic heart disease, echocardiographic changes improve: EF (ejection fraction) increases, for leukemia - puncture indicators bone marrow. But the disease itself is incurable.

Remission can be stable or unstable, or stable and unstable. Sometimes the disease proceeds without any remission: a continuously relapsing course.

By remission we mean a period of a chronic disease during which there is a decrease in symptoms or a complete, almost complete disappearance of symptoms. Experts distinguish drug remission - while the patient is taking medications, there may be no signs of the disease.

Remission is a period when the signs of some chronic disease, for example, chronic obstructive bronchitis, multiple sclerosis, and stomach ulcers, decrease or disappear for some time.

Remission is the period when a chronic disease suddenly subsides for a while. Remission can last a month or can last a year or ten years.

I have psoreasis, which is a chronic disease, and the longest remission lasted about 10 years.

Remission, or the Remission stage, for example in medicine, means weakening of the symptoms of a chronic disease, attenuation (incomplete remission) and disappearance (complete remission).

When applied to drug and alcohol addicts, remission is a period of reduced cravings for addictive products.

I will answer as I understand it. For example, I have a disease - chronic pyelonephritis. And the cold season, when it’s damp, when all sorts of colds occur, my chronic pyelonephritis begins to make itself known and my illness worsens. But when it’s warm, it’s summer, there are no colds and flus, when my feet are dry, a period of remission begins for my illness, it seems to fall silent, quiet down, as if nothing had hurt before.

Remission

Remission is a specific stage of the disease when all signs of the disease begin to weaken or completely leave the human body. The term "remission" comes from the Latin "remissio", which means decrease and weakening.

This process can occur in patients with a wide variety of chronic diseases. A distinction is made between complete and incomplete remission.

These two concepts differ in the degree of symptoms of the disease. Incomplete remission lasts about 1–3 months and in most cases brings about an exacerbation of the pathology.

Complete remission lasts from 2 months to several years. For both types of remission, all symptoms of the disease never go away. When complete, doctors reduce the dosage of medications used, but prescribe maintenance therapy.

Remission classification

There are the following types of remission in oncology:

1. Partial. She suggests that the malignant process is still in the body, but in small quantities. In other words, the response to the therapy provided is incomplete. Here we're talking about about cancer, which is chronic. The patient can rest from intensive treatment by constantly checking for the presence of malignant cells and maintaining general condition. Remission is partial even if the tumor has decreased by 50%.
2. Full. Remission of this type indicates that tests and diagnostics do not reveal a malignant process. Here we are talking about the complete retreat of cancer. But this does not exempt the patient from the necessary examination, otherwise a relapse may be missed. When cancer cells return, it will happen within 5 years. Taking this information into account, a prognosis regarding the life expectancy of a cancer patient is determined.
3. Spontaneous. This type of remission is characterized by an unexpected improvement in the patient's condition or complete recovery from cancer, even advanced ones. These diseases include blood cancer, leukemia, melanoma, lymphoma and breast cancer. If we are talking about carcinoma, then spontaneous remission occurs very rarely.

Oncology

Complete and spontaneous recovery is very rare. In order for all therapeutic measures to have the desired effect, it is necessary to understand how a malignant disease is formed and to prepare on a psychological level in order to fight back the disease at any time.

There are 3 phases of cancer treatment:

1. Active therapy. Certain oncological diseases are diagnosed at the peak of the disease or right before it. The doctor draws up a treatment regimen, which may include conventional methods: surgery, chemotherapy and radiation therapy.
2. Remission in oncology is a period during which the neoplasm significantly decreases in size or its complete disappearance is observed.
3. Controlling the pathological process. Despite the fact that there may be no obvious signs of a tumor, every effort must be made to maintain a state of remission. To do this, it is recommended to undergo a rehabilitation course after aggressive therapy. The doctor prescribes special supportive medications and natural medicines. Their appointment occurs on an individual basis. Thanks to this, it is possible to keep the disease in a state of complete remission for an indefinite amount of time.

To improve the prognosis, complex therapy may be used. It involves combining conventional and complementary treatments such as targeted agents, hormonal therapy or biological influences.

Types of remission for leukemia

For a disease such as leukemia, there is a more precise gradation of remission. For example, in children diagnosed with acute lymphoblastic leukemia, long-term remission is very difficult to distinguish from complete recovery.

With the clinical-hematological form of remission, all symptoms of the disease leave the body, and the composition of the bone marrow and peripheral blood returns to normal. If cytogenetic remission is present, then it is impossible to detect cancer cells using the cytogenetic analysis method.

Herpes

The course of the disease is divided into 3 stages: mild, moderate and severe. The mild course of herpes is characterized by the occurrence of relapses extremely rarely, and their duration is short. With this form of herpes, no more than 4 relapses develop per year. If we consider the course of moderate severity, then relapses develop up to 5-6 times a year, and in severe cases - every month.

According to the type of course, herpes is divided into arrhythmic, subsiding and monotonous. For an arrhythmic course, relapses occur after an indefinite period of time. Moreover, the longer the remission lasted, the longer the exacerbations will be.

With a monotonous course, remission and relapses replace each other after certain, almost always equal, periods of time. For example, if we talk about menstrual herpes, it is accompanied by monthly rashes during menstruation. For a subsiding course of the disease, remissions gradually increase, and the duration of relapses decreases. There may be a complete subsidence of the pathological process.

Remission and its duration do not always depend on the methods of therapy used. An important role in this matter is given to the patient’s individual attitude towards healing, faith in one’s strength and desire to live.

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What is remission

Every person who has been exposed to a relatively serious illness has, willy-nilly, encountered the concept of “remission.” And it’s no secret that these people, like no one else, know the value of their health. What is this “remission” and why do people suffering from more or less serious illnesses wait so long for it?

“Remission” is a period in the cycle of a chronic disease that is characterized by a weakening of its symptoms. There is complete and incomplete remission. Incomplete remission occurs when the symptoms of a chronic disease significantly weaken, and complete remission occurs when they disappear. The duration of remission depends on the frequency of manifestation of old symptoms of the disease.

What diseases can be in remission?

Remission can occur in people with a wide variety of chronic (ongoing) diseases. It is worth recalling that complete and incomplete remissions differ in the degree of symptoms of the disease. Incomplete remission occurs in the interval from one to three months and, often, promises an approaching exacerbation of the disease. Complete remission can last from several months to a certain number of years. In both cases, the signs of the disease do not go away; with complete remission, doctors often reduce the dose of medications used, but still support the patient’s body. The most important aspect of the treatment of this type of disease is supportive therapy.

Why is remission so important?

Often, doctors do not try to completely cure a sick patient, but try to achieve stable remission, thereby increasing immunity and maintaining constancy in the cells of the human body.

Doctors are unable to induce remission. This process depends only on the human body; for some, remission occurs very quickly, for others it does not occur at all; on the contrary, the symptoms only worsen, and the general state of health worsens.

Remission or recovery

Humanity has the erroneous opinion that remission is the complete ridding of the body of all ailments. Unfortunately no. Not everyone can achieve a period of incomplete recovery. Those who succeed must follow all the recommendations of their attending physician, otherwise remission simply does not make sense. The disease will worsen, and the body’s condition will deteriorate again.

The term “remission,” as such, does not apply to drug addicts who have reduced their drug intake or stopped using drugs completely. The exception is people who do not go to specialized medical institutions.

Remission is. What is Remission?

stage of the course of the disease, characterized by a temporary weakening or disappearance of its manifestations.

Almost every chronic illness manifests itself in alternating exacerbations and remissions. Gastroduodenitis is no exception.

How often do his attacks occur? What factors can provoke a deterioration in the patient’s condition? How long are the periods of asymptomatic CGD?

Firstly, it should be noted that the cyclical nature of the pathological process is usually directly dependent on the changing seasons.

Relapse is the reappearance or re-intensification (worsening) of the symptoms of the disease after they have been eliminated or weakened. As a rule, the symptoms of relapse are similar to the symptoms of the primary disease, although in some cases they may differ (for example, with a relapse of chronic myeloid leukemia, signs of anemia may dominate).

Remission can be partial or complete. With partial, some symptoms of the disease remain to one degree or another; with complete, the signs of the disease disappear, which are determined during standard laboratory tests. Partial remissions can quickly be replaced by new exacerbations (relapses) of the disease, and complete ones can last for several months and years (for example, with lymphogranulomatosis). Sometimes, even with complete remissions, some signs of the disease may persist (for example, chromosomal abnormalities in leukemia), so in most cases maintenance therapy continues. In other cases, long-term complete remissions are practically no different from recovery (for example, with acute lymphoblastic leukemia in children).

In relation to drug addicts, the term “remission” is used when they stop using drugs or reduce the frequency of their use.

First, we use one antiepileptic drug in treatment, selecting the dose depending on the effectiveness and safety. If ineffective, we introduce a second drug. Further polytherapy is possible. The process of selecting therapy is complex and individual, but is based on clearly developed principles of therapy.

In a small number of people, surgical treatment may be used. An option for treating drug-resistant forms of epilepsy in addition to taking medications is a ketogenic diet or stimulation of the vagal nerve.

Paranoid type of remission, so common in adults, in adolescence almost never comes across.

Remission or recovery

The most important thing at this stage is not to succumb to a deceptive feeling of well-being and not to interrupt the course of treatment prescribed by the doctor.

The pre-exacerbation period lasts about a month. The exacerbation itself, with adequately selected therapy, lasts 3-6 days. Without treatment, it can last for a month, in rare cases, for a longer period.

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What to do in case of exacerbation of chronic pancreatitis

During exacerbation of chronic pancreatitis, therapeutic nutrition is aimed at maximum mechanical and chemical sparing of the pancreas and the entire digestive system.

What is chronic pancreatitis?

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Acute tonsillitis is a bacterial inflammation of the pharyngeal tonsils. For the formation of this inflammation, it is necessary that the tonsils reach a certain stage in their development.

Remission in medicine. What is this?

General concept of remission

Remission is a certain stage in the course of the disease. During this period, the symptoms of the disease significantly weaken or disappear completely. The term “remission” comes from the Latin word “remissio” and translated means weakening, reduction.

Duration of remission

There are two types of duration:

• Complete remission, in which signs of the disease completely disappear.
• Partial remission is characterized by the persistence of some symptoms.

For example, with malignant tumors, we can talk about complete remission when it disappears. Partial remission means only a decrease in tumor size, but incomplete disappearance.

Types of remission

• Cyclic (herpetic infection)
• Spontaneous (urolithiasis)
• As a result of treatment (chronic dysentery).

If we talk in simple language, then we are talking about a temporary improvement, which may be replaced by a new exacerbation (relapse) of the disease.

There are a number of diseases that cannot be completely cured. These include, for example, alcoholism; after treatment and recovery, the patient is discharged in normal condition. But doctors do not use the term “healthy,” they only talk about “a state of remission.”

You might be interested in watching a video about hardening:

What is incomplete remission

REMISSION (lat. remissio reduction, weakening) is a temporary improvement in the patient’s condition, manifested in slowing down or stopping the progression of the disease, partial reverse development or complete disappearance of the wedge, manifestations of the pathological process. R. is in some cases a natural phase of the disease (see), but does not at all represent a return of the body to a state of health (see) and can be replaced by a relapse (see), that is, an exacerbation of the pathological process.

The nature of R. is different in different cases. R. may be based on the wave-like nature of the course of infectious diseases associated with the characteristics of the development cycle of the pathogen (for example, with malaria, relapsing fever, certain helminthic infestations). In infectious diseases, R. can also occur due to changes in the activity of cellular and humoral immune mechanisms, the production of the so-called. non-sterile immunity, encapsulation of infectious foci, complicating the absorption of toxic products, increased resistance of cellular elements, decreased sensitivity nervous system to toxins, etc. R. can occur as a result of changes in the reactivity of the patient’s body (see), associated with seasonal factors, favorable changes in climatic and living conditions, the nature and diet, as well as with special measures, aimed at increasing the specific and nonspecific resistance of the body (see). This kind of remission is observed, for example, with peptic ulcer disease (see), Addison-Birmer anemia (see Pernicious anemia), epilepsy (see), gout (see), etc.

Often R. occurs as a result of specific therapy that does not lead to a radical cure, but delays the course of pathol. process (therapeutic R.). Such R. are observed, for example, during radiation therapy and treatment of malignant tumors with antitumor drugs, drug therapy for patients with heart defects, psoriasis, pemphigus, etc.

Often the causes of R. remain unknown, which is usually due to insufficient information about the pathogenesis of the corresponding disease; Such reactions are usually called spontaneous. With certain diseases, both therapeutic and spontaneous R. can occur, however, as a rule, R. caused by active treatment occur much more often than spontaneous ones.

R. are distinguished by their durability and depth. The duration (or persistence) of R. is measured by the length of the period from the onset of R.'s condition to the relapse (see) of the disease and varies widely - from several days to many years. R.'s depth is determined by the degree of slowing, stopping, or reversing the development of the manifestations of the disease. For a number of diseases there are special gradations and nomenclatures for the quality of R.

Remissions in mental illness represent a weakening and mitigation of patol. symptoms, ensuring the correct behavior of patients and, to one degree or another, their social and labor adaptation. They represent a wide range of conditions from those bordering on practical recovery (complete R.) to those in which the symptoms of the defect clearly appear (incomplete R.). In the first option, patients correctly assess the illness they have suffered, display vivid emotionality and the ability to return to their previous work in the complete absence of symptoms of the illness they have suffered. It is known that the elimination of the symptoms of the disease does not always indicate the cessation of the process, therefore such cases can be classified as deep remissions. They can occur spontaneously, as a result of a suspension of the process, or when it becomes inactive, or as a result of applied therapy. In the paroxysmal and periodic course of the disease, alternating with acute attacks of the disease, R. is determined by the peculiarities of the wedge, the picture of the disease. The likelihood of R.'s occurrence depends on the characteristics of the process and the therapy used.

R.'s persistence is determined by their duration, quality - by the degree of severity of residual phenomena and the degree of social and labor rehabilitation. The higher the quality of R., the more durable it turns out to be. The type and nature of the course of R. are important. As V. Mayer-Gross pointed out, remissions are not permanently stabilized states; they are characterized by dynamics.

Wedge, R.'s picture consists of both residual symptoms and symptoms of the defect at their different levels, as well as the presence of compensatory mechanisms and premorbid personality characteristics. However, such multifactoriality in the formation of a wedge, a picture, does not exclude the formation of individual wedges, types of R. For example, with schizophrenia by V. M. Morozov and K). K. Tarasov (1951) described four types of spontaneous R. - hypersthenic, asthenic, paranoid, hypochondriacal. Later, V. M. Morozov also described the psychasthenic version of spontaneous remissions. Subsequently, G.V. Zenevich (1957) identified sthenic, pseudopsychopathic, paranoid, autistic, apathetic, asthenic, hypochondriacal wedges, and variants of therapeutic R. for this disease.

Currently, due to the widespread use of psychopharmacological agents (see), pathomorphism of remissions in mental illnesses is observed. Asthenic, psychopath-like variants, as well as R. with subdepressive and hypomanic manifestations, began to predominate, while the number of R. with pronounced residual procedural signs (delusions, hallucinations, etc.) are observed less frequently.

Along with the general patterns characteristic of R. as incomplete recovery, in all mental illnesses there are, naturally, specific features for individual nosological forms. For example, characteristic personality changes during remissions of schizophrenia; reduction or cessation of convulsive paroxysms (“seizure remission”) and equivalents, as well as slowing down the development of characterological traits in epilepsy; safety of pathol. reactivity to ethanol during remissions of chronic alcoholism, etc. A remitting type of course with alternating periods of significant improvement is possible with exogenous-organic psychoses. With traumatic psychoses, in particular, R. can occur even after long-term persistence of symptoms and seemingly irreversible dementia, the manifestations of which, however, are subsequently smoothed out, although its organic nature seems obvious. Significant improvement, accompanied by varying degrees of social and labor rehabilitation (see), is also possible with residual post-traumatic manifestations in the form of encephalopathy.

The type of remission, the structure of the defect and the nature of the process at this stage affect the level of social and labor recovery. However, the latter is a complex derivative of a number of factors of both pathophysiological and socio-psychological nature. Not only post-processual changes and compensatory possibilities are important, but also past profession, qualifications, work experience, etc. Considerable experience has been accumulated in getting involved in work at industrial enterprises(subject to certain organizational conditions) of patients in remission with various mental illnesses.

The task of strengthening R. and preventing relapses is of current importance. Maintenance therapy plays an important role in this regard. Its essence lies in the prolonged use of drugs used to treat the disease in the acute period.

Maintenance therapy promotes R.'s persistence and facilitates the possibility of labor rehabilitation. Choice medicines for this purpose is determined by the nature of the disease and those means that were usually used in the acute period of the disease: psychotropic drugs, including long-acting ones, during remissions of schizophrenia; anticonvulsants for the so-called remission of epileptic seizures; lithium salts to prevent affective disorders; Antabuse for remissions of alcoholism, etc. Maintenance therapy should not be limited only to taking certain medications, but must be combined with psychotherapy and rehabilitation measures, the implementation of which in these conditions is noticeably facilitated. In some cases, remission of schizophrenia achieved with the help of psychotropic drugs may be interrupted after discontinuation of maintenance doses.

The task of preventing relapses requires attention to the somatic state of patients in remission. Exogenous hazards, and especially infections, can interrupt R. Deterioration of the condition and relapse of the disease can also be provoked by mental trauma.

Bibliography: Zharikov N. M. Clinical features of remissions in schizophrenia in the long-term period of the disease, Zhurn. neuropath, and psychiat., t. 60, v. 4, p. 469, 1960; Zenevich G.V. Remissions in schizophrenia, JI., 1964, bibliogr.; Melekhov D. E. Clinical principles of prognosis of working capacity in schizophrenia, M., 1963; Morozov V. M. and Nadsharov R. A. About hysterical symptoms and phenomena of obsession in schizophrenia, Zhurn. neuropath, and psychiatrist., t. 56, v. 12, p. 937, 1956; Morozov V.M. and Tarasov Yu.K. Some types of spontaneous remissions in schizophrenia, ibid., vol. 20, century. 4, p. 44, 1951; Sereysky M. Ya. On the issue of methods for taking into account therapeutic effectiveness in the treatment of mental illnesses, Proceedings of the Institute named after. Gannushkina, V. 4, p. 9, M., 1939; Mayer-Gross W., Slater E. a. Roth M. Clinical psychiatry, L., 1960.

N. I. Losev; G. V. Zenevich (psychiatrist).