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Medication The prescribe medication given to the patient is more on drug-dependent related to chemotherapy.

Ondansetron 8 mg Vincristine 2 mg Actinomycin D 2 mg Cyclophosphamide+Mesna (TD 13.63 mg/kg/day) Dexamethasone 4 mg GCSF 150 mg Paracetamol 500 mg/tab

Exercise "Exercise has many of the same benefits for cancer survivors but before starting a moderate to vigorous exercise program, patient should always seek consultation to his Doctor.


Health teaching

Outpatient-follow up The doctors will regularly check the patient to be sure that the cancer has not come back and there are no complications but call your doctor if you or your child experience any symptoms of rhabdomyosarcoma including:

Diet Children with cancer need protein, carbohydrates, fat, water, vitamins, and minerals. A dietitian can help you understand your childs specific needs and develop an eating plan .Proteins The body uses protein to grow; repair tissues; and to maintain the skin, blood cells, the immune system, and the lining of the digestive tract. Children with cancer who do not get enough protein might break down muscle for the fuel their bodies need. This makes it take

Sexual activit

The surgeon Sarcomas are rare removes as types of cancer that much of the develop in the tumor as supporting tissues possible. The of the body, such as doctorwill try to bone, muscle or minimize cartilage. There are damage or two main types of disfigurement sarcomas: when doing so, Chemotherapy Soft tissue sarcomas can is the use of develop in drugs to kill muscle, fat, cancer cells. blood vessels, or Chemotherapy in any of the is always given The following other tissues that types of exercise after surgery. It support, can help cancer destroys any surround and remaining patients.: protect the cancer cells organs of the where the tumor Flexibility body. was removed. It exercises Bone sarcomas can also kill stretching is can develop in small pockets of important to any of the bones keep moving, to cancer cells that of the skeleton may be present maintain The causes of in other parts of mobility, rhadomyosarco aerobic exercise, the body. The ma are unknown doctor may such as brisk

Freuds psychosexual developmenta theory

Age Range: Puberty to Death

Erogenous Zone: Maturin Sexual Interes

A persistent lump or swellingin part of the body Bulging of the eye or a swollen eyelid Headache and nausea Trouble urinating or having bowel movements Blood in the

During the fin stage of psychosexual development, the individual develops a strong sexual interest in the opposite sex. This stage begins during puberty but la throughout the rest of a

walking, jogging, and swimming. Aerobic exercise builds cardiovascular fitness, which lowers the risk of heart attack, stroke, and diabetes. Resistance training (Iifting weights or isometric exercise), which builds muscle. Many people lose muscle, but gain fat, through cancer treatment. For those with a high fat-to-lean mass ratio at least 30 to 60 minutes of moderate to vigorous physical activity at least 5 days a

recommend radiation therapy for some patients. Radiation therapy uses high-energy radiation to kill cancer cells and shrink tumors. It may be recommended if the entire tumor was not removed during surgery. It may also be used if the cancer is higher risk but has not spread to distant sites

but research is going on all the time. Children with certain rare genetic disorders, such as Li-Fraumeni syndrome, have a higher risk of developing rhabdomyosarco ma. Treatment will depend on the size of the tumour, its position in the body and whether it has spread. The three main types of treatment for soft tissue sarcomas are chemotherapy, surgery and radiotherapy. The side effects will depend on the

urine Bleeding from the nose, throat, vagina, or rectum Enlargement of one side of the scrotum

person's life. longer to recover from illness and can lower resistance to infection. After a child has surgery, chemo, or radiation treatments, she may need extra protein to heal tissues and to help prevent infection. Protein is also key to a childs growth and development. During illness, a childs need for protein goes up. Work with your childs cancer care team to figure out her specific needs at this time. Good sources of protein include fish, poultry, lean red meat, eggs, dairy products, nuts and


treatment being given and the part of the body that's being treated. Your childs doctor will discuss this with you before treatment starts. Most side effects are short-term (temporary) and gradually disappear once treatment stops. Chemotherapy may cause side effects such as feeling sick, hair loss, tiredness and an increased risk of infection. But it can also make your child feel better by relieving any symptoms the tumour is causing. Radiotherapy can make your child feel tired, and the skin in the area

nut butters, dried beans, peas and lentils, and soy foods

Carbohydrates Carbohydrates are the bodys major source of energy. Carbohydrates give the body the fuel (calories) it needs for physical activity and proper organ function. How many calories a child needs depends on their age, size, and level of physical activity. Healthy infants, children, and adolescents need more calories per pound than adults to support growth and development.

thats being treated may go red or get darker. Other side effects will depend on the area of the body that is being treated. Your childs specialist doctor or nurse will explain this A small number of children may develop long-term side effects many years after treatment for a rhabdomyosarcoma. This depends on the type of treatment your child had. Your childs doctor or nurse will talk to you about any possible risk of late side effects. Follow-up for children whove had cancer includes close monitoring for any signs of any

Children being treated for cancer may need even more calories for tissue healing and energy. In fact, a child being treated for cancer may need anywhere from 20% to 90% more calories than a child who is not getting cancer treatment. This varies from child to child, and some kids have a problem with unwanted weight gain during treatment. The best sources of carbohydrates fruits, vegetables, and whole grains give the bodys cells the vitamins and minerals, fiber,

late effects. Late effects may include a possible reduction in bone growth, infertility, a change in the way the heart and the kidneys work, and a slight increase in the risk of developing another cancer in later life

and phytonutrients (key nutrients from plants) they need

Fats Fats play an important role in nutrition. Fats and oils are made of fatty acids and serve as a rich source of energy (calories) for the body. The body breaks down fats and uses them to store energy, insulate body tissues, and carry some types of vitamins through the blood. You may have heard that some fats are better than others. For the most

part, unsaturated fats (monounsaturated and polyunsaturated) should be chosen more often than saturated fats or trans fats

Water Water and liquids or fluids are vital to health. All body cells need water to function. If your child does not take in enough fluids or loses fluids from vomiting or diarrhea, he may become dehydrated (his body doesnt have as much fluid as it needs). If this happens, the fluids and minerals that

help keep the body working can become dangerously out of balance. Children get some water from foods, especially fruits and vegetables, but they need liquids to be sure that all the body cells get the fluid they need. How much fluid a child needs depends on his size and how much liquid he is losing. Extra fluids may be needed if he is vomiting or has diarrhea. Talk with the dietitian, doctor, or nurse about your childs fluid needs. Keep in mind that all liquids (soups, milk, even ice

cream and gelatin) count toward your childs fluid goals. You can see if your child is dehydrated by lightly pinching up the skin over the breast bone. If the skin does not return to normal and stays raised, your child may be dehydrated. Other symptoms include mouth dryness, dark colored urine, listlessness, and dizziness. If you think your child is dehydrated, call the doctor right away.

Vitamins and minerals The body needs small amounts of

vitamins and minerals for normal growth and development, and to help it function properly. Vitamins and minerals also help the body use the energy (calories) it gets from food. Children who eat a balanced diet usually get plenty of vitamins and minerals. But studies have shown that even healthy kids often dont get enough calcium and vitamin D, which are especially important for bone growth. Some of the drugs used to treat cancer can lower calcium and

vitamin D levels, too, so extra amounts may be needed. It may be hard for a child getting cancer treatment to eat a balanced diet. Common treatment side effects, like nausea, vomiting, and mouth sores (mucositis) can make it hard to eat. If your child has eating problems, ask your doctor, nurse, or dietitian for help. The doctor may recommend a daily multivitamin while your child is being treated. But a multivitamin does not replace eating enough calories and

protein. Always talk to the doctor before giving vitamins, minerals, or any kind of supplement to your child, since some of them might interfere with cancer treatment