What uterine fibroids can be treated with drugs?

Drug treatment of indications:
1, young people desire to keep the reproductive function. Child-bearing age as a result of fibroids or infertility caused by abortion, drug therapy to shrink fibroids so that after the pregnancy, fetal survival.
2, pre-menopausal women, fibroids are not great, the symptoms are mild drug application, so that post-menopausal uterine contraction, and fibroids shrink from surgery.
3, there are indications for surgery, but there is contraindication need treatment before surgery.
4, patients with internal medicine, surgery or illness are not competent enough for surgery who do not want surgery.
5, the choice of drug treatment are advised to be done curettage diagnosis of endometrial biopsy to exclude malignant change, particularly on the amount of menstrual disorders or more persons. Curettage role in both diagnosis and stop bleeding.
According to the medication is for uterine fibroids sex hormone-dependent tumors, the use of hormone antagonist drugs for the treatment. The new application is the temporary suppression of ovarian drugs. Danazol,
Gossypol for the domestic drug commonly used. Other androgen, progesterone and vitamin drugs are also used. Since 1983, studies reported that the application of gonadotropin-releasing hormone analogue (GnRHa) success
Reduced leiomyoma. Research proves GnRHa indirectly reduce the level of pituitary gonadotropin secretion in order to effectively suppress ovarian function, the so-called "down regulation" (downregulation) Phenomenon.

Fetal deformities caused by congenital hydrocephalus What are the characteristics of the performance?

Q: fetal deformities caused by congenital hydrocephalus What are the characteristics of the performance?
A: congenital hydrocephalus caused by fetal malformation. There were common:
1. Midbrain deformities are divided into: ① aqueduct bifurcation malformation; ② aqueduct stenosis or atresia; ③ divide aqueduct.
2. Chiari malformation is due to the tonsils, medulla and spinal canal to the fourth ventricle hernia, the change strip of the fourth ventricle, the middle of the hole and the hole-side down, so that the cycle of CSF obstruction. The deformity can be alone, but with the majority associated with meningomyelocele, or depressed skull base and with the same disease.
3. The middle of the fourth ventricle and the side of the hole-hole rare congenital atresia, and the need to post-secondary intracranial infection caused by adhesion to identify with.
4. Considerable part of the congenital hydrocephalus can be due to infants and young children caused by posterior fossa tumor.
5. Some other congenital diseases, such as achondroplasia, the cranio-cervical junction malformation, spina bifida, stains hamartoma disease, Dandy-Walker syndrome, the absence of the corpus callosum, back to the cerebellum, and other deformities may be associated with brain plot.

Congenital hydrocephalus of the main features of what?

Q: congenital hydrocephalus of the main features of what?
A: As the brain caused by congenital abnormalities of the brain known as congenital hydrocephalus water. The formation of hydrocephalus may be due to the secretion of cerebrospinal fluid between the absorption and loss of balance, that is, cerebrospinal fluid or have too many obstacles to absorb. In addition, the cerebrospinal fluid circulation pathway obstruction caused by congenital hydrocephalus is also an important reason.
Congenital hydrocephalus are the main features of head circumference was increased to carry out. Head circumference at birth after more than a few weeks or months to start increasing as well as birth than normal. Head circumference increased, relatively small face, prominent forehead forward, thinning scalp tension, the two eyes, or strabismus, or turning tremor, fontanelle (including the skull before and after the top of head) to open, the separation of the skull bone joints. In severe cases, patients have frequent vomiting, irritability and poor eating. Early no effect on intelligence, advanced cases may appear dull expression, mental retardation, vision loss, paralysis of limbs. Finally, more as a result of malnutrition, bed sores and the occurrence of complications such as respiratory tract infections and deaths. A small number of cases of the disease on its own will to ease or stop the development.

Pelvic inflammatory disease will affect the reproductive right?

The female pelvis and reproductive organs (including the uterus, fallopian tubes and ovaries), uterine and pelvic peritoneum around the connective tissue inflammation, etc., collectively referred to as pelvic inflammatory disease. Pelvic inflammatory disease is a relatively common gynecological diseases, in some sexual disorders, the spread of sexually transmitted disease is particularly common in the country. In my pelvic inflammatory disease caused by sexually transmitted diseases, although rare, but the following factors and the incidence of pelvic inflammatory disease: (L) poor personal hygiene. (2) the wider use of intrauterine devices. (3) post-natal infections and post-abortion infection. (4) to the minor gynecological some of the preoperative surgery and the lack of attention to aseptic operation. (5) unclean sexual intercourse or menstruation, and so on. Pelvic inflammatory disease often caused by more than one pathogen of mixed infections. Although the pathogen can be spread through blood or lymphatic, sometimes from nearby tissues or organs directly from the spread, but the vast majority of pelvic inflammatory disease pathogens are inside the vagina mucous membrane along the surface of the pelvic line tat-induced organ. And genital inflammation of the surrounding tissue is often not isolated, but interact at the same time inflammation. Pelvic inflammatory disease, tubal If you are going to feel the impact, resulting in adhesion lumen, complete obstruction, can affect the future of the pregnancy, causing infertility; if limited to pelvic inflammation of connective tissue, fallopian tube is not involved, do not affect reproductive function.

Diarrhea can also lead to pelvic inflammatory disease it?

Although the majority of diarrhea and gastrointestinal diseases are directly related to diarrhea but also by some other organ of the spread of gastrointestinal illness caused. For example, some women in the menstrual period, menstrual period, the net after two weeks of pregnancy, as well as 40 days or so with the early response to the emergence and occurrence of diarrhea, this time taking antidiarrheal drugs are often ineffective.
Diarrhea caused by pelvic inflammatory disease may be the reason why is because of the uterus is located in front of the rectum, pelvic inflammatory disease, uterine posterior pelvic congestion (as before the pelvic serious congestive heart), congestive heart soften the uterus, will be closer to the rectum, sacral nerve compression arising from fall Sense of uterine extrusion rectum to stimulate the Mucosal straight contraction caused defecation. If pregnant women suffering from pelvic inflammatory disease, uterine and pelvic congestive heart even more obvious that the spread of rectal inflammation, it will stimulate the rectum and diarrhea occurred.
This type of diarrhea should be into the gynecological examination, pelvic inflammatory disease diagnosed after active treatment is necessary to pay attention to correct the position after the uterus (can be reset, knee-chest position, etc.). Patients taking the right side of the prone position can alleviate the symptoms. Suspicious or diarrhea diagnosed with early pregnancy, drug use caution when, in order to prevent fetal malformation. At the same time, pay attention to nutrition during pregnancy to strengthen in order to avoid non-nutritional anemia and abortion, preterm labor, and so on.

Cervical erosion and pregnancy related

With regard to cervical erosion:
In fact on the cervical erosion, cervical erosion is not an independent disease, but rather a manifestation of chronic cervicitis form. In addition, cervical erosion does not actually belong to the real erosion. When
Foreign epidermal mouth of the cervix off, I was another kind of cervical epithelial tissue replaced, as a result of new coverage on Pifei thin, or even see the bottom of the blood vessels and red, looks on
As a true erosion, so called cervical erosion, and in fact, this is not a true erosion.
The incidence of cervical erosion and usually give birth abortion, puerperal infection or surgical operation or mechanical stimulation, such as sex cervical injury, caused by invasive pathogens as a result of the infection. Although cervical Mi
Black is commonly found in married women, unmarried women does not mean that there will be no possibility of the emergence of cervical erosion.
Cervical erosion occurred, they would often make leucorrhea more viscous, and may occasionally appear purulent, bloody leucorrhea, waist acid, abdominal pain and severe fall in the lower abdomen often accompanied by flu, when the love
May cause further contact bleeding, the emergence of smell is very possible.
With regard to pregnancy and cervical erosion:
In general, cervical secretions will be increased than before, and viscous texture, as containing a large number of white blood, sperm through the cervix, the environment will reduce the inflammation of the vitality of the sperm, sticky
The thick secretions also make it difficult for sperm. Will swallow a large number of inflammatory cells, sperm, the rest of the sperm would also like to be part of the bacterial toxins and destruction. If there is E. coli infection, but also
So that sperm have a strong role in agglutination, so that the loss of sperm vitality. All of the above on the sperm of the sperm so that the poisoning effect of excessive energy consumption, shorter life expectancy, so that both the activity of sperm produced a
Will be affected, and at the same time prevent sperm into the uterine cavity, and eventually reduce sperm and egg. As a result, in general, the crowd of cervical erosion fertility generally lower than normal crowd
. However, after the occurrence of cervical erosion will certainly lead to infertility it? Of course not, in fact, will lead to infertility and your specific situation.
Cervical erosion in the absence of positive treatment in the future associated with cancer will also increase opportunities. So the discovery of cervical erosion must adopt a positive treatment. At present, the most common rule
Treatment of cervical erosion is local treatment, such as laser therapy, microwave therapy, and so have a higher cure rate. However, you must pay attention to health is very concerned about this kind of treatment is after the impact of pregnancy
Pregnant. Although no treatment will have a certain amount of physical damage, but if the operation of skilled doctors action, the scope of the operation of the breadth and depth are appropriate controlling, laser or microwave therapy
The impact on children are negligible, but also apply equally to unmarried women.
The need to remind you that on the cervical erosion through a variety of physical therapy, there will be increased vaginal discharge, a large number of yellow liquid discharged may also have a small amount of bleeding. By
In one month after treatment, sex should be avoided, bath and wash the vagina, or else they will greatly increase the chance of infection.

Which method of treatment of uterine fibroids safe

People in the evaluation of uterine fibroids treatment efficacy, it is usually in order to improve the symptoms of an index, but the Monterey Peninsula of California Institute of Surgery Dr. Lee and others in their research
, With symptoms completely disappear as an index to evaluate the radio-frequency ablation (RFA) treatment.
The 58 cases included in the study (average age 46.9 years) for women suffering from uterine fibroids, which are usually women who want to retain the uterus or willing to accept out-patient surgery cases, their symptoms, including blood
Too much, dysmenorrhea, sexual difficulties, pelvic pressure, urinary frequency, pain and sleep disorders, uterine fibroids the size of 1 ~ 11 cm.
Researchers from the use of a RITA Medical Systems to expand the system implementation of needle electrodes RFA. After 1,3,6,9 and 12 months for patients with ultrasound and clinical assessment
. At present, 67% of patients received at least 6 months of follow-up, 46% of the patients received 1-year follow-up.
12 months, patients with too much blood, dysmenorrhea, sexual difficulties, pelvic pressure, urinary frequency of complete remission rates were 94%, 93%, 100%, 100% and 100%, In addition, local pain
Pain and sleep disorders of the complete remission rates were 50% and 94%.
For the equivalent of the size of the uterus before 10 weeks gestation or more women, RFA and reduce uterine volume related. The women's uterus in volume after 3 months to reduce the average 36% (P <0.
0001); 6 months to reduce the average 41% (P <0. 0001). No cases of relapse after treatment.
In early studies, 2 cases occurred in parts of the liner scalded skin, 1 case of umbilical trauma patients.

Uterine fibroids and uterine prolapse of the identification

Uterus from the vagina along the normal location of the decline in population outside the reach of cervical spine ischial level, or even all of uterine prolapse in the mouth outside of the vagina, known as uterine prolapse (uterine prolapse). Uterine
There are often associated with vaginal prolapse anterior and posterior wall bulging.
【Etiology】
Delivery caused by cervical, uterine and cervical main ligaments injury and sacral ligament after delivery organizations in support of the main reasons for the failure to return to normal. Jinan City, according to 2504 cases of uterine prolapse patients, 1 to 3 fat production
Health accounted for 58.21 percent. In addition, the number of maternal postpartum sit-hi, and easy to complicated chronic urinary retention, easily into the uterus after, the uterus and vagina axle shaft in the same direction, the case of abdominal pressure increases, that is, along the vaginal hysterectomy
The decline occurred in the direction of prolapse.
Customary post-squat-style labor (such as washing diapers, vegetables, etc.), so that the abdominal pressure can be increased to uterine prolapse. Maternal uterine prolapse did not occur, due to support for the Organization of genital dysplasia by
Letter.
【Clinical】
Uterine prolapse uterus to the vagina along the downward shift, according to the degree of prolapse can be divided into 3:
Ⅱ: cervical means I have vaginal prolapse, the uterus and the uterine body or body parts are still inside the vagina. However, including the scope is too large, light only extraoral cervical vaginal prolapse, can be re-extended as a result of cervical
Long, resulting in the extension of the cervical and vaginal prolapse vaginal wall all extraoral. Ⅱ degree of uterine prolapse was divided into light and heavy-two. Light Ⅱ degrees part of the vagina and cervix anterior vaginal prolapse face-up. Ⅱ weight degree Palace
Palace part of the neck and body, as well as most or all of the anterior vaginal are turned face-vaginal prolapse. Ⅲ: refers to the entire body of uterus and cervix, as well as all of the vagina and the anterior part of the posterior wall of the vagina are turned face-vaginal prolapse.
】 【Diagnosis
According to the main signs. In addition, should also do some checking. Zhu Huanzhe not understand at an early age, the cut check bladder-stone surgery. Check to make patients cough or gas burst forth in order to increase abdominal pressure, to observe whether the urine from
Overflow urethra, in order to ascertain whether there is stress urinary incontinence, and then emptying the bladder, gynecological examinations.
First of all, pay attention to chronic urinary retention in the non-force cases, the vaginal wall prolapse and uterine prolapse. And attention to the vulva and the extent of the breakdown of the perineum. Vaginal speculum to observe whether or not the cervix and vagina wall
Fester, whether or not the uterus Waterloo rectal hernia. Vagina patient should pay attention to both sides of the levator, to determine the anal fissure width of the muscle, the location of the cervix, uterus and then clear the size of the pelvic position and accessories
Whether or not the tumor or inflammation. Finally, Zhu Huanzhe use of abdominal pressure and, if necessary, desirable Dunwei so palpable uterine prolapse further consultation to determine the degree of uterine prolapse.
【Differential diagnosis】
First, submucosal fibroid-emerge in the palace I can not find, before and after vaginal wall prolapse do not hand can be inserted inside the vagina touched the cervix.
Second, the extension of cervical disease were not maternal. Before and after the vaginal wall does not emerge, before and after high Qionglong Bu, uterine body was still inside the pelvic cavity of only the cervix such as the extreme extension of the column, I highlighted in the vagina
Outside.
Third, intra-uterine chronic disease over the last mass I can not find the uterus, fallopian tube but can be found on both sides of the entrance to the sunken, red mucosal surface, easy bleeding, the attending San uncle empty cavity, can not touch son
Palace.
Fourth, vaginal wall cyst or fibroids often mistaken for bladder prolapse, or uterine prolapse, the check still in the normal uterus location of the tumor or the top of Jixiang, and the tumor has nothing to do with the cervix.
【Treatment】
Have been of prolapse of the uterus occurred in the patient should adopt the traditional Chinese and western medicine and treatment, nutrition, rest a combination of comprehensive measures. In the treatment can be divided into: the use of uterine care, internal medicine, acupuncture,
Fumigation and other non-surgical therapy and surgery to repair. As a result of post-operative vaginal delivery once again have a certain influence, the operation applies only to serious cases of women and children no longer.

Nephritis and the factors related to prognosis?

Although chronic nephritis has yet to effect therapy, but in recent years due to its pathogenesis of the study of the great progress in treatment has also been a significant improvement, combined with traditional Chinese and western medicine, treatment approaches more than ever before, Its prevention is also much better than it is. To determine the prognosis of chronic nephritis, first of all need to understand the nature of their primary disease and type of current clinical performance of any activity, the type of renal pathology of renal function impairment, and so on, and then a comprehensive analysis in order to draw the right conclusions . Nephritis and prognosis of the following factors: 1) clinical performance: a simple microscopic hematuria or proteinuria, and no other symptoms associated with, in general a better prognosis; chronic nephritis sustained hypertension than those without high blood pressure in patients with poor prognosis. Although high blood pressure, blood pressure medication in general can or slightly higher than normal blood pressure down to normal levels, the better the prognosis, on the contrary poor prognosis. There are persistent anemia can improve the prognosis poor. 2) caused by renal disease or a precursor of the foundation is closely related to disease and prognosis: tonsillitis, flu, such as those caused by hemolytic streptococcus better prognosis; secondary to systemic causes of disease are difficult to remove poor prognosis. 3) the type of pathology: as mild or minimal change focal nephritis can be cured by treatment; membrane and proliferative glomerulonephritis are relatively poor prognosis; if small kidney cyst formation or a crescent glomerulosclerosis Those who show severe disease, poor prognosis. 4) renal function: a serious impaired renal function, serum creatinine and blood urea nitrogen increased, creatinine clearance rate, a serious prognosis; normal renal function or renal damage though, the positive treatment of a return to normal, the prognosis Relatively good; On the other hand, if the development of chronic renal failure or uremia, the prognosis is poor. In addition, the prognosis of patients with nephritis patients and also the state of mind, diet control, whether early aggressive treatment, whether or not formal treatment and other factors.

Glomerulonephritis lead to recurrence of kidney failure

Australia's Monash University Medical Center and an expert in a recent study found that the recurrence of glomerulonephritis is the allogeneic transplant of kidney failure and an important cause. The study report recently published in the "New England Journal of Medicine." Analysis of data relating to Australia and New Zealand accepted the 1505 case of dialysis and transplantation in the treatment of the medical records of patients who were suffering from advanced biopsy confirmed glomerulonephritis, and in the period from 1988 to 1997, accepted the kidney transplant. Nephritis continues to be adopted by the recurrence of the biopsy confirmed that the use of Kaplan-Meier method for its recurrence led to the allogeneic transplant of kidney failure in 10 years the incidence of measured and with Determination of the outcome of acute and chronic rejection, such as the incidence of Comparison. The results show that lead to kidney failure of allogeneic transplant of 10-year rate of glomerulonephritis recurrence was 8.4%. Experts therefore believe that glomerulonephritis is the cause of relapse in patients 10 years of such third largest cause of kidney failure.

What is the primary glomerular disease classification?

Is the primary glomerular disease or glomerular lesions confined mainly to the glomerular damaging a group of kidney disease. Primary glomerular diseases are idiopathic (that is, cause unknown), a small number of bacterial infections or induced by drugs. Primary glomerular diseases can be classified in two ways, that is, clinical and pathological types.
Reference to the 1992 primary glomerular disease clinical classification standards can be divided into:
(1) acute onset of acute glomerulonephritis as to hematuria, proteinuria, edema and hypertension as the main performance, and a transient azotemia a group of diseases. Streptococcus infection found in other bacteria, viruses and parasites can also cause infection.
(2) rapidly progressive glomerulonephritis and the clinical course of the performance of similar onset of acute glomerulonephritis, but turn bad Renal rapid, early oliguria of acute renal failure is characterized as a large number of pathological crescentic The formation of a group of diseases.
(3) chronic glomerulonephritis for the protracted illness, the slow pace of changes will eventually develop into chronic renal failure of a group of glomerular disease. Clinical to edema, high blood pressure, proteinuria, hematuria and renal damage to the basic performance, but because of the type of disease pathology and disease period, the performance of their major differences can be, was to diversify.
(4) nephrotic syndrome mainly of the "three high and one low", that is a high degree of edema, a large number of proteinuria (≥ 3.5 g / day), hyperlipidemia and hypoproteinemia (plasma albumin ≤ 30 g / l ). As long as a large number of proteinuria and hypoproteinemia diagnosis can be set up.
(5) occult renal disease is asymptomatic proteinuria (protein in urine volume of <1 g / day, mainly to albumin), and (or) simple hematuria (continuous or intermittent microscopic hematuria, and occasionally the naked eye Hematuria, the nature of endogenous glomerular) for the clinical manifestations of a group of glomerular disease. Patients without edema, hypertension and renal dysfunction.
According to the 1982 World Health Organization on primary pathology Glomerular disease of the ladder, can be divided into:
① minor glomerular lesions;
② focal segmental lesions;
③ diffuse glomerulonephritis: membranous nephropathy, proliferative glomerulonephritis (the latter can be divided into: MsPGN, capillary glomerulonephritis, capillary mesangial glomerulonephritis, dense Nephritis and sediment crescentic glomerulonephritis) and sclerosing glomerulonephritis.
④ unclassified glomerulonephritis.
Some glomerular diseases can, in accordance with its immunofluorescence and (or) immunohistochemistry test results to make the immune pathology, such as kidney disease IgA nephropathy and IgM.

Pyelonephritis on patients confused

Patients with chronic pyelonephritis more often. Such patients may be due to a variety of incentives to attack again, there frequency, urgency, Niaotong, hematuria, and symptoms such as heartburn. Abnormal urine checks, urine culture can be found disease-causing bacteria. However, some patients with severe symptoms though, but the urine culture was not found. Clinically, this case is not uncommon, especially in healing or focal pyelonephritis, routine urine was sterile or low number of bacteria. Pyelonephritis when bacteria-free urine may be caused by:
① the most common causes for the anti-inflammatory drugs and the use of chemotherapy inhibited the activity of bacteria.
② side of the ureter obstruction, so that bacteria can not be discharged as urine.
③ urine acidity (pH value) of 5.0 or below a high degree of diluted urine (1.003 specific gravity in the following) is not conducive to the growth of bacteria.
④ rapid flow so that the bacteria have no chance to reproduce or slow the growth of bacteria or breeding is not easy.
⑤ there is a theory that chronic pyelonephritis as a aseptic disease, caused by the bacterial infection, after the disappearance of bacteria, and infected by bacteria or toxins continue to maintain the autoimmune mechanism.

APN how severe the treatment

Pyelonephritis light to the normal anti-bacterial treatment and after treatment to more than symptoms disappear, negative bacterial culture. However, serious or light pyelonephritis pyelonephritis handled fever and chills, low back pain, blood, as there are significantly higher white blood poisoning symptoms, such as whole body, muscle or can be given intravenous antibiotics. 80,000 units, such as gentamicin or tobramycin 1.5mg / kg, once every 8 hours; ampicillin 3.0 g or 3.0 g cefotaxime, 2 times a day; a Norfloxacin 400mg, twice daily . Can also be used to ampicillin, gentamicin, if necessary, added that if the treatment effect can not be based on the results of drug susceptibility to replace antibiotics. If not effect that consideration should be given concurrent renal or kidney abscess around, take line B, or super-CT examination in order to clear the development of inflammation, the choice of effective antibiotics, to be controlling symptoms in patients with 2 days after the effective use of oral antimicrobial drugs, Such as cotrimoxazole, norfloxacin, I furans Dan acid, and so on, 2 weeks to complete course of treatment. Severe acute pyelonephritis, such as the use of such conventional antibiotic treatment of 3 to 4 days, the urine can not be negative bacteria, and increase the clinical symptoms, severe shivering, suspected bacteremia, or even low blood pressure, respiratory alkalosis, Gram-negative bacteria are suspected sepsis, pyelonephritis is a complex, often multi-drug resistant pathogens of the gram-negative bacteria, the choice of semi-synthetic broad-spectrum penicillin, aminoglycosides, third-generation cephalosporin bacteria -Like, single-ring β-lactam antibiotics combined. In the condition allows, to determine whether there should be as soon as possible urinary tract obstruction, and so on. For urinary tract obstruction, urinary tract should be corrected in a timely manner poor drainage, otherwise the complexity of urinary tract infections difficult to cure. Some patients in the treatment process, the primary bacteria disappeared after treatment, but a new bacteria, or bacteria mutate itself, is the application of anti-bacterial drug resistance, so the need for repeated bacterial culture and drug sensitivity tests , According to the results of the examination and re-adjusting the antibiotics until the temperature is normal, the symptoms disappear, culture negative until after 2 weeks.

Vigilance in children with acute myocarditis

Children with acute myocarditis in children, mostly school-age children, and in 1-3 weeks before the onset of influenza have been history. Therefore, parents will not take cold in children. There are a lot of virus infection can cause myocarditis, the most common is the Coxsackie B virus group. Other viruses such as influenza, ECHO virus, adenovirus, herpes virus, mumps virus can cause myocarditis. Such infections often start showing flu symptoms, and then may be against myocardial.
Children of the cold, should go to the hospital checkup and treatment in a timely manner so as to avoid violation of myocardial virus. The clinical symptoms of myocarditis uneven. Light can be no symptoms, only doctors or laboratory examination of cardiac auscultation was found to have abnormal. There are some children with dizziness, fatigue, loss of appetite, chest tightness, shortness of breath or heart before symptoms such as pain. As the disease progresses, can occur in children with nausea and vomiting, tachycardia, arrhythmias, and so on performance. The disease can be dramatic changes in a matter of hours, lead to heart failure, shock or syncope. If we do not save in a timely manner, can be life-threatening.
There is no specific vaccine available to prevent viral myocarditis. The key measures is to improve their own health, strengthening exercises and do a good job of prevention against common infectious diseases, to enhance immunity. Respiratory diseases in epidemic season, as little as possible to crowd congestion, air quality and easy-to-transmitted diseases in public places in order to prevent the occurrence of a variety of infections.

Paroxysmal supraventricular tachycardia is how going on?

Paroxysmal tachycardia, is a common rapid arrhythmia. The clinical characteristics of the attack is a sudden, all of a sudden stop, every few minutes to several hours of sustainable attack, or a few days. Heart rate in more than 160-220 times per minute. Since the attack ectopic rhythm point of origin, can be divided into rooms, or rooms of the junction area. The first two are sometimes difficult to identify ECG At the same time, clinical manifestations and treatment of similar measures, it is collectively referred to as paroxysmal supraventricular tachycardia. Paroxysmal supraventricular tachycardia, can be found in young people without organic heart disease, often emotional, fatigue, excessive alcohol-related. There are more seen in patients with organic heart disease, such as rheumatic heart disease, coronary heart disease, cardiomyopathy, congenital heart disease and patients with hyperthyroidism. Certain drugs (such as digitalis) can also be caused by poisoning. Anesthesia, cardiac catheterization, and so can lead to. Wolff-Parkinson-White syndrome in pregnancy and is often induced by the disease. Paroxysmal tachycardia grave found in the organic heart disease, such as myocardial infarction, myocarditis, and so serious. Certain drugs (such as digitalis, quinidine, and agent Antimony) can also be caused by poisoning. Heart surgery, cardiac catheterization can lead to.

APN of pathogenic bacteria

Aerobic gram-negative bacteria of major pathogenic bacteria are the most common are E. coli and Proteus. Proteus has a strong synthesis of urease's ability to break down urea urease, so that the alkaline urine, leading to precipitation of phosphate, to form magnesium ammonium phosphate and calcium phosphate stones. Klebsiella spp synthesis of urease weak, but other synthetic stones favor of the formation of the material.
Gram-positive cocci, especially coagulase positive staphylococcus (aureus on the surface, parasitic corruption aureus), Staphylococcus aureus and Streptococcus Group D (enterococci) has also given rise to the occasional Acute pyelonephritis. Staphylococcus can be invasive way to the blood of kidney and urine disease caused by bacteria kidney abscess. Pyelonephritis caused by anaerobic bacteria in some rare cases.

Differential diagnosis of obstructive pulmonary emphysema

【Diagnosis 】
The diagnosis of obstructive pulmonary emphysema, especially in the early diagnosis more difficult, should be history, signs, chest X-ray and pulmonary function tests to determine integrated. Where there is a gradual increase in the history of dyspnea, pulmonary Gong Tests can show the residual gas and RV / TLC, forced expiratory volume in the first second / forced vital capacity reduction, lower forced vital capacity, uneven distribution of gas, to reduce the diffusing capacity; as bronchodilators rule Treatment, no significant improvement in lung function, the diagnosis can be set up.
【Differential diagnosis】
It should be noted with tuberculosis, lung cancer and occupational lung disease in the differential diagnosis. Moreover, chronic bronchitis, bronchial asthma and obstructive pulmonary emphysema and chronic obstructive pulmonary disease are, and chronic support Bronchitis and asthma can be complicated by obstructive pulmonary emphysema. However, only three, and the distinction can not be the same. Chronic bronchitis complicated by emphysema in precancerous lesions confined to the main bronchus, There are obstructive ventilation barriers, but to a lesser extent, the normal diffusing capacity. Bronchial asthma attack for the performance period obstructive pulmonary ventilation barriers and over-inflated, can be severely uneven distribution of gas. However, the above-mentioned Reversible changes in the larger, better response to inhaled bronchodilators. Diffusion dysfunction is not clear. Bronchial asthma and reactive airway significantly increased, lung function day and night are big fluctuations in their haracteristics.

Pelvic inflammatory disease will affect the reproductive right?

The female pelvis and reproductive organs (including the uterus, fallopian tubes and ovaries), uterine and pelvic peritoneum around the connective tissue inflammation, etc., collectively referred to as pelvic inflammatory disease. Pelvic inflammatory disease is a relatively common gynecological diseases, in some sexual disorders, the spread of sexually transmitted disease is particularly common in the country. In my pelvic inflammatory disease caused by sexually transmitted diseases, although rare, but the following factors and the incidence of pelvic inflammatory disease: (L) poor personal hygiene. (2) the wider use of intrauterine devices. (3) post-natal infections and post-abortion infection. (4) to the minor gynecological some of the preoperative surgery and the lack of attention to aseptic operation. (5) unclean sexual intercourse or menstruation, and so on. Pelvic inflammatory disease often caused by more than one pathogen of mixed infections. Although the pathogen can be spread through blood or lymphatic, sometimes from nearby tissues or organs directly from the spread, but the vast majority of pelvic inflammatory disease pathogens are inside the vagina mucous membrane along the surface of the pelvic line tat-induced organ. And genital inflammation of the surrounding tissue is often not isolated, but interact at the same time inflammation. Pelvic inflammatory disease, tubal If you are going to feel the impact, resulting in adhesion lumen, complete obstruction, can affect the future of the pregnancy, causing infertility; if limited to pelvic inflammation of connective tissue, fallopian tube is not involved, do not affect reproductive function.

Children with fever and vomiting on the diseases common?

Q: children with fever and vomiting associated with the diseases commonly found in?
A: fever accompanied by vomiting is more common in children during the clinical symptoms found in the central nervous system infection, commonly found in the digestive system diseases and acute abdomen.
Children with epidemic cerebrospinal meningitis and Japanese encephalitis, when the disease are the early symptoms of fever for more performance for the sustainability of high fever, body temperature often in the 39 ℃ ~ 40 ℃ between. At the same time, high fever, vomiting frequently occur in children, and more for jet-like vomiting, convulsions and soon, in a coma, disturbance of consciousness.
Children with acute gastroenteritis, dysentery, acute food poisoning, will develop fever, vomiting symptoms. However, these gastrointestinal infections in general the degree of heat not too high, but not long duration of fever, vomiting non-jet-like, spit-food for the stomach contents, and so on.
Some of the acute abdomen in children, such as acute intestinal obstruction, intussusception, acute appendicitis, acute pancreatitis, and so on, generally have a fever in the clinical and vomiting. In addition to these acute abdomen fever, vomiting, abdominal pain symptoms more prominent. General search through the body and the physical and chemical examination can be diagnosed.

What people susceptible to pregnancy-induced hypertension syndrome?

Q: What were susceptible to pregnancy-induced hypertension syndrome?
A: 1, the beginning of young mothers and elderly primipara.
2, were short and stout body.
3, the onset is usually in the 20 weeks of pregnancy, especially in pregnancy after 32 weeks of the most common.
4, malnutrition, particularly those with severe anemia.
5, suffering from essential hypertension, chronic nephritis, diabetes and pregnancy, the higher prevalence, the disease may be more complicated.
6, and twins, too much amniotic fluid and the mole pregnant women, the incidence is higher.
7, winter and early spring season of cold and air pressure conditions, easy-to-incidence.
8, family history, such as pregnant women, mothers have a history of pregnancy-induced hypertension, the possibility of a higher incidence of pregnant women.

Pregnancy-induced hypertension is what the disease aftermath?

Q: pregnancy-induced hypertension is what the disease aftermath?
A: pregnancy-induced hypertension disease after delivery generally can be cured naturally, but if a month after childbirth, urine protein content of high blood pressure or persistent symptoms, they should consider the consequences for pregnancy-induced hypertension disease.
However, pregnancy-induced hypertension disease, the after-effects no symptoms, it is easy to be ignored. If you do not receive treatment and has done absolutely nothing, the next pregnancy and childbirth, will be a serious risk of pregnancy-induced hypertension disease, also suffering from high blood pressure chronic pelvic inflammation. As a result, one month post-natal medical examination, if the pregnancy-induced hypertension to identify those with the disease should be treated, treatment and food to quiet the combination therapy treatment results.

Whether fertility marriage to vitiligo

Vitiligo clearly marked as to cause people's attention, easily attracted criticism and discrimination, coupled with this disease for many young men and women, so patients with vitiligo, as well as marriage and child rearing can not be married to the generations to the next generation, every Vitiligo Patients and their families want to know the urgency of the problem. For example, we often come across such cases, young men and women in love, if the other party is suffering from vitiligo, the fire of love will be put out quickly. There are personal reasons, but there are also many people succumb to the pressure of family and friends, they think that future generations of vitiligo patients will suffer from vitiligo. In fact, this is an understanding of the pathogenesis of vitiligo is not fully caused by a misunderstanding. Former self, and the cause of vitiligo pathogenesis has not yet fully understand. Although the study of vitiligo that have a certain genetic background, as well as single-egg twins are two of the reported incidence in order to raise vitiligo may be an autosomal dominant genetic abnormality caused. However, genetic point of view, the genetic only in the incidence of vitiligo is a factor, in addition, environmental factors (including the way of life, work, learning environment, diet, mental state and air, water, etc.) have an important role in general must be genetic factors And environmental factors are available only under the condition of incidence. As a result, even if the existence of their own genetic factors, as long as put an end to environmental factors, the incidence or may not, not to mention genetic factors and environmental factors also vary from person to person. According to reports: patients with vitiligo associated with the incidence of family members is very small, up and down on behalf of immediate family members who are even more rare incidence of. In general, therefore, to the next generation of genetic vitiligo opportunities as other genetic diseases as multiple. As a result, Vitiligo patients is the marriage and child rearing. Vitiligo patients with other children, should pay attention to diet, living, studying and not do any work, avoid sun exposure, do not have the psychological burden, so that the incidence rate of decline significantly.

Vitiligo prevention and Notes

⑴ enhance physical. The spirit of relaxation: a long-term anxiety, tension, unpleasant feelings, and so can stimulate this disease, so patients should be cheerful temperament, open-minded optimism. ⑵ attention to the environment: home wet, get wet in the rain, cold, exposure, etc. may be friction-induced vitiligo. ⑶ to prevent infection: frostbite, such as burn injury may have led to the vitiligo. ⑷ consolidation therapy: clinical cure vitiligo patients, their immunity and microcirculation is not yet a return to normal, so in clinical cure, that is entirely white spot was gone, there should be a course of consolidation.

The type of psoriasis and psoriatic clinical symptoms

Into the general clinical psoriasis, pustular-based joint disease and disease-red four types. (A) psoriasis vulgaris Clinical psoriasis vulgaris is the most common type. The beginning of red papules or rash, and gradually expand the integration of each other or to form a clear boundary of the patch, covering the surface of silver-white Lin Xie, Lin Xie curettage after the show gently smooth the film, Zaigua may occur after a number of small bleeding points . Lin Xie above, and the film is the point of bleeding shape of the three major clinical features of the disease. The disease can occur in any part of the body, showing the distribution of symmetry, made good on the knee, elbow extensor side of the head and a small number of patients means (toe) was a point (the top needle-like) depression. There are acute clinical progress, regression and quiescent period. Advanced: mostly characterized by a rash-like drop, the bright red color and the rapid development of more Lin Xie, easy off, there is more itching feeling. If normal skin trauma, such as by the stimulation can be referred to as secondary to medical response to the same shape. Quiescent period: to keep the disease in the stationary phase, no new measles, measles old has not subsided. Catagen: rash reduced gradually disappear. Rash subsided, the pigment can be left temporarily reduce or cool spot. (B) pustular psoriasis, is divided into pan-onset, limited to two types of the Board. 1. Generalized pustular psoriasis clinical rare. The rapid-onset, general malaise and relaxation with symptoms such as high fever and leukocytosis. Skin made in the early acute inflammatory erythema, most of the surface-to needle the size of miliary sterile white light yellow in the small pustules. Impetigo can be integrated to form the expansion of "septic paste"-like. Often involving the majority of leather, and even extending to the body. The reasons for his disease psoriasis vulgaris with long-term use of corticosteroid dose, while the incidence of sudden stop, or infection, drug-related boost. This serious disease, Chang Cheng periodic recurrence, poorer prognosis. 2. The limitations of pustular psoriasis, also known as palmoplantar pustular psoriasis, limited to the palms and soles, often the size of the fish or the occasion of the foot most of the occurrence of the Department of bulk yellow needles to the size of miliary pustules, the flushing of the basement. After about 1 to 2 weeks pustules break down scar, and scaling. Lin Xie in the future under small pustules, when the light weight when. Conscious pain or itching. Fingernails can be involved, the turbidity was hypertrophic, ridge-like uplift. Patients with other parts of the body are often visible lesions of psoriasis. Also in the first palmoplantar, repeated several times after the attack into a generalized person. (C) joint psoriasis, also known as psoriatic arthropathy, often secondary to psoriasis vulgaris psoriasis or deterioration of the repeated many times, can also be the first joint symptoms appear or pustular Yinxie Disease and psoriasis complicated by red. Joint symptoms and skin lesions of psoriasis have a parallel relationship, the disease was particularly prevalent in men. The main clinical features as a history of psoriasis vulgaris, or concurrent with the non-symmetry and more peripheral arthritis, involving the distal end of the small joints, with means (toe) A damage, rheumatoid factor-negative. In addition, the reference to the X-ray examination can be seen. With the identification of rheumatoid arthritis, multiple violations, which ends near the small joints, but not associated with psoriasis, rheumatoid factor-positive. This can be a long protracted illness, treatment is more difficult. (D) erythrodermic psoriasis. Psoriasis as a result of more acute period of application for a stronger drug or stimulating a large number of long-term application of corticosteroid drugs, drug withdrawal or reduction caused by improper methods. In addition, pustular psoriasis pustules subside in the process, patients may also appear red. Of the disease accounting for about 1% of psoriasis. In the early hours of the original parts psoriatic flushing occur quickly spread into a large, the last full-body flushing a diffuse infiltration in the diffuse infiltration flushing, often flake normal "skin island", the characteristics of this disease One. There are often accompanied by fever, chills, headache, general malaise, and so on. Should be from other causes (such as drug rash, red hair pityriasis, etc.) to identify disease caused by red, the latter no history of psoriasis.

How to combat age-related hearing loss

Although the aging people are the laws of nature, but age-related hearing loss by age and the incidence rate of progress varies from person to person but many centenarians are still prepared, age-related hearing loss is clear that the incidence of physical and human health are closely related. Listening with the environment, the extent of damage, and other relevant factors. In that case, how to prevent or delay the hearing loss happen? (1). Stimulus to avoid noise, do not listen to non-playing percussion instruments, listen to headphones, watching TV to put in less volume, not harming non-intrusive. (2). Positive control hypertension, hyperlipidemia, bone and joint diseases and endocrine diseases, conditions should be regular check-ups, do not think health should not fear. Old cardiovascular disease, osteoporosis and diabetes, such as hyperplasia treatment is prescribed to reduce the complications. (3). Ototoxicity drug used with caution. The old metabolic function, metabolism of drugs by the excretion of toxic substances are also reduced, and lower tolerance, enhanced sensitivity, such as the aminoglycoside streptomycin, kanamycin, and gentamicin, and so easy The inner ear caused by poisoning of the drug should not need as much as possible. (4). Eat less animal fat and internal organs, eat rich trace elements and vitamins C, E food in order to enhance the body SOD (superoxide dismutase) activity, the removal of pathogenic free radicals. Vegetables, fruits, onions, ginger, garlic and so on are all healthy foods. (5). Get rid of bad habits such as alcohol and tobacco. (6). Insist on exercising every day to do some ears, eyes and organs Baojian Cao. (7). Hearing found some less serious, can serve neurotrophic and vasodilator drugs, such as furans Thiamine, oryzanol, nimodipine and chondroitin sulfate, and so on. Sudden deafness to a doctor in a timely manner under the guidance of treatment. Ear to be more inflammatory treatment early, stay free

What is a gallstone and cholelithiasis

Cholelithiasis: Cholelithiasis-a common disease in China, the trend in recent years has increased year by year. The stone contained in the composition, divided into three categories: cholesterol stones, gall stones pigment, mixed stone, with cholesterol stones most common. According to the site of points can be divided into gallstones, liver, bile duct stone and hepatolithiasis, gallstones account for 50 percent of all the stones around. Gallstones: When gallstone began to take shape, often no obvious symptoms, sometimes only minor abdominal distention, abdominal pain symptoms, and so on. After symptoms appear, depending on the stone size, location, whether the obstruction, inflammation and availability vary. Thus, many patients with symptoms of abdominal pain will suddenly found gallstones. The largest single cholesterol stones in the gallbladder, not in incarcerated, life can be asymptomatic. Pear similar to the shape of the gallbladder, bile duct and part of the same narrow, gallbladder stones in the gallbladder from the process, there may be impeded. Once gallstone stuck in the gallbladder neck, can lead to increased pressure on the capsule, plus the bile acids stimulate gallbladder mucosa, gallbladder inflammation, caused acute cholecystitis, there was a series of clinical symptoms. The most common symptom is pain, that is said in Biliary Colic, pain for the right upper quadrant of the paroxysmal colic, and sometimes the right Shoulder pain will radiation. At the same time oil right upper quadrant tenderness, swelling can sometimes touch the gallbladder. Gallstone rely mainly on the diagnosis of B-ultrasound examination, but it is worth noting that, sometimes by the time the condition of patients, not very accurate judgement to stone the size, but also to check the experience different, measured the size of stones And the number will be different. For no symptoms of gallstones, from time to conduct the general cholecystectomy, but if the symptoms, they should timely treatment, most commonly used method is surgical excision of gallbladder disease. But sometimes patients in critical condition and should not be prolonged surgery, gallbladder optional stoma wood, that condition will improve after cholecystectomy. Sometimes in special conditions, in addition to removal of the gallbladder, bile duct needs further exploration as to whether there are stones. If the patient's condition stable, non-pain symptoms, but also to the use of antibiotics and spasm drugs (such as atropine, 654 - II, etc.) treatment. For the elderly, or can not tolerate surgery patients, and may consider Rongdan therapy combining traditional Chinese and western medicine treatment, but the efficacy of these drugs is not good.

Gallstone be cancerous?

Gallstone with gallbladder cancer is about 0.5 percent to 1 percent, with age, patients suffering from gallstones gallbladder cancer incidence rates were high. Gallstone larger than one centimeter, cause cancer increase, the general ideas gallstone diameter greater than 3 cm in diameter, the stone than one centimeter below, the risk of gallbladder cancer increases 10 times. About 40% to 80% of the gallbladder with gallstones, but various reports the number of large difference, Europe and the United States High, China is low, generally considered gallbladder and long-term suffering from gallstone-related, gallbladder and bile The coexistence of stone patients, most of the stones in the tumor, about 6% to 9% of cases due to acute cholecystitis in the gallbladder stoma found after gallbladder cancer, these cases have been ruled out surgery, missed the possibility. Nearly 10 years, because of the universal application of ultrasonic scanning, uplift gallbladder disease, including gallbladder polyps, cholesterol polyps, gallbladder adenoma, gallbladder muscle adenosis and early discovery of gallbladder cancer increased. In the country by the gallbladder surgery for polyps lesions and early cancer accounted for 10 percent, should bow! Sufficient attention. The poor treatment of gallbladder cancer, and therefore high-risk groups of the regular and timely follow-up treatment of precancerous lesions is to be taken by the current positive attitude. The specific contents include: (1) identify high-risk groups have gallstone patients over the age of 50-year-old, or stones larger than three centimeters, had gallbladder ostomy history, there have been family history of cancer, ulcerative colitis; (2) gallbladder wall thickening and contraction of the gallbladder in particular porcelain-like changes in the patients, the cancer incidence rate can be as high as 12.5 percent to 61.0 percent; (3) uplift of gallbladder disease patients should be regular follow-up B-, when a suspicious cases to surgery.

Lupus erythematosus to the prevention and early detection?

Lupus Erythematosus is a number of early clinical symptoms, but often not the typical early symptoms. Sometimes only a symptoms and signs of abnormal or as the main basis, but not confirmed this disease and are often misdiagnosed as other diseases. Thus lead to early discovery, early treatment of illness caused by the deterioration and development. Young women have the following one or two of elephant, to be promptly confirmed to the hospital for an examination. ⑴ long-term repeated fever of unknown causes. ⑵ Tongteng muscles, fatigue, no abnormal swelling of the joints and joint pain. ⑶ of unknown causes of the liver, splenomegaly. ⑷ of unknown causes oral, nasal ulcer. ⑸ unknown reason the nose, eyes, mouth dry. ⑹ of vascular diseases of unknown causes, arteritis, phlebitis. ⑺ thrombocytopenia, neutropenia, of unknown causes mild anemia. ⑻ light of Allergy and photophobia. ⑼ unexplained ESR by block. ⑽ pharyngodynia, pharynx foreign body sensation. ⑾ Chaohong or red or facial rash. ⑿ renal dysfunction, abnormal urine test.

Nursing conventional systemic lupus erythematosus

Systemic lupus erythematosus is an autoimmune disease, because there are a lot in patients with autoantibodies to make the body more multi-system organ damage, thus leading to different organ damage after the different clinical symptoms. Therefore, in care, should be comprehensive and meticulous observation of disease, in addition to general care, it is also necessary under the circumstances to organ damage in patients with all kinds of special care. First, general nursing points: 1, to be considerate of patients suffering, do ideological and guidance work, the lifting of fear and ideological pressure, strengthen the confidence to overcome the disease. 2, to patients with lupus universal knowledge to help patients with a correct attitude toward the disease, actively cooperate with the treatment. 3, should patients with severe bed rest. 4, fever, fever patients by conventional care, to avoid Shouliang, active prevention and treatment of influenza. 5, not the sun, indoor sunshine too, should be linked to curtains. Disabled, such as ultraviolet light therapy, or take photosensitive drugs and food, such as Chinese medicine in the psoralen and vegetables such as celery. Go out to play beach umbrella, wearing her visor, wear long-sleeved shirt and long skirts and trousers. 6, long-term hormone and immune inhibitors, should pay attention to the emergence of side effects, active prevention and timely treatment of various viruses, bacteria infection. 7, a law of life and maintain normal mood and optimistic attitude, avoid over exertion. 8, to give high-quality protein, low fat, low-salt, low sugar, vitamins and calcium-rich diet. Jishi seafood and spicy food, alcoholic drinks and tobacco to quit. Second, special care points 1, lupus kidney damage: 50 percent of the patients with systemic lupus erythematosus in lupus nephritis, causing serious clinical consequences, so the importance of lupus kidney care, nursing points are: (1) regardless of acute, chronic active lupus nephritis, or lupus renal insufficiency and kidney failure period, should be bed rest. When the disease control and mitigation activities, chronic lupus nephritis recovery may be appropriate activities. (2) to give low-salt, low-fat diet, limit the volume of protein, protein should be added in lean meat, milk and other high-quality protein, Jishi beans and other vegetable protein. The use of hormones hyperglycemia, to give low-sugar diet. (3) serious edema and oliguria, attention to nutrition and water supply, electrolyte, acid-base balance, accurately directed the importation of liquid or request oral medicine.

Why change will cause heart disease encephalopathy lead to epilepsy

Chinese hearts that the main blood vessels, heart is the role of the blood circulation, as it continued to pump the blood supply to the brain, in order to maintain normal brain function. The brain is provided by the heart's blood to maintain their own health, physical activity and dispose of human consciousness, thinking, emotion and movement. Heart of the following conditions are likely to cause encephalopathy, resulting in epilepsy: lack of effort, heart failure, blood supply can not meet the brain, cerebral ischemia and hypoxia will arise due to dysfunction, cardiovascular stasis, a blood obstacles, the loss of normal brain Physiological function of protection would lead to a brain lesion. Traditional Chinese medicine also believe that sputum obsessed fans, mind without homes, can cause brain lesions.

Febrile seizures and epilepsy ties

Febrile seizures are common diseases pediatrics and childhood morbidity rate of about 3-4 per cent. According to scholars at home and abroad of observation, febrile seizures in epilepsy about the possibility of 2-7%. The transformation of febrile seizures in children with epilepsy and the existence of the following risk factors relating to their risk factors are: (1) age of onset in the first nine months to less than 1-year-old; (2) complex nature of febrile seizures; (3) relatives in a positive family history, including epilepsy and febrile seizures history of repeated attacks; (4) in a high fever and convulsion before abnormal neuropsychological development. If the above risk factors are present, about 50 percent of the cases in the first attack after one year without heat into convulsions.

Four dangerous complications of gout

Patients suffering from gout, in sugar and fat metabolism will be significantly decreased, making it easy with all kinds of serious diseases: [Diabetes] Diabetes and gout because both are in metabolic disorders caused by disease, it is easy with the patients. Diabetes is the regulation of blood sugar because of a lack of insulin hormone, resulting in a continuous state of high blood sugar, and uric acid and blood glucose levels between the very relevant, usually high uric acid, blood glucose levels will be higher. [Hypertension / high blood lipids: Most patients with gout is more body fat, excessive accumulation of body fat tends to cause arteriosclerosis and hypertension, and patients with gout because of bias on the daily intake of dietary fat, high-calorie food, so in the neutral fat content is very high , Cholesterol values are generally have more than the normal standard, hyperlipidemia is a good one of the ethnic groups. [Myocardial infarction / heart disease - a narrow Gout patients prone to cardiovascular arteriosclerosis of the situation, resulting in the blood can not be fully served on the heart, blood circulation dysfunctional, cause heart disease or myocardial infarction narrow the probability of particularly high, especially on the original with hyperlipidemia Gout patients are more prone to heart disease. [Cerebral vascular obstacles: The same is guided by the problem in atherosclerosis, the difference in the brain occur. Its symptoms include headache, dizziness, numbness or tingling hands and feet, serious, the patients have lost their sense of danger and even death, the patient volume, in addition to angiography, the brain needs to be done CT, MRI examination.

What is gout gout at which several types

Gout is a metabolic disorder purine metabolic disorder caused by chronic diseases. The main clinical features have too much uric acid in kidney or reduce the excretion of uric acid, caused elevated blood uric acid in the form of hyperuricemia and the repeated attacks of acute gouty arthritis, gout deposits, Gouty Chronic arthritis and joint deformities, and so on. Gout often caused by chronic kidney involvement interstitial nephritis and uric acid kidney stones. Gout Gout is divided into primary and secondary gout two categories. Apart from a small number of primary gout due to genetic causes of defects in some, mostly unknown etiology, and frequently are obese, hyperlipidemia, hypertension, coronary heart disease, arteriosclerosis, diabetes and hyperthyroidism, and so on. Secondary gout is secondary to white blood, lymphoma, multiple myeloma, hemolytic anemia, polycythemia vera disease, cancer, chronic renal insufficiency, some congenital metabolic disorders such as the accumulation of glycogen I Type, and so on. Certain drugs such as furosemide, ethambutol, salicylic acid type (A Division District, the amino acid) and nicotinic acid, can cause secondary pain. In addition, alcohol abuse, lead poisoning, beryllium poisoning and lactic acidosis, and so on can also be complicated by secondary gout. Clinical clinics in the habit of "primary" omitted, we are usually called "gout" generally refers to the primary and gout.

Hyperthyroidism the diagnosis and differential

According to the clinical and laboratory examination can be diagnosed. In addition to the above diagnosis of the clinical symptoms and signs on, there should be two or more thyroid function tests or tests to confirm. Clinical and laboratory will be issued after the sometimes contradictory, the two will not completely consistent, this may be caused by many factors, such as laboratory error, the diagnostic criteria of the master, disease type, disease, drugs, catecholamine receptors sensitive And so on. In the differential diagnosis should pay attention to the following several diseases. First, simple goiter goiter, but no hyperthyroid disease, thyroid function tests were all normal. Second, the spirit of Neurosis syndrome and hyperthyroidism similar, but without the high metabolism of hyperthyroidism group, no appetite hyperthyroidism, hands-ju was rough tremor, sleep after a normal pulse rate of goiter and eye sign, normal thyroid function tests . Third, other causes of hyperthyroidism such as the pituitary of hyperthyroidism, autoimmune thyroiditis, subacute thyroiditis, different mice TSH, such as hyperthyroidism, can be ordered via the special inspection to be identified. Fourth, other weight loss, low heat with tuberculosis, cancer and other identification; chronic diarrhea and colitis, and other required identification; arrhythmia with rheumatic heart disease, myocarditis and coronary heart disease and other identification. Unilateral exophthalmos with orbital tumors identification.

How self-discovery thyroid disease ？

When you find the neck thickening or mass, even if no symptoms of discomfort, we should also think whether there had been a goiter or other thyroid diseases. At this point in time to go to the hospital treatment. General medical practitioners through the thyroid palpation can tell you whether the thyroid enlargement, whether there is a tumor. A variety of thyroid disease, or goiter of goiter, in general do need further examination to determine the nature of thyroid diseases, such as blood tests check thyroid function, thyroid needs to be done when necessary, the radionuclide and ultrasonic Inspection, or even act thyroid puncture cytology. When you appear span, sweating, palpitations, Xingqingjizao, hyperthyroidism appetite, weight loss and other symptoms, we should think whether there is a possibility of hyperthyroidism. When you Found Paleng, swelling, weight gain, dry skin, anorexia, and other symptoms, they should pay attention to whether the possibility of hypothyroidism. When you feel neck pain and fever, especially in thyroid tumors and has reached parts tenderness, we should think whether acute or subacute thyroiditis possible. Encountered more of these circumstances, should be timely to the hospital for treatment of Endocrinology, in order to do further inspection, this can receive timely diagnosis and reasonable treatment.

Beware of anemia in the elderly multiple myeloma

Anemia is a certain volume of red blood cells circulating in the blood, hemoglobin, or red blood cells than normal in terms of plot. There are many reasons for anemia, but basically just because of blood loss, excessive destruction of red blood cells and blood from the three non-performing. The elderly are the most common anemia iron deficiency anemia, giant red blood cell anemia David and many chronic diseases caused by anemia. However, people sometimes overlook some can cause anemia of chronic disease, multiple myeloma is one of them. Early because of pain similar to rheumatism, rheumatoid arthritis often misdiagnosed. Qu Ganbu visible because of osteoma, often misdiagnosed as bone tumor. Multiple myeloma in more common in the elderly, the plasma cell disease is a disease in is the result of plasma cell dysplasia caused by a vicious disease. Patients can happen pathological fracture, rib fractures more common in part, on the thoracic and lumbar spine, if the abnormal proliferation of plasma cells in bone marrow cells squeeze can function decline in bone marrow, red blood cells while reducing anemia, leukopenia vulnerable, platelet Easy to reduce bleeding, is also known as multiple myeloma clinical for the plasma cell leukemia, magma violations of soft tissue cells, can form local uplift, known as plasma cell tumors. At this time the patient showed irritability, more urine, constipation, because of high blood calcium, M protein in blood, blood viscosity is high and renal amyloidosis caused obstruction and kidney damage occurred, the patient may also occur retinal hemorrhage, peripheral neuritis , Congestive heart failure, and so on. As long as blood routine examination for the disease, can be found to reduce blood (red blood cells, platelets and reduced WBC), blood and malignant plasma cells in bone marrow (also known as myeloma cells), X-film visible chest rib fractures and other abnormalities. Diagnosis of the disease can be. At present, multiple myeloma use of systemic chemotherapy, localized tumor resection and systemic therapy and other support symptomatic treatment, as long as timely treatment, condition can be eased, but it is difficult to cure.

How hepatitis A prognosis

All of a hepatitis A virus had infected people, whether children or adults who are susceptible. But because hepatitis A virus infection and socio-economic conditions and closely related to personal hygiene habits, so in our country, children under 15 and young people most vulnerable to hepatitis A, because of the disease, was lasting immunity, to adulthood, suffering from hepatitis A are reduced, fewer elderly. Hepatitis A generally good prognosis, easier recovery, is a self-limited disease. In nurseries and kindergartens, children infected with hepatitis A clinical symptoms appeared little in fulminant hepatic failure are fewer. Recalling WHO data indicate that clinical symptoms and jaundice growth and mortality have increased with age, children below the young, is lower than the elderly. At present, most scholars believe that a small number of cases of hepatitis A can occur Although clinical, biochemical indications of persistent recurrence of chronic pathological examination, but will not become a chronic liver disease. Within only six of the infants who illness heavier hepatitis A occurred, the mortality rate was higher than that of older children. There are reports within 6 months of hospitalization of children Hepatitis A Hepatitis A heavy 70% mortality rate of about 50 percent; another elderly (over 60 years old) in patients with severe hepatitis A and also more complications, died rate of 10%, but both young and old, who cirrhosis caused by hepatitis A very rare.

Clinical manifestations of hepatitis A

1. Period of rapid onset of jaundice, chills, fever, malaise, loss of appetite, dislike oil, nausea, vomiting, abdominal pain, liver pain, diarrhea, the birds color gradually deepen, and for the end- -shaped. A small number of patients with fever, headache, upper respiratory tract symptoms such as the main performance. Continuing 1-21 day period, the average 5-7 on. 2. Jaundice period can be improved subjective symptoms, fever diminish, but continued to deepen their urine color, sclera, skin yellow staining around two weeks in at peak level. Color can be a shallow stool, skin, such as obstructive jaundice bradycardia performance. Hepatomegaly to 1-3 cm, tenderness and pain. Some patients have mild splenomegaly. Continuing 2-6 week period. 3. Recovery jaundice gradually retreated, as well as reduce the symptoms disappear, liver, spleen retraction, liver function gradually returned to normal. The current period lasted two weeks to four months, the average months.

Ovarian cancer outlined

Ovarian cancer is female genital mutilation one common tumor incidence rate of cervical cancer, and second only to cancer of the uterus and out rank third. But ovarian cancer death, accounts for all types of gynecologic tumors first to pose a serious threat to women's lives. Because the embryonic development of ovarian, organization anatomy and endocrine function more complicated, it may be suffering from benign tumors or malignant. Because of early ovarian cancer clinical asymptomatic, identify its type and benign and malignant quite difficult, ovarian carcinoma laparotomy found in the ovarian tumor confined to only 30 percent, most have spread to the uterus, bilateral annex, omentum and pelvic organs, both in ovarian cancer diagnosis and treatment, it is a major problem. Over the years experts on the pathological form of ovarian cancer, the development of clinical treatment programs and many of the accumulated a lot of experience, so far, statistics on domestic and foreign clinical data, the five-year survival rate of only 25% ~ 30%.

Will genetic hypertension

The incidence of hypertension is of obvious family gathering, statistics show that parents with their children suffering from hypertension, high blood pressure significantly higher than the probability of parents with normal blood pressure. The parents if a person suffering from hypertension or both, the probability of children suffering from high blood pressure than normal and 2-3 respectively 1.5 times. Scientists have also analyzed the genetic hypertension, and in animals for the success of the hypertension genetic experiments. Of course, this does not mean that all the genetic decision, the incidence of hypertension also with the many environmental factors.

Hypertension will damage the kidney

Early in hypertension for some time, and will not cause significant kidney disease, only for the performance of high-sodium or blood volume expansion of the weakened ability to adapt, such as eating or drinking too much time Guoxian prone edema, high blood pressure. Since then gradually diluted concentrated in tubular function decline in performance for nocturnal enuresis increased, causing increased pressure within the glomeruli urinary albumin excretion increase. A few years later there may be mild to moderate renal arteriosclerosis, then renal ischemia, atrophy, fibrosis, kidney function gradually subside, the performance of the serum creatinine increase, with blood urea nitrogen and serum uric acid increased. In ischemic vascular endothelial kidney damage, kidney caused by the release of a series of the vasoconstrictor and vasodilative material balance disorders, have a material step-up increase, has been elevated to a higher blood pressure, high blood pressure and kidney between the "vicious Cycle. " With the increase of blood pressure and kidney beyond the control of the more severe atherosclerosis, can affect the tubular absorption, excretion, resulting in the creation or metabolism of some toxic substances can not excrete out, causing toxic accumulation in the body, known as uremia . Uremia chronic renal insufficiency is a serious stage, mainly for metabolites of retention, water, electrolyte, acid-base balance disorders and symptoms of systemic systems. Once patients with hypertension to uremia stage, not only to control blood pressure in an ideal level, but also through blood dialysis and peritoneal dialysis bitterness, who must be re-kidney transplant can save lives. So: a hypertensive patients should pay attention if they have swelling, increased symptoms such as nocturnal enuresis. These symptoms often prompt you: may already have early kidney damage, the need to timely treatment.

What are the complications of cirrhosis？

Often a result of complications in patients with liver cirrhosis deaths, major complications 1 liver cirrhosis encephalopathy for the most common cause of death. It is the basis of a metabolic disorder of the central nervous system dysfunction Zonggebingzheng, awareness is the main obstacle to clinical performance, conduct disorders and coma. 2 upper gastrointestinal bleeding Changbiaoxianwei hematemesis and black excrement. If the small amount of bleeding may be the only black excrement. Massive bleeding can be caused by shock and induced ascites and hepatic encephalopathy, or even death. 3 infection 4 primary liver cancer 5 hepatorenal syndrome characterized by oliguria or urine, azotemia, hyponatremia and low urinary sodium. 6 vein thrombosis.

The elderly cirrhosis glucose metabolism disorders

The liver is the storage of sugar vary with the conduct of the main venues of Health, is to maintain a relatively constant blood sugar one of the major organs. Diffuse liver disease can be secondary to glucose metabolism disorders, showed impaired glucose tolerance or diabetes-induced liver. As the elderly liver and pancreatic morphology and function of the change to result in more Huangan Bing, glucose metabolism disorders. 1. The incidence of diabetes-induced liver principle of liver-derived diabetes may be related to the occurrence of liver enzyme (Glucokinase, glycogen synthase, hexokinase, FDP kinase) activity decreased insulin resistance increased concentration of hormones, insulin hypoglycemic effect of glucose And from high-sugar diet as a protective measure, glucocorticoid and the use of diuretics, chronic liver disease at the hypokalemia, and other relevant. 2. The elderly liver-derived diabetes the clinical features of the elderly often due to diabetes-induced liver cirrhosis of the clinical manifestations of chronic relatively prominent and covered up the symptoms of diabetes, or the emaciated, weak, dry mouth, low nutritional status, and other symptoms attributed to Liver disease. Some patients have significant dry mouth, and more drinking, more urinary symptoms. Because liver dysfunction, and more food is rarely see the performance of liver-derived diabetic ketoacidosis and nonketotic hyperosmolar coma are rare; retinopathy and neuropathy in a very low rate of cattle; compared with diabetes nephropathy Rare, and hypertension, atherosclerosis and the incidence of non-diabetic patients with cirrhosis same as the elderly, patients with diabetes than the primary low. 3. Treatment principle The elderly liver prototype focus on the treatment of diabetes treatment of liver disease is positive. Diet control can be properly angry sense of relief, in order to avoid inadequate nutritional intake. Although the elderly patients with cirrhosis of treatment, but often protracted course Buyu. In short cirrhosis elderly poor prognosis, the high mortality rate. Of elderly patients with cirrhosis should conduct a comprehensive and detailed inspection, done early diagnosis and treatment, organ function monitoring, prevention of failure, to strengthen support for therapy, rational drug use, to facilitate the extension of the patient's life.

What are the types of ulcer disease

Ulcer due to different reasons and the incidence of disease pathogenesis not the same, arising from the canker is not the same type: (1) Composite ulcer: gastric and duodenal ulcers also have called the compound ulcer. More because of a duodenal ulcer first, emptying caused pyloric antrum obstacles appear to remain flooded, and then a gastric ulcer. Composite ulcer longer course, the symptoms heavier, and easy to cause bleeding or pyloric obstruction. (2) multiple ulcers: General ulcer cases there is only one ulcer, if two or three at the same time that the existence of multiple ulcers called. (Three) huge ulcer: If the ulcer diameter greater than 2.0 metres, that is known as the great ulcer. His huge stomach ulcers can be complicated by perforation of the back wall, pancreas and involvement, often misdiagnosed as pancreatic cancer. (4) stress ulcer, because of trauma, major surgery, the head of the disease, severe infection or drug and other factors arising from the gastrointestinal mucosa acute injury, bleeding, erosion and the formation of ulcers and necrosis. The stress of more than about 10 days after onset, can occur at any age, no difference between men and women. Prior to the onset of a multi-trauma, major surgery, serious infections, such as history. Often appears on the upper gastrointestinal bleeding, the performance of hematemesis, and then, more sudden onset, often without the precursor signs and difficult to stop bleeding. In addition, there may be on the abdominal pain, abdominal distention, nausea, vomiting, acid and other gastrointestinal symptoms return, but more general stomach, duodenal ulcer disease to light. Through gastroscopy, or double barium-peer be confirmed. Xu treatment of symptomatic treatment, treatment should be active by the disease; (5) anastomotic ulcer: called marginal ulcers in the stomach or duodenum after surgery-prone, and more in anastomotic, Chengyuan oval-shaped formation of ulcers, or single or multiple, generally after the operation, 2-3 Occurred. (6) pancreatic ulcer: also known as gastric secretion of cable or Chaplin. Ai syndrome, for β cells of the pancreas. Mainly because of antrum, the G duodenal cell proliferation, large numbers of gastrin secretion, caused by multiple, intractable peptic ulcers. The main symptoms are intractable peptic ulcer symptoms, course of disease for several years to several decades, may have fulminant. Ulcer for multiple, and often occurred on Jan 12 that can be found in the stomach, esophagus, such as air ileum. Determination by gastric acid, serum gastrin determination Imaging checks to be confirmed. Diagnosis clear who the preferred treatment is surgical excision.

Bleeding ulcer disease of the clinical symptoms

Bleeding ulcer disease can cause the clinical symptoms and the number of blood loss and blood loss rate is closely related to the speed. When the bleeding 50-100 ml, and there can be bleeding to 400 ml, is not only black, but also a series of appears hematemesis and hemorrhagic symptoms. Sustained massive bleeding can result in lower blood volume, anemia, hypoxia, circulatory failure and death. (1) and hematemesis and then: the following general pyloric gastrorrhagia less bleeding or do not cause nausea, vomiting, do not occur hematemesis, and then only solution. If the amount of bleeding, can cause nausea, hematemesis, if the blood in the stomach stranded in a short time, then vomiting of bright red Chenganhongse even if the blood in the stomach stay a long time, oxygenated hemoglobin into the role of acid is iron hemoglobin And a brown. If at the end of Ouchu stomach bleeding, then discharged into the intestine, a black tar-like it or it, the amount of bleeding, intestinal peristalsis fast when it is dark red blood. (2) abdominal pain and discomfort: Most patients with bleeding ulcer before the upper abdominal pain, seizures or aggravate, the pain and bleeding after the often reduce or disappear. (3) changes in blood: bleeding early, because of peripheral vascular contraction and re-distribution of red blood cells, such as physical conditioning, hemoglobin, the red blood cells and blood pressure values of the plot can be no change. 6-12 hours after the bleeding, as inter-organizational liquid into the blood circulation, hemoglobin (hemoglobin) and red blood cells and diluted numerical lower. Bleeding more often after the WBC more than 10,000, Neutrophils also increased. (4) fever: Medium, or bleeding patients, often accompanied with fever, generally within 24 hours to appear, mostly in the following 38.5 ℃, sustained ranging from a few days to a week. This is due to decomposition products lumen, the absorption of blood, blood volume reduction, anemia, in the destruction of proteins, such as circulatory failure to regulate body temperature caused by instability in Central. (5) around the circulatory failure: blood loss, reduced blood volume, blood pressure dropped, can cause the heart to speed up. If the excessive amount of bleeding, Huixin cardiac output and reduce the output of both, may lead to circulatory failure, respiratory function at the same time also be affected. Because heart, brain, kidneys and other vital organs of severe ischemia, lack of oxygen, the shock will become irreversible. In the surrounding circulatory failure, patients can be manifested as irritability, fatigue, flustered, headache, nausea, thirst, difficulty in breathing (hypoxia), pale skin, sometimes cyanosis, cold limbs Jue, the pulse Xiruo until they can not and, Not even lower blood pressure measured. Persistent bleeding can cause oliguria or urine, can cause serious acute renal failure. (6) azotemia: Many patients with ulcer bleeding in the first few days after a azotemia. Continue to hemorrhage, the content of nitrogen in the blood also gradually increased. This is due to enteric to the blood protein digestion by the decomposition products were Xishouruxue, cause azotemia other bleeding can cause renal dysfunction, can not discharge of nitrogen and therefore have azotemia.

Perforated ulcer disease of the clinical manifestations

Gastroduodenal perforation in patients with acute 80 percent have a 90 percent ulcer history, and perforated ulcer disease before symptoms often relapse and increased performance. Abdominal pain is perforated ulcer disease the most prominent symptoms. Perforation occurred, Tugan patients with severe pain in the abdomen, was continuing Daoge kind or tear-like pain, paroxysmal intensified. Abdominal pain since the beginning, the rapid spread of the entire abdomen and right lower abdomen, about 1 / 3 of patients with radiation to the right shoulder pain can be. About half of patients with perforated ulcer after reflection of the often cause nausea and vomiting, vomit for more food debris and gastric juice, mixed with bloody or coffee-like liquid, such as intestinal illness led to the development of paralysis, vomiting will be more serious. After piercing the fierce stimulate patients often can cause irritability, looking pale, cold limbs, plastic, palpitations, sweating, decreased body temperature, pulse by rapid decline in blood pressure and other symptoms of shock. Perforation 1-5 hours, some patients because of increased peritoneal exudate, the dilution of stomach contents into the abdominal cavity of the above symptoms can have different degrees of ease, abdominal pain and tension has reduced, shock symptoms also improved on its own, But still very obvious tenderness. At this time of misdiagnosis or missed easy. Perforation of 10-12 hours later, with peritoneal exudate absorption and secondary bacterial infection, if not promptly treated patients with serious, to be able to enter advanced peritonitis, a shiver, high fever, or even toxic intestinal paralysis, sepsis , Sepsis and ultimately died because of toxic shock. The elderly and frail patients with perforation of the response and tolerance of young patients with different. Its not very obvious symptoms of abdominal pain and severe, but vomiting, abdominal distention heavier, easy to shock, rapid development of disease and poor prognosis, vigilance must assign.

Ulcer disease clinical manifestations of the characteristics of

Ulcer disease is a generic term for gastric ulcer and duodenal ulcer, is a chronic common diseases. Many occurred in young adults. Ulcer disease is the main symptoms of upper abdominal pain, the clinical performance of the following characteristics: (1) longer course, Chanmian refractory disease. (2) in the general season, climate change, easy to attack. (3) gastric ulcer after a meal in more than half an hour to two hours occurred in pain; duodenal ulcer in two to four hours after a meal to begin the pain until the next eating can ease the pain, and often attack at night. (4) the consumption of drugs or basic service temporarily relieve the pain and painkillers. (5) also associated with heating, and back to the acid indigestion symptoms.

Triggered as a causal factor in peptic ulcer

Peptic ulcer disease is very common, it is estimated that about 10 percent of the people in his life had suffered from such diseases, including peptic ulcer and gastric ulcer duodenal ulcer. Relevant information to statistics, the incidence of duodenal ulcer is three times the gastric ulcer. What factors will cause peptic ulcers? » Can be summed up generally have the following factors: First, Helicobacter pylori infection of the bacteria that cause chronic infection is a major cause of gastric inflammation, and chronic peptic ulcer and gastric inflammation are closely related, the majority of peptic ulcer patients with chronic gastric inflammation there. In gastric ulcer in the Helicobacter pylori detection rate of 70% to 90%, duodenal ulcer disease in the Helicobacter pylori in the detection rate was 95% to 100%. So, where H. pylori infection of the ulcer, the treatment of antibiotics are required, can be radical. Second, drug abuse aspirin, indomethacin, Bao Tai Song and glucocorticoid drugs such as prednisone, dexamethasone and so trigger canker, particularly to aspirin. Third, the spirit of adverse factors emotional, mental tension through the neuroendocrine system can increase the secretion of gastric acid, also affected the gastrointestinal mucosa nutrition blood supply, caused by canker. If clinical often encountered some young people in the overworked, live in a state of tension even when gastrointestinal bleeding ulcer. 4, restaurants Baoyinpusi no laws or laws of diet, can affect stomach digestive function, causing indigestion and malnutrition, and malnutrition can weaken the role of gastric mucosal barrier, leading to the occurrence of ulcer disease, and the impact of mucosal repair . 5, preferable snacks to eat snacks because after stimulate gastric acid secretion, but because less food intake without a lot of acid to help digest excess of acid the stomach and duodenal mucosa will digest itself, causing peptic ulcers. 6, smoking tobacco contains nicotine component of the role of a gastric injury, long-term smoking can also make too much gastric acid secretion; bile reflux into the stomach and gastric damage; inhibited pancreatic secretion HCO3, and in the ability of gastric acid ; And the mucous membrane of prostaglandin was reduced, and the protection of the prostate known as the role of gastrointestinal mucosa. These are peptic ulcer that smoking is a major causal factor. 7, drinking alcohol can stimulate gastric acid secretion, the gastric mucosa also has a direct injury. Drinking habits are also regular smokers or long-term use of aspirin and other drugs, ulcer disease occur more easily. 8, genetic ulcer patients in the family to the risk of high single-egg twins simultaneously, the risk of ulcers in more than 50 percent in patients with duodenal ulcer than other blood type O blood group . 9, geographical environment and climate in different geographical ulcer disease incidence vary, according to information found on gastroscopy, the geographical characteristics of peptic ulcers in the South than the North, urban than rural. Climate change induced ulcer disease is also one of the factors, at the turn of autumn and winter and spring for the period of high incidence of peptic ulcers. 10, and other chronic diseases affecting the patients suffering from emphysema, duodenal ulcer rate three times higher than normal; coronary heart disease, arteriosclerosis will cause gastric poor blood supply, can affect ulcer healing; patients with cirrhosis The incidence of peptic ulcers in the general population is two to three times that of patients with hepatitis B surface antigen positive, gastric ulcer incidence rate was as high as 33 percent.

What are the common diseases of fatty liver due to

Caused many of the causes of fatty liver, common are: ① nutrition factors: chronic hunger or digestion and absorption barriers, lack of food in protein and some vitamins, or long-term intake of high fat, high cholesterol and high-precision diet. ② toxic fatty liver: a lot of chemicals, such as steroids, growth hormone, salicylic acid formulations, adenosine triphosphate, some sedatives, epinephrine and norepinephrine, carbon tetrachloride, phosphorus, chloroform, benzene, alcohol, etc. . ③ infections: such as tuberculosis, Streptococcus infections, pneumonia, typhoid fever, chronic cholecystitis and bronchitis target = _blank> chronic bronchitis, chronic pancreatitis, and so on. ④ endocrine and metabolic diseases: such as diabetes, obesity and endocrine problems. Hyperthyroidism, Cushing disease, leaves after the pituitary, such as hyperthyroidism. ⑤ iatrogenic: If in the course of the treatment of hepatitis patients too much rest, coupled with the consumption of high-precision, high-calorie diet, weight gain or continuing a long time, such as intravenous hypertonic sugar can cause fatty liver. ⑥ other: Pregnancy can cause fatty liver of pregnancy, congenital dementia syndrome, galactose levels, family history of hyperlipidemia, non-β-Hyperlipoproteinemia, ulcerative colitis and Crohn's disease, and so can cause fatty liver.

What are the ovarian cancer clinical performance

Ovarian cancer rapid growth, easy-proliferation. However, patients often asymptomatic in the early days, often in the gynaecological examinations, occasionally found, or that tumor growth to a certain size beyond the pelvic, abdomen can be palpable in time, or when complications are found, Daidao medical treatment when they are already late. The symptoms of ovarian cancer may be due to tumor size, in time, there complications to be different. Common symptoms are: (1) early occasional side of the abdominal discomfort or abdominal pain are falling flu. (2) abdominal swelling sense of ovarian cancer can also occur even if the early ascites, only a small tumor in the pelvic examination can be found beyond the pelvic mass gradually grow up, can touch abdominal tumor. (3) symptoms of oppression: the enormous pressure of bladder cancer can be, frequency, difficulty urinating, urinary retention; oppression rectum is difficult stool; oppression gastrointestinal tract have gastrointestinal symptoms; oppression diaphragmatic breathing difficulties can occur, we can not sits flat. (4) because of the rapid tumor growth, malnutrition and physical wasting a form of liquid evil. (5) due to cancer and a corresponding transfer of the symptoms, ovarian cancer rarely cause pain, such as a tumor rupture, bleeding or infection or because of infiltration oppression nearby organs can cause abdominal pain, low back pain. (6), a menstrual disorder, vaginal bleeding. Lung metastasis may be a cough, hemoptysis, pleural effusion, bone metastases can cause partial Juteng metastasis. Intestinal transfer may have blood in the stool, can cause serious intestinal obstruction.

Ovarian Cancer There are several types of pathology, which means its transfer

(1) pathological types of ovarian cancer are three kinds of ① primary cancer: ovarian primary in itself, is generally solid, tumor sizes, Duocheng round, smooth surface, may have nodules processes. Slice gray or gray with red, hard and soft different microscope showed various types, such as cancer, myeloid cancer. Began often unilateral, often late into bilateral and the other side of ovarian cancer may be primary, the opposite may also be transferred from. ② secondary cancer: ovarian cystadenoma from ovarian cancer or other malignant come. ③ metastatic ovarian cancer: ovarian cancer transfer from the more common digestive organs (stomach, intestine) of cancer, a direct invasion, planting or lymphatic transferred to the waist and retroperitoneal lymph nodes, and then transferred to the lymphatic channels ovarian and secondly By the cervix, or Palace of the fallopian tubes, etc. from the spread of cancer, squamous cell carcinoma, adenocarcinoma or chorionic cell carcinoma; breast cancer can also be transferred to the ovarian blood. Metastases to more solid and more than a bilateral nature, structure and more like its original cancer. (2) ovarian cancer spread and transfer of four kinds of ways ① direct spread of: advanced ovarian cancer, not only with the Wai Wai organizations adhesion, but also direct infiltration of these organizations, such as the uterus, peritoneal layer, the broad ligament, fallopian tubes, colon and small intestine, and can even spread through the fallopian tubes to the uterus cavity. ② lymphatic metastasis: lymphatic metastasis of ovarian cancer is a common transfer form. Is usually transferred to the abdominal aorta adjacent lymph nodes, but also along the round ligament and transferred to the groin lymph nodes. ③ implantation of the transfer of: ovarian cancer can be coated perforation, bowel, etc., a large number of nodules or the transfer of papillary carcinoma, in particular serous papillary carcinoma of the capsule, the tumor more easily package perforation Film, and the proliferation in the entire abdominal cavity and caused massive ascites. ④ blood transfer: In addition to ovarian cancer sarcoma, malignant teratoma and those that advanced, with little blood metastasis. General remote parts transfer up to the liver, pleura, lung and other sites.

Recurrent ovarian cancer can be re-operation

-- Health reported the recurrence of ovarian cancer surgery and chemotherapy again whether there has been significant controversy. Xijing Hospital, Fourth Military Medical University XIN Xiao-Yan, director of obstetrics and gynecology professor, recently admitted the past 10 years, 38 cases of recurrent epithelial ovarian cancer clinical data were analyzed retrospectively after that, recurrent ovarian cancer to surgery and chemotherapy can further improve The survival rate of patients. Primary ovarian cancer, 60.0% and 90.0% for the epithelial carcinoma, the initial clinical surgery after chemotherapy to cure, but there is still 85.0 percent of cases in the near future and long-term relapse. This 38 cases of recurrent ovarian cancer, 20 patients received tumor recurrence again laparotomy cytoreductive surgery, nine cases due to fear of surgery and the use of chemotherapy alone, the other nine cases of the use of traditional Chinese medicine or give up treatment. The results showed that 20 cases of surgery again after two to five-year survival rates were 69.8% and 52.4%, 42.7% and 26.4%; nine cases received chemotherapy only 2 to 5-year survival rates were 68.9% and 13.8%, 8.7% And 6.9 percent, to surgery and chemotherapy alone 5-year survival rates were significantly different (P <0.01);>

Ovarian cancer what the disease was originally

Ovarian cancer risk factors unclear, but the environment and endocrine effects in ovarian cancer risk factors in the most attention. According to its etiology and epidemiological investigation, the incidence of high-risk factors and the number is: ⑴ environmental factors: the industrial developed countries and upper class women's high incidence of ovarian cancer, may be related to high cholesterol diet. In addition, ionizing radiation and asbestos, talc can affect oocytes HKTB increased the chance of ovarian cancer, smoking and vitamin A, C, E and the lack of morbidity may also be relevant. ⑵ endocrine factors: ovarian cancer occurred in the absence of maternal or infertile women, the pregnancy of ovarian cancer seems to be confrontational role that the daily performance of epithelial ovarian ovulation caused by repeated Phi loss and ovarian cancer-related. In addition, breast cancer, endometrial cancer with ovarian cancer, the three diseases have all this hormone-dependent. ⑶ genetic and family factors: about 20-25% of patients with ovarian cancer in the immediate family members of cancer patients. Plot

Breast and ovarian cancer-related links

Swedish experts recently warned that, for those who have breast or ovarian cancer family history of the young women, if he has been diagnosed with breast cancer, then their risk of suffering from ovarian cancer will be significantly increased by 10 times. So even the experts recommended that some breast cancer patients may be necessary to use with ovarian cancer such as prevention with the preventive measures. Karolinska Institute Kjell Bergfeldt, such as medical doctor in his study in the analysis and comparison of the more than 30,000 cases of breast cancer patients under the age of 70 the medical records, and their immediate families are also suffering from breast cancer in ovarian cancer or conduct the survey. The results showed that, if his mother, sister or daughter of someone with breast cancer or ovarian cancer, while those in the age of 40 before being diagnosed with breast cancer in women in the 70-year-old former suffering from ovarian cancer risk of a corresponding increase six-fold and 17 Times. Relevant experts believe that the discovery confirmed the existence of these two types of cancer among some related links. Previous studies have also noted that carrying the BRCA1 or BRCA2 gene mutations in breast cancer patients in about 40 percent of the people will be suffering from ovarian cancer.