Sunday, June 29, 2008
How to identify the abnormal performance of atypical myocardial infarction
Not typical of myocardial infarction, the performance of diverse and often cause misdiagnosis and missed diagnosis, should be cause for vigilance. Main atypical myocardial infarction as follows: Painless myocardial infarction more common in elderly patients, often without clear after onset of chest pain performance, but only for the performance of looking pale and indifferent to consciousness, anorexia or nausea and vomiting, blood pressure dropped, and so on. This is because older pain unresponsive, or because of illness swift, powerful, sudden large myocardial necrosis, can not be caused by the pain. To this end, for elderly patients, once this unprecedented performance (not necessarily a heart condition Private Prosecution), ECG should be done. Stomach pain to the performance of myocardial infarction also more common in the elderly, Private Prosecution, abdominal discomfort, and can tell vague nausea, vomiting, back to the acid, burning and so on, then asked in detail about the patient Pingsu lack of a "stomach illness" history of stomach trouble and no clear relationship between the consumption of , But with exertion or emotional change-related, such patients have to pay attention to the possibility of myocardial infarction. A flustered, shortness of breath, expectoration performance of myocardial infarction after myocardial infarction can cause varying degrees of myocardial necrosis and the impact of the heart contraction, and even cause heart failure. Therefore, faced coronary heart disease, high blood pressure in patients with sudden chest tightness, coughing, phlegm spit white, can not lie flat, should consider the possibility of acute myocardial infarction. Suddenly collapsed to the performance of myocardial infarction or convulsions This is a more serious type of myocardial infarction. As myocardial damage, heart activity disorder, easily cause arrhythmia, such as outdoor tachycardia, atrial fibrillation, the patient will occur syncope or convulsions, encountered such a situation should immediately be crowded in vitro heart Pressure, be patient regained consciousness immediately after the delivery hospitals for treatment. Other special performance of myocardial infarction in clinical practice, there are still some patients with acute myocardial infarction extremely subtle signs and symptoms, such as the performance of throat pain. Toothache, Jingbei pain, diarrhea, and heart disease seems to be irrelevant, but more middle-aged patients, if these recurring symptoms or a sudden increase, they should think of the possibility of acute myocardial infarction.
Clinical symptoms of acute myocardial infarction
The clinical symptoms of acute myocardial infarction very different, about 1 / 3 of the onset Jizhou, very serious, not until hospital had died in hospital; 1 / 4 to 1 / 3 of patients with no obvious symptoms, are asymptomatic Of myocardial infarction, or very light did not cause symptoms in patients with attention, at the end of the hospital, about 1 / 3 1 1 / 2 of the patients were hospital treatment. Initial symptoms of acute myocardial infarction incidence vary, the most common for the pain. Therefore, when the incidence of different symptoms start to understand, timely diagnosis and treatment of diseases of great significance. (1) to pain as the initial symptoms. About 70 percent of the patients with acute myocardial infarction as the main symptoms of pain, and this cell of severe angina attack more general and long-lasting. In addition to the pain site sternum, heart and other mainly former district, about 10 percent of patients could be affected Jiantu Jiaotong under or on the abdomen, easily mistaken for stomach pain. Not a typical site is also available in right chest pain, mandibular, neck, teeth, a rare head, thigh and lower limb pain toe. (2) to suddenly start for the symptoms of syncope. Common in the early acute inferior infarction, higher vagal tone of the patients, the onset occurred in more than 30 minutes. Serious sinus bradycardia, or a high degree atrioventricular block, Jiman heart rate, blood pressure lowering, patients may suddenly syncope. (3) to sudden death as the initial symptoms. Is the incidence of ventricular fibrillation, for the performance of sudden death, occurred in the hospital. (4) with acute left ventricular failure for the incidence outstanding performance. Patients with sudden onset of the initial performance of pulmonary edema, without prior warning, some a few hours or a few days ago, a precursor of angina symptoms. McGREGOR incidence chest pressure nausea, breathing difficulties asphyxiating, Duanzuo breathing, a respiratory noise, the lungs can be heard and blisters on the characteristics of sound, 1,10 white or pink bubble phlegm, sweat, cyanosis unknowingly generally more pain, or Clearly overshadowed by breathing difficulties. Left ventricular failure to a lesser extent, lung congestion, the more common clinical, and more pain symptoms. Patients have paroxysmal difficulty in breathing, asthmatic breathing, bronchial asthma Ming-Liang Fei, often misdiagnosed as bronchial breathing. (5) to highlight the onset of shock symptoms. Patients are weak, sweat collapse, such as the slide down from the seat, fell standing position, or a transient loss of consciousness. Because blood is too low cardiac output caused by cerebral ischemia, who was killed extremely serious. Level slightly light, a cold sweat, dizziness, limb Humidicool, pallor or grey cyanosis, Xiruo pulse, systolic blood pressure less than 10.7 kPa (80mmHg), Niaoshao or urine.
Angina and myocardial infarction family care
Angina and myocardial infarction case, first of all patients should be allowed to sit quietly sits flat or rest, not to move around, much less hurried moving patients. If the patients Sublingual nitroglycerin tablets is not effective and not to reduce pain, patients should be observed whether the pulse of the law, if a cold sweat, looking pale and trouble Impatient unrest aggravating circumstances, so that patients should be comforted sedation, to pillow sits flat, blood pressure can be measured blood pressure of the table. And may request the health posts or hospitals the lot doctor visits, and later transferred to a smooth initial treatment for hospital treatment. If a patient sudden cardiac arrest, his sternum in the next paragraph with fists Kouji, Xiongwai extrusion and artificial. The incidence of vigilance is not a typical performance Sometimes the symptoms of angina or myocardial infarction is not typical, if the patients can appear reflective of toothache, and some first myocardial infarction in stomach pain. In this case, be sure to heighten their vigilance, where a history of coronary heart disease patients, are not to be ignored, early diagnosis and treatment of medical treatment. In stable condition convalescent patients to prevent over-excited, to maintain a stable mood, regular physical activity to prevent the disease repeatedly.
How to prevent recurrence of myocardial infarction after more
Over the past 20 years, as a result of strengthened monitoring and raising the level of treatment, acute myocardial infarction hospital mortality decreased from 30 percent down to below 10%. But again infarction or multiple infarction patients increased, died after a myocardial infarction one of the main reasons. So in addition to the acute phase of treatment should be positive, post-myocardial infarction should also strengthen the rehabilitation and secondary prevention, to extend the life of patients, improving the quality of life and the restoration of the ability to work. After myocardial infarction secondary prevention include: 1. The patients and their families health education, so that patients and families of the sick understanding of the significance of various prevention measures so as to minimize the disease's concerns, in the prevention and treatment of co-ordination can be positive. 2. Arrangement reasonable meals, to reduce total fat, saturated fatty acids and cholesterol intake, overweight, to restrict calories. The dietary adjustments Three months later, still obviously abnormal blood lipid levels, abnormal blood lipid characteristics can be against choice lipid regulating agent. 3. Smokers exhortation in addition to stress. Smoking is unfair to the risk factors of atherosclerosis, but also angina, myocardial infarction and re-infarction risk factors. After the restoration of myocardial infarction patients, continue to re-infarction rate of smokers about smoking or non-smokers who had quit two times. Norwegian multi-center study, myocardial infarction after 17 months, ex-smokers than smokers to continue to reduce the 45 percent infarction, three years later, ex-smokers than smokers died and a further reason for cardiac infarction decreased significantly. Passive smoking and smokers have the same risk, should be urged to quit the relatives of patients, patients should return to work after the best in a smoke-free environment. Smoking may trigger coronary artery spasm, platelet aggregation, and reduce coronary collateral circulation of reserve capacity. With hypercholesterolemia, smoking and the extent of coronary atherosclerosis was highly relevant, smoking can increase coronary artery disease, which may be easily induced to further the cause of infarction. 4. Appropriate physical activity and training. Can take walking, gymnastics, tai chi, qigong exercises and other methods to enhance physique. 5. With hypertension or diabetes, should be properly controlled. 6. Anti-platelet therapy. Platelet injustice in the atherosclerosis in the process, but also in coronary artery spasm, or thrombosis myocardium, such as micro-cycle caused by the accumulation of myocardial ischemia, myocardial infarction or sudden death play an important role in both. Aspirin is cheap easy for the anti-platelet agents, low side effects, for long-term application. 7. Application β-receptor blocker. A large number of clinical trial results show that β-blockers can reduce the incidence of myocardial infarction after infarction rate, a rate of sudden death, cardiac mortality and total mortality. Β-blockers are commonly used propranolol, Effects of timolol, metoprolol, such as the United States. 8. Acute myocardial infarction after the resumption, the doctors should adhere to under the guidance of medication, out-patient follow-up to observe the condition and adjust medication. And reproduction such as angina, should be timely to hospital for treatment, to prevent the stems.
How to determine the sudden myocardial infarction
How to determine that the Department of myocardial infarction, myocardial infarction patients is to save the lives of the key. Therefore, people need to understand some of the clinical manifestations of acute myocardial infarction, to prevent any eventuality occurred. AMI typical clinical manifestations are: 1. Sudden cardiac before or after the sternum area pain, left the Jianbi or other radiation, but its procedures than normal by the significant increase in angina, a longer duration, more than nitroglycerin tablets can not be eased, with Sweat and fear. 2. Severe pain often accompanied by frequent nausea, vomiting and abdominal distention. 3. Pain after 24 to 48 hours will appear procedures ranging from fever and tachycardia. 4. The majority of patients with arrhythmias, blood pressure dropped. There may be some patients with acute left ventricular failure, showed difficulty in breathing, coughing, weight, a pulmonary edema. There are still some patients do not have typical symptoms of atypical symptoms are common: 1. No pain or mild chest pain area, generally more common in the elderly and patients with diabetes. 2. Sometimes pain in the abdomen, easily be misdiagnosed as gastric perforation or acute pancreatitis, and so on. There are a small number of patients showed the neck and back pain. If such symptoms in the elderly, should think of this disease. 3. That is, some patients showed an incidence of acute heart failure or shock, without obvious pain. 4. Acute myocardial infarction occurred in about 80 percent of patients are threatened performance, that is, prior to the onset, a few days or few weeks have fatigue, chest discomfort, palpitations and other symptoms of activities. If found to inflammation, and timely treatment, some patients can avoid the occurrence of myocardial infarction.
How early diagnosis of acute myocardial infarction Health
Acute myocardial infarction in the elderly is a common emergency, if early diagnosis and to reduce mortality is important. The elderly with acute myocardial infarction early performance: the original angina patients with coronary heart disease, angina nature of (time, the extent, frequency, etc.) have increased performance over 15 minutes time, the application of nitroglycerin is invalid; sudden onset of severe heart Colic, the disease before exertion, alcoholism and mental trauma, and other incentives; persistent or recurrent angina at night; Pingsu health, coronary heart disease or have hidden in myocardial infarction sudden recovery of severe angina, heart cutter Pain with nausea and vomiting, and arrhythmias, blood pressure dropped, or heart failure, and so on. Acute myocardial infarction, a typical clinical symptoms is not difficult to identify, most notable for the performance of the heart before the district of sternum after a pain, pain for more performance-strangulated, like tight, pressure, accompanied by nausea, vomiting, persistent A long time, generally over 15 minutes, with the rest of nitroglycerin can not be alleviated, if there hyperlipidemia diabetes, hypertension and other diseases, in particular to guard against the possibility of acute myocardial infarction. In the elderly acute myocardial infarction and more atypical symptoms, not without pain or severe pain patients should pay attention to the following circumstances: Where patients over the age of 40, there unexplained sweat Lin Li, weak pulse, looking pale, such as blood pressure drop shock Performance, should consider the possibility of acute myocardial infarction; elderly patients, sudden difficulty in breathing, cyanosis, Duanzuo breathing, 1,10 pink bubble sputum or performance of hemoptysis, such as heart failure, or serious arrhythmia no other reasons to be investigated , Should also consider the possibility of acute myocardial infarction; hypertensive patients blood pressure suddenly dropped significantly, especially with heart failure at the same time, should also think of the possibility of acute myocardial infarction. Of suspected acute myocardial infarction patients, it is necessary to make timely ECG, and pay attention to follow the observation and comparison can be made if the white blood cell count and classification, ESR, aspartate aminotransferase, lactate dehydrogenase, creatine phosphokinase, such as inspection, in the early diagnosis of acute Myocardial infarction more useful.
The age-myocardial infarction presenting
Age-myocardial infarction often the first symptom is not typical, clinical often appear in the following several forms: (1) painless myocardial infarction type: This is an important feature of the elderly myocardial infarction. Reported the elderly at home and abroad painless myocardial infarction about 15% -75%. Real pain to be with the following criteria: ① no typical chest pain, including pain, pain, Duntong, burning, Mentong, such as any form of chest pain; ② without his left arm and left shoulder pain; ③ no back pain; ④ except awareness Loss, hemiplegia, serious complications caused by the sudden consciousness trance and can not tell symptoms. According to the above criteria, 80-year-old high proportion of the above, it is reported less than 60 years of 10.25 percent ,60-79-year-old to 25.11 percent, more than 80 years of age to 50%. (2) of heart failure: the elderly at home and abroad reports of acute myocardial infarction performance for the first symptom of heart failure, accounting for 20% -74%, and foreign scholars check 370 cases over the age of 75 patients, found that heart failure patients 48% A myocardial infarction. Therefore, when the older persons of unknown causes sudden difficulty in breathing, chest tightness, wheezing, palpitation, pulmonary edema, or should consider the possibility of lung congestion, except to note the existence of acute myocardial infarction. (3) gastrointestinal type: for the performance of nausea, vomiting, abdominal pain, even when the physical examination can have epigastric abdominal tenderness and tension, and so on. When sober awareness of the elderly, not used morphine, meperidine, and other analgesic agents and the past never gastrointestinal disease suddenly appeared above gastrointestinal symptoms, they should think of the possibility of myocardial infarction, or even the individual under the abdominal pain associated with abdominal distention , Diarrhea, and should not lose vigilance. (4) cerebral circulation of obstacles: the sudden appearance consciousness unclear, loss of consciousness in the elderly is not uncommon, symptoms can be shown to all the third. Therefore, the spirit of awareness of the elderly appear to be obstacles except for acute myocardial infarction. (5) of ectopic pain: 80-year-old in the following patients, the pain is still the age-myocardial infarction production to performance, with the exception of part of the performance of chest pain, there is some sore throat, toothache, neck pain, back pain As the first symptom.
Acute myocardial infarction patients with coronary heart disease in the incentive
All the various myocardial oxygen consumption can increase or coronary artery spasm induced by physical or mental factors could, in acute myocardial infarction in patients with coronary heart disease, common incentives are as follows: 1. Fatigue: do not capable of manual labour, especially weight-bearing Denglou, excessive physical activities, for the exertion of tension, so that the heart can significantly add to the burden, the sudden increase in myocardial oxygen demand, and coronary heart disease patients with coronary Arterial sclerosis has occurred, the narrow, can not fully caused by expansion of myocardial ischemia a short period of time. Ischemia and hypoxia can cause artery spasm, which in turn increase the myocardial ischemia, leading to serious acute myocardial infarction. 2. Excitedly: Some patients with acute myocardial infarction is due to emotion, tension, anger and other intense emotional changes induced. According to reports, the United States have a state, an average of 10 per game, has eight audience acute myocardial infarction. 3. Puyinbaoshi: Many cases of myocardial infarction occurred in Baoyinbaoshi, at home and abroad have information on weekends and holidays the incidence of acute myocardial infarction higher. Eating a lot of high-fat, high-calorie food, blood lipid concentration suddenly increased, leading to increased blood viscosity, platelet aggregation increased. In the narrow coronary thrombosis formed on the basis of, caused acute myocardial infarction. 4. Stimulate the cold: the sudden cold stimulation may trigger acute myocardial infarction. This is the doctors always told patients with coronary heart disease should pay great attention to the reasons for the cold warmth, but also the cold winter and spring seasons higher incidence of acute myocardial infarction one of the reasons why. 5. Constipation: constipation in the elderly are very common, but the danger did not receive adequate attention. Clinically, forced breath, constipation due to lead to myocardial infarction and the elderly is not uncommon. Therefore, this issue must draw enough attention to the elderly to remain open stool.
Thursday, June 26, 2008
Rehabilitation of stroke patients have to sleep well
Participated in the recent report by the Chinese consumers and Arran Group of Hong Kong jointly organized the "World Sleep Day" series of publicity activities of the medical experts cautioned that because of cerebral vascular diseases caused by physical disabilities in patients with physical rehabilitation training at the same time, must not lose sight of Sleep disorders corrected. Pok Oi Hospital, deputy director of Beijing Li Peilan physician, said in her reception by cerebrovascular diseases caused by physically handicapped patients, about 90 percent of the patients there is a sleep disorder. Not only for patients with insomnia, sleep disorder, or reversal of black and white, do not sleep or sleep too long, and so on. She believes that the merger physically disabled patients with sleep disorders, can not just focus on physical rehabilitation training. The correct approach is in rehabilitation training at the same time, but also concerned about sleep problems, sleep disorders through the correct, and promote physical rehabilitation. She suggested that the patients are in attendance when the doctors to take the initiative to sleep, doctors asked patients to pay attention to the state of sleep. She explained that if the sleep disorder patients do not receive timely and correct, it is easy to cause second, third stroke and even sudden death.
Stroke, the most reckless act harming
Gradually cool autumn wind, Lipper for Quhan gas, unknowingly drink a couple. Left a few steps would feel right leg Butingshihuan, Ruantan the ground. Lipper Kouyanwaixie see their families, not words, quickly come up with a collection of deep-honey syrup, irrigation - the last of the Liangwan neighbor unconscious, irrigation Jiwan syrup regained consciousness after the -- However, this is not economic at all. Hurried拉上rack cars, in the Nilu Kengkengwawa on racing, Lipper will soon be sent to the hospital. After the rescue, Lipper life saved, has become a Banshenbusui, to their own lives. The doctor said, if little understood, medical knowledge, there will be no such conclusion. Well, it should be how to deal with stroke » First, determine whether a stroke. Stroke often from high blood pressure, heart disease, diabetes and other cause. Such as those suffering from disease and sudden paralysis of limbs, aphasia, coma should first consider the stroke. For hemorrhagic stroke and ischemic. No matter what stroke, before the arrival of the doctors should pay attention to the following points: keep quiet, noisy chaos of the environment so that patients are easy to Dahuo imminent, increased blood pressure, heart rate and breathing, and other indications of life deteriorate. His head slightly to raise about 30 degrees, to avoid adding to bleeding, but also to prevent cerebral edema, to prevent sputum, foreign bodies, such as airway blockage caused by suffocation. Should minimize vibration. Whether in the process of removal or turned his head shoot back should remain relatively stable so as not to increase the stroke. In a state of stress significantly higher than normal blood sugar, regardless of whether diabetes caused a stroke, patients should not be served to the syrup and sweets, unconscious patients should be fasting, to prevent suffocation. Head placed ice could reduce the brain cells of oxygen consumption, to protect the brain cells function, doctors gain time to rescue. Research shows that the best stroke of the rescue time was 6 hours, therefore, "time is brain cells." As the population ages, the incidence of stroke increased year by year. Although many patients "disaster death" Fortunately, there are "a dilemma of life and death" with emotion. The findings of a survey show that: Stroke maimed factors from 20% in pre-hospital handled properly, it should properly do a good job of pre-hospital treatment. If not enough staff, patients must not run back to the hospital, dial 120 after patiently waiting, better than any rash action.
Anti-stroke the attention of the catering business
If you are worried about stroke, we must immediately do the following five things: 1. Eat more vegetables and fruit each day eat at least five or more, must have a carrot才行. Eat five times or five times a week over the carrots, eat only once a month than a carrot or less people, 68 percent less risk of suffering from stroke! Harvard University is tracking 90,000 female nurses for eight Years later, by the results. In addition, spinach is also very effective in the prevention of stroke food. Carrot and spinach effectiveness of the protection because they are rich because of β-carotene. According to the study indicated that daily intake of 15-20 mg β-carotene, and the only daily intake of 6 mg compared with the stroke rate difference between the two very obvious. Like Hu Dill, spinach and various other β-carotene-rich vegetables has been able to prevent stroke, because carotenoids can prevent the harmful oxidation of cholesterol by the shape, then left on the blood vessels, causing blood clots. More importantly, if it contains a lot of blood in the β-carotene and vitamin A, can help you died from a stroke, or reduce stroke caused by nerve damage and speed up the body recovery! This is the University of Brussels in test 80 stroke patients of the disease within 24 hours after the blood, which came to the conclusion. This is because when you stroke, brain hypoxia is the time, your brain cells began to obstacles, the most serious cases is that brain cells were injured. But if you blood contains many vitamin A, it can happen in a variety of diseases when to stop, thereby reducing the extent of brain damage or death opportunities. 2. Eat at least three times per week of fish, especially rich in omega-3 fatty fish. If your blood contains a lot of omega-3 fatty acids, are you the opportunity to compare stroke a little less, and even stroke, will be relatively small damage. Netherlands recent study found that, between the ages of 60-69 years of age, at least a week to eat a fish, the people who do not eat fish, in the next 15 years the chance to stroke half. Japan carried out by a series of studies also found that nine ounces per day to eat fish fishermen, the daily diet than three ounces of fish farmers, because of a stroke caused the death of 25-40 per cent less opportunity. This is because the magic of omega-3 fatty acids be able to adjust the status of blood, more blood is not easy to form clots, thereby preventing cerebral vascular obstruction. If your age will have to make big you are worried about their own vascular obstruction, you may wish to imagine such a situation: When you Fuxia after fish oil, it will in your stay within the cell membrane. This is full of fish oil in the more flexible, like the liquid-like soft. In other words, such as soft forms of cell relatively easy Jiguo narrow contraction of blood vessels, the delivery of oxygen to the brain and heart cells. This subtle changes you can save a life, especially when you have a vascular aging and blocked it. Incidentally mentioning that the feed and animal fat role in the contrary, the cells will become more rigid. Therefore, in order to prevent stroke and heart disease, the best of this kind do not eat fat. 3. Control of salt intake. Even salt will not make your blood pressure rise, it could also be harmful to brain tissue, caused minor stroke. There have been experiments with rats, they were feeding the high salt and low-salt diet. Eating high-salt diet of rats in the 15 weeks, has all died of stroke, although they do not have elevated blood pressure while eating low-salt diet of rats, only 12% of stroke and died. Eating high-salt diet of the mice died, while a series of minor strokes, resulting in brain tissue necrosis and artery damage. 4. Do not excessive drinking - drink only one day, the couple can be. Appropriate amount of alcohol can prevent stroke, excessive alcohol could lead to a stroke. British researchers found that drinking a daily, two glasses of wine, suffering from haemorrhagic stroke or blood clots caused by a stroke of opportunities, not drink only 60-70% of the people. As for the daily drinking 3-4 glasses of alcohol more people than the people should not drink three times higher chance of stroke. 5. May wish to consider tea, especially green tea to drink. Remember, to take such action, in case you stroke, you reduce the extent of the injuries, died of stroke and decrease the chance.
Stroke patients recovered and the timing of exercise
度过危险期stroke patients, after the train entered the rehabilitation phase. At this time, patients mainly through a certain form of physical exercise and promote functional recovery of paralyzed limbs, paralysis of limbs to prevent the contracture, enhance physical health and prevent the occurrence of complications, and patients with a positive attitude towards the disease, improve the patient's spirit状态. Used mainly in the way massage, to help others by the passive movement of patients and their participation in the initiative campaign. Although the medical staff to promote rehabilitation exercises sooner the better, but patients and their families are often still in the early training hesitates to do so, especially cerebral hemorrhage patients, but also worried that early activity will cause bleeding. In fact, the rehabilitation exercises caused a very small chance of bleeding. Medical staff to sum up, cerebral hemorrhage patients rehabilitation exercises, as long as blood pressure stable, does not see action, not cause further bleeding, and started rehabilitation exercises to prevent the loss of too show the role of after-effects and complications. Some people believe that the rehabilitation of stroke patients in the six months after meaningless, and then exercise the patient's body functions will not be restored more, this kind of thinking is wrong. In many patients one year after the stroke, the body still functional improvement, but not to insist on working out, has resumed the functions tend to regress. Some have high blood pressure, coronary heart disease and other organ disease patients worried that exercise will cause fluctuations in blood pressure and heart attack. In fact, stroke rehabilitation exercise is a gradual, as long as avoid over exertion and excessive force, would not normally have these incidents. Therefore, we advocate stroke patients once a stable condition, we can conduct training and promote Bingti rehabilitation.
The deployment of a stroke patient's diet
Stroke is high blood pressure and arteriosclerosis cerebral vascular damage caused by a disease, common in the elderly, its incidence, disability higher, seriously affecting the health of the elderly. In addition to stroke patients need drug treatment, rehabilitation and reasonable allocation of the diet also plays an important role. Stroke patients such as the condition has stabilized, but have different magpie-sac Xiu Xi Shun ⑼ Portuguese World swallow Σ Shao-cap and pry often Purple grazing Mao hasty often Min mayonnaise fed ⒍ mushroom ⑴ D twin otter ⑿ fitness porphyrin Crisp ⒐ do they feed Ai Mao ? -6, Guanru 1000-2000 ml of milk mixed, Guanru food should not be overheated cooling to 37 ℃ -39 ℃ suitable. Milk mixture of raw materials required for the preparation of fresh milk 600 ml, 350 ml concentrated Mitang, two eggs, 50 grams of sugar, sesame oil 10 grams and 3 grams of salt. Preparation of three steps: (1) to wash clean the eggs Ke Kai, into a clean container, adding sugar, salt, oil, Jiaoyun with chopsticks; (2) fresh milk Mitang 600 ml and 350 ml of boiling mixture; (3) will be made of egg mixture into the boiling milk Mitang, inverted-edge mixing with chopsticks, the top 1,000 ml milk mixture. The 1,000 ml of milk mixed with 40 grams of egg protein, 40 grams fat, 120 grams carbohydrates, calories 4184 1000 joules (1000 kcal). Patients with diabetes, and sugar-free. If stroke patients Shenzhiqingxing, but sometimes when eating choking, should be given paste restaurants, catering for the content of steam Dangeng, Roumo dishes at the end of thick porridge, Roumo rotten vegetables at the end of noodles, milk, salt Oufen, fruits, mud or Meals will be broken up by machine Daolan to give patients food. No rehabilitation of stroke patients swallowing difficulties, the desirability of light and less oily, Yi Xiaohua balanced diet consisting mainly of soft. First of all, should be limited animal fats such as lard, butter, cream, as well as high-cholesterol food such as egg yolks, Yuzi, animal offal, fat, etc., because these foods contain saturated fatty acids in blood cholesterol can Concentration increased significantly, to promote atherosclerosis; can be vegetable oil, such as soybean oil, tea oil, sesame oil, peanut oil, which contained not a result of saturated fat and promote excretion of cholesterol into bile acids, thereby achieve lower blood cholesterol levels, postponed And mitigating the purpose of arteriosclerosis. Secondly, there should be adequate protein in the diet, ate some egg white, lean meat, fish and all kinds of beans and soybean products, to supply needed by the body of its ammonia acid. General daily Yinniu Nai and a cup of yogurt, because of the presence of milk and milk-whey acid, can inhibit the body's synthesis of cholesterol, lower blood fat and cholesterol content. Yin Niunai Naipi may be removed. Beans with beans steroids, but also to promote cholesterol from the role. Third, we should eat more fresh vegetables and fruits, because of which contain vitamin C and potassium, magnesium, and so on. Vitamin C can lower cholesterol, enhance the density of blood vessels to prevent bleeding, potassium, magnesium and for possession of the protective effect. Fourth, the guitar can eat on the iodine-rich foods, such as kelp, seaweed, shrimp, iodine can reduce the deposition of cholesterol in the artery wall to prevent the occurrence of atherosclerosis. Fifth, in the six grams of salt a day following suitable, because of salt contains a lot of sodium ions, the body too much sodium intake, increased blood volume and heart burden, and can increase blood viscosity, so that high blood pressure, For stroke patients negative. Sixth, Jiyong excited nervous system of food, such as wine, Nongcha, coffee and spices and strong irritation. In addition, eat chicken soup, broth, to protect the cardiovascular system and nervous system useful, and that bogey overeating. Families with stroke patients, the following general may choose to support therapeutic prescriptions: 1. Black Fungus six grams, with the blisters, adding fresh food Huozheng. Can hypolipidemic, anti-thrombosis and anti-platelet aggregation. 2. Celery root 5, jujube 10, Shui Jianfu, fresh jujube Yintang, can play a role in lowering blood cholesterol. 3. Hawthorn eat fresh water or boiled water hawthorn, honey modest increase, after cooling when tea drinking. If a stroke complicated by diabetes, it is not appropriate and honey. 4. Raw garlic or onion can be 10 to 15 grams of hypolipidemic, and enhanced anti-fiber protein activity and the role of vascular sclerosis. 5. Stroke patients meal diet vinegar 5-10 ml, softening the role of blood vessels.
Emphasis on small stroke treatment
Small stroke that threatened stroke. Its various manifestations, and the recent long-term distinction. Long-term performance of common dizziness, dizziness, headaches, memory may be forgetful, Ma limbs, head shaking, mouth group of dynamic, under the eyelid movement, epistaxis, and so on. The recent performance of common: 1, dizziness increase; 2, headache aggravated by the intermittent or persistent headache to severe headache; 3, numbness, Half face and tongue, lips numb, or on the side of lower extremity numbness; 4, the spirit of change, or suddenly reticent, expression indifferent, or speech disorder disorder, or impatient irritability, upset many languages; 5, suddenly, as of unclear, or the blindness; 6, or of unknown causes of Diejiao collapsed; 7, lethargy and difficult to wake up, or judgement 1:00 barriers; 8, with headache and vomiting or hiccup; 9, epistaxis frequent. These symptoms are not specific symptoms of a stroke, may also appear in other diseases, but they appear to be improving on the stroke of vigilance. Once a sign of stroke, do not have to panic, should soothe the nerves-set, calm approach, Shen personal, spiritual support, far房事, Food Festival, and actively carry out the necessary treatment. First, liver-kidney yin deficiency: numbness, and a transient sense of obstacles, headache dizziness, upset irritability, upset five heat, Yaoxisuanruan, or drowsiness or insomnia, tinnitus and deafness, Shehong moss thin, vein Strings of small or decimals. Xifeng liver soup to the town of plus or minus Yiguanjian: Health TGP, Maidong days, the Health and Long Mu, situ, Daizhe Shi, Chinese angelica, with Achyranthes, Chuan Lianzi, North Shashen, Dragon. A day. Insomnia increases speculation Zaoren, Albizia; Yaoxisuanruan Jiachuan off, Eucommia, parasitic; Mianchi irritability and Long Dancao, cornus officinalis, Gardenia. Second, Tanzhuo internal resistance: tingling lips, limbs fibrillation, weakness, chest tightness Oue, upset easily frightened, or too aphasia, or yellow greasy tongue Baini, pulse string slip or late fine. To Banxia Tianma Baizhu Decoction: Tianma, Banxia, white tricks, Yun-ling, Fritillaria, Seeds of Brassica alba, Semen Raphani, Dragon, Chinese angelica, TPG, safflower, health-yi, YU Jincheng, bile-sing. A day. Chinese medicine treatment daily diet is an important component of the treatment of small strokes, is no exception, to light diet, and more fresh fruits and vegetables, Jishi Feiganhouwei, and should observe the spirit within, to Fangweidujian.
Should be the prevention of stroke in patients with diabetes
Diabetes-stroke caused by a consensus that people attach importance to, according to statistics, about 10 percent to 30 percent of stroke patients with diabetes right. By diabetes patients, suffering from ischemic stroke is 2.8 times the average person. Stroke is the leading cause of death in patients with diabetes. This is because diabetes is a metabolic disorder in sugar as the main performance of the endocrine diseases. Mainly β-cell secretion of insulin absolute or relative shortage, caused sugar, fat and protein metabolism disorder, increased blood sugar, glucose into fat. Its excessive lipid oxidation, divided into triglycerides and free fatty acids, particularly the cholesterol increased more significantly, the formation of hyperlipidemia, accelerated atherosclerosis, as atherosclerosis, arteries flexible weakened artery intima rough and easy to create Platelet adhesion formation in the artery wall thrombosis, stroke lead. In addition, diabetes hemorheology abnormal blood viscosity increased risk of stroke is also an important factor. Therefore, the treatment of patients with diabetes should actively to prevent the occurrence of stroke.
Wednesday, June 25, 2008
Hepatitis B patients with moderate to fresh mushrooms health
Now, in serious environmental pollution, the growing incidence of cancer increases when mushrooms as the "anti-cancer food", and mushrooms in the mushroom is fine to share. Mushrooms contain a high-grade, high molecular structure of the dextran, lentinan. Glucan with anti-virus, induced interferon and protection of the role of the liver. Regular consumption of hepatitis B patients, not only can improve immunity, reduce GPT (SGPT), can also prevent the further development of illness. There are many ways of eating mushrooms, you can eat alone, can also fish and poultry match; can be fried, burned, can also be boiled, stewed, both can be made into delicious dishes, but also can be made into tasty Jiang Tang. We often eat a mushroom dishes guts, mushrooms winter bamboo shoots, mushrooms Dunji, mushrooms meat, mushroom tofu, and so on. The mushrooms and lamb, soft-shelled turtle stew together, can be used as anticancer Medicinal Diet nourishing to eat.
Hepatitis B liver protection of the six principles of diet
Hepatitis B patients in the diet should be paid great attention to, otherwise it will cause the illness repeatedly hepatitis B, hepatitis B to speed up the transformation of liver cancer, hepatitis B diet is very important. 1. A balanced diet, to the main staple foods, eat more vegetables and fruits; 2. Not to eat clean food, especially the moldy peanuts, and not good marinated pickled cabbage; 3. Eat animal oil and fat; 4. Do not alcohol, do not drink fasting, fasting drink more easily absorbed acetaldehyde; 5. Do not eat, eat barbecue with charcoal direct contact with food, containing the carcinogenic grilled and processing power than the more monolithic barbecue; 6. Pickled foods easy to microbial contamination, liver injury. May be appropriate to add B vitamins and minerals, such as food grains.
Research showed: Father of infant and hepatitis B can also spread
Recently, some of the domestic research results show that the vertical transmission of hepatitis B virus, hepatitis B virus father of the infant transmission of mother to child transmission risk than larger, and more likely to cause life-long carry. What is the father of infant and transmitted it » Men suffering from hepatitis B, his sperm was detected in the hepatitis B virus DNA, even though his mother with hepatitis, but the embryos in embryonic form in the course of hepatitis B virus is constantly proliferation, such as hepatitis B offspring Patients or virus carriers. When his father surface antigen, e antigen double-positive people, their baby's health risk of infection can reach more than 80 percent when the father e-positive, their descendants risk of infection was 20 percent. As the father of infant and transmitted directly in the germ cell stage, the most effective way is blocked Yunqian intervention. I, newly married couples before marriage to check for hepatitis B, hepatitis B with any party, should be actively treated. Second, during pregnancy, since the middle seized 20 weeks pregnant, intramuscular injection every four weeks of hepatitis B immunoglobulin 200 IU, to be effective in pregnant women and in the hepatitis B virus in the blood. Third, if the father or mother is hepatitis B virus carriers, which provides health newborn Except for hepatitis B vaccine injection, should be in within 24 hours after birth and a highly efficient injection of hepatitis B, respectively immunoglobulin, a 100 IU, with a view Better protect newborns.
Do not worry: not to eat hepatitis B infection
Haikou City Longhua District epidemic prevention station to experts, generally will not be through eating infected hepatitis B, because there is no vaccine or treatment can be truly cured of hepatitis B, the most important thing is to strengthen prevention, and prevention of hepatitis B the most effective means Is the inoculation of hepatitis B vaccine. A Miss Wu asked the experts, said he learned from newspapers that now more Hainan hepatitis B patients, and some restaurants and poor health conditions, worried that she would eat in a restaurant in the course of infection, hepatitis B and asked the How to prevent hepatitis B » Longhua District this epidemic prevention station of experts explained that hepatitis B is generally transmitted through three ways: blood transmission, mother to child transmission, sexual transmission, and in the process of eating in general will not be on hepatitis B infection, but the masses outside with a knife Gualian, shaving or if the process of sharing toothbrushes may be damaged skin on hepatitis B infection. Therefore, we should avoid and sharing tools and toothbrushes, and as far as possible not to hepatitis B patients and close contacts. At present the best way to prevent hepatitis B vaccination is the hepatitis B vaccine, but in six months to three inoculation needle and produce antibodies can play a preventive role.
Hepatitis B patients must eat the summer of Health
Xiao Sanyang summer health concerns become hot spots yesterday. 6 People's Hospital in Hangzhou, vice president of LIU Shou-jung is the treatment of hepatitis experts. ", Xiao Sanyang patients, health care is not only the attention of the summer, which should especially beware season." Dr. Liu has been so stressed. During the inspection, including hepatitis B antigen that is, two surface antigen (HBsAg), e antigen (HBeAg); three antibodies that surface antibody (anti-- HBs), the core antibody (anti-- HBc) and e antibody (anti-- HBe). If found HBsAg, HBeAg and anti-- HBc positive "Dasan Yang", HBsAg, anti-- HBc and anti-HBe positive "Xiao Sanyang." Many people think that, "Xiao Sanyang" means that the hepatitis B virus replication has been reduced or disappeared. In fact, not. "Xiao Sanyang" is still hepatitis B virus carriers, some of the "Xiao Sanyang" is a virus variation in performance, than the "Da Sanyang" also intractable, and even some of cirrhosis, liver cancer patients is "Xiao Sanyang" . Dr. Liu Shourong, said: "This is not scare you, Xiao Sanyang patients to adhere to inspections every three months, no later than six months, to ensure timely detection and control of disease change." 70% -80% of patients with liver disease recurrence is too fatigue. "Xiaoshu that two-thirds of the daily", "Zhenglong", one would sweat a lot, the body of water and electrolyte loss, responsible for various metabolic and detoxification, immune function heavier burden on the liver, liver damage easily. Moreover, summer day night short, easy to insufficient sleep, illness caused fluctuations. Beware of Hepatitis B patients with special needs. Hepatitis B patients to eat is important to note the link. Shellfish seafood, raw food Liangban or if do not pay attention to health, are vulnerable to acute hepatitis A and HEV. Hepatitis B patients with liver basis of the already bad, acute and chronic hepatitis is a more powerful attack, and sometimes even the liver, liver transplantation, and other means of treatment is also unable to back days. In addition, the summer of hepatitis B patients should be better the farther away from beer; eating the best eat light, easily digested food. The drug is also reminded. Many drugs have damage to the liver, hepatitis B patients before dispensing condition must truthfully tell doctors to avoid other drugs, "injury" liver
Hepatitis B patients should be unconditional alcohol
Hepatitis B carriers can Guoxingshenghuo? » Beer and television, many soccer fans four years, and so on to a return to the World Cup. Experts remind the fans and less to drink, do not hurt the liver. The New People's Daily reported that the summer season, people sweat a lot easier, caused in the water and electrolyte loss. Summer day night short, particularly if young people often Aoye watching television, will be insufficient sleep. This will cause the liver relative lack of blood flow, the nutritional impact of liver cells, resistance dropped. In addition, the summer of perishable food, eradicating corruption, consumption, will increase the burden on the liver. If the liver function well, will cause viremia, of toxaemia. Hepatitis B patients should be unconditional alcohol. According to clinical observations, the incubation period of acute hepatitis patients, the large number of drinking, sudden acute liver failure; patients with chronic hepatitis drinking may stimulate a large number of jaundice, hepatitis B surface antigen-positive patients with long-term and long-term liver hard-drinking Yizhi Change, may also trigger liver cancer.
Note: six cases of hepatitis B should not be pregnant!
1, are of acute hepatitis B, with obvious abnormal liver function, so that in the absence of a stable condition before, the best suspension of pregnancy; 2, hepatitis B virus infection a long time and serious liver damage, liver cirrhosis pathological examination confirmed, with significant thrombocytopenia, hyperthyroidism spleen, blood coagulation disorder; 3, chronic hepatitis B patients with abnormal liver function more clearly and liver function volatile, often accompanied or inversion of a protein hypoproteinemia; 4, chronic hepatitis B patients with serious liver, system performance, such as kidney disease, aplastic anemia; 5, there had been pregnant history, but because the liver can not afford to terminate a pregnancy; 6, hepatitis B virus infection associated with obstetric and gynaecological disorders should not be pregnant, if history were to repeat cesarean section. Hepatitis B virus infection can pregnancy, mainly by the liver itself can bear the entire process of pregnancy and childbirth by the burden of the decision. Currently, there are two trends of concern, some people would like to wait until the hepatitis B virus infectious to reduce to zero or very low level again after pregnancy, this is not very realistic; another part of people is not considered physical capacity, holding a trial Examination and the mentality of pregnancy, which is very dangerous. Experts point out that the above, one of the six kinds of circumstances, we must, under the guidance of specialists in pregnancy, maternal and child to ensure safety and to minimize the blocking of hepatitis B virus transmission to the next generation.
Liver Transplantation "individual" to use new tactics
Second Artillery Corps General Hospital to study and propose the first time from the genotype, the metabolism of the individual development administration, for the three after liver transplantation in patients with the "individual" treatment programmes, has achieved satisfactory results. During the administration has not been any rejection, but also to avoid the incidence of drug toxicity, 15 to 20 days recovered and were discharged. This is tailored to the way the patients "individual" administration, to safe, effective and rational use of drugs purposes. This approach is the first time in domestic use, greatly improving the liver transplant patients with the quality of life and survival time.
Sunday, June 22, 2008
Gallstone surgery with acute cholecystitis grasp the opportunity
55-year-old Miss Liu suddenly appeared right upper abdominal cramps, nausea, vomiting, fever and other symptoms, diagnosis of gallstones with acute cholecystitis, and its emergency done a laparoscopic cholecystectomy, the patients recovered very soon. Generally speaking, the gallstone with acute cholecystitis, surgeons use laparoscopic surgery advocate general approach to treatment. Because such patients can in a shorter period of rehabilitation and pain less. Within 24 hours is the best time What the appropriate time operation » In principle, of acute cholecystitis, the sooner the better operation, the latest not more than 48 hours after onset. Use of laparoscopic surgery, within 24 hours of surgery is the best opportunity, at this time because of the pathological changes of cholecystitis mainly to edema, the local organ of the anatomical relations are clear, easy operation in the gallbladder from the liver to the gallbladder bed surface separation Out of the gallbladder and gallbladder can be the vessel to do the exact ligation, surgery has a high safety and good prognosis. Acute cholecystitis of 24 to 48 hours, gallbladder congestive heavier, more bleeding in the operation, will affect the operation if more than 48 hours, lesser symptoms also hope that the endoscopic surgery, symptoms such as poor control, a considerable number of patients need The implementation of open surgery. Do not waste the best time for surgery Many patients with acute cholecystitis often can not immediately accept the surgery, is more than a few days before the conservative treatment, the symptoms do not ease when they think of surgery, and this has adversely affected precisely the best time for endoscopic surgery. Because of gallstones in patients with acute cholecystitis relatively rapid evolution of disease, the general incidence after three to seven days, gallbladder and the organization can be formed around a wide range of inflammatory adhesion, even in the gallbladder area abscess, local anatomical structure will become Blurred. Therefore, at this time forcibly removed the gallbladder, it is likely to cause bleeding, bile duct injury or other serious complications, and even threaten the patient's life. Some patients through drug treatment, even if the inflammation will be temporarily dissipated, but it is difficult to avoid another attack of acute cholecystitis. If cholecystitis of repeated attacks, coupled with stones chronic stimulation to induce cancer in the gallbladder. Gallstone patients with acute cholecystitis, if the incidence has more than 48 hours, missed the best time for surgery, but they are not willing to open surgery, can carry out a conservative anti-inflammatory treatment. To be two to three months of basic cholecystitis dissipated, the physical conditions permit, and then laparoscopic surgery.
Children need surgery osteochondroma
In the out-patient often encounter such cases, the child's parents occasionally found around joints or bone mass is the main reference Tuitong children and revealed mass, the doctors diagnosed as osteochondroma, many parents at a loss, To the children added a psychological burden. Since it is a tumor resection surgery should not » When surgery » In fact, osteochondroma among children and youth of the common tumor, parents need not panic. Let us look at the osteochondroma What are the characteristics » Osteochondroma of the largest found in the metaphyseal bone, especially around the knee and proximal humerus. Found near the mass in the joints, often there longer period of time, no symptoms. Mass with some of the pain, is often due to mass protruding parts of repeated injuries, local muscle and blood vessels caused by compression of the beam. Osteochondroma performance for the bone surface processes, covering a cartilage cap, the cap of transparent cartilage into bone, cartilage, tumors growing. The single osteochondroma no clear genetic laws, and many of the osteochondroma with autosomal dominant inheritance. With the tendency of parents and their children, about half can produce multiple osteochondroma. This hereditary multiple bone cartilage in patients with more than 30 years of age are likely to increase after the secondary chondrosarcoma of the possibility of secondary bone and cartilage in childhood sarcoma is very rare. The cancer diagnosis is not difficult, in addition to clinical examination, with more than X-ray can make a diagnosis, but also with the children's growth and development of common variation or other abnormal bone of identification. Osteochondroma can continue to grow until the bone development and maturation, but this does not mean that the malignant transformation. In children, osteochondroma in very rare cases of malignant, in adults, and also rare malignant transformation. Asymptomatic osteochondroma does not require the removal. Only adapt to the surgical resection of the tumor caused pain, squeezing the tumor vessels and nerves or affect the joint activities. Sometimes, young people osteochondroma patients may feel Bumei Guan, requested removal, tumors more difficult to accept than the scar. However, there are two issues need surgery our attention: First, surgery may hurt the growth plate, the impact of physical growth and development, the first tumor recurrence after easily. It is reported that growth in the scapula, pelvis and the femur of the osteochondroma, particularly after the removal of the recurrence of osteochondroma more prone to malignant transformation. Therefore, in addition to the attention of doctors in the technical operation of the complete tumor resection, relapse prevention, removal osteochondroma of age should also try to delay and reduce the growth plate injury risk.
The causes and prevention of spontaneous pneumothorax
Spontaneous pneumothorax spontaneous pneumothorax is due to the formation of the lung or pleural diseases, causing visceral pleural rupture caused air into the pleural cavity, a pneumothorax. Pneumothorax produce, increase the pressure on the pleural cavity (normal pleural cavity for the negative pressure), which can not be inflated lung, pulmonary pressure to the hilar, or even to the trachea, such as a heart shift, opposite to the chest. Pneumothorax caused the reasons Chronic bronchitis complicated by emphysema, bronchial asthma, pneumoconiosis, extensive pulmonary fibrosis, a lung bubble burst, and so on. Lung cancer, tuberculosis empty, can also cause lung abscess pneumothorax. On the elderly, the incidence of chronic obstructive pulmonary emphysema for the majority, more incentives pathogenesis of infections, severe coughing and asthma. How to determine the occurrence of pneumothorax Most patients with chest pain have different degrees of chest pain, which is due to pleural adhesions stretch, tear caused. Chest pain can be sudden, a tingling or pain, cough and deep pain intensified when the suction. However, because the elderly feel slow, chest pain than the performance of young people are often obvious. Therefore, early diagnosis likely to cause delays. Chest pain and breathing difficulties often simultaneously, young people lung compression less than 20 percent, difficulty in breathing may not obvious. But many elderly people with chronic lung disease, and poor lung function, while only 10 percent lung compression, can also be a clear difficulty in breathing. As for the high-pressure pneumothorax, patients can be a sexual difficulty in breathing, even shock, respiratory failure, and so on. Coughing for more dry cough, for pleural reflex induced. If the co-infection or bronchopleural fistula, increased cough, cough Nongxing sputum. High-voltage shock pneumothorax failure to obtain timely medical treatment, the patient can occur in shock, then in addition to breathing difficulties, there are cyanotic, sweat Lin Li, irritability, consciousness, Jueleng limbs, weakened pulse, blood pressure dropped even . The signs of spontaneous pneumothorax the elderly, vulnerable to the disease to cover up (such as chronic obstructive bronchitis and emphysema merger), resulting in delays in diagnosis. At this point, X-ray inspection can help diagnosis, and to understand the degree of lung compression, while paying attention to offset the trachea, often useful tips. How to treat spontaneous pneumothorax The first is ruled out of gas so that the rehabilitation of the lung and restore respiratory function. At the same time pay attention to prevention and treatment of complications, such as pneumothorax, hemopneumothorax, and so on. Exhaust is to be based on the patient lung compression level and the incidence of the nature, scope, such as the type of pneumothorax may be considered. Critical condition are required to exhaust emergency simple, repeated the exhaust can not ease breathing difficulties, closed drainage can be taken, such as exhaust. Suffering from chronic lung disease of the elderly, especially those with emphysema, the lung of patients with large bubble, if coughing, difficulty breathing suddenly intensified, or the incidence of breathing difficulties, as no improvement, they should think whether there had been a spontaneous gas The chest, should Kuaiqu hospital treatment.
Saturday, June 21, 2008
The causes of type classification of hypertension
The types of causes, hypertension can be divided into primary and secondary hypertension hypertension. Patients with hypertension in about 90 percent for hypertension, about 10 per cent of secondary hypertension. (1) primary hypertension: hypertension, the pathogenesis of many theories, but the real cause has not been fully clarified, clinical blood on to the main performance. (2) secondary hypertension: is a disease in a secondary or after a certain reason for the high blood pressure, the application of modern medical technology can find its pathogenesis, most of them can be treated through surgery, such as removal of technology Thus to be cured of hypertension. For example, secondary to acute and chronic glomerulonephritis, renal artery stenosis, such as kidney disease after renal hypertension, secondary to pheochromocytoma, such as endocrine diseases of the endocrine after hypertension, secondary to brain tumors and other diseases after the nerve Mice high blood pressure, blood flow and mechanical obstacles to hypertension, iatrogenic hypertension, pregnancy-induced hypertension and other causes of hypertension.
Viral pneumonia drug treatment principle
Acute respiratory infection, the virus infected 90 per cent, and respiratory tract infection is mainly over, a common cold, pharyngitis, jets - trachea - bronchitis, bronchiolitis, baby herpangina and the pandemic, such as chest pain. Cause pneumonia virus rare, with the common influenza virus, the other for the parainfluenza virus, cytomegalovirus, adenovirus, nose virus, coronavirus, and some intestinal virus, such as Coxsackie, and Egypt can Viruses, and herpes simplex, chicken pox - herpes zoster, rubella, measles and other viruses. Infants and young children also often from respiratory syncytial virus infection have pneumonia. Viral pneumonia occurred in the winter and spring, the outbreak or epidemic can be distributed. In non-bacterial pneumonia, viral infection or about 25 percent to 50 percent, with more for children, adults relatively rare. Clinical manifestations of the disease generally lighter, and mycoplasma pneumonia symptoms similar. Slow onset, headache, fatigue, fever, cough, cough and a small present phlegm. Signs are often absent. X-ray examination showed dot-like lung inflammation, flake or even the shadow. The total number of leukocytes can be normal, reduce or increase slightly. The course is generally one to two weeks. Treatment principle 1. Symptomatic treatment mainly to combat secondary bacterial infection. 2. Antiviral treatment. 3. Strengthen support therapy. 4. The treatment of complications. Treatment principle 1. The general treatment of patients with symptomatic mainly cough expectorant and added all kinds of vitamins and other complementary medicine. Ling virus can be oral or ribavirin. 2. Severe cases mainly to intravenous drug, therapy and prevention of support for the attention of complications. Treatment under the condition extended accordingly. 3. Merger cases of bacterial infection, according to clinical and sensitivity test choose effective antibiotics.
Three treatment of ankylosing spondylitis
Sally back of the spine and hip and knee pain for many years and have always thought that he was like rheumatism or rheumatism, in the pharmacy to buy some painkillers Yao Chi, good, bad symptoms. Recently he felt more and more rigid spine and joints, but could not take Tongde, to the hospital for X-ray film inspection found that the sacroiliac joint variable fuzzy, spine has a bamboo-like change. Doctors told him that he is suffering from the disease ankylosing spondylitis. Early diagnosis and treatment can reduce the bamboo-like spine in Ankylosing spondylitis, more than 16 to 30-year-old young adults, men more than women. The incidence of early lesions in the sacroiliac joint and lumbar spine, the patient was lumbosacral pain, Fajiang, will have hip pain and sciatica. After the break mitigation, increased activities. Fajiang the morning was the waist, eased slightly after the event. Lesions to the development of the thoracic spine, back pain can be a kind of chest pain and Strips. Cervical neck involvement activities are limited, the last in the entire spinal rigidity. The whole course of slow, the turn to attack and mitigation, the course of several years and even up to several decades. Ankylosing spondylitis disease was first started in the sacroiliac joint. Subsequently, usually from a bottom-up involving thoracic and lumbar cervical, resulting in violations of the spine. Late vertebra near the front and side margin, a bone bridge connecting vertebrae from top to bottom, similar to bamboo-like appearance, it is called the bamboo-like spine. Since the development of medicine, the majority of patients with ankylosing spondylitis get early diagnosis and early treatment, the incidence of spine-like bamboo has decreased significantly. There are three treatment methods For ankylosing spondylitis can stay at any one time and duration of the characteristics of up to several decades, once diagnosed, it should conduct a systematic and comprehensive treatment. Treatment methods include three aspects: ● physical therapy and physical training In patients with ankylosing spondylitis should lie hard Banchuang, from supine sleep. If the disease up to violations of cervical and thoracic spine, should stop using the pillow. Physical therapy is commonly used magnetic therapy, audio treatment, short-wave treatment and massage, and so on. Therapy should have experience under the guidance of the therapist, in kyphosis reached or exceeded 20 ° ~ 40 °, should also increase the traction against kyphosis massage therapy. Physical exercise can improve the respiratory function and prevent muscle atrophy and maintain bone density and strength, to prevent osteoporosis. ● drug treatment Non-steroidal anti-inflammatory analgesic drug from the effect of such drugs faster, to control pain in a relatively short time, is the most widely used drugs. Common varieties of the double nitrogen phenol sodium, sulindac, such as ibuprofen, for their common side effects of gastrointestinal side effects. Selective COX-Ⅱ inhibitor on the safety of higher digestive tract. Chronic effects of a drug commonly used Liudan sulfasalazine, methotrexate, and so on. Validity of such drugs from the slower, takes medication for three months or so in the role. Application of these drugs can slow or stop the disease's development, but more side effects, must be used under the guidance of doctors. Allergic to sulfa drugs, banned Liu Dan sulfasalazine. Chinese proprietary Chinese medicines that ankylosing spondylitis is a bi disease areas, control of a stable condition, patients can choose to consolidate the efficacy of proprietary Chinese medicines. ● treatment Ankylosing spondylitis in patients with spinal deformities and peripheral joint involvement of the joint space narrowed, disappeared or ankylosis, in patients with ankylosing spondylitis is the main reason for disability. Surgical treatment is not possible to fundamentally on the treatment of ankylosing spondylitis, the main purpose is to improve the function of patients, so that they can self-care, to improve their quality of life. Artificial joint replacement is a joint buckling, contracture, deformity and loss of function and lead to lifelong disabilities to resume a normal life and the ability to work the best treatment approaches. Ankylosing spondylitis surgical indications: 1. For a serious spinal deformity of the patient's spinal orthopedic surgery, such as the thoracic spine, cervical osteotomy. 2. Hip, knee significantly limited the activities of joint replacement or angioplasty. 3. On a small number of serious heart valve regurgitation of the valve replacement.
What are the symptoms of acute cholecystitis
The main symptoms of acute cholecystitis have right upper abdominal pain, nausea, vomiting and fever, and so on. Would cause acute cholecystitis right upper quadrant pain, pain and the beginning Biliary Colic is very similar, but the pain caused by acute cholecystitis the duration of the often long for breathing and body position changes can often increase the pain, so patients like to Jingwo the right to reduce Futeng. Some patients will have nausea and vomiting, but generally not severe vomiting. Most patients also accompanied by fever, body temperature is usually in the 38.0 ℃ ~ 38.5 ℃ between high fever and chills are rare. Yanbai a small number of patients have mild skin and yellow. When the doctor checks the patient's abdomen, the Department can be found right upper quadrant tenderness, and abdominal tension, about 1 / 3 of the patients also reached the swollen gallbladder. Testing the patient's blood, blood will find that the majority of people in white blood cell count and neutrophils increased. B-examination can be found swollen gallbladder, wall thickening, and that the stone blocking the neck of the gallbladder. According to the above symptoms, medical examinations and various auxiliary examination, doctors generally can make timely diagnosis of acute cholecystitis.
Thursday, June 19, 2008
Grasp the opportunity had uremia
All kinds of chronic kidney disease to the development of late are likely to cause kidney damage, known as chronic renal failure and uremia is its advanced stage. Therefore, prevention and treatment of uremic must have a comprehensive plan: For a variety of early chronic kidney disease, treatment should be active to prevent the emergence of renal dysfunction; once had renal damage, renal function should be positive, to prevent or delay The emergence of uremia, and to the development of uremia, they should grasp the appropriate timing of dialysis and renal transplantation. Positive treatment of chronic kidney disease, eradicate the root causes of most chronic uremic kidney disease, if not active treatment, and more will cause chronic renal failure. On the one hand, chronic glomerulonephritis and pyelonephritis, such as polycystic kidney disease can cause uremia, a lot of people think that drug treatment of chronic nephritis poor or do not need drug treatment, in fact present some new treatment or drugs Chronic nephritis have better results. On the other hand diabetes, hypertension, lupus erythematosus and lupus nephritis, hyperuricemia and gout, such as uremia has become a common cause, we need to cause enough attention to these diseases in the course of treatment must be Note kidney conditions. Protection of kidney function and prevent or delay the emergence of uremia following measures have a clear role in the protection of the kidney, should have experience in the specialist doctors under the guidance of the correct application. Appropriate restrictions on the protein diet; ideal control of hypertension and reduce the effective application of specific drugs within the kidney blood pressure; correct anemia, diabetes control, treatment of hyperlipidemia and hyperuricemia and gout; avoid the application of renal toxicity of drugs, prevention and treatment of Kind of infection. Some Chinese medicine renal toxicity should arouse sufficient attention. Renal dysfunction more slowly, and also the late start dialysis, the treatment can significantly reduce costs. Of cardio-cerebral vascular complications and improve quality of life of chronic kidney disease, hypertension, coronary heart disease, heart failure, vascular sclerosis, stroke, and so on are very common, all patients at an early stage should conduct a comprehensive inspection, the timely processing. Seize the best opportunity when dialysis and creatinine clearance rate dropped to 15 ml / min (normal renal function is about 15 per cent) below, should begin dialysis treatment, diabetes patients still slightly ahead. Otherwise, a lot of toxins and water accumulation in the body can cause serious heart disease, stroke, and so on. If the dialysis started too late, the situation can not be very good control and the future impact of the effect of renal transplantation. Analysis of a number of means, patients should understand that when health care workers can probably estimate for dialysis, patients and their families to prepare for including mental preparation, so that they could meet the maximum extent possible treatment. As for hemodialysis, it must be ahead of March-April for fistula surgery, to avoid vascular intubation, reducing opportunities for sepsis. Uremia control is a systematic project, as long as the correct treatment, timely treatment and effective prevention and treatment of uremia can be done.
Contribute to understanding the treatment of gout
Gout has had its own disease that he remained puzzled despite much thought. He usually also pay attention to the health of diet, neither alcohol nor Puyinpushi, why would a disease? » Gout of incentives According to Dr. Wang, a disease of the patients have gout is not half of the incentive attack, although the incidence is Baoyinpushi incentives, but the large consumption of food rich in purine could cause acute gouty arthritis. Common high-purine food animal offal, crabs, shrimp, in particular, excessive drinking beer after the disease will also trigger gout, a serious dining in will be immediately after the incidence. Soybean products in purine content is not the highest, but also induced by excessive consumption of gout. Therefore, regardless of any food, moderate consumption can reduce the probability trigger gout. In addition, trauma, surgery, Shouhan, Guodupilao, mental tension; taking diuretics, down uric acid, salicylic acid and other drugs, food allergies, hunger, joint injuries, the Humidicool, tight shoes, walking more, and so are May trigger gout disease. Heard here that he has to find its cause, all kinds of animal offal is his usual favorite food, but also because the work often required to travel around, often on outside trouble, and take the road a lot, over time will fall This is sick. Type of gout According to Dr. Wang, generally, gout gout disease can be divided into primary and secondary Gout two categories. The primary cause of gout, with the exception of a few because of congenital purine metabolic disorder caused by a genetic disease, most cause has not yet been identified, but frequently have obesity, hyperlipidemia, hypertension, coronary heart disease, diabetes, with Disease. Secondary gout mainly due to kidney disease, blood disease and other diseases or drugs with high purine food and other causes. Such as: lymphoma, multiple myeloma, hemolytic anemia, polycythemia vera disease, cancer, chronic renal insufficiency, and so on. In addition, according to uric acid formation and metabolism, gout disease can be divided into over-production and reduce the excretion of. Generation of excessive uric acid, also known as high-excretion, is enhanced by the nucleic acid metabolism, that is, for various reasons caused purine base of too much or too fast degradation, making purine metabolic product of too much, leading to increased serum uric acid. - Reduce the excretion, also known as low-excretion, or excretion in patients with kidney dysfunction, caused by uric acid excretion Guohuan elevated blood uric acid level. And Mr. Chen's condition, it is typical to reduce the excretion of, is currently receiving treatment. Clinical manifestations of gout In order for us to further understanding of gout, Dr. Wang also briefed the primary gout several major clinical manifestations. First, acute gouty arthritis, often the first attack during the night because of foot pain and suddenly woke up, or if Yao Shi-Daoge, joint and soft tissue around the obvious irritation of the pain, can not tolerate bed cover or the surrounding shock. A few days later to the general natural ease, but after the attack more and more frequently, increasing symptoms. Second, the calculus of chronic gout, generally from the first attack of gout significantly to the stone there for 11 hours, tophi usually deposited in Erlun, toes, fingers and palm means, etc., and then gradually increase, joint structure And soft tissue damage is also slowly, resulting in bone hyperplasia and joint deformities. Third, kidney stones, gout patients with uric acid kidney stones caused the probability of 10% to 25%, the biggest feature of renal colic and hematuria. Fourth, nephropathy, which is a chronic process, there will be patients with intermittent proteinuria, hypertension, elevated blood urea nitrogen, and other symptoms, can be advanced for the development of renal insufficiency.
Asymptomatic hypertension must also take medicine
Wangjiang Road, Hefei, Anhui Province Zhao: Six months ago I found medical units have high blood pressure, but I do not feel any discomfort, Mochi antihypertensive drugs, did not do any treatment, the family is always urging me to take medicine , This necessary? » Chinese medicine hospital in Anhui Province, director of cardiovascular medicine Dai Xiao-hua: You are asymptomatic hypertension, high blood pressure despite, but because of asymptomatic, many do not consider themselves sick, often unwilling to treatment, this approach there is a lot of potential danger, especially Is now the cold weather, the blood vessels to contract, blood pressure will increase, would greatly increase the risk of a vascular accident, such as sudden cerebral hemorrhage, acute heart failure, and so on. Even adults without any discomfort should also be regularly measured blood pressure, at least six months. Such as high blood pressure check out, whether there are asymptomatic, we must undertake antihypertensive treatment, so as to avoid accidents. Patients with hypertension should resolutely alcohol, to life laws to ensure adequate time for sleep.
"Five-step" treatment of lupus kidney Xiangfu
More than 30-year-old Mamou patients with intermittent fever, fatigue, swelling, not sits flat After treatment of disease have not improved. She holding a glimmer of hope came to 211 hospitals. Vice president of the hospital and Kidney Diseases, Li Fang, director of the inspection, diagnosed as lupus kidney, and its innovative use of the "five steps" therapy on the treatment of patients carefully to Turning the Tide. Pleased with the recent off this sent a letter of thanks to Li Fang and pennants. 1828, a French doctor discovered a case, the patient face was like a wolf bite of erythema after the edema, this disease is named after the medical profession "lupus erythematosus", which also lead to kidney, brain, heart, etc. Systemic disease known as the "systemic lupus erythematosus." Systemic lupus erythematosus with acute renal failure and encephalopathy is the end of the performance of lupus patients. At present, the treatment of the disease to western medicine methods and more choice for hormone treatment, but because of the severe side effects, patients in the course of treatment is very painful. To make patients less afflicted by the illness, Li Fang, medical determination to overcome this problem. She used on learning, sharing the opportunity with an open mind to consult their doctors. After a long of concentrated research and clinical practice, and finally to explore lupus kidney "five steps" therapy treatment model: the first step in an outbreak of acute renal lupus, the use of hormone therapy, patients with disease control, prevention of illness continued to deteriorate; second Bu, when patients oliguria, no urine, renal failure, when taken in hemodialysis patients, improve nausea, vomiting, heart failure symptoms such as the third step, to give C-stable, improve the patient's immune Li and nutritional status; fourth step, in the WBC under normal circumstances, cyclophosphamide continue to impact treatment, to achieve the objective of reducing lesions; Step 5, when patients suffer from insomnia, sweating, trembling, and other phenomena, immediately accompanied by traditional Chinese medicine Treatment, to be Fuzheng drugs, to achieve the purpose of repairing kidney function. In order to alleviate the side effects of western medicine, TCM Li Fang also use the balance of yin and yang theory, to the lupus kidney screening of "attack-and carrot" two-way role of the drug, through the concentrated extract active ingredients from the corresponding refined drugs used in clinical effect after Significant.
Babies suffering from "baby eczema," how do
Q: baby suffering from "baby eczema," how do » A: Ningbo, Zhejiang Ms. Ku: baby three months, the face covered with eczema, very serious. To go to the hospital after a doctor to tell You Zhuoer drugs. Painted, the odd good performance, in addition to many eczema immediately. But I am very worried that the drug will be brought to the baby other effects »Also, your baby is breast-feeding, his eczema and my diet is not what« I should pay attention to what is usually » According to your description, your child is suffering from the "baby eczema", commonly known as "milk ringworm." This is a common disease, almost everyone in the breast-feeding infants have ranged from the level of "baby eczema." Application of corticosteroid ointment have effects, but the lasting effect it is very difficult, after the withdrawal will appear. Children face a rash, I suggest you twice a day to thin smear in the rash of good, so both efficient and safe. Infants with Eczema self-limited, the children will naturally Man Zhousui before disappearing. As this is a phenomenon of skin allergies, the baby is allergic to anything, it is difficult to clear. Therefore, babies with eczema, breast-feeding mothers should avoid eating some easily cause allergy and irritation of the food such as seafood, such as pepper. If a child's "milk ringworm" particularly serious, suggesting that he may have a physical allergy, in the next life, I suggest you pay attention to observe, if the baby in contact with or eat a certain food after the rash increased significantly, then there may be allergic to this phenomenon . Infant Eczema is a need to patiently observe and analyze the process must not blindly to judgement and, if necessary, to guide doctors.
Pregnancy should pay attention to kidney disease
Pregnant women after the body of the system function will be a lot of changes, some of which are physiological changes, some of it is the performance of the disease. Pregnancy after a kidney compensatory volume increased uterine increasing pressure after the ureter, the lamp can cause kidney, renal pelvis and ureter expansion; glomerular filtration rate and the plasma flow have increased in the urine in a small number of protein and sugar, etc. . It is important to note, kidney disease during pregnancy is very easy. How can we know whether the infected pregnant after a kidney? »Is actually very simple, as long as attention to the changes in physical condition to the hospital and regular medical check-ups, can be resolved. After the pregnancy weight gain is normal, but do not increase too much if the original normal blood pressure, elevated blood pressure after pregnancy, and certainly is not normal; carry out regular checks of urine, according to the protein in urine, red blood cells, Nongxi Bao, Can be diagnosed with any disease. According to experts, should be noted are: (1) Beware of a urinary tract infection: fetal growth and development in the womb, increasing day by day, an inevitable oppression nearby organs, such as the bladder, rectum, ureter, urine from the poor, in retention, it is easy to have bacterial growth, Propagation. If the pregnancy after the fever, back pain, Niaotong, increased urination frequency, are often the symptoms of urinary tract infection. From the early stages of pregnancy, they should check regularly to the hospital urine, do regular urine culture, according to cultivated species of bacteria and on which drug-sensitive, choose the most effective antibiotics, a thorough treatment. Of course, the choice of drugs and the need for fetal kidney without any side effects. Some drugs such as gentamycin, kanamycin, streptomycin, a large number of long-term cause of acute kidney damage, the disease can be serious when people no urine, general edema, high blood pressure, can develop into acute uremia; Likewise, the drugs will enter the fetal body so that the child was born after the deaf, hearing loss, but difficult to cure, the application should be particularly careful. A small number of people pyelonephritis pregnant after repeated attacks, Chinese medicine, Western medicine can not effectively control the infection, can gradually develop into chronic pyelonephritis. For this situation, first of all should pay attention to the diagnosis is correct, whether there are kidney stones, kidney or ureter, and other deformities, attention should be paid to other types of antibiotics and effective dose is correct. Can be a combination of two or more antibiotics. With Chinese medicine treatment, the better. Pregnant women after three months, often in the urine or burning more sense to check urine normal, it is because the womb grew up oppression caused by the bladder, called the bladder to stimulate medical symptoms. This situation does not require treatment. Of course, have to go to the hospital for an examination of conventional urine, urine culture at the same time do everything it can be considered normal physiological phenomenon, not negligence, so as not to delay treatment. (2) guard against pregnancy-induced kidney disease: This is the most serious in pregnant women against a disease, in a high incidence of pregnant women, young mothers and the beginning of the beginning of the high maternal are多见. In addition, any excess amniotic fluid, multiple births, mole, those with hypertension or renal disease in pregnant women, can easily get sick. According to the severity of clinical performance for the edema of pregnancy, pregnancy-induced hypertension, mild pre-eclampsia, severe preeclampsia, mainly for proteinuria, edema, hypertension, weight may be associated with headache and visual were unclear, vomiting, convulsion, Coma, a high mortality rate. If early diagnosis and prompt treatment can prevent disease progression. Pregnant women in general about six months, the two began to lower extremities, dorsal foot edema, should immediately to the hospital for an examination of urine. If a protein in urine, blood pressure began to increase that has occurred in pregnancy toxic kidney disease. At this time we must bed rest, strict observation of edema, blood pressure, proteinuria development and kidney function, appropriate restrictions on water intake and salt. Oral diuretics such as the Cypriot dihydrochloride grams of urine, such as furosemide, at the same time preserve oral Jiabing sulphur acid tablets, to be effective in lowering blood pressure, reduce swelling, prevent heart and brain damage. Can also be oral propranolol to slow down heart rate. It is necessary to strengthen nutrition, for a variety of vitamins. Serious condition, to be hospitalized.
Tuesday, June 17, 2008
Yaotui pain may indicate gastric cancer bone metastases
Often appear on the abdominal pain, indigestion and other symptoms of anorexia or have a history of gastritis, such as a sudden feeling back, leg pain, should not be Buzai Yi, long waist, Tuitong may be a sign of gastric cancer bone metastases. Gastric cancer is the most common gastrointestinal cancer and other tumor different, it at an early stage and may be transferred to the general proliferation. The general blood circulation, cancer cells can be transferred to the spinal bone growth, resulting in patients with low back pain associated with radioactive Suanzhang lower limbs, numbness. Some of the patients showed symptoms similar to the lumbar disc herniation, although to a hospital for X-ray examination, but it overlooked the note Dr. Xiang Guke gastrointestinal illness, easy to misdiagnosis. In fact, some early tumor metastasis, through the X-ray is not fully shown, if symptoms related to the treatment of lumbar disc herniation, the effect is not obvious, may also add to the original condition. Therefore, in the past had gastrointestinal discomfort, the recent and continuing Yao Tuiteng patients, and no clear history of lumbar sprain, should go to hospital for regular CT, MRI and other related checks to the early detection of bone metastases Gastric cancer in the general good of the 45-year-old, the early no obvious symptoms, with the illness progress, and some patients can be expressed as vague upper abdominal pain, anorexia, dyspepsia and weight loss, and so on. However, some patients even have been diagnosed with stomach cancer, diet is still very normal, and no gastrointestinal symptoms. Therefore, in the past no stomach illness of the elderly, if there is, abdominal discomfort, the medication after the invalid, should go to the hospital treatment. Suffering from gastric ulcer and atrophic gastritis, gastric polyps in patients with gastritis antrum, should be positive for the disease, so as not to become its development of gastric cancer.
The man was suffering from gout Yi died of heart disease
U.S. medical research found that the risk of heart disease if the men suffering from gout, they die of heart disease will increase. The Stanford University School of Medicine assistant professor Krishnan led the research team said that in heart disease risk than most people's 9,100 middle-aged, suffering from gout are more likely to die of a heart attack 17 years, or Other cardiovascular disease. In the medical journal study group "within the scientific literature," the report pointed out that the man was suffering from gout, if you have high cholesterol, high blood pressure or overweight, the more carefully controlled conditions. Gout (Gout) is a pain of arthritis, is the cause of uric acid crystals penetrated joints, it will lead to periodic joint swelling and burning, generally will cause big toe pain, could also affect the feet, ankles, Knee and wrist. Some studies that high levels of uric acid in the body will also increase the risk of suffering from cardiovascular disease, gout lead to heart attacks and angina the risk is relatively high, because of insufficient blood flow to the heart.
To gout and kidney patients
With the continuous improvement of material life, the incidence rate of gout getting higher and higher. Gout is an increase in blood uric acid metabolic disease. Uric acid in the human body is the end product of purine metabolism, purine metabolic disorders or kidney excretion of uric acid reduction, may cause hyperuricemia. The disease more common in middle-aged men over, most significant arthritis performance, and often violations of a single joint, the joint order of common: great toe, the first toe metatarsal joints, arch, ankle, knee and other joints red, swollen , Heat, pain. Pain relief, joint local skin may appear scaling and itching. If there is more than the performance in light of increased acidity hematuria, or can be diagnosed as gout. Be made is that gout hyperuricemia is a form of expression, and some of hyperuricemia can be asymptomatic, the asymptomatic period of up to several years to several decades. Hyperuricemia long-term can not be corrected, the blood uric acid salts can be deposited in the kidneys and cause kidney changes in organizational structure, known as hyperuricemia nephropathy, also known as the gouty nephropathy. It is reported that study of gout patients found that almost 100 percent have varying degrees of kidney damage. Gout renal kidney disease mainly interstitial nephritis and renal damage, kidney damage and elevated blood uric acid level is directly proportional to the length and duration. Early performance can only mild to moderate proteinuria dysfunction and urinary enrichment, the glomerular filtration rate normal. Late have high blood pressure and azotemia. About 25 percent of patients will inclusion urinary tract infection. Gouty kidney disease each unknowingly, the relatively slow progress, often 10-20 years experience in renal failure. But long-term control of blood uric acid poor, urinary tract infections and kidney damage of drug use and so can speed up the process of renal failure. Many patients gout attacks joint pain only focus on anti-inflammatory pain and symptomatic treatment, just ignored the dangers of gout on the human body's largest organ - the maintenance of the kidney, the passage of time, the chronic renal failure on the inevitable happened, and When kidney failure again to a certain extent on the appropriate treatment too late. Treatment of gout nephropathy mainly control hyperuricemia and control of urinary tract infection. Allopurinol alcohol drop of serum uric acid is effective, but long-term use of the drug side-effects of toxic to the kidneys, limiting the drug in clinical use. In recent years, many Chinese medicine experts from the motherland committed to the treasure house of Chinese medicine in the treatment of gout to explore an effective prescription success. Chinese medicine in the treatment of gout is extremely wide application in both Bianzheng of governance, have identified disease of governance; treatment of both acute phase, but also for the chronic phase, intermittent remission, both permanent cure, treating the symptoms. Significant clinical effect on the patient's kidney function is also available in the protection role of the comprehensive treatment significantly better than Western medicine.
Dry lips, Junlie, scaling is the disease?
Cheilitis may have another kind of performance is dry lips, Junlie, scaling, so that dry lips, Junlie, scaling is also disease, is drying scaling the main features of cheilitis, some people in dry, hot Once appointed Festival or the environment, may also appear dry mouth, scaling the situation, as long as the spread of appropriate Fang Huji, maintaining lips moist, will be able to return to normal, but not further development. This situation can not be regarded as disease. Dry scaling-cheilitis is unknown. And acute inflammation may be related, with the sun and may also, alcoholic drinks and tobacco, cosmetics stimulation; white prayer beads fungal infection can cause cheilitis, cracked Goushen may extend to the skin, and may be bleeding and blood callus formation, split into the groove Refractory. Off-white phosphorus crumbs, the entire lip, fungal cheilitis to lesions or white spots Jiamo-oriented, not Jiequ Jiamo, a lip swelling, ulcers, erosive. PAS staining visible mycelium. Patients often dry, the pain of licking lips, sometimes because of mild itching and Rouca. Iontophoresis drug treatment available, to 5% to 10% or 5% of potassium iodide procaine into lips, or corticosteroid ointment applied, such as ointment, such as Fuqing Song. Fungal cream cheilitis with microphone local Tu.
Children common oral mucosal disease
Oral mucosal disease in children more common. Ranging from discomfort caused, the impact of heavy eating, not crying. Children's oral mucosal disease are: Herpes stomatitis: children with oral mucosa such as the gums, tongue, lips and on the E there will be a different number of small blisters, erosion and ulcers. If secondary infection, ulcers increase the surface leakage, swelling around. Children with drooling, crying, anti-feeding, body temperature had increased or history of fever. Treatment is the key to infection control early in the illness, the general use disinfection Zhanqu duo Bell Cotton swabs, such as washing liquid oral mucosa, Zaitu to 2.5 percent chlortetracycline Bingshuang, such as glycerol or the traditional Chinese medicine powder. At the same time taking antiviral drugs such as Banlangen, such as granules. If it has high fever, secondary infection, antibiotic therapy should be used. The disease is a viral infection can be spread by mouth and respiratory tract, the son of the patients should avoid contact with other children. Thrush: also known as snow and mouth disease. Patients with the tongue, cheek, lips white as snow in the small soft spots, and gradually integrated into a block-like milk tunica albuginea, forced to obliteration, the mucosa erosion exposed red face and mild bleeding. Children with irritability, crying, eating difficulties. To read the white thrush caused by the streptococcus, MI is a study of white mold. The treatment principle is to improve the oral health status of children, the use of alkaline substances such as 2 percent to 4 percent of oral washing soda, 1 percent local Tu Long Danzi. Breast-feeding mothers should be washed before the nipple, so as to avoid duplication of cross-infection or infection. Map tongue: children with tongue back in one or more size, irregular shape of the circle. These round or oval-shaped ring linked to each other, a similar map of the realm, it called on the medical map tongue. The incidence of the disease real reason is not clear. Some people think that is congenital anomalies, some people feel that with the dyspepsia, intestinal parasite infections and a lack of vitamin B, and so on. The disease generally do not need special treatment often self-healing. If a provocative pain, can be partially coated chlortetracycline 2.5% glycerol or stomatitis spray. Taking vitamin B have a certain effect.
Oral repeatedly since bullosa can not be ignored
Oral repeatedly since bullosa may be suffering from pemphigus or pemphigoid. Pemphigus is a serious chronic skin - bullosa sore mucous membrane disease, there are many types. In pemphigus vulgaris often first appear oral mucosa damage. Early in the mouth appear bullosa, a thin, transparent wall, the blisters break to four weeks after the retreat, removed blisters at the wall will be easy to tear up the adjacent mucosa together to form the erosion of red, lightweight probe into its edge, that of release Phenomena that can probe beneath Shenru mucosa. Skin damage appeared relatively late. Are more common in the chest, groin, and other vulnerable parts of friction. Serum of patients with skin and contains anti-epidermal cells of the autoantibodies IgG, γ globulin increased. Is the preferred treatment of glucocorticoid drugs, such as prednisone. Starting dose larger 60 to 80 mg per day, gradually reducing disease control. Treatment of pemphigus, attention should be paid to rest, to maintain oral health, eat high-protein, high-vitamin diet. As large amount of hormones, a long time, in the course of treatment should closely observe its side effects, regularly to the hospital for observation of the prosecution blood, urine, then conventional. Pemphigoid points scar pemphigoid and bullous pemphigoid, but also autoimmune diseases. Cicatricial pemphigoid see more, also known as benign mucous membrane pemphigoid. Occurred in oral. Women more than men, more common in middle-aged and middle-aged people over. Lesions as a blister or blood blisters, blisters Kuipo formation of ulcers and easy to scar formation. Treatment with corticosteroid preparations for the local-based, available anti-inflammatory and pain of mouthwash. Serious condition to consider the use of systemic corticosteroid. Bullous pemphigoid type is a chronic skin mucous membrane disease, more common in the elderly, skin diseases and large loss for the full blister, do not affect the surrounding skin, blisters formed after breaking large area of the wound, long course and prognosis than . Oral non-specific performance can sometimes stripping of gingivitis. Treatment to minimize or avoid systemic steroid use. Local available 2.5% prednisolone suspension plus 1% procaine injection. Gargle to disappear, anti-corrosion, liquid-based painkillers.
Subscribe to:
Posts (Atom)