Tuesday, September 23, 2008

Whether fertility marriage to vitiligo

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

Vitiligo prevention and Notes

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

Sunday, September 21, 2008

The type of psoriasis and psoriatic clinical symptoms

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

Saturday, September 20, 2008

How to combat age-related hearing loss

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

Friday, September 12, 2008

What is a gallstone and cholelithiasis

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

Gallstone be cancerous?

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

Monday, September 8, 2008

Lupus erythematosus to the prevention and early detection?

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

Nursing conventional systemic lupus erythematosus

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

Saturday, September 6, 2008

Why change will cause heart disease encephalopathy lead to epilepsy

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

Febrile seizures and epilepsy ties

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

Friday, September 5, 2008

Four dangerous complications of gout

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

What is gout gout at which several types

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

Thursday, September 4, 2008

Hyperthyroidism the diagnosis and differential

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

Monday, September 1, 2008

How self-discovery thyroid disease ?

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