Cataract surgery procedure

I. Introduction of Dongfeng General Hospital of Sinopharm:
Ophthalmic strength
to
Created in 1927
have
Over 100 years of history
Won the first half of 2019
8th in the province for the performance evaluation of surgical professional medical services
Dongfang General Hospital
Advanced Group of Excellent Service
DRGS Management Winner
Quality care benchmarking department, etc.
Multiple awards in and out of the hospital
2. Sinopharm Dongfeng General Hospital launched a high-end cataract lens activity to solve multiple problems in one operation.
two,
Expert Introduction-Doctor Wen — Doctor, Chief Physician, Associate Professor
(1) Position and title:
Administrative position: Deputy Director of Ophthalmology, Teaching Title: Associate Professor, Doctor Title: Chief Physician,
(2) Graduation school:
1. Master of Tongji Medical College, Huazhong University of Science and Technology, under the supervision of Professor Zhang Mingchang, the director of ophthalmology of the well-known national ophthalmologists Union Hospital — PhD supervisor
2. Doctor of Ophthalmology, Wuhan University, under the supervision of Professor Xing Yiqiao, Director of Ophthalmology of Provincial People’s Hospital, a famous national ophthalmologist, who will serve as the general manager of Aier Eye Central China after retirement
(3) Clinical learning experience
1. Wuhan Concorde Hospital for further studies and studies for nearly four years
2. Hubei Provincial People’s Hospital
3, Changsha Aier ophthalmologist from the United States returned to the postdoctoral professor Tang Qiongyan, learning refractive cataract surgery, hands-on practice and teaching, to develop strict surgical habits.
4.
Xuzhou People’s Hospital of Jiangsu Province
Learn from
Professor Zhu Ran, Director of Refractive Surgery Center (Participated in EVO ICL Surgical Video Elite Challenge and won NO1)
,
Director Cheng Lei,
Strict hands-on teaching, develop good quality of refractive surgery.
5. Once sent to a brother hospital by the hospital — Xinxiang Central Hospital of Henan Province as a teaching doctor, brought out a doctor of cataract phacoemulsification surgery, filling the surgical gap in the top three hospitals. Three leaders of the General Hospital praised.
6. He has participated in studies and academic conferences at famous universities such as Fudan University many times, and participated in learning activities in France and other European countries, which is in line with international high-end surgery.
7.
Passed the national medical equipment user business ability assessment test (PRK / LASIK doctor, technician), and obtained the refractive surgery qualification certificate
(4) Good at surgery
First, winning
In 2019, he was named the advanced worker of the total weight award for surgeons of Dongfeng General Hospital of Sinopharm, becoming the only female medical worker of the ten winners of the year.
Second,
Proficient in conventional cataract surgery, high-end lens surgery, ICL refractive surgery, and glass resection surgery
Nearly a thousand cases of cataract surgery in 2018-2019 were successfully carried out in Germany with ZEISS multifocal and single-focal lens surgery. Patient satisfaction was very high, and ZEISS staff in Germany also highly praised it.
Case 1, Germany Zeiss multifocal crystal case
The preoperative visual acuity of 0.08 cataract patients, the far, middle and near visual acuity of 0.8, 1.0 and 1.0 on the second day after operation greatly improved the quality of life of the patient, and the patient was very satisfied.
Case 2,
Zeiss
Unifocal crystal case
Preoperative visual acuity of 0.25, accompanied by 500-degree astigmatism in cataract patients, postoperative distance visual acuity of 1.2, the effect was surprisingly good, and even praised by German Zeiss staff.
Case 3: Case of cataract with ultra-high myopia
The preoperative visual acuity is more than 2,000 degrees, and the visual acuity is only a poor “index” level of cataract patients. The postoperative visual acuity reaches 0.3, which basically meets the patients’ daily work and life needs. The patient has always thanked the doctor and often thanked the doctor for bringing him light.
Second, corneal transplant surgery
Corneal transplantation performed independently, with excellent patient response
Third, others are good at surgery
1. Independent dacryocystorhinostomy, 2. Glaucoma surgery 3. Strabismus surgery 4. Other conventional ophthalmic surgery
Other good at,
Myopic degree control diagnosis and treatment, including orthokeratology configuration, high-end glasses configuration, and amblyopia treatment
(5) Paper publication
He has participated in research projects of the National Natural Science Foundation of China, and personally applied for youth scientific research projects, and published more than ten papers.
2, the entire process of cataract surgery, standing for the family
As people age, the saddest thing is that their hair is blank and their eyes are blank. When the crystals in the eyes are cloudy and white, they are most likely trapped by cataracts.
Cataract surgery we need to know these
1. 3 before surgery

Ophthalmology online registration process of Sinopharm Dongfeng General Hospital

I. Doctor Introduction
two,
Expert Introduction-Doctor Wen — Doctor, Chief Physician, Associate Professor
(1) Position and title:
Administrative position: Deputy Director of Ophthalmology, Teaching Title: Associate Professor, Doctor Title: Chief Physician,
(2) Graduation school:
1. Master of Tongji Medical College, Huazhong University of Science and Technology, under the supervision of Professor Zhang Mingchang, the director of ophthalmology of the well-known national ophthalmologists Union Hospital — PhD supervisor
2. Doctor of Ophthalmology, Wuhan University, under the supervision of Professor Xing Yiqiao, Director of Ophthalmology of Provincial People’s Hospital, a famous national ophthalmologist, who will serve as the general manager of Aier Eye Central China after retirement
(3) Clinical learning experience
1. Wuhan Concorde Hospital for further studies and studies for nearly four years
2. Hubei Provincial People’s Hospital
3, Changsha Aier ophthalmologist from the United States returned to the postdoctoral professor Tang Qiongyan, learning refractive cataract surgery, hands-on practice and teaching, to develop strict surgical habits.
4.
Xuzhou People’s Hospital of Jiangsu Province
Learn from
Professor Zhu Ran, Director of Refractive Surgery Center (Participated in EVO ICL Surgical Video Elite Challenge and won NO1)
,
Director Cheng Lei,
Strict hands-on teaching, develop good quality of refractive surgery.
5. Once sent to a brother hospital by the hospital — Xinxiang Central Hospital of Henan Province as a teaching doctor, brought out a doctor of cataract phacoemulsification surgery, filling the surgical gap in the top three hospitals. Three leaders of the General Hospital praised.
6. He has participated in studies and academic conferences at famous universities such as Fudan University many times, and participated in learning activities in France and other European countries, which is in line with international high-end surgery.
7.
Passed the national medical equipment user business ability assessment test (PRK / LASIK doctor, technician), and obtained the refractive surgery qualification certificate
(4) Good at surgery
First, winning
In 2019, he was named the advanced worker of the total weight award for surgeons of Dongfeng General Hospital of Sinopharm, becoming the only female medical worker of the ten winners of the year.
Second,
Proficient in conventional cataract surgery, high-end lens surgery, ICL refractive surgery, and glass resection surgery
Nearly a thousand cases of cataract surgery in 2018-2019 were successfully carried out in Germany with ZEISS multifocal and single-focal lens surgery. Patient satisfaction was very high, and ZEISS staff in Germany also highly praised it.
Case 1, Germany Zeiss multifocal crystal case
The preoperative visual acuity of 0.08 cataract patients, the far, middle and near visual acuity of 0.8, 1.0 and 1.0 on the second day after operation greatly improved the quality of life of the patient, and the patient was very satisfied.
Case 2,
Zeiss
Unifocal crystal case
Preoperative visual acuity of 0.25, accompanied by 500-degree astigmatism in cataract patients, postoperative distance visual acuity of 1.2, the effect was surprisingly good, and even praised by German Zeiss staff.
Case 3: Case of cataract with ultra-high myopia
The preoperative visual acuity is more than 2,000 degrees, and the visual acuity is only a poor “index” level of cataract patients. The postoperative visual acuity reaches 0.3, which basically meets the patients’ daily work and life needs. The patient has always thanked the doctor and often thanked the doctor for bringing him light.
Second, corneal transplant surgery
Corneal transplantation performed independently, with excellent patient response
Third, others are good at surgery
1. Independent dacryocystorhinostomy, 2. Glaucoma surgery 3. Strabismus surgery 4. Other conventional ophthalmic surgery
Other good at,
Myopic degree control diagnosis and treatment, including orthokeratology configuration, high-end glasses configuration, and amblyopia treatment
(5) Paper publication
He has participated in research projects of the National Natural Science Foundation of China, and personally applied for youth scientific research projects, and published more than ten papers.
Outpatient consultation steps
(1) Baidu map search ”
Dongfeng General Hospital of Sinopharm
“, Mobile navigation
(2) Mobile phone can also be registered, registration steps
Step one: WeChat scan to enter the registered platform
Step two: choose a service
Step three: make an appointment
Step 4. Please select a department
Step five, please choose a doctor — Doctor Ophthalmologist Wen
Step 6. Add “Eye Doctor Mailbox” consultation
Step 7. Press and hold to identify, enter “Doctor of Ophthalmology” Weibo, massive ophthalmology knowledge is waiting for you

Diagnosis and treatment of Hume disease

Hume disease
(Scheuermann) Yes
Adolescent spinal osteochondrosis, is
It mainly causes adolescent structural hump. In 1920, a stiff kyphotic deformity common to the thoracic spine or thoracolumbar of adolescents was first reported by Scheuermann of Denmark, called Scheuermann’s disease. Hume’s disease, also known as youthful humpback, vertebral epiphyseal osteochondritis, etc., are the most common diseases that cause humpback in adolescents, and they occur in adolescents aged 10-18. Males have a slight predominance and have a familial tendency to develop. The genetic pattern is not clear and may be autosomal dominant.
Clinical manifestations:
1. Hughmann’s disease is more common in adolescents, and often does not attract attention in the early stages of puberty. At the later stage of puberty, the kyphotic deformity of the lesion area becomes worse; 2. Patients usually present with pain in the middle and lower back or abnormal posture. The kyphotic deformity is usually curved. , Commonly known as round back deformity, if kyphosis occurs in the lower thoracic spine and thoracolumbar, the lumbar vertebrae compensatory lordosis increases; 3, kyphosis deformity can cause back pain. It is obvious after activity, after standing for a long time, and after sitting for a long time. Usually, as the growth ends, the aggravation of the deformity slows down.
Imaging of Hume disease
feature:
Vertebral wedge deformity, Schmorl nodules, irregular vertebral changes, endplate peripheral injury and disc damage.
Diagnostic criteria:
1, 3 or more adjacent vertebrae have wedge deformation of 5 ° or more; 2. Scoliosis, kyphosis, thoracic kyphosis> 40 ° or thoracolumbar kyphosis> 30 °, normal thoracic kyphosis It is 25-40 °; 3. Multiple adjacent vertebral endplates are irregular, Schmorl’s nodules form multiple adjacent vertebral bodies with stepwise changes in front or obvious irregular changes in the front of vertebral bodies; 4. No obvious trauma or other Pathological changes.
Differential diagnosis:
Postural kyphosis-kyphosis: 1. Slightly increased thoracic kyphosis, good mobility during clinical examination, easy to correct with prone overextension test; 2. X-ray film shows normal vertebral contour, no vertebral wedge deformation The kyphosis is more gentle than the kyphosis of the scotic disease;
Treatment programs:
1. Clinical follow-up observation; 2. Brace treatment:
Recommended to use Milwaukee braces, braces
Suitable for patients with immature bones and small kyphosis, combined with back muscle exercises; 3. Surgical treatment:
Scheuermann’s disease is rarely treated with surgery, only for stiff, symptomatic kyphosis (obviously deformed and progressive> 70 °). Surgical intervention is considered when conservative treatment fails.

Do patients with hepatobiliary tumors need to go to the hospital for review during the new crown pneumonia epidemic?

What is the prognosis of liver cancer patients?
In patients with liver cancer after radical surgery, the recurrence rate is as high as 70% within 5 years. The recurrence may be local, regional or distant metastasis, or all three.
The 5-year survival rate of liver cancer patients in China is only about 12.5%. This value is 30.1% in Japan and 27.2% in South Korea.
Patients with hepatobiliary tumors need regular review
For patients, regular review after discharge is important for the following reasons:

Comprehensive treatment is often used for tumor treatment, so after completing the first stage of treatment (usually in-patient surgery), the doctor will need to develop a corresponding postoperative treatment plan (chemotherapy, radiotherapy, molecular targeted therapy, etc.) according to the patient’s individual situation ;

At the same time, through regular review, doctors can understand the patient’s condition in time (such as nutritional status, adverse reactions to treatment, recurrence and metastasis, etc.), and take corresponding measures to promote rehabilitation.
Hepatobiliary tumor patients
What does a regular review include?
The following are the commonly used protocols in the clinic. The specific review content and time please follow the advice of the doctor;
Re-examination items may include medical history, physical examination, tumor markers (AFP, CA199, etc.), blood routine, liver and kidney function, chest CT, abdominal B ultrasound, liver MRI, etc .;
Review cycle:
1.
The first chest, abdominal and pelvic enhanced CT or liver MRI review was performed 1 month after the operation, and the CT or MRI examination was performed every 3 months within the next 2 years;
2. After 2-5 years, follow-up can be extended to once every 6 months, and once a year after 5 years;
Why the review will be postponed during the new crown prevention period
?
First, the occurrence and development of tumors are inextricably linked to patients’ immune deficiency, and their ability to resist disease is poor;
Second, anti-tumor treatment processes such as radiotherapy and chemotherapy may cause further reductions in patients’ immune function;
Third, new coronavirus pneumonia is an acute and serious infectious disease. Cancer patients have low immunity, and are at high risk of susceptibility to neocoronaviruses. Cancer patients are more likely to be infected, and the chance of severe pneumonia after infection is also higher. Needed at this time
Weigh the pros and cons
To comprehensively consider the benefits and risks to determine whether you must go to the hospital for review in the near future.
How do patients with hepatobiliary tumors choose to re-examine during the new crown epidemic prevention?
It needs to be determined according to the different circumstances of the individual patient, and cannot be generalized. According to the different treatment periods that patients are in, there are three general situations:
1.
How to review the completed tumor treatment?
The patient has previously completed surgery, radiation therapy, chemotherapy and other tumor-specific treatments, and is in the period of periodic review. The purpose of the review is to observe whether the tumor has recurred or metastasized.
In this case, the review can be postponed for a certain period of time, and generally does not affect the prognosis. For patients with elevated tumor markers before treatment, tumor markers can be dynamically checked monthly, replacing CT imaging and nuclear magnetic resonance imaging. If the tumor markers rise for two consecutive months, imaging studies are performed.
2.
How to review during tumor treatment?
This means that the patient is between two interventional or ablation treatments, or during chemotherapy, targeted medicine, and immunotherapy. This part of patients should be evaluated by CT, MRI, tumor markers, etc. At the same time, review of blood routine, liver and kidney function, electrocardiogram, etc. to evaluate safety.
Precautions:
It is recommended to try to do only necessary and urgently needed medical examinations and medical operations, and other items and operations to be done as often as possible.

In order to evaluate the tumor situation, first check the tumor markers. Those who are the same as before, the imaging examination is postponed as appropriate, and those who are significantly elevated, and then further imaging examination;

During the inspection, avoid personnel gathering, pay attention to waiting and disperse correctly, correctly distinguish the examination area of ​​fever and non-fever patients, wear masks throughout the process, maintain hand hygiene at all times, and complete protection when necessary;

In good condition and can be postponed appropriately;

Examine nearby, or consult a physician online;

According to the condition, choose a treatment plan such as oral medicine and targeted medicine with relatively mild adverse reactions as a transition period or maintenance treatment, and review it after the epidemic situation improves.
3.
How to review the critically ill patients?
If a tumor patient has an emergency, or the tumor develops rapidly, he needs to quickly evaluate the tumor situation and adjust the plan. He must go to the hospital for review.
It is recommended to go to the new coronary lung non-scheduled hospital whenever possible.

wear
Wear a mask and try to avoid taking public transport to the hospital;

As much as possible between people on the road and in the hospital

What is insomnia and how can it be improved and treated?

What is insomnia?
Insomnia is a problem of sleep. People with insomnia have difficulty falling asleep or staying asleep, or do not feel rested when they wake up. Insomnia has nothing to do with a person’s sleep time. Everyone needs different sleep times.
What are the symptoms of insomnia?
People with insomnia often:
Difficulty falling asleep or staying asleep
● Feeling tired during the day
● Forgetting things or thinking
● cranky, anxious, irritable or depressed
● Less energy or interest in doing things
● Easier to make mistakes or accidents than usual
● Worried about their lack of sleep
These symptoms can be so severe that they affect a person’s relationships or work life. Also, this happens even in people who seem to sleep long enough.
Should I test?
May not be needed. Most people with insomnia don’t need testing. Your doctor may only need to talk to you to tell what went wrong. He or she may also ask you to keep a log for 1 to 2 weeks per day to record how you sleep each night.
In some cases, people do need special sleep tests, such as “polysomnography” or “calligraphy.”
● Polysomnography-Polysomnography usually lasts all night and is tested in a sleep laboratory. During the test, a monitor is connected to your body to record movement, brain activity, breathing, and other body functions.
-Recorder-The recorder records activity and movement through a monitor or motion detector normally worn on the wrist. The test is done at home. It will record how much time you actually slept and when.
How can I improve insomnia?
You can do this by following good “sleep habits”, which means you:
● Sleep long enough for you to rest and get out of bed
● Go to bed at the same time every day
● Do not try to force yourself to sleep. If you can’t sleep, get up and try again later.
● Eat coffee, tea and other caffeine-containing foods only in the morning
● Avoid drinking in the afternoon, evening and bedtime
● Avoid smoking, especially at night
● Keep your bedroom dark, cool and quiet without any reminders of work or other things that may cause stress
● Solve problems before going to bed
● Exercise a few days a week, but not before bedtime
● Avoid looking at a glowing phone or reading device (“e-book”) before going to bed. This makes it more difficult to fall asleep.
Other things that can improve sleep include:
● Relaxation therapy, focusing on relaxing all muscles in the body
● Cooperate with counselors or psychologists to solve problems that may cause insufficient sleep
Should I go to the doctor?
Yes. If you have insomnia and bother you, see your doctor. He or she may have suggestions on how to solve the problem.
Are there medicines that can help me fall asleep?
Yes, there are some medicines that can help sleep. However, you should only try to use them if they still do not work after you have tried them. You should also not use sleep medications for long nights and evenings. Otherwise, you may rely on them to sleep.
Insomnia is sometimes caused by mental health problems, such as depression or anxiety. If so, you may benefit from antidepressants instead of sleep aids. Antidepressants usually improve sleep and can also help other worries.
Can I drink to help me fall asleep?
No, don’t use alcohol as a sleep aid. Even though alcohol can make you sleepy at first, it can interfere with sleep later in the evening.

Faces of this type of people like dark circles, acne, and pigmentation are the most popular patrons!

The older you grow, the more you discover
, Less and less days staying up late, almost every day
I don’t sleep until after 12.
No need to guess, you are all serious patients who stay up late!
So, today I have summarized several types of staying up late. Let’s take a look at which level of staying up late ~
Level 1 Night Runner
Reason to stay up all night: I ca n’t complete the planned learning goals every day, I planned a lot, and the result was stuck with high numbers and no solution. Only the English words memorized a few days ago were remembered.
For a small part, after finishing a set of questions, it is already two or three in the morning.
Level 2 stay up late
Reason to stay up all night: Lovers from different places can chat for hours after waiting for a day
They are glued together for 24 hours, and chat, video, and early morning are all routine operations.
The only thing that can stop them from chatting overnight
——Reluctant to stay up late.
Level 3 Night Runner
Reasons to stay up all night: In the eyes of people who do n’t know the truth, staying up late to sign up for the list is meaningless, but for the girl who chases the stars, this is simply a cloud party!
They flew overnight.
The bargaining chip of the call, the video cut all night is that they are helping for love.
Level 4 stay up late
Reasons to stay up all night: For the young people of social animals, staying up late is not a pastime, but a life force. At two o’clock in the morning, Party A’s father’s poster has not been completed
“Colorful black”, the file of the boss in the group @ has not been organized …
Level 5 stay up late
Reason to stay up all night: Only at night can you have your own time. It ’s three or four in the morning when I watch Weibo on Weibo. It ’s too late to sleep

But stay up all night and stay up all night
… Ah, no, it’s skin care and tears!
After staying up late for a long time, all the problems such as dull skin, uneven skin tone and fine lines came to my door.
But as a delicate girl, you must not lose on all occasions!
Therefore, for the skin that stays up late, we must come to a skin salvation!
How to save up late skin?
When you have to stay up late, pay attention to the following points to minimize skin damage.
1. Hydrate the skin more
After staying up late, the skin often loses a lot of water, dull and dull. Be sure to drink plenty of water instead of drinks.
Secondly, the quickest and most effective remedy is to apply a hydrating mask. The mask containing moisturizing factors is preferred.
Moisturizing factors are more easily absorbed by the skin, restore the moisture content of each layer of the skin, prevent the loss of water, quickly absorb, and deeply lock water.
2.Be sure to clean and maintain before going to bed late
Skin at night
From 10 o’clock to 2 a.m. the night will enter the night maintenance state. “Stay up late” must perform skin cleansing and maintenance during this time.
Completely remove makeup, choose soap-free amino acid cleansing products to avoid the burden of skin caused by residual makeup, and then apply water-locking and moisturizing products after cleaning.
Don’t be lazy, don’t wash your face after staying up late, and you don’t have to go to bed directly for skin care products.
After staying up late, the best protection is naturally
“Make up your lost sleep.”
If there is no time, noon
A 10-minute nap is also good.
3. Use skin care products with anti-aging ingredients
Good sleep plays a vital role in cell regeneration. Insufficient sleep can lead to aging of cells, loss of skin elasticity and wrinkles.
Night time is the best time for skin self-healing. You can use skin care products with anti-aging ingredients before going to bed.
4. Strengthen eye care
Often stay up late, the most likely to produce bags under the eyes, dark circles.
People have old faces and old eyes, so be sure to protect your eyes.
Eye cream containing moisturizing and anti-aging ingredients can be used to enhance the care of the eye skin.
Apart from these self-help methods, what else can we do?
Try the beauty program.
Water light needle
——Clear and elastic skin
When staying up late, the skin’s resistance is often weak, and the effect of water retention is also poor.
Shuiguang acupuncture is more suitable for dry and dehydrated skin. It can awaken the self-repairing ability of cells and make the skin drink water.
Photon Rejuvenation
——Even skin tone, yellowish face
Apply specific intense pulsed light energy to pass through the skin, and use the selective photothermal effect to evenly illuminate the broad-spectrum light on the skin. It works against pigmented lesions in the skin layer, improves the dullness of the muscles and uneven skin tone. Skin brightening.
Eye problems
Dark circles are acceptable
viva (nano RF dot matrix), or non-stripping dot matrix, gold RF dot matrix, super picosecond, of course, this can also be improved at the same time

Do patients with hepatobiliary tumors need to go to the hospital for review during the new crown pneumonia epidemic?

What is the prognosis of liver cancer patients?
In patients with liver cancer after radical surgery, the recurrence rate is as high as 70% within 5 years. The recurrence may be local, regional or distant metastasis, or all three.
The 5-year survival rate of liver cancer patients in China is only about 12.5%. This value is 30.1% in Japan and 27.2% in South Korea.
Patients with hepatobiliary tumors need regular review
For patients, regular review after discharge is important for the following reasons:

Comprehensive treatment is often used for tumor treatment, so after completing the first stage of treatment (usually in-patient surgery), the doctor will need to develop a corresponding postoperative treatment plan (chemotherapy, radiotherapy, molecular targeted therapy, etc.) according to the patient’s individual situation ;

At the same time, through regular review, doctors can understand the patient’s condition in time (such as nutritional status, adverse reactions to treatment, recurrence and metastasis, etc.), and take corresponding measures to promote rehabilitation.
Hepatobiliary tumor patients
What does a regular review include?
The following are the commonly used protocols in the clinic. The specific review content and time please follow the advice of the doctor;
Re-examination items may include medical history, physical examination, tumor markers (AFP, CA199, etc.), blood routine, liver and kidney function, chest CT, abdominal B ultrasound, liver MRI, etc .;
Review cycle:
1.
The first chest, abdominal and pelvic enhanced CT or liver MRI review was performed 1 month after the operation, and the CT or MRI examination was performed every 3 months within the next 2 years;
2. After 2-5 years, follow-up can be extended to once every 6 months, and once a year after 5 years;
Why the review will be postponed during the new crown prevention period
?
First, the occurrence and development of tumors are inextricably linked to patients’ immune deficiency, and their ability to resist disease is poor;
Second, anti-tumor treatment processes such as radiotherapy and chemotherapy may cause further reductions in patients’ immune function;
Third, new coronavirus pneumonia is an acute and serious infectious disease. Cancer patients have low immunity, and are at high risk of susceptibility to neocoronaviruses. Cancer patients are more likely to be infected, and the chance of severe pneumonia after infection is also higher. Needed at this time
Weigh the pros and cons
To comprehensively consider the benefits and risks to determine whether you must go to the hospital for review in the near future.
How do patients with hepatobiliary tumors choose to re-examine during the new crown epidemic prevention?
It needs to be determined according to the different circumstances of the individual patient, and cannot be generalized. According to the different treatment periods that patients are in, there are three general situations:
1.
How to review the completed tumor treatment?
The patient has previously completed surgery, radiotherapy, chemotherapy and other tumor-specific treatments, and is in the period of periodic review. The purpose of the review is to observe whether tumor recurrence or metastasis occurs
In this case, the review can be postponed for a certain period of time, and generally does not affect the prognosis. For patients with elevated tumor markers before treatment, tumor markers can be dynamically checked monthly, replacing CT imaging and nuclear magnetic resonance imaging. If the tumor markers rise for two consecutive months, imaging studies are performed.
2.
How to review during tumor treatment?
This means that the patient is between two interventional or ablation treatments, or during chemotherapy, targeted medicine, and immunotherapy. This part of patients should be evaluated by CT, MRI, tumor markers, etc. At the same time, review of blood routine, liver and kidney function, electrocardiogram, etc. to evaluate safety.
Precautions:
It is recommended to try to do only necessary and urgently needed medical examinations and medical operations, and other items and operations to be done as often as possible.

In order to evaluate the tumor situation, first check the tumor markers. Those who are the same as before, the imaging examination is postponed as appropriate, and those who are significantly elevated, and then further imaging examination;

During the inspection, avoid personnel gathering, pay attention to waiting and disperse correctly, correctly distinguish the examination area of ​​fever and non-fever patients, wear masks throughout the process, keep hand hygiene at all times, and complete protection when necessary

In good condition and can be postponed appropriately;

Examine nearby, or consult a physician online;

According to the condition, choose a treatment plan such as oral medicine and targeted medicine with relatively mild adverse reactions as a transition period or maintenance treatment, and review it after the epidemic situation improves.
3.
How to review the critically ill patients?
If a tumor patient has an emergency, or the tumor develops rapidly, he needs to quickly evaluate the tumor situation and adjust the plan. He must go to the hospital for review.
It is recommended to go to the new coronary lung non-scheduled hospital whenever possible.

wear
Wear a mask and try to avoid taking public transport to the hospital;

As much as possible between people on the road and in the hospital

Obesity is bad for your health, diet, exercise, and behavioral corrections are even key!

Being overweight means that your weight exceeds the “normal” range. You can determine whether you are overweight by calculating your body mass index (BMI). BMI is defined as weight (kg) / height (m) squared. BMI at 25-29.9kg / m
2
That is overweight, BMI is greater than 30kg / m
2
For obesity, BMI is greater than 40kg / m
2
(Or ≥35kg / m
2
And co-existing disease) is severe obesity. For both men and women, adult obesity can lead to a significant reduction in life expectancy.
mortality rate
Impact of BMI on mortality

In general, the larger the BMI, the higher the all-cause mortality and cardiovascular disease (CVD) mortality.
Incidence of complications
In addition to mortality, increased obesity and central fat distribution are also associated with increased morbidity. In fact, obesity has surpassed smoking as the number one cause of preventable disease and disability. Losing weight will improve most of these complications.
Metabolic risk
:diabetes,
Dyslipidemia
Cardiovascular
:
heart disease
,
Stroke
,
Venous thrombosis
Musculoskeletal
:
Osteoarthritis
,
gout
Gastrointestinal tract
:
Hepatobiliary disease
,Gastroesophageal reflux disease
cancer
: Endometrial cancer, gallbladder cancer, etc.
Reproductive effect
:
Obese women often have irregular menstrual periods and anovulation cycles, and their fertility may also decrease
Genitourinary system
:
Chronic kidney disease
,
Kidney stones
,
Urinary incontinence
Psychosocial function
:
The stigma of obesity
,
Depression
Respiratory system
:
Sleep apnea is the most important respiratory problem associated with obesity and diabetes
infection
:
Obesity is associated with increased susceptibility to infections, including postoperative infections, nosocomial infections, and skin and soft tissue infections
Skin changes
: Swelling
Treatment: The role of physical activity and exercise
The best way to deal with overweight and obesity is to start with a combination of diet, exercise, and behavior changes. Although exercise alone may be difficult to lose weight, exercise seems to have some benefits in reducing body fat. Increasing exercise based on dietary control has important benefits independent of weight loss. Physical activity can reduce the decrease in muscle mass caused by dietary control, which can improve physical function and insulin sensitivity. After weight loss, exercise has been an important factor in maintaining weight loss.
Physical activity plan
Increased levels of physical activity are beneficial to all groups of all ages and are particularly helpful in preventing obesity. There appears to be a dose-effect relationship between physical activity and weight loss, and achieving significant weight loss without dietary control requires a high level of physical activity. The best weight loss strategy is to use a diet to control calories in combination with a gradual increase in physical activity. Although weight loss does not necessarily require exercise, it is important to increase physical activity during weight loss so that the patient can maintain sufficient exercise to maintain weight loss. In addition, physical activity during weight loss may prevent fat loss.
Evaluation before exercise

The design of any exercise program should be consistent with the individual’s health and physical condition.
time for excercise

For capable individuals, walking 150-250 minutes per week (≥30min / d, 5-7 days per week) is beneficial for preventing weight gain and improving cardiovascular health. During the weight loss maintenance phase, most people require moderate-intensity activities greater than 60 minutes daily to successfully maintain weight loss.
Exercise type

Multi-component exercise programs that include aerobic and resistance training are preferred.
medical treatement
Drug therapy must be accompanied by a healthy diet, physical activity and behavior correction. Medication alone is usually ineffective. Overweight people should weigh the pros and cons before deciding whether to start medication.
Individuals suitable for medication

If BMI≥30kg / m
2
, Or BMI of 27-29.9kg / m
2
And if there is a weight-related coexisting disease, the weight loss goal is not achieved after a simple comprehensive lifestyle intervention (the overall weight is reduced by at least 5% at 3-6 months), and it is suitable for medical treatment.
Choice of drugs

Drugs for treating obesity include liraglutide (daily injection), orlistat, phentermine-slow-release topiramate compound (capsule), naltrexone-bupropion compound (sustained-release tablet), fen Temin, benzepheta

What exactly is Eaglevision at Assil Clinic in Los Angeles, USA?

First, where is the Assil clinic? Who is Dr Assil? What is Eaglevision surgery? Why mention this topic?
Assil Clinic is a private eye clinic founded by Kerry Assil, a refractive surgery doctor in Los Angeles, and Kerry Assil is the chief expert of the clinic’s main refractive surgery. He created the Eaglevision operation. He has performed surgery on well-known athletes, Hollywood stars and singers.
Eaglevision, in fact, is a name given to Dr. Assil’s own surgical method, which is an acronym for Elliptical-flap Aberrometry Guided Laser Enhanced Vision. Does not have universality, or rather the name of the manufacturer. In fact, the elliptic valve is made with intrase femtosecond laser, and then idesign is used to check the whole-eye aberration data, which is imported into VISX Star S4 IR for whole-eye aberration guided surgery.
Does this method seem familiar? Eaglevision’s domestic name is Extreme Femtosecond. Some netizens asked me that I was confused and went online to check. It was discovered that it was Dr. Assil who had recently performed a second enhancement surgery on a Chinese netizen and started to pay attention to the Chinese market. Weibo and Zhihu already have accounts, and it seems that the Chinese team is doing business promotion for its services. It seems that the foreign name Eaglevision is not convinced, so it ’s like smile is called full femtosecond, contoura is called carved, and it has a grounded name “extreme femtosecond”, but this name has nothing to do with Eaglevision, and it is also related to femtosecond The relationship is not that big. Using femtosecond flaps from other homes can also achieve the effect of Eaglevision.
This topic was brought up precisely because the Chinese patient posted his post-regret on the topic “Do you regret after myopia surgery?” Afterwards, I lost confidence in domestic hospitals and experts, and finally went to Assil Clinic in Los Angeles, USA, and was completed by Dr. Assil. Surgery, success story. In light of the fact that it appears that the patient is not the author of the article, and that this operation appears to be an EK operation completed in February, the recovery is relatively slow, and it is unknown whether the long-term visual quality has been greatly improved. Therefore, it needs to wait for its subsequent updates.
Our question is, is Eaglevision at Assil Clinic really better than China?
This surgical method is originally a highly identifiable surgical method. The reason is that other companies, such as Eagle Vision, Amaz, Zeiss, Nidec, Bausch & Lomb, fail to reach the prestige level of full-eye aberration guided surgery. Assil’s Eaglevision is actually nothing new, just like Eaglevision ’s corneal topographic guided surgery refurbishment is called contoura, and Air is called fine carving as a selling point. However, it is not easy to do well. This requires a doctor’s high sense of responsibility, detailed and accurate collection of full-eye aberration data before surgery, repeated checks to ensure data repeatability, and careful design of the surgical plan, and then meticulously implement it during the operation.
In fact, this excimer device has not been updated for ten years. This excimer device was once the biggest brand that swept China. In 2008, Eyesight, the agent of the Weishi brand, had issued training qualification certificates to ten experts in China, which meant that this excimer device had not been updated since at least 2008; the second meant that Chinese experts also had Dr. Assil has the same technology and philosophy. Among them, there are many industry leaders.
Chinese doctors who were certified by Vessel Equipment in 2008
However, the laser frequency of this device is too slow, only 60 Hz, while the current Armas, Epic EX500, and Zeiss mel90 have reached 500 Hz, and Armas even reached 1050 Hz. It is understandable that China is advocating speed, even small incisions, but not visual quality.
However, it is undeniable that the whole-eye aberration-guided surgery of Vessel equipment in the postoperative effect, targeted reduction of high-order aberrations, postoperative satisfaction rate from American scholar

Thin here, beautiful there, autologous fat transplantation you need to get

After the Spring Festival holiday, after more than a month of eating and drinking in the house, have the bodies of Meibao become plump and plump? Seeing that the waist is small, the season of long legs is coming again, but how can this body of fat elegantly welcome the summer?
Although you do n’t like the fat on your body, Dr. Feng Lige Yang Mingqiang will move it to the place where the body needs it. For example, filling the face with fat can make the face plump and younger; the fat will be filled into the chest and hips. Let women show their S-shaped figure with confidence.
About autologous fat transplantation, you
What issues are you most concerned about?
The following little knowledge will definitely help you.
1.
Is autologous fat transplantation a local or general anesthesia?
Dr. Yang Mingqiang:
Surgery under local anesthesia. General anesthesia is very damaging to the body. Except for deeper procedures such as bone cutting, endoscopes, and peeling, general anesthesia must be performed. Other cosmetic surgery items only need epidermal or local anesthesia.
2. Can anyone do autologous fat transplantation? Is there an age limit?
Dr. Yang Mingqiang:
Adults over 18 years of age can choose fat transplantation. But those who are too thin and have insufficient fat resources are not suitable for fat transplantation.
3. Does the transplanted fat cause rejection?
Dr. Yang Mingqiang:
Autologous fat transplantation is based on the subject’s own body, so the body does not produce rejection and adverse effects, and is very safe.
4. Are there fat risks?
Dr Yang Mingqiang
:
Infection, hematoma, skin ecchymosis, and uneven skin unevenness may occur after surgery. Therefore, it is recommended that you must find a professional doctor and formal medical cosmetic institution for autologous fat transplantation to reduce unnecessary postoperative risks.
5. What is the survival rate of autologous fat-filled fat?
Dr. Yang Mingqiang:
Fat survival does depend on a number of factors. The first is the factors of the seekers themselves. For example, some people are very thin and have little fat.
This lean physique determines that her fat is not so easy to survive.
Another influencing factor is the operation of the doctor. The operating environment must be safe and sterile and free from pollution. The length of the operation should not be too long, the fat extracted
The time for fat to be exposed in vitro should be as short as possible, because fat is removed from the body for a short time, and then injected back into the body to have good absorption.
6. In order to achieve satisfactory results, do I need to perform a second fat filling?
Dr. Yang Mingqiang:
The effect of autologous filling is not only related to the skill level of the doctor, but also related to the individual’s physical condition and postoperative care. If the effect is unsatisfactory or the recovery process is flawed, the fat can be refilled.
7. If the filling effect is not satisfactory, can I remove the fat?
Dr. Yang Mingqiang:
Facial fat filling often fills fat in different structural levels, but the facial tissue structure is complex. For the existence of some important structures such as facial nerves and muscles, it often makes it difficult to remove fat. Incorrect fat filling methods are likely to cause problems such as overfilling, unevenness, and fat shift, and are generally difficult to remove. Therefore, the amount of fat filling before surgery needs to be well grasped.

How to scientifically protect the skin in special periods!

Skin protection in the strict sense involves three different levels of measures, and the applicable population and scene are not the same, and must not be confused. include
clean
(Health Prevention)
,
disinfection
(Pollution elimination)
,
Nursing
(Illness Management)
:
First, clean the skin
It is suitable for preventive operation in most healthy people. Skin cleansing is a routine operation for all people during the epidemic. The first is the choice of cleaning agent. Detergent Contains
2
Species:
Soap-based cleaners and synthetic cleaners, ie
Soap and detergent (liquid)
. The first step in virus prevention is cleaning:
Facial cleansing
The face is directly exposed to the air and the risk of exposure to virus particles is high. Choose a cleanser that suits you, avoid using soap to clean your face, and rinse with running water.
Hand cleaning
Hand sanitizer or soap combined with flowing water for washing hands (using seven-step hand washing method), towels and paper dry or dryer to dry; hand sanitizer (alcohol-free hand sanitizer)
Hair torso
The number of baths in winter can be appropriately increased to once a day, and the water temperature does not exceed 40 ℃
Seven Steps to Wash Your Hands
Second, skin disinfection
Suitable for outgoing or contact skin
Pollution
Kill
. Identify or worry about contaminated skin exposed areas, then
Non-medical staff
The methods of disinfection are:
Oxidant
Iodine: Available in pharmacies. According to research on a new coronavirus, the virus was completely inactivated after 2 minutes of iodophor treatment.
Alcohol
75% ethanol (alcohol)
The solution can effectively prevent the infection of the new coronavirus. But because of its irritation
,
Disinfection of mucosal areas is not recommended.
Precautions for skin disinfection:
1. Thorough cleaning is the prerequisite to ensure the disinfection effect;
2. Correctly choose the type and concentration of disinfectant: often use ethanol for hand disinfection, the skin will be dry and rough due to degreasing, so skin conditioners such as glycerin can be added;
3. Alcohol is flammable. When using alcohol at home, keep away from fire
; Keep alcohol stored at home away from fire sources, and do not put it in places close to fire sources such as kitchens;
4. Disinfectant should have sufficient action time: usually 1-5 minutes.
Third, skin care
Reduce skin damage from protective measures.
After the skin has undergone the cleaning agent disinfection process, the sebum membrane barrier will be damaged to a certain extent and become fragile. If the correct care and moisturization are not performed in time,
,
Easy to cause skin damage
.
Therefore, after doing a good job of disinfection of the cleaning agent, special attention should be paid to skin care and skin moisturization.
Healthy skin
Dry skin: choose an emulsion or cream with high oil and emulsifier content;
Oily skin: Choose a lighter emulsion or cream with a small amount of oil or emulsifier
Mixed skin: dry cheeks, strong oil secretion in T zone, choose different moisturizers for external use
Diseased skin
It can be applied with a long-lasting and non-irritating cream or emulsion, such as vitamin E cream, sheep oil, vaseline, and hand creams and moisturizers containing urea or ceramide.
Therapeutic treatment that has been impaired or in a disease state,
Best to follow the doctor’s advice
.
Here are some common skin injury symptoms and treatments
:
Symptom graph source network
The last thing to remind is:
Numerous medical studies have shown that mental factors play an important role in various skin diseases such as neurodermatitis and psoriasis. Therefore, in this very period, it is important to reduce and avoid anxiety and depression.
wish everybody:
Facing the virus,
Scientific protection, active response, work, study and live happily and healthily!
main reference
Dermatology-related protection and diagnosis and treatment in the prevention and control of new coronavirus infections. Dermatology Branch of Chinese Medical Association
. 2020
year
2
month
5
Released on
.

Man’s head is completely closed, how will it produce hydrocephalus?

Mr. Zhang did some time ago in the case of obvious incentive, sudden headache, nausea, vomiting, due to the importance and impact of the epidemic is not added, and did not go to the hospital. Until recently the symptoms have worsened, and even appeared in vision problems, see things diplopia, can be seen as a two. Rushed to the hospital, from eye examinations to neurosurgery, and finally diagnosed as hydrocephalus, or neurosurgery very common communicating hydrocephalus.
Many people may not understand it, what is hydrocephalus? Man’s head is completely closed, how will it produce hydrocephalus?
In fact, this ”
water”
Nor that ”
water

But the cerebrospinal fluid, the head is closed, and certainly not from the outside. The human brain is the most productive metabolic organ, moisture content up to 70%, and our brains have two circulatory system: blood circulatory system and provide nutrition cerebrospinal fluid circulation system, circulatory system waste generated by the backflow of blood through the artery with venous blood go, cerebrospinal fluid circulation system in addition to the nutritious effect on the brain, but also take away the waste produced in the brain.
To produce hydrocephalus and cerebrospinal fluid recirculation systems, cerebrospinal fluid from the production, circulation, and then the absorption process, the total amount of normally maintained at a stable level, and the time is in a dynamic equilibrium. If and when the cerebrospinal fluid circulation system problems, due to all causes cerebrospinal fluid circulation path is blocked, resulting in cerebrospinal fluid increased, and the normal cycle and can not be absorbed, then it will produce hydrocephalus. In layman’s terms, just as the river was blocked, the river will rise will form a lake.
When hydrocephalus more and more, will further increase pressure on the brain, leading to brain tissue is compressed, the patient may cause headache, vomiting, pale face, cold sweat, irritability, coma, visual disturbances and other symptoms, severe cases It can also produce symptoms such as disturbance of consciousness and spirit.
Of course, in today’s highly advanced medical treatment of hydrocephalus has been very mature. Clinical commonly used shunt and endoscopic gastrostomy nerve, both have their own advantages, which, let the experienced neurosurgeon, a comprehensive analysis of the specific choice of the patient’s condition, and then select the most reasonable surgical approach.

Aplastic anemia with how care after cord blood transfusion? Shishu Rong studio finishing

Aplastic anemia is a bone marrow tissue from a variety of causes significantly reduced, anemia, hematopoietic failure occurs. Cord blood can be made by infusion of umbilical cord blood hematopoietic stem cells, progenitor cells easily implanted within a patient and the bone marrow proliferation.
Cord blood collection
Select No acute or chronic infectious diseases term maternal health and obstetric complications in the fetus after selected coarse umbilical umbilical vein, needle after local disinfection with routine 12, closed blood bag into sterile anticoagulant, ACD-B blood preservation solution 4.8g / L, glucose 14.7g / L, the stopped blood placental separation, cord blood detector 4 of five blood (hepatitis B, hepatitis C, hepatitis, HIV, syphilis) are taken refrigerator spare.
Infusion method
Select the same blood type, crossmatch patient consistency of the input, the routine use of cord blood prior to transfusion dexamethasone 15 to 30 minutes prior to intramuscular injection or intravenous injection 5mg 25mg isopropyl Zhen blood to prevent transfusion reactions. While continuing to take patients with aplastic anemia Blood film and other drugs. A placenta cord blood collected as 1 unit (average 80 ~ 120ml), infusion of 1 ~ 2 times a week, every 2 units, in each case enter at least 8 units, up to 28 units of the infusion, an average of 16 units .
Good psychological care before transfusion
Umbilical cord blood to carry out short, some patients and their families to worry about exports caused by umbilical cord blood-borne diseases, do not understand the clinical value of cord blood, we patiently patients and their families made it clear in the delivery of the baby cord blood is drawn off the umbilical cord blood, because the placenta’s defenses, can prevent bacteria and viruses into the umbilical cord blood, blood transfusion safer than the whole, and umbilical cord blood is rich in hematopoietic stem cells and various hematopoietic stimulating factors, stimulate AA patients hematopoietic tissue and restore normal hematopoiesis Features.
Select the correct puncture site
The patients were intravenous drip, the choice table looking at the large blood vessels, AA patients had varying degrees of anemia, bleeding tendencies and manifestations, should avoid puncture of skin bruising and bleeding after needle injection to longitudinal press skin and the needle point of the straight pipe 3 to 5 minutes, massage prohibited, to avoid damage to the intima.
Minimize damage to red blood cells
After about 79% red blood cell transfusion to survive normally. This is because the blood transfusion process, leading to many factors red small chest injury.
(1) pressurized vortex formed paralysis transfusion increased shear stress, it can be subjected to increased brittleness when red blood cells from the surface of the strong shear stress and damage caused hemolysis;
(2) blood flow can also cause damage to the red blood available through small-bore needle.
(3) wall thoroughly washed with saline glucose, red blood cells may occur cohesive, reduced red blood cell survival.
For the above, we take the following measures
(1) controlling the drip rate in drops of a 30 to 40 minutes.
(2) the smaller vessel or pediatric patient, using a puncture needle 7, the middle-aged patients with puncture needles No. 8.
(3) reasonable arrangements transfusion order to avoid the application of blood transfusion after transfusion, the speed should be slow flushing with physiological saline.
(4) adjustment of Murphy’s dropper liquid to 2/3 height.
So, I think in addition to the routine use of dexamethasone or a large number of Flanagan repeated infusions of cord blood or cord blood transfusion profiled in patients with stable vital signs may cancel routine transfusion medicine, directing them to the cord blood. Due to the small number of cases observed, do not yet definite conclusions.
Special Note: this site is for reference only, not as a diagnostic and medical basis.

Vitiligo can be cured

Vitiligo is a skin illnesses, many people are for white spots are more afraid of. Especially when the white spot appears in the exposed parts of their psychological harm to patients is relatively large. Because it will spread, the treatment cycle is long, many patients worry about disease treatment. In this regard vitiligo can be treated right? Here’s a look at it.
Vitiligo is due to the lack of melanin in the skin caused by white, usually with the continuous development of the course, which will increase the difficulty of treatment. But also to grasp the opportunity to promote the quality of the recovery disorders. In the early onset of vitiligo, the white area is relatively small, and there are no lesions at the complete destruction of melanin, so if timely treatment is good to promote the recovery disorders. So pay attention to timely discovery of the body white spot symptoms and timely treatment of selected scientific method of treatment.
Vitiligo is not an incurable disease, relative to other diseases whose treatment is very difficult. This requires patients to pay attention to maintaining good patient treatment. Depending on the condition to choose their own treatment, so as to stabilize the disease, promote diseases treatment. Particularly in the face of the severe stages, patients not to give up Suiyu interruption of treatment, etc., so as not to lead to recurrent disease, but will be worse.
For the treatment of vitiligo should pay attention to combining prevention with control, the cause of vitiligo is a complex disorder, which is vulnerable to stimulate adverse factors, so the choice of professional treatments at the same time, patients also need to pay attention to good daily care disorders, enterprises are able to very good promotion disorder treatment. Such as diet, rest and attitude adjustment, etc., are needed to pay attention to the patient’s care.
Through the above description, patients hope to be noted that, for the treatment of disorders have confidence, adhere to the scientific method of treatment, to shake off the disease problems.

Care of patients with lung cancer

(1) day care
1. bedsore prevention: nutritional status of patients with advanced lung cancer is generally poor, sometimes complicated by systemic edema, easy to produce bedsores, and rapid expansion, it is difficult to cure, prevent bedsores is particularly important. Reducing local pressure, time and changing body position, body pressure areas with paving balloon, soft pillows, etc., to avoid prolonged pressure. Keep the skin clean, especially for incontinent patient, keep beds clean, smooth, skin ulceration application of heat lamp irradiation, partial drying maintained.
2. relieve symptoms: fever is one of the main symptoms of lung cancer, should instruct patients to keep warm, prevent colds, avoid pneumonia; for irritating cough, cough suppressants can be given; patients with persistent cough at night, drink hot water, to reduce irritation of the throat portion; should be given if hemoptysis hemostatic, a large amount of hemoptysis, immediately notify the physician, while the patients head to one side, the timely removal of blood in the mouth to prevent choking, and assist medical rescue.
3. The condition observation and nursing: advanced lung cancer patients often have different parts of the transition, causes different symptoms, should be observed given appropriate care. Such as liver, brain metastases, there may be a sudden coma, convulsions, blurred vision, nurses should be given timely detection of symptomatic treatment. Bone metastases should strengthen physical protection, obstruction of abdominal metastasis often occurs, the patient should be observed without abdominal distension, abdominal pain and other symptoms due to weakness, fatigue, reduced activity and other reasons, patients often present with constipation should be given prompt enema or slow purgative laxative. Due to malnutrition, low plasma protein can be edema, should increase by nutrition, Taigaohuanzhi and other measures to reduce edema.
4. Psychological care: patients with advanced lung cancer experience anxiety, fear, sadness and other psychological, often appear cold, lonely, we have a high degree of compassion and sense of responsibility, and strive to create a warm and harmonious environment for the cultivation of the patient, placed in single room, language cordial, sincere, encourage patients to express their psychological feelings, timely enlighten, the initiative to introduce the condition improved information to patients. For patients with advanced lung cancer care mainly to control symptoms and reduce the suffering of patients, their accomplishment create a comfortable environment for the patient greatest spiritual support and psychological comfort. Further conditioning can also be anticancer medicine, medicine although the effect quickly, but is very unstable, easily relapse, and side effects, easy to produce drug resistance, only palliative.
(2) post-operative care
After lung cancer surgery, the patient should ban smoking, so as not to promote relapse. There lung function decline, to guide the patient to gradually increase the amount of exercise.
Patients should always pay attention to the recovery of the patient, if relapse, immediately to the hospital for a physician consultation to decide whether radiotherapy or chemotherapy.
Easy to violations of squamous cell lung surgery causing localized intrathoracic recurrence.
Or undifferentiated lung carcinoma readily distant metastasis, as transferred to the lymph nodes, bone, liver, brain and contralateral lung.
Should always pay attention to patients with and without fever, severe cough, sputum, blood, shortness of breath, chest pain, headache, visual changes, liver pain, bone pain, supraclavicular lymph nodes, hepatomegaly, hair concept above symptoms should go to the hospital . At the same time, the patient should go to the hospital regularly for chest fluoroscopy, and stay fresh investigation of cancer cells in sputum.
(5) lung cancer patient home care and common sense
In addition to observation of patients with or without cough, expectoration, external anomalies hemoptysis, chest pain, chest tightness, shortness of breath, fever, etc., but also pay special attention to whether the dysphagia, hoarseness, head and neck and upper limb edema or ptosis. Such as difficulty swallowing, you are prompted to tumor invasion or compression of the esophagus; such as hoarseness, suggesting that the tumor is directly or indirectly recurrent laryngeal nerve compression; such as head and neck and upper limb edema, and chest congestion and varicose veins appear Department, and accompanied by headache , dizziness or vertigo, is prompted to place the vena cava syndrome; upper eyelid and lung cancer appear as ipsilateral ptosis, enophthalmos, miosis, forehead, upper chest and do not sweat, prompting Horner synthesis occurs sign.
In this article from the network, only for sharing, if infringement, please contact us to delete processing of ~

After washing hands, hands are dry, red, itchy how to do a little bit?

Recently, some friends advice: “I’m late January, hands inflammation (? Soap, disinfectant wash their hands often and more, with or without association), see pictures, some itching …… Japan smear cream for eczema, I do not know the effect is not very significant. what kind of cream should be applied? I went to the pharmacy to buy China. ”
Friends usually very great importance to personal cleanliness, vaccination should be required, but wash your hands! So hand skin becomes dry, red, itchy! The key to the treatment and prevention of hand washing is reasonable, strengthen moisturize, repair the skin barrier.
Normal skin, even the diameter of the water molecules are less accessible than 1nm in diameter up to 60-140nm the novel coronavirus in fact, difficult to enter the body through the skin, so the skin is an important line of defense to protect the body against the virus invasion.
Excessive cleaning, especially long-term excessive cleaning, will damage the skin barrier structure (mainly stratum corneum), reducing the skin barrier function, so usually not easy to enter the skin material can also be easily entered. The skin is extremely dry, chapped also appeared, this time not to mention the small molecule virus can easily enter, larger molecular weight bacteria can also drive straight!
Therefore, a reasonable clean, timely moisturize, repair and consolidate the skin barrier is repaired and the consolidation of an important line of defense against virus invasion.
In order to avoid human injury hand skin, self-destructive viruses important line of defense, ordinary people should pay attention to:
After 1, are not to wash their hands with soap or each hand sanitizer, only when a company or to the home from the outside, or in contact with foreign objects, before eating, or touch the eyes, nose and mouth and other parts of the former, with the soap or hand wash wash hands thoroughly, especially eating or contact with eyes, nose and mouth and other parts of the former, other times just a simple clean water can be.
2, using soap or hand sanitizer after washing hands thoroughly, then you do not need alcohol or other disinfectant hand disinfection skin, otherwise it will further damage the skin barrier.
3, after each hand washing or hand disinfection skin, apply sufficient quantities are sealed, uncontaminated moisturizing hand cream to help the skin retain moisture, repair and consolidation of the skin barrier.
4, before going out, or in contact with foreign objects, remember to check whether the intact skin of the hand, if it is damaged (e.g., paper scratching, needle pricked) or inflammation (particularly large area), the best way is to wear gloves protection and not wash their hands!
5, with particular emphasis on prevention of foreign wash their hands may and they are generally accustomed to eating with bare hands (especially common bread), cut off from the terms of the effectiveness of the control transmission of the new crown pneumonia necessary, and wear masks (high-risk environment also need goggles) sure beats wash their hands.

General treatment of lung cancer – surgical treatment

The method of treatment of lung cancer, in addition to Ⅲb or Ⅳ should seek surgical treatment or surgical treatment, comprehensive treatment Zhuojia radiation therapy, chemotherapy and immunotherapy depending on the tissue type and other pathology. About survival after surgery for lung cancer, the country has reported three-year survival rate is about 40% – 60%; five-year survival rate is about 22% – 44%; operative mortality below 3%.
(A) surgical indications
With the following conditions can be used for general surgery:
1. No distant metastasis, including parenchymal organs such as liver, brain, adrenal gland, bone, lymph nodes outside the chest;
2. No cancer tissue invasion to adjacent organs or by diffusion into the chest, such as the aorta, superior vena cava, esophagus and malignant pleural effusion and the like;
3. No severe cardiopulmonary dysfunction hair of angina or in the near future;
4. No severe kidney disease and severe diabetes.
Have the following conditions should be careful for general surgery or the need for further examination and treatment:
(1) an old, tired with poor heart and lung function;
(2) In addition to the small cell lung carcinoma I should first of chemotherapy or radiotherapy, and then determine whether surgery;
(3) x-ray findings except primary mediastinal tumor metastasis also several suspicious.
At present, the academic community for the surgical treatment of lung cancer has been relaxed to testify, as well as for some of the large blood vessels in patients with distant metastases isolated intrathoracic infringe, as long as physical conditions permit, some scholars also believed to surgery, and related exploration and the study.
(Ii) exploratory thoracotomy indications
Where there is no contraindication for surgery, diagnosed as lung cancer or high suspicion can be selected according to the specific circumstances of surgical lung cancer, if they intraoperative findings beyond the scope of the lesion resectable primary cancer but should still resected primary tumor resection, which said for the reduction surgery, but in principle for the whole lung resection adjuvant to other therapies.
(Iii) the choice of surgical lung cancer
According to 1985 cases of lung cancer staging of international ⅠⅡ and Ⅲ stage lung cancer, where no surgical contraindications Both of surgery can be used. Surgical resection is the principle: the complete removal of lymph node metastasis may in the primary tumor and chest, and retained normal lung tissue as possible, pneumonectomy should be careful.
1. Local excision: means Aikuai wedge resection and lung resection i.e. for very small primary cancer frail poor lung function or well-differentiated malignant cancer, etc. can be considered for the lower partial lung resection ;
2. lobectomy: For isolation of peripheral lung cancer, within a restricted lobe lymphadenopathy no viable lobectomy. If the cancer involving two intermediate lobe bronchus or the middle or the lower middle viable two leaves pneumonectomy;
3. sleeve lobectomy: This procedure applies to the multi-right middle lobe lung cancer, such as cancer in the lobe bronchus and bronchial involvement leaf opening sleeve lobectomy feasible;
4. pneumonectomy: Where extensive lesions can seriously consider rows with pneumonectomy the above method can not excision of the lesion;
The removal and reconstruction carina: lung tumors than main bronchus or trachea carina sidewall but involving more than 2cm: ① may be keel resection and reconstruction of formula or sleeve pneumonectomy; ② If also retained when one lung then strive to retain. Surgical procedures can be based on the circumstances.
(Iv) re-surgical treatment of lung cancer or recurrent
1. Although surgical resection of the tumor can be, but there are residual cancer, or regional lymph node metastasis, thrombus, or the like in the presence of a blood vessel, a very high probability of recurrence. Handle multiple primary lung cancer: a diagnosis of multiple primary lung cancer who were treated according to the principle that a second primary tumor treatment.
2. The process of recurrent lung cancer: Lung cancer is called recurrent refers foci occur within the range of the original scar or intrathoracic foci associated with recurrence of the primary tumor, called recurrent lung cancer. Which the patient should be based on principles of cardiopulmonary function and surgical excision range can be determined.
In this article from the network, only for sharing, if infringement, please contact us to delete processing of ~

Doctors bluntly: no symptoms of early lung cancer! Only one check can “ferret out” it

Who lung cancer like it?
First, the elderly, because the body’s own cancer cells are mutated, the greater the age, the more chance cells mutated! Forty years ago, few of us have heard of cancer patients, it is because at that time behind the medicine, the average life expectancy is short, a pneumonia necessary to human life, and now with social progress and medical advances, our average life expectancy increasingly longer. Now China’s average life expectancy of 76 years for males, female 79 years old. Guangzhou people’s average life expectancy has reached about 81 years old. Older, more opportunities to mutate cells, tumor chance to get big.
Second, long-term living in a polluted environment of people, which include outdoor air pollution and indoor air pollution, such as smog smoke caused by smoking, secondhand smoke, cooking fumes gas, housing decoration materials pollution.
Third, patients with chronic lung diseases such as tuberculosis, chronic obstructive pulmonary disease. Tuberculosis patients after treatment of tuberculosis does not shrink or calcification must pay attention to whether the conversion of lung cancer!
Fourth, the immediate family (including parents, siblings) who have a history of cancer, particularly lung cancer should pay special attention.
Fifth, people love sulking long, long love sulking, lonely introverted character also known as the “cancer personality” in the chance encounter emergencies and unexpected troubles against lung cancer is significantly higher than normal.
No one wants to get lung cancer, but also five kinds of people more often than not they can choose.
At present, whether in the world or in China, the incidence and mortality of lung cancer ranks first in cancer. 2017 Chinese new-onset lung cancer patients with more than 800,000 deaths of nearly 700,000, accounting for 40% of global lung cancer patients is expected to Chinese annual new 2025 lung cancer patients will reach one million, accounting for 50% of global lung cancer patients, our most unwanted first in the world! Currently, in addition to smokers lung cancer patients, a growing number of non-smoking patients, female patients, younger patients.
22-year-old woman with advanced lung cancer! 25 year-old male with advanced lung cancer! 46-year-old national heroes, advanced lung cancer, from admission to death was found just 10 days! These horrific examples often appear in all field of vision!
Lung cancer, how far away from you?
The main etiology of lung cancer smoking, environmental pollution and occupational exposure, chronic lung disease, and genetic susceptibility. Smoking is the first in which the incidence of lung cancer risk factors, the probability of lung cancer in smokers than non-smokers more than 10 times. The risk of non-smoking women whose husband was smoking and lung cancer will increase by 30%. Especially the “three 20” crowd, that people smoking more than 20 years, 20 years of age start smoking crowd of people smoking more than 20 cigarettes a day, are at high risk of lung cancer.
Currently 80% of all lung cancer found that a late, which means that when it is found that most people do not treat survival of only 3-5 months, even if the treatment, the average survival time of only 11 months, and spend an average of 100,000 yuan. If they can find early lung cancer, after a comprehensive treatment based on surgery, 90% of the people can live more than 10 years!
I am often asked, What are the early symptoms of lung cancer? I have repeatedly stressed: no early symptoms of lung cancer! Only chest CT can detect early lung cancer!
It is recommended that more than four-year-old crowd, should give lung cancer screening done annually – Chest CT. Current low-dose CT has little effect on the human body! Radiation ray radiation is 0.02 ~ 0.1 mSv, low-dose CT may be less than the amount of radiation 1mSv radiation, corresponding to the natural radiation (radon radiation existing in nature) 100 days, which harm the human body is almost negligible.
To prevent lung cancer science, in addition to do quit smoking, passive smoking rejected, attention and aggressive treatment of chronic lung disease, reducing indoor and outdoor air pollution, maintaining ventilation after home improvement, even outside regular medical screening every year, strive to achieve early detection, in order to obtain better treatment.
Lung cancer is a high incidence and high mortality, and the high cost of the disease, so it should be to look at the prevention and early diagnosis. High-risk groups mentioned earlier can make lung cancer screening lung cancer early detection, early diagnosis, early treatment, so as to improve patient survival and quality of life after surgery, but also to reduce the enormous economic costs for the social cost of lung cancer.
In this article from the network, only for sharing, if infringement, please contact us to delete processing of ~

Differential Treatment of lung cancer – Chinese medicine treatment

According to TCM lung points, many types, corresponding to different types of treatments and prescriptions.
1. lung cancer – blood stasis
Symptoms: poor cough, chest tightness, gas hold back, chest pain has given place, such as the cone, such as thorns, sputum or blood dark, dark purple lips, tongue or dark ecchymosis, moss thin pulse string or astringent.
Governing Law: blood stasis, line gasification stagnation.
Prescription: Taohongsiwu decoction. The side with Siwutang transfer of blood stasis, together peach kernel, safflower, Dan, Cyperus, fumarate and the like meridians of, qi pain. By repeating hemoptysis, plus Puhuang dark color, multiple intersecting, agrimony, Panax, madder root Quyu hemostasis; stasis of heat, gas anshang see Jin day, Gaza Shezao by reference, TCS, habitat, Scrophulariaceae , Anemarrhena heat YangYinShengJin; eat less, fatigue, shortness of breath, Astragalus, Codonopsis, Atractylodes Qi and spleen.
2. lung cancer – lung phlegm Yun
: Cough, expectoration, gas hold, sputum quality sticky, white or yellow phase and sputum, chest pain, poor appetite pond, lassitude, dark tongue tongue, white or yellow thick yellow greasy greasy slippery .
Governing Law: qi expectorant, spleen dampness.
Prescription: Erchen co Gualouxiebai Banxia soup. Erchen dampness qi and phlegm, white engagement Gualouxiebai Decoction relieves congestion in the walker gas expectorant, Chest power. If you see the chest swelling, nausea, cough worse than can be added with Tingli jujube Xiefei Xiefei soup to the water line; sputum depression of heat, sticky yellow sputum difficult out who Jiahai clamshell, Houttuynia, Fagopyrum root, skullcap Qinghua phlegm; chest pain even, as obvious and stasis, add turmeric root, Corydalis stasis pain; Shenpi anorexia who Garcia Codonopsis, Atractylodes, spleen to help transport Gallus gallus.
3. Lung – Yin toxic hot
Symptoms: cough without sputum or less sputum, blood or sputum, hemoptysis and even then, chest pain, poor sleep soundly upset, fever, night sweats, or thermal potential Sheng strong, long protracted subside, thirst, large easy to knot, red tongue , thin yellow tongue, rapid pulse or a large number.
Governing Law: clearing away heat, detoxification Sanjie.
Prescription: Radix Radix decoction and Wuweixiaoduyin. Fang with Radix, Wang Zhu, Radix, licorice, mulberry, TCS, raw lentils clearing away heat; honeysuckle and wild chrysanthemum, dandelion, violet, Gynura detoxification Sanjie. If you see hemoptysis, plus optional habitat, rhizome, agrimony, Qian root, ginseng thirty-seven cooling bleeding; Gualou added dry stool, peach moistening laxative; Digupi plus fever, night sweats, Baiwei, Schisandra female infertility heat and sweating.
4. Lung – Yin Deficiency
Symptoms: cough, sputum less sticky or sputum thin, weak lower Kesheng, shortness of breath and promote end, lassitude, pale white, Xingshou evil wind, spontaneous perspiration or sweating, dry mouth, drink less, or light red tongue, pulse thin.
Governing Law: qi and yin.
Prescription: ShengmaiYin. The side with the lungs gas Codonopsis, Radix YangYinShengJin, Schisandra convergence lungs Jin, three drug combination, played Qi Gong YangYinShengJin.
In this article from the network, only for sharing, if infringement, please contact us to delete processing of ~

Complications of lung cancer

Most of the regional spread of the symptoms of lung cancer patients have chest pain has occurred, followed by hoarseness. Finally also lead to the face, neck edema, eventually, the occurrence of lung cancer in patients with regional spread of almost varying degrees of shortness of breath.
After lung cancer and often prone to some complications, which are formed with the patient’s own body and the extent of surgery factors, closely related mode. After common surgical complications and prevention methods are as follows:
(1) respiratory complications:
Such as sputum retention, atelectasis, pneumonia, respiratory insufficiency. Especially the elderly and infirm, the original chronic bronchitis, emphysema higher incidence. Because of wound pain after surgery, the patient can not do an effective cough, sputum left plot caused airway obstruction, atelectasis, respiratory insufficiency. Prevention is the patient can fully understanding and cooperation, actively carry out preparatory work before surgery, after surgery to encourage and urge them to take a deep breath and cough hard to effectively expectoration, nasal suction catheter feasible or bronchoscopy when necessary. Complicated by pneumonia should be actively anti-inflammatory treatment, when respiratory failure, often requiring mechanical ventilation.
(2) after surgery hemothorax and empyema bronchial fistula:
Its incidence is very low. After surgery hemothorax is a consequence of serious complications, requires urgent treatment, if necessary cross again in time to stop bleeding chest. When lung surgery, lung or bronchial secretions to empyema and pleural contamination. Except this time select effective antibiotic treatment, timely and thorough pleural puncture pus extremely important. Ineffective may be considered closed thoracic drainage. Postpneumonectomy retained bronchial stump, and hypoproteinemia improper operator may bronchial stump healing or fistula formation induced after surgery. In recent years, the occurrence of these complications has been greatly reduced.
(3) cardiovascular complications:
Frail, surgery stretch stimulation of mediastinal and hilar, hypokalemia, hypoxia, and often become the cause of bleeding. Common cardiovascular complications after surgery have low blood pressure, cardiac arrhythmia, cardiac tamponade, heart failure. For elderly patient with heart disease before surgery, cardiac dysfunction by surgical indications should be strictly controlled. Note gentle surgery operation. After surgery to keep the airway open and adequate oxygen, close observation of blood pressure, pulse changes, replenish blood volume. After surgery the infusion rate should be slow, balanced, to prevent excessive, excessive induced pulmonary edema. At the same time as the ECG, if unusual, according to the disease in time. Elderly patient often accompanied by hidden coronary heart disease, surgical trauma of a variety of stimuli can induce acute attack, but in the clinical division under intensive care and timely treatment can save the day.
In this article from the network, only for sharing, if infringement, please contact us to delete processing of ~