Want to contain leukemia, take a look at these “signs”!

Xiebeilu studio WeChat add369456 In recent years, the number of people suffering from leukemia has been increasing, and the prevention and control situation is still grim. With the continuous development of medical standards, the survival rate of leukemia patients has increased significantly, but at the same time, it has also become a hidden health risk for cancer survivors.   Cancer cell damage is often irreversible, so early screening, early warning, and timely intervention have become one of the important cores of leukemia.   So how to contain leukemia, take a look at these leukemia markers! In the early stage of leukemia, symptoms of pain in the bones and joints of the extremities often occur, and there may be spot bleeding, dry bleeding such as nose bleeding, gum bleeding, but because the symptoms are not obvious, many people ignore it, but this situation is best Go to the hospital for examination early. If you often feel nausea and vomiting or headache is one of the symptoms of leukemia, especially persistent, this situation should be more vigilant, go to the hospital as soon as possible, do not blindly take pain medicine To avoid affecting inspection and treatment. In conjunction with the treatment, we must ensure adequate rest and maintain a stable mood.   Leukemia is best detected and treated early, so as to reduce the damage to the body. With current medical methods, the most important thing is to treat it with drugs, or choose the appropriate treatment method according to the specific situation of the patient.

Falling into the abyss of blood transfusion, it happens once a week. Where do the patients with aplastic anemia go?

Xiebeilu studio WeChat add369456 Aplastic anemia is generally very long and will recur. Therefore, it is necessary to take medicine to maintain, but long-term use produces drug dependence, which in turn hurts the liver and kidneys. And some patients are also prone to bleeding, often need continuous blood transfusion, trapped in the abyss of blood transfusion, what should I do? Long-term use of hormone drugs, common adverse reactions can be seen in Cushing’s syndrome, hyperlipidemia, hypertension, hyperglycemia, atherosclerosis, gastrointestinal ulcers, bleeding, weakened immunity, easy infection, delayed skin wound healing , Erythema, perioral dermatitis, femoral necrosis, muscle atrophy, osteoporosis, cataracts, glaucoma, sodium water retention, hypokalemia, hypogonadism, delayed puberty, oligomenorrhea or amenorrhea.   In fact, in order to treat patients, some doctors will abuse antibiotics. Not only does it not improve, but it has a negative effect on the patient’s condition and affects the recovery of the condition. Therefore, while using conventional Western medicine, Chinese medicine can be used as an auxiliary. Many Chinese herbal medicines have the effects of nourishing kidney and filling essence, benefiting marrow and blood, strengthening spleen and qi, clearing heat and detoxifying. The treatment of aplastic anemia can reduce the toxic and side effects of Western medicine on the body and regulate Liver and kidney, better cure aplastic anemia.

Female leucorrhea is brown and needs to be alert to pathogen infection

Leucorrhea is a viscous white liquid that flows out of the female vagina. It is a mixture of the secretions of the vestibular gland, cervical glands, endometrium and vaginal mucosa, and the exfoliated vaginal epithelial cells. Made. Leucorrhea contains lactobacilli, lysozyme and antibodies, which can inhibit the growth of bacteria. In the course of sex, women’s leucorrhea will also increase, which has a lubricating effect on the vagina, so as to facilitate a better sex life and avoid damage to the female vagina. &nbsp. Generally in the middle of menstruation, the leucorrhea will increase significantly, appear thin and transparent; and the leucorrhea after ovulation is sticky, turbid and less amount.  It can be seen that the normal leucorrhea should be a colorless, odorless, thin and viscous liquid, but some women find that their leucorrhea will turn brown, is this really abnormal?  Introduced that there are two possibilities for a woman’s leucorrhea to turn brown, one is physiological and the other is pathological.   The appearance of physiological leucorrhea is generally common one or two days before or after menstruation. It is a symptom before menstruation or menstruation has not completely flowed, which is a normal phenomenon. In addition, brown leucorrhea will also appear in the middle of two menstrual periods, that is, ovulation. This is a symptom of ovulation bleeding. It is due to the temporary decline of female estrogen levels in the middle of menstruation, which makes the endometrium lose hormone support. Part of the endometrium is shed causing regular vaginal bleeding. Normal ovulation bleeding, generally not much, will last half a day to a few days, and may be accompanied by mild abdominal pain or backache. &nbsp.&nbsp.&nbsp.&nbsp. Every woman is likely to have ovulation bleeding, but due to the small amount of bleeding in general, it cannot be directly observed by the naked eye. However, some people will have obvious bleeding symptoms, so the severity cannot be generalized.  What is the pathological brown vaginal discharge?  1. Infection    If women do not pay attention to personal hygiene during menstruation, the use of contaminated hygiene products and the same room during menstruation can easily cause pathogen infection and lead to the occurrence of leucorrhea in women. Common infections include trichomoniasis infection, mold infection, bacterial infection, fungal infection and so on. Among them, many infections can cause gynecological inflammation, such as vulvitis and vaginitis.   2. Cervicitis    Childbirth lacerations, changes in sex hormones, or inflammation of the cervix caused by sexual activity, may cause cervical erosion and increase the leucorrhea brown. Common is chronic cervicitis, such as cervical erosion. Because cervical erosion is the most common cervicitis in women, it is the first factor that should be considered when brown leucorrhea appears.   3. Ovulation bleeding    Ovulation leucorrhea brown is usually the relationship between ovulation bleeding. The leucorrhea brown during ovulation is due to the rupture of mature ovarian follicles after ovulation, the level of estrogen drops sharply, and it cannot maintain the growth of the endometrium, causing local rupture and shedding of the endometrial surface, resulting in a breakthrough small amount of bleeding. It forms and secretes a sufficient amount of estrogen and progesterone to quickly repair the ruptured endometrial surface layer and stop bleeding, or it may be ovulation period, mature follicles secrete more estrogen, causing endometrial hyperemia to cause red blood cell leakage . Women do not have to worry too much about this phenomenon, the bleeding can disappear after about two or three days.  Be warned that ovulation bleeding may also be caused by other gynecological diseases. If you find that ovulation bleeding is too long to recover for a long time, then you should consider whether it is cervical erosion, uterine polyps, cervical cancer and other cervical diseases.  How do women who do not have abnormal leucorrhea take preventive measures?   1. The underwear should be replaced and cleaned in time. Wash the private parts with warm water once a day, try to rinse with running water, and pay attention not to use Jieyin lotion frequently. Under normal circumstances, it is best not to use it, because improper use or excessive cleaning will cause trouble, causing vaginitis, The occurrence of vaginal infections.   2. The washed underwear must be placed in the sun to dry and dry naturally. It is best to choose pure cotton, loose and appropriate underwear, and wear fewer tights and thongs.   3. Pay attention to menstrual hygiene. Avoid bathing during menstruation, it is best to use a shower. In addition, the sanitary napkins should be replaced in a timely manner so that they do not have sex during menstruation to avoid infection.   4. Do not swim in the swimming pool that is not strictly disinfected, and use special care products for care after swimming in time.  5.

How do you extract a small tooth and lose your life? Experts interpret the deadly truth of tooth extraction

If it hadn’t happened, many people wouldn’t believe that tooth extraction would kill people. Recently, a 26-year-old young man in Changsha suffered from hemorrhage after pulling out his wisdom teeth. He died after several days of treatment by the hospital. The cause of death given by the hospital was cerebral hemorrhage and cerebral hernia. Many people are very puzzled, how to extract a small tooth and still lose their lives? But this is actually possible, although not common. The possible reasons why the Changsha guy lost his life after pulling out his teeth. Let us first analyze why the Changsha guy lost his life? First of all, since there is no definite evidence, the following analysis is based on clinical thinking to evaluate the possible causes of things happening. Although the cause of death given by the treatment hospital is cerebral hemorrhage and the formation of cerebral hernia, the reason behind the cerebral hemorrhage is worth thinking about. There seems to be no difference between tooth extraction and cerebral hemorrhage, but looking back, the young man still has bleeding a few days after tooth extraction. Anyone with some medical knowledge will think this is not normal. Although tooth extraction is an invasive operation, it will definitely bleed, but the wounds caused are not too large. Normal people will stop the blood soon when the blood coagulation and platelet function are intact, just like we bleeding after we extracted teeth when we were children. The elders will tell us to contain a few sips of tap water and then spit up the blood to stop it (off-topic: this approach is actually not correct, it is recommended not to refer to it). Therefore, there may be two reasons why the young man still has bleeding after a few days of tooth extraction. One is the use of anticoagulation or drugs that affect the function of platelets. The second is the existence of blood system diseases in the young man, which affects the function of blood coagulation and platelets. . First of all, in both cases, the dentist should inquire clearly before tooth extraction. The young man is 26 years old, has no history of cardiovascular disease, and the possibility of long-term oral anticoagulant or antiplatelet drugs is unlikely. Then the remaining possibility is a blood system disease, and the young man may not know it himself. According to reports, after the young man was treated in the hospital, the doctor gave a diagnosis of suspected acute leukemia, which is possible from this diagnosis. Leukemia is a malignant tumor of the blood system characterized by clonal abnormal hyperplasia of hematopoietic cells, which can cause bleeding and other symptoms. If you perform tooth extraction or surgery, it will cause difficulty in hemostasis. And this young man didn’t go to the hospital when he couldn’t stop the blood, which caused delays in treatment and also a fatal indirect cause. What other causes of tooth extraction can be fatal? The above is just one of the reasons, there is another blood system disease, hemophilia. Hemophilia is a bleeding disorder with inherited abnormal blood coagulation function. Due to the lack of congenital coagulation factors, patients with hemophilia also need to be cautious in tooth extraction, which may cause bleeding. There is also a fatal cause of infection. Hundreds of millions of bacteria are colonized in the human mouth, many of which are conditionally pathogenic. When an open wound is left after tooth extraction, oral bacteria will enter the blood circulation from the wound and cause bacteremia. According to statistics, about 50% of tooth extraction patients will have temporary bacteremia. If the body’s immunity is low, it will further lead to sepsis, which can be fatal in severe cases. In conclusion, not only is it a tooth extraction, but the seemingly normal squeezing of acne in life can also be fatal. Such cases have been reported at home and abroad. Therefore, whether it is tooth extraction or squeezing acne, it is best to find a professional doctor to help, if there is any discomfort afterwards, you should first go to the hospital for treatment. #小人死了憲頂應應買責費費 (Part of the source of the picture in the article, the copyright belongs to the original author. Thank you for the picture author. If you find any infringement of your copyright, please contact me and I will delete it.)

Don’t take the tooth extraction too seriously, resulting in a variety of health problems, acute death is one of them

A recent report-a 26-year-old man with wisdom teeth bleeds and dies after more than 10 days, has caused heated discussion. The protagonist of this story, 26-year-old Liu Guofan, wanted to remove wisdom teeth because his wisdom teeth were infected. He went to a local stomatological hospital for a few days after the teeth extraction. He still had a lot of bleeding, and appeared dizzy and nausea symptoms, but he did not see the doctor. The doctor received a WeChat reply, and the situation turned sharply. Finally, the traffic police sent him to the hospital intensive care unit (ICU). His admission diagnosis was: suspected oral and maxillofacial space infection, suspected left lower limb cellulitis, suspected acute osteomyelitis, suspected acute Leukemia, sepsis, lung infection, thrombocytopenia, moderate anemia, hypokalemia, and unfortunately passed away a few days later. For most of us, pulling wisdom teeth is a simple matter, but for Liu Guofan, it triggers the acceleration of his death. Finally, the experts analyzed the incident and considered that it may have leukemia. The secondary sepsis, cerebral hemorrhage and other factors promoted his death. We couldn’t help but sigh, but one of the rare trivial things of wisdom teeth was finally killed. In fact, tooth extraction is still an invasive operation, which can also cause many complications, such as syncope, allergies, broken roots, fractures, bleeding, secondary infections, facial paralysis and so on. Bleeding is a common complication of tooth extraction, but it is sometimes a symptom of leukemia. In clinical practice, some people have leukemia detected because of tooth extraction bleeding. So what are the symptoms of leukemia? Leukemia is a type of malignant clonal disease of hematopoietic stem progenitor cells. These progenitor cells cannot differentiate into normal white blood cells, and even infiltrate bone marrow and other hematopoietic organs to inhibit normal hematopoiesis, resulting in partial or complete loss of anti-inflammatory ability of white blood cells. Suppression, resulting in symptoms of anemia, bleeding and fever infections, so clinically more common with high fever, skin purpura, menorrhagia, bleeding after tooth extraction is diagnosed as leukemia not only from the doctor, which is consistent with Liu Guofan’s later symptoms and diagnosis. These symptoms are also the clinical manifestations of many other diseases. It can be seen that the atypical symptoms are difficult to diagnose. In addition to some of the above symptoms, leukemia can also include swollen lymph nodes, swollen gums, joints, bone pain, protruding eyeballs, swelling, or blindness. The diagnosis of leukemia is the most common blood test that we do at the time of our visit. Leukemia patients often have an increase in white blood cells, which can be increased by more than 10×10^9/L. Of course, some white blood cells are less than 1.0×10^9/L or normal , Red blood cells, platelets are often reduced. The gold standard for diagnosis is to find the original cells by bone marrow aspiration. In addition, some immunological, cytochemical and other tests can further provide a basis for diagnosis and classification. In fact, such a report of the occurrence of tragedy, tracing back to the source, except that the patient lacked some medical knowledge, the doctor did not conduct relevant examinations in advance, and the understanding of the complication was insufficient, the incident also existed by chance. As doctors, we have begun our adventure since we entered this industry. We need to equip ourselves to avoid risks. Of course, in the process of practicing medicine, the patient’s cooperation is also very important. For example, do not bargain for necessary examinations and trust the doctor a little more. Of course, I believe that with the advancement of medical reform, the future medical industry can make doctors and patients get along with the environment more friendly. It is hoped that in the recent college entrance examination and when volunteering will be reported, this incident should not be a hindrance for candidates to join the medical profession.

How to treat connective tissue external hemorrhoids

How to treat connective tissue external hemorrhoids Connective tissue external hemorrhoids are named for their morphology, also known as dermoid hemorrhoids, skin ptosis and neoplastic hemorrhoids. This type of external hemorrhoids is thickened and hypertrophic, with connective tissue hyperplasia, and no varicose veins in the hemorrhoids. There are few blood vessels, the bottom is wide and pointed, and it is yellow-brown or brown-black. The protrusion is easy to see, and the size and shape are different. Sometimes there is only one, in the middle of the back or front of the anus, and sometimes several around the anus. Is external hemorrhoid bleeding serious? What causes external hemorrhoids? Many people do not care about the symptoms of external hemorrhoids. Only when the external hemorrhoids cause bleeding symptoms will they be alert to the severity of the situation. Experts suggest that due to the different types of external hemorrhoids, the causes of bleeding are also different, and patients need to be treated seriously. Causes of external hemorrhoids bleeding (1), thrombotic external hemorrhoids: Anorectal specialists in our hospital introduced that thrombophlebitis and venous thrombosis caused by external hemorrhoid venous plexus are the most common types of external hemorrhoids, mostly due to dry stools and difficulty in defecation Excessive exertion of bowel movements and exhaustion of work cause rupture and inflammation of the marginal anal veins, infiltration of blood into the connective tissue, and compression of the vein wall, which hinders the return of blood and lymph, thus forming dark purple hemorrhoids. (B), varicose external hemorrhoids: hemorrhoids and hyperplasia in the external hemorrhoids of the hemorrhoids, forming a round, oval or long mass in a part of the skin of the anal margin. If there is edema, the shape becomes larger and the hemorrhoids have Thrombosis and connective tissue are mostly caused by repeated prolapse of internal hemorrhoids, or by increased abdominal pressure after maternal pregnancy. (3) Inflammatory external hemorrhoids: Anorectal specialists in our hospital introduced that inflammatory edema of the anal corrugated connective tissue, with pain, swelling, redness, fever, etc., often caused by minor anal injury, mostly rupture on the top of the hemorrhoid nucleus , Caused by bacterial infections, sometimes caused by anal fissures. (4). Connective tissue external hemorrhoids: often caused by constipation. When dry stool passes through the anus, it excessively pulls the skin of the anus and tears the wall of the anus, causing infection, inflammation, and edema. After the inflammation dissipates, the wall cannot return to normal. If the operation is repeated, the growth of the wrinkled wall will increase, and then stimulated by secretions and feces, the swelling will increase, causing external hemorrhoids.  Is hemorrhage of external hemorrhoids serious? What are the hazards of external hemorrhoids?   1. Although external hemorrhoids are not easy to bleed, it does not mean that there is no possibility of bleeding. They will bleed after the external hemorrhoids are scratched or inflamed, suggesting that long-term external hemorrhoids will cause iron deficiency anemia.   2. As the external hemorrhoids are bulbs that grow outside the anus, they block the anus. When gas is generated, the gas is often held back because the pressure is not strong enough. Farts are exhaust gases emitted by the body, most of which are carbon dioxide, hydrogen and methane. Exhaust gas is present in the body for a long time. Excessive density may cause flatulence in the lower abdomen, or cause the compressive strength of blood vessels to affect the normal contraction of the heart. It is easy to have insufficient blood supply, such as dizziness, brain swelling, and weakness.   3. Pain due to bowel movements, inconvenience, and vicious circle can eventually lead to liver, kidney disease, anal fissure, and large intestine tumors.   4. External hemorrhoids and hemorrhoids are outside the anus, and the secretions increase, causing anal pruritus or anal eczema. Female patients will also cause gynecological diseases.   5. Blood in the stool or perianal bulge is a symptom of external hemorrhoids, but if you think that any bloody stool or perianal bulge discomfort is caused by hemorrhoids, paralysis, delaying the real disease intestinal tumors, thus losing the excellent treatment opportunity. For the treatment of connective tissue external hemorrhoids, SFT minimally invasive surgery is used to treat external hemorrhoids. The high-frequency capacitive field causes the charged ions and dipole ions in the tissue to oscillate at high speeds to generate endogenous heat, so that the hemorrhoid tissue fluid Drying, necrosis, and then naturally fall off. This technology does not damage human tissues, and has a short treatment period and fast recovery. It is especially suitable for the treatment of middle-aged and elderly people, white-collar workers who focus on efficiency, and girls with hemorrhoids. It is also suitable for patients who relapse after other surgical treatments. SFT minimally invasive surgery can also treat anal fissure, anal fistula, anal abscess, perianal eczema, anal papilloma and other anorectal diseases.

What happened to women about 50 years old who bleed again after menopause?

Women reach the age of menopause and have bleeding after menopause. There are generally several reasons: 1. The ovarian function has not completely failed. Although there is no ovulation, it still secretes a certain amount of estrogen and stimulates the intimal lining slowly Grow and grow to a certain extent, shedding and bleeding. Examination of the hysteroscope can reveal endometrial hyperplasia. Mild hyperplasia need not worry, it will be better as the ovarian function deteriorates further. If the hyperplasia is heavy and presents with atypical hyperplasia, the bleeding cannot stop on its own, or even cause anemia, it should be taken seriously, it is easy to cause endometrial cancer, you can cure it by curettage first, and then use traditional Chinese medicine for conditioning. It is best to check a female hormone to assess the hormone level. 2. Usually eating foods containing more estrogen (soybeans) or taking kidney medicines, such as Morinda officinalis, Epimedium, Curculigo, etc., will also stimulate the growth of the intima and bleed. nothing. 3. Although the ovary has failed, there are lesions in the body that can secrete estrogen, such as adrenal adenoma or other tumors, which will also stimulate the endometrium to cause bleeding. By checking the 6 and 8 items of female hormones, the adrenal gland can be checked to find out the lesion. In all of the above situations, except the second one, you can use traditional Chinese medicine to improve the endocrine status. If serious endometrial hyperplasia is ignored, it may cause cancer or cause heavy bleeding, but then only the uterus can be removed.

How to carry out home care for hemophilia

Hemophilia is currently not curable. It is a lifelong disease that can only be treated symptomatically, such as blood transfusion or blood transfusion factor. The key is to strengthen care and prevention in daily life to reduce and avoid causing bleeding. There are currently three types of hemophilia, namely hemophilia A, hemophilia B, and hemophilia C. Hemophilia A is due to the lack of blood clotting factor m, while hemophilia B and hemophilia C are lacking. Coagulation factor k and clotting factor knives, these types of hemophilia have certain genetic laws. Both hemophilia A and hemophilia B are sexually recessive.   Common is hemophilia A, which is characterized by the onset of males in the family, while females are the carriers of the disease but do not develop the disease. The other two types of hemophilia are both male and female.  Home care points  Because the disease is a lifelong disease, it is often heavier at onset. Therefore, prevention and care within the family have extraordinary significance for the prognosis of patients and the quality of daily life. 1. Patients and relatives must have a full understanding of the disease, relatives should give patients enough care and love, patients themselves should establish self-confidence, self-reliance, self-improvement of life concepts, self-care, to minimize the incidence of disease and improve Quality of Life.   2. Prevention and care of bleeding    (1) “Prevention and care of bleeding”, pay special attention to avoiding trauma, when going to the hospital, explain the condition to the doctor and nurse, and avoid intramuscular injection as much as possible. Do all kinds of safety precautions in the home, try to avoid the use of sharp objects, such as needles, scissors, knives, etc.   (2) Normally, when there is no bleeding, proper exercise is beneficial to reduce the recurrence of the disease. However, when there is active bleeding, it is necessary to limit the activity to avoid aggravating the bleeding.   (3) When the joint bleeds, you should lie on the bed, fix the limb with splint, put it in a functional position, restrict movement, and apply local cold compress and bandage with elastic bandage. After the joint bleeding stops and the swelling and pain disappear, appropriate joint activities can be performed to prevent deformities and stiffness caused by long-term joint fixation.   3. People who have anemia due to heavy bleeding should strengthen the care of anemia.

How to avoid gastrointestinal bleeding when taking aspirin? Heart Doctor: Do this 8 points

Many people are afraid of aspirin because the most common side effect of aspirin is gastrointestinal bleeding. I personally participated in the rescue of too many gastrointestinal bleeding caused by aspirin. Among them, there are many cases of gastrointestinal bleeding after stent placement, and the heart can be placed in the stent, indicating that the cardiovascular is severely narrowed or completely occluded. Especially for acute myocardial infarction, 300 mg of aspirin plus clopidogrel or ticagrelor must be added at this time, and anticoagulant drugs are also required. In addition, acute myocardial infarction itself can easily cause stress gastrointestinal ulcers, causing digestive tract Bleeding. Of course, this kind of gastrointestinal bleeding is relatively good for treatment, because it is stressful, so after treatment in the digestive department, the ulcer will heal quickly, and it is safer to continue taking aspirin in the long run. However, some people usually have gastrointestinal ulcers, but they don’t know it at all. After taking aspirin suddenly, they will inevitably increase the risk of gastrointestinal bleeding. If you avoid taking aspirin, it will cause gastrointestinal bleeding: First, you should eat, not eat, don’t eat. Many people think that aspirin is a health product, and eat it at a certain age. As a result, it causes gastrointestinal bleeding. In fact, aspirin is very strict A medicine must be fully evaluated by a doctor before it can be taken. 1. Patients who must eat aspirin: coronary heart disease, angina pectoris, myocardial infarction, cerebral infarction, severe carotid plaque, severe extremity arterial stenosis, post-stent surgery, and bypass surgery. 2. If you combine high blood pressure, diabetes, hyperlipidemia, smoking, obesity and other risk factors, do you want to take aspirin? For these three types of people, it is not recommended to take aspirin for primary prevention: 1) People who are >70 years old or <40 years old: as long as there is no confirmed cardiovascular and cerebrovascular disease, even if there are high-risk factors, such as even three high, do not eat aspirin Prevent blood clots. 2) People with high risk of bleeding: are using drugs that increase the risk of bleeding, antiplatelet drugs, anticoagulant drugs, glucocorticoids, non-steroidal anti-inflammatory drugs; gastrointestinal bleeding, gastrointestinal ulcer or other bleeding history; age > .70 years old; thrombocytopenia; coagulation dysfunction; severe liver disease; chronic kidney disease stages 4 to 5; uneradicated Helicobacter pylori infection; uncontrolled hypertension, etc. 3) Patients whose risk of bleeding is greater than the risk of thrombosis. If you want to eat, you must evaluate in detail: For adults 40 to 70 years old, if there are risk factors for high blood pressure, diabetes, hyperlipidemia, family history, obesity, smoking, etc., whether to eat aspirin, need to be evaluated, cardiovascular disease for 10 years The expected risk is ≥10%, and there are still ≥3 major risk factors that are poorly controlled or difficult to change after active therapeutic intervention. Aspirin may be considered to reduce the risk of ischemic cardiovascular disease. 2. If it is a definite cardio-cerebrovascular disease, you must eat aspirin, how to avoid aspirin causing heavy bleeding 1. If you have a clear history of peptic ulcer, you must tell the doctor truthfully, the doctor will also use drugs that protect the gastric mucosa when using aspirin and Proton pump inhibitors to prevent gastrointestinal bleeding. 2. There is no clear digestive tract disease. If there are symptoms, or if the risk of gastrointestinal bleeding is high after evaluation, medication prevention can also be given in advance to reduce the risk of gastrointestinal bleeding. 3. Carefully weigh the benefit-bleeding risk ratio, and screen and exclude people at high risk of bleeding. 4. Adhere to a healthy lifestyle (quit smoking, drinking alcohol, scientific diet and exercise) and actively control blood pressure, blood sugar and blood lipid levels. Hypertensive patients must control their blood pressure at <140/90mmHg before considering aspirin. 5. You must communicate with the patient before taking the medicine, and the application should be started after the patient's consent. 6. For patients with acute coronary syndromes such as acute myocardial infarction, two antiplatelet drugs are required, aspirin + clopidogrel or ticagrelor. After evaluation, the risk of gastrointestinal bleeding is high, so the prophylactic administration can protect the gastric mucosa To prevent stomach bleeding. 7. If only one antiplatelet drug is used, those who are sensitive to aspirin or intolerant of aspirin can use clopidogrel or ticagrelor instead. But it must be clear that even clopidogrel or ticagrelor can cause gastrointestinal bleeding or systemic bleeding. 8. Aspirin enteric-coated tablets should be taken on an empty stomach as much as possible to reduce the time that the drug stays in the stomach and reduce the risk of bleeding. Of course, if you are bleeding, you need to stop taking aspirin. total

Shi Shurong’s words: Self-management of patients with aplastic anemia, it is very important to do these four points well!

Clinically, most patients with aplastic anemia have a long course of disease and the disease is prone to repeated attacks. Patients taking medicines for a long time also have to bear the adverse reactions caused by some medicines, which seriously affects their lives. For this reason, it is particularly important for patients with aplastic anemia to do a good job of self-management in their lives. Director Shi Shurong consulted with WeChat zkxk9999 on self-management of aplastic patients, which needs to be done from four aspects: first: leukocyte reduction is easy to be infected, to actively prevent the occurrence of infections, living and living environment should be clean and hygienic, keep the air fresh, and properly restrict the number of visitors, To reduce the chance of infection. Try not to have a crowded public place to avoid cross infection. Clean masks can be worn in daily life. Pay attention to food hygiene, cookware and tableware must be sterilized during cooking, and do not eat raw, too spicy, unhygienic and overnight food. Wash your hands before eating the fruit, wash the fruit under running water, and peel it before eating. For edible fruits, fresh fruits with smooth skin without damage, such as watermelons, apples, pears, oranges, bananas, etc.; it is best not to eat fruits that are not easy to clean, such as peaches, grapes, and strawberries; do not eat rotten and spoiled fruits. Avoid eating too hard food, be careful of fish thorns, ballast and other damage to the gums and oral mucosa to avoid ulcer infection. Patients are prone to colds and other diseases when the weather changes and the temperature rises and falls. In this case, the clothes should be changed in time according to the temperature difference. The patient’s skin should be kept clean, and do not grasp it when there are local boils or acne, to avoid infection and suppuration. Pay attention to oral cleanliness, insist on gargle after eating and before going to bed to prevent oropharyngeal ulcers, you can choose to use different mouthwashes alternately gargle. In particular, patients with bleeding gums should be rinsed in time if there is blood in the mouth. Keep your bowel movements smooth without straining your bowels. If your stools are hard and difficult to loosen, you can use laxatives to soften them to avoid anal fissures. Pay attention to the hygiene of the perineum and develop regular bowel habits. Severe patients with extremely reduced neutrophil counts should undergo protective isolation. Second: low platelets and high risk of bleeding, should reduce bleeding to avoid eating too hot, too hard food (such as bones, fish thorns, etc.), and slow down the chewing speed, to avoid damage to the oral mucosa or gums, causing bleeding. Patients with aplastic anemia can perform appropriate activities based on their platelet levels and under the guidance of specialists, to avoid excessive and strenuous exercise, and to prevent bruising or falls during activities. Brush your teeth with a soft-bristled toothbrush. If the platelet level is too low, it is best to use a clean gauze to clean the mouth, gums and tongue. Do not dig nostrils, such as dry nasal mucosa can be lubricated with erythromycin ointment. If you have itchy skin, you can use body lotion in an appropriate amount to avoid scratching itching and causing bleeding. Third: Hematopoietic disorders lead to moderate to severe anemia. It should be noted that resting patients should avoid fatigue, rest in bed, reduce activities, and reduce oxygen consumption. In the diet, eat more blood-enriching foods to improve the blood. Fourth: In terms of spirit, we must be positive, overcome the disease, establish confidence and courage to overcome the disease, avoid self-burdening excessive psychological burden and mental pressure, communicate with the doctor in time, cooperate with the doctor’s treatment, clinical experience tells us that optimistic, Patients with low mental stress who actively cooperate with doctors will get better soon. Scientific self-management of patients with aplastic anemia can help relieve the condition as soon as possible. In addition, attention should be paid to the daily diet of patients with aplastic anemia. Do not eat irritating foods and drugs that affect the bone marrow. Appropriate nutritional supplements and more “hematopoiesis” “Substance” can play a role in adjuvant therapy. For more aplastic disease knowledge or patient help, please follow WeChat public account: skg120

Joint maintenance for hemophilia

&nbsp.&nbsp. Some doctors recommend the use of knee pads, but long-term use of such items is not conducive to the operation of the blood. Some patients suffer from severe atrophy of leg muscles due to long-term use of knee pads, so this big method is more beneficial than profit.  When there is no bleeding, it is a good choice to take a hot bath, wash with traditional Chinese medicine or apply plasters to “maintain” the diseased joints.   If the joint hemorrhage cannot be stopped in time, it will cause more blood accumulation, slow recovery, and greater joint function damage. In the future, this joint will have more chances of bleeding, faster disability, more sins, and more money. Therefore, factors should be added in time for joint bleeding. At that time, a lot of money was spent at once, but recovery is fast, the chance of disability is reduced, and the quality of life is effectively improved. Physical therapy of hemophilic patients is also very important.  Be patient and don’t rush for success. Find a doctor who has professional experience in hemophilia. Otherwise, be more conservative and simply don’t do it! Once improper operation results in bleeding, it’s not worth the loss!

Hemophilia bleeding to the whole body

1. Hemorrhage of skin and mucous membranes. Because subcutaneous tissue, gums, tongue, oral mucosa and other parts are easy to be injured, it is a site with frequent bleeding. Young children are more common in bleeding/hematoma after forehead collision, but bleeding of skin and mucous membranes is not a characteristic of this disease. 2. Hemorrhage of the joints is a common clinical manifestation of patients with hemophilia. It often occurs after trauma/walking for a long time/exercises and causes synovial bleeding, which is more common in the knee joint, followed by the ankle, hip, elbow, shoulder, and wrist. Joints and other places. Joint hemorrhage can be divided into three stages:   A, acute stage: hemorrhage of the tissues in and around the joint cavity, which causes local joint fever, redness, and pain. Following the muscle spasm and limited movement, the joints are mostly in the flexed position.  B. Total arthritis: In most cases, due to repeated bleeding, the blood cannot be completely absorbed. The enzymes released by white blood cells and other components in the blood stimulate the joint tissues, forming chronic inflammation and thickening of the synovium.  C, late stage: joint fibrosis/joint rigidity, deformity, muscle atrophy, bone destruction, joint contracture leading to loss of function. Repeated bleeding of the knee joint often causes knee flexion, valgus, and fibular subluxation, forming a characteristic hemophilia pace.   3. Muscle bleeding and hematoma often occur in severe hemophilia A, mostly after trauma/muscle activity for a long time, and are more common in hard muscle groups.   4. Hematuria&nbsp. Patients with severe hemophilia A may have microscopic hematuria or gross hematuria without pain or history of trauma. However, if there is ureteral blood clot formation, there are symptoms of renal colic.    5. Pseudotumor (hemophilic blood cyst) cysts can occur in any part, more common in thighs, pelvis, calves, feet, arms and hands, and sometimes occur To the eye. 6. Hemorrhage after trauma or surgery Various degrees of trauma and minor surgery can cause long-lasting and slow bleeding or bleeding.    7. Bleeding in other parts&nbsp. Gastrointestinal bleeding can manifest as hematemesis, black stools, bloody stools or Abdominal pain, most patients have primary lesions such as stomach and duodenal ulcers. Hemoptysis is mostly related to primary lesions such as tuberculosis and branch expansion. Nasal epistaxis and sublingual hematoma are usually caused by oral damage in patients with hemophilia A. Tongue Lower hematoma can cause tongue displacement, if hematoma develops to the neck, it often causes breathing difficulties. Intracranial hemorrhage is often the cause of death in patients with hemophilia. 8. Compression symptoms and complications caused by hemorrhage Compression of nerves can cause numbness, loss of sensation, severe pain, muscle atrophy, etc. in the innervated area of ​​the compressed nerve. Bleeding of the tongue, bottom of the mouth, tonsils, posterior throat, anterior neck , It can cause upper airway obstruction, leading to difficulty in breathing, and even suffocation. Local blood vessels are compressed, which can cause tissue necrosis.

How to treat bleeding in patients with hemophilia? How is the effect?

When patients develop inhibitors of factor VIII or IX, treatment of bleeding with factor VIII or IX products may no longer be effective. In these cases, products such as Sevenfact can bypass Factor VIII and Factor IX reactions, thereby promoting coagulation and controlling bleeding. Sevenfact’s safety and effectiveness were determined based on data from a clinical study that included 27 patients with hemophilia A or B who developed inhibitors. The study evaluated the therapeutic effect 12 hours after the initial dose: the proportion of successful treatment for mild or moderate bleeding was about 86%-meaning that no further treatment of bleeding was required after 12 hours, no blood products were given and there was no increase in pain . The study also included 3 cases of severe bleeding, all successfully treated with higher doses. Common side effects of Sevenfact include headache, dizziness, infusion site discomfort, infusion-related reactions, infusion site hematoma, and fever. In addition, patients who are allergic to rabbits or rabbit proteins are prohibited from using this therapy. If you have any questions about this article or the disease, please feel free to follow us on WeChat and find out more: xueyb120

Precautions after hysteroscopy

1. There may be a small amount of vaginal bleeding after hysteroscopy. This is a normal phenomenon after surgery. As long as the bleeding does not exceed the normal menstrual flow, there is no fever, and stomach pain, you can observe it. If the bleeding does not decrease but increases, or even exceeds the amount of menstruation, the pain continues to increase. This situation requires a second hospital admission. 2. Patients with hysteroscopy can be given semi-liquid food and drinking water 6 hours after surgery. 3. Patients with hysteroscopy go to the supine position 6 hours after the operation, and the family members massage the lower limbs after the operation to promote blood circulation. 4. It is forbidden to take a bath for 2 weeks after hysteroscopic surgery, you can take a shower, and sex for a month. 5. Return to the clinic on time, check the pathological results, and decide whether there is a next treatment plan.

The impact of menstrual period on perioperative period!

&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.#名医服务月#Recent studies have shown that for breast plastic surgery and nasal plastic surgery, hormone changes in the menstrual period are positively correlated with perioperative bleeding, and the reasons It is the estrogen sensitivity in the anatomical parts involved in these operations is high! &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. The effects of some menstrual cycles are indisputable, but limited literature on the effects of the menstrual cycle on liposuction and abdominal wall plastic surgery perioperative bleeding There is no direct relationship between the two, because most cosmetic procedures are currently performed as part of a surgical procedure. Therefore, in the case of performing different cosmetic operations at the same time, it is necessary to comprehensively consider the effects of hormone changes in the menstrual cycle. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. Most plastic surgeons often avoid surgery during the menstrual period, which is mainly related to the patient’s experience and the doctor’s preferences, of course, Dongge also belongs to which Doctors, although there is no direct connection between the menstrual period and the bleeding during liposuction plastic surgery, Dongge also recommends to avoid surgery during the menstrual period!

Shi Shurong’s medical words: Will thrombocytopenia be found before pregnancy, will it affect fertility?

Thrombocytopenia can occur at any age, including women of childbearing age. In order to have a high-quality baby during pregnancy and pregnancy, all the physical examinations will be carried out before pregnancy to ensure the health of the body. Then, will the discovery of thrombocytopenia affect pregnancy during pregnancy? Director Shi Shurong’s micro-signal zkxk9999 Ms. Wang, Hubei Consultation: I went to the hospital for a pre-pregnancy examination some time ago. The blood routine test results showed that the platelet value was very low. The doctor said that it does not rule out thrombocytopenia. If pregnant, it may have an impact. We are very anxious now. What impact does this disease have on children? Can you continue to conceive? Hematologist: I always see some women with thrombocytopenia asking: Will this disease affect fertility? The answer is yes. Because there are many possible diseases and complications caused by thrombocytopenia, it is best for patients to consider carefully, at least wait for the condition to stabilize, and then consider preparing for pregnancy after the platelet value reaches a safe value. Platelets are involved in the blood coagulation mechanism. Its number is reduced or its function is abnormal. Clinically, skin and mucous membrane bleeding is slightly visible, such as: bleeding points on the body, purpura, and ecchymosis. Heavier organ bleeding can be seen, the most common is gastrointestinal bleeding, and more severe intracranial bleeding is also life-threatening. In summary, the biggest hazard of thrombocytopenia is bleeding. For women of childbearing age, if they have thrombocytopenia and continue to conceive, they will not only hurt their bodies, but also cause harm to their children. Therefore, the inspection found that thrombocytopenia should be actively treated, as soon as possible to increase the platelet value, and wait for the body to recover before considering fertility. For more thrombocytopenia disease knowledge or patient help, please pay attention to WeChat public number: xxbjs75

Shi Shurong’s words: What should parents do if their child has thrombocytopenia?

It is common in children with immune thrombocytopenia (ITP), which is an autoimmune bleeding disorder. Due to the excessive destruction of platelets, resulting in decreased platelets. In addition, some children with blood diseases are also common because of chemotherapy-induced thrombocytopenia. Director Shi Shurong’s micro-signal zkxk9999 thrombocytopenia children need elaborate care from parents to reduce bleeding, so what should parents do? 1. Give nasal drops to children with nasal drops morning and evening to prevent nasal mucosa from drying; children are strictly forbidden to dig noses to prevent nasal bleeding. 2. Let the child develop the habit of defecation on time. If the stool is dry, you can take laxatives under the guidance of a doctor, such as fusong, lactulose, etc., to prevent dry stools from causing anal lacerations. 3. Avoid eating raw food, so as not to damage the oral cavity and gastrointestinal mucosa. 4. If the child has platelets ≤20×109/L or has anemia or high fever, he should rest in bed. Parents especially need to take care of the children to avoid accidentally falling from the bed. 5. Avoid children crying violently. 6. Pay attention to observe whether the color of the child’s urine is normal, and report to the doctor in time if abnormal. 7. Pay attention to observe the child’s mental consciousness. Once the child is found to be sleepy, irritable, and mentally insane, and the child is crying abnormally, report to the doctor in time. 8. If the big girl comes during the period of thrombocytopenia, she should inform the doctor. When thrombocytopenia, there will be obvious skin bleeding points or skin petechiae, then, the more skin bleeding points, the more dangerous? Generally speaking, when platelets ≤50×109/L, there will be skin bleeding spots on the body. Bleeding points on the skin are not life-threatening. Compared with skin bleeding points, nose bleeding, oral bleeding, gastrointestinal bleeding, intracranial bleeding, etc., bleeding in these places is dangerous and even fatal. All in all, for children with thrombocytopenia, parents should pay attention and find that thrombocytopenia takes timely treatment measures, the purpose of treatment is to increase the platelet value, control bleeding symptoms, reduce platelet damage, to ensure that patients do not risk from bleeding. For more thrombocytopenia disease knowledge or patient help, please pay attention to WeChat public number: xxbjs75

Why can’t I spit after I have extracted my teeth?

Orthodontics丨Tooth Filling丨Implanted Teeth丨Teeth Washing丨Porcelain Teeth丨Whitening of TeethThere are answers to all questions about oral health.Consult now &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. Someone left a message in the background yesterday : I returned after a 20-minute cotton ball in the hospital. It has been more than two hours in the past, and the spit is still a lot of blood. What should I do? &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&bb&nbsp.&bb.n &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. Remember&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.n&bb&nbsp.n After extracting your teeth, you must pay attention to the following. Try not to spit in 1 day after extracting your teeth&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.You will always spit and then spit out, such action will Blood clots that are likely to cause healing in the mouth are sucked out, which will cause the wound that has already stopped bleeding to bleed again, which is difficult to stop. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. If the blood clot in the extraction socket is not coagulated well, it is likely to cause dry socket. Therefore, spit saliva extraction must be controlled. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.If you have too much saliva within 24 hours after tooth extraction, then swallow it back gently. The bleeding on the first day is normal, but a large amount of bleeding requires a dentist. . &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. The situation will improve the next day, generally only a small amount of bloodshot. At this time, although you can’t brush your teeth, you can rinse your mouth gently. Basically, there will be no bleeding on the third day. If you still have bleeding, go to your dentist! &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.Don’t brush your teeth and rinse your mouth within 24 hours after tooth extraction&nbsp.&nbsp.&nbsp.bn&bb&nbsp.n The hemostasis and healing recovery of the wound after tooth extraction depends on the clot in the groove of your tooth, so that you are not gargling because you are afraid to vomit the clot together. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp. Therefore, you can’t rinse your mouth from the extraction of wisdom teeth to the end of the extraction, and also try to reduce the number of spitting and brush your teeth. After 24 hours, wait for the wound site With a certain recovery, you can rinse your mouth and brush your teeth. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&bb&nbsp.&bb.n &nbsp.&nbsp.&nbsp.Need a cold compress after tooth extraction&nbsp.&nbsp.&nbsp.&nbsp.&nbs

Is the disability rate of hemophilia patients high? Can joint stiffness recover?

Is the disability rate of hemophilia patients high? Can joint disease be recovered surgically? For these two recent patient questions, do the relevant answers below. ——Is the hemophiliac patient’s disability rate high? According to statistics, the disability rate of hemophilia patients in China is very high. Data is available. Coupled with the fact that there are many people with disabilities, the patients spread each other again. This fear of disability spread like a plague. Some parents have spared no effort to overprotect their children as soon as they heard that they will be disabled, or they must take preventive treatment for their children regardless of their financial ability. This can easily lead to too much pressure to reasonably receive targeted preventive treatment, and frequent over-prevention can lead to the occurrence of antibodies. In this regard, it is necessary to properly formulate preventive treatment guidelines, and do not proceed blindly. As long as the protection is done and every bleeding is handled, especially the problem of internal bleeding, you can avoid the occurrence of disability! ——Can joint lesions recover surgically? Many patients with hemophilia have joints that are hard at the early stage of the disease. At this time, apply it to other shapes after it is soft. The principle is very simple. It is estimated that many people can think of it, but it is because Some obstacles, they did not go to implement. The biggest obstacle is estimated to be that forcible joint correction will definitely cause bleeding, especially some doctors, some of them even dare not give intravenous injections to hemophilia patients, and some see hemophilia patients step back three steps, fearing to touch Broken, let alone correct the joints. Sometimes knowledge is right, but it is wrong to use it. Hemophiliacs do bleed easily, but it only takes a little longer to clot. Hemophiliacs are indeed afraid of bumps, but bumps do not necessarily bleed. Compression and correction of joints are not easy to bleed. The most terrible thing is actually “spontaneous bleeding” of joints. -Patients with hemophilia should not easily choose surgery. Even patients with stiff joints, it is better to avoid surgery or try not to do it. Conservative treatment is the first consideration. To do so, first choose the operation with low risk. As for joint replacement surgery, it should be considered last when it is absolutely necessary. Joint replacement, first of all, is the high cost, then the problem of the service life of the artificial joint, the problem of the artificial joint being scrapped in advance, and the problem of postoperative recovery. Finally, it is still artificial, and it is definitely not easy to use. If you have any questions about this article or the disease, please feel free to follow us on WeChat and find out more: xueyb120

Examination found thrombocytopenia, need to understand these three aspects!

Clinically found that most patients with thrombocytopenic purpura are found by routine examination, or after trauma, it is difficult to stop bleeding. When blood routinely detects a decrease in platelet values, it is necessary to understand the following three aspects. Suddenly found that the platelet is too low, you must do these 3 points! First of all, as soon as you see a problem with thrombocytopenia or bleeding in your body, you need to go to a blood specialist in a regular hospital immediately. The doctor will first help you rule out whether it is pseudo thrombocytopenia, and patients with bleeding tendency need to be screened for the presence of abnormal blood clotting. Targeted medical treatment can better solve the problem of low platelet, and lay a good foundation for the premise. Secondly, if the examination is clearly thrombocytopenia, the patient needs to cooperate with the doctor to find out the cause of thrombocytopenia from two aspects. The first aspect is the reduction of platelet production: whether it is caused by certain factors, such as drugs, chemicals, malignant tumors, infections or ionizing radiation, etc. These factors will damage the hematopoietic function of the bone marrow. Older patients need to see if they exist Bone marrow failure diseases, such as myelodysplastic syndrome, aplastic anemia, and leukemia. The second aspect is excessive platelet destruction: mainly immune thrombocytopenia, due to the body’s immune dysfunction, producing antibodies against its own platelets, resulting in excessive platelet destruction, non-immune platelet destruction is too much, mostly diffuse Intravascular coagulation, thrombotic thrombocytopenic purpura, but it is generally rare. Finally, after selecting the treatment to confirm the diagnosis, the first thing to do is to carry out the treatment based on the platelet value (the primary disease has primary disease treatment). Some patients with platelets that are in the safe range and have no bleeding symptoms can be observed and reviewed, and they can be left untreated. However, for patients with platelets lower than 60, intervention therapy is necessary: ​​because the platelet value is susceptible to fluctuations caused by external factors when the disease is not recovering, individual patients may even decline sharply, especially those with bleeding tendency. Treatment ideas are simply divided into: 1. Simple Western Medicine, 2. Simple Traditional Chinese Medicine, 3. Integrated Chinese and Western Medicine. The purpose is to restore the normal production board function and the normal immune system (most ITP patients have immune imbalance disorders). If you have any questions about this article or the disease, please feel free to follow us on WeChat and search more: xxbjs1