Almost all in-patients and patients in the outpatient clinic who only need to draw blood will check a blood routine. What disease can be detected by massage this little blood routine? If the blood routine is normal, what diseases can be ruled out? Although the blood routine is called a project, it actually includes many sub-projects. In the simplest way, the blood routine can find out whether we have anemia, whether there is bacterial infection, and whether there is an increase in thrombocytopenia. So the doctor doubts whether we have anemia or inflammation, we will take a blood routine check. 1. Hemoglobin to see if anemia is the main component of red blood cells, and bears the function of the body transporting oxygen and carbon dioxide to organs and tissues. Hemoglobin can better reflect the degree of anemia. Reference value of hemoglobin Male 120～160g/L Female 110～150g/L Newborn 170～200g/L Hemoglobin reduction is anemia, anemia can be divided according to severity: severe anemia, Hb in 31～60g/L; moderate anemia, Hb is between >.61-90g/L; mild anemia, Hb is between >.90g/L and below the lower limit of normal reference. Increased hemoglobin is more common in hypoxia, severe dehydration, pulmonary heart disease, congenital heart disease, residents in high mountain areas, severe burns, shock, etc. 2. Red blood cell count of red blood cells Children: (4.2～5.2)×1012/L Adult male: (4.0～5.5)×1012/L Adult female: (3.5～5.0)×1012/L Red blood cell increase: non-disease increase: impulse, Excitement, fear, cold water bath stimulation, hypoxia stimulation; long-term blood donation. Decrease: pregnancy, infants and young children grow rapidly. Increased disease: frequent vomiting, excessive sweating, extensive burns, blood concentration, chronic pulmonary heart disease, emphysema, altitude sickness, tumors, and polycythemia vera. Reduction: leukemia, acute hemorrhage, iron deficiency, vitamin B12 deficiency, etc. 3. We have a fever with white blood cells, or suspect inflammation. As soon as we arrive at the hospital, we will draw blood to see if the white blood cells are high or not. If the white blood cells are high, it may be caused by inflammation or infection. Normal reference range: adult (4.0～10.0)×109/L newborn (15.0～20.0)×109/L non-disease leukocyte increase: strenuous exercise, after eating, pregnancy, newborn. Disease white blood cell increase: acute suppurative infection, uremia, leukemia, tissue damage, acute bleeding, etc. Disease leukopenia: aplastic anemia, certain infectious diseases, liver cirrhosis, hypersplenism, radiotherapy and chemotherapy. White blood cells are a preliminary judgment of whether there is a bacterial infection, and the increase can be seen in bacterial infections, bleeding, leukemia, and poisoning. In the clinic, what kind of disease is specific depends on the classification of white blood cells, clinical manifestations, and other tests. White blood cells are divided into several types: neutrophils N0.5 ~ 0.7 (50% ~ 70%) play an important role in acute infection, the clinical significance of the increase and decrease is the same as the white blood cell count. Eosinophil E0.01-0.05 (1%-5%) reduces typhoid fever, paratyphoid fever, major surgery, severe burns, and long-term use of adrenocortical hormones. Increased allergic diseases, skin diseases, parasitic diseases, some blood diseases and tumors, such as chronic myelogenous leukemia, nasopharyngeal cancer, lung cancer and cervical cancer. B0 ~ 0.01 (0 ~ 1%) decrease of basophils: sensitized shock, medication is seen in excessive use of adrenocortical hormones, etc. Increase: Blood diseases such as chronic myeloid leukemia, trauma and poisoning, malignant tumors, allergic diseases, etc. Lymphocyte L0.20～0.40 (20%～40%) decrease: acute phase of infectious diseases, radiation sickness, cellular immunodeficiency disease, long-term application of adrenal cortex hormones or exposure to radiation, etc. Increase: infectious lymphocytosis, tuberculosis, malaria, chronic lymphocytic leukemia, pertussis, certain viral infections, etc. Monocytes M0.03～0.08 (3%～8%) increase: infectious diseases or parasitic diseases, active period of tuberculosis, mononuclear leukemia, malaria, etc. 4. Normal reference range of platelet (100～300)×109/L increase: acute massive blood loss and acute infection after hemolysis; polycythemia vera, hemorrhagic thrombocytosis, multiple myeloma, chronic myelogenous leukemia and
Polycythemia vera is not common in daily life, and many patients do not know much about the disease. They think that the high red blood cell value is true red. In fact, the characteristic of true red is not only that the red blood cells are too high, and only checking the blood routine can not confirm the true red! Director Shi Shurong’s consultation on WeChat zkxk9999 consultation: physical examination blood routinely found that red blood cells and hemoglobin are high, more than 180 hemoglobin, but my body has no symptoms at all, is it true polycythemia? Medical Answer: General blood routine examination of red blood cells and hemoglobin is abnormally high, and may be suspected of polycythemia, but whether it can be diagnosed as polycythemia vera, simple blood routine examination can not be finalized, in addition to the patient’s physical manifestations, but also with Comprehensive analysis of other relevant inspection results. So, what abnormalities do people with polycythemia have? First of all, patients with signs and symptoms are more common in the middle-aged and elderly people, often found due to headaches, limb numbness and other symptoms. Routine blood tests: mainly red blood cell count, hematocrit, increased red blood cell volume and hemoglobin, hematocrit is 60% male and 55% female patients often have an absolute increase in red blood cell volume. Therefore, these patients can not do red blood cell volume check. About 50% of patients are accompanied by increased white blood cell and platelet counts. Bone marrow elephant: Early patients with red blood cells often exhibit iron-deficient morphological features, low pigment in small cells, and late bone marrow fibrosis, which can have significant large and small unevenness and teardrop-shaped red blood cells. In advanced patients, intermediate and late granulocytes can be seen, and about 23 patients can have increased basophils. Giant blood platelets are often seen in peripheral blood smears. Bone marrow examinations are often hyperproliferative in three lines and may have reticular fibrosis. The neutrophil alkaline phosphatase level is increased in about 70% of patients, the serum VitB12 concentration is increased in 40% of patients, the serum VitB12 binding protein is increased in 70% of patients, most patients have elevated uric acid and histamine levels, and arterial PO is usually more normal People are low. Whole blood viscosity often increases. Serum EPO levels are reduced or normal low values. Patients with normal PT, aPT and normal fibrinogen platelet counts of 1000X109L may have acquired VWD similar to type II VWD), with extended bleeding time, ⅧC: normal VWF, reduced activity of co-factors of ristocetin, and large VWF. The number of aggregates is reduced or missing. Some patients have deficiency of antithrombin Ⅲ, protein C and protein S. The above is about the common symptoms of polycythemia vera, and the examination of blood and bone marrow. Finally, it is emphasized that the late stage of true red disease is very harmful to the health of patients. Therefore, once the diagnosis is confirmed, it must be actively treated without delay! For more erythrocytosis disease knowledge or patient help, you can pay attention to WeChat public number: zkxy120
Clinicians generally ask patients to perform blood routine tests. Blood routine is an item that checks blood and can assist doctors to diagnose disease. So by checking the blood routine, can you see whether it is a bacterial infection or a viral infection? In general, the peripheral blood leukocyte count is not high or decreased, and the lymphocyte count or percentage is increased, indicating viral infection; the WBC count and neutrophil count or percentage are increased, indicating bacterial infection. Clinically, peripheral blood white blood cell (WBC) counts and neutrophil percentages in blood routines are one of the traditional screening tools to determine whether they are bacterial infections. WBC counts are also often used to assess the risk of serious illness in children with fever One of the standards. Urine routine is one of the three clinical routine tests. As a fecal examination, urine reflects the body’s metabolic status and is an important indicator for the diagnosis of many diseases. Proteinuria or urine sediment can occur early in many kidney diseases There are formed elements. Abnormal urine is often a sign of kidney or urinary tract disease. Urine routine examination content includes urine color, transparency, pH, red blood cells, white blood cells, epithelial cells, cast, protein, specific gravity and urine sugar. Therefore, two examinations, blood routine examination and urine routine examination are one of the clinical routine examination items. Routine blood tests include: white blood cell count and classification test, can make an initial diagnosis of infectious diseases, leukemia, rheumatic diseases, aplastic anemia, etc.; red blood cells, hemoglobin and average red blood cell hemoglobin concentration, average red blood cell hemoglobin content, average red blood cell volume check, Judgment can be made on anemia and its type; platelet count and platelet volume, platelet hematocrit, and large platelet ratio can be used to make a preliminary judgment on hemorrhagic diseases. Urine routine tests include: white blood cells, red blood cells, urine protein, urine specific gravity test, you can initially determine whether there is kidney disease, urinary tract infections and so on.
Xiebeilu studio WeChat add369456 Recently, the new crown virus has not stopped, many people are worried about being infected. It also puts a lot of pressure on medical institutions. For ordinary people, if you have caught the following symptoms and are afraid of being recruited, should you do a routine blood test to avoid infection and miss the best treatment? If there are abnormal blood routines, it is best to go to the hematology department of the hospital to check with the doctor carefully. If the blood routine cannot determine the type of disease, it is best for patients to do further examination, such as bone marrow aspiration, to find out the cause, because some monocytic blood cell reduction may be caused by some more serious diseases. In the case of abnormal blood routine, the most important method is to find the cause, after the doctor clearly diagnoses, and then actively treatment. If the amount of hemoglobin in the patient’s body is reduced and symptoms of anemia appear after examination, three items of anemia should be checked, and bone marrow aspiration should be performed to determine the cause and then treatment. If there is an increase in the amount of hemoglobin, you may also have polycythemia vera, which also requires the patient to undergo a bone marrow puncture for examination. Other abnormalities such as white blood cells and platelets usually require bone marrow aspiration to confirm the diagnosis. The main indicators of blood routine include red blood cells, white blood cells and platelets. If the red blood cells are low, it generally indicates anemia. If the white blood cells are abnormal, it generally indicates an infectious disease in the near future. If the number of platelets is abnormal, it generally indicates that the clotting time is abnormal. Therefore, if there is a problem with red blood cells, it is generally recommended to eat some iron-supplemented food. If there is a problem with white blood cells, you can rest, drink more water, and recheck after a while. Some items of red blood cells include hemoglobin, number of red blood cells, average red blood cell volume, average red blood cell hemoglobin amount, average red blood cell hemoglobin concentration, etc. The first two items are mainly used to determine whether the tester has anemia. According to the degree of blood red egg drop, it can be divided into mild, moderate, severe and extremely severe anemia. The latter two items can be used to determine the type of anemia. Some items of white blood cells include the number of white blood cells, the number of lymphocytes, the number of monocytes, etc. The specific white blood cell classification will also include the number of various types of granulocytes, such as neutrophils, eosinophils and basophils. Elevated white blood cells usually indicate that the body has an infection, specifically which type of infection should be combined with the increase in which cells to judge, such as elevated neutrophils indicate bacterial infection, and elevated lymphocytes are manifestations of viral infection, eosinophilia Elevated granulocytes indicate an allergic reaction or parasitic infection. The items of the platelet part include the number of platelets and the average platelet volume. Usually observe the number of platelets to judge the body’s coagulation function, the reduction in the number of platelets is more likely to have bleeding tendency.
Although chronic myeloid leukemia can completely control the disease through targeted medication, some patients will inevitably have adverse reactions during the medication, the most common are the decline of white blood cells, hemoglobin, platelets, and neutrophils. And whether it is a first-generation drug or a second-generation drug, there is a certain chance of adverse hematological reactions. Director Shi Shurong’s micro-signal zkxk9999 reexamination of blood routine and found that neutropenia, thrombocytopenia or anemia, how to deal with it, do you need to stop the drug immediately, or other treatment methods? First of all, neutrophil low leukocytes contain many types of cells. Among them, neutrophils are the most relevant to the body’s immunity. Once neutrophils are reduced, the patient’s immunity is reduced, which will increase the risk of inflammatory infections. Patients should pay attention to the prevention and treatment of cold infection in time. A neutrophil count between 0.5 and 1.0 is a moderate risk of infection. If it is less than 0.5, it is a manifestation of agranulocytosis and there is a serious risk of infection. It is generally recommended that when the neutrophils are less than 1.0, drug withdrawal or dosage adjustment should be performed, and when the value returns to more than 1.5, the medication should be resumed. (Note: The dosage of the drug must be adjusted according to the doctor’s advice, and it should never be adjusted by yourself.) However, if the dose is not reduced or stopped in time, the corresponding supportive treatment can be taken. During the period, the blood routine is reviewed. Or stop the medicine. Secondly, the main function of thrombocytopenia is hemostasis and coagulation. If thrombocytopenia is found, the body’s coagulation and hemostasis function will be affected, and the patient’s risk of spontaneous bleeding or bleeding will increase. After the platelet is lower than 50, we should consider reducing or stopping the drug. If the platelet is lower than 30, or there is obvious bleeding, it is necessary to stop the drug. However, if it is a slow-grain patient in the stage of accelerated rapid change, due to the worsening of the disease, it is easy to aggravate the situation of blood suppression, which promotes the development of drug resistance in leukemia cells. treatment. Finally, the anemia phenomenon is routinely manifested as a decrease in hemoglobin. Compared with other blood cells, the harm of anemia is relatively low, and the necessity of stopping the drug is not very high, depending on the situation. However, if hemoglobin is below 60 and severe anemia is reached, it is necessary to undergo hospitalization and infusion of red blood cells or erythropoietin to relieve the disease. Finally, patients with chronic granulocytes have low neutrophils, low platelets or severe anemia. From the perspective of efficacy and safety, patients must closely monitor blood routine under the guidance of doctors with clinical experience and conduct drugs based on the results. Adjustments and treatment of side effects, while ensuring safety, try to ensure adequate medication. For more knowledge about chronic myeloid leukemia disease or patient help, please pay attention to WeChat public account: mbxb120
Now, many patients with chronic myeloid leukemia know that to have a better effect, they need to be reviewed regularly to monitor their condition. But there are also some patients who only check the blood routine during the re-examination. So, if the blood routine is normal, can the medicine be stopped? Director Shi Shurong’s micro-signal zkxk9999 patient’s question: In February last year, because of abdominal distension and chest pain, went to the hospital to confirm the diagnosis of chronic myeloid leukemia. After taking Gleevec, the skin still showed red rash after taking the medicine for half a year, itchy, and then stopped the medicine and changed to Chinese medicine. Up to now, the blood routine values are basically normal, and the body does not have any discomfort symptoms. Has the disease improved? Hematologist: Chronic myeloid leukemia is a type of hematological malignancy. Most patients require long-term medication and monitor the effect of treatment at the same time, but it is only a review of blood routine, which is not enough to monitor chronic myelopathy. Patients also need to do fusion genes on a regular basis. Quantitative monitoring is the effective monitoring of the disease. In addition, for slow-grain patients, long-term and sufficient targeted drug therapy to promote the fusion gene to become negative is the best treatment. The therapeutic effect of Chinese medicine on blood diseases is worthy of affirmation. It can be treated with integrated Chinese and Western medicine. After the condition is really improved and stabilized, consider taking targeted drugs. It is very dangerous to stop taking targeted drugs suddenly during slow-grain treatment like this, and it is easy to delay the treatment of the disease. In summary, patients with chronic myeloid leukemia not only need to check the blood routine, but also need to do quantitative monitoring of fusion genes. For slow-grain patients with relatively large side effects of targeted drugs, they should cooperate with traditional Chinese medicine as soon as possible to increase the effectiveness and reduce toxicity. For more knowledge about chronic myeloid leukemia disease or patient help, please pay attention to WeChat public account: mbxb120
Shi Shurong’s WeChat xyk261 routine blood test is a relatively basic test, which can help to understand whether there are blood diseases such as anemia and viral infection. The main method of inspection is through blood test. Here is a brief introduction for everyone. Some things to pay attention to when doing blood routine: 1. Before blood routine inspection 1. Pay attention to diet before the inspection, not too greasy, and to Eat less high-protein foods, and prohibit drinking, to avoid high protein and alcohol will affect the components in the blood, resulting in deviations in the test results. 2. The night before the inspection, pay attention to fasting, that is, fasting and water from 8 o’clock in the evening, and keep the fasting until the next day. The fasting time is 8-12 hours. 3. Ensure adequate sleep before inspection, do not stay up late, do not sleep late, so as not to affect the body’s various functions. Before taking a blood test, take a break for more than ten minutes to relieve your emotions and check in good condition. 2. During routine blood test 1. Blood routine test should be performed for blood drawing test, so pay attention to the blood drawing time, the better time is 7:30-8:30, not more than 10:00, so as not to affect the blood test result. 2. Don’t be nervous when drawing blood, keep a relaxed mood. You can take a few minutes of rest first, then calm down and then check, which will help the check go more smoothly. 3. After routine blood test 1. Don’t move around immediately after routine blood test, you should sit still for a few minutes and apply local compression on the pinhole. You can choose cotton swab or fingertip to stop bleeding. 2. Compression time varies from person to person, mainly to achieve hemostatic effect. Be careful not to rub the pinhole to avoid edema of the subcutaneous tissue.
Chronic myeloid leukemia was once considered an “incurable disease”, but with the development of modern medicine, especially the widespread use of targeted drugs in the clinic, chronic myeloid leukemia has become a “controllable and controllable” chronic disease, and even Some patients can live and work normally. Director Shi Shurong’s WeChat account xueyeke999 However, even if the quality of life is greatly improved, patients should not be taken lightly, and we must pay attention to “self-management” in life! Regarding the self-management of slow-grain patients, hematologists believe that: First of all, patients should have some understanding of “slow granules”; slow-grain granules are not like acute leukemia, which can make patients face “life and death choices” in a short time. It can be cured, but the patient should not be too lax. Only timely and effective treatment can make the condition controllable. ◆ Second, it is necessary to carry out regular review, especially blood routine and fusion gene monitoring. If the symptoms are not relieved, it is regarded as “healing”. This requires the patient to consciously pay attention to it; the blood routine of patients with slow grains can be normal, but at this time Also, pay attention to the results of monitoring the fusion gene. It is not normal blood routine, and the body has no symptoms, it means healed! ◆ Thirdly, it is necessary to take medicine regularly. The key to the controllability of slow-grain patients is that patients who take the wrong medicine, miss the medicine, and do not take it according to the time may affect the treatment effect and even give up their previous achievements. Chronic myeloid leukemia can already be treated as a chronic disease. The long-term self-management of the patient is particularly important. During treatment, it is necessary to adhere to regular medication, regular review, and follow the doctor’s advice. I also hope that patients will not be overly afraid of slow grains and have confidence in their own treatment and return to normal life. Welcome to pay attention to the WeChat public account of Chronic Disease Patients Association: mbxb120
We all know that the data has the most say, and the most direct way to suspect that you have a blood disease is to go to the hospital for a check and check the blood routine. Through a routine blood test sheet, we can roughly determine whether a person is infected by bacteria or viruses, is anemia, and there is a problem with coagulation function. But in our daily life, most of us do not have the knowledge of medicine. When we see some data in the test sheet is different from the normal value, we are at a loss, doubting what disease we have, and then panicking for help from Du Niang. ” Did I get sick? “Then I found an analysis of some serious and serious diseases. I was scared to go to the hospital for examination, which delayed the treatment. In order to avoid this from happening, let’s teach you to understand the blood routine test sheet. Let ’s talk about white blood cell count first. The more commonly used meaning of white blood cell count is that the increase in its value indicates that there may be infection. In addition, there are other diseases such as leukemia. The decrease may be aplastic anemia, hypersplenism, and typhoid fever. Paratyphoid fever, severe sepsis, etc. There are also common anemia problems among female friends, mainly based on hemoglobin and red blood cell counts. These two are combined to see if there is anemia, and hemoglobin is the main basis for judgment. If hemoglobin is lower than normal, anemia should be considered. If hemoglobin is normal, you do not need to worry. A platelet count greater than the normal value belongs to a hypercoagulable state, which means that blood clots are more likely to form than normal blood. Less than the normal value indicates a hypocoagulable state, that is, a tendency to bleed. The neutrophil count and the ratio of neutrophil granulocytes are combined. The increase in neutrophils generally indicates that the infection may be bacterial, but other diseases such as myeloid leukemia can also cause it to increase. . Lymphocyte count The ratio of lymphocytes to lymphocytes. When the two items are combined, the increase in lymph may be viral if it is infected, or it may be lymphocytic leukemia, and its decrease may have the possibility of immunodeficiency. The eosinophil count and the ratio of eosinophils are less used than those of the previous ones, and the increase in the value indicates the possibility of parasitic infection. It should be noted that each item of blood routine examination is not isolated. Sometimes it needs to combine multiple items to make sense. Sometimes it is necessary to combine the medical history to achieve the need to accurately draw the conclusion of the test. The above is about how to read the blood routine test list, and there are still questions you don’t understand, please leave a message to consult.
Recently, a netizen consulted: “My blood routine examination found that the red blood cell count and hemoglobin are very high. I saw many people have” true polycythemia “. Am I also suffering from this disease? Hyperplasia is not determined by routine blood tests. It is also necessary to make a reasonable diagnosis based on the patient’s physical manifestations and bone marrow aspiration results. Clinically, the phenomenon of increased hemoglobin and red blood cell count is relatively common, in addition to disease, there are some physiological factors. For example: chronic bronchitis, pulmonary heart disease, smoking, people living in high altitude areas, people who exercise excessively, or who lack water, will show an increase in red blood cells or hemoglobin. The reason why the red blood cells in the body will increase is mainly because the human body is in a relatively hypoxic state. Reactively promotes bone marrow hematopoiesis to increase the number of red blood cells and improve the oxygen transmission capacity. This is the normal body’s compensatory function and not caused by disease. Therefore, when suspecting polycythemia vera, we must first rule out the above possible circumstances. Of course, for people who already have symptoms of polycythemia vera, the possibility of this disease cannot be ignored, especially when the body shows the following signs and symptoms, special attention should be paid: ① due to too many red blood cells, blood viscosity will increase, blood flow Slowing down, tissue hypoxia, leading to congestion and expansion of tiny blood vessels throughout the body, most patients’ faces are reddish purple, skin of hands and feet will be red, similar to drunken appearance; many patients will have high blood pressure, numbness of hands and feet, dizziness and headache. ② About 3/4 of the patients can feel a hard mass in the left upper abdomen, which is a sign of splenomegaly. ③ As the blood flow slows down, the probability of thrombosis will also increase, and many patients will have embolism of the heart, brain, and pulmonary blood vessels, and severe symptoms such as fainting, angina, and dyspnea will occur. It should be noted that the early symptoms of polycythemia are not typical, but the disease is not a benign disease. Therefore, when the above symptoms appear in the body, we must go to the regular hospital for further examination in a timely manner and adopt reasonable treatment methods to avoid the progression of the disease. Welcome to follow Shi Shurong’s consultation appointment public number to learn more: zzb753
Popular science stickers 1. The preoperative examination here refers to a detailed physical examination arranged by the inpatient department after receiving the hospitalization notice for admission procedures, which means that I have not received a notification to hang up a certain department to go for a medical examination. Do the inspection, do it in vain. 2. Generally include blood routine urine routine electrocardiogram and so on for preoperative physical health investigation and evaluation of anesthesiologist. 3. The preoperative examination here is not the significance of our on-board medical examination, so the validity period is not to submit a report within six months. The purpose is to check the physical state 1.2 days before the operation, so you do n’t need to prepare a copy in advance. Kazakhstan is not used. 4. Unified inspection in our hospital, so you don’t need to go to other hospitals to open one. If it is not for the possibility of paddling, why would you only take reports from other hospitals instead of accepting our hospital’s inspection? 5. Some people are worried that their indexes will be unqualified and then come back to check themselves. If they are unqualified, they will be advised to go back and run again. This is understandable, but they still need to be checked after admission. Cause anemia. 6. If you do not cooperate with the preoperative examination, you will be defaulted to be unqualified, and you cannot arrange the details of subsequent surgery. 7. If the test fails, do not try to find other medical monks to temporarily use medication to adjust the index. Generally, the platoon surgery is suspended to go back to nursery, not to stay in the hospital until you are qualified. 8. Those who failed the previous inspection, generally arrange the next schedule according to the progress of the body adjustment. As long as you are not in the schedule list, you will not be forgotten or skipped. Do not worry about this. 9. If you do not cooperate with the medical staff after admission, various actions may be regarded as the current mood is not suitable for surgery, you may be advised not to operate temporarily, this situation probably will not follow the doctor’s advice after the operation. 10. The original intention of preoperative examination is also for safety first, so do n’t force the doctor to risk surgery, we cherish everyone ’s health, and everyone should cherish themselves. 11. I have said a lot, and do n’t think this pre-operative examination is terrible. It is a routine examination. Generally, as long as the body is healthy, blood, routine urine and urine are qualified, there are not many unqualified cases. Because the basis of the surgery to change the beauty must be good health, if there are other diseases, you have to go to the doctor first and then consider beauty. Summary after class More than one interpretation, both sides understand each other, and create a pleasant medical environment, originally for the sake of beauty, and getting angry and getting old for this misreading is not worth you to say, is it right?
& Nbsp. & Nbsp. Dear expectant mother, if you are pregnant and know the pregnancy, please do the first birth inspection in 6 ～ 13 + 6 weeks. Please register the “Obstetrics” number, and at the same time buy ‘‘ perinatal medical records ’’ to file in the obstetrics clinic. From 11 to 13 + 6 weeks, NTB ultrasonography is required, and early blood screening is performed after B-ultrasound. At this time, there is a unit of medical insurance that can apply for maternity insurance. 14 to 19 + 6 weeks need to undergo mid-term Down screening, and additional blood tests during pregnancy, including hematuria, blood type, liver and kidney function, hepatitis B, hepatitis C, syphilis, HIV, thyroid Function, thalassemia screening, etc. Expectant fathers need to be screened for blood type, blood routine and thalassemia. Make an appointment for 4D pregnancy from 20 to 24 weeks! This is the most important large-scale malformation examination during pregnancy. Please do not miss the best examination time. OGTT diabetes screening will be performed from 24 to 28 weeks. From 30 to 32 weeks, two-dimensional B-ultrasound examination is performed. This examination mainly focuses on fetal position, amniotic fluid volume, placenta position, and umbilical blood flow. (This B-mode ultrasound does not estimate the weight) At the same time, routine blood tests and electrocardiogram were performed. Start fetal monitoring from 34 to 36 weeks, once a week, until delivery, you are 37 weeks, full month! You need to perform a two-dimensional B-ultrasound to check the fetal position, umbilical blood flow, placenta, and the baby’s weight. At the same time, do the last blood test during pregnancy, including hematuria routine, liver function, coagulation routine.
In the early stage of the diagnosis of chronic granules, many patients have no obvious symptoms and even ignore the condition. In fact, most symptoms of chronic granule patients are not typical, but from the blood routine results, the chronic granule disease is not without signs! Director Shi Shurong WeChat xueyeke999 So, what are the characteristics of blood routine in patients with chronic myeloid leukemia? The increase in the number of white blood cells is a significant feature of the disease. At diagnosis, white blood cells are usually 30 to 90 × 109 / L, and a few are as high as 100 × 109 / L or more; the classification of white blood cells can show primitive and naive granulocytes at various stages, with middle and young granules and late Young granulocytes are predominant, eosinophils and phagocytic granulocytes increase. Hemoglobin and red blood cells can be normal in the early stage, and a small number of nucleated red blood cells can be seen in the blood film. As the disease progresses, hemoglobin declines. Most of the platelets are increased or normal, and the increase can reach more than 1000 × 109 / L, and a small number of patients can have reduced platelets. The routine blood examination of advanced patients found that the peripheral blood white blood cell count increased progressively (the treatment was ineffective). A small number of patients could reduce it. The proportion of primitive cells and naive cells further increased. The number of primitive cells in the accelerated phase reached 10% to 20%. Cells> 20%. The proportion of basophils increased, often> 20%, hemoglobin decreased, and platelet counts decreased or increased significantly. Although the blood routine of patients with chronic myeloid leukemia often has obvious characteristics, it is not enough to confirm the condition, so bone marrow aspiration is also essential. The results of bone marrow puncture are mainly based on the following points: degree of hyperplasia: obvious hyperplasia or extreme hyperplasia, mainly granulocyte hyperplasia, relative reduction of red blood cells and lymphocytes, white blood cell classification is mainly neutral neutrophils, late juvenile granulocytes, mainly in advanced patients The proportion of primitive cells can be significantly increased. The proportion of basophils and eosinophils is increased. It can be seen that the number of megakaryocytes in naive and eosinophils can be increased or normal, and small megakaryocytes are easy to see. Megakaryocytes form platelets well, and there are many platelets in smears, which can be distributed in piles. Summary: Some slow-grain patients with slightly abnormal blood routine results have no obvious symptoms in their bodies, and they can even live and work normally. It is often easy to ignore the condition and cause the best treatment to be missed. I hope that slow-grain patients will find the condition of the examination, regardless of the symptoms, they should actively receive treatment and return to health as soon as possible! [For more disease knowledge, follow WeChat public account: Chronic Grain Patient Association] Welcome to follow Shi Shurong to consult and reserve an official account to learn more: zzb753
[Review of the patient’s case]-Once, Ms. Li, 42 years old, was a thrombocytopenic purpura patient with nearly ten years of age. Because the long-term platelet value is low, it will be accompanied by some bleeding from time to time, especially during menstruation During the period, there was a lot of bleeding, so Ms. Li also had symptoms of anemia. Director Shi Shurong’s WeChat account xueyeke999 Compared with her peers, Ms. Li wants to be a lot old and haggard. It is not only a troubled condition. After several hospitalizations, the platelet has not been significantly improved, and repeated treatments have also overwhelmed the family economy. The idea of giving up treatment has sprung up! Thrombocytopenia cannot be cured for a long time, and the high cost of treatment makes her feel that she will be overwhelmed. In 2006, Ms. Li often felt dizzy and fatigued. One day, Ms. Li found that her lower limbs were covered with bleeding points, so she quickly went to the hospital for treatment. The blood routine examination found that the platelet value was very low, and the risk of severe bleeding was very high, so he was admitted to the hospital on the same day. The impact of hormones and C-balls quickly increased Ms. Li’s platelet value. After the platelet value was stable, Ms. Li was discharged from the hospital and continued oral hormone therapy, and gradually reduced the hormone following the doctor’s instructions. However, with the reduction of hormone drugs, Ms. Li found that her platelet values began to decline again, and even bleeding spots appeared on her skin. During menstruation, she was miserable. Ms. Li was admitted to the hospital again, but with it came the problem of medical expenses. Many times the conventional treatment methods of Western medicine such as hormones and globules were quite expensive, and for an ordinary family like Ms. Li, it was overwhelmed. “How to treat platelets is not good, is there any need for treatment?” & Nbsp. Every time she thinks of her condition, Ms. Li is very frustrated. If it is a pain during the treatment process, as long as the condition can be cured, these can be Tolerated, but repeatedly hospitalized, treated, and relapsed, just like a “circle”, circling incessantly … The increasingly unbearable treatment costs feel like she has become a “burden” for the family, Ms. Li even There is the idea of giving up treatment ~ Although Ms. Li is increasingly helpless about the condition and even has the idea of coping with it negatively, her family has not given up on her. In the process of multi-party consultation and understanding, a treatment for blood system diseases such as thrombocytopenia Aroused the attention of Ms. Li’s family. In March 2016, with all her family’s persuasion, Ms. Li followed her family to Beijing for treatment. Through the treatment, Ms. Li regularly reviewed the blood routine every week from the beginning, extended the interval to recheck the blood routine every two months, and the platelet value also increased from more than 50 at the time of discharge to more than 80, and then to 178. Several years have passed since then, and the condition has been very stable, and has reached the standard of complete recovery! Remind everyone that on the one hand, the combination of Chinese and Western medicine can treat the thrombocytopenia on the one hand, it can take advantage of the fast-acting and strong effects of Western medicine to control the disease in a short period of time, and on the other hand, use targeted Chinese medicine (non-focused Chinese medicine is difficult to play a considerable effect). The characteristics of long-lasting and small side effects grasp the long-term treatment direction and achieve the combination of Chinese and Western medicine. The two take advantage of the shortcomings and better control the disease. [For more disease knowledge, follow the WeChat public account: Thrombocytopenia Patient Association] Welcome to follow Shi Shurong to consult and reserve the public account to learn more: zzb753
Shi Shurong’s WeChat xyk261 routine blood test is to see if there are any problems with his blood cells. Its items include red blood cells, hemoglobin, white blood cells, and platelets. White blood cells also have lymphocytes and neutrophil monocytes. You can find out whether your body has anemia, or you can simply screen for diseases in your blood system. If you find a disease, you have to do other detailed examinations. Leukemia is a type of clonal malignant disease of hematopoietic stem cells. The leukemia cells in the clones lose their ability to further differentiate and mature and stay at different stages of cell development. Leukemia cells proliferate and accumulate in bone marrow and other hematopoietic tissues, and infiltrate other organs. With tissues, while normal hematopoietic function is inhibited. The onset of leukemia varies rapidly. The urgency can be sudden high fever or severe bleeding tendency; the palsy is often pale, purpura skin, or bleeding after tooth extraction is difficult to stop, anemia, fatigue, weight loss, lymphadenopathy Wait for performance. Most patients with white blood cells have increased leukocytosis in the routine blood test, and the number of leukocytes has increased significantly in the late stage of the disease. However, many patients have a white blood cell count at a normal level or reduced; about half of the patients have low platelets, and late platelets are often extremely reduced. The blood routine can only play an auxiliary role in the diagnosis of leukemia. It is unrealistic to diagnose leukemia by blood routine alone. The diagnosis of leukemia must be confirmed by routine bone examination. During blood routine examination, if the result is abnormal and there is a possibility of leukemia, a further diagnosis of leukemia is required by bone marrow aspiration. Only bone marrow examination can confirm whether there is leukemia. Blood routine does not have the ability to diagnose leukemia, but it can reflect the patient’s most basic peripheral blood condition. Leukemia tumor cells in the bone marrow usually cause abnormal blood routine, which is one of the auxiliary examinations to diagnose leukemia. During and after chemotherapy, leukemia patients also need to repeat blood tests. To check whether it is leukemia, a bone marrow puncture is needed to confirm the diagnosis. When acute leukemia occurs, anemia and platelet reduction can often occur in the blood routine, and the number of white blood cells can increase significantly, but in rare cases, there may be a decrease in the number of white blood cells in the blood routine. If a peripheral blood smear is performed It may be possible to find primitive and naive leukemia cells. When chronic leukemia occurs, anemia often occurs, and platelets may be normal or increased at the beginning of the disease. As the disease progresses, platelets may progressively decrease, and white blood cell counts may increase. Blood smear examination shows that patients with chronic myeloid leukemia can have naive granulocytes at various stages, and patients with lymphocytic leukemia are mainly mature small lymphocytes. During the course of treatment, regular blood tests are carried out to hope to understand the patient’s response to treatment in time, so as to adjust the time and dose of the drug in time, in order to achieve better efficacy, and at the same time minimize the side effects. Special statement: The content of this site is for reference only, not as a basis for diagnosis and medical treatment.
Patients with hyperthyroidism and hypothyroidism should pay attention to these matters every day. Once you are done, you will be one step closer to recovery! There is a problem with the thyroid, especially for the two common thyroid diseases of hyperthyroidism and hypothyroidism. It is important to insist on taking medicine, but there is one thing that is also important-regular review in the hospital. Because the re-examination can not only detect whether the condition has changed, but also determine whether the dosage needs to be increased or decreased, and can also find out whether there are side effects in time. To this end, here is a summary of the review list for hyperthyroidism and hypothyroidism, everyone can take the seat and use each one. 01 Time for reexamination of hyperthyroidism: ① If you choose drug therapy-newly diagnosed hyperthyroidism, take the medicine and check the liver function and blood routine once a week. After 1 month, review the nail function, liver function and blood routine once a month. After that, review the nail function, liver function and blood routine every 1 month. After the treatment enters the consolidation period (that is, the nail function returns to normal, the condition has stabilized, and there is no need to adjust the dose frequently), it can be extended to review the nail function, liver function, and blood routine every 2 to 3 months. ②If you choose iodine 131 treatment-review after 1 month. After 6 months, review every 2 to 3 months. After half a year of treatment, it should be reviewed again. Matters needing attention: 1. If there is any discomfort during treatment, you should go to the hospital for examination in time, and you do n’t have to wait until the time for re-examination. 2. Fasting is not required for checking nail function and blood routine, but fasting is required if liver function is to be checked at the same time. 3. Whether taking oral medicine or iodine 131, hypothyroidism may occur. If you have symptoms of hypothyroidism such as fatigue, drowsiness, edema, constipation, and excessive weight gain, you should see a doctor in time. 02 Hypothyroidism review time: newly diagnosed hypothyroidism, review the nail function once a month after starting medication. After the nail function returns to normal, after frequent dose adjustment is not required, the condition enters a stable period, which can be extended to recheck the nail function every six months. Hypothyroidism or subclinical hypothyroidism found in the first trimester, because TSH should be controlled below 2.5 as soon as possible, so the review time can be shortened as appropriate. The test of hypothyroidism should be conducted every 2 to 3 weeks until & nbsp.TSH reaches the standard, and then changed to Review Jia Gong every 4 weeks. Matters needing attention: 1. If there is any discomfort during treatment, you should go to the hospital for examination in time, and you do n’t have to wait until the time for re-examination. 2. Fasting is not required for checking nail function and blood routine, but fasting is required if liver function is to be checked at the same time. 3. No need to stop the medicine before the inspection.