National Health Commission: Screening for depression during pregnancy and childbirth is included in routine pregnancy examination

The “Plan” requires increased interventions for pregnant women and other high-risk groups, taking the knowledge of depression prevention as a necessary science education content for pregnant women’s schools, and raising the awareness of prevention and treatment of pregnant women and their families. Incorporate the screening of pregnancy and childbirth depression into the routine pregnancy check-up and postpartum visits, and trained medical staff or social workers to screen for pregnancy and postpartum depression and track perinatal depression and endangering depression are becoming second only to cancer The second largest killer of humans, 350 million people worldwide are estimated to be sick. Perinatal depression is a type of depression that occurs during pregnancy or after childbirth, affecting up to one in seven women, and is one of the most common complications of pregnancy and postpartum. Perinatal depression may have short-term or long-term negative effects on women and children. Up to now, the specific etiology and pathogenesis of perinatal depression at home and abroad are still not completely clear, but the general view is that the disease is caused by a variety of influencing factors such as obstetrics and gynecology factors, social factors, psychological factors, and biological factors. And cause. In addition, social factors such as low socioeconomic status, lack of social or economic support, and adolescent fertility have also been shown to increase the risk of perinatal depression. USPSTF found that cognitive behavioral therapy and interpersonal therapy and other counseling interventions can effectively prevent high risks Perinatal depression of the population. Other interventions such as physical exercise, education, medication, dietary supplements and health system interventions can effectively prevent perinatal depression. As family and friends, when facing the depression of your new mother, don’t think it is “hypocritical.” On the one hand, we must listen patiently, actively communicate, and understand the new mother’s thoughts in time. On the other hand, whether it is the family member or the mother herself, we should master the knowledge to identify perinatal depression.

Comprehensive minimally invasive interventional treatment of lung cancer

Comprehensive interventional treatment of lung cancer. This is a patient with lung cancer who was seen in the outpatient clinic three months ago, male, 74 years old, smoking history for 50 years, outpatient CT found “left lung occupying space, consider malignant”, the size is about 7-8 cm. The family’s opinion is that because the elderly are older, surgical treatment is not considered, and they hope that minimally invasive interventional treatment will prolong the patient’s survival and improve the quality of life of the patient. After admission, a needle biopsy was performed first. Because the lesion was blocked by the scapula, ribs, etc., the tumor tissue could not be obtained from the routine supine position. Therefore, the puncture in a special position was performed, and the tissue was successfully obtained, and the pathological result was “(left lung) adenocarcinoma”. The next step is treatment. First, conventional “interventional chemotherapy”, which is bronchial arterial chemotherapy perfusion, was performed. The advantage is that a relatively small amount of chemotherapeutic drugs are directly infused into the tumor. The effect is good, and there are no side effects such as severe vomiting and leukopenia. He was discharged three days after surgery. The patient accepts this not uncomfortable treatment. Re-examination 21 days later, the tumor progression was successfully controlled. According to the chemotherapy course, interventional chemotherapy perfusion was performed again. Family members expressed their willingness to cooperate with other treatment methods. Therefore, the tumor radiofrequency ablation treatment was performed, and when the re-examination was performed again, 125 iodine radioactive seeds were implanted, as shown in the figure below. The selected examination found that the tumor has been significantly reduced and the treatment was very successful! The patient’s condition is getting better and better, and his weight has increased significantly. Expect the patient to get better and better! Come on (ง•̀_•́)ง!

Why is intervention necessary for liver cancer ablation?

This is a CT image rechecked after liver cancer ablation surgery. The patient received liver interventional therapy first, followed by ablation. CT showed that the tumor was completely ablated. Why do we need interventional treatment first? Because most tumors of primary liver cancer are abnormally rich in blood vessels, from enhanced CT or enhanced magnetic resonance, we can see that the tumor is enhanced first than the normal liver, which is often called “fast in and out”. The ablation is to scald the tumor cells by using local high temperature. For safety, the range of local high temperature cannot be too large and the energy cannot be too high. Because the blood vessels of the tumor are rich in blood flow, it is like you are heating by boiling water, and running water is used for you to continue. There is a reason why the water will not boil when the temperature is lowered. Intervention is to use iodized oil and embolic agents to block the tumor blood vessels, so that the tumor can heat up evenly, achieve better treatment results, and increase surgical efficiency. &nbsp.

What are the types of failure of the fallopian tube

&nbsp.&nbsp.&nbsp. After sperm enters the vagina and uterus, it combines with the egg cell in the ampulla of the fallopian tube to form a fertilized egg. If the fallopian tube is not smooth, it is not that there is no hope for fertility, and the conclusion should be determined according to the specific situation.   Fallopian tube is blocked, there are two situations:    The first one is that the fallopian tube is not unblocked, which is caused by slight inflammation and adhesion in the tube. Or the tube is too thin and curved. Or the outside of the fallopian tube is adhesion, which pulls the fallopian tube activity. Treatment can use selective tubal intubation and recanalization. For the adhesion outside the tube, it can also be cut and decomposed by laparoscopy to “untie” the fallopian tube. After treatment, most women can become pregnant.   The second situation is that the fallopian tubes are occluded and the damage is minor. Most of the fallopian tubes are normal. This situation can be resolved through X-ray tubal interventional recanalization or laparoscopic surgery or open surgery. As for the specific patient’s specific situation, what kind of treatment should be selected to resolve it, it should be based on professional doctors. Your specific condition will provide you with exact diagnosis and treatment advice. In some cases of hydrosalpinx, you can open a mouth on it to let off the fluid, which is called tubal ostomy. Generally speaking, X-ray interventional recanalization of the fallopian tube is more effective. Trans-X-ray interventional recanalization of the fallopian tube uses a coaxial catheter system under the direct vision of a TV screen under a digital X-ray machine. The cervix, uterus, and uterine horns are inserted into the fallopian tube with fallopian tube catheters to perform selective radiography of the fallopian tube, and then the fallopian tube guide wire is inserted into the fallopian tube through the fallopian tube catheter according to the specific blockage of the fallopian tube and the specific conditions, and the blocked fallopian tube is separated by the catheter wire. Healing. X-ray interventional recanalization of fallopian tubes is mainly suitable for infertility patients whose fallopian tubes are blocked in the interstitial and narrow parts.

Is it okay to avoid taking medicine if uric acid is high, prohibiting alcohol, meat, and strengthening exercise? See what the doctor said

Lao Zhang discovered high uric acid ten years ago, and he has not paid much attention to it. This year, the uric acid in the physical examination is 470umol/L. The doctor advised him to make lifestyle interventions. Lao Zhang worries that only through lifestyle intervention will not be able to control his age-old disease. The doctor comforted him not to worry, he should first use lifestyle intervention for about three months and then consider whether to use medication according to the situation. So if uric acid is high, is it okay to not take medicine? Does lifestyle intervention mean prohibiting alcohol, meat, and strengthening exercise? Can it be restored? Lifestyle intervention with hyperuric acid. In medicine, the blood uric acid level of men is higher than 420umol/L, and females higher than 360umol/L can be diagnosed as hyperuricemia. For patients with hyperuricemia, lifestyle intervention is essential. For those who have no symptoms of gout and the doctor assesses that there is no risk of cardiovascular disease and metabolic disease, and the blood uric acid is lower than 540umol/L, uric acid-lowering drugs can be avoided first, and lifestyle intervention can be used for three to six months. According to the uric acid control situation, consider whether to take drugs as appropriate. It is best to follow the guidance of a professional doctor. And lifestyle intervention is not as simple as prohibiting alcohol, meat, and strengthening exercise. Lifestyle intervention methods (1) Dietary uric acid is the end product of human purine metabolism, so the increase in blood uric acid is related to the intake of purines. Patients with hyperuricemia should pay attention to controlling the total amount of purines in the food. It is not strictly speaking not to eat meat, but to reduce the total amount of high-purine foods, increase the amount of low-purine foods, and control the total daily consumption of purines on the basis of ensuring their own nutrition. High-purine foods generally include a variety of livestock and poultry meat, animal offal, certain seafood, meat, etc. While refined white rice noodles, eggs, dairy products, fruits, most vegetables, etc., have lower purine levels. If you want to eat meat, you can boil the meat and poultry and discard the juice to reduce the purine content. Foods high in fructose do not contain purines, but because fructose can accelerate the catabolism of adenine nucleotides, it can cause high uric acid. Therefore, eat less foods containing more fructose such as honey, apples, pears, bananas, and lychees. (2) Drinking research found that for every 10g increase in daily alcohol intake, the risk of gout increased by 17%. Moreover, beer has a higher uric acid-raising ability than alcohol, because guanosine in beer can be converted into uric acid by intestinal bacteria. Wine has no effect on high uric acid. Therefore, for patients with hyperuricemia, it is best to refrain from drinking white wine and beer. If you really love wine, you can drink red wine in moderation, but not too much. And some sugary drinks have a high risk of causing gout, so be careful. (3) Exercise is recommended for many diseases, but patients with high uric acid should not exercise excessively. Because high-intensity exercise and sweating are more likely to increase lactic acid in the body and affect the excretion function of the kidneys, sweating can also concentrate urine, leading to increased uric acid concentration, and even gout. Therefore, about 30 minutes of moderate-intensity exercise every day is enough. If you are obese, you should lose weight appropriately and keep your weight within the normal range. Conclusion High uric acid does not mean that everyone needs to take medication. If there is no gout symptoms, you can adjust your lifestyle and diet to achieve the goal of controlling uric acid under the evaluation and advice of a doctor. However, you need to pay attention and must be guided under the evaluation of a specialist. In some cases, uric acid is high, even if there are no symptoms, it is necessary to take medication. References: [1] Chinese Medical Association Endocrinology Branch. Chinese expert consensus on the treatment of hyperuricemia and gout[J]. Chinese Journal of Endocrinology and Metabolism, 2013,29(011):913-920. (Part of the text in the picture source network , The copyright belongs to the original author. I would like to express my gratitude to the author of the picture. If you find any violation of your copyright, please contact me and I will delete it.)

The secret weapon of cancer treatment, chemotherapy drugs directly hit the tumor, the side effects are small and the effect is accurate

In simple terms, interventional treatment is a method of minimally invasive treatment of local lesions through blood vessels, skin or the original pipeline of the human body under the guidance of imaging equipment (digital subtraction angiography, CT, ultrasound, and magnetic resonance, etc.). Interventional therapy includes vascular intervention and non-vascular intervention. Vascular interventions such as coronary angiography, cerebrovascular angiography, thrombolysis, stent placement, deep venous catheterization, blood vessel filter, intra-arterial infusion of chemotherapy drugs for local chemotherapy and so on. Non-vascular interventions, such as percutaneous tumor ablation, ostomy under intervention, and recanalization, are all non-vascular interventions. It can be seen that interventional therapy covers many diseases, and tumor intervention is only one branch. In tumor vascular interventional therapy, liver cancer is the most used malignant tumor. TACE, or hepatic artery chemoembolization, is currently the most commonly used method for the treatment of liver cancer in my country. This is because systemic treatment of liver cancer is not effective, and 20%-25% of the blood supply of normal liver cells comes from the hepatic artery, and 75%-85% comes from the portal vein. 90%-95% of the blood supply of primary liver cancer comes from the hepatic artery. Therefore, blockage of the hepatic artery has little effect on normal liver cells, which provides an anatomical basis for vascular interventional treatment of liver cancer. Through interventional therapy, the drugs can be limited to the tumor lesions as much as possible, and the side effects on the body and other organs can be reduced. Arterial drug perfusion therapy, through the artery to directly administer the tumor tissue, the local drug concentration can be increased by more than 10 times, and the tumor killing effect is doubled. Relatively speaking, the distribution of interventional therapy drugs in the veins of the body is smaller, and the corresponding side effects are reduced. Tumor vascular interventional therapy, in addition to local injection of chemotherapeutic drugs, will also inject embolic agents such as gelatin sponge or iodized oil to block the blood supply of the tumor and seal the tumor vascular bed, thereby inhibiting tumor growth. Interventional therapy can also be used for lung cancer, but it is generally not mainstream. Patients who can operate on lung cancer use surgery as much as possible, and early lung cancer that cannot tolerate surgery can be treated with radiofrequency or microwave ablation. my country began to develop this treatment technology in 2000. At present, it is the country with the largest number of cases of radiofrequency ablation for lung cancer in the world. Radiofrequency ablation for the treatment of lung cancer, for lesions less than 5 cm in diameter, especially lesions within 3 cm, one treatment can completely inactivate the tumor. Lung cancer patients can also use bronchial artery chemoembolization. In theory, chemotherapy drugs can be applied to the blood supply artery of lung cancer, so that the content of chemotherapy drugs in tumor cells is higher than that of intravenous chemotherapy. It can also add embolization agents to embolize the blood supply artery. Thereby improving the treatment effect. But in fact, the clinical use of vascular interventional chemotherapy for lung cancer is much less than that for liver cancer. The reason is that the effect of interventional chemotherapy for lung cancer is not ideal. This is because: 1. The multi-body arterial blood supply of lung cancer, lung cancer often can be supplied by multiple arteries; 2. Part of peripheral lung cancer can participate in the blood supply of the pulmonary circulation; 3. The blood supply of the metastatic mediastinal hilar lymph nodes of lung cancer are all multi-body arteries. Because the blood supply to the lungs is complicated and the blood flow is fast, simply injecting chemotherapy drugs through the bronchial artery will quickly take away the drugs, and the effect is not ideal. If embolization of large blood vessels is used, important parts may be ischemic. Affect the effect of systemic chemotherapy. Therefore, in clinical practice, some doctors will perform slow infusion of local arterial catheterization, combined with systemic chemotherapy, and perform local radiotherapy after treatment or complete embolization of tumor blood vessels under intervention, so as to achieve better results.

Several risk factors that can prevent Alzheimer’s

Alzheimer’s disease is a common problem among the elderly. Many people are also worried about the problems that may arise when they are old. How to prevent it. That is mainly for the risk factors of Alzheimer’s disease. &nbsp.&nbsp.&nbsp.&nbsp.&nbsp. There is currently no cure for Alzheimer’s disease. Only early intervention can effectively delay the progression of Alzheimer’s disease. According to a study published in The Lancet-Global Health in May 2019, 9 risk factors that can change the risk of Alzheimer’s disease at different stages of life. They are: early years-education (without completing secondary education), middle age-high blood pressure, obesity, hearing loss, old age-depression, diabetes, lack of physical exercise, smoking, and little contact with society. Such as the management and intervention of the above 9 risk factors can reduce the risk of Alzheimer’s disease by about one-third. Therefore, you can prevent related factors according to your own stage. &nbsp.

Director Chen Qian’s popular science diagnosis and treatment of difficult liver cancer cases

Director Chen Qian’s medical record collection of primary liver cancer with multiple metastases today is a patient from a tumor affiliated with Sun Yat-sen University. The patient was 40 years old. Hepatocellular carcinoma was discovered for more than 2 months. The examination revealed that the liver tumor was as fast as 15 cm. At the same time, there were metastases in the liver. There were also more than ten metastases in the lungs and lymph nodes throughout the body. The patient has not yet been rechecked after receiving interventional therapy in the Sun Yat-sen University Affiliated Tumor Hospital. Oral sorafenib targeted therapy. In addition to targeted therapy and interventional therapy, the local hospital has no special treatment plan, and the patient traveled far away for a special consultation. Based on the patient’s medical history and condition, our current treatment opinions are: 1. Patients with massive liver cancer, multiple metastases, surgery and liver transplantation are not considered; 2. Liver interventional therapy has not been reviewed, and I don’t know how the intervention is. It is recommended to review Enhanced CT, and if the liver function can be tolerated, the intervention can be repeated many times; 3. Radiotherapy, TOMO knife treatment, cyberknife and proton heavy ion, etc. After radiotherapy, radiation liver damage may occur in patients, which is not recommended; 4 .Haifu knife focused ultrasound ablation surgery can ablate most liver tumors at one time, and the curative effect exceeds that of radiotherapy and interventional therapy. However, it requires multiple Haifu treatments and is also a local treatment; the advantage is that it does not interfere with the patient’s body and mind. 5. Radiofrequency, microwave, and cryoablation are also acceptable, especially for tumors on the lung, but there is a risk of puncture bleeding, infection, and complications such as hemopneumothorax; 6. A genetic test is needed to assess whether it can be targeted Treatment and immunotherapy; 7. Cell therapy can be tried, but the effect may be somewhat limited; 8. Finally, the basic liver protection, albumin and other support symptomatic treatment. 9. Traditional Chinese medicine treatment can be tried, but the effect may be minimal. This patient has a complicated condition and extensive tumor metastasis. It requires a combination of multiple comprehensive treatments, which is difficult to deal with and has huge medical expenses. However, the patient is young and is now in good condition. The patient does not give up, and the doctors also need to do their best to fight cancer together. &nbsp.&nbsp.&nbsp.

The importance of early rehabilitation treatment for children with cerebral palsy

Why do children with cerebral palsy need early rehabilitation treatment? Can early intervention and treatment help babies with cerebral palsy recover? Infants and young children are in the growth and development stage, and the development of brain nerves at birth is not yet mature, and the dendrites and axons of nerve cells are relatively small and relatively short. The formation and development of nerve myelin sheath is completed at about 4 years old. Therefore, before the age of 4, the baby’s nerve development potential is relatively large and plasticity is strong. The importance of early intervention for cerebral palsy Children’s brain cells have a certain degree of plasticity. The younger the age, the greater the potential and the stronger the plasticity. For babies at high risk of cerebral palsy, if they do early prevention and intervention, the prognosis will vary greatly. The earlier the intervention, the better the effect. Infancy is the period when brain structure differentiation and functional development are the fastest, and it is also the period with the strongest plasticity. The injured brain can be compensated by intervention. Although the brain injury of cerebral palsy cannot be completely repaired, after rehabilitation training, the function of the child can be developed to varying degrees, and even reach a completely independent living ability. If the baby has high-risk factors for perinatal cerebral palsy, consultation and evaluation should be conducted as soon as possible, abnormalities are detected early, and early intervention and treatment are required to avoid missing the best treatment opportunity.

Can rectal cancer be treated with interventional therapy? How is the effect?

Rectal cancer is a very common malignant tumor. In recent years, with the continuous improvement of people’s living standards, the incidence of rectal cancer is gradually increasing. According to the 2018 International Oncology Research Agency released a research data on cancer status, the top four cancers with the highest incidence are lung cancer, breast cancer, prostate cancer and rectal cancer. Among them, rectal cancer is the most common among new cancers. Accounted for 6.1%. At the same time, with the rapid development of interventional therapy in recent years and its advantages in clinical application, interventional therapy has become one of the three main clinical disciplines alongside traditional internal medicine and surgery, and is an important part of cancer treatment. the way. Therefore, many patients with rectal cancer also have such questions and concerns. Can rectal cancer be treated with interventional therapy? How’s the effect? 1. Can rectal cancer be treated with interventional therapy? There are two main methods of interventional therapy for rectal cancer: one is to put a stent in the rectum to expand the intestines, thereby alleviating obstruction and intestinal stenosis, and helping patients eat and defecate; The other is selective administration through the blood supply artery of the tumor. However, interventional therapy is not the main treatment for patients with rectal cancer. Only some patients with rectal cancer can undergo interventional therapy. The details are as follows: 1. The rectal cancer has invaded the surrounding area and cannot be completely removed by surgery, such as invasion of the urethra and bladder; if it is possible for women Violation to the vagina and uterus; and metastasis to the pelvic lymph nodes. At this time, the operation is not clean, and interventional treatment can be adopted. 2. The tumor is close to the anus, so that the tumor is degraded and stagnated. When performing surgery for rectal cancer, in most cases, it is necessary to completely cut the rectum, remove the anus, and make an artificial fecal bag on the stomach, resulting in poor quality of life. In this case, interventional therapy can be performed first, and local rectal artery infusion chemotherapy can be performed to degrade the tumor and reduce the staging. For example, if the original tumor is relatively close to the anus, the distance from the anus can be more than 5-7cm after interventional therapy. The rectal cancer can be removed by surgery while keeping the patient’s normal anus, so that the patient can defecate normally after the operation. 3. The stage of rectal cancer is relatively high, and the stage of rectal cancer after interventional treatment is downgraded is relatively high and cannot be removed by surgery. At this time, local arterial infusion chemotherapy can be performed to degrade the tumor from stage IV to III, to II, or even to I, and surgical resection in II. 4. Recurrence of rectal cancer after surgery. Recurrence of rectal cancer after surgery can be treated with local infusion chemotherapy and embolization to relieve patients’ pain, prolong life and control tumors. 5. Local recurrence of rectal cancer after surgery, severe intestinal stricture, local recurrence of rectal cancer after surgery, severely narrowed intestines to the extent that normal bowel movements, the patient will be very painful. At this time, an intrarectal stent can also be implanted to restore normal bowel movements, relieve pain, and prolong the life of the patient. 2. What is the effect of interventional therapy for rectal cancer? One of the interventional treatments for rectal cancer is to help patients return to normal bowel movements, relieve pain and prolong their survival. On the other hand, by infusing the appropriate concentration of chemotherapeutics into the blood vessels supplying the tumor through the catheter, the tumor tissue can withstand high concentrations of chemotherapeutics without causing side effects of the drugs on other parts of the patient’s body. And because of the effect of embolic agents, tumors will die because they cannot harvest blood nutrients from the blood vessels. Some patients can even achieve “survival with tumors” through this therapy. Although the effect of interventional treatment for rectal cancer is better, there is still a certain gap compared with the effect of surgical treatment. Therefore, patients with rectal cancer who can be operated on are preferred to surgery, while patients with inoperable rectal cancer can be treated to prolong their survival through interventional treatment. Period and improve the quality of life.

Holding a diamond in your hand, look for another mountain jade

This weekend, the 11th China Conference on Interventional Oncology and Minimally Invasive Therapy (CCIO2020), hosted by Shanghai Zhongshan Hospital, was held on Shanghai Cloud. The earliest sponsor of the CCIO conference was jointly initiated by the directors of the interventional departments of the four hospitals, namely, Professor Wang Jianhua, Zhongshan Hospital of Fudan University, Shanghai, Professor Zou Yinghua, Department of Intervention, Peking University First Hospital, Professor Guo Zhi, Department of Intervention, Tianjin University Cancer Hospital, and Chinese Academy of Medical Sciences. Professor Li Huai of the Interventional Department of the Hospital. It has been held 10 times so far, and it has returned to Shanghai again to hold it, which has attracted much attention. Director Lin Gui of Shanghai Zhongshan Hospital is one of the founders of Chinese interventional medicine. Shanghai Zhongshan Hospital is also one of the birthplaces of Chinese interventional medicine. Interventional medicine is increasingly becoming the cross-integration link of various clinical disciplines. Tumor intervention is an important branch of interventional medicine. It has formed its own system, mainly image-guided, and can achieve minimally invasive treatment. Therefore, in the comprehensive treatment of tumors , Is also known as Cheng Yaojin who has “three axes”. This afternoon, before the official opening of the conference, I participated in a live discussion with a hundred schools of thought. Six experts from the Department of Oncology, Pathology, Immunology, Radiotherapy, Traditional Chinese Medicine, and Interventional Intervention brought their respective fields related to tumor intervention. The cutting-edge lectures, coupled with discussions by nearly 10 guests, are quite touching. Interventional medicine has passed the era of “technology is king”, and many clinical disciplines have also begun to do interventions. Interventional devices are becoming more and more sophisticated, and image guidance equipment is becoming more and more advanced, and interventional technology is getting easier. When I was young, I always felt that it was a skill to get the catheter through the twisted blood vessel path. When pursuing a biopsy or ablation, the sense of accomplishment of getting a needle in place. These technologies are not difficult for young doctors today. The advent of various new types of microcatheters has been able to do a good job of super-selective technologies; and the popularity of ultrasound and CT positioning equipment enables accurate puncture. It is something that can be solved by a learning curve. Many clinical disciplines have also begun to perform various operations of intervention, and intervention has entered an era of interdisciplinary integration. Interventional doctors, especially oncology interventional doctors, should eagerly contact, learn and master all kinds of knowledge on tumor immunity, targeting, genetic testing, and even new chemotherapy drugs in order to have a place in the discussion of more and more tumor MDT teams. . The era of internal medicine surgery, minimally invasive surgery, and interventional medicine seems to have come. Interventional doctors should have diamond diamonds for porcelain work, and they need to find “the jade of other mountains” before they can attack the stubborn stone of cancer.

Why some patients with vitiligo need psychological treatment

During the consultation, we found that many patients with vitiligo have the following psychology: First, the development of leukoplakia is particularly stressful, and it is always a long time to watch the leukoplakia repeatedly every day. It is a fluke to find that the leukoplakia does not spread; Skin problems make you nervous; three, quietly quit various circles of friends, afraid to meet friends and relatives; four, start to be alone, don’t go out easily, don’t think about anything, and feel hopeless in life; five, cranky thinking, I saw the healing experience of others on the Internet, and then I followed and tried without following the doctor’s advice; VI. After trying various methods, after a long time healed, I began to abandon myself and lose interest in life. 7. Once the treatment fails to achieve the expected psychological effects, it will be unbearable and even thought of suicide. Doctors from Chongqing Dibang Vitiligo Research Institute said that studies have shown that about two-thirds of patients with vitiligo are related to mental trauma, overwork, anxiety and depression. Vitiligo can be regarded as a physical and mental illness. A person who has been in a state of depression and thinking too much can easily lead to loss of appetite, nausea and vomiting. Over time, the body’s nutrition cannot keep up, the body’s trace elements are lacking, and the resistance is weakened, creating conditions for the invasion and spread of vitiligo. Adolescents and children are at the age of sensitive, beautiful and handsome, their appearance will definitely affect them greatly. With the stimulation of the strange eyes of the people around, it is easy for them to develop an inferiority complex, indifferent, and extreme personality. , It is difficult to reverse, so it is indispensable to carry out psychological diagnosis and treatment intervention. Psychological intervention therapy In view of the psychological state is an important factor related to the recovery of patients with vitiligo, the leading experts have summarized and researched a set of psychological therapies for the treatment of vitiligo through clinical practice. Psychotherapy divides time nodes according to the treatment process of vitiligo, uses language and physical communication, formulates corresponding psychological interventions, and cooperates with conventional vitiligo treatment. When implementing psychotherapy to treat patients, it is necessary to build a good doctor-patient relationship. Under the guidance of psychology, change the patient’s feelings, cognition, emotion and behavior, adjust the balance between the individual and the environment, so as to achieve the purpose of treatment. Psychological intervention can improve patients’ awareness of the disease, correct their psychopathology and abnormal emotions, break the vicious circle between negative cognition and emotional disorders, and promote the improvement of mood and behavior. Through the interaction between medical staff and patients, it reduces or eliminates patients’ tension, anxiety, and depression, and enhances patients’ enthusiasm and initiative to overcome diseases, and actively cooperates with doctors to fight against diseases. Because psychotherapy can reduce the symptoms of patients’ tension, anxiety, depression and other symptoms, and enhance the therapeutic effect of physical therapy, it can obtain better curative effects than physical therapy alone. Doctors from Chongqing Institute of Vitiligo said that clinical cases have verified that when patients with vitiligo receive normal clinical treatment, supplemented with psychological intervention therapy, it can greatly relieve the nervousness of the patient, stimulate the patient’s positive and optimistic attitude, and build the patient’s confidence in overcoming the disease, thereby Speed ​​up the patient’s recovery process, greatly shorten the treatment cycle, and reduce the patient’s treatment pain.

The importance of music intervention for children with autism

&nbsp.&nbsp. Autism is a common developmental disorder. Symptoms include abnormal language skills, abnormal communication skills, narrow interests, and stubborn behavior patterns. Language disorder is the most typical disorder and core symptom of autistic patients. Children with autism have obvious lags and obstacles in language development, from being unable to communicate to having sufficient language knowledge, but there are fundamental obstacles when using these language knowledge to speak or enter the discourse context. According to statistics, 30% to 50% of autistic patients lack basic language functions, and most autistic patients have language barriers that focus on language communication defects. &nbsp.&nbsp. The lack of language makes the communication between autistic patients and society missing an important part, because it is impossible to communicate smoothly and understand each other, it is difficult for each individual to live independently in society. Language barriers make autistic children face great threats not only in development but even in survival. Language is a key factor threatening the development of children with autism, and it is also the core and key area of ​​rehabilitation for children with autism. &nbsp.Although children with autism have obvious defects in language development, their ability to respond to music is still developing very well, and they generally like to sing or listen to music. Music itself has many similarities in language. Music is often defined as a sensory language. It is the art of the soul. It conveys wisdom and emotional experience through sound. It is a special way of communication. &nbsp.&nbsp. A large number of studies have proved that music intervention can effectively improve the language barrier of autistic children. Listening to music can help children with autism stabilize their mood and improve their mood. Music intervention can not only improve the language and social response behavior of autistic children, but also significantly improve their language communication ability. &nbsp. In the process of music intervention for autistic patients, music is not used independently, but often needs to be combined with movements or other activities. For example, when singing, the body will beat rhythmically, or when singing, you will be required to applaud or even play drums. The combination of body movements and music can help children focus, while rough movements and detailed movements are gradually developed and improved. &nbsp.&nbsp. When using music to interfere with autism, it is best to use colorful music activities as the main way to make children feel happy in these fun music activities. The choice of music and the content of activities need to be adjusted from time to time according to the state of the child to avoid negative stereotypes, such as blind imitation. &nbsp.&nbsp. The purpose of music intervention is to help children solve language and emotional expression problems. In this process, the improvement of music level is not the most important, but if family members can actively cooperate and participate in children’s music intervention activities, it will have a more positive impact on the effectiveness of the intervention.

Topic 6 of Interventional Therapy for Liver Cancer: What adverse reactions will occur after interventional therapy?

Various methods of interventional treatment of liver cancer have been introduced to all patients. Today, let us talk about the adverse reactions and points of attention after interventional treatment. I hope to help everyone. 1. What are the common adverse reactions of interventional therapy? 1. Hemorrhage of the local puncture wound site The local bleeding at the wound is more common within 24 hours after the operation, mainly manifested as hematoma and ecchymosis around the puncture wound. For patients undergoing femoral artery puncture, the puncture site needs to be compressed, and the lower limbs are braked after operation, and bending is prohibited. Generally, you can get out of bed after 24 hours of intervention. For the elderly who have poor coagulation mechanism, the elderly, and multiple punctures should avoid getting out of bed prematurely and increase abdominal pressure to maintain smooth stool and prevent bleeding from wounds. 2. Fever is a common clinical symptom of patients after intervention. Because the blood supply artery of the liver cancer is embolized, local tumor ischemia and necrosis will cause heat absorption, which is normal. It usually occurs on the second day after surgery, peaks in 3-5 days, and will be relieved after one week. For patients with low fever, physical cooling is mainly encouraged, and drinking plenty of water is encouraged; for moderate and moderate heat, oral administration of Xinhuang tablets or antipyretic analgesics, such as indomethacin suppository treatment, can be prescribed as directed by the doctor. 3. Abdominal pain&nbsp. Abdominal pain is related to ischemia at the embolization site, tumor cell necrosis and edema, increased liver volume, and tight capsule. When the pain is mild, you can communicate with your family to divert attention and eliminate tension; the moderate to severe pain can be treated symptomatically with pain medicines as directed by your doctor. 4.&nbsp. Nausea and vomiting are mostly caused by gastrointestinal reactions caused by chemotherapy drugs. For patients with more frequent vomiting, anti-emetic drugs can be applied postoperatively to relieve symptoms. When vomiting occurs, the head should be tilted to one side to avoid vomiting inhaling the bronchial tubes and causing choking or even suffocation, and pay attention to observe the color and amount of vomiting. If it is brown or dark red, there may be gastrointestinal bleeding, which needs immediate Notify the doctor. 5.&nbsp. The application of chemotherapeutic drugs and embolizing agents in the interventional treatment of liver and kidney dysfunction can cause liver cell damage, while some chemotherapeutic drugs such as cisplatin and contrast agents used in interventional procedures can cause renal function damage. For most patients, abnormal liver and kidney functions are mostly transient, mainly manifested in varying degrees of changes in bilirubin, alanine aminotransferase, aspartate aminotransferase, alkaline phosphatase, albumin, etc. It returned to normal on days 2-5 and around 7-10 days. For patients after intervention, it is recommended to drink plenty of water (except for patients with ascites), which is conducive to the excretion of chemotherapy drugs and contrast agents, and routinely use drugs that protect the liver and kidney to promote the recovery of liver and kidney functions. 6.&nbsp.Infection For patients with poor resistance, chemotherapy drugs can cause bone marrow suppression and cause secondary infection. For those with persistent high temperature after interventional therapy, blood culture tests can be performed to eliminate the possibility of infection, and antibiotic treatment should be given according to the test results. 7. Gastrointestinal bleeding Many liver cancer patients with liver cirrhosis, portal pressure increased, manifested as esophageal varices. Patients with nausea and vomiting after intervention are likely to induce gastrointestinal bleeding, manifested as hematemesis and melena, which requires immediate fasting, and symptomatic treatment with portal pressure-lowering drugs such as somatostatin or terlipressin . 2. What should be paid attention to in liver cancer patients undergoing interventional treatment? Patients with liver cancer undergoing interventional therapy should first avoid taking drugs that damage liver function after surgery. In terms of diet, there are actually not many contraindications after interventional therapy, and high protein soft foods are mainly recommended. Eat more protein, including animal protein, to help recover, such as lean meat, fish, and shrimp. Because patients with liver cancer have poor digestive function, they can eat less and eat more meals. In addition, do not eat hard or rough food, so as not to induce gastrointestinal bleeding. The picture comes from the Internet, if there is any infringement, you can contact to delete &nbsp.

Exercise intervention in pre-diabetics

(1) Objective: For those who are overweight or obese, make the BMI at or near 24kg/m2, or reduce the initial weight by at least 5% within 3 to 6 months, and maintain it at a healthy level for a long time; daily> 30min moderate to high intensity Sports. (2) Intervention measures: Aerobic exercise increases muscle uptake of glucose by enhancing insulin sensitivity without depending on the increase in muscle mass or changes in aerobic metabolism. The increase in muscle mass caused by resistance exercise is beneficial to muscle uptake of glucose and does not depend on changing the muscle’s inherent insulin response. This consensus recommends the combined exercise intervention of aerobic exercise and resistance exercise. The variety of exercise forms also avoids the unity of exercise intervention, which is conducive to enhancing the individual’s compliance with exercise intervention. The sports intervention measures are detailed in Table 5. (3) People with financial conditions or health needs can choose various forms such as health management agencies, clubs, group management or family mutual assistance to improve the effect of lifestyle interventions. (Recommended by the guide)&nbsp.

Liver cancer intervention topic 1: What is liver cancer intervention therapy

& nbsp. Interventional treatment of liver cancer, which we often say, is also called hepatic arterial chemoembolization (TACE). It makes a 3-5 mm incision in the skin through the femoral artery or wrist of the thigh without surgery. Radial artery cannulation to hepatic artery, a minimally invasive treatment method of injecting chemotherapy drugs and vascular embolization agents into tumor blood vessels. The majority of patients may feel puzzled when they see this. In order to kill liver cancer cells, interventional surgery blocks the arteries of the liver. Will normal livers be affected by ischemic necrosis? In fact, the principle of interventional therapy to control liver cancer lies in: 90% of primary liver cancer’s nutrient blood vessels come from the hepatic artery, and normal liver tissue’s nutrient blood vessels come from the liver’s portal vein, we use the difference in blood vessel supply between liver cancer and normal liver tissue , Selectively embolize the tumor arteries and blood vessels, “cut off its food tract”, and “starve to death” the tumor. Interventional treatment of liver cancer has been carried out since the 1970s, and it has been more than tens of years. Its therapeutic effect on liver cancer has been fully affirmed. The advantages of interventional therapy for liver cancer are: 1. Selective infusion of chemotherapy drugs through the hepatic artery. The concentration of chemotherapy drugs is dozens of times higher than that of intravenous chemotherapy, but the toxicity is less than that of systemic chemotherapy. The blood supply of tumor is blocked by embolizing agents such as lipiodol and gelatin sponge , Two-pronged approach has good curative effect. Alpha-fetoprotein in patients with good curative effect after intervention is rapidly reduced, the mass is reduced, and pain is reduced; 2. Interventional surgery is a minimally invasive treatment, local anesthesia is only necessary, and the surgical incision is only a few millimeters, which can also be performed for elderly and frail patients. Most patients recover faster after intervention, and the treatment is well tolerated. The treatment can be repeated in about 4-6 weeks; 3. Interventional treatment costs are low, and some large hepatocellular carcinomas that cannot be surgically removed, the tumor shrinks after interventional treatment Later, surgical resection can be performed; & nbsp. Which patients are suitable for interventional treatment? 1. Patients with primary liver cancer who cannot be surgically removed. Because the onset of liver cancer is hidden and there are no symptoms in the early stage, most patients have a large tumor diameter when diagnosed, and most of them are accompanied by intrahepatic blood vessel invasion or distant metastasis, and the opportunity for surgical resection is lost. This group of patients is the main population receiving interventional therapy. 2. Patients with metastatic liver cancer, such as colon cancer liver metastasis, gastric cancer, pancreatic cancer liver metastasis, intrahepatic tumors more than 5 cm or multiple tumors cannot be surgically removed. Local intervention therapy combined with chemotherapy and targeted therapy can significantly improve tumors Control rate. 3 & nbsp., Although it can be surgically removed, but due to other reasons (such as advanced age, severe cirrhosis, etc.) patients who are unable or unwilling to undergo liver cancer surgery. 4. After resection of liver cancer, there are high-risk factors for recurrence, and it is necessary to prevent patients with recurrence of postoperative tumors. How many times should liver cancer interventional treatment be done? How about the treatment? Liver cancer is not so easy to deal with. After an interventional treatment, imaging (CT or magnetic resonance) needs to be performed 4-6 weeks. Some patients with small tumor burden can be well controlled without further treatment. For liver cancer patients with large tumors and a large number of tumors, especially large tumors, the filling of an interventional treatment drug cannot fill the entire tumor tissue and requires injections in separate courses. Because cancer tissues lacking drugs will continue to survive and grow, tumor cells that are on the verge of “starvation” but not completely necrotic are very cunning, and they will secrete growth factors that promote “long blood vessels”, and new nutrient blood vessels will grow to ensure survival. In this case, the patient needs to repeat the intervention treatment, supplement the liver cancer with drugs from the new long blood vessels, and then block the new long blood vessels, similar to “patching”. Therefore, each patient needs to be intervened several times, which is related to its own tumor size, number, tumor survival after treatment, and neovascularization. There is no fixed course of treatment. Whether repeated interventional therapy is required requires the treating physician to make a decision based on the postoperative review. For patients with liver cancer that cannot be surgically removed, interventional therapy is currently the most widely used treatment method. For patients who have undergone surgical resection but have a high risk of tumor recurrence, adjuvant interventional therapy after surgery can reduce the risk of tumor recurrence. Intervention as a local treatment for tumors needs to cooperate with different treatment measures such as targeted therapy, immunity, and radiotherapy to better improve the comprehensive treatment effect. & nbsp. & nbsp.

Xiebeilu: How to reduce the coagulation function of children with allergic purpura through graded care?

Xiebeilu studio WeChat add369456 Allergic purpura is a common pediatric disease. This type of disease is mainly connective tissue lesions, which are more common in children aged 3 to 10 years. The clinical symptoms are mainly manifested as damage to joints, skin, digestive tract, kidneys and other tissues, which seriously affects The child’s physical health and development. According to related research, allergic purpuric nephritis in children is the most serious symptom of this type of disease, and its basic pathology is related to diffuse small vasculitis. At present, it is clinically found that the prognosis of these children is very poor, and the disease is prone to repeated attacks, which leads to their poor prognosis and renal involvement. & nbsp. Nursing intervention specific situation 1. Special nursing This kind of child is in a serious condition and has weak self-care ability. A nursing staff should take care of the care. The ward should be kept ventilated for 6 hours and ultraviolet radiation should be maintained throughout the day. The diet is mainly liquid low salt, and different dietary contraindications are given according to the symptoms of the children. If the children have symptoms of intestinal bleeding, animal protein should be fasted. Strengthen the rounds of patrolling of these children, and actively ask the children and their families about the symptoms of the children. If you have any questions, you need to listen patiently and answer them in time. Measure the urine and stool of the child at 12 hours on time, such as urine volume, stool frequency and color, etc. At the same time, explain in detail the relevant disease knowledge, medication precautions, etc. with the children and their families; also give them preventive care for discharge, telling the families of the children that they must adhere to the desensitization diet for 3 weeks after leaving the hospital, and pay attention to bed rest; 3 weeks Afterwards, an appropriate amount of animal protein food can be given to the child, and he is instructed to take the medicine according to the dosage on time. After taking the medicine for 2 weeks and 2 weeks later, the hospital will review it. 2. Primary care can be monitored by a nursing staff for 3 children. Ventilation in the ward needs to be maintained for 8 hours. Ultraviolet radiation, dietary guidance, psychological intervention and routine examination are the same as the special care. The patient can be discharged from the hospital after 3 weeks. Review. 3. The ratio of nurses to patients in secondary care is 1: 6, and the ventilation in the ward can be maintained at 12h, while ultraviolet radiation, dietary guidance, psychological intervention and inspection are the same as those in special care, but only need to bring medicine for 1 week and in Review after 4 weeks. & nbsp. Allergic purpura nephritis in children is mainly caused by the further development of allergic purpura. The clinical symptoms often manifest as proteinuria or hematuria. A small number of children may also have high blood pressure, renal insufficiency, etc., which seriously damages the kidney function of the children. If there is no therapeutic intervention to relieve the liver involvement, it will affect the prognosis of these children, make the disease recur repeatedly, cause physical and mental harm to the children, and increase the family burden of the patients. & nbsp. To this end, this study applied personalized graded nursing interventions to these children. This nursing intervention is different from routine nursing. It is graded according to the degree of illness and self-care ability of the child, which can effectively prevent the infection of the child to a certain extent. In order to avoid stimulating the stress response in the child, the clinical treatment effect is poor. & nbsp. In the ward ventilation care, the time of different levels of nursing intervention is different, the special care is 6h, the primary care is 8h, and the secondary care is 12h, and the ultraviolet radiation is all day. & nbsp. According to research, this type of child is very susceptible to infection from the external environment. In order to avoid infection of the child, proper ventilation according to the condition of the child can reduce the risk of infection and promote early recovery of the child. The research in this paper shows that after treatment intervention, the treatment group has a higher treatment efficiency, and the indicators of coagulation function FBG, PT, PLT and DD all have a downward trend, compared with the control group, the difference is statistically significant (P & lt.0.05) . In summary, individualized graded nursing intervention for children with allergic purpura nephritis in children can effectively reduce their coagulation function and is worthy of clinical promotion and application.

New technique of interventional therapy for liver cancer——transcatheter arterial chemoembolization via radial artery

& nbsp. What is hepatic artery chemoembolization? As we all know, hepatic artery chemoembolization (TACE, interventional therapy) is a widely used treatment in the treatment of liver cancer. In China, more than 70% of liver cancer patients have received interventional therapy at various stages of the tumor. Interventional therapy uses a slender catheter to be selectively or super-selectively inserted into the hepatic tumor blood supply artery, and the appropriate amount of chemotherapy drugs and embolizing agents are injected through the catheter to cut off the blood supply and nutrition of the tumor, causing tumor necrosis due to ischemia. Since the interventional treatment of liver cancer in 1978, it has been widely used and has become the main treatment strategy for patients with advanced and advanced liver cancer who cannot be surgically removed, which can control tumor progression and prolong survival. & nbsp. Traditional hepatic arterial chemoembolization-the traditional way of transfemoral artery approach is to intubate the femoral artery through the leg to the hepatic artery, and inject chemotherapy drugs and embolizing agents at the target blood vessel to induce tumor necrosis. The femoral artery has the characteristics of a large blood vessel diameter and a straight path. Therefore, the cannula can reach the blood vessels in various parts of the body, which is the most commonly used and easy to operate blood vessel access. After the interventional treatment of the femoral artery, the patient needs to compress the femoral artery for 8 hours and stay in bed, which makes it difficult for the patient to eat and defecate after surgery. In addition, femoral artery intervention may have complications such as hematoma at the puncture site and pseudoaneurysm. For high-risk patients with previous venous thrombosis, postoperative bed rest may promote thrombosis. For patients using anticoagulant / antiplatelet drugs before surgery, in order to avoid bleeding at the surgical site, it is necessary to stop the drug and perform bridging treatment before surgery to prolong the hospital stay of the patient. & nbsp. Emerging interventional method-Transradial (hand) approach Professor Kiemeneij chose the radial artery as the approach for coronary intervention for the first time in 1992 and achieved success. Since then, the vascular intervention of the radial artery approach has become a supplement to the femoral artery approach and is widely used in cardiac intervention therapy. The Department of Liver Oncology of Zhongshan Hospital has launched TACE for the treatment of liver cancer earlier in China. So far, more than 500 cases of radial artery TACE have been completed, and it has accumulated rich experience in surgical operation. Compared with the transfemoral approach, the TACE treatment through the radial artery approach has the following advantages: 1. No need for leg braking and compression after surgery; 2. No need to stay in bed for 8 hours, the patient after the operation is completed It moves freely and improves the patient’s surgical comfort. 3. According to reports in the literature, there are fewer complications related to radial artery puncture than femoral artery approach. 4. Because there is no need for braking after operation, the risk of deep vein thrombosis / pulmonary embolism is reduced. 5. Patients who take oral anticoagulant drugs or antiplatelet drugs do not need to stop the drug before surgery, avoiding the cardiovascular and cerebrovascular accidents that may be caused by the drug withdrawal. & nbsp. The new technology of hepatic cancer intervention via radial artery approach has the characteristics of small surgical injury, high postoperative comfort, simple nursing, and does not affect the quality of life of patients. It has realized the fine and minimally invasive interventional treatment of liver cancer, which fully reflects The treatment concept of accelerating the postoperative rehabilitation of patients by improving the operation method.

Interventional embolization for pelvic congestion syndrome

Original: Wang Yanli, Affiliated Hospital of Zhengzhou University, Department of Intervention, Pelvic Congestion Syndrome (PCS) is caused by pelvic varices congestion, which is manifested as “three pains, two more and one less”: long-term lower abdominal pain, lower back pain, deep intercourse Pain; more menstrual flow, increased leucorrhea; few signs of positive gynecological examination. “The concept was first proposed by Rishet in 1857, and believed that PCS was” a series of uncomfortable syndromes such as chronic dull pain, pressure, and weight in the lower abdomen caused by venous blood reflux due to ovarian venous valve dysfunction. “Clinical manifestations Different degrees of chronic pelvic pain, including lower abdominal pain, pelvic pain, vaginal tingling, external factors and anal bloating, affect the lumbosacral region and lower limbs, high menstrual flow, increased leucorrhea, sexy discomfort, extreme fatigue, frequent urination , Some are accompanied by symptoms of autonomic dysfunction such as dizziness, palpitations, insomnia, and fatigue. Almost 90% of patients have the above symptoms of varying degrees. The so-called chronic pain refers to various forms of pain lasting more than half a year, with a frequency of every No less than 5 days a week and no less than 4 hours of pain per day. In addition, patients often have menorrhagia, breast pain during premenstrual period, bowel movement pain during premenstrual period, bladder irritation symptoms and vaginal pain, anal sensation, etc. These symptoms are worse in the afternoon, evening or after standing, and even worse after sexual intercourse, before menstruation. The characteristics of PCS “three pains, two more and less” The patient has serious symptoms and many complaints. Except for the occasional gynecological examination, the vaginal wall congestion is blue and purple. There are very few positive signs. The inconsistency of the signs and the symptoms leads to clinical misdiagnosis and mistreatment. Endometriosis, chronic colitis, low back pain, neurosis, etc. The cause of the pain caused by PCS may be due to the compression of nerve fibers by the tortuous veins that accompany it. 1. Most of the lower abdominal pain is chronic pubic symphysis Diffuse pain in the upper area, or pain in the lower abdomen on both sides, often one side is heavier and involves the same side or both lower extremities, especially the thigh root or hip soreness, starting in the middle of menstruation. A few patients occasionally show It is acute paroxysmal abdominal pain, which is easily misdiagnosed as acute appendicitis, ruptured follicle, and ectopic pregnancy rupture. Second, low back pain The patient refers to the pain area equivalent to the level of the sacral buttocks, and a few are in the lower half of the sacrum, often accompanied by lower abdominal pain Symptoms. Pre-menstrual period, standing for a long time, and worse after sexual intercourse. Three, congestive dysmenorrhea, more than half of patients have this symptom. The characteristic is month A few days before menstruation began to appear lower abdominal pain, lumbosacral pain or pelvic bulging pain, and some gradually turned into spastic pain. Alleviation. 4. Sexual discomfort. When asked about the patient ’s feelings during sexual intercourse, they often complain of different degrees of pain during sexual intercourse, mostly deep intercourse pain, and some are almost unbearable. Not only the pain at that time, but also the lower abdominal pain, lower back pain, Symptoms such as leucorrhea are obviously aggravated, so the patient is bored with sexual life. V. Extreme fatigue The patient often feels very tired throughout the day and is almost unable to complete the work (including housework) that he has undertaken. VI. Excessive leucorrhea is more than half The patient has symptoms of excessive leucorrhea. The appearance of leucorrhea is mostly clear, thin, transparent mucus, and no signs of infection. It is related to the increase of pelvic hydrostatic pressure. 7. Menstrual changes Some patients have more menstrual changes, often because of their uterus Hypertrophy is misdiagnosed as uterine fibroids or uterine hypertrophy. With a large amount of menstrual flow, due to pelvic organ congestion, poor blood return, and increased menstrual periods; there is also a Anti reduce patient points over the previous menstrual flow. But accompanied by obvious premenstrual breast pain.八. Blood stasis breast pain More than 70% of patients have blood stasis breast pain and swelling. The patient can feel the breast induration by himself, and has tenderness, which occurs with the above symptoms at the same time after the middle of menstruation, and reaches the peak one day before menstruation or the first day of menstrual cramps. After the menstruation, the above symptoms are relieved or disappear completely . Some patients have more severe breast pain than pelvic pain, and even become the chief complaint. Nine, vulvar vaginal swelling, falling pain Patients with pelvic stasis often have vulvar and vaginal swelling, falling pain, or vulvar burning and itching. The vulva can show coloration, swelling or hypertrophy of the labia, and even a certain degree of vein filling, anger, or varicose veins. Ten, bladder

What is the effect of untreated or delayed treatment of scoliosis?

Many patients with scoliosis who come to the clinic have such concerns. Recently, are they busy? Can children’s schoolwork be postponed? Today, in response to your concerns, Professor Liao Bo from the Department of Orthopedics, Tangdu Hospital, Air Force Military Medical University will answer all of you. First, let’s understand which scoliosis may develop? Infants under 3 years of age with scoliosis will generally continue to develop if they are found to have 10-15 degrees of scoliosis. In addition, the angle difference between the convex side of the scoliosis and the ribs on both sides is measured. If it is greater than 20 degrees, the scoliosis will continue to develop. 4 to 10 year olds with scoliosis, if the scoliosis angle is below 35 degrees and the rib angle is less than 20 degrees, the scoliosis progresses slowly, otherwise, the scoliosis progresses quickly. For adolescent scoliosis, at 10-18 years old, girls with scoliosis tend to progress faster than boys, those with unformed iliac epiphysis develop scoliosis, double curvature is easier to progress than single curvature, and single chest curvature is easier to progress than single lumbar curvature. Side bends over 50 degrees are likely to progress. Secondly, what are the hazards of scoliosis? 1. It will affect the mental health of the child. Scoliosis will cause changes in body shape and bring the same vision to the child. Therefore, children with scoliosis generally do not like to talk, introverted, inferiority, and may even lead to Depressive situation. 2. Cause back pain or back pain: After the normal physiological structure of the spine changes after scoliosis, on the one hand, it causes the intervertebral disc to degenerate easily, causing back pain or back pain. 3. It affects the respiratory function and heart function of the lungs. The deformity of the spine will affect the thorax. This leads to diseases of the heart, lungs and heart. 4. Affect lifespan. According to research, the lifespan of people with scoliosis will be shorter than that of normal people. Is it necessary to perform surgery for scoliosis immediately? Different types of scoliosis treatment principles are different, but the general principle is early detection, early treatment, and early intervention. The intervention here does not mean that we must perform surgery. For example, our intervention measures include wearing a brace. Without surgery, only extra fixed things are used to make certain corrections by external force. Of course, it does not mean that all patients need to wear braces. Some people’s situation is just to observe and observe the extent of its progress. Therefore, the treatment of each patient should be related to his specific condition, and everyone should be different from person to person. In life, if you find that your child has such shoulder unequal heights, even scoliosis, and pelvic unequal heights, you must find a doctor in the orthopedic spine surgery as soon as possible to see it and let a specialist hospital help You decide what to do next. Early detection and early intervention is the key point, not to say that surgery must be performed as soon as possible.