. . There are two conditions for the increase of bilirubin, physiological and pathological. The physiological increase is mainly seen within a few days after the newborn is born, and then it will gradually decrease to normal, usually without special treatment. Increased sex is mainly related to hepatobiliary system diseases. High bilirubin is also called jaundice. Clinically, jaundice can be divided into hemolytic jaundice, obstructive jaundice and hepatocellular jaundice.  . .1. Biliary diseases. Such as acute cholecystitis, gallbladder or bile duct stones and obstruction, biliary malignant tumors or biliary parasitic diseases, etc. will all cause the increase of bilirubin. At this time, the total bilirubin will increase, and the direct bilirubin will increase mainly. Indirect bilirubin does not increase or only slightly increases. Other clinical symptoms include pain and tenderness in the upper right abdomen. The lesions can be found by performing hepatobiliary ultrasound or CT.  . .2. Liver disease. As the saying goes, “liver and gallbladder are in harmony.” In addition to biliary tract diseases, liver diseases can also cause increased bilirubin, such as liver cirrhosis, liver cancer, intrahepatic bile duct stones, liver flukes, autoimmune hepatitis, liver abscess, and drug-induced hepatitis, etc. This increase in bilirubin is usually called hepatocellular jaundice, which is mainly related to the massive release of bilirubin in the cell due to hepatocyte necrosis. The characteristic of elevated bilirubin caused by hepatocellular jaundice is that both direct bilirubin and indirect bilirubin are significantly elevated. Most of the diagnosis can be confirmed by upper abdominal B-ultrasound, CT and liver function tests.  . .3. Hemolysis. If you have glucose 6 phosphate dehydrogenase deficiency, commonly known as “fava bean disease”, you need to be alert to the possibility of increased hemolytic bilirubin, which is caused by the rupture of red blood cells, which is usually induced by diet, drugs, infection, etc. Different from biliary diseases, the increase in bilirubin at this time is generally due to the increase in indirect bilirubin, while the direct bilirubin basically does not increase, and there is a more obvious symptom, which is the darkening of urine, even It turns into soy sauce color and can be diagnosed by urine routine and glucose-6-phosphate dehydrogenase test.  . . Elevated bilirubin is usually inseparable from these three types of diseases, which can be diagnosed based on the accompanying clinical symptoms and combined with laboratory tests. It is difficult for ordinary people to diagnose, and most of these diseases require hospitalization.
Friends of patients often consult with laboratory test sheets: My bilirubin is high, is there a problem with my liver and gallbladder? In fact, specific problems need to be analyzed in detail. First, we will introduce the definition of bilirubin: Bilirubin is the main metabolite of iron porphyrin compounds in the body, such as hemoglobin, myoglobin, and cytochrome. It is secreted through the gallbladder and is clinically used. It can be divided into total bilirubin, direct bilirubin (conjugated bilirubin) and indirect bilirubin (unconjugated bilirubin). Generally speaking, total bilirubin is equal to the ratio of direct bilirubin and indirect bilirubin sum. What does high bilirubin mean, the specific analysis is as follows. What is the general disease of high red pigment? Elevated bilirubin has both physiological and pathological conditions. The physiological increase is mainly seen within a few days of the newborn’s birth, and then it will gradually decrease to normal. It usually does not require special treatment. The pathological increase is mainly Related to hepatobiliary system diseases, high bilirubin is also called jaundice. Clinically, jaundice can be divided into hemolytic jaundice, obstructive jaundice and hepatocellular jaundice. 1. Biliary tract diseases such as acute cholecystitis, gallbladder or bile duct stones and obstruction, biliary malignant tumors or biliary parasitic diseases, etc. will cause the increase of bilirubin. At this time, total bilirubin will increase, and directly High predominantly, indirect bilirubin does not increase or only slightly increases. Other clinical symptoms include pain and tenderness in the upper right abdomen. The lesions can be found by performing hepatobiliary ultrasound or CT. 2. Liver disease As the saying goes, “liver and gallbladder are in harmony”. In addition to biliary diseases, liver diseases can also cause increased bilirubin, such as liver cirrhosis, liver cancer, intrahepatic bile duct stones, liver flukes, autoimmune hepatitis, liver abscess, and Drug-induced hepatitis, etc., this increase in bilirubin is usually called hepatocellular jaundice, which is mainly related to the massive release of intracellular bilirubin due to hepatocyte necrosis. The characteristic of elevated bilirubin caused by hepatocellular jaundice is that both direct bilirubin and indirect bilirubin are significantly elevated. Most of the diagnosis can be confirmed by upper abdominal B-ultrasound, CT and liver function tests. 3. Hemolysis If you have glucose 6 phosphate dehydrogenase deficiency, commonly known as “fava bean disease”, you need to be alert to the possibility of increased hemolytic bilirubin, which is caused by the rupture of red blood cells, usually induced by diet, drugs, infection, etc. Different from biliary diseases, the increase in bilirubin at this time is generally due to the increase in indirect bilirubin, while the direct bilirubin basically does not increase, and there is a more obvious symptom, which is the darkening of urine, even It turns into soy sauce color and can be diagnosed by urine routine and glucose-6-phosphate dehydrogenase test. Elevated bilirubin is usually inseparable from these three types of diseases, which can be diagnosed based on the accompanying clinical symptoms and combined with laboratory tests. However, it is difficult for ordinary people to diagnose by themselves, and most of these diseases require hospitalization, so it is recommended to go to the hospital as soon as possible. (Some of the pictures in the article originate from the network and the copyright belongs to the original author. I would like to express my gratitude to the author of the picture. If you find any infringement of your copyright, please contact me and I will delete it.)
Cancer is a major disease that seriously threatens people’s lives and health. The thought of cancer discoloration has been deeply imprinted in our minds. Among many cancers, the incidence and mortality of liver cancer are among the top. The symptoms of pre-liver cancer are not obvious, it is difficult to be detected, and they are often mistaken for other diseases, so that many patients are diagnosed as liver cancer only after the appearance of chest and ascites, and have reached the middle and advanced stages, and will be treated It is very difficult, so in daily life, we must understand the early symptoms of liver cancer, and actively take preventive measures to strangle the disease in the cradle. What are the symptoms of early liver cancer? 1, abdominal pain Pain is a symptom that most cancers will have in the early stage. Although it is not obvious, it can be felt. When we have pain inexplicably, especially when we have multiple pains in the same location, these pains are not big, because they are in the early stage of cancer, so they are not obvious. If the abdominal pain worsens after a meal, it may be a precursor to liver cancer. Just in case, go to the hospital to determine the cause. 2, jaundice There are many causes of jaundice, the most obvious being liver cirrhosis, liver cancer, etc. No matter what the cause of jaundice, you should go to the hospital in time. The most obvious symptom of jaundice is yellowing of the eyes and skin. When jaundice first appears, the body will not feel uncomfortable, so many people do not take it seriously, thus delaying the best time for treatment. 3. Indigestion Indigestion occurs in almost everyone, so it is very easy to be considered as a gastrointestinal problem, but the cause of poor digestion is not only gastrointestinal problems, liver cancer patients with severely damaged liver function, which will cause digestive system disorders. , So patients will also feel the symptoms of low appetite and anorexia. When the patient has a poor appetite for a long time, or even loses weight, do not take it lightly to avoid delaying the condition. 4. Lower extremity edema Patients with liver cancer with ascites often have symptoms of lower extremity edema, mild cases occur in the ankles, and severe cases can lead to edema of the entire lower extremities. The main reason is that liver cancer causes a large amount of ascites in the abdominal cavity to oppress the veins of the lower extremities, which hinders venous return. 5. Cancer-associated syndrome is caused by abnormal metabolism of the tumor itself, and the body is affected, resulting in endocrine or metabolic abnormalities. Clinically, it has become a “cancer syndrome”. The main manifestations are polycythemia and hypoglycemia, as well as relatively rare hypercalcemia, hyperlipidemia, gonadotropin secretion syndrome, carcinoid syndrome, etc.
Cancer is a major disease that seriously threatens people’s lives and health. The thought of cancer discoloration has been deeply imprinted in our minds. Among many cancers, pancreatic cancer has the highest incidence and mortality. The symptoms of pre-pancreatic cancer are not obvious, it is difficult to be detected, and are often mistaken for other diseases, so that many patients are diagnosed as pancreatic cancer only after the appearance of chest and ascites, and they have reached the middle and advanced stages. Treatment brings great difficulty, so in daily life, we must understand the early symptoms of pancreatic cancer, and actively take preventive measures to kill the disease in the cradle. What are the symptoms of early pancreatic cancer? 1. Pain in the upper abdomen Pain is a symptom that most cancers will have in the early stage. Although it is not obvious, it can be felt. When we have pain inexplicably, especially when we have multiple pains in the same location, these pains are not big, because they are in the early stage of cancer, so they are not obvious. If abdominal pain worsens after a meal, it may be a precursor to pancreatic cancer. Just in case, go to the hospital in time to determine the cause. 2, jaundice There are many causes of jaundice, the most obvious ones are liver cirrhosis, pancreatic cancer, etc. No matter what cause of jaundice, you should go to the hospital in time. The most obvious symptom of jaundice is yellowing of the eyes and skin. When jaundice first appears, the body will not feel uncomfortable, so many people do not take it seriously, thus delaying the best time for treatment. 3. Indigestion Indigestion occurs in almost everyone, so it is very easy to be considered as a gastrointestinal problem, but the cause of poor digestion is not only gastrointestinal problems, patients with early pancreatic cancer will also experience symptoms of low appetite and anorexia . When the patient has a poor appetite for a long time, or even loses weight, do not take it lightly to avoid delaying the condition. 4. Abnormal blood sugar level This symptom is more common in diabetic patients. When the blood glucose level of diabetic patients fluctuates for no reason, and there is no obvious improvement after treatment, it is likely to be caused by pancreatic cancer. This point must be taken seriously by diabetic patients, because diabetic patients themselves are a high-risk population of pancreatic cancer.
The liver plays a vital role in our body-detoxification and having a healthy liver means that we have a relatively clean body. The quality of liver function directly affects the body’s resistance and immunity. Therefore, it is particularly important to protect the liver in daily life, but many people do not pay much attention to the health of the liver, so they ignore many symptoms of liver disease and miss the best treatment opportunity. The presence of these four symptoms implies that the liver is sending out a “seek help” signal. 1. Loss of appetite indicates that the liver becomes hard and causes loss of appetite. There are many reasons for the loss of appetite, and most people think that there is a problem with the digestive system, and they simply cannot think of a poor appetite. It is also related to the liver. This view is wrong. The liver is also one of the important factors affecting our appetite. For example, if the liver develops disease, the synthesis and decomposition function of the liver is decreased, and there will be indigestion and loss of appetite. Therefore, many patients with liver disease are generally thinner. 2, jaundice indicates that the liver becomes hard. Jaundice is a symptom that is caused by increased serum bilirubin concentration due to bilirubin metabolism disorders. If an adult has symptoms of jaundice, be careful that it is caused by cirrhosis. Because the liver function of patients with cirrhosis is damaged, a lot of bilirubin will be mixed in the blood. At this time, the skin will gradually turn yellow, which is what we call jaundice. 3. Spider mole indicates that the liver becomes hard. Many people will find that there are small red moles on their bodies, which are small red dots, and there will be many small bloodshots around the small red moles, just like a spider. It is spider hemorrhoids. If this kind of symptom occurs, don’t ignore it, because it is an “early warning” issued by the liver for further deterioration. 4. The appearance of the liver palm indicates that the liver becomes hard and the palm fingers suffer from chronic hepatitis, especially after cirrhosis of the liver, red spots appear on the size of the thenar area at the roots of the thumb and little finger of the palm or are pressed to turn white, and it will recover immediately after releasing it. The red state is one of the important manifestations of liver cirrhosis.
Nourishing the liver will nourish life. The liver is as important as life is. As a “dumb” organ in the human body, the liver works in obscurity all day and plays an indelible role for human health. It is not only responsible for metabolism and detoxification, but also stores and transforms energy. It can be said to be the core organ of the human body. The health of the liver is so important. Therefore, in daily life, nourishing the liver and protecting the liver are particularly prominent. If we do not pay attention to and care for the liver in time, in the end, we will be hurt, and liver disease will come to the door quietly, making people regret it. People with poor liver will experience the following conditions: 1. Greasy face, acne on the face, and increased acne. Acne on the face and increased acne are common skin problems. Adolescence, diet, lack of sleep and other reasons can cause it. The liver is mainly responsible for the metabolism of the human body, helping the human body to excrete harmful substances, and returning the body to a healthy environment. When the liver has a problem, the body’s metabolic capacity will decrease, causing the corpus luteum hormone secretion disorder in the body. As its content rises, the body will secrete a lot of oil, resulting in shiny face, acne and acne. 2. Loss of appetite, weight loss for a certain period of time, sudden loss of appetite, anorexia, etc., may be caused by liver disease, do not simply think that there is a problem with gastrointestinal digestion. The liver and the gallbladder are interlinked, and are both external and internal. The liver secretes bile, and the human intestines and stomach also need the assistance of bile to digest food to promote better decomposition of food. If the liver is damaged, the secretion of bile will be reduced, and the digestion of food lacks the effective help of bile, the digestive ability will be weakened, resulting in a loss of appetite. This will affect the body’s absorption of nutrients for a long time, and the body will gradually lose weight. 3. Jaundice When it comes to jaundice, many people think that newborns will have jaundice. Jaundice is mainly manifested as abnormal yellowing of the skin and sclera of various parts of the body. In fact, otherwise, people with liver damage will also experience jaundice. The liver has the ability to metabolize bilirubin. When the liver is damaged, the bilirubin content will be unbalanced. The concentration of bilirubin in the blood will increase greatly. As the blood flows to various parts of the body, the skin and sclera will There will be yellowing. As liver disease continues to worsen, the skin color will become more and more yellow. Many bad living habits and eating styles can accelerate the formation of liver disease, which can be called an “accelerator” for liver disease. 1. Moldy food and moldy food are very common and appear in almost every family. If the fruit is not stored properly, it will easily become moldy. Common moldy foods include corn, peanuts, potatoes, fruits, vegetables and so on. Moldy food is infested by harmful substances, which will breed many germs, among which a highly toxic substance-aflatoxin, which is a strong carcinogen, may become cancerous if the human body takes in 1 mg. As the metabolic mechanism of the human body, the liver is subject to considerable poisoning. It can damage liver cells in a large amount and induce liver disease. 2. Drinking alcohol hurts the liver. On weekdays, we try to control alcohol as much as possible to break down the pressure for the liver. Alcohol is also called ethanol. When ethanol enters the human body, it will produce a harmful substance-acetaldehyde after a series of decomposition of ethanol. This substance enters the liver in large quantities and can damage liver cells, affect the normal metabolism of the liver, and induce liver disease. Please don’t be greedy for drinking! If you want to have a healthy liver, please do these 2 things more. 1. Exercising. Life lies in exercise. Exercise is very important to the human body. Exercise can promote the body’s metabolism, accelerate the body’s discharge of harmful substances, share the metabolic pressure of the liver, and reduce the occurrence of liver diseases. Therefore, we must keep exercising for the health of our body and liver. 2. Drink plenty of water. Water is very important to the human body. The human body needs to consume about 2000 ml of water every day. Drinking water regularly can speed up the body’s metabolism and at the same time dilute the blood, effectively speeding up blood circulation. Tips: The regular schedule of work and rest is between 11:00 and 1:00 every night, which is the prime time for the liver to repair itself and detoxify through metabolism. At this time, we should keep a deep sleep. The liver needs blood to supply oxygen and nutrients. Studies have shown that if the body is well rested during this time period, blood will flow back to the liver, and the amount of blood flowing through the liver will increase by 45%, allowing the liver to better complete its metabolic detoxification and self-repair work. References: Zhang Qi. Observation on the clinical efficacy of 28 cases of liver disease. Journal of Traditional Chinese Medicine, 2009; 17(3);
The detection rate of neonatal jaundice has increased significantly in recent years. However, after the baby is jaundiced, many children stop breastfeeding. This phenomenon has also increased, which makes parents annoyed. Qinqin’s baby girl is 2 months old, but the baby suddenly turned yellow in skin and eyes. After a doctor’s diagnosis, it turned out to be jaundice. But after taking the medicine, the baby no longer takes breast milk. This can make the mother anxious. What can I do without breastfeeding? Doesn’t affect development! My mother-in-law said that she should stop breastfeeding during jaundice. Now the mother is even more anxious. Is she really going to wean the baby? So what should I do if the baby stops feeding after jaundice? Also, do you want to wean your baby? 1. Do babies need milk for jaundice? First of all, let’s talk about the question of whether to stop breastfeeding if the baby has jaundice. Many parents think that it is necessary to wean, but in fact it is not necessarily, it must be decided according to the following two situations. 1 Stop breastfeeding. If the baby’s serum bilirubin is higher than 256.5μmol per liter, it is best to stop breastfeeding at this time. You can replace it with milk for 3 to 5 days, and then switch to breastfeeding. When the bilirubin drops by more than 50%, and there is no anemia in the spleen and liver, it can basically be diagnosed as breast milk jaundice. Speaking of breast milk jaundice, it is the second case we will talk about next. 2 Continue to breastfeed. If it is breastmilk jaundice, then it is easy to handle. Our mothers do not need to wean the baby, so generally there will be no phenomenon of the baby not drinking milk in the future, and parents do not have to worry about the child’s future physical development. Is affected. Wen｜Yuan crystal Speaking of this, some parents may still have questions. If the baby is not breastmilk jaundice, needs medication and needs to be weaned, what should we do if weaning occurs later? 2. What should I do if I do not drink milk after jaundice? If the baby does not drink milk after jaundice, there are the following 3 methods, parents can refer to: 1 multi-feeding First of all, we can feed the baby in small amounts at a time, we can feed the baby from the corner of the baby’s mouth, and then slowly feed it to the mouth in. 2 Nipples Our parents can touch the corners of the baby’s mouth with a soft pacifier, which can stimulate the baby’s demand for breast milk. 3 Drinking water can also give the baby more water, which can help the baby’s blood bilirubin to return to normal earlier and help the jaundice disappear. 3. Summary Teacher Yuanyuan reminds you: 1 Baby jaundice, if it is breast milk jaundice, no need to stop milking, but if it is pathological, it needs to be weaned. 2 If the baby does not drink milk after jaundice, there are 3 ways to help the baby recover. What would you do if the baby does not drink milk with jaundice? Do you have any good suggestions? Welcome to leave a message in the comment area and we will discuss together. The picture is from the Internet. It is not easy to write. Thank you for your attention, likes, collection or recommendation to friends. If you have any questions about healthy parenting, please leave a message. Author: health management division Yuan crystal (a food goods) has three hospitals in Shanghai for seven years pharmacists, now a senior health management division, writing good nutrition guidance, reduced fat camp healthy parenting science text
In recent years, the number of people suffering from cerebral palsy has been increasing year by year. The most common type of cerebral palsy is spastic cerebral palsy, followed by aeostatic cerebral palsy. In clinical medicine, athetic cerebral palsy refers to dyskinesia or dyskinesia caused by injury to the brain base area, which is manifested as involuntary movement that is difficult to control with will. When there is purposeful exercise, involuntary movement will increase , Ineffective exercise will increase. At the same time, irregular local contractions may appear on the face of the child, showing weird expressions such as “gritting teeth” and “squeezing eyebrows”. However, there is generally no joint contracture on the limbs. Cerebral palsy is a kind of limb paralysis caused by brain injury. Its main causes are premature delivery, dystocia, asphyxia, hypoxia, and jaundice in children. Among them, pathological jaundice in children is a common cause of cerebral palsy caused by hand and foot. Jaundice in children is generally divided into physiological jaundice and pathological jaundice. Since most newborns will have jaundice, this can easily cause parents to ignore it, thus providing a “hotbed” for the development of the disease. Generally, physiological jaundice does not last too long, usually about a week. If it lasts too long, it will cause brain damage in newborns and cause cerebral palsy. Current status of treatment For aeostatic cerebral palsy, the effect of traditional rehabilitation training for cerebral palsy is generally unsatisfactory. The best way is to use minimally invasive surgery. The most suitable operation for aeostatic cerebral palsy is carotid adventitia. The treatment principle is to improve the blood supply and oxygen supply of the brain by peeling off the adventitia of the bilateral carotid arteries to promote the growth and development of undamaged brain cells, so that the sensory motor nerves are completely released, and the tense muscles of the whole body are relaxed, thereby improving The patient’s writhing, salivation, language, hyperactivity and other phenomena, and good cerebral palsy rehabilitation training, combined with scientific clinical guidance, enable the patient to receive more scientific and reasonable treatment, and finally realize the treatment of cerebral palsy by taking care of themselves and returning to society purpose.
Director Lu, discovered that diabetes was under control for 3 months, and was suddenly lost weight. It didn’t take long for pancreatic cancer to be detected, and he died within 2 months. Diabetes wasting, which seemed to many people to be normal. Of course, doctors knew better that diabetes would cause wasting. So when Director Lu started to lose weight, he didn’t pay attention to it. Director Lu felt that it was weight loss caused by diabetes, but it didn’t take long for him to develop jaundice, which was pancreatic cancer. Pancreatic cancer is called the “cancer king” because of its high degree of malignancy and high mortality. The 5-year survival rate is only about 5%, and the 5-year survival rate of patients undergoing radical resection does not exceed 20%. The survival time of untreated pancreatic cancer patients is about 4 months. 1. New-onset diabetes, sudden weight loss, it is necessary to suspect that pancreatic cancer has been discovered in the past. New-onset diabetes is an early manifestation of pancreatic cancer. 50% of patients diagnosed with pancreatic cancer are accompanied by diabetes, that is, new-onset diabetes, which itself is a high-risk factor . In a recent study, about 160,000 people were selected for the investigation and study. The result found that the risk of pancreatic cancer will be significantly increased if the weight of the newly diagnosed diabetes is significantly reduced. Compared with people without diabetes, the risk of pancreatic cancer is increased by 1.16 times for those with an older course of diabetes; while for newly diagnosed patients with diabetes, the risk is increased by 1.97 times. Compared with newly diagnosed diabetic patients with no change in weight: weight loss of 0.9 to 3.6 kg, an increase of 25% of pancreatic cancer risk; weight loss of 4.5 to 7.2 kg, an increase of 33% of pancreatic cancer risk; weight loss of more than 7.2 kg, an increase of 92 % Risk of pancreatic cancer. Therefore, if diabetes is found and the weight suddenly drops, we need to pay attention to it and rule out the possibility of pancreatic cancer. 2. Why Diabetes is Weight Loss Of course, diabetes itself is weight loss. It does not mean that diabetes is weight loss. It is necessary to suspect pancreatic cancer. There are many reasons for diabetes weight loss. The most common type 1 diabetes itself is characterized by three more and one less. One less is weight loss. Diabetes will become thinner, because patients have problems with glucose metabolism, and the sugar they ingested cannot be used effectively and will be excreted from the body. In order to maintain normal physiological needs, the patient’s body will mobilize fat to meet the physiological needs, so the stored fat and calories are consumed in the body, and weight loss will occur over time. Some patients take metformin during the treatment of diabetes, and metformin can also cause thinner and thinner. There are also some diabetics who worry about eating too much and poor blood sugar control and excessive dieting, which will also lead to weight loss. So what are the manifestations of pancreatic cancer besides weight loss? 3. What other manifestations of pancreatic cancer In addition to weight loss, jaundice may also occur. Of course, not all pancreatic cancers have jaundice. It is manifested by yellowing of the skin and sclera, dark yellow urine, and clay-colored stools. Early pancreatic cancer may cause obstruction. Sexual jaundice; and tumors in the body and tail of the pancreas generally have no jaundice. In addition to weight loss, jaundice, pancreatic cancer, there may also be: abdominal distension, abdominal pain, fatigue, indigestion, nausea, vomiting, gastrointestinal obstruction or bleeding. The weight continued to drop, he was extremely thin, was “skin and bone, shaped like a skeleton”, was extremely painful, and was exhausted. In short, if it is new onset of diabetes and sudden weight loss, you must go to the hospital as soon as possible to rule out pancreatic cancer.
Usually, itching will appear when the skin is dry, but if the long-term itching cannot be relieved, we should pay attention to it. This may be a sign of the body’s disease. 1. Jaundice causes itching. When the bile duct is blocked and the bile in the gallbladder cannot be discharged into the intestine, the symptoms of jaundice appear when retrograde blood enters the blood. At this time, our skin and mercury membrane will have the performance of yellow staining, and it will also stimulate the c-type fiber endings in the skin, which will be transmitted to the central nervous system and reach the sensory cortex of the body, resulting in skin itching symptoms. There are many diseases that cause jaundice. For example, tumorous diseases compress the bile duct and cause jaundice, it may be the disease of the gallbladder itself, or it may be the jaundice caused by liver disease. 2. Uremia, whole body itching. When uremia appears, the skin on the whole body or the back of the head will have unhealed itching. The itching can occur intermittently, and it will be relieved after a few minutes each time. In severe cases, it will be uninterrupted for a long time at night. More serious. 3. Diabetes, armpit or groin itching Diabetes patients will have itching in the armpits and the roots of the thighs when blood sugar control is not good. Of course, it will appear in all parts of the body when the condition is serious. Obese people, armpits and groin are more prone to sweating and not easy to evaporate, so they are particularly prone to infections and cause local itching. 4. Hyperthyroidism, itchy limbs If your limbs are itchy, check one of the 7 items of thyroid function to see if there is hyperthyroidism. Generally, hyperthyroidism will manifest as itching in arms and calves. Because thyroxine is a hormone that regulates human metabolism and body temperature, when thyroxine is secreted too much, the metabolism will be abnormally active, and many organs will have abnormal functions. This abnormality causes the histamine originally stored in skin cells to be released from the cells. When histamine is released into the dermis, it activates the nerve endings in the dermis that feel itching, and when it is transmitted to the brain, the skin feels special. itch. 5. Hypothyroidism, calf itching When hypothyroidism, the metabolism becomes slow and the skin is abnormally dry, so itching will also occur, so the dryness in the calf is very obvious, so the calf itching is more significant. At the same time, it may also be accompanied by other symptoms of hypothyroidism, such as pale skin, lowered skin temperature, dryness, fatigue, and swelling of the calves. 6. Malignant tumors-different degrees of itching. Many foreign studies have shown that itching is closely related to visceral tumors, 16%-30% of the elderly suffering from malignant lymphoma, 25% of patients with malignant tumors of the reproductive organs, 25% —60% of elderly women suffering from cancer and 50% of patients with rectal malignant tumors will experience skin itching in varying degrees. Therefore, when the body has persistent itching, which has nothing to do with environmental changes, and there is no skin disease of its own, everyone should pay attention to this itching. Go to the hospital for an examination as soon as possible and don’t delay your condition.  .
We are all promoting breastfeeding. Breast milk is the most natural and ideal food for babies. If conditions permit, pregnant mothers should insist on breastfeeding. Except for the factors of pregnant mothers, a small number of babies in special situations may also make breastfeeding difficult, and even stop breastfeeding. How should we feed these special babies? Feeding preterm infants with premature or low birth weight infants refers to newborn babies delivered less than a month (before 37 weeks of gestation), while low birth weight infants refer to newborn babies weighing less than 2500g at birth. At birth, if the weight is less than 1500g, it is called an extremely low birth weight child. Compared with normal born babies, these babies are more prone to slow growth, delayed development, and increased risk of illness and death. Therefore, such weak babies should pay more attention to reasonable feeding. Breastfeeding is preferred. If your baby is too young (less than 34 weeks) or too light (less than 2000g), you should use the appropriate amount of breast milk fortifier under the guidance of a doctor. Feeding methods for premature babies or low birth weight babies are about the same as for full-term babies. Encourage breastfeeding according to the baby’s needs and let the baby suck the milk of the pregnant mother. If the condition does not allow, the pregnant mother should also suck the milk in time. Store and feed your baby. Breast milk jaundice feeding breast milk jaundice is divided into early-onset and late-onset, early-onset breast milk jaundice is mostly because the pregnant mother opens milk late, the number of breastfeeding is low, or the baby is fed glucose water during breastfeeding, causing the baby Not enough breast milk. At the same time, the baby’s gastrointestinal function is not perfect, the peristalsis is not enough, the intestinal flora is established late, which leads to the delayed elimination of the baby’s stool, the accumulation of bilirubin in the body, and the appearance of jaundice. This peak of early-onset breast milk jaundice generally occurs after the baby is born. 3-4 days. Therefore, in terms of feeding such babies, it is recommended to have early contact, early sucking, early milking, frequent feeding, no special circumstances, and try not to feed glucose water and other liquids. The late-onset breast milk jaundice usually occurs around 10 days after the baby is born. The symptoms are obvious and last for a long time. The symptoms may gradually disappear after 2-3 months of birth. Often caused by certain components in breast milk that affect the catabolism of bilirubin in the baby. If your baby has a low degree of jaundice, you can continue breastfeeding, but you need to regularly review your baby’s bilirubin. If your baby has a high degree of jaundice, you may need to suspend breastfeeding for a few days. Wait until the jaundice has subsided slightly before breastfeeding. Feeding of congenital cleft lip and palate baby Due to congenital factors, the baby’s mouth cannot be completely closed. Sucking, chewing, swallowing and other functions will be affected. It is prone to feeding difficulties, choking milk, and even nasal reflux. Serious situation. Babies with congenital cleft lip and palate are prone to respiratory infections, and breast milk is rich in immune components, so babies with congenital cleft lip and palate should insist on breastfeeding to improve immunity. For this part of the baby, when breastfeeding, the pregnant mother can squeeze the breast with her hand to help the milk discharge. At the same time, because the baby is difficult to suck, the amount of milk that she may eat each time may not be enough, so the pregnant mother can After sucking the milk, use the tool to squeeze out the remaining breast milk, and then feed the baby with a small spoon and dropper. When feeding, try to keep your baby upright. After feeding, remember to pat your baby back to reduce choking milk or nasal reflux. According to the baby’s specific situation, adopt the method that the baby can eat enough milk to breastfeed.
In recent years, the number of people suffering from cerebral palsy has been increasing year by year. The most common type of cerebral palsy is spastic cerebral palsy, followed by the agitated cerebral palsy. In clinical medicine, hand-foot and bradykinetic cerebral palsy refers to movement disorders or movement disorders caused by damage to the brain-based area, which is manifested as involuntary movement that is difficult to be controlled by will. When there is purposeful movement, involuntary movement will increase , Invalid exercise will also increase. At the same time, irregular local contractions will also appear on the child’s face, showing strange expressions such as “tooth grin”, “squeezing eyebrows and making eyes”. However, there is generally no joint contracture on the limbs. Cerebral palsy is a kind of limb paralysis caused by brain injury. The main causes are premature birth, dystocia, asphyxia, hypoxia, and jaundice in children. Among them, pathological jaundice in children is a common cause of hand, foot and cerebral palsy. Pediatric jaundice is generally divided into physiological jaundice and pathological jaundice. Because most newborns will have jaundice, it is also easy to cause parents to ignore, thus providing a “hotbed” for the development of the disease. Generally, physiological jaundice will not last too long, generally about one week. If the duration is too long, it will cause brain damage to the newborn and cause cerebral palsy. For hand, foot and cerebral palsy, the general traditional cerebral palsy rehabilitation training effect is not ideal. The best way is to use the treatment of minimally invasive surgery. The most suitable operation for the cerebral palsy is the carotid adventitia exfoliation. The treatment principle It is through the exfoliation of the adventitia of the bilateral carotid arteries to improve the blood supply and oxygen supply of the brain to promote the growth and development of the brain cells that are not damaged, so that the sensory motor nerves are completely released, and the tight muscles of the whole body are relaxed, thereby improving the patient’s A series of phenomena such as writhing, salivation, language, hyperactivity, etc. At the same time, good cerebral palsy rehabilitation training, combined with scientific clinical guidance, enable patients to get more scientific and reasonable treatment, and ultimately achieve the purpose of self-care and return to society.
Breast milk jaundice is jaundice in the neonatal period associated with breastfeeding. There are two types: 1. . . Inadequate breastfeeding jaundice: the onset time is similar to that of physiological jaundice, but the level of bilirubin is higher than that of physiological jaundice, accompanied by excessive physical weight loss, at least 10 %-18% of breastfeeding newborns lose more than 10% of their body weight after birth, and even dehydration occurs. The number and volume of urination are reduced, and the discharge of meconium is delayed. Insufficient breast milk intake at early birth includes two situations: one is insufficient mother’s milk production, due to delayed milking time, missed the best lactation time, or due to certain pathological obstetric factors affecting the mother’s lactation level; the second is some Full-term neonates or late preterm infants have a low birth weight, and their effective sucking power is insufficient, thus failing to consume enough milk. The intake of neonatal calories is significantly reduced compared to its requirement. Even if a small amount of formula is added, the level of serum bilirubin will increase due to increased intestinal reabsorption of unbound bilirubin and delayed meconium excretion. No matter what feeding method is adopted, the key is to ensure adequate feeding. In the first 5 days after birth, there was no significant difference in bilirubin levels between adequate breastfeeding and artificially fed neonates. 2. Breast milk jaundice: The clinical feature is that the time of skin yellow staining is similar to physiological jaundice, but the peak appearance time is delayed compared to physiological jaundice, generally 1 to 2 weeks after birth. In breastfeeding newborns and infants, about 1/3 to 1/2 of jaundice will persist, possibly for 8 to 12 weeks or longer. The clinical characteristics of breast milk persistent hyperbilirubinemia are generally good and satisfactory weight gain (some breast milk jaundice is a continuation of breastfeeding insufficiency jaundice, which can also be manifested as unsatisfactory weight gain), color of stool and urine and The amount is normal. Physical examination found no abnormalities. High bilirubin levels last longer, mainly indirect bilirubin. The total bilirubin level is generally around 256.5 mmol/L. Most of them do not need special treatment, and they can disappear naturally with the increase of day age and month age. Even if it does not subside completely, it will not affect the vaccination. Very rare breast milk jaundice has a bilirubin level> 427.5 mmol/L. There is also a risk of bilirubin encephalopathy, and most of the other high-risk factors for bilirubin encephalopathy are also present. 3. Diagnosis of breast milk jaundice: diagnosis of jaundice due to inadequate breastfeeding is mainly based on medical history and clinical manifestations: maternal insufficiency of lactation or insufficient intake of breast milk by neonates mainly refer to 3 indicators. (1) Weight: including the degree of physiological weight loss, if the physiological weight loss exceeds 7% of the birth weight, or if the birth weight has not been restored 7 days after birth, or the average weight gain in the future is less than 30g/d, it will prompt neonatal breast milk Insufficient intake. (2) Meconium excretion: Newborns with sufficient milk intake usually discharge meconium 3 to 4 days after birth, and the color of the stool changes from black green to yellow, and then 3 to 5 stools per day. If the meconium is delayed or there is too little bowel movement in the future, it also indicates that the newborn’s breast milk intake is insufficient. (3) Urinary discharge: including the frequency and amount of urination and the color of urine. If the number of urination is less than 4 to 6 times within 3 days after birth, and less than 10 times after 3 days of birth, it indicates that the early breast milk intake of the newborn is insufficient. At this time, the serum bilirubin level exceeds the phototherapy value, which can be considered as breastfeeding insufficiency jaundice. The diagnosis of breast milk jaundice also requires detailed understanding of the medical history and clinical manifestations. The following aspects should be paid attention to: (1) In the early period of neonatal birth, the time of jaundice appears to be basically the same as or slightly later than that of physiological jaundice, but the time of regression is obvious Delayed; (2) Good growth and development, satisfactory weight gain; (3) Golden stool color, not yellow urine; (4) Increased total bilirubin level, mainly indirect bilirubin; (5) Although biliary red The resolution of the hormone is delayed, but the level of bilirubin is mostly around 15 mg/dL. And as time goes on, even if breastfeeding continues, it will gradually return to normal. However, it should be emphasized that breast milk jaundice is a diagnosis of exclusion and requires careful evaluation and differential diagnosis with the following diseases, including ABO and Rh blood group incompatibility hemolysis, hematoma of the head, polycythemia, erythrocyte enzyme deficiency (such as glucose-6-phosphate Dehydrogenase, pyruvate kinase) and red blood cell membrane defects (such as spherical polycythemia), genetic defects of liver metabolism (such as
What is breast milk jaundice? Breast milk jaundice is jaundice in the neonatal period associated with breastfeeding. There are two types of breast milk jaundice. The first one is jaundice due to inadequate breastfeeding. Early in life, due to inadequate breast milk intake, slow intestinal peristalsis, delayed meconium excretion, increased intestinal and hepatic circulation, and intestinal reabsorption resulting in increased bilirubin levels. Based on the physiological jaundice of the newborn, serum bilirubin A further increase in levels leads to hyperbilirubinemia. In addition, severely high bilirubin levels may cause the nervous system to be in a state of depression, drowsiness reduces the effectiveness of sucking, and the amount of milk consumed is less, so the volume of stool and urine decreases, resulting in a further reduction in the ability to excrete bilirubin, serum bilirubin The level rises further. This neonatal hyperbilirubinemia was once called early-onset breast milk jaundice or breastfeeding jaundice. However, recent experts have pointed out that this type of hyperbilirubinemia is not related to breastfeeding itself, but is related to insufficient breastfeeding. Therefore, if it is called breast milk jaundice or breastfeeding jaundice, it is easy to cause misunderstanding and is called Inadequate breastfeeding jaundice may be more appropriate. The second type is due to certain components in breast milk that affect bilirubin metabolism, or excessive levels of 3α and 20β progesterone in breast milk have an inhibitory effect on liver glucuronidase, or due to intestinal glucuronidase content. Increased or due to increased epidermal growth factor content, may result in decreased intestinal peristalsis and increased bilirubin reabsorption, or due to mutations in the UGT1A1 gene coding region or some unclear reasons leading to serum bilirubin in breastfed infants The peak level is increased. This type of breast milk jaundice is characterized by a delay in the resolution of bilirubin after reaching the peak. Although most breast milk jaundice with delayed regression shows a benign process, special attention should be paid to the fact that there may be some potential pathological factors in the population with delayed regression of neonatal jaundice, and differential diagnosis should be paid attention to.
In clinical medicine, hand-foot and bradykinetic cerebral palsy refers to movement disorders or movement disorders caused by damage to the base of the brain, which is manifested as involuntary movement that is difficult to control with will. When there is purposeful movement, involuntary movement will increase , Invalid exercise will also increase. At the same time, irregular local contractions will appear on the child’s face, showing weird expressions such as “tooth grin”, “squeezing eyebrows and making eyes”. However, there is generally no joint contracture on the limbs. Cerebral palsy is a kind of limb paralysis caused by brain injury. The main causes are premature delivery, dystocia, asphyxia, hypoxia, and jaundice in children. Among them, pathological jaundice in children is a common cause of hand, foot and cerebral palsy. Pediatric jaundice is generally divided into physiological jaundice and pathological jaundice. Because most newborns will have jaundice, it is also easy to cause parents to ignore, thus providing a “hotbed” for the development of the disease. Generally, physiological jaundice will not last too long, usually about a week, if it lasts too long, it will cause brain damage to the newborn, causing cerebral palsy. For hand, foot and cerebral palsy, the general traditional cerebral palsy rehabilitation training is not ideal. The best way is to use the treatment of minimally invasive surgery. The most suitable surgery for cerebral palsy is the carotid adventitia exfoliation. The treatment principle It is through the exfoliation of the adventitia of the bilateral carotid arteries to improve the blood supply and oxygen supply of the brain to promote the growth and development of the brain cells that are not damaged, so that the sensory motor nerves are completely released, and the tight muscles of the whole body are relaxed, thereby improving the patient’s A series of phenomena such as writhing, salivation, language, hyperactivity, etc. At the same time, good cerebral palsy rehabilitation training, combined with scientific clinical guidance, enable patients to get more scientific and reasonable treatment, and finally achieve the goal of self-care and return to society.
& nbsp. Fetal poison, the evil poison in the parents is inherited to the fetus, causing the baby to get sick after birth. So it includes a lot of content, such as fetal yellow, thrush, milk moss, pox, carbuncle, sores, etc., including genetic, infection and other diseases. There is also a theory that fetal poisoning is based on the ancient people’s manifestation of symptoms, analysis and reasoning of etiology and pathogenesis. Fetal yellow consultation is the most. Fetal yellow, also known as neonatal jaundice in Western medicine, is characterized by yellowish skin, short astringent urine, and color like gardenia juice. Because the disease is in the babies, it is called “fetal yellow”, and because of jaundice in the whole body, it is also called “fetal jaundice”. There are several types of knowledge about fetal toxicity: pregnant women eat too many spicy and greasy foods, “mother food is hot and milk is hot, and food is cold and milk is cold”, over-feeding to the child affects the child’s physique, resulting in five organs heat poison ; Excessive parental sex life, the fire of lust is passed on to the fetus; pregnant women are in a bad mood, excessive worry, depression and anger, the fire affects the fetus, causing crying after birth; after the baby is born, the dirty things in the mouth are not cleaned in time , Eating can lead to easy diarrhea, thrush, etc .; parents originally had some diseases inherited to children, such as epilepsy, sexually transmitted diseases, tuberculosis and the like; know the reason, naturally we must find a way to avoid, if there is no way to avoid, it is eugenic Eugenics, not even pregnant. The care of pregnant women and the prevention of peacetime are very important. For example, pay attention to food hygiene, do not drink alcohol, eat spicy food, and do not abuse drugs. If pregnant women have hepatitis, or babies who have been born with pathological jaundice, they should pay attention to monitoring hepatitis antibodies before birth and take relevant preventive measures. Newborns should pay attention to the umbilicus, buttocks and skin to avoid injury and prevent infection. The baby should pay attention to the skin color and luster after birth. If the jaundice appears prematurely and the fire subsides too slowly, or the jaundice gradually worsens, and the situation that appears after subsides, it should be checked in time to confirm the diagnosis in time. Observe the various situations of infants and young children, the mental situation of eating and sleeping, will it be mentally unwell, always want to sleep, etc., and find early treatment in time.
When we are in the hospital for medical treatment or physical examination, we will take blood tests. One of the items is bilirubin. So what disease does elevated bilirubin represent? 1. What is bilirubin? Bilirubin is the main pigment in bile, including total bilirubin, direct bilirubin, and indirect bilirubin. The lifespan of human red blood cells is generally 120 days. After death, red blood cells become indirect bilirubin, which is converted into direct bilirubin by the liver to form bile, which is discharged into the biliary tract and finally discharged through stool. This is the normal conversion of bilirubin in the liver. The sum of direct bilirubin and indirect bilirubin is total bilirubin. Most of the bilirubin comes from the breakdown of aging red blood cells; about 15% is formed by the destruction of immature red blood cells in the bone marrow during hematopoiesis. 2. What is the significance of bilirubin? Bilirubin reference value: [total bilirubin] 1.71 ～ 21μmol / L [direct bilirubin] 0 ～ 7.32μmol / L [indirect bilirubin 0 ～ 13.68μmol / L bilirubin is an important indicator of liver function, It is also the main basis for judging jaundice, which is helpful for the diagnosis of hepatobiliary diseases and blood diseases. The determination of serum bilirubin is an important test item in liver and biliary function tests. It can accurately reflect the degree of jaundice, which is of great significance for clinical diagnosis of recessive jaundice. 3. The reason for the increase of bilirubin? 1. Physiologically elevated Neonatal bilirubin rises 2 to 3 days after birth, peaks at 4 to 6 days, and resolves at 7 to 10 days. Premature babies last longer, except for a slight loss of appetite. Clinical symptoms. Long-term drinking and strenuous exercise may also cause the increase of bilirubin. The high level of bilirubin caused by physiological factors will generally recover on its own after adjustment. 2. The proportion of diseased elevated direct bilirubin increased in total bilirubin is greater than 30%. Direct bilirubin increased mainly, mainly found in: gallstones, pancreatic head cancer, etc .; extensive intrahepatic bile duct stones, Clonorchiasis sinensis, etc .; hepatitis, drug-induced liver disease, multiple jaundice during pregnancy, etc. Symptoms often include fever, abdominal pain, and vomiting. Indirect bilirubin is too high, and the red blood cells are destroyed too much, which is toxic to the cells and cannot be excreted through the kidneys. Indirect bilirubin is too high, indicating that the liver’s compensatory ability is low or the liver has problems. Indirect elevated bilirubin may be acute jaundice hepatitis, acute liver necrosis, chronic active hepatitis, cirrhosis, hemolytic anemia, incompatible blood group transfusion, hepatocellular jaundice, severe burns, sepsis, malaria, hypersplenism, malignancy Anemia, globin production disorder anemia, lead poisoning, drug-induced jaundice, etc. Increased total bilirubin and direct bilirubin are seen in intrahepatic and extrahepatic obstructive jaundice, pancreatic head cancer, capillary bile duct hepatitis and other bile stasis syndrome. The increase of total bilirubin and indirect bilirubin can be seen in hemolytic anemia, blood transfusion incompatibility, malignant diseases, neonatal jaundice, etc. Increased total bilirubin, direct bilirubin, and indirect bilirubin are seen in acute jaundice hepatitis, chronic active hepatitis, cirrhosis, toxic hepatitis, etc. Of course, any disease is not that simple. It does not mean that which bilirubin is elevated must be what disease. Diagnosing a disease requires a comprehensive judgment combined with medical history, symptoms, laboratory tests, etc. to give the final diagnosis. The most common cause of elevated bilirubin is liver and gallbladder problems, and you need to consult a doctor in the gastroenterology department. At any time, only by diagnosing the cause of the disease can we know how to treat it, rather than taking the medicine out of sight.
The middle-aged man came to the hospital due to painless jaundice, and the index of jaundice was significantly increased, and the progress was rapid, and it increased by 30% in just 4 days. Abdominal CT showed that hepatic hilar cholangiocarcinoma, intrahepatic bile duct dilation. For patients with hilar cholangiocarcinoma and severe jaundice, the treatment is very tricky. Even if radical surgery is possible, yellowing treatment is required before surgery. There are two ways: 1. Percutaneous transhepatic bile duct drainage (PTCD). The advantage is that it does not cause pancreatitis. The disadvantage is that there is a root tube on the stomach. It is inconvenient for life care. Subject. Moreover, after the external drainage of bile, a large amount of loss will cause electrolyte disturbance and so on. 2. After endoscopic retrograde cholangiopancreatography (ERCP), and then placing a stent for biliary drainage, the disadvantage is that there is a certain risk, especially the risk of pancreatitis. The advantage is that the bile is drained into the intestine, and it will not cause additional loss of bile after being discharged into the intestine, causing internal environment disturbance, and there is no tube on the stomach, and life has little effect. Therefore, the goals achieved by the two methods are the same. Generally speaking, the internal drainage method is adopted. Reduce the impact on patients and improve the quality of life of patients.
I believe that many pregnant mothers are no strangers to such a “classic tutorial”: pregnancy (especially in the third trimester) is the best period for fetal poisoning. Eating a goose egg every day can play the role of fetal poisoning. Such a baby has good skin after birth and can also avoid jaundice. Therefore, many pregnant mothers endure the fishy eggs that are not easy to accept and are not as tender as the eggs and duck eggs. They insist on eating goose eggs for a month or two … The baby ’s skin is not much better after birth, and the mother ’s The weight is rising very fast. However, the truth is: whether you use steaming, boiling, frying, frying, pickling, stewing, or any fairy cooking method, goose eggs, can’t: go to fetal poison! There is only one reason: the so-called “fetal poison”, explained with the knowledge of modern medicine, is nothing more than cradles, eczema, thrush, erythema, jaundice, etc. that are prone to occur in newborns. There is no “poison” at all! Nor is it a problem that goose eggs can solve. If goose eggs can solve these problems, neonatal doctors and dermatologists can go home from work and retire … And, if we seriously study the eggs of chicken, duck, goose and three kinds of poultry (please see the picture below, from the “Chinese Food Ingredient List” “Second Edition”, it is not difficult to find: goose eggs “three high and one low”: high calorie, fat, cholesterol content, and protein is lower than the other two. Embarrassed ~ So, one egg a day is good ~ Occasionally change the taste to eat a duck egg or goose egg, do n’t force pregnant mothers to eat goose eggs for the theory of fetal poisoning that there is no evidence to support ~
Mr. Deng, 46, had abdominal pain and bloating half a month ago. He felt that his stomach was getting bigger and bigger. After going to the hospital for examination, he was quickly identified as liver cancer. Doctor, I ’m not feeling well for only half a month. The liver cancer is just one check, and it ’s not early. It ’s progressing too fast. Is liver cancer formed within half a month? Of course not. The examination also suggested that Mr. Deng not only had liver cancer, but also liver cirrhosis and hepatitis B. In China, hepatitis B is the most important factor leading to liver cirrhosis and liver cancer. Hepatitis B, cirrhosis, and primary liver cancer are the trilogy of hepatitis B development. That is to say, the formation of liver cancer is actually a step-by-step, from hepatitis B to Liver cancer has to go through three stages. It usually takes about 10-20 years in time. But the question is coming, why hasn’t there been any performance for such a long time, and why is liver cancer quiet? The doctor said that liver cancer, like other cancers, has no signal at an early stage. The reason why there is no signal is because at this time, early liver cancer has a small size and a limited range of involvement. There is no local or distant metastasis, nor The nerves and lymph nodes are invaded, so the patient naturally has no discomfort, but once the obvious symptoms appear, it often indicates that the cancer is constantly progressing. First, the progressive pain in the liver area suggests that liver cancer is progressing. With the development of liver cancer, it is likely to invade the right diaphragm. At this time, even the pain involved in the right shoulder may occur. Second, with progressive deepening of jaundice, with the necrosis of hepatocytes, a large number of necrotic hepatocytes pile up together, causing hepatocellular jaundice, and the increasing mass may also press the common bile duct and cause obstructive jaundice. Third, a large amount of ascites, weight loss, anemia, fever, liver cancer will cause a series of local and systemic symptoms, the most prominent of which is ascites, patients will find abdominal swelling, increased abdominal circumference, accompanied by significant abdominal distension, because the liver is a human body The largest digestive gland can easily cause indigestion, weight loss, and loss of appetite after the liver becomes cancerous. & nbsp.