How to treat abdominal effusion? There are five treatment options, do you know?

   Abdominal effusion can be divided into leaky and exudative in nature. Whether it is leaky ascites or exudative pleural effusion, it can be caused by various diseases. Usually, when encountering patients with abdominal effusion, we can use puncture aspiration to extract the peritoneal effusion (a small amount of fluid in the patient’s abdominal cavity) to perform the Li Fanta test to distinguish the patient’s abdominal fluid from leakage or exudate. Then actively look for the cause, and only if the cause is treated for the abdominal effusion, can it be reduced or disappeared.   If the cause of the patient is not clear, in order to relieve the patient’s symptoms caused by a large amount of abdominal effusion, including abdominal distension, difficulty breathing, etc. The following symptomatic treatments can be performed:   1. Patients with abdominal effusion, especially hypoproteinemia, should strictly control the intake of sodium, followed by water intake;   2. In order to accelerate the excretion of water from the kidneys, You can choose to use diuretic drugs. There are many types of diuretics. Among them are potassium-sparing diuretics and potassium-expelling diuretics. Before using diuretics, you must follow the doctor’s instructions and don’t take the wrong medicine;    3. If you encounter a patient with abdominal effusion, the main The pathogenic factors are: decreased plasma colloidal osmotic pressure, high capillary hydrostatic pressure, and increased capillary permeability. Usually, the injection of albumin is used for treatment after pumping. The reasons are nothing more than two points. One is In order to relieve the symptoms, the other is to replenish albumin;   4. When a large amount of abdominal effusion affects the patient’s breathing or the patient’s abdominal swelling is unbearable, the treatment method of abdominal puncture and fluid extraction can be adopted to relieve the patient’s pain. The patient should not draw more than 1500 ml each time, and the pumping speed should be slow.   5. Chinese medicine treatment. Ascites is called “bloating” in Chinese medicine because it is caused by the blood-qi in the body. The method of eliminating water in Chinese medicine is based on the formula of Chinese medicine. It has clinical curative effect and pays attention to actual curative effect. It inherits the experience of ancient imperial doctors in treating liver diseases, improves the body’s immune function, eliminates hepatitis virus, restores liver function, resists liver fibrosis, reduces the pressure on the liver and spleen, and finally eliminates the abdominal cavity. The role of liquid.

How to prevent “drug extravasation” in chemotherapy of multiple myeloma?

Recently, I received a consultation from a family member of myeloma who said that the patient had chemotherapeutic drug leakage soon after entering the treatment, which caused skin ulcers and had to interrupt treatment. There is also a series of treatments for damaged skin. Sounded the alarm to the patients! Special attention is needed in the chemotherapy of multiple myeloma-drug extravasation! For this problem, there are still some patients with multiple myeloma and their families who are not fully aware. Analyze the above consultation of the patient’s family. Consider that the infusion needle may cause a slight deviation from the patient’s inadvertent movements. It is this slight deviation that causes the highly corrosive chemotherapy drugs to spill out of the capillaries and small blood vessels and proceed from the ends of these small blood vessels. Corrosive and growing damage will eventually lead to skin burning and destruction of blood vessels. Symptoms of leakage of supplemental chemotherapeutic drugs (partially not felt early) such as a slight burning sensation, redness of nearby skin, or a nearby skin sensation. Do a good job in prevention and leakage treatment. If not handled properly, it is not only a problem that affects the treatment process. Some cases will develop into serious infections, affecting life risks. In fact, the leakage of chemotherapy drugs can be completely avoided. That is to do well-take control! If you have any questions about this article or the disease, you are welcome to follow us on WeChat Soyisou to learn more about multiple myeloma: jjgs120

Classical Moments-Dr. Haishu’s Rereading of the Internal Canon-0519-Teacher Biography

[Original] Huang Di said: Good. Wish to hear Liufu. Qi Bo said: those with six intestines, the stomach is the sea, the wide bones, the big neck, the open chest, and the grains are tolerant. The nasal tunnel is long, waiting for the large intestine. The lips are thick and medium to long, waiting for the small intestine. At present, the fruit is big, and its boldness is horizontal. Nostrils are out, bladder is leaking. From the center of the nasal column, the triple burner is about, so those who wait for Liufu also. Up and down third, dirty and good. [Translation] Huang Di said: Yes. I also want to hear from you how to measure Liufu. Qibo said: In Liufu, the stomach is the sea of ​​water valleys, which is an organ that contains water and food. If the cheeks are full of muscles, the neck is thick, and the chest is wide, the stomach will contain more water valleys. The nasal passages are long and deep, and it can be speculated that the function of the large intestine is normal. The lips are thick and the middle sulcus is long. It can be speculated that the function of the small intestine is normal. If the bags under the eyes are large, the courage does not drop. Nostrils are exposed upwards, then the bladder cannot store urine normally and leak urine. If the center of the bridge of the nose is raised, the triple-focusing function is normal. These are the methods used to measure the situation of Liufu. In short, if the upper, middle and lower parts of the face are equal and harmonious, the internal organs function normally and stably. ~~~~~~~~~~~~~~~~~~~ Haishu press: people look beautiful or not, whether they are healthy or not, it depends on the bones, and a healthy body is the foundation of beauty [玫瑰] # 清风plan#

What to do if there is low protein?

When low protein appears, is it necessary to have a high protein diet and protein supplement therapy? the answer is negative. 1. Simply supplementing the protein will not help the low protein. The basic reason for the low protein is that the protein leaks from the kidney in a large amount. If the protein is not leaked, the newly added protein will also be missed, so supplementing the protein alone will not help the hypoproteinemia. The cause of most glomerular filtration membrane damage is autoimmune damage, so many chronic kidney patients use hormones and immunosuppressants to suppress immunity and repair the damage. If the protein leakage is reduced or the leakage is stopped, the plasma protein quantity will naturally recover. In addition, the antihypertensive drugs of sartans and puli also have the effect of repairing damage and reducing proteinuria. 2. A large amount of proteinuria will further damage the kidneys. As mentioned earlier, the protein filtered from the glomeruli will be absorbed by the renal tubules. However, when the protein is filtered too much, it exceeds the ability of the renal tubules to absorb. The protein damages the renal tubules, and when damaged, it secretes cytokines which in turn further damage the glomeruli. Therefore, protein intake should be limited, and daily protein intake should be limited to 0.8g // Kg body weight. 3. Protein is added only in very serious cases. However, when the condition is particularly serious, plasma albumin <20g / L, the blood is in a hypercoagulable state, and edema is difficult to correct, an appropriate amount of albumin can be infused. The formation of proteinuria is because the gap on the glomerular basement membrane increases and the permeability increases, so that large protein can leak into the urine through the basement membrane to form proteinuria. At this time, if a large amount of high protein is eaten, the amount of protein leaking through the glomerular basement membrane per unit time will increase, and the waste generated by the human metabolism will increase, thereby increasing the burden on the kidney. For patients with kidney disease, excessive protein supplementation will not only make up for those lost, but will also accelerate the burden of the kidneys and accelerate the process of kidney function damage. Therefore, the usual diet should be: reduce the intake of non-quality protein such as: wheat starch, vermicelli, low-protein rice, low-protein noodles, etc. Proper intake of high-quality protein, such as: eggs, milk, lean meat, fish and shrimp, soy products, etc. As an important metabolic organ of the human body, the kidney's health is closely related to the daily diet. Therefore, it is important to choose a high-quality low-protein diet for patients with kidney disease. If you have any related problems such as kidney disease, you can directly write to Mo Feifan or leave a message online