The 27-year-old man took up his lungs and had a cough. He almost mistakenly thought it was lung cancer. The curse was actually food

Recently, there is an interesting case I want to share with you. There is a 27-year-old young male patient who was admitted to the hospital due to cough and sputum accompanied by chest pain for half a month. He was repeatedly treated in the local hospital, but the effect was not good. A chest X-ray performed by the local hospital showed lung space-occupying lesions, possibly lung cancer. Hearing the news, the young man felt like a bolt from the blue, he didn’t think about eating or drinking, so he immediately transferred to our hospital for treatment. A further CT scan was performed in the hospital, and the result was still space-occupying lesions in the lungs, and the symptoms of cough and sputum had not been relieved. Therefore, the hospital organized a general meeting of the hospital to discuss, the oncologist recommended lung biopsy to clarify the nature of the space, which is indeed the gold standard for the diagnosis of lung cancer. But the director of the respiratory department thought that invasive operations could not be performed temporarily, so he first performed a bronchoscopy for the young man. The result was shocking. It turned out that there was a peanut in the bronchus of the patient’s lower lung. The result was not lung cancer. The young man had a false alarm. Beware of foreign bodies with lung space-occupying lesions. According to the young man’s recollection, he used to drink with several brothers half a month ago. There was a plate of peanuts on the wine table. At that time, he was drunk and vomited. Was sucked into the bronchus by mistake. Such cases are encountered in the hospital. Not only peanuts, but also chicken bones, fish bones, etc., are more likely to get into the bronchus and cause blockage. Based on imaging alone, the result is a space-occupying lesion of the lungs. Inexperienced doctors are likely to judge it as lung cancer, but at this time, it is necessary to be alert to the presence of foreign bodies, otherwise it is easy to cause misdiagnosis. Also pay attention to diet. Safe diet is our daily routine, but it is this very common habit that is often ignored by everyone. Some elderly people, or patients who have difficulty swallowing due to cerebral infarction, are prone to choking on their diet and causing aspiration pneumonia. Children often suffocate or even die due to accidental eating of small toys or food. This has happened in reality. Therefore, there are many points to pay attention to in daily diet. The following are some dietary recommendations given by doctors: 1. Eat Chew things slowly and swallow slowly. It not only makes food easier to digest and absorbs, but also prevents food from entering the trachea by eating too fast. Especially the elderly or patients with a history of cerebral infarction, eat more carefully. 2. Do not eat too hot. Eating too hot will not only burn the mouth and tongue, but also damage the esophageal mucosa. One of the predisposing factors for esophageal cancer is the hot diet, so any food should be cooled until it is suitable for the mouth before eating. . 3. Be careful with bones or nuts. Be very careful when eating fish, chickens, ducks, and peanuts and seeds with bones or nuts, chew thoroughly, and spit out the bones before swallowing, otherwise the bones are easily stuck The esophagus even entered the trachea by mistake. People often ridicule, drinking water when they are lucky will choke people to death. This case tells us that although we are eating and drinking every day, the most sparse and common things are most likely to bring us danger. Therefore, no matter what we eat, we must pay attention and be careful to avoid accidents. (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.)

What is the cause of frequent spermatorrhea?

&nbsp.  Do you know the cause of frequent spermatorrhea? Nocturnal emission is a disease that most men suffer from, but only physiological nocturnal emission is a normal phenomenon, and pathological nocturnal emission can have a great impact on the body, especially for As far as the reproductive system of male friends is concerned, it is even more tortured. The following is a specific introduction to the reasons for frequent spermatorrhea:   1. Mental factors: due to excessive sexual requirements that cannot be restrained, especially sexual excitement caused by sexual desire before going to bed, and the central nervous system of sexual activity is stimulated for a long time. Nocturnal emission (such as frequent masturbation, often reading lewd books, lewd pictures, resulting in impulsive nocturnal emission).  2. Weak physique: The function of various organs is not sound enough, such as cerebral cortex dysfunction, loss of control of low-level sex centers, and increased excitability of the erection center and ejaculation center, and nocturnal emission will occur.  3, local lesions: local lesions of the sexual organs or urinary tract, such as phimosis, excessive foreskin, urethritis, prostatitis, etc. These lesions can stimulate the sexual organs and cause nocturnal emission.  4. Precipitating factors: Seeing things that are sexually stimulating to oneself during the day, paintings and calligraphy, TV programs, etc., will form an excitatory foci in the cerebral cortex, causing you to have dreams at night. In addition, too thick quilts, too tight pants, overheating of the quilt, and cold on the soles of the feet may induce nocturnal emission. The genitals are stimulated by smegma, and nocturnal emission occurs easily. Sometimes due to psychological tension, for fear of spermatorrhea, the more frequent the spermatorrhea.   5. Stress factors: Due to the influence of traditional concepts, many people think that nocturnal emission will lose the essence of the body and hurt the “vitality”. There is a saying among folks that “a drop of essence and ten drops of blood”. This is lack of scientific basis. Generally speaking, it doesn’t matter if a young and healthy unmarried man has nocturnal emission 4-5 times a month, which can relieve sexual pressure to some extent.   The above is an introduction to the common causes of frequent spermatorrhea, but treatment should not be taken carelessly until the cause is determined. Because some causes of spermatorrhea do not need to go to the hospital for treatment, as long as you maintain good living habits, and then you can be cured by proper treatment.

Does the “demon” of adenomyosis make you want to die?

Recently, the most talked about in the clinic is “adenomyosis”. When it comes to adenomyosis, we all think of heavy menstrual flow, dysmenorrhea, infertility…Adenomyosis is also known as the undead cancer, whether the devil of the uterus let If you don’t want to live, let me tell you today! ▼Topic: What are the most serious symptoms of adenomyosis? I think this should be dysmenorrhea. What many adenomyosis sisters cannot bear is dysmenorrhea. The main reason is that the dysmenorrhea of ​​adenomyosis is gradually aggravated. It is gradually aggravated with the arrival of each menstruation, and the focus will be increased with each menstruation. This is the most disruptive point. The “demon” of adenomyosis destroys the fragile heart and happy life of expectant mothers with adenomyosis! Pain makes expectant mothers with adenomyosis want to cry without tears! I don’t know if this is right. If you have different opinions, you can leave a message at the end of the article! What other clinical manifestations of adenomyosis? The clinical manifestations of adenomyosis are advanced dysmenorrhea, infertility, miscarriage, menorrhagia and dyspareunia. If the treatment is not timely or not received, disease may occur, leading to infertility. Adenomyosis has a great impact on women’s pregnancy problems, so once diagnosed, you should see a doctor in time. What tests are needed to diagnose adenomyosis? The diagnosis of the disease is mainly based on clinical symptoms, gynecological examinations and imaging examinations. 1. Gynecological ultrasound&nbsp.&nbsp. The uterus is enlarged, the muscle layer is thickened, the posterior wall is more obvious, and the endometrial line moves forward. The lesion is iso-echoic or echo-enhanced, during which point-like hypoechoes can be seen, and there is no obvious boundary between the lesion and the surrounding area. 2. Pelvic MRI&nbsp. There are lesions with unclear boundaries and low signal intensity in the uterus. T2 enhanced images may have lesions with high signal intensity, and the junction between the intima and myometrium becomes wider than 12mm. 3. Serum CA125&nbsp. This index can be elevated in most patients. 4. Pathological examination is the gold standard for diagnosis. Can a test tube be used for adenomyosis? The incidence of adenomyosis is getting higher and higher! The main reason for the infertility of expectant mothers with adenomyosis is that the uterine muscle layer of expectant mothers with adenomyosis is filled with some endometrial materials, causing the uterus to become larger. Some expectant mothers with severe uterine uterus may even have uterus several times larger than normal. . An enlarged uterus will cause intensive contractions of the uterine muscles. In turn, the embryo is not easy to implant, and it is easy to premature or abort after pregnancy. Generally speaking, expectant mothers with adenomyosis can use IVF technology to assist reproduction. Moreover, relatively speaking, IVF is also the first choice for many expectant mothers with adenomyosis!

What is the relationship between fluoride and dental caries and plaque? What are the foods with high fluoride? Nutritionist informs

Tooth decay, commonly known as cavities and tooth decay, is a bacterial disease, so it can secondary to pulpitis and apical periodontitis, and even cause inflammation of the alveolar bone and jaw bone. If it is not treated in time, the disease will continue to develop, forming cavities, and eventually the crown will be completely destroyed and disappear. Untreated cavities will not heal on their own, and the final result of their development is tooth loss. The caries lesion area appears as black spots or white spots on the tooth surface. There is a place where the tooth is often stuffed when eating, but the child does not feel pain or discomfort, and the lesion area extends to the dentin. At this time, the tooth has shallow caries Cavities, teeth are easily irritated by cold, hot, and acidic foods, or the pain is obvious when there is food stuffing the teeth, but the discomfort will be eliminated with the removal of food, and the pain when the diseased area reaches the pulp cavity is obvious and difficult eliminate. If the disease has not been treated to this extent, other diseases may be caused, such as alveolar bone inflammation, osteomyelitis and even some systemic diseases. If you suffer from dental caries, you should pay attention to oral hygiene, develop a good habit of brushing your teeth in the morning and evening, and gargle after meals. It is not advisable to eat foods such as sugar, biscuits and starch before going to bed. Watermelon, water chestnuts, celery, roka, etc., avoid alcohol and hot foods, do not eat hard foods, eat less sour, cold, and hot foods, and do not eat too much in your daily diet. Fluoride is still related to the occurrence of dental caries. The content of fluorine in the body is very small, and the insufficient amount of fluorine in the human body will hinder the deposition of fluorine in the tooth enamel, which will lead to the occurrence of dental caries. According to measurements, the fluoride content of every 100g of normal teeth is about 10 mg, while the fluoride content in dental caries is only about half. If the drinking water contains one millionth of fluorine, it is enough to prevent dental caries. However, if the body takes too much fluoride for a long time, the enamel of the teeth will also be damaged, the original luster of the tooth surface will gradually disappear, and gray-yellow spots will appear, that is, dental plaque. If the excess fluoride continues, it can affect the bone structure and form fluorosis. Foods that contain a lot of fluoride in daily life include grains (wheat flour, rye flour, bread, etc.), tea, meat, vegetables, cauliflower, tomatoes, onions, potatoes, carp, beef, egg yolks, crab meat, etc. The daily intake of fluoride should not be too much or too little.

How to check the rectum of condyloma acuminatum

   Among the high-risk groups of genital warts, gay men are the hardest hit area of ​​rectal disease, which is mainly caused by their sexual mode. So, how do you go to the hospital if you suspect that you have genital warts in your rectum? In fact, there are two main methods for clinical examination of genital warts in this area:   1. Digital anal examination (Citation) refers to a simple and easy way for the doctor to insert a finger into the patient’s anus to check the disease. But a very important clinical examination method. Accurate digital rectal examination can roughly determine whether there are lesions and the nature of the anus and rectum 7 to 10 cm from the anal margin. For diseases such as condyloma acuminatum, if there are lesions in the anus, the doctor’s fingers can detect obvious foreign bodies, and most of them will be accompanied by symptoms such as bleeding.  2, microscopy    Anorectoscope refers to an endoscope that examines the rectum, also called anoscope or rectaloscope. The length of an anoscope is generally 7cm, and the inner diameter varies. Anoscopy is one of the routine inspection methods for anorectal diseases. It is suitable for the anal canal, the end of the rectum, and the lesions near the dentate line. Biopsy can also be performed. This method is not only simple and easy to implement, but also has great clinical value. Like the microscopic examination of condyloma acuminatum, the doctor can observe the situation in the anus with the naked eye, including whether there is a typical wart body tissue, etc., and can make intuitive judgments. Warm reminder: The above is a common method to check whether there is condyloma acuminatum in the anus. The treatment of lesions that occur in the rectum is more difficult than the external ones, because the long-term constant temperature and humidity in this part is the survival condition of HPV virus preference, and the recurrence rate It is also higher than other parts. Reprint please indicate: Nanjing Institute of gifted Ka medical wart virus Lixing Chun, otherwise declined to reprint.

What are the characteristics of pregnant women’s labial condyloma

   Labia condyloma is an epidermal tumor-like hyperplasia caused by human papillomavirus (HPV) infection. After being infected with the virus, the onset usually takes about 3 months, with the shortest being 2 weeks, and the elderly up to 8 months or even 1 year. The initial symptoms are not typical. Single or small scattered, soft, light red papules appear on the labia. Without treatment, they will gradually increase and increase, and merge into typical skin lesions such as papillary, chicken coronal, and cauliflower-like tumors. Creatures have pedicles at the roots, and the surface is white, dirty gray, and red. Condyloma acuminata is generally asymptomatic in the early stage, unnoticed, and some are itchy and painful.   Due to factors such as increased estrogen levels in the body, decreased cellular immune function, and rich pelvic blood supply, pregnant women are prone to HPV infection and condyloma acuminata on the one hand, and the disease develops rapidly after condyloma acuminatum occurs. Most of the damage of genital warts in pregnant women is multiple at first, and a few are single. The damage increases and enlarges rapidly, especially in the second trimester, the damage grows fast, and it is easy to form diffuse damage or larger genital warts damage, resulting in genital warts Block the vagina, block the urethra, and easily cause infections such as bacteria or fungi.  The characteristics of pregnant women with condyloma acuminata:   ①The disease course is short and the lesions develop rapidly. Most patients can obviously feel the enlargement of the lesion and the appearance of new lesions.  ②The lesions are more common in the genitals, followed by the cervix, and the proportion of damage to multiple sites is higher. ③ lesions were more typical, mostly cauliflower-like form of genital warts during pregnancy, cockscomb-like … reprint please indicate: Nanjing Institute of gifted Ka medical wart virus Lixing Chun, otherwise declined to reprint.

What is the relationship between cervical genital warts and cervical cancer

Cervical condyloma is a sexually transmitted disease caused by human papillomavirus (hpv) infection of the cervix. The high-risk virus of hpv virus is closely related to cervical cancer warts. The high-risk viruses include hpv16, hpv18, hpv31, hpv33, hpv35 , Hpv39, hpv45, hpv51, hpv52, hpv53, hpv56, hpv58, hpv59, hpv66, hpv68, hpv73, hpv83, (MM-4). When cervical genital warts are caused by these viruses, great attention should be paid. Cervical cancer is the second most common malignant tumor in women worldwide after breast cancer in women. According to estimates by the International Cancer Research Center in recent years, it has more than 1.5 million cases in five years, of which more than 1 million are in developing countries. The area is vast and the population is large. There are 131,500 new cases each year, accounting for about 1/3 of the total number of new cases of cervical cancer in the world. The risk factors of cervical cancer mainly include the following three aspects:   1. Behavioral risk factors, such as premature sex, multiple sexual partners, oral contraceptives, smoking, fertility, low socioeconomic status, malnutrition and spousal sex Chaos etc.  2. Biology, including infections of various microorganisms such as bacteria, viruses and chlamydia.   3. Genetic susceptibility. Although cervical cancer is the main danger threatening women’s health and lives, it is an infectious disease that can be prevented and cured. This is because (1) It is currently recognized and understood that the main cause of its onset is the HPV high-risk virus (human Papillomavirus) is closely related to cervical cancer. (2) Serious and regular general surveys and active treatment of precancerous lesions can block the development of the disease and prevent cervical cancer, especially the occurrence of cervical cancer in the middle and advanced stages;    (3) Early diagnosis can achieve cure. Therefore, the screening and prevention of cervical cancer are particularly important.   Screening is the main method to prevent and control cervical cancer. Practices in various countries have proved that general surveys can reduce the occurrence and death of cervical invasive cancer. The reason is that cervical cancer has a series of precursor lesions. It takes about 10 years to develop from cervical precancerous lesions to cervical cancer. These precancerous lesions can exist for many years, and the cervix has a favorable anatomical position, easy to be exposed, easy to observe, palpate and obtain materials, if it can be found in the precancerous stage, further treatment or testing can be carried out. Treatment of early cervical lesions of cervical cancer treatment effect is much better than the reprint please indicate: Nanjing Institute of gifted Ka medical wart virus Lixing Chun, otherwise declined to reprint.

The relationship between penile cancer and excessive foreskin and phimosis

Penile cancer is a malignant tumor that originates from the head of the penis, the coronal sulcus, the inner plate of the foreskin and the skin of the penis. It is the most common malignant tumor of the penis, accounting for more than 90% of penile tumors. The most common pathological type is penile squamous cell carcinoma, which accounts for about 95% of penile cancers. Penile cancer often starts on the mucous membrane of the head of the penis, the coronal sulcus and the inner plate of the foreskin. It is the most common malignant tumor of the penis, accounting for more than 90% of penile tumors. For patients with phimosis, the disease is not easy to be found in the early stage. There are nodules or lumps in the foreskin that can be palpated, and gradually increase, and the foreskin can be penetrated to expose cancer. Purulent or bloody secretions often flow out of the foreskin. Patients whose foreskin can be turned over and can reveal the glans of the penis are manifested as papules, papillary or flat protrusions, warts or cauliflower-like plaques, and ulcers on the lesions. The lesions gradually increase, and the surface is often accompanied by foul-smelling secretions. Because the main cause of penile cancer is smegma. For the condition of penile cancer, the foreskin is too long or phimosis is its first stage, and the second stage is smegma. Smegma is a chemical carcinogen. Many experiments have confirmed that it has a strong carcinogenic effect and can directly stimulate the head of the penis to induce penile cancer. Moreover, it can also cause frequent inflammation of the foreskin and glans of the penis, and long-term inflammation can cause deterioration of local tissue cells in the penis. In the third stage, smegma will cause a harsh environment on the head of the penis, which can induce many precancerous lesions of penile cancer, such as penile angle, papilloma penis, condyloma acuminatum, leukoplakia, proliferative erythema penis, etc. Such lesions are easily transformed into penile cancer.

A kidney problem is caused by allergic purpura!

 How serious are the consequences of not paying attention to the kidneys? If you only think of kidney disease, then you underestimate its harm too much! It can also cause it can also cause a lot of unexpected problems!   The kidney damage was caused by the invasion of the blood by purpura lesions! The incidence of    can be as high as 12%-40%. On the basis of skin purpura, hematuria, proteinuria and tubular urine appear, occasionally edema, hypertension, and renal failure.   Kidney damage usually occurs 1 week after the onset of purpura, but it can also be delayed, and usually recovers within 3 to 4 weeks; a few cases develop into chronic nephritis or nephrotic syndrome due to recurrent episodes.   Although the symptoms have improved after drug treatment, the kidney damage is severe but cannot be recovered through conservative treatment, and there are even signs of aggravation. This “criminal” disease actually originated from purpura! It may be due to the long-term carelessness of the onset of purpura, which invaded the blood and “rooted and sprouted” in the heart, causing him to pass by the god of death.  Prevention: It is necessary to start from three aspects. This disease is actually preventable and curable. He reminds everyone to pay attention to the following aspects:    1. Pay attention to bed rest and observe the color of stool. Keep the skin clean, avoid collisions, friction, and prevent bleeding. Drink plenty of water, eat light and easy-to-digest foods, and avoid allergic foods such as eggs and seafood.  2. Observe the changes in urine volume and color, especially when the kidneys are involved.   3. Regular physical examinations to avoid deterioration of the disease and serious complications.  4. Don’t avoid illness and avoid doctors. In fact, many patients have found problems with purpura, but they have not paid attention to it, laying the groundwork for kidney damage. Because patients with purpura disease are more prone to kidney failure. If the disease can be treated as soon as possible and the disease can be controlled as soon as possible, many risks can also be reduced.

Do electronic endoscopy as soon as possible to avoid falling into the pit of abdominal allergic purpura!

   Henoch-Schonlein purpura before the appearance of skin lesions, often because of obvious abdominal pain symptoms, it is difficult to distinguish from internal and surgical acute abdomen, leading to misdiagnosis and mistreatment. Therefore, for patients with acute abdominal pain, no signs of peritonitis, abdominal pain-inconsistency (severe abdominal pain symptoms, mild signs), and poor treatment effects, the possibility of abdominal allergic purpura should be considered, and electronic endoscopy should be performed as soon as possible to confirm Diagnose and guide treatment. At the same time, it is necessary to improve the understanding of the characteristics of endoscopic mucosal lesions of the disease, so as to avoid misdiagnosis and cause unnecessary pain to patients.   Through electronic endoscopy,   1. Abdominal allergic purpura has varying degrees of mucosal bleeding, edema, erosion, and ulcer changes in the stomach and intestinal mucosa.  2. The more gastrointestinal bleeding, the more obvious the abdominal pain, the more severe the degree of mucosal erosion, bleeding, and ulcer, and the wider the range, suggesting that the severity of clinical symptoms is related to the degree of mucosal lesions under electronic endoscopy.  3. Mucosal damage is characterized by bleeding points of varying sizes under the mucosa. In severe cases, ecchymosis and submucosal hematoma are formed, and mucosal congestion and edema, erosion, and ulcers of varying sizes and depths are seen. The mucosa between the lesions is basically normal.   4. The detection rate of mucosal lesions was 81.2% in the duodenum, 75.0% in the stomach, 53.1% in the terminal ileum, and 50.0% in the colon. There were no lesions in the esophageal mucosa under endoscopy, and only 1 case of severe abdominal purpura showed congestion of the lower esophagus and cardia mucosa. In the clinical treatment of abdominal allergic purpura, in addition to the routine removal of the cause, the application of antihistamine drugs, the early treatment of glucocorticoids for obvious gastrointestinal lesions, the hormone inhibits the antigen-antibody reaction, has anti-allergic and improved permeability Sexual effect, inhibit inflammatory reaction, so it can reduce intestinal wall edema and bleeding, have a better effect on alleviating abdominal pain and bleeding symptoms, and can shorten the course of the disease.   Because hormones increase gastric acid secretion and inhibit gastric mucus secretion, the protective effect of gastric mucus layer is weakened, and gastric mucosal cell renewal is inhibited. Because the attack factor is strengthened and the defense factor is weakened, the ulcer is produced or the healing of the ulcer is delayed. The healing rate of gastric and duodenal mucosal lesions observed by electronic endoscopy is significantly lower than that of colonic mucosal lesions, indicating that the application of hormones does affect the healing of ulcers. Therefore, drugs that inhibit gastric acid secretion should be added in the treatment, preferably using a proton pump Inhibitors and drugs to protect the gastric mucosa to promote ulcer healing and prevent complications.   At the same time, in the process of clinical application of hormones, attention should be paid to adjusting the dosage and treatment course. The mucosal lesions of the colonic lesion were significantly reduced after 2 weeks of treatment, and the mucosal returned to normal after 4 weeks, indicating that the colonic mucosal lesions were not affected by gastric acid and recovered quickly. Therefore, electronic endoscopy plays an important role in the observation of the characteristics of mucosal changes before and after treatment of abdominal allergic purpura, and provides a theoretical basis for effective treatment of the clinical system. Those with severe mucosal lesions under endoscopy should be given acid-suppressing drugs and mucosal protection at the same time Agent.

What affects the length of time the HPV virus turns negative?

The patient is 32 years old, female, Beijinger, unmarried, and the unit organizes employee physical examinations every year. In the past, she did not care about these physical examinations. She thought that she was still young and did not reach the age required for physical examinations. She did not know that she was in an ordinary routine physical examination. Cervical lesions were detected and conization was performed in January 2019. She came to my outpatient clinic in May of 19, and the previous medical records she brought showed that a total of four models of 16.18.52.59 were detected in 18 years, all of which were high-risk infections. After conization in January of 19, in April of the same year The biopsy report indicated HSIL (Vain2-3). (Neck tube) HSIL (CIN2-3) (posterior vaginal wall). (3°9°12°) Chronic inflammation of cervical tissue. After coming to the clinic, the patient was treated for more than four months. In July, the TCT test showed no intraepithelial lesions or malignant lesions, mild inflammation, and inflammatory cells <50%. The 2020 HPV test showed negative. During the treatment, HPV and TCT were reviewed many times. Date of TCT test date of HPV test 2019.07.23 No intraepithelial lesions or malignant lesions, mild inflammation, inflammatory cells <50% 2019.09.10 atypical squamous cells, unclear meaning (ASC-US) 2019.09.1116.52.81&nbsp. &nbsp.&nbsp.&nbsp.&nbsp.Positive 2019.10.08 No intraepithelial lesions or malignant lesions, mild inflammation, inflammatory cells<50% 2019.10.0752.81&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.Positive 2019.11.26 No intraepithelial lesions or malignant lesions, mild inflammation, inflammatory cells <50% 2019.11.2766&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.positive 2020.05.27 not See intraepithelial lesions or malignant lesions, mild inflammation, inflammatory cells <50% 2020.05.27&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.&nbsp.negative&nbsp. This case clearly shows that conization did not have much effect on her condition, and it also showed that the virus can also infect the vagina, not only can cause cervical lesions in women, but also cause vaginal wall lesions, so Why some patients still have cancer after cutting off the uterus? It is mainly caused by the persistent HPV infection. HPV is a double-chain DNA virus that attaches to epithelial tissues such as mucous membranes and skin. It can not only cause cervical cancer, but also vaginal cancer, vulvar cancer, anal cancer, etc. Therefore, when a persistent HPV infection is found, you must follow your doctor’s instructions on time CIN can be cured by treatment. As a doctor, my life is always on the road, walking on a long road of encountering countless patients. I can deeply understand that patients often feel more difficult when seeking medical treatment, so I want to be relieved A few words, my clinical experience can tell you that although some patients can be cured in one month, and the TCT and HPV tests are normal, but the patient has been treated for nearly one year, and the patients cured in 3-6 months There are also many. These are the results of comprehensive factors, which are closely related to the patient’s age, physical fitness, condition and degree of cooperation. Therefore, I always recommend that you do not need to be too anxious, calm your mind, work regularly, eat healthy, and follow Only with medical advice and treatment can heal faster and better. &nbsp. For reprinting, please contact the private message for authorization, otherwise reprinting is declined. Liu Yanchun, Chief Physician, Associate Professor, and Doctor of Medicine, Department of Dermatology and Venereology, Beijing Ditan Hospital. STD expert of the Supreme People's Court forensic medical appraisal group, member of the National Cervical Cancer Prevention and Control Team, and the first batch of 256 medical science experts in Beijing. Research fields: sexually transmitted diseases (especially various types of condyloma acuminatum and cervical diseases caused by HPV virus infection), female lower reproductive tract infections, AIDS, common

[Question Medical Answer] Why can’t the facial twitching stop? Can it be treated?

   If there is involuntary twitching on one side of the face, the twitching is paroxysmal and irregular, varying in degree, and aggravated by fatigue, nervousness and voluntary exercise. The onset is usually from the eyelids (eyelid jump), and then gradually develops into the cheeks, the muscles of the mouth corners, and even the entire face.   hemifacial spasm can be divided into two types:    original hemifacial spasm: accounted for the vast majority (about 99%) due to abnormal walking blood vessel compression of the facial nerve out of the brainstem.   Secondary hemifacial spasm: relatively rare (about 1%) due to tumors, hemangioma, cysts, trauma, sequelae of facial neuritis (facial paralysis) and other lesions in the small pons, often accompanied by other symptoms of cranial nerve damage.   What are the reasons for the “compression” of the facial auditory nerve?   space-occupying lesions (neuroma, meningioma, cholesteatoma, lipoma, hemangioma, etc.); inflammatory and infectious lesions; AVM and other vascular lesions.  What are the common responsible blood vessels?   The vast majority of cases are caused by vascular compression in the initial segment of the facial nerve and brainstem. Common clinical manifestations of hemifacial spasm:    primary hemifacial spasm mostly occurs after middle age, and there are more women.   In the early stage, one side of the orbicularis oculi muscle had paroxysmal involuntary twitching, and then with the occurrence and onset of the disease, there would be involuntary rise and twitching of the same side of the face or the phenomenon of unable to open the eyes.   Some patients have severely affected their normal life. It is also very common to wake up or wake up while sleeping, and some patients have ipsilateral headaches and tinnitus.   A convulsion is as short as a few seconds, as long as more than ten minutes, and the length of the interval is variable. The patient feels upset and unable to work or study, which seriously affects the patient’s physical and mental health.   Bilateral muscle spasms are rare. According to the level of spasm intensity established by Cohen et al. Grade 0: no spasm;   1: external stimulus causes increased blinking or slight facial muscle tremor;   2: spontaneous slight tremor of the eyelids and facial muscles without dysfunction;   3: obvious spasm , There is a slight dysfunction;     4: Severe cramps and dysfunction, such as the patient can not read because he can not keep his eyes open, difficult to walk alone. Except for the paroxysmal twitching of facial muscles, the nervous system examination showed no other positive signs. A small number of patients may be accompanied by mild paralysis of the affected lateral muscles in the late course of the disease. What diseases should be differentiated from hemifacial spasm?   blepharospasm: bilateral, confined to the orbicularis oculi muscle.   Major’s syndrome: A facial dystonia, blepharospasm, often accompanied by involuntary movements of the mouth, face, tongue and jaw, showing eyebrows and eyes. Bell’s facial palsy sequelae: a history of peripheral facial palsy, the blinking of an eye can be seen with abnormal linkage of facial muscles. Localized motor epilepsy: it is more common with mouth twitches, often accompanied by turning in research, often accumulating accidental muscles in the facial nerve innervation area, and habitual twitching of EEG : It is more common in children, recurrent stereotypes, and often involves muscles outside the facial nerve innervation area. What is the significance of controlling DSA, CT, MRI for the diagnosis of hemifacial spasm?  DSA can be used to evaluate vascular lesions.   CT is very valuable for the assessment of skeletal diseases.   MRI is an ideal imaging technique to evaluate the relationship between blood vessels and nerves:   how to treat primary hemifacial spasm? 1. Drug treatment: carbamazepine, oxcarbazepine, injection of botulinum toxin and acupuncture (limited time is short, high recurrence rate, risk of facial paralysis)    3. Surgical therapy: microvascular decompression surgery (can be cured, radical cure rate Above 95%)

There are three manifestations of women’s trousers. I’m afraid that HPV is coming. Beware that the cervix is ​​“rotten like a fishing net”

Ali is less than 30 years old this year, and her boyfriend is very affectionate. The two usually talk about everything, but Ali recently concealed an unspeakable thing. When she took a bath, she found that her close-fitting pants smelled particularly heavy. Not before and after the menstrual period, this situation continued for a few weeks, and she could only vaguely reject the idea of ​​her boyfriend’s intimacy. She mistakenly thought it was just a small problem, and checked it by herself. As a result, several problems were checked in turn. Finally, she found that she had been infected with high-risk HPV for at least 3 months, and now some parts of the cervix had low-grade lesions. The doctor reminds you: Don’t be careless if there are any abnormalities on your pants. If you don’t know how to check it in time, the cervix may be damaged if you go down this way! [Women’s pants have 3 manifestations, suggesting that the cervix is ​​going to be “rotten like a fishnet”] There are secretions on women’s underwear. The state of secretions is closely related to the health of a woman’s cervix. Once you find a few abnormalities, please Don’t be careless. 1. Women with heavy odors usually have odors in the secretions on their pants if they have inflammation problems, but if the odors appear for a long time and are more serious, it may be that cervical lesions are accompanied by inflammation, because women’s cervix is ​​infected with bacteria for a long time. There will be tissue cell necrosis, and an abnormal smell will appear at this time. 2. Female secretions with normal tofu-like dregs should be transparent and gelatinous, but if there is tofu-like dregs, you should worry about whether there are cervical lesions, and some will even appear yellow-green. 3. There are bloodshot secretions and bloodshot, including inter-atrial bleeding and prolonged menstrual period, which are abnormal bleeding conditions, and they will occur more than once. In general, the above situations occur, mostly because the cervix has signs of disease. At this time, it is necessary to check in time, especially to check whether there is HPV infection. [The cervix is ​​most afraid of HPV visits. If you are infected, doing the right 3 things can turn negative] Women’s cervix are most “afraid” of HPV visits. The reason is that once HPV is infected for a long time, it is easy to cause cervical lesions. It means that the cervix appears healthy. The main factor of the problem, but what is worrying is that infection is not uncommon, and most men and women who have a partner and live intimately have the possibility of infection. HPV infection can be treated in two situations. One is that there is no pathological change in the early infection. In this case, 75% of people can rely on autoimmunity to clear the virus and turn negative. The second is that long-term infection does not turn negative and causes cervical lesions. Later, you need to specifically remove the lesion, which is relatively hurtful. Therefore, in the early stage of HPV infection, if you can find out in time, you can effectively improve immunity and accelerate HPV negative through three things: 1. Supplementing nutrients that regulate immunity. We are supplementing some nutrients when we eat every day, but some nutrients are It is necessary for the human body and is closely related to the immune function. For example, various trace elements and vitamins, if they can be supplemented in appropriate amounts, can protect the body’s immune cells and maintain the ability to eliminate HPV. 2. Ensure 7-8 hours of sleep. Adults should have about 7-8 hours of sleep. However, staying up late and lack of sleep are commonplace, which will directly affect the body’s immune function and detox cycle, so women are advised to think In order to improve immunity, you must usually work and rest regularly, go to bed and get up early, otherwise you will easily feel sleepy, low efficiency, and memory loss. 3. Appropriate exercise. Long-term adherence to exercise is also one of the ways to improve the body’s resistance, but long-term adherence is required. It is usually recommended to do some aerobic exercises, such as jogging, rope skipping, aerobics, climbing stairs, etc., which can restore the body’s resistance to germs. Resistance ability to avoid long-term repeated infection of HPV. (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.)

Bad liver, face prophet! The doctor reminds: When these 3 symptoms appear on the face, check liver function as soon as possible

Everyone knows the importance of the liver. Almost all impurities and toxins in the body need to be broken down and metabolized by the liver. It is the body’s most important detoxification organ. In addition, it is also involved in a number of “biochemical reactions” in the body. But at the same time, the liver is special. Due to its powerful compensatory ability and non-existent pain-sensing nerves, it is difficult to detect after damage, so it is often called the “most silent organ”. But liver disease, the body is not without a trace. In fact, our face also corresponds to the “liver area”. If it is a liver disease, you can “get a glimpse” of the changes in the face. If the liver is not good, the face prophet, the expert reminds: If these 3 kinds of abnormalities appear on the face, check the liver function as soon as possible. The sallow condition is mostly due to liver damage. After liver disease, its inhibitory effect on bilirubin will decrease, resulting in an increase in the blood bilirubin content, and the body’s skin will appear yellowish under the action of these yellow compounds. 2. Dark circles under the eyes will always appear when the sleep time and quality of sleep are guaranteed. This may also be a liver disease. This is because the liver has the ability to detoxify and detoxify. If the liver is damaged, toxins and garbage in the body cannot be decomposed and discharged in time, and accumulated in the body, which easily induces dark circles. 3. Bad breath generally may leave a odor in the mouth after eating food with a big taste, and then bad breath occurs. This is a common thing in daily life, and it will be greatly relieved after brushing your teeth. However, bad breath caused by liver damage does not help with repeated brushing. Liver disease, its metabolic capacity will be affected, resulting in abnormally high ammonia and nitrogen content, and then part of it will be excreted with the mouth and nose, and bad breath will appear. Bad breath caused by liver damage is usually the smell of rotten fruit or bad eggs. So how do we prevent liver disease in our lives? 1. Drink plenty of tea, eat more fresh fruits and vegetables. Drink plenty of water to help remove impurities and toxins from the body, reduce the burden on the liver, and speed up metabolism. Eating more fresh fruits and vegetables is conducive to the intake of multiple vitamins, antioxidants, and liver cell repair. 2. Do more aerobic exercises. If you want to protect your liver health, you can choose some exercises that suit you as much as possible. For example, yoga, swimming, jogging, cycling, etc. are all good choices. This is because this type of exercise will not be too intense, while maintaining the vitality of the body and promoting liver metabolism. Tips: A healthy and optimistic attitude is especially important. According to relevant medical research, there are actually a large number of sympathetic nerves distributed in the liver. If you often feel depressed and anxious, this will directly lead to liver cell ischemia, which will affect the regeneration rate of liver cells. Therefore, it is recommended to maintain a peaceful, optimistic and cheerful mentality, which is not only good for the liver, but also very helpful for delaying aging. References: Zhang Tanze, Feng Zhouxiang, Li Yan, et al. 109 cases of liver disease treated with integrated traditional Chinese and western medicine. Shanghai Practical Journal of Traditional Chinese and Western Medicine, 1998; 8(9): 537 (Part of the pictures in the text come from the network, and the copyright belongs to the original author. I would like to thank the author of the picture. If you find any violation of your copyright, please contact me. I will delete.)

Director I had a physical examination in May this year. The result of TCT was lesions, HPV58 was positive, and the biopsy results suggested low-grade cervical lesions. Considering CIN1, the doctor asked me to perform conization. May I not do it? Does it have an impact on childbirth?

Director&nbsp. I had a physical examination in May this year. The result of TCT was lesions, HPV58 was positive, and the biopsy results suggested low-grade cervical lesions. Considering CIN1, the doctor asked me to perform conization. May I not do it? &nbsp. Will it affect the birth of a child? @皮科高广程主任&nbsp.&nbsp.&nbsp. For low-grade cervical lesions, there is no need for conization. It is not recommended that you do conization. According to your feedback, there are two reasons. First, the low-grade cervical lesions have the possibility of returning to normal on their own. Usually, pay attention to diet, sleep rationalization, appropriate exercise, and do a review and follow-up. Second, even if the cervical conization is completed, only the diseased tissue is cut off. The HPV58 virus is still there, and new lesions may be caused later. If there are new lesions, you will still have to cut it. , The gains outweigh the losses. @爱问医生科普&nbsp. In addition, the conization has an impact on the birth of children, and it is easy to premature and abortion. After the cervix is ​​cut, it will become shorter and thinner. The cervix is ​​the entrance of the uterus and the exit of the fetus. If the cervix becomes thinner and shorter, then as the fetus grows up, the cervix may not be able to hold the “gate”. , Causing premature delivery or miscarriage. If there is a birth plan, conization surgery is not recommended. #夏健康打卡#&nbsp.#中国医生节#&nbsp.#名医服务月#&nbsp.#科普大战#

Cervical cancer is incurable, why do we need to be screened

[Cervical cancer is incurable, why do we need to be screened] Advanced cervical cancer is indeed incurable, but cervical cancer can be prevented. We know the methods of prevention. Actively preventing diseases is far more profitable than choosing the best treatment. &nbsp. [How to prevent cervical cancer] Some cancers have no clear cause. Even if the cause is known, there is no good way to detect and diagnose it early. Even if there is a clear diagnosis, there is no good treatment. However, cervical cancer is different! The cause of cervical cancer is clear-99.7% of cervical cancers are related to high-risk subtype HPV persistent infection. HPV vaccine can effectively prevent HPV infection and can prevent at least 70% of cervical cancers. &nbsp. [You may say: There is no discomfort right now, please check again when there is discomfort] Don’t think like this! When you feel sick, it will be too late! Most of the early stages of cervical cancer, precancerous lesions, and high-risk subtype HPV infections are asymptomatic. &nbsp. [Why cervical cancer screening] There are screening methods for cervical cancer, and these methods are non-invasive, simple and economical. Through cervical cancer screening, cervical precancerous lesions can be found, which can be treated and cured, so that precancerous lesions can be blocked from developing into cervical cancer.

Popular Science|Do you know laser? Can laser treat those skin problems?

In recent years, laser cosmetics is a new non-surgical cosmetic method that has emerged. Laser has the characteristics of large energy, specific direction, and penetrability. It can generate high heat locally in human tissues to achieve the purpose of removing or destroying target tissues. With the development and popularization of laser cosmetology, beauty lovers have discovered the secret of solving skin problems with less effort. Why can laser be used for beauty? As early as 1917, the great scientist Einstein established the laser theory, but it was not until 1960 that the world’s first laser-the ruby ​​laser came out. In the 1980s, laser technology has been relatively maturely used for research, diagnosis and treatment of diseases and skin beauty treatment, and has formed a large professional team, which is one of the important signs of the formation of laser medicine. So far, laser cosmetology has taken the lead in the entire laser treatment. The use of laser for medical beauty mainly depends on its energy and penetrability. Specific body surface lesions can absorb laser light of a specific wavelength and destroy the lesions through energy. Different depths of lesions require lasers of different wavelengths to reach. The shorter the wavelength of the laser, the stronger the penetration and the deeper the skin, and the darker the color of the lesion, the longer the wavelength of the laser that can be absorbed. What skin problems can laser solve? 1. Spot removal-freckles, age spots, etc. spot removal is actually the largest area of ​​laser treatment, and it has a good effect on most skin surface spots such as Ota mole, freckles, chloasma, age spots, tattoos, etc. The principle is to use laser energy to destroy pigments and make them decompose and absorb. 2. Treatment of congestion-telangiectasia and red face telangiectasia are more common in patients with fair skin. The laser uses its photothermal effect to seal the blood vessels to achieve the therapeutic effect. The so-called “laser to redness” mainly refers to laser in vascular skin diseases. Vascular skin diseases are actually very common, including the commonly known “red birthmarks”, “red two groups” and various common hemangiomas in infants and young children. Laser treatment of vascular skin diseases uses oxygenated hemoglobin to selectively absorb a certain wavelength of laser light, which results in a high degree of damage to the vascular tissue. It is highly accurate and safe, and does not affect the surrounding tissues. The emergence of laser has become a revolution in the history of treatment of vascular diseases. Therefore, laser treatment of telangiectasia is also effective. 3. Hair removal is also an important part of laser treatment, especially in the armpits, limbs, and perioral area. Laser hair removal has become the main method of removing unwanted hair due to its convenience, speed, safety and efficiency. It usually takes 3 to 6 times. Because hair has to go through three stages: growth phase, regression phase and resting phase, only growth phase hair follicles contain melanin, so the laser is only effective for hair in growth phase. 4. Treatment of acne Laser can only treat mild to moderate acne. Laser treatment is not suitable for severe or infection. Laser treatment can be combined with dermatology. 5. Skin rejuvenation-the intense pulsed light of the skin tightening and wrinkle-removing laser acts on the skin tissue to produce photothermal and photochemical effects, which can rearrange, regenerate, and restore the elasticity of the deep collagen fibers and elastic fibers to make the face Skin wrinkles disappear or reduce, and pores are reduced, which plays a role in rejuvenating the skin. How to take care of scientifically after laser treatment? Since laser treatment will leave small wounds and scabs on the skin, there are many points worth noting in skin care: 1. After treatment, because the skin is sensitive to heat sources, avoid using hot water to clean the treated area when washing your face. Use warm or cold water to wash, and when washing, the action should be as gentle as possible, don’t rub hard. 2. At the moment when the strong light acts during the treatment, a large amount of free water on the skin is lost, so after treatment, most patients will feel the skin is dry and dehydrated, so after the treatment is over, they should be given water in time. 3. Anti-inflammatory ointment (such as erythromycin ointment, chlortetracycline ointment or Baidubang, etc.) should be applied to the treatment area for 2-3 days, twice a day to prevent infection. Pay attention not to apply too many times, otherwise it will affect the scab The formation of the skin. 4. During the recovery period, do not touch the water in the treatment area, do not perform skin care, do not make up and do not rub. 5. Strenuous exercise should not be carried out during the recovery period, so as to avoid excessive sweating and cause skin infection or delay the repair process. 6. After treatment, give ice compress or cold spray according to the severity of skin reaction. 7. Fasting photosensitivity food and medicine during treatment. 8. During the recovery period, the scab will usually fall off on its own in about 7-10 days and cannot be peeled off by hand.

Popular Science|Do you know laser? Can laser treat those skin problems?

In recent years, laser cosmetics is a new non-surgical cosmetic method that has emerged. Laser has the characteristics of large energy, specific direction, and penetrability. It can generate high heat locally in human tissues to achieve the purpose of removing or destroying target tissues. With the development and popularization of laser cosmetology, beauty lovers have discovered the secret of solving skin problems with less effort. Why can laser be used for beauty? As early as 1917, the great scientist Einstein established the laser theory, but it was not until 1960 that the world’s first laser-the ruby ​​laser came out. In the 1980s, laser technology has been relatively maturely used for research, diagnosis and treatment of diseases and skin beauty treatment, and has formed a large professional team, which is one of the important signs of the formation of laser medicine. So far, laser cosmetology has taken the lead in the entire laser treatment. The use of laser for medical beauty mainly depends on its energy and penetrability. Specific body surface lesions can absorb laser light of a specific wavelength and destroy the lesions through energy. Different depths of lesions require lasers of different wavelengths to reach. The shorter the wavelength of the laser, the stronger the penetration and the deeper the skin, and the darker the color of the lesion, the longer the wavelength of the laser that can be absorbed. What skin problems can laser solve? 1. Spot removal-freckles, age spots, etc. spot removal is actually the largest area of ​​laser treatment, and it has a good effect on most skin surface spots such as Ota mole, freckles, chloasma, age spots, tattoos, etc. The principle is to use laser energy to destroy pigments and make them decompose and absorb. 2. Treatment of congestion-telangiectasia and red face telangiectasia are more common in patients with fair skin. The laser uses its photothermal effect to seal the blood vessels to achieve the therapeutic effect. The so-called “laser to redness” mainly refers to laser in vascular skin diseases. Vascular skin diseases are actually very common, including the commonly known “red birthmarks”, “red two groups” and various common hemangiomas in infants and young children. Laser treatment of vascular skin diseases uses oxygenated hemoglobin to selectively absorb a certain wavelength of laser light, which results in a high degree of damage to the vascular tissue. It is highly accurate and safe, and does not affect the surrounding tissues. The emergence of laser has become a revolution in the history of treatment of vascular diseases. Therefore, laser treatment of telangiectasia is also effective. 3. Hair removal is also an important part of laser treatment, especially in the armpits, limbs, and perioral area. Laser hair removal has become the main method of removing unwanted hair due to its convenience, speed, safety and efficiency. It usually takes 3 to 6 times. Because hair has to go through three stages: growth phase, regression phase and resting phase, only growth phase hair follicles contain melanin, so the laser is only effective for hair in growth phase. 4. Treatment of acne Laser can only treat mild to moderate acne. Laser treatment is not suitable for severe or infection. Laser treatment can be combined with dermatology. 5. Skin rejuvenation-the intense pulsed light of the skin tightening and wrinkle-removing laser acts on the skin tissue to produce photothermal and photochemical effects, which can rearrange, regenerate, and restore the elasticity of the deep collagen fibers and elastic fibers to make the face Skin wrinkles disappear or reduce, and pores are reduced, which plays a role in rejuvenating the skin. How to take care of scientifically after laser treatment? Since laser treatment will leave small wounds and scabs on the skin, there are many points worth noting in skin care: 1. After treatment, because the skin is sensitive to heat sources, avoid using hot water to clean the treated area when washing your face. Use warm or cold water to wash, and when washing, the action should be as gentle as possible, don’t rub hard. 2. At the moment when the strong light acts during the treatment, a large amount of free water on the skin is lost, so after treatment, most patients will feel the skin is dry and dehydrated, so after the treatment is over, they should be given water in time. 3. Anti-inflammatory ointment (such as erythromycin ointment, chlortetracycline ointment or Baidubang, etc.) should be applied to the treatment area for 2-3 days, twice a day to prevent infection. Pay attention not to apply too many times, otherwise it will affect the scab The formation of the skin. 4. During the recovery period, do not touch the water in the treatment area, do not perform skin care, do not make up and do not rub. 5. Strenuous exercise should not be carried out during the recovery period, so as to avoid excessive sweating and cause skin infection or delay the repair process. 6. After treatment, give ice compress or cold spray according to the severity of skin reaction. 7. Fasting photosensitivity food and medicine during treatment. 8. During the recovery period, the scab will usually fall off on its own in about 7-10 days and cannot be peeled off by hand.

What are the symptoms of adenomyosis

Adenomyosis is very harmful to female friends, so timely and effective treatment must be done so that patients can recover their health as soon as possible. Female friends must pay attention to this knowledge. What are the symptoms of adenomyosis? 1. Dysmenorrhea and dysmenorrhea are the most common symptoms of adenomyosis. Most patients will have symptoms of dysmenorrhea, some are mild, and some are severe. In fact, the root cause is the focus of adenomyosis. Dysmenorrhea is caused by invading into the endometrial tissue of the myometrium (adenomyosis lesions), and bleeding during menstruation, but the menstrual blood is in the myometrium and cannot be discharged, which will cause compression and cause dysmenorrhea. 2. Heavy menstrual flow Heavy menstrual flow is also a typical symptom. The menstrual flow of patients with adenomyosis is also related to the enlargement of the uterus. With the enlargement of the uterus, the lesions in the myometrium increase, and the bleeding will increase, so the menstrual volume also increases. Another reason is that there are lesions in the myometrium that affect the ability of the uterus to contract. Poor uterine contractions cannot better control the amount and time of uterine bleeding. Therefore, the menstrual volume is large and the menstrual time becomes longer. 3. Anemia has a causal relationship with the above menstrual volume. If the menstrual volume is large, the blood loss will be more. If the blood is not supplemented in time, of course anemia will occur. This is also the case in most patients with adenomyosis. Therefore, for adenomyosis sisters who have a particularly large amount of menstruation during menstruation, they must pay more attention to blood supplementation. 4. Why do low back pain, leg pain, and back pain have such symptoms? Generally, this kind of pain is mostly caused by drag pain. During menstruation, menstrual pain involves pain in other parts of the nerve. If some patients with involvement pain are more serious, not only will one side of the stomach hurt, but the other side may also have low back pain, leg pain, back pain, etc. This is also caused by the lesion itself. 5. Anus swelling Anus swelling is mostly due to the enlargement of the uterus, because the uterus is relatively close to the rectum, so there will be pressure on the rectum. This situation is most obvious during menstruation. The uterine bleeding and edema during menstruation make the uterus oppress It is more obvious, and the anus will fall and rise. 6. Infertility affects the uterine environment. This is one of the most common reasons, because adenomyosis lesions cause the environment in the uterus to become very poor. For example, affected by adenomyosis, patients will have problems such as enlarged uterus, thickened uterine wall, and uterine polyps, which makes the implantation environment of fertilized eggs very bad and cannot develop normally. The symptoms of adenomyosis are very obvious, so if women have symptoms of menorrhagia or secondary dysmenorrhea, they must pay attention to them, so that they can better deal with adenomyosis. Disease prevention can better protect one’s health.

A 31-year-old female who has repeatedly conized CIN 2 lesions. Why is there no good?

#医生间故事#&nbsp.&nbsp.&nbsp. A patient I met in the outpatient clinic today, who is also a relatively young woman of 31, came to review. She was transferred to the Dermatology and Venereology Clinic from the Department of Gynecology. She was found to have a high risk of HPV positive. After the biopsy, she found that the cervix had lesions, which was already CIN2. The gynecology department asked to perform conization. She did it twice, with external medication control in the middle! @ Sina爱问医生&nbsp. It has been more than half a year since the second conization, HPV still has not turned negative. There are still local lesions in the cervix. &nbsp. The patient collapsed all at once. I have done two conizations before, and the cervix is ​​almost completely cut off. Now there is still a disease, so I can’t cut it anymore? The patient asked me to see and after communicating with her about the condition, he decided on a treatment plan. The methods of LEEP knife, local immune enhancement and photodynamic therapy have been treated for more than two months, and the effect is quite good. Today, the HPV has turned negative and the cervix is ​​normal. @皮科高广程主任&nbsp.&nbsp.&nbsp. Like this female patient, she is not very old, so she can try conservative treatment. Conization just cuts off the diseased tissue, and the #HPV#&nbsp. virus is still there. The problem cannot be solved without killing the virus. In addition, a new wound will be formed after conization, which increases the risk of new infection while cutting it off. @爱问医生科普&nbsp.&nbsp. In addition, conization is an organ damage after all, and the cervix is ​​also a barrier to protect the uterus, so female patients need to consider carefully before doing conization. Of course, I do not deny the role of conization surgery. For some middle-aged and elderly patients with poor immunity or severe CIN3 disease, conization should also be given priority. #健康咨询月#&nbsp.#夏健康指南##微博名医咨询#