Grapes in patients with vitiligo can be eaten, but it is not beneficial to eat more, because grapes contain a certain amount of vitamin C. If you eat too much, it will affect the formation of skin melanin. Purple grapes are really lovely, but for patients with vitiligo, grapes are not a recommended fruit. Because grapes are rich in vitamin C, it hinders the synthesis of melanin, which leads to a deepening of vitiligo symptoms. Therefore, vitiligo can not eat more grapes. In addition to grapes, fruits eaten in small amounts by patients with vitiligo include: sour, lemon, strawberry, bayberry, tomato, kiwi, orange, plum, apricot, plum, sour apple, hawthorn, pineapple, orange and other sour fruits. In addition to fruits, foods that are too acidic or too spicy may also affect the disease and the treatment effect of vitiligo. Hair such as chili, chicken, tobacco, alcohol, sheep, and seafood also affect the condition of vitiligo. If patients with vitiligo are very fond of eating grapes, they can choose to eat black grapes. Black grapes are rich in minerals calcium, potassium, phosphorus, iron and vitamins B1, B2, B6, etc., and also contain a variety of amino acids required by the body, often eat black Grapes are great for neurasthenia and excessive fatigue. After making black grapes into raisins, the content of sugar and iron will be higher, which is a good tonic for women, children and frail anemia. Black fruits have certain nutritional value, and moderate consumption is beneficial to patients with vitiligo.
Shi Shurong’s studio WeChat xyk261 immunosuppressant has a wide range of types, each of which has a different mechanism of action, but their common characteristics are able to suppress immune cells and reduce inflammatory factors. There are several types of immunosuppressants commonly used in clinical practice. Specialists will select the appropriate immunosuppressant according to the characteristics of each drug and the actual situation of the patient. Glucocorticoids are also called steroidal anti-inflammatory drugs, that is, people often say “hormones”. The names of such drugs often carry a word “pine” or “dragon” at the end, such as prednisone, dexamethasone, methylprednisolone, etc. Hormones have a wide range of functions, such as anti-inflammatory, anti-rheumatic, anti-allergic, and immune system. It can effectively reduce inflammatory factors and suppress various immune cells. Clinically, for those patients with strong immune response and severe inflammation, the use of hormones will have an immediate effect. However, it is precisely because the hormone has too much effect, so it is a “double-edged sword.” Osteoporosis, necrosis of the femoral head, increased blood sugar, increased blood pressure, body fat, peptic ulcer, etc., are common adverse reactions of hormones. These adverse reactions often occur in patients who use hormones for a long time. Therefore, when the specialists use hormones, they will closely observe the condition, and once the condition is controlled, they will begin to reduce or stop the hormones in time. It is often accompanied by calcium supplementation and stomach protection during treatment to reduce side effects. Recommend everyone to be very careful when using hormones. I once met an old woman who bought prednisone for a long time in a pharmacy. When the joint hurts, I took a few capsules, just like we usually eat sugar pills. After several years, not only the disease has not been cured, but bone Loose, severely deformed joints. There is also a patient with lupus erythematosus. After treatment in many hospitals and long-term use of large doses of hormones, the femoral heads were necrotic on both sides, and the femoral heads were changed at a young age. Many people have infections due to the use of hormones, and they may even be in danger of life. Therefore, as a patient with MDS, in the treatment, do not blindly increase the amount due to the use of medicine, and you must consult a professional doctor to take medicine according to different personal conditions to avoid harm to your health.
Hu Guisheng Assistant WeChat: dd326751 Source: Transferred from WeChat public account [Hu Guisheng Studio] MDS, which is myelodysplastic abnormal syndrome, is a disease that is not easily cured by the blood system and has the characteristics of high-risk to acute leukemia. The simplicity can be mainly manifested as anemia, or anemia, leukopenia and the reduction of platelets, the prognosis is also different. According to the different somatic cell products invaded, the number of primitive cells and their karyotypes are different, MDS is divided into low risk, medium risk and high risk. For low-risk patients, the mean survival period is around 5 years, and for medium-risk patients, the mean survival period is around 2 years. However, for high-risk patients, the mean survival period is less than half a year. When MDS is at high risk, hematopoietic stem cell transplantation is still recommended. If hematopoietic stem cell transplantation is successful, it is a good message. In fact, it can continue its own life. However, after getting sick, it will not become more and more physically and mentally healthy as before. Therefore, even if hematopoietic stem cell transplantation is successful , Also depends on their own situation. Generally speaking, the current MDS treatment should be based on the risk group to decide the treatment plan and strategy. Treatment of MDS patients in the relatively low-risk group includes supportive therapy (component blood transfusion, hematopoietic factor therapy), immunomodulators, demethylation therapy, and traditional Chinese medicine therapy. Chemotherapy and hematopoietic stem cell transplantation are generally not recommended. Patients in the relatively high-risk group require high-intensity treatment, including combination therapy, demethylation, chemotherapy, and hematopoietic stem cell transplantation, but high-intensity treatment, such as chemotherapy transplantation, has higher treatment-related complications and mortality, and is not suitable for all patients. . In addition, there is another very important point, that is, the age span of MDS is relatively large. In my country and Asia, the age of onset tends to be younger. There are a small number of children and adolescents with MDS in clinical practice, and some adults have MDS, but most of them are still sick for the elderly. Therefore, when formulating treatment plans and measures, in addition to the prognostic scores of MDS patients, a comprehensive assessment should be made based on the patient’s age, physical condition, comorbidities and accompanying diseases, treatment willingness and compliance, etc., and select an individual treatment plan. To suit every patient and prevent over-treatment and under-treatment.
Now, the treatment of many patients with chronic myeloid leukemia requires long-term use of targeted drugs to control the disease. Some patients have a significant therapeutic effect and the disease has been stable. Some patients may have some complications, such as bone marrow fibrosis. Director Shi Shurong’s WeChat consultation platform: zkxk9999 Disease description: The patient is 43 years old, diagnosed with chronic myeloid leukemia for three years, and treated with imatinib. During this period, the disease control effect is good. Later, the patient was found to have severe anemia, somatosensory weakness, weight loss, and the hospital review found “bone “Slim”! Now the patient has swollen legs, weight loss, splenomegaly, and severe anemia, how to treat? Doctor: In the case of no obvious effect of Western medicine treatment, it is recommended to combine Chinese and Western medicine. Oral targeted drugs are used to control the disease. If the splenomegaly is significant and the compression is obvious, the spleen can be cut for treatment. In addition, it cooperates with syndrome differentiation treatment of traditional Chinese medicine, strengthens the spleen and kidneys, promotes blood circulation, improves symptoms and relieves the disease, and at the same time, the effect of reducing the spleen is also obvious. In summary, chronic myeloid leukemia complicated with bone marrow fibrosis should be treated with integrated traditional Chinese and western medicine as early as possible. The combination of the two advantages will help the treatment of the disease, reduce the side effects of western medicine, and improve the microenvironment of the patient’s bone marrow hematopoiesis and enhance the patient. Quality of life and prolonged survival. More patient communication help can pay attention to WeChat public account: Slow Grain Patient Association
White spot disease is a skin disease that will cause greater harm to patients. If the white spot disease patients are exposed to the sun for a long time, it will not be conducive to the treatment of the disease, it may cause the spread of white spots, and it will make the patients feel burning. Painful. The patient should pay attention to the protection and skin care of the skin in daily life, especially in the hot summer, to reduce the time and number of outings, need to do all aspects of maintenance work, let’s take a look at the specifics below, leukoplakia Will there be burning sensation after sun exposure on the affected area? Burning sensation will occur after sun exposure on the leukoplakia, patients should pay more attention to skin sun care in daily life, and now it is in the summer of hot days, the skin is accepted for a long time Ultraviolet radiation will cause the decrease of melanocytes in the skin, which is not conducive to the maturation of melanocytes in the skin. In order to prevent the spread of white spot disease, patients should do better skin care and sun protection. The sunscreen products used by female leukoplakia must not use irritating cosmetics or external medicines. First of all, patients should pay attention to avoid skin injuries to avoid the occurrence of homogenous reactions. If the skin needs to be disinfected and bandaged in time after being traumatized, if the treatment is not timely, it is likely to cause bacterial infection of the wound, which can easily lead to the spread of white spot disease. Pay attention to the cleanliness of the skin, which can play a role in the relief of white spot disease. Auxiliary effect, prevent the spread of white spot disease. Second, patients with leukoplakia should maintain good emotional stability. Excessive fluctuation of emotion for a long time is also one of the main reasons for the spread of leukoplakia. Patients should pay attention to improving the bad mood, which plays a great role in the treatment of white spot disease, and at the same time can effectively inhibit the spread of white spot disease. Third, patients with white spot disease need to develop a good life and rest habits. Patients should pay attention to eating more foods containing tyrosine and trace elements, pay attention to supplementing the minerals needed by themselves, eat more fresh fruits and vegetables, However, patients need to remember to eat less or not foods rich in vitamin C, which can hinder the synthesis of melanocytes. Because the ultraviolet rays in the sun have a double effect on the white spots, it is beneficial to the disease to be properly and correctly exposed to the sun, but if it is exposed to the sun, it will only do harm to the disease. Therefore, it is necessary for patients to make good use of the beneficial effects on leukoplakia, to avoid the adverse effects of long-term exposure on leukoplakia, and to achieve benefits and avoid harm, which is very beneficial to the rehabilitation treatment of vitiligo. When patients receive treatment, they must first undergo a formal examination to determine the cause, administer the medicine according to the symptoms, and cannot use the medicine blindly, so as not to aggravate the condition and make the treatment more difficult.
Because the vitiligo disease has brought great pain to the patients, many patients are looking for special drugs to treat vitiligo. So, is there any special medicine for treating vitiligo, can you believe in the so-called special medicine for vitiligo? The doctor told us that there is no special medicine for vitiligo, don’t blindly believe what special medicine, the so-called special medicine will cause unexpected harm to patients, Then what is the reason? 1. Vitiligo-specific drugs may have greater toxicity, because some drugs that are toxic to the human body may cause the vitiligo lesions to temporarily subside. Patients should not use drugs to treat diseases at will. It is a three-point drug, and it is very dangerous to use the drug at will without the guidance of a doctor. 2. Caring for patients with vitiligo is very important. It is very unsafe to treat vitiligo with prescriptions and secret recipes that have not been verified by experiments. Because some doctors are usually not able to monitor patients’ internal organ damage, they are very blind in the treatment of vitiligo. Once a problem occurs, the consequences will be unimaginable. 3. Some special drugs that are feasible in vitiligo may cause adverse reactions in patients with vitiligo. Therefore, certain treatments for vitiligo have certain hazards, and patients should not use them at will. Can only be used under the professional guidance of a doctor. According to the survey, the reason why many patients have not been cured for a long time is that they did not go to regular hospitals for scientific and systematic treatment. If you find abnormal plaque on your body, you must go to a regular hospital for examination and diagnosis. Once diagnosed with vitiligo, don’t be afraid. Vitiligo can be cured, go to routine treatment of vitiligo in time, so as not to delay treatment and bring greater burden.
Many patients who have just been diagnosed with thrombocytopenia, especially those with lower values, will be treated with hormonal drugs, but the rapid increase of hormonal drugs will also bring many side effects. How should patients respond? Director Shi Shurong consulted Ms. Qi, a patient on WeChat zkxk9999: I am 25 years old, and my physical examination found that the blood routine platelet value is only 26, but the body has no discomfort symptoms, no bleeding, and only a slight bump is prone to bruising. After a bone marrow aspiration examination, the bone marrow hematopoietic function was normal. The doctor gave oral hormone therapy. Later, the platelet rose to 85, but after using the hormone for a month, the body was severely swollen and I dared not eat it again. Excuse me, is there any good treatment? ? Hematologist: Thrombocytopenia is a relatively common benign disease. The cause of the disease involves autoimmune disorders. In short, the patient spontaneously produces an anti-platelet growth antibody that destroys platelet growth. Commonly used therapeutic drugs have certain side effects. The most common side effects of hormones are: centripetal obesity, gastric mucosal damage, hypertension and elevated blood glucose; blood product infusions are only short-term effective, and their side effects are minor, but there are infections related to blood transfusion-related diseases Risk; while the spleen is removed for treatment, the spleen is an important immune organ of the human body, and the ability to resist infection will be reduced after resection, which needs to be evaluated by a specialist clinic. At present, for the treatment of targeted thrombocytopenia, the timely intervention of Chinese medicine and traditional Chinese medicine has made more and more patients see a more obvious increase in platelets. At the same time, compared with hormone therapy, traditional Chinese medicine will not let patients be affected by side effects. At the same time, after the patient’s platelet lifts and stabilizes, the chance of recurrence is also greatly reduced. Because thrombocytopenia is mostly related to the imbalance of the patient’s autoimmune function, even if the patient recovers and the platelet returns to normal, it is necessary to pay close attention, regularly review the blood routine, and monitor the platelet value. To emphasize, the lower the platelet value, the higher the risk of bleeding. Therefore, regardless of bleeding symptoms, patients should be actively treated to increase the platelet value and avoid serious bleeding. In addition, cold infections are also likely to cause relapse or exacerbation of thrombocytopenia, pay attention to prevention in life. For more thrombocytopenia disease knowledge or patient help, please pay attention to WeChat public number: xxbjs75
. 1. What is gout? Gout is a disorder of purine metabolism caused by inherited or acquired etiology, increased blood uric acid accompanied by tissue damage. The prerequisite for its onset is hyperuricemia. Gout II. What is the path of gout formation? 1 Asymptomatic hyperuricemia 80% of hyperuricemia can be asymptomatic for life. In addition to elevated serum urate concentration, there is no clinical manifestation of gout such as joint symptoms, gout stones, uric acid kidney stones. Although most patients with hyperuricemia can be asymptomatic for life, the trend towards acute gout increases with increasing serum urate concentration. Therefore, patients with asymptomatic hyperuricemia need to monitor the uric acid level, and need to see a doctor in time when the corresponding clinical manifestations appear. 2 Symptomatic clinical gout A small proportion of patients with hyperuricemia may develop clinical gout. It can be expressed as: (1) Acute gouty arthritis: the patient’s toes, ankles, knees, wrists, finger joints, elbows, etc. appear red, swollen and hot, and even joint dysfunction. (2) Gout intermittent period: between two gout attacks, ranging from several weeks to several decades. (3) Chronic gout. Stone gout: The onset joints will appear swollen, stiff, and deformed. Like stones, they are asymmetrical and have different sizes. Gout three, why is hyperuricemia formed? Hyperuricemia is the main pathogenesis of gout. The causes of hyperuricemia include excessive uric acid production, reduced excretion, or both. 1Uric acid produces too much uric acid in the human body has two sources: one is exogenous: derived from high purine foods, including animals, beans, seafood, and the purine in these foods is almost converted into uric acid after being absorbed by the body , Limiting the intake of high-purine foods can reduce the level of uric acid to a certain extent; The second is endogenous: synthesized by the body itself, accounting for about 80% of the source of uric acid in the body, that is, from the decomposition of nucleotides or nuclear proteins in the body, Foods with high calories are broken down into nucleotides and nucleoprotein content is naturally high. The formation of hyperuricemia in most patients is directly related to excessive uric acid production. No wonder doctors recommend gout patients to pay attention to a low-purine, low-calorie diet. 2 Less excretion of uric acid Excretion of uric acid is 66% excreted by the kidneys, 34% is excreted by the intestine, and other means such as perspiration do not participate in the process of uric acid excretion. Patients with renal dysfunction or long-term constipation may be caused by poor excretion Increased uric acid. 4. How does hyperuricemia cause arthritis and gout stones? urate deposits on the joints can cause reactive arthritis and redness, swelling, heat, and pain in the joints. Long-term hyperuricemia can increase the deposition of uric acid in the joints. When the urate pool is enlarged, urate crystals are deposited in cartilage, synovium, tendons, soft tissues and other places, and gout stones are formed. 5. Will the gout stone disappear? Control hyperuricemia (up to 350umol/L), and maintain this state for a certain period of time, so that gout stones can slowly disappear. The reason is that when the blood uric acid is lower than the joint cavity, urea can be reabsorbed into the blood and the gout stones gradually become smaller. However, this process may take a long time and requires patience and confidence. 6. How to treat gout patients? 1 For the treatment of gouty arthritis, the acute stage of gout attacks, anti-inflammatory and analgesia are the most important. 2 In addition to taking medicine, you should control the intake of high-purine foods and limit the intake of high-calorie foods, thereby reducing endogenous purines, drink more Water promotes the discharge of uric acid. 3 Alkalizes the body’s peracid system. 7. How should gout patients control their diet? The intake of the following foods should be restricted: (1) Animal gut and meat: In addition to the substrate purine rich in uric acid synthesis, animal gut and meat are also rich in saturated fatty acids, which are positively correlated with insulin resistance and can be reduced Renal uric acid excretion. Including chicken, duck, goose, gravy, broth, etc. (2) Seafood: high purine content in seafood can lead to increased blood uric acid levels and increased risk of developing gout in the long term, such as fish, shrimp, crab Etc. (3) Alcohol: an important dietary risk factor for gout, the risk of gout and the intake of alcohol are dose-dependently increased, especially beer. (4) sugary drinks, juices: research has found blood The uric acid level and the prevalence of hyperuricemia increase with the intake of sugar-sweetened beverages. (5) Some vegetables: all beans, cashew nuts, lotus seeds, chestnut, nori, asparagus, mushrooms, string beans, etc.
The patient, Mr. Huang, 51 years old, has clear angina pectoris. After comprehensive treatment, his symptoms are stable. Due to the stable condition, various tests and examinations are normal, and no treatment adjustments have been made for the time being, and patients continue to take aspirin, statin and other drugs. The patient came to me after taking the medicine and asked the doctor that my blood lipids were normal. Why would I still take lipid-lowering medicine? In the treatment of cardiovascular diseases, many people think that statins are lipid-lowering drugs. In fact, statins are lipid-lowering drugs, which can reduce bad blood lipids and increase good blood lipids. At the same time, another important role is anti-atherosclerosis and anti-inflammatory Stable plaque. It is not necessary to take statins for high blood lipids, and it is not necessary to not take statins for low blood lipids. Need to analyze the specific situation: First, these kinds of high blood lipids do not need to eat statins 1, high density lipoprotein high high density lipoprotein is good blood lipids, can prevent atherosclerosis from aggravating, prevent cardiovascular disease, this high blood lipids do not need to eat Statins, and statins raise HDL. 2. High triglyceride and mild triglyceride elevation can control the diet; moderate or higher elevations need to be considered comprehensively, combined with the disease; triglyceride higher than 5.65, it is recommended to take fibrate lipid-lowering drugs. 3. Elevated cholesterol and elevated low-density lipoprotein, depending on the specific situation: cholesterol and simple low-density lipoprotein are elevated, the risk assessment should be based on the systemic condition, and the treatment plan should be selected according to the degree of risk. Patients with different levels of risk must also achieve different targets. 2. These high blood lipids need to eat statins for severe primary hypercholesterolemia, low density lipoprotein ≥4.9mmol/L, generally need statin treatment, or strengthen lipid-lowering; diabetes patients aged 40-75 years old, if low density fat Protein ≥1.8mmol/L, can be treated with moderate-intensity statin; non-diabetic patients aged 40-75 years old, if 10-year cardiovascular risk is between 7.5% and 19.9%, and there are cardiovascular risk enhancing factors, it is also recommended Apply statin therapy. 3. There is a clear cardiovascular and cerebrovascular disease. Even if the blood lipids are not high, it is necessary to take statin for a long time. First, the root cause of cardiovascular and cerebrovascular disease is the formation and aggravation of atherosclerosis. Statin can prevent the formation of plaque rupture by anti-inflammatory and stable plaque. Thrombosis, control and delay atherosclerosis, and then prevent and control cardiovascular and cerebrovascular diseases. Secondly, the target target value of human low-density lipoprotein for cardiovascular and cerebrovascular diseases is lower (normal human low-density lipoprotein is lower than 3.4mmol/L, and the low-density lipoprotein in this part of patients should be lower than 1.8mmol/L). If they do not eat statins for a long time, their degree of arteriosclerosis will further progress, and even cardiovascular and cerebrovascular diseases will occur. A large number of studies have also shown that for every 1 mmol/L decrease in LDL, major coronary events can be reduced by 21%, coronary revascularization by 24%, stroke by 15%, cardiovascular mortality by 12%, and all causes. The mortality rate fell by 9%. Therefore, statins are recommended for coronary heart disease, angina pectoris, myocardial infarction, and postoperative stenting. (First published in science to rumors) In short, whether to eat statins for high blood lipids, you should first go to the hospital for risk assessment, the key depends on the level of low-density ester protein cholesterol (LDL-C). If you have a clear cardio-cerebrovascular disease and diabetes, even if the blood lipids are not high, you need to take statins for a long time.
Frequent staying up late will not relieve the fatigue of the body for a long time, affect the body’s defense function, reduce the body’s ability to resist bacteria and viruses, and increase the risk of illness, so we should avoid staying up late. Everyone knows that staying up late will bring great harm to health, especially for patients with vitiligo disease, the harm caused by staying up late is huge. Here are some of the harms of vitiligo patients often staying up late? 1, Vitiligo patients often staying up late will cause great damage to the skin. We all know that staying up late will cause skin damage. If the vitiligo patients stay up late often, the skin will be dehydrated easily. , Reduce the skin’s own defense function. It cannot effectively prevent bacterial viruses from invading the body from the skin, aggravate the basic condition of vitiligo, and increase the difficulty of treating vitiligo disease. Therefore, patients with vitiligo should develop a good time to rest, and avoid staying up late to avoid the skin of vitiligo patients being aggravated by the stimulation of external factors. 2. Vitiligo patients often stay up late will affect the endocrine. We all know that the occurrence of vitiligo is related to endocrine. If the vitiligo patients stay up often, the organs of the body will not get rest, causing endocrine disorders and aggravating the condition of vitiligo. Therefore, remember to do not stay up late for a long time after suffering from vitiligo, otherwise it will affect the health of patients with vitiligo. 3. Vitiligo patients often stay up late will reduce the body’s immune function. With the development of the times, the nightlife is now rich and colorful. It is common for light people to drink beer and eat supper at night. This way of life will bring many adverse effects to patients with vitiligo, because patients with vitiligo are susceptible to various external factors. Eating at night will put a load on body functions, reduce the body’s immune function, and make the disease of vitiligo worse. Therefore, patients with vitiligo should develop good habits and promote the condition of vitiligo. In summary, I believe that everyone knows about the three major harms caused by vitiligo patients staying up late, and will avoid the harms caused by staying up late in future life. Vitiligo patients find that they have white patches on their bodies, they should go to the regular dermatological hospital for examination as soon as possible, so that they can be detected and treated early. In order to prevent the disease from developing to a later stage, it will increase the difficulty of treating vitiligo.
The cancer has spread, but the patient’s meal is okay, the spirit is also very good, and the weight is also increasing, what is the matter? When reading this question, I can’t help but feel a bit strange. The advanced patients with cancer spread are often bedridden, with no blood on the face, and a skinny image. This is completely related to the appetite, spirit, and weight gain in the problem. So why do the same advanced cancer patients behave differently? There may be the following factors: 1. The course of the disease sooner or later is like an imaginary bed-ridden, cancer-free, skinny, skinny tumor patient is often some advanced patients with tumor cachexia, and they have entered the final journey of life. However, some patients who have just discovered tumor metastasis, or local metastasis to non-essential organs, may have a better early state. 2. The tumor is controlled. The tumor cells compete for the nutrients needed for normal human activity to grow and proliferate in the human body, and can cause some symptoms, such as pain, compression, and obstruction. If the primary cancer or metastasis is effectively controlled after active treatment and the symptoms improve, the patient can also show signs of improvement in the overall state. 3. The use of hormones The progress of cancer patients adopts some active treatment methods, such as chemotherapy, radiotherapy, targeted therapy, immunotherapy, etc. or may be accompanied by some toxic and side effects. The use of hormones to reduce the response. Hormone is a more common drug that can affect metabolism. It can cause disorders of water, sugar, lipid and protein metabolism in the body. In addition, those who often use the drug after hormone use will have a big appetite, such as eating a lot of high-sugar and high-fat foods will also cause weight gain. 4. The types of cancer: oral cancer, esophageal cancer, gastric cancer, liver cancer, these digestive tract tumors, because they can affect the patient’s eating and affect the absorption of nutrients, the absorption of nutrients is reduced and the tumor should not reduce the nutrients, but reduce the nutrition With the absorption of substances, cachexia develops to a certain degree. Tumors such as breast cancer, thyroid cancer, and prostate have a relatively good prognosis and a relatively long survival period. If they do not metastasize to important organs, they rarely show obvious consumption status. Some tumors such as lung cancer can secrete some hormones such as adrenal cortex hormones during the course of the disease, and antidiuretic hormones can cause water and sodium retention in the body, causing increased appetite and weight gain. 5. Edema or chest and ascites fluids are in fact appetite, spirit, and weight gain are not effective indicators for evaluating the patient’s condition. Although some tumor patients eat well, the high consumption status of the tumor is greater than the body’s intake of nutrients, and it has always been negatively balanced. Hypoproteinemia. Decreased albumin can cause water to accumulate in the body, which can lead to lower limb edema, chest tightness, wheezing, increased abdominal circumference, and bloating. In summary, appetite, meal size, weight, etc. are not indicators for effective evaluation, and other indicators such as imaging examination results, tumor indicators, etc. need to be considered comprehensively.
In the summer, especially during the day, sometimes the sun is particularly hot. For patients with vitiligo, such high temperature weather also has a lot of harm, not only the threat of strong ultraviolet rays, but also the impact of hot and humid hot weather, so patients with vitiligo are in We must pay attention to nursing work in the near future. So how to protect patients with vitiligo in summer? First of all, patients with vitiligo must do sun protection on sunny days. The warmth of summer sunshine is not comparable to the mild sunlight in winter. The burning sun in summer seems to burn everything. When the sun shines on the skin of patients with vitiligo with an unstoppable momentum, it will undoubtedly bring great irritation to the patients’ skin and also inhibit the synthesis of melanin, which is very unfavorable for the treatment of vitiligo. Therefore, in the summer, patients with vitiligo must take sunscreen measures when going out, whether it is to take physical sunscreen measures such as umbrellas, sunscreen clothing, or chemical sunscreen measures such as sunscreen, sunscreen spray, etc. In short, patients must sunscreen, but need to It should be noted that the choice of sunscreen products cannot damage the skin, and do not choose products with whitening effect. Because the temperature in summer is very high, patients can take appropriate measures to cool down physically. If they sweat too much, they must add water and salt in time. Because the temperature is too high, the patient may be physiologically unwell, so if there are special circumstances, you must remove the heat in time, and you should seek medical treatment if you have serious problems. If you have insufficient appetite, you can eat some light and digestible food. Summer Fatty or spicy food should be rejected. In addition to these external factors in summer, patients may also have psychological changes. Hot weather is also easy to breed irritability, irritability, anxiety and other emotions, so patients must adjust their emotions in time, hope that patients with vitiligo can Pay attention to various influences and take care of white spots as much as possible.
Today, a patient with keloids consulted me: “Dr. Su, I got a three-year injection and relapsed in half a year. And the longer it gets, the more I tried it with ointment and laser, and it was really effective. Keloids are painfully tortured, is there any way to treat them?” Many patients suffer from keloids. To cure it, many methods have been tried, but the effect is not good, and many patients relapse after treatment. Happening. So, can keloids be cured? Why does it happen repeatedly? In fact, keloids can be cured. The reason for the poor effect and recurrence is because you have taken a detour when choosing a treatment. Why do some people think that keloids are not cured well? Keloids are essentially benign skin tumors, which generally appear as a continuous growth mass that is higher than the surrounding normal skin and beyond the original injury site. It is harder, has less elasticity, local itching or pain, and it is different from the wound boundary. The biggest feature of other scars. Many patients because of lack of understanding of keloids, mistakenly treat them as ordinary scars, and even go to the hospital in a hurry, blind treatment, such as going to the pharmacy to buy drugs at random or choose some unsafe prescription treatment. Because the internal tissue cells of keloids are more sensitive, if stimulated by external substances, not only do not remove the scar tissues, but also stimulate the proliferation of scar fibroblasts, resulting in the growth of keloids. In addition, dermatologists in many hospitals lack comprehensive knowledge of keloids or remain stuck in the traditional treatment concepts of the past. Therefore, in the treatment, it is still simply to adopt a certain treatment method, such as drug injection, surgery, laser, etc. This leads to recurrence of keloids after treatment. Without detours, comprehensive treatment is needed to get rid of scars! For some of the above reasons, some patients have lost confidence in the treatment of keloids. In fact, with the continuous development and advancement of medical technology, the treatment of keloids has been continuously promoted, and the treatment concept has also undergone a great change. According to the “Guidelines for the Clinical Treatment of Keloids” developed by the Scar Medicine Branch of the China Society of Plastic Surgery and Beauty in 2018, for keloids, drug injection, laser, surgery, freezing, radiotherapy, etc. should be taken according to factors such as location, age, area, and cause of disease. Chemotherapy and other comprehensive treatments can achieve a better treatment effect, and at the same time can greatly reduce the recurrence rate of keloids. Case analysis: Ms. Bai, due to folliculitis, two large keloids grow on the front chest, accompanied by severe itching symptoms. During treatment in our hospital, I recommend surgical resection, but the patient is somewhat resistant to surgical treatment. Therefore, according to the patient’s desire to “control the keloid pain and itch first, and prevent it from growing longer”, I developed a comprehensive plan for her with drug injection combined with SRT-100 shallow radiotherapy. After many treatments, Ms. Bai’s front chest scars have been effectively controlled. Not only have they become smoother, but the symptoms of itching have also disappeared. However, Ms. Bai feels that her appearance is not ideal and hopes to improve the appearance of scars. According to the patient’s situation, I decided to take a comprehensive plan of surgical resection plus SRT-100 superficial radiotherapy. The relatively large area of keloids was surgically removed, and after a period of recovery, the overall appearance was very good, basically meeting the patient’s treatment requirements, and no recurrence after repeated visits. Finally, I emphasize once again that the treatment of keloids has a very high recurrence rate in the past, and the so-called remedies and secret recipes are more likely to cause aggravation of the disease. The longer the keloids, the greater. Therefore, scar friends should choose to go to a regular medical institution and take a variety of comprehensive treatments in order to avoid detours and obtain better treatment results.
The disease of vitiligo in life will bring great pain to the patient’s body, and the disease of vitiligo will also cause some inferiority emotions of patients’ friends, so everyone should pay attention to it in life. When you discover that you have vitiligo, you should not only go to the hospital for treatment in time, but also develop good habits in your life. And the care in daily life is very important for patients with vitiligo. Vitiligo is a disease that is more stubborn, and the disease is more likely to recur, so patients with vitiligo should pay attention to it in life, but what fruits do patients with vitiligo eat? Fruits in life Food not only has various nutrients required by the human body, such as brass, vitamin C, vitamins and other trace elements, but also the nutrients contained in some fruits have anti-wrinkle, moisturizing and whitening effects. Patient’s like. The foods that patients with vitiligo can eat in life are divided into tyrosine and foods rich in trace elements, such as iron and copper, and there are many such fruits in life, such as: watermelon, banana, apple, Pears, oranges, strawberries, grapes and other foods are rich in tyrosine content, although these fruits will contain a lot of rich trace elements, but these fruits are rich in vitamin C, vitamin C will hinder The synthesis of melanocytes in the skin hinders the treatment of vitiligo, and patients with vitiligo should pay attention to eating less in their lives. Patients with vitiligo can eat more foods rich in copper or zinc in their lives, such as apples, papayas, bananas, coconuts and other foods. Moreover, the lack of copper and zinc elements is the occurrence of vitiligo, so patients with vitiligo can eat more foods rich in copper and zinc in their lives. These trace elements can be supplemented The missing elements in the body can also promote the treatment of vitiligo. When you find that you have vitiligo in your life, you should pay attention to go to the hospital for professional treatment of vitiligo in time for related treatment, and pay attention to the treatment of vitiligo according to the cause, pay attention to avoid fatigue. At the same time, patients with vitiligo can also do aerobic exercise in life, while exercising, they can also enhance their physical fitness, so that the patient’s vitiligo can be better recovered. Hope it helps you.
. . . . . . may refer to the symptoms of seizures, the average person thinks that the patient suddenly fell to the ground, stiff limbs, constant convulsions, spitting foam in the mouth… People often mistakenly think that the symptoms of seizures are ” “Convulsions”, “convulsions”. But in fact, there are many people with epilepsy who don’t “extract”. Next, Professor Wang Chao of the Epilepsy Center of Tangdu Hospital of Air Force Military Medical University will talk about the symptoms of epilepsy.  . . . . . . . . Generally speaking, the symptoms of epilepsy are divided into two types: one is a major seizure, the whole body convulsions, loss of consciousness; and the other is a small seizure, the patient’s performance For daze, do some involuntary movements; there are some types of premonitory seizures, such as flashing in front of your eyes while watching something, or hearing an abnormal piece of music, and some patients may experience intermittent abdominal pain and a sense of deja vu. In fact, there are many kinds of so-called physical and sensory abnormalities that appear intermittently, but each time the symptoms are the same, it is necessary to highly doubt whether it is a seizure. In addition to the large seizure symptoms of convulsions, many patients will have some hidden epilepsy symptoms in their daily lives. If it is not discovered in time, it will cause a big problem. The symptoms that often appear are as follows:  . . . . . . . .1. The main symptoms of this type of patients with absent attacks are straight eyes, mild eyelid muscle clonics, and a small number of patients with There are severe eyelid or (and) perioral myoclonus, rhythmic limb tics, and single or arrhythmic myoclonus of the head, trunk, and limbs. Mainly seen in children with absence epilepsy. EEG has its characteristic discharge.  . . . . . . . .2. Some patients who go around in circle often circle in place, just like children playing games, afterwards they don’t know that they have had such behavior, and go through the brain The test is frontal lobe epilepsy. The most typical symptom of seizures in this area is turning around in place. Some patients fell to the ground after turning around, followed by a tonic-clonic seizure.  . . . . . . . .3. Sudden headache Headache-type epilepsy is the only disease in which epilepsy is based on headache as the main clinical manifestation. More common in children, there may be aura before the onset, such as vision, photophobia, dizziness, nausea, tinnitus and other symptoms, easily misdiagnosed as migraine. Some patients have morbidity related to mental factors, such as anger, unpleasantness, criticism, poor academic performance, and excessive fatigue.  . . . . . . . .4. Sudden abdominal pain is similar to headache-type epilepsy. Abdominal epilepsy is also a type of epilepsy. The pathogenesis of this disease is not yet clear, most Scholars believe that the lesions are mostly located in the center of the hypocortical autonomic nervous system-the hypothalamus, and most of them are caused by abnormal discharge of cortical autonomic dysfunction. The main clinical feature of this disease is sudden abdominal pain, severe colic or knife-like pain, which lasts for a few minutes or several hours, and most are accompanied by symptoms of autonomic dysfunction.  . . . . . . . .5, fixed posture refers to the form of seizures that recur repeatedly and take a certain posture as the main performance, often caused by the involvement of the frontal lobe auxiliary motor area. Typical manifestation is that the head and eyes are skewed to one side with stiffness of one or more limbs. The side-facing upper limbs are commonly raised, the elbows are semi-flexed, like a fencing. At the same time, the consciousness is more reserved, and some of them scream or cannot speak. The duration of the entire episode is short. This postural seizure is generally not accompanied by clonic movements, but can be transformed into other forms of seizures.  . . . . . . . .6, Vertigo Vertigo is often used as a harbinger of epilepsy, but it can also be mainly vertigo alone
01 The impact of the epidemic on public hospitals decreased business volume This outbreak has caused many public hospitals to experience unprecedented pressure. In the whole quarter after the Spring Festival or even a longer period of time, the business volume of most public hospitals declined significantly, and the number of beds A lot of vacant at once. Many hospitals that used to be crowded every day like a train station emptied and quieted down so quietly that the deans started to feel hairy. The top three public hospitals have shouted the “one person, one clinic” and “reservation consultation system” for many years, but it has suddenly been implemented, and everyone has adapted very quickly. Tight cash flow Most public hospitals have felt the tightness of cash flow for the first time in history. Many public hospital directors have to find ways to pay for wages and bonuses for the first time in their lives. The bonuses of most doctors and nurses in most hospitals suddenly plummeted to only a few hundred yuan to 1,000 yuan per month, and some hospitals simply couldn’t even pay their salaries. Many people may not know that the basic salary of doctors and nurses in public hospitals is very low, which is several thousand yuan a month. Even for professors, the basic salary of a month may not exceed 10,000 yuan. During the entire epidemic, the monthly income of the vast majority of doctors and nurses combined is only a few thousand yuan, which is not as good as the monthly income of the courier brother. During the epidemic, everyone can only survive. (Photo source: Photograph Network) After the 02 epidemic, the hospital will face a reduction in the number of patients. After the epidemic, the hospital can return to normal, but the number of patients cannot return to the previous situation. Especially for the top three hospitals with more cows, in the past, they had approached or even more than half of the patients came from outside. After the epidemic, the number of patients in the field has decreased significantly, even if there are not so many local patients. Obstetrics and gynecology is still good in different departments. Although it has an impact, the impact is not so great. The obstetrics department is least affected because it is already pregnant. After the epidemic, there was a small peak in the number of obstetric early pregnancy cards, because nothing could be done at home during the epidemic. The density and frequency of XXOO increased significantly, so there were many unplanned pregnancies and unexpected accidents. It’s not necessary, because all elective operations in the hospital have stopped, and abortion can’t be done, so I have to stay. It is expected that there will be a small peak in the number of births at the end of this year. The most affected is the pediatrics. The child does not go out, stays at home all day, there are a lot less accidental injuries, colds, fevers, diarrhea, and allergic diseases. 03 Measures taken by public hospitals So public hospitals began to be anxious, began to improve services, started to market, began to enter the community, and even started to grab patients with private hospitals. Public hospitals don’t just do it. Once they start to grab patients in the market, they will be particularly fierce and straightforward. For most private hospitals, the main competitor is not a private hospital, but a public hospital, and within a certain period of time, this will be a new normal. Take obstetrics as an example. In the past, large hospitals were disdain to go to the community. Now there are fewer patients, and they have started to enter the community. They asked the community doctors to refer the patients directly to public hospitals for card inspection. Not only that, all the people who go to the public hospital to check for early pregnancy, as soon as they find out that they are pregnant, they will directly arrange the obstetric construction card. Even the next test will be opened, and the cost will be deducted. It is not enough to think about it. Will public hospitals continue to work so hard to improve services and market? If there are more patients, will you still put down your body to please the patient? Ireallydoubt .it. There are more patients, and the word “A” on the face of the public hospital will come back. It is not the “A” of the “Three A”, but the “A” of the “Party A”.
Although vitiligo is a skin disease, it is caused by the epidermis. Some physical problems manifest themselves through the skin. When vitiligo appears, what problems have occurred inside the body? 1. Abnormal liver and kidney function When the liver and kidney are damaged, it will cause the blood circulation of the human body to be blocked, the skin can not be nourished in time, and the production of melanocytes is blocked; coupled with the abnormal liver function, the body is prone to fatigue, loss of appetite, and endocrine disorders. The body will be relatively weak and resistance will decline. These conditions can easily induce vitiligo or lead to aggravation of the vitiligo, and the liver, as the body storing blood and digestive organs, once damaged, nutrients cannot be fully absorbed, affecting the patient’s absorption of drugs. 2. Endocrine disorders When endocrine disorders occur, many hormones related to melanin synthesis in the human body will be secreted abnormally, such as glucocorticoids, epinephrine, thyroxine, etc.; the dynamic balance in the process of human melanocytes will be destroyed, it is easy Cause melanin metabolism disorder, which leads to the occurrence of vitiligo. 3. Microcirculation obstacles The basic function of microcirculation is to transport oxygen and nutrients to the tissues and take away metabolites. Clinical testing found that the vast majority of patients with vitiligo lack trace elements, and on the same area of skin, the number of capillaries in the leukoplakia area is far less than that in normal skin areas. Nutrients cannot be transported to various parts of the skin of patients with vitiligo, melanocytes cannot be produced normally, and the body’s metabolism has problems. Over time, it will lead to the loss of melanin and vitiligo. 4. Immunity disorders Immunity is the body’s own defense mechanism. It is the body’s ability to recognize and eliminate foreign invading substances (viruses, bacteria, etc.), deal with aging, injury, death, degeneration of its own cells, and recognize and process mutant cells and virus-infected cells in the body. of. Human immunity disorders can be divided into two situations: First, the immune system is hyperactive, which causes the body to destroy normal cells while resisting and clearing the mutant cells. The test found that anti-melanocyte antibodies are present in the serum of most patients with vitiligo, resulting in the destruction of melanocytes. Secondly, the weakened immunity leads to a decrease in the body’s ability to resist disease. Viruses, bacteria, etc. will take advantage of it and affect the health of patients with vitiligo. Fifth, nerve dysfunction The human central nervous system controls all activities inside and outside the human body. When there is a problem with the human nerve function, some physiological activities of the human body will be greatly affected. Regarding patients with vitiligo, the performance is as follows: First, when the patient suffers from a major change or a severe emotional change, etc., the patient’s leukoplakia condition will be affected. This is because the production of melanin is formed under the regulation of neurohumoral fluid, so when affected by stressful mental factors such as trauma, overuse of the brain, and nervous thoughts, the patient’s condition will change. The second is that vitiligo is distributed in bands or strips along the nerve segments or dermis, and it is accompanied by local dullness. This situation has a great relationship with local nerve damage. Therefore, the treatment of vitiligo should be adjusted from the inside out, and the daily routine and diet should also be paid attention to. Treatment and care must keep up.
Hyperhidrosis is also a disease, but it should never be taken seriously. Medically, this kind of condition is called extreme hyperhidrosis. This disease is mostly young people, who have a bad temper and are easily agitated. Yes, when necessary, you should eat some vitamin drugs in time for treatment. 1. Hyperhidrosis of hands is harmful. If sweating on the hands often will affect the study directly for young people, the sweat stains on the hands will be dripped directly while writing the test paper. It’s time for the test paper, which of course affects the score, and the psychological impact on the patient is also quite large. 2. Hyperhidrosis of the hand can cause functional disorders in the blood circulation of the patient. When the hand sweats, it is often wet and cold. The skin of such patients is purple-cyan and pale, so the hands are often in sweat stains. Dizziness will cause dermatitis and may cause scabies. The problem is quite serious. 3. Patients with hand sweat are not only physiologically harmful, but also cause great harm in the heart of the patient. Many people with hand sweat will have red skin, and such people will often have low self-esteem, whether it is life When you are still working, you are afraid of embarrassment caused by sweat stains, and the burden you bear is even greater. 4. People with hyperhidrosis will cause bacterial infections, which will make the patient’s life scope particularly narrow, and they will not dare to go to public places. Such patients will have autism, which will make their personality change. The more introverted, the more emotional fluctuations will become greater, these are the effects of hyperhidrosis. If hand sweat has seriously affected life, it is recommended to perform a thorough surgical treatment through TSN sympathetic neuromodulation. This is a minimally invasive surgery. It is a 3-5 mm wound on the sides of the armpit. This is a cosmetic plastic surgery. No suture is needed afterwards, and the wound recovers quickly. The effect was immediate. There are really many people with hyperhidrosis, and the causes are also diverse, but the harmfulness of this disease is conceivable. It is very large, and it is not dare to have external or psychological influences, so usually Attention should be paid to prevention, and if it is found, timely treatment is needed to completely reduce the harmfulness of the disease to the patient.
The child suddenly twitched, foamed in the mouth, and fainted… This can scare the parents. Going to the hospital for examination was a seizure, but the doctor asked to observe first and did not prescribe medicine. Is the child suffering from epilepsy? Why not give it early treatment? Professor Wang Chao from the Epilepsy Center of Tangdu Hospital of Air Force Military Medical University explained: Parents don’t worry, the child has only one seizure at this time, it does not mean that the child has epilepsy. So it is recommended to observe first. In general, epilepsy can only be diagnosed as epilepsy once, and at least two or more seizures can be considered for diagnosis. Of course, the risk of re-seizures must be evaluated in close combination with medical history, physical examination, imaging and EEG findings. Whether to carry out antiepileptic treatment should weigh the pros and cons, seek the opinions of family members, and consider them comprehensively. There is also an epileptic epilepsy, in which a patient may commit one or two times in his life, without treatment and without recurrence. For such patients, don’t wear a “epilepsy” hat, and pay attention to clinical observation. For patients with occasional tonic-clonic seizures, it may be caused by some reason, and no clear cause can be found through examination. Generally, antiepileptic drugs are not taken temporarily. A small number of normal people have a seizure by accident for some reason in their lives at some time in their lives, even if they do not undergo treatment. What is the situation to start taking drugs? Diagnosed epilepsy, and started regular treatment according to the patient’s condition. Every time an epilepsy patient starts taking medication, symptomatic treatment should be based on the patient’s symptoms, type, and seizure frequency and time. It is generally believed that any secondary epilepsy with brain lesions, such as infantile spasm, myoclonic seizures, localized seizures, minor seizure variants, and psychomotor seizures, etc., should be started immediately once the diagnosis is confirmed . Because secondary epilepsy has a clear brain disease, the abnormal discharge focus in the brain persists and remains active, which means that epilepsy will frequently occur, so the treatment should be correspondingly active. If patients with primary epilepsy have frequent seizures, anti-epileptic drug treatment should be started immediately after the diagnosis is established, and seizures should be controlled as soon as possible. At present, the treatment of epilepsy mainly includes drugs and surgery. In general, drug treatment is the most important treatment method. Taking long-term and regular antiepileptic drugs, 70% of seizures can be controlled, and 60% can be completely discontinued. However, 20% to 30% of epilepsy patients are drug-refractory. After formal and reasonable use of 2 antiepileptic drugs, the seizure is still difficult to control, and the focus (epileptic focus) is clear, surgical treatment can be considered. Finally remind everyone: if the child unfortunately suffers from epilepsy, do not be pessimistic and passive. At present, the cure rate of epilepsy diseases can reach about 80%, so it is said that epilepsy is not an incurable disease. It is necessary to choose a regular hospital to formulate a reasonable treatment plan in time, and must not delay treatment.
After hemorrhoid surgery, many people will have such a problem, that is, itching of the anus, then, what is happening to itching after hemorrhoid surgery? This makes many patients puzzled. Today, let’s take a look at the real cause of itchy anus after hemorrhoid surgery. What is the anal itching after hemorrhoids surgery? 1. After anal surgery, the doctor will recommend the patient to use warm water bath and local medicine, and sometimes add some edible salt to reduce the effect of wound swelling, everyone should remember that this is not too long, the general time Control within a week, otherwise it will cause itching of the anus. 2. Eating some foods such as coffee, chocolate or irritating foods, etc., can cause allergies and cause itching in the anus. At the same time, a small number of people have itching due to psoriasis or fungal infection of the skin near the anus. 3. Anal itching after hemorrhoids surgery, one is caused by the stimulation of excessive secretions at the wound, and the second is the previous anal itching or perianal eczema. 4. There are some external factors, such as sitting for a long time, and the amount of exercise is small, resulting in poor blood circulation, insufficient oxygen supply to the anus, etc., which indirectly causes anal itching. Anal itching after hemorrhoids surgery caused many patients to be restless, which greatly affected the quality of life and the efficiency of work. However, do not apply some medicine yourself, or do not keep tickling with your hands. These practices will aggravate the condition and are not conducive to health recovery.