Questions from local allergic purpura patients in Hunan-I heard that the disease is more and more difficult to treat, and it will definitely develop into purpuric nephritis later. Is this true? In addition, there are two additional questions-do you have to eat hormones for allergic purpura? Is it possible to recover at the stage of disease development? Does purpura relapse every time, will it further aggravate the condition? For the questions mentioned above, do related answers. Hormonal treatment of allergic purpura in most cases is relatively straightforward, but the cure rate is not impressive. In addition, the recurrence of purpura is not only cured by hormones, nor does it require long-term and massive consumption of hormones, and excessive treatment will not promote the recovery of the disease. The most worrying problem of recurrent purpura is affecting the kidneys, otherwise simple skin purpura will generally not have serious complications (except for some cases of local ulcers in the early stage). It is recommended to follow up urine routine and pay attention to the situation of purpura To adjust the treatment ideas, Chinese medicine who simply adjusts the body and does not aim at the problem of the disease is not recommended to eat, as this will only delay the duration of the disease. In addition, taboo is just a measure. In the long run, there are also unbalanced nutritional intakes. It is recommended to gradually add basic protein diets, including the control of activity, and the key is to treat, adjust the mental state and rest the body state. For every purpura, it will be worse than that, there is a certain basis, and most medical practitioners also agree with this statement. Purpura is a recurring process in the early days. Within this natural course, purpura may not necessarily be very heavy, that is, there are two phenomena: one is very serious before, and then gradually becomes lighter and lighter; the other The species is relatively mild before, and the number of repetitions is more than one, but the condition is getting more and more serious, which eventually affects the complications of organ damage. Once this part of the patient affects the kidney, the condition is also more stubborn. If targeted treatment is not done as soon as possible, continuous aggravation is possible. It is recommended to pay attention to treatment-whether it is early or the subsequent development stage of the disease, targeted treatment can achieve a complete cure. If you have any questions about this article or the disease, please feel free to follow us on WeChat and find out more: gmxzd1
People with obsessive-compulsive disorder tend to fall into extremes when thinking about problems. For example, people with obsessive-compulsive disorder will artificially divide people in the world into “good” and “bad”. These absolute psychology will make patients with obsessive-compulsive disorder into a kind of pain, and some patients have these psychology, but do not know that they suffer from obsessive-compulsive disorder, this kind of harm is even greater. How can I know if I am suffering from obsessive-compulsive disorder? 1. There are uncontrollable opposing thoughts and ideas; 2. Do things repeatedly; 3. Do things slowly to ensure that they are done correctly; 4. Repeatedly meaningless An action; 5. You must wash your hands repeatedly and count; 6. Worry about your clothes being untidy and improper manner; 7. Always worry about your loved ones and make meaningless associations. 8. Attention cannot be concentrated; Necessary thoughts or words circled; 10, used to say a sentence or the same name repeatedly, or walked in the same place repeatedly in the same way; 11, difficult to make a decision; 12, felt difficult to complete the task; 13, repeatedly thought about meaningless Thing… In addition, OCD has these symptoms: 1, forced association: repeated association of a series of unfortunate events will occur, although knowingly impossible, but can not restrain, and arouse emotional tension and fear. 2. Forced recall: Repeatedly recall the irrelevant things that have been done. Although knowingly makes no sense, it cannot be restrained. Repeated recall is a must. 3. Forced doubts: Have unnecessary doubts about whether your actions are correct or not. If you doubt whether the doors and windows are closed properly after going out, go back and check several times. Otherwise, you feel anxious. Finally, experts pointed out that when obsessive-compulsive disorder patients can’t think of an answer to a question, it is easy to get horny, and the answer must be figured out. And the impact of this situation is two-sided. First, the patients with obsessive-compulsive disorder do everything perfectly. Second, the patients with obsessive-compulsive disorder fall into painful thinking and cannot extricate themselves.
& nbsp. Tip: Click on the top ↑ “Dr. Sun Dr. Pediatric Surgery” ↑, you can follow me & nbsp .. In the development of medicine, imaging examination technology is indispensable. It is like adding a fluoroscopy eye to the doctor and leaving the imaging guidance, the surgeon’s operation will become blind. Therefore, surgeons are particularly willing to be friends with imaging doctors. & nbsp. The principle of each type of imaging examination is different, you can see the problem from different angles, cross each other but can not replace each other. What should doctors do if the results of imaging studies conflict with each other? & nbsp. Doctors seeing doctors are like exams. There are multiple-choice questions that have an answer at a glance. There are also multiple-choice questions that need to be considered one by one. Today, I will share a thinking question. The difficulty of this question is that the question stems from contradictions. & nbsp. According to the truth, there were hydronephrosis during fetal period, and urinary ultrasound should be actively reviewed after birth. But this three-month-old boy was reexamined because of a urinary tract infection because of fever. & nbsp. The picture below is the ultrasound results of different doctors on the same day. What can you see from these two ultrasound results? Right hydronephrosis and right ureteral dilatation are consistent, and the judgment on the left is contradictory. Is left hydronephrosis? Does the left ureter dilate? Is the duplicate kidney on the left? If the left kidney is a repeat kidney, how many are there on the left ureter? & nbsp. Ultrasound did not make it clear, magnetic resonance should be able to make it clear. Above: MRI conclusion & nbsp. MR: Right hydronephrosis and right ureteral dilatation are consistent with ultrasound, then the right side is basically clear. What about the left side? No hydronephrosis? Does the ureter dilate? Duplicate kidneys are also ruled out? Why did the left kidney dysplasia come out? & nbsp. Conflicting results, what should I do? Parents have started to keep asking, why haven’t the hospital operated on his children for a week? ! & nbsp. When I told my parents that I hadn’t figured it out and couldn’t get started, I saw that there was already a trace of suspicion. & nbsp. Above: MRI images & nbsp. I know that my level is limited, so I went to the brothers of the imaging department for consultation. After reconstructing various sections, the brothers of the imaging department sincerely told me that the left ureter Unclear, the shape of the left kidney is a bit strange, consistent with dysplasia, unlike repeated kidneys, but it cannot be completely ruled out. In short, “please combine clinical considerations”. & nbsp. I used to have a popular science about both hydronephrosis and full dilation of the ureter. That is to do a cystography to distinguish whether the end of the ureter is obstructive or reflux. The condition of the right renal ureter meets this premise. Sooner or later, cystography should be done. Then do this first. If there is reflux on the left, can’t the left ureter be displayed? Above: cystography results, there is no reflux on both sides. That means that the end of the right ureter is obstructed. The left side can only say that there is no reflux, the other still do not know. & nbsp. When I told my parents again that I hadn’t figured it out and couldn’t get started, I saw that there were already two traces of doubt. & nbsp. Zoom in! Go to the operating room to intubate the left ureter! If the left side is clear, you can go straight to do it. Above: Retrograde intubation of the left ureter. After injection of contrast medium, the left ureter sees dilation. Does the left renal pelvis and kidney calf look like a “sagging lily”? Surprisingly, the right ureter was still developed this time. Why did the right ureter develop? There is only one explanation. The right ureter has mild reflux. Ok? Didn’t the previous radiograph say there was no reflux? Yes, there was no reflux that time, this time there was a little reflux. & nbsp .-———— The dividing line ———— This paragraph has nothing to do with this child, just insert it and talk about the “sagging lily sign” & nbsp. Above: The left side is a schematic diagram of a repeating kidney repeating ureter. Imagine what would happen if only the lower left kidney ’s pelvis and calyces (in the blue circle in the picture above) were developed? & nbsp. Above: It has nothing to do with this child. Just show the drooping lily sign. A drooping lily often means a pyelogram of the lower kidney that repeats in the kidney. -———— The dividing line ———— Go back to this child and see a “sagging lily”, is there really a repeat kidney? I decided to do another CT for my child. & nbsp