Is coronary artery blocked by 50%? Is it coronary heart disease? Do you want to take medicine for life? How to see a cardiovascular expert

Uncle Wang often felt chest tight and had difficulty breathing. He went to the hospital for examination. The doctor gave him coronary angiography and found that his coronary artery diameter was 50% narrow. Combined with his symptoms, the doctor gave him some medicines and told him that this is coronary heart disease, and he needs to take medicine for a long time. So the question is: what is the definition of coronary heart disease? Does the coronary artery blockage 50% require lifelong medication? What should I pay attention to in life? What is coronary heart disease? I don’t want to be fooled by a doctor. Please see that so-called coronary heart disease is not simply based on symptoms. There are strict medical standards. It can be diagnosed by simply asking a few words. That is the behavior of river and lake doctors. Fooled. We often talk about how much coronary arteries are blocked. In fact, in medical science, coronary artery angiography finds the degree of coronary artery stenosis. Medically for coronary angiography, it is found that the diameter of the subepithelial coronary artery is narrowed by more than 50%, and the patient has typical angina symptoms or noninvasive examination (such as electrocardiogram, echocardiography, etc.) shows that the patient has evidence of myocardial ischemia. Coronary heart disease [1]. Typical angina symptoms are oppressive chest pain, chest tightness or heavy chest feeling, may be accompanied by dyspnea, fatigue, weakness, dizziness, nausea, restlessness or dying feeling, usually lasting for a few minutes or more than ten minutes, when tired or emotional Induced, relieved after rest or after taking nitrate drugs. According to Uncle Wang’s situation, there are symptoms and evidence of the auxiliary examination results, so it can be diagnosed as coronary heart disease. 50% of coronary artery blocked, do you need to take medicine for life? According to the guidelines [1], coronary heart disease requires long-term medication to improve symptoms, relieve ischemia and prevent cardiovascular events, that is to say, basically needs to be taken for life, even doctors may need to do according to the degree of stenosis and stenosis Stent and bypass treatment. At the same time, lifestyle is also a prescription for treatment, which raises good living habits to the same level as medicine and surgical treatment! Don’t think that once you take the medicine or have the operation, it will be done once and for all! What should I pay attention to in my daily life? (1) Low-fat diet and improved lifestyle For patients with coronary heart disease, arterial stenosis is closely related to atherosclerosis, so eat less greasy and high-fat foods and eat more fresh fruits and vegetables in your daily diet. Pay attention to weight control in life, the best body mass index is controlled at 18.5 ~ 24.9kg/m2. We must also ensure adequate sleep, a combination of work and rest, and go to bed early and get up early. (2) Physical Exercise Appropriate physical exercise for patients with coronary heart disease can also strengthen cardiopulmonary function. It is recommended that 30-60 minutes of moderate-intensity aerobic exercise, such as brisk walking and jogging, be performed at least 5 days a week after evaluation by a doctor. (3) Smoking cessation and alcohol restriction patients with coronary heart disease should quit smoking, and pay attention to avoid second-hand smoke. For wine, it is best not to drink, if you really love wine, women should not exceed 15g per day, men should not exceed 25g. (4) Maintain a good mentality An optimistic and positive mentality is also essential. Coronary heart disease is a chronic disease. It is best for patients to learn more about the disease and maintain a good mentality. (5) Actively control blood pressure and blood sugar Generally, patients with coronary heart disease also have the risk of diseases such as hypertension or diabetes. If there is such a disease, it is necessary to control blood pressure and blood sugar to prevent the occurrence of cardiovascular and cerebrovascular events. In conclusion, we have clarified the definition of coronary heart disease, and then we need to know that for coronary heart disease, active treatment and the improvement of life and diet are the best ways to control the disease and prolong life. If you find coronary heart disease, don’t be too nervous, and standardize treatment under the guidance of a specialist, you can have a happy life as normal people. References: [1] Interventional Cardiology Group, Cardiovascular Branch of Chinese Medical Association, Atherosclerosis and Coronary Heart Disease Group, Cardiovascular Branch of Chinese Medical Association, Professional Committee of Thrombosis Prevention and Treatment, Chinese Medical Association Association of Cardiologists , Et al. Guidelines for the diagnosis and treatment of stable coronary heart disease[J]. Chinese Journal of Cardiovascular Diseases, 2018,46(9):680-694.DOI:10.3760/cma.j.issn.0253-3758.2018.09.004 (part of the text) The source of the picture is online, and the copyright belongs to the original author. Thank you to the author of the picture. If you find any violation of your copyright, please contact me and I will delete it.)

Doctor reminds: These performances suggest carotid occlusion! 30% of cerebral infarction is caused by it

The carotid artery is a very important arterial blood vessel. Simply put, the carotid artery is the traffic fortress for the heart to supply blood to the brain! Once this traffic fort jams, the blood supply to the brain is directly affected! Statistics show that 30% of adults have carotid artery stenosis, and most people gradually develop carotid plaques from adolescents, gradually increase by the age of 40, and almost all people have carotid plaques by the age of 60. . On the one hand, carotid artery occlusion is divided into degrees, that is, mild or severe occlusion, or complete occlusion; it is also divided into acute occlusion and chronic occlusion. Depending on the degree of blockage and the time of blockage, the performance of the body can also be different. 1. The degree of stenosis is different. Each person also has individual differences. 1/3 of adults have different degrees of carotid plaque or stenosis, but most carotid plaques do not have any obvious symptoms. Many people are routine During physical examination, it was found by neck ultrasound. However, if the carotid plaque gradually worsens and the stenosis further worsens, affecting blood flow, it may cause some symptoms. The most common symptom is insufficient blood supply to the brain, such as dizziness, dizziness, memory loss, etc. Of course, everyone’s performance is different. Some people may have symptoms when 50% are stenotic, and some people may not have stenosis. 70% of carotid arteries are more severe. The typical symptoms that may appear are: 1. Carotid artery Symptoms caused by stenosis: cerebral ischemic symptoms: dizziness, dizziness, tinnitus, memory loss, blurred vision, insomnia and dreaminess. Symptoms of ocular ischemia: decreased vision, partial blindness, black pupa. Transient cerebral ischemic attack: transient aphasia, hemiplegia, hemianopia, etc., usually lasting a few minutes, most patients recover within 1-2 hours, a few recover within 24 hours, and no sequelae remain. The carotid artery has a certain connection with the beating heart, and carotid plaque may cause arrhythmia. 2. Performance caused by carotid artery infarction: However, if carotid artery plaque falls off and leads to cerebral infarction, then various manifestations of cerebral infarction will occur: mouth and eye skew, aphasia, hemiplegia, hemiplegia, dizziness, headache, limb Numbness, numbness of the face, hands, and feet on one side, tongue numbness, lip numbness, or numbness of the upper and lower limbs on one side, sudden limb weakness or inflexible movement, skewed walking, unstable walking, unclear spitting Unanswered, nausea, vomiting or hiccups, facial paralysis and tongue paralysis, hemianopia, drinking water and choking, difficulty swallowing, loss of consciousness, mental retardation, drowsiness, etc., and even death. 3. Acute occlusion If the carotid artery is acutely occluded for a short period of time, the other blood vessels are suddenly blocked and it is too late to respond. The collateral circulation cannot provide sufficient blood supply to the blood supply area in a short time. Various manifestations, such as aphasia, hemiplegia, hemiplegia, etc., and even death. 4. If the chronic blockage is gradual and the patients with chronic occlusion for a long time, the symptoms may be mild, or even no obvious symptoms. Because the blood vessels in the brain are very rich and there are extensive connections between the blood vessels, even if this blood vessel is blocked, other blood vessels can also supply blood, and other blood vessels will gradually replace the original blood supply blood vessels, and the blood supply is maintained by the collateral circulation, so there is Sometimes there are no symptoms. 2. It is impossible to decide how to treat carotid artery stenosis based on symptoms because many people have no symptoms, but carotid artery stenosis is already very serious; and some people have already suffered from insufficient blood supply to the brain, and they may not necessarily have severe stenosis, so judge how to treat carotid artery , Need to be fully measured. 1. The surface of stable non-fragile plaques is smooth and regular in shape; ultrasound examination indicates that such echoes or strong echoes belong to unstable plaques. If the stenosis is less than 50%, according to the blood pressure, blood lipid, and blood sugar, control the three highs and live a healthy life; for the time being, it is not necessary to directly treat the carotid plaque with medication. 2. Unstable and vulnerable plaque The surface of the plaque is not smooth and irregularly shaped; ultrasound examination indicates that low or no echo is a stable plaque. Long-term use of statins to stabilize plaque, prevent plaque rupture, prevent thrombosis; while taking aspirin to prevent platelet aggregation and prevent thrombosis. Two-pronged approach to prevent and aggravate plaque and prevent cerebral infarction. 3. Severe plaques require symptomatic carotid artery stenosis. Ultrasound stenosis is 70% or angiography stenosis is 50%; or there is no symptom but angiography stenosis is 70%. Carotid plaque exfoliation is required, which is a surgical operation to open the blood vessel, remove the plaque, and suture the blood vessel; or

What are the symptoms of uterine cysts?

Uterine cysts are common in women between the ages of 20 and 40. Many women are troubled by uterine cysts. Uterine cysts directly endanger women’s health and family life. Many reasons are because women do not understand uterine cysts and do not know clearly. Today, please ask experts to explain the knowledge of uterine cysts. What are the symptoms of uterine cysts?   Uterine cysts are clinically manifested as lower abdominal pain, lower abdominal discomfort, increased leucorrhea, yellow leucorrhea, leucorrhea odor, menstrual disorders, and usually a firm and painless swollen in the lower abdomen, sometimes There will be pain in intercourse. When cysts affect hormone production, symptoms such as irregular vaginal bleeding or increased hairs may appear.   Cysts and torsion occur, there are severe abdominal pain, dysphoria, difficulty breathing, decreased appetite, nausea and fever. Larger cysts can cause compression near the bladder, causing frequent urination and difficulty urinating. Especially when these symptoms are more serious, bleeding is frequent and occur at the same time, women are more likely to have uterine cysts, and the harm of malignant uterine cancer is greater. Therefore, experts warmly remind the majority of patients to seek medical treatment in a timely manner after diagnosis of uterine cysts, so as not to aggravate the condition and cause irreparable losses.  Experts pointed out that patients with uterine cysts must develop good habits in diet, which is not only conducive to the treatment of uterine cysts, but also conducive to strengthening physical fitness. Uterine cysts should be treated immediately when they find that the growth rate of uterine cysts is fast. Sudden paroxysmal colic in the lower abdomen, gynecological examination or B-ultrasound suggesting that the uterine tumor is reversed, treatment measures should also be taken in time. Weak, easy to catch a cold or be infected by bacteria, so pay special attention to hygiene during this period.  The above is a detailed introduction of the symptoms of uterine cysts, hoping to attract the attention of female friends. If you have symptoms of uterine cysts, you must go to the hospital in time to avoid delaying the condition, so as not to cause harm to your health, and to avoid other gynecological diseases from taking advantage of it.

Unclean sex, in exchange for genital herpes

Primary genital herpes and recurrent genital herpes Symptoms of primary genital herpes: The incubation period of the disease is 2-7 days. The affected part will have a burning sensation. The primary damage is one or more small itchy red papules, which will quickly become vesicles. After 3 to 5 days, the vesicles will become erosions, ulcers, scabs, and pain. There will be systemic symptoms during and before the onset, including fever, neck stiffness, headache, general malaise, and sensory abnormalities in the 2 to 4 segments of the sacral spine. &nbsp. Recurrent genital herpes symptoms: nearly 60% will recur within 1 year after the first herpes virus infection. There were 4 to 6 relapses in the first year, and there were fewer and fewer afterwards. Fever, sex life, emotional excitement, indigestion, and changes in climate can all cause relapses. The recurrence is usually in the same place, the number of blisters, duration, and consciousness are lighter than the original, and the lymph nodes are not swollen. The symptoms of recurrent genital herpes are lighter than those of primary genital herpes. Recurrent genital herpes merges with sacral nerves, which can cause abnormalities in the buttocks, thighs, or sensations, urinary retention, and penile erection. Other comorbidities include proctitis, prostatitis, and urethritis syndrome. What should I do if I have genital herpes? ①Patients should pay attention and actively treat to avoid recurrence. ② Avoid smoking and drinking, eat spicy food. ③ Relax, do not have negative emotions of mental tension, and face positively, which is conducive to the recovery of genital herpes. ④Don’t have sexual contact during this period, pay attention to personal hygiene, keep the skin clean, it is best to take a bath every day, and have a good habit in other aspects of life. &nbsp.

Several diseases that are easily confused with obsessive-compulsive disorder

  Now many people have become obsessive-compulsive disorder under the pressure of a lot because of being forced by life. There are many diseases in daily life that are similar to obsessive-compulsive disorder, and people need to distinguish between them. What kinds of diseases are obsessive-compulsive disorder easy to confuse, and people need to do a good job of identification?    1. Patients with schizophrenia can also produce obsessive-compulsive symptoms, but often do not take obsession as a distress, and will not actively seek treatment, compulsion The content of thinking is grotesque and has psychiatric symptoms such as hallucinations and delusions. It is generally easy to identify, but patients with severe obsessive-compulsive disorder can sometimes be accompanied by transient psychiatric symptoms.   2. Depression    Patients with this disease can have obsessive-compulsive symptoms, and patients with obsessive-compulsive disorder can also produce depression. The identification is mainly to identify which are the primary symptoms and appear first.   3. Anxiety disorder Both can have anxiety manifestations. The anxiety of obsessive-compulsive disorder mostly arises due to the repeated occurrence of obsessive thinking or the compulsive behavior can not be implemented. In contrast, the anxiety of anxiety disorder can be unreasonable and lack of specific objects.  4. Obsessive-compulsive symptoms caused by drugs  Some drugs, such as clozapine, can cause obsessive-compulsive symptoms during the treatment of schizophrenia, but the patient does not feel distressed, and the symptoms gradually relieve and disappear after the drug is stopped.   5. Organic mental disorders    Organic lesions in certain parts of the brain, such as bleeding or infarction, can cause obsessive-compulsive symptoms, so it is quite necessary to ask the history of related cerebrovascular diseases at the time of diagnosis and complete related auxiliary examinations such as head magnetic resonance. After understanding these kinds of diseases that are easy to be confused with obsessive-compulsive disorder, everyone should make a careful analysis when judging in life, to see which kind of disease symptoms, at least to do not make the disease judgment wrong, judgment Only after the correct treatment can be carried out.

Depressive mood and depression are two different things

   In fact, depression is a very common emotional component, and everyone can appear. When people encounter mental stress, life setbacks, painful circumstances, birth and death, natural disasters, and natural disasters, they will naturally produce depression. But depression is different. It is a pathological psychological depression disorder. It is completely different from the depression that occurs after encountering frustration. If you encounter unpleasant things without producing depression, it is abnormal. What is the difference between normal depression and pathological depression?   1. The emotional depression of normal people is based on certain objective things, and there are reasons for it. Pathological emotional depression disorder usually occurs for no reason, lacks the objective mental stress conditions, or although there are bad factors, but “big questions” is not enough to truly explain the signs of pathological depression.   2. The mood changes of ordinary people have a time limit, usually short-term. People usually make full use of their self-defense function through self-adjustment to restore mental stability. The symptoms of pathological depression often persist, and it is difficult to relieve themselves without treatment, and the symptoms will gradually worsen. Psychological medicine stipulates that general depression should not exceed two weeks. If it exceeds one month, or even lasts for several months or more than half a year, it can be definitely a symptom of pathological depression.   3. The degree of depression is mild, and the severity is called reactive depression when it reaches a morbid state. People with depression are severe and affect patients’ work, study and life, unable to adapt to society, affect their social function, and even produce serious negative, suicidal words and deeds.   4. Depression can be repeated, the basic symptoms of each attack are roughly similar, and a previous medical history can be confirmed.   5. Typical depression has the characteristics of biological rhythm change, which is manifested as the changing law of morning heavy night light. Many patients often say that their mood is particularly bad and painful every morning, so many patients often have suicidal thoughts at this time. After 3 to 4 pm, the patient’s mood gradually improved. In the evening, he seemed to feel that there was no problem, and he fell into a morbid and difficult time the next morning.   6. Depressive families often have a history of mental illness or similar episodes of affective disorder. 7. There is persistent refractory insomnia, multiple psychological behaviors are inhibited at the same time, the physiological function is low, the instinct activity ability is reduced, the weight, appetite and sexual desire are reduced, and the functional discomfort that is difficult to locate and qualitative appears in many parts of the body. No abnormalities, these are common signs of depression.  The diagnosis of mood disorders should be based on medical history, clinical symptoms, course of disease, physical examination and laboratory examination. The diagnosis of typical cases is generally not difficult. Close clinical observation, grasping the main symptoms of the disease cross-section and the characteristics of the longitudinal course of disease, and scientific analysis are the reliable basis for clinical diagnosis. Do not torture yourself with all kinds of symptoms against yourself.

【Disease Science】The characteristics of auditory schwannoma and the prognosis of treatment

  Most tumors occur in the vestibular nerve of the auditory nerve. As the tumor grows larger, it compresses the lateral aspect of the pons and the anterior margin of the cerebellum, filling the cerebellopontine angle. Most of the tumors are unilateral, and a few are bilateral. This tumor is a benign disease, and even if it relapses multiple times, it does not occur malignant transformation and metastasis.  The development sequence of typical symptoms of acoustic schwannoma:    1. At the beginning of the disease, there are symptoms of vestibular nerve and cochlear nerve damage such as dizziness, dizziness, tinnitus, and deafness.   2. The frontal occipital headache is accompanied by discomfort in the foramen magnum foramen.   3. Cerebellar ataxia and uncoordinated movements.   4. Symptoms of cranial nerve damage adjacent to the lesion, such as pain on the side of the lesion, decreased or disappeared facial sensation, facial convulsions, peripheral facial paralysis, etc., abnormal performance of the conduction beam.   5. Headache, nausea and vomiting, blurred vision and other symptoms of increased intracranial pressure, until the final stage of dysphagia, cerebral hernia crisis and breathing stopped.  Clinical diagnosis  According to the patient’s typical disease evolution and specific manifestations, the diagnosis is not difficult, but the problem lies in early diagnosis. It is best to make an accurate diagnosis when the vestibular nerve and cochlear nerve are damaged in the “otology” stage or when the tumor is limited to the internal auditory canal, so as to increase the total tumor resection rate, reduce the risk of surgery, and make the facial nerve and auditory nerve The function is retained to the greatest extent possible.  Patients with the following symptoms in the early stage should consider the possibility of auditory schwannoma:   1, intermittent attacks or progressively worsened tinnitus.   2. Progressive hearing loss or sudden deafness.   3. Dizziness or temporary changes in posture appear when feeling unstable.   4. Intermittent tingling in the deep external auditory meatus or mastoid area. Hearing and vestibular function tests, as well as brainstem evoked potential tests, should be carried out to further clarify that diagnosis requires head CT and magnetic resonance examination.  The prognostic effect of different treatment methods   Surgery: The treatment of acoustic schwannoma is mainly treated by surgery. If it can be removed, it can often be cured permanently.  Radiotherapy: Radiosurgery can be selected for patients with acoustic schwannoma who refuse, have a small size, and have mild clinical symptoms.  Chemotherapy: Chemotherapy is ineffective.

Hu Guisheng, Beijing Institute of Hematology: Stomach pain, you must pay attention to these symptoms!

Hu Guisheng Assistant WeChat: dd326751 Article Source: Transferred from WeChat public account [Hu Guisheng Studio] Stomach pain caused by allergic purpura is a very common disease, this disease will not only affect the patient’s skin, but also cause kidney disease and joints Diseases require patients to receive timely treatment. Henoch-Schonlein purpura can cause hematuria, and the patient is accompanied by symptoms such as nausea and vomiting, skin pimples, etc., and joint movement is inconvenient, you can come to understand its symptoms. Allergic purpura is a spontaneous disease, but it is also very harmful to the human body. It is actually different from ordinary skin allergies. This disease not only hurts the skin of the patient, but may also cause arthritis or other Kidney disease. Patients must be highly valued. Below we will introduce you to the symptoms of allergic purpura. Abdominal pain, as we mentioned, most patients will present with colic. The symptoms of Henoch-Schonlein purpura are mainly caused by extravasation of blood into the wall of our intestine. The most common pain is the navel and right lower abdomen, and some can even cover the entire abdomen, but generally there is no abdominal muscle tension and tenderness is relatively light. The symptoms of allergic purpura can also be accompanied by nausea, vomiting, diarrhea, and dark stools.  Irritation caused by intestinal wall bleeding can cause intestinal peristalsis, causing intestinal wall spasm and abdominal pain. If abdominal pain symptoms are prominent, or abdominal pain symptoms appear early and skin purpura appears late, then this type of allergic purpura is clinically called abdominal purpura. For abdominal purpura, if the symptoms are not controlled and relieved in time, there will be other complications besides abdominal pain, such as intestinal obstruction, intussusception, intestinal perforation, etc., which will increase the suffering of patients. Suspected abdominal purpura is not only about gastrointestinal reactions, but also needs to pay attention to the appearance of purpura on the external skin. It can be accompanied by stomach pain and subcutaneous purpura. Careful examination of the extremities is required to see if there are symmetrically distributed skin petechiae and bleeding Skin rash, ecchymosis, etc. In addition, for gastrointestinal manifestations and external subcutaneous purpura manifestations, a small proportion of purpura patients with initial abdominal pain are also accompanied by various symptoms, such as joint pain, abnormal urine test, etc., there are many types of symptoms, which can be directly judged as mixed Type purpura. Because of the risk of complication of the disease, it is necessary to seek medical treatment as soon as possible to relieve the symptoms.

Clinical characteristics of different stages of Hoehn-Yahr in patients with Parkinson’s disease

  Parkinson’s disease (Parkinson’s disease, PD) is a kind of senile disease, which will continue to increase with time. Clinicians divide PD into five stages according to the degree of progress of PD, also known as Hoehn-Yahr staging. This staging method has been applied by clinicians around the world.   But this installment is not absolute. Because each patient has personalized characteristics, not every patient will experience all the symptoms of PD, and the rate of progress of each patient will be very different.  PD1 stage   stage 1 is the earliest stage of the disease, the symptoms are mild and only seen in one limb (unilateral involvement), usually the patient’s function is not affected or only little affected.   This time the patient’s symptoms are so mild that the patient rarely seeks medical attention or the doctor is difficult to make a diagnosis.   Stage 1 symptoms mainly include tremor and stiffness:    tremor can be manifested as intermittent tremor on one hand.   Stiffness manifests as feeling that one side of the hand or leg is awkward than the other side, or one side of the face is affected and affects facial expression.  Diagnosis is difficult in this period. The doctor may want to observe whether the symptoms are aggravating before making a formal diagnosis.  Phase 2    Phase 2 is still considered to be the early stage of PD. This phase is characterized by bilateral body symptoms (bilateral involvement) or trunk symptoms, and balance function has not been involved. Phase 2 can be developed months or years after Phase 1. Symptoms of stage 2 PD include decreased expression on both sides and decreased blinking;    speech dysfunction, tone becomes soft and monotonous, volume decreases after speaking loudly;    slurred speech;    stiff trunk muscles that cause neck or back pain, kyphosis and Daily activities generally slow down; patients in this period can still maintain their daily living ability, and patients with tremor can easily be diagnosed during this period.  However, if stage 1 was missed before, and the symptoms in stage 2 were only slow movements or lack of voluntary movement, then this stage may still be missed, and the symptoms of PD may be mistaken for age-related performance.  Phase 3    Phase 3 is the middle stage of PD and is characterized by balance disorders and bradykinesia. Falling at this stage is very common, because patients cannot respond quickly to prevent falls by instinct, so the balance is impaired, and falls are very common at this stage.   Other symptoms of PD at this stage are also common, and usually the diagnosis is clear in stage 3. The doctor often assists the diagnosis through the patient’s reaction, that is, the post-pull test [2]: The doctor stands behind the patient and gently pulls the patient’s shoulder to observe whether the patient is difficult to maintain balance and falls backward (of course, the doctor’s protection behind him will not make the patient Fall).  Phase 3 is very important that patients can still complete daily activities completely independently, such as dressing, personal hygiene and eating.   GIF3 [1], this patient has difficulty standing up from the chair, walks forward and leans slowly.  PD4   During this period, PD has progressed to a very severe disabling disease. The patient may be able to walk and stand without assistance, but it is obvious that the patient’s function is impaired.   Many patients need to use walkers. At this stage, patients cannot live independently, and many daily life matters require the assistance of others. This period can be defined as the patient’s daily life needs help.   If the patient still has the ability to live alone, then it is defined as stage 3.  Phase 5    Phase 5 is the late stage of PD. The main feature is the inability to stand up from the chair or the inability to get up without help. The patient may have a tendency to fall when standing or turning around, and may feel frozen gait or stumble when walking.  At this time, patients need 24/7 assistance to reduce the risk of falls and maintain daily activities. Patients at this stage may experience hallucinations or delusions.  Although the symptoms of PD patients will increase with time, it is worth noting that some patients will never reach stage 5. And the length of time that patients progress in different periods varies. A patient may not have all symptoms, for example, the patient may have symptoms of tremor but balance function is not affected.   In addition, each period of the disease has a corresponding treatment. Of course, we still need to remember that the sooner the diagnosis is the better. In other words, the earlier the patient is staged at diagnosis, the more effective the treatment will be, which will greatly help to relieve the patient’s symptoms.

What are the symptoms of rheumatoid arthritis?

Symptoms of rheumatoid arthritis   &nbsp.1, outstanding performance   In most cases, this disease of small arthritis is repetitive, multiple and symmetrical. Among the many parts of the body, fingers, toes and wrists are the most common. In the early stages of rheumatoid arthritis, there will be redness and pain, as well as functional disorders. In the later stages of rheumatoid arthritis, the patient’s joints will appear deformed and tough to varying degrees, and there will be atrophy of bones and skeletal muscles. Therefore, the disability rate of this disease is very high.  &Nbsp. 2. Other symptoms  In addition to the symptoms on the joints, rheumatoid arthritis will also have some systemic manifestations. For example, patients will have fever, weight loss, pericarditis and arteritis. In addition, there will be some differences in the course and condition of the disease. From the beginning, the relatively short and mild oligoarthritis will gradually transform into sharp progressive polyarthritis. In addition, the affected joints will continue to extend, causing multiple joints to develop symptoms.

Symptoms of rheumatoid arthritis Early manifestations

What are the symptoms of rheumatoid arthritis? What are the symptoms of rheumatoid arthritis? First, let’s take a look at the specific performance. In patients with rheumatoid arthritis, the onset is not urgent. The patient will feel fatigue, weakness, weight loss, loss of appetite, low fever, numbness of hands and feet, and tingling. These are early symptoms of rheumatoid arthritis which performed.  Second, we must know that rheumatoid arthritis actually starts from the small joints. The joints are affected by the disease, usually starting at some small joints on the far ends of the limbs, and then gradually affecting other joints. This is also a problem that patients with rheumatoid arthritis are more likely to encounter in the early stage.   Then the patient’s proximal interphalangeal joints will swell. The most common symptom in patients with rheumatoid arthritis is a fusiform enlargement of the proximal interphalangeal joint. Secondly, the palms, toes, wrists and knees, elbows, ankles, shoulders and hip joints appear swollen.   The last point is exercise pain. The joint pain and swelling of rheumatoid arthritis are symmetrical, and the nearby skin will become warm and flushed. If you exercise automatically or passively, you will also feel pain. This is also an early symptom of rheumatoid arthritis patients.

What are the symptoms of rheumatoid arthritis

Symptoms of rheumatoid arthritis&nbsp. 1. Pain and joint pain are the most common manifestations of rheumatoid arthritis. The main manifestation of patients is that pain may occur in joints throughout the body. In addition, pain in the limbs and trunk It is also one of the symptoms of rheumatoid arthritis. In addition, it is also likely to cause internal organs and nervous system diseases. &nbsp. 2. Muscle pain Muscle pain is also the most common symptom of rheumatoid arthritis, and the patient’s symptoms are relatively obvious. In addition, the patient will also have other adverse reactions, such as rheumatism. Arthritis patients may also have muscle weakness, increased muscle enzymes, muscle-derived damage, etc. In short, pay attention to the symptoms of rheumatoid arthritis. &nbsp.3. Irregular fever Irregular fever is also one of the symptoms of rheumatoid arthritis. The so-called fever mainly refers to the occurrence of irregular fever before rheumatism, but it should be noted that rheumatoid arthritis will not There is a chilling phenomenon, and the treatment of rheumatoid arthritis in this case is generally ineffective when treated with antibiotics, and patients will also have rapid blood sedimentation. After the diagnosis of rheumatoid arthritis disease, it is necessary to pay attention to scientific self-care, such as cold protection and warmth measures, while receiving clinical professional and regular treatment.

Scientific analysis of knee osteoarthritis

&nbsp. Knee osteoarthritis symptoms    Most patients with knee arthritis have mild initial symptoms, but long-term delay in missing the best treatment time will lead to aggravation of the condition. The main symptoms are a variety of typical symptoms such as sore knees, swollen knees, and buzzing in the habitual festival. Knee stiffness and chills can also occur in the long run. Most of them show symptoms of swelling, snapping, and fluid accumulation. In severe cases, they can cause deformity and disability. Mainly stiffness, fatigue, and cold. There are great restrictions on activities in life and work. &nbsp. The treatment method of knee osteoarthritis The treatment method of knee osteoarthritis is mainly to prevent the cartilage from being worn again. The protective agent of cartilage can promote the synthesis of cartilage and inhibit the decomposition of articular cartilage; there is also anti-inflammatory for this disease Positive benefits. Glucosamine sulfate contains one of the basic ingredients of sulfuric acid that can synthesize cartilage. It has good functions for relieving pain and stiffness. Long-term use also has a good effect on the structural destruction of delayed joints, but due to the slow effect, the safety is high. ; Especially suitable for the role of the most basic treatment. There is also the use of small tools to repair cartilage joints and to clean the joint cavity.  &Nbsp. Knee osteoarthritis prevention   Prevention of this disease needs to start from all aspects of life, to change any bad malignant habits and wrong posture. Do not blindly repeatedly use knee extension and knead. It is still necessary to avoid the transitional fatigue of the knee joint; try to make good relief after long-term fatigue, up and down steps, and overloaded exercise to reduce the wear and consumption of articular cartilage. If severe trauma, excessive fatigue, etc. will cause this disease, most of them occur in the middle-aged and elderly groups. Therefore, proper weight loss, improvement of wrong postures, prolonged squats, etc. can all cause knee arthritis.

Tics are easily misdiagnosed, and the rate of misdiagnosis is extremely high!

&nbsp.&nbsp. Tics are easily misdiagnosed, and the rate of misdiagnosis is extremely high! &nbsp.&nbsp. 1. The doctor is not familiar with the disease and is confused by various symptoms. Misdiagnosis of dry cough caused by larynx muscle twitching as chronic pharyngitis and tracheitis; blinking and frowning as ocular conjunctivitis; rhinorrhea as chronic rhinitis. People who rarely seek medical treatment because of blinking and shrugs are often considered bad habits. When they went to the hospital to see other diseases, when they were found by the doctor and asked about the situation, parents often did not cooperate with the answer, and were often told “it’s okay, it’s a little wrong”. After the doctor told the parents, the parents distrusted them and opposed the consultation, which delayed the diagnosis. &nbsp.&nbsp.3. The patient has a certain ability to suppress the symptoms. When the mild patients intentionally cover up their tics, it is difficult for parents and doctors to notice. &nbsp.&nbsp.4. Some doctors believe that Tic-Sulcus Syndrome must have profanity, but in fact only 1/3 of patients have profanity after a few years of onset. &nbsp.&nbsp. Our health is very precious, if we find that we are uncomfortable, it is best to go to the hospital to check.

What is pediatric allergic purpura

Henoch-Schonlein purpura is one of the most common vasculitis in childhood. It was described by Xu Lan’s and Heng’s pressure in the 1830s and 1970s, so it is also known as Xu Lan-Heng Nuo’s vasculitis. The disease is the most common capillary allergic disease, based on a wide range of small blood vessel inflammation as the pathological basis, skin purpura, gastrointestinal mucosal bleeding, joint swelling and nephritis as its main clinical manifestations. Older children, especially school-age children, are more ill, with a minimum age of 3 months. The incidence is more in winter and spring and less in summer. Causes of various allergenic factors, including infections (bacteria, viruses, especially Coxsackie B virus, parasites, etc.), food (milk, eggs, fish, shrimp, etc.), drugs (antibiotics, sulfonamides, antipyretic and analgesic Agents, sedative drugs, etc.), pollen, insect bites, vaccination, etc. make allergic reactions of the body with sensitive qualities, produce self-antigens, and then produce the corresponding antibodies, forming antigen-antibody complexes, calming the small blood vessel walls of the body, Causes pathological changes mainly caused by vasculitis. Therefore, the disease is an autoimmune disease.  2Clinical manifestations  The onset can be acute or slow, and most of them are acute. Most children have a history of upper respiratory tract infection 1 to 3 weeks before the onset. There may be irregular hypothermia, fatigue, headaches and other non-specific manifestations.   1. Skin symptoms    The rash is the main manifestation of the disease, which is more common in the lower extremities and dense around the ankle joints. Secondly, it can occur on the buttocks and upper extremities, and the trunk is rare. The shape and color of the rash may vary. At first it was small urticaria or pink maculopapular rash, which faded. Then the color deepens and erythema forms. Spotted bleeding occurs in the center of the erythema, and the color changes from pink to dark purple, which is purpura. Purpura can be fused into tablets. Finally, the color turned brown and faded, leaving no trace. In addition, there are erythema multiforme and erythema nodosum. Angioedema can be seen in the head, eyelids, lips, hands, feet, kidneys, and perineum. Sometimes the swelling can be tender.   2. Digestive tract symptoms    are relatively common and can be seen in two-thirds of children, clinically known as abdominal type. Abdominal pain is the most common, mostly severe colic, which occurs around the umbilical cord and can also be found in other parts. Three quarters of children may have tenderness. There may also be vomiting. Then bloody stools can be seen, and severe cases are bloody stools. Hematemesis is rare. It is often easy to misdiagnose as acute diarrhea, especially before the rash appears, and there are not many people who undergo laparotomy for this reason. A small number of patients may be complicated by intussusception, occasionally intestinal obstruction, perforation, and hemorrhagic necrotizing enteritis.  3. Joint symptoms  About half of the children may have multiple arthralgia or arthritis, which are more common in the lower limbs. Swelling and pain are more pronounced in those with rashes around the joint. Clinically referred to as “articular type”. The fluid in the joint cavity is mostly serous. Joint symptoms usually disappear within a few days, leaving no deformation.   4. Kidney symptoms    About one-third of children have nephritis. The younger they are, the more they develop. It can be gross hematuria or microscopic hematuria. It usually occurs 2 to 4 weeks after purpura, and can also appear after the rash subsides or the disease is still. Clinically known as “kidney type”. The severity of the disease varies, and most of them are severe. In severe cases, renal dysfunction, azotemia, and hypertensive encephalopathy can occur. In a few cases, hematuria, proteinuria, or hypertension may last more than 2 years.   5. Other    mixed cases may have central nervous system symptoms, such as coma, optic neuritis, subarachnoid hemorrhage, Guillain-Barre syndrome, individual limb convulsions. 75% of the children had abnormal EEG, and the EEG returned to normal within 6-20 months. Severe cases can cause temporary abnormalities in electrocardiogram due to myocardial hypoxia and ischemia. Occasional reports of acute pancreatitis, orchitis, and pulmonary hemorrhage.  3 Examination  There is no specific laboratory test for this disease. Anemia can be shown when the amount of bleeding is large. Leukocytes are moderately elevated, eosinophils are normal or elevated, platelets are normal, bleeding time, clotting time, and blood clot contraction are normal. Erythrocyte sedimentation rate increases, C-reactive protein and anti-streptococcal hemolysin may be negative. Pharyngeal culture showed β-hemolytic streptococcus group A. Serum IgA increased slightly. You can understand the condition of kidney, brain and heart by urine test, electroencephalogram and electrocardiogram. The fecal occult blood test was used to monitor gastrointestinal bleeding. Renal tissue biopsy can determine the nature of nephritis lesions, and has guiding significance for treatment and prognosis.  4Diagnosis  Because skin lesions are usually typical, acute abdominal pain, arthralgia and urine changes are also helpful for diagnosis. Allergy developed by the American Rheumatology Association in 1990

What are the common symptoms of traumatic epilepsy

 Experts pointed out what are the common symptoms of traumatic epilepsy: the symptoms of traumatic epilepsy are actually more obvious, but many patients do not notice it. Traumatic epilepsy refers to epileptic seizures secondary to craniocerebral injury, which can occur at any time after the injury. It is difficult to predict that the earliest will appear immediately after the injury, and the later may begin suddenly after many years of head injury. . Traumatic epilepsy is not much different from general epilepsy. Generally speaking, patients with epilepsy have pioneering symptoms before the onset of symptoms of epilepsy caused by trauma, such as abnormal sensation, chest tightness, upper abdominal discomfort, fear, salivation, and inaudible voices. , Blurred vision, etc.   Traumatic epilepsy symptoms are small, the patient shows a brief loss of consciousness, usually only a few seconds, no convulsions, white or red face, the child turns around in place, etc., it is generally easy to be ignored. If you find that you have the above symptoms, you must go to the hospital for examination and treatment, and insist on taking the medicine as directed by your doctor.

What diseases can cause breast pain?

Breast pain is an experience that many women have experienced, and some can still feel small masses, especially before menstruation. The pain will be more obvious. This is a normal phenomenon in most cases, but some people also have daily You will feel breast pain, so what are the main reasons for this situation? There are many causes of breast pain. Physiological breast pain does not need to be treated and should not be worried. But don’t think that all breast pains don’t matter. The following diseases can also cause breast pain: lactating mastitis is mostly of postpartum women of childbearing age and is in lactation. Characteristics of pain: severe pain, persistent exacerbation, refusal to press, touching the breast. The four major symptoms of red, hot, swollen, and painful inflammation during the acute inflammation of the breast are becoming more and more obvious, followed by systemic symptoms of chills and high fever. The disease is caused by the dual causes of milk stasis and bacterial invasion, which can be prevented and cured. It can be cured quickly by giving milk and anti-inflammatory treatment. If you do not actively treat protracted and purulent mastitis, only incision and drainage is necessary, and the pain is not trivial. The age of onset of mammary gland hyperplasia is 20 to 50 years old. Most women will have cyclic pain, aggravation of premenstrual pain, pain relief after menstruation, and some patients with severe hormone imbalance will have persistent pain. All examinations show normal, We clinically call it: breast pain, caused by hormone-stimulated catheter expansion, tissue hyperplasia and incomplete repair, and local edema. Mild to moderate, you can adjust your mood and diet, regular lifestyle habits, the symptoms will disappear by themselves. Severe breast pain affects daily life and work can be adjusted by drugs. To relieve symptoms, going to a beauty salon for a so-called “essential oil massage” not only does not have a good relief effect, but also causes aggravation of edema, which is counterproductive. Breast cancer There are few symptoms of early breast cancer, and most women are unaware of breast changes. As breast lumps grow larger and gradually protrude from the surface of the body, purple or red swollen or swollen masses close to the skin can still be seen, but there are still a small number of women who do not feel pain. When breast cancer continues to grow and the body’s nutrients can’t supply the nutrients needed for tumor growth, ulceration and ulceration occur. At this time, patients are often suffering, fearful, and helpless. What her family friends can help is to provide her with the courage and confidence to face the disease, as well as effective surgical measures and medical treatment to control the further development of the disease.

#近视#What is near-distance syndrome?

[Trace] Myopia, in ancient China, there was a “very nice” disease name-can be near cowardly, until “The Eyes” became called myopia. [Definition] Myopia refers to eye diseases in which near objects are clear and distant objects are blurred. Among them, they are born innately and have a higher degree of myopia. It is also known as a close look, commonly known as a look. At least the existing evidence-based glasses already existed in the Ming Dynasty. Ancient medical books have discussed this disease. Equivalent to myopia in Western medicine. [Etiology and pathogenesis] This disease is often caused by adolescents who are not good at using eyesight when studying and working. In addition, Yin deficiency constitution is also easy to cause myopia, which is different from genetic diseases, but inherits the endowment of the family. Pathogenesis 1: Most of the heart and yang are weak, and the divine light must not spread farther away; Pathogenesis 2: Liver and kidney yin deficiency, lack of essential blood, so that the divine light declines, and the glory cannot be far. [Clinical manifestations] Generally, near vision is good, but distant vision is blurred. In the case of high myopia, the eyes may protrude, and the distance vision may be significantly reduced. In order to see clearly, I have to move closer to the target and often squint the sight; it is easy to cause clouds and fog to move my eyes, and even cause the visual clothing to detach, causing serious damage to vision. Reducing the use of electronic products and increasing outdoor sports can greatly reduce myopia in children. Adjusting the constitution of Yin deficiency, Chinese medicine treatment can prevent the occurrence of myopia and prevent aggravation [Diagnosis basis] 1. Blurred vision, clear vision; or symptoms of visual fatigue, can be accompanied by symptoms of liver and kidney Yin deficiency. 2. High myopia people often have dark shadows in front of their eyes, which can highlight their eyes. Or no symptoms. 3. Fundus changes in myopia: curved nipple temporal arc spots, leopard-shaped fundus, etc. [Chinese medicine treatment] With the symptoms of liver and kidney yin deficiency, Chinese medicine treatment has advantages. Such as ear pill pressing pills, acupuncture, traditional Chinese sports and so on. Liuwei Dihuang Pills and its series of prepared medicines are effective, please take under the guidance of a doctor.

With these four symptoms, be careful of anxiety

   The current era is an era that is prone to anxiety for most people. Most people do not live in the present, but in the future, naturally easy to be anxious.   And anxiety disorder, everyone is not too familiar with this word. At present, the medical community has not yet identified the specific cause of anxiety disorders, but most people believe that it is related to genetic factors, personality characteristics, cognitive processes, adverse life events, biochemical, and physical diseases.   From a global perspective, anxiety disorders are more common and have become the number one enemy of human mental health. According to data from the Global Burden of Disease study, the global prevalence of anxiety disorders was approximately 3721 cases per 100,000 people in 2017, ranking first among mental disorders.  Even so, everyone knows anxiety disorder, but does not know the symptoms of anxiety disorder, often suffer from anxiety disorder without knowing it. Today we talk about the symptoms of anxiety disorder, so that you can get the right seats, find early treatment, early recovery.   Do you have the four symptoms of anxiety?  Emotional symptoms  In the absence of obvious incentives, patients often suffer from excessive worry and nervousness that are inconsistent with the actual situation. This emotion is often inexplicable without clear objects and content. The patient feels that he has been in a state of nervousness, fear and fear for a long time.  Autonomic symptoms  Patients are prone to physical symptoms such as dizziness, chest tightness, palpitation, tremor, and shortness of breath.  Sporty restlessness    restless, restless, difficult to calm down.  Social competence  The patient’s social function is impaired and unbearable, but he cannot relieve his current situation and feels painful and anxious.  The above four symptoms are symptoms of chronic anxiety disorder. If one or more of the above four symptoms appear, the duration will be no less than 6 months. It is recommended to go to the psychiatric department of the hospital for diagnosis and treatment as soon as possible.  In neurosis, the treatment effect of anxiety disorder is relatively good, and the prognosis is better, usually using drug treatment and psychological treatment.   The sooner the treatment effect is better, if you find that you may have anxiety, you must go to the hospital psychiatric department for diagnosis and treatment in time. Do not shy away from medical treatment.

What are the common symptoms of vas deferens obstruction?

   In daily life, many newly-married men are unable to have children and go to the hospital for a diagnosis to confirm that the vas deferens are blocked. As one of male infertility diseases, clogged vas deferens has caused serious harm to many families. So, what are the common symptoms of vas deferens obstruction?   What are the common symptoms of vas deferens obstruction 1. Reproductive system infection: After examination, men who generally suffer from vas deferens obstruction can often be accompanied by symptoms of reproductive system infection .   2. Sexual dysfunction: Patients with blocked vas deferens often have different degrees of sexual dysfunction, such as ejaculation pain or weakness.   3. Abnormal epididymal vas deferens: The epididymis and vas deferens appear abnormal during palpation, often showing bead-like changes, thickening and loss, and the blood FSH level is basically normal or slightly increased.   4. No sperm in semen: clogged vas deferens prevents sperm from running out. So it is difficult to find sperm in the ejaculate. At the same time, when the sperm produced by the testis accumulates more, it will cause anterior blockage. Once the internal pressure increases, a sperm cyst can be formed. At the same time, it can also cause backpressure testicular atrophy, which may affect the spermatogenesis and endocrine of the testis. Features. There are many symptoms of vas deferens obstruction. Once a male friend has the above symptoms, he must go to a regular hospital to confirm the diagnosis in time. If the vas deferens are diagnosed, do not blindly use drugs. Obey the doctor’s recommendations for treatment. Closure of the vas deferens is not an incurable disease. Scientific treatment is the key.