Thyroid cancer can be complicated by the diseases?

Rapid tumor size, the oppression of the trachea, esophagus and the recurrent laryngeal nerve infiltration and respiratory difficulties, hoarse voice, swallowing food when there is a sense of obstruction, and other complications; In severe cases, the occurrence of lung metastases and also bone metastases.

How early detection IgA nephropathy

Young people have the following symptoms: change the color of urine, urine and more difficult to disperse foam, high blood pressure, swelling of the eyelids and lower limbs, waist pain, unexplained renal failure, especially in the above-mentioned symptoms occur in the digestive tract or upper respiratory tract infection , Suspected to be a high degree of IgA nephropathy, in a timely manner to the hospital for specialist examination Nephrology.
By the skin of renal biopsy for immune pathology, diagnosis of IgA nephropathy is clear the only way in guiding treatment and prognosis are also very important value. B are using ultra-guided kidney puncture the skin examination, easy to operate, the success rate is high and small wounds.
In recent years, notes that the medical profession, IgA nephropathy patients with family members in the urine screening a higher proportion of abnormal, so the family made the concept of IgA nephropathy. IgA nephropathy patients with family members should carry out periodic urine checks should be carried out by suspected members of the skin biopsy of renal clear diagnosis, with a view to early detection, early treatment.

Will herpes zoster infection and recurrence

Herpes Zoster in the spring is the most popular kind of skin infection, but does not have a contagious infection will not. By the varicella - zoster virus infection after the recurrence of latent in the body, causing innervation of the skin along the area of the cluster arrangement herpes zoster, accompanied by neuralgia. The elderly and people with chronic wasting disease in people vulnerable to shingles, and once infected with the disease more serious. The non-disease known as the "waist-long string of" literature "wrapped around the waist fire Dan," This is because the infringement herpes zoster thoracolumbar parts of the incidence of the disease accounting for over 60%. In fact, the disease can also be the first violation, face, ears and upper and lower extremities, and other parts. As a result of this virus has the characteristics of pro-nerve, the incidence of neural always go along, was banded, so that "shingles."
Herpes Zoster is able to re-infection and recurrence. Although the majority of patients suffering from only once, but some may relapse several times, reportedly with the anti-virus re-activation of the immune response related to the individual.
The patients with herpes zoster, does not appear in pain when diagnosed early, aggressive treatment.

Thyroid cancer and the diseases easily confused?

The painless part of the thyroid tumor, or cancer of the thyroid nodule is mainly one of a number of other clinical thyroid diseases such as goiter and thyroid adenoma can see that
Performance. Due to the different nature of their disease treatment and prognosis are also different, so it is necessary to understand the difference between them, correct diagnosis, treatment and reasonable. Multi-nodular goiter by the development of simple goiter. Non-inflammatory nor tumor, which is the main cause of iodine deficiency disorders or endocrine regulation. Thyroid adenoma is a benign thyroid tumor
Tumor, the organization is the source of thyroid follicular epithelium, some of the cases tend to have malignant. Table 8 lists the three main differences, so patients can make the initial identification, but it still confirmed to the hospital to do further Check-related.

Children with fever and the diseases commonly found in a coma?

Q: fever in children with the diseases commonly found in a coma?
A: Severe high-temperature heat stroke, often in the hot sun or summer heat in the incidence of the environment, children are often weak. Fever and coma is the first high fever, followed by coma. Negative meningeal irritation, dry skin, no sweat, there can be circulatory collapse. No special examination of cerebrospinal fluid changes.
Hemorrhagic disease caused by intracranial hemorrhage, such as acute leukemia and acute idiopathic thrombocytopenic purpura, can occur in any season. With school-age children often. Fever in a coma and the relationship between these two kinds of diseases can be caused by the disease are fever, followed by coma. When the coma occurred after the heat could rise even more, negative meningeal irritation, and often have anemia, other parts of the bleeding, swollen lymph nodes, such as hepatosplenomegaly. Cerebrospinal fluid examination was to change the bloody uniform.

Jeghers diagnosis and treatment

(A) clinical Gastric polyp is usually no obvious symptoms, there are more complications when in the upper abdominal discomfort, nausea, vomiting or upper gastrointestinal bleeding, occurred in the Department of Helicobacter pylori can cause polyps Di intermittent pyloric obstruction, the symptoms may change position Mitigation. Gastric polyps are often accompanied by chronic gastritis, which can have the symptoms. (B) diagnosis Although an autopsy in cases of gastric polyps in the incidence of only 0.12 percent to 0.8 percent, while the detection rate as high as gastroscopy 8.7 percent or so, but nearly 50% of the stomach and polyps polyps is not related to the symptoms Gastroscopy in the accident was found. The diagnosis of gastric polyps and rely on the gastroscopic upper gastrointestinal barium X-ray examination, MRI can be detected in a larger polyp, for outstanding performance in the stomach cavity of the elevated lesion. Endoscopic polyps mostly round or hemispherical, for a small number of lobulated, smooth surface mucosa or small Keli Gan, mostly orange, the color a little more weight around the mucous membrane; long pedicle were more obvious changes to the top, white moss , Erosion or bleeding. If polyps were observed in surface erosion necrosis, the bottom-invasive disease, ranging from the size of particles on the surface, such as polyps were nodular should consider the possibility of malignant transformation. Endoscopic polyps should be seen in the routine biopsy, a number of requests were based on several pieces, but endoscopic biopsy greater limitations of early malignant missed easy to make, and should, therefore, endoscopic removal of polyps in a row later sections "All tumor biopsy." (C) treatment As the symptoms caused by gastric polyps less, the removal of polyps in the main significance lies in the total after the biopsy to rule out any small malignant lesions to prevent cancer. With the endoscopic polypectomy technology and the popularity increased, the majority of scholars called for gastric polyps should be positive for endoscopic removal. Ginsberg, and so that even if the diameter of 0. 5 cm of gastric malignant polyps also possible, and endoscopic biopsy forceps biopsy may have missed, so that greater than or equal to 0. 5 cm of polyps should be removed as a whole. Commonly used method of endoscopic removal of polyps are high-frequency electrocoagulation trap removal, laser removal, burning hot biopsy forceps, microwave, such as excision, is less than 0. 5 cm pedicle polyps without first choice for burning hot biopsy forceps, or more than Di 0 . 5 cm and less than 2 cm of pedicle no polyps removed in order to trap more convenient, and other methods, to remove the trap of the biggest advantages is to send specimens to recover seized disease, and fewer complications, safe, the most commonly used; large At 2. 0 cm pedicle-free as a result of endoscopic removal of polyps are prone to bleeding and perforation, surgery should adopt the line of part of the stomach surgery.

Gastric ulcer bleeding combined do not have to fast

Gastric ulcer caused by gastrointestinal bleeding, a common disease, the need for fasting according to the illness, and it is can not be generalized. Gastric ulcer caused by the bleeding, and its effect on how to stop bleeding and is directly related to gastric acid. Diet and gastric acid can easily maintain water and electrolyte balance, to ensure that nutrition and food can also promote the bowel, stomach so that food and blood running down, to reduce nausea and vomiting. Therefore, in a sense, diet is also a kind of adjuvant therapy. For less severe diseases, a small amount of bleeding the patient is no need for fasting. The diet should be based on the type of liquid or semi-liquid food was good, but not overheating. Such as milk, milk, rice rare, thin noodles, eggs, soup, and other food to the stomach irritation of the mucous membrane of small and unlikely to cause bleeding, you eat. However, massive bleeding, pyloric obstruction and vomiting occur frequently hemorrhagic shock patients should be fasting and stop bleeding in the treatment of attention to the blood volume at the same time; heat and add the electrolyte. Shock were to be corrected, the lifting of the symptoms of pyloric obstruction, no active bleeding, to be liquid diet, a gradual transition to the semi-flow and eat soft food.

How cancerous polyps in the stomach before?

Many people do gastroscopy have long found polyps, they often have such doubts: gastric polyps is not great against the disease? Cancer will not occur? There are two gastric polyp, called adenomatous polyposis, is crowded by dense arrangement of the composition of glandular hyperplasia robust, because there are varying degrees of dysplasia, cancer rates of up to 10% -30%, It said "precancerous lesions"; another called hyperplastic polyps, also known as inflammatory polyps or polyps renewable belonging to the extension of the gland hyperplasia, compared with disordered arrangement, there is a greater gap between the gland, and some have a folder in the middle Immature cells. The vast majority of all atypical hyperplasia, the cancer rate was only 0.4 percent. In addition, stomach and polyps polyps of different changes, such as juvenile polyposis change in the tendency of non-malignant; diffuse change polyps, cancer rates of up to 20%; there are genetic changes such as polyps. Under normal circumstances, the polyps of the stomach very small, less than one centimeter, hyperplastic polyps are basically benign, if only a small number of people grew up in hyperplastic polyps, which can cause indigestion, abdominal pain symptoms such as discomfort, but also occur on Gastrointestinal bleeding, the cancer will be. Although the adenomatous polyposis easily lead to cancer, but preventable, such as the emergence of upper abdominal discomfort, pain, nausea, loss of appetite or have symptoms such as black, so in a timely manner gastroscopy, the use of TURP polyps will be cut off. In order to prevent stomach cancer polyps, should adhere to a year to do a gastroscopy, clean removal of polyps. In addition, it is necessary to strengthen the self-care, the inhabitants eat or drink over the hurdle, as far as possible not to increase the burden on the stomach. As long as everyone is alert and can be kept out stomach cancer.

Acute rhinitis and allergic rhinitis difference

Acute rhinitis, commonly known as flu, also known as the common cold is caused by a virus from acute infectious inflammation of nasal mucosa, is the most common droplets spread mainly of infectious diseases. Pathogenic disease pathogens for the virus to rhinovirus and coronavirus-based. When the body as a result of a variety of incentives to drop due to resistance, nasal defense system is destroyed, the virus through nasal airway Invasive infection, or that exists in the upper respiratory tract virus growth, reproduction, due to enhanced virulence of the nasal mucosa Acute inflammation. The clinical performance for the nasal itching, sneezing, stuffy nose, tears flow like water gradually increase, the body often does not apply, low heat, headache and so on. Allergic rhinitis, also known as allergic rhinitis, nasal mucosa is a disease mainly of type I (immediate) allergic diseases, there are often allergic sinusitis. The cause of the inhaled allergens (allergens) contact with nasal mucosa after the formation of IgE antibodies and mast cells in the nasal mucosa, and other media IgE receptor on the cell membrane, so that the body sensitized. When the allergen-related re-entry into the nasal cavity, allergens and adsorption on the surface of mast cells in the nasal mucosa of the IgE antibody bridged, the mast cell membrane result in a series of biochemical reactions, the release of a large number of biologically active media --- such as histamine. Such as the role of histamine in the media took place under the nasal allergic inflammation. Paroxysmal for the performance of all of a sudden nose itching, sneezing, tears flow like water, stuffy nose, no fever, and other general malaise. Beijing Zizhu Pharmaceutical Co., Ltd. for the production of hi Shumin can be used for the treatment of acute rhinitis, allergic rhinitis caused by nasal itching, sneezing, runny T-money, such as nasal symptoms, the exact effect.

ANFH treatment effect sooner the better

Adult avascular necrosis is a common disease orthopedics, very difficult to handle, known as the orthopedic "leukemia." Its cause is more complicated, but we will encounter in daily life of trauma, hormones and alcohol intake, and so on is the result of ANFH important reasons, they will cause the femoral head of the blocked blood circulation, or lack of arterial and venous infusion Return disruption caused bone . If not promptly formal treatment, will miss the best time for treatment, further deterioration of the femoral head necrosis, together with the load (such as walking, Palou, carrying things, etc.) from the femoral head collapse, the formation of osteoarthritis, The ultimate result is that patients with disabilities. Its high of 30-year-old age is around. But the early stages of osteonecrosis of the femoral head is not terrible, and it is also relatively simple treatment, just only to the treatment system, can be quickly cured. According to hospital treatment of osteonecrosis of the femoral head of experience, X-ray films showed Ⅱ period of the previous cases of osteonecrosis of the femoral head, the hospital time and costs greatly reduced. From research and clinical observation of other hospitals, also confirmed this view. Instead, because of fear of surgery and various Huoxue taking pain medicine, or some effects of oral drugs, delaying the timing of surgery, such as the femoral head collapse or to the development of osteoarthritis, treatment to be more difficult.

The general classification of prostate cancer pathology

1. Latent prostate cancer: is not in his prostate disease symptoms and signs, in the autopsy after death by pathological examination revealed the primary adenocarcinoma of the prostate. Potential prostate cancer can occur in any location, but to the central area and peripheral areas common, and often well-differentiated adenocarcinoma. Its incidence of foreign reported a 15% to 50%. My urinary Research Institute reported latent prostate cancer incidence rate was 34%. Statistical studies show that the incidence of prostate cancer may be hidden with the environment and genetic factors.
2. Sporadic prostate cancer: Clinical to benign prostatic hyperplasia as the main symptoms, in the resection of prostate hyperplasia, histological examination revealed prostate cancer. Its histological differentiation better performance for adenocarcinoma, and to sieve-like tubular adenocarcinoma adenocarcinoma based, a small number of poorly differentiated adenocarcinoma, sporadic abroad prostate cancer incidence rate of 10% to 30%. Domestic morbidity reports to about 5%.
3. Misprision of prostate cancer: patients without symptoms and signs of prostate disease, but in lymph node biopsy or specimens for pathological examination confirmed prostate cancer. And then after prostate biopsy has been further confirmed. Such serum prostate specific antigen (PSA) and prostatic acid phosphatase levels increased. PSA and biopsy done (or) PAP immunohistochemistry staining were positive.
4. Clinical prostate cancer: clinical examination (referring to consultation, ultrasound, CT or MRI, etc.) for the diagnosis of prostate cancer, and a biopsy confirmed. Also available through PAP patients with increased serum PSA and to assist diagnosis. Most patients can touch DRE prostate nodules, ultrasonography suggested that prostate nodule is not structured shape, Echo Echo low and uneven.

Treatment of elderly people infected with liver cirrhosis

Concurrent with the treatment and attention to matters: Cirrhosis of older persons is the most common infections in spontaneous peritonitis, lung infections, gastro-intestinal infections, urinary tract infection. The most common pathogenic bacteria are gram-negative bacteria, and because of large-scale use of broad-spectrum antibiotics and immune dysfunction, anaerobic bacteria and fungal infections is increasing. Therefore, in elderly patients with cirrhosis infection should pay attention to the following questions: 1. Spontaneous peritonitis in elderly patients with liver cirrhosis in particular, ascites due to cirrhosis patients, abdominal infection is a common infection sites, so when patients with abdominal pain and the reasons could explain the elevated blood leukocytes, and the corresponding ascites in PMN (PMN )> 0.25 * 109 / L, should consider the possibility of spontaneous peritonitis. Should be selected in the ascites in a timely manner to reach adequate concentrations of broad-spectrum anti-Su. Penicillin and uncomfortable choice Tanzanian agents. If sultamicillin, or second, and third-generation cephalosporins, intravenous drug 10 to 14 for a course of treatment. 48 hours after repeated treatment of abdominal wear, check ascites, to estimate the effect of antibiotics. If the treatment effective, multi-shaped cells decreased more than 50 percent, bacterial culture negative, it is not necessary to replace antibiotics. For four days as invalid, or culture of drug use is not sensitive, required under the susceptibility testing or replacement of antibiotics. 2. More young people choose the right antibiotic repeated application of a variety of antibiotics, the elderly now have no application to the special anti-bacterial drug therapy is usually applied bactericidal drugs. Under the guidance of micro-organisms in the choice of drugs, more applications β-lactone Amine antibiotics, to avoid the application of security on the antibiotics. Oral antibiotics elderly and the absorption of young people without much different, the use of intramuscular injection of muscle tissue due to the elderly decreased, activity was relatively small and more young and middle-aged man-made low. Antibiotics into the blood, because the elderly to reduce serum albumin, the free serum concentration than the young people high. Principal places of antibiotics metabolism and excretion way to liver and kidney. The elderly should do everything possible to avoid the use of sugar-type drugs. To be used at small doses, to a short course of treatment, close observation of renal function. 3. To maintain the normal intestinal flora, Erchongganran prevent the permanent normal bacteria in the digestive tract at least 120 species. Bifidobacterium which is host to many important physiological functions, the reduction or disappearance of bacteria-causing bacteria and intestinal flora imbalance of intrusive. The elderly in the intestinal flora Bifidobacterium decreased significantly, and of Clostridium perfringens, Bacteroides and Enterobacter more. In the use of broad-spectrum antibiotics easily aroused dysbacteriosis, Erchongganran. Therefore, in large doses, prolonged use broad-spectrum antibiotics: 1) to pay attention to eating too much consumption of pork to make bogey, with more saturated fatty acids because the animal fat to the food structure of Bacillus and Clostridium reproduction role. Carbohydrates with crude for good. Cellulose with more food and vitamin B, can foster and promote anaerobic bacteria such as enterococci defecation. 2) the protection of anaerobic bacteria in the use of antibiotics for various infections, in addition to the eradication of blood or tissue anaerobic bacteria, the bacteria in the gut bacteria of oxygen must be protected, is the presence of anaerobic bacteria to resist colonization An important factor. 3) the rational use of antibiotics to avoid the use of antibiotics permanent injury.

Ascites treatment of cirrhosis of the elderly

Ascites due to cirrhosis of the elderly NOTES: l, rational use of diuretics, the elderly ascites due to cirrhosis of the use of diuretics should be in accordance with the joint, intermittent, alternating application of the principle of strict control indications. Reply hour as far as possible in 1000 ml or more. Can not diuretics. Drugs should be chosen LIU Xiao-dose diuretic, intermittent treatment, Pai K-K and joint use of diuretics. Some people do not advocate the use of the elderly thiazin-type diuretics, can cause renal vasoconstriction, reduce kidney blood flow. After the application of diuretics. Should be slow to reduce weight. The elderly to be noted in the use of diuretics can cause acute hearing loss, hypokalemia, liver coma, functional kidney failure, it should be carefully observed condition. That deal with problems in a timely fashion, and medication adjustments. 2, catharsis and abdominal puncture release of elderly patients with cirrhosis due to the whole situation is worse than the young, the elderly and the catharsis abdominal puncture a large number of non-tolerance. Should be anti. In the hypokalemic with, hyponatremia ascites due to cirrhosis patients oral 20% mannitol, because drainage from the intestine and electrolyte loss reduced, while lowering portal pressure. For the merger to eliminate gastrointestinal bleeding in patients with intestinal bleeding, can reduce the occurrence of liver coma. However, attention should be paid to a number of people to make too many. Laparoscopies should be put in a small amount of liquid, a number of principles to prevent a large number of liver-induced coma ascites. 3, less weight ascites and diuretics to lose this method is more suitable for elderly patients, the principle is ascites Zaishu people in the same unit of time should not exceed the amount of urine 500 ml.

Ascites treatment of cirrhosis of the elderly

Ascites due to cirrhosis of the elderly NOTES: l, rational use of diuretics, the elderly ascites due to cirrhosis of the use of diuretics should be in accordance with the joint, intermittent, alternating application of the principle of strict control indications. Reply hour as far as possible in 1000 ml or more. Can not diuretics. Drugs should be chosen LIU Xiao-dose diuretic, intermittent treatment, Pai K-K and joint use of diuretics. Some people do not advocate the use of the elderly thiazin-type diuretics, can cause renal vasoconstriction, reduce kidney blood flow. After the application of diuretics. Should be slow to reduce weight. The elderly to be noted in the use of diuretics can cause acute hearing loss, hypokalemia, liver coma, functional kidney failure, it should be carefully observed condition. That deal with problems in a timely fashion, and medication adjustments. 2, catharsis and abdominal puncture release of elderly patients with cirrhosis due to the whole situation is worse than the young, the elderly and the catharsis abdominal puncture a large number of non-tolerance. Should be anti. In the hypokalemic with, hyponatremia ascites due to cirrhosis patients oral 20% mannitol, because drainage from the intestine and electrolyte loss reduced, while lowering portal pressure. For the merger to eliminate gastrointestinal bleeding in patients with intestinal bleeding, can reduce the occurrence of liver coma. However, attention should be paid to a number of people to make too many. Laparoscopies should be put in a small amount of liquid, a number of principles to prevent a large number of liver-induced coma ascites. 3, less weight ascites and diuretics to lose this method is more suitable for elderly patients, the principle is ascites Zaishu people in the same unit of time should not exceed the amount of urine 500 ml.

Renovascular hypertension pathology

Renovascular hypertension is due to ischemia caused renin - angiotensin - aldosterone axis and the activation. Suffering from renal perfusion due to a decrease in the release of renin, the renin-angiotensin reasons prompted into angiotensin Ⅰ, angiotensin Ⅰ as angiotensin-converting-enzyme conversion of angiotensin Ⅱ. Angiotensin Ⅱ is a strong contraction of blood vessels, angiotensin Ⅱ (A Ⅱ) can stimulate the adrenal gland secretion of aldosterone, a sodium retention. Obstructive renal artery disease can be unilateral or bilateral disease, or occurred in patients with kidney alone, the different types of vascular renal pathophysiology of hypertension is not the same. In renal mode (renal, a clamp-type kidney), ischemic renal Shuinazhuliu lead to the release of renin, but the opposite appears normal kidney diuretic row of pressure sodium, so that patients actually a negative balance of sodium, Further increased the renin release. Kidney in a single mode (single kidney, kidney clamp-type), not the impact of contralateral kidney, thus preventing the loss of sodium, extracellular fluid volume increase in blood renin inhibition activity, increased blood pressure in patients with such major Is caused by excess body fluids. In patients with renal artery stenosis with a similar situation.

Duodenal ulcer and gastric ulcer treatment principle What are the different

Duodenal ulcer and gastric ulcer on the same digestive ulcers. Its pathogenesis, there are a lot in common, so there are a lot of common ground. In the treatment of gastrointestinal ulcer drugs broadly divided into two categories: those for the protection of mucous membrane. Application of such drugs more Japanese imports of Mai Zilin - S; German imports will rule the stomach, stomach Tarivid; China-made music in the stomach, stomach-speed music, Corning stomach, the stomach and Thailand on March 9, Di music, such as Sidel . Mucosa in the protection of the application, duodenal ulcer and gastric ulcer is no different from, the medication method, roughly the same dose. Taken on the different treatment is another major point - drugs that attack on the factors inhibiting drug. The representatives of such drugs: cimetidine, ranitidine, famotidine and omeprazole, and so on, and they are by inhibiting gastric acid to achieve therapeutic purposes. We know that because the cancer may have gastric ulcer, in particular the low-acid ulcer cancer more likely, in patients with gastric ulcer attack factor inhibiting drugs use of short course of caution, mostly through medication before and after endoscopy From living tissues to verify whether there are cancerous. However, duodenal ulcer in the use of such drugs, their treatment can be extended. This is in the treatment of the two main principles on the different points. As for the prevention of gastric ulcer medication, most do not have to attack factor inhibitors, which advocated using mucosal protection; duodenal ulcer is not this limit, they can be used

What is cured after gastric ulcer recurrence

Gastric ulcer recurrence rate is high, up around 80 percent. Because of gastric ulcer is a chronic, recurrent natural ease and the tendency, so most people think, alleviate the symptoms of acute ulcer easy, difficult to prevent ulcer recurrence. It can be said that the prevention of the recurrence of ulcers, treatment of ulcer disease is the most difficult part, because it not only requires us to understand the incidence of gastric ulcer factors. And requires that we understand their recurrence, but at present these issues have not yet fully understand, so to resolve recurrent problems are certain difficulties. The recurrence of a common factor: ulcer cure does not adhere to medication maintenance therapy, physical fatigue, anxiety, stress, insomnia, excessive smoking, improper diet, drugs and irritation of the infection. If perfect, too acid, spicy foods to stimulate long-term use of aspirin, Bao Tai Song, hormone drugs. The following measures to reduce relapse frequency and extent of martial law. (1) the full treatment of active ulcer disease. (2) avoid alcohol, tobacco, coffee, Nongcha, stimulating drugs and food. (3) adequate rest and sleep. (4) to avoid long-term mental stress, anxiety and so on. (5) positive treatment of respiratory tract infections and other infections between. (6) the slightest signs of recurrence, or a mild symptoms, immediately strict treatment

Why would children suffering from canker

Ulcer disease in children with duodenal ulcer most common. No major law and diet, eating in moderation does not, Puyinpusi, and other factors. Bianchi Bian some children playing, some parents or children in the table on the teaser or a meal reprimanded the children. Some children get up at night, in order to catch up with classes, eating breakfast also Gubu Shang. Some children or to rush to Tanwan homework Mission Lun Tun date to be rice Yanxia, often also finished with three two-soaked rice or steamed bread, open blisters. If things continue this way to easily lead to ulcer disease. Because of outdated completely wrong meal so that stomach emptying a high degree of hunger, causing stomach reverse peristalsis, the expansion of blood vessels caused by gastric mucosa edema, acid damage to the local inflammatory ulcer. Food Guobao, a high degree of expansion of the antrum, gastrin secretion reduce the ability of the pyloric sphincter, caused by the reflux of duodenal, easy to damage the barrier function gastric ulcer caused. Children in the canker of reasons, are no more than can be summarized as follows: (1) bad eating habits, uneven hungry enough, not of life. (2) breakfast or Langtunhuyan too lax, or non-Jin breakfast. (3) a cold drink and snack food. (4) Guoduopilao, mental tension. (5) had gastritis not adhere to treatment, from chronic gastritis or gastric ulcer disease into the development of inflammation.

Gout stones can occur in the ureter and bladder?

Gout occurs in kidney stones there are two main reasons: (1) the excretion of uric acid in the blood mainly through the kidneys, about 75 to 80 percent of uric acid from the kidneys, about 20 percent of uric acid into the intestine through the biliary Road, with the droppings from. Other organs such as lung, pancreas, and so almost non-ranked urinary acid, uric acid in kidney-the deposition of a kidney stone. Particularly high concentration of uric acid in the blood over the discharge capacity of the kidney, kidney stones more prone to gout. (2) uric acid deposition and local environmental organizations the pH (the PH value). When the local Piansuan, that is, when the low value of HP uric acid deposition to form stones when the local side at the base, that is at high PH value, not in some uric acid deposition. Normal blood PH value of 7.35 to 7.45 (neutral). Liver, lung, heart, brain and other organizations of similar PH value and blood, and uric acid secretion is not the place, so uric acid deposition difficult to form stones. Formation of urine and kidney is the place where the urine PH value in general about 5.5 to 6, acid, and uric acid in urine from the main, so easy in the deposition and formation of kidney stones. Sometimes in the ureter and bladder stones forming the deposition. In a few cases, gout-can also be in the vessel wall, Endocardial and bile duct to form, but such cases are rarely seen.

How early detection of gout

Early detection of gout the most simple and effective method is to detect blood uric acid concentrations. The crowd on a large scale survey of serum uric acid can be found in time hyperuricemia, which is early detection and early prevention is of great significance to have gout. In the present conditions there is no large-scale blood uric acid test of the circumstances, at least the following staff to deal with the routine blood uric acid test: (1) over 60 years old, both male and female and whether obesity. (2) obesity in middle-aged men and women after menopause. (3) hypertension, atherosclerosis, coronary heart disease, cerebrovascular disease (such as cerebral infarction and cerebral hemorrhage) patients. (4) Diabetes (mainly type II diabetes). (5) the reasons for not prescribed arthritis, especially over the middle-aged patients with arthritis, as a single characteristic. (6) kidney stones, kidney stones and in particular the multiple bilateral kidney stone patients. (7) members of the family history of gout. (8) long-term meat, and drinking habits of middle-aged people over. All the above are listed in the case of any one of the people, shall take the initiative to go to the hospital to do the laboratory examination of the gout, and early discovery hyperuricemia and gout, do not wait until there has been a typical clinical symptoms (such as subcutaneous Gout stones) to seek treatment before. If the initial inspection normal serum uric acid, gout and can not be easily ruled out the possibility of hyperuricemia. After should regularly review, the annual health check at least once. This will enable the early detection rate of gout increased substantially.

What are the types of gout

Generally speaking, adult men who have acute arthritis, especially the thumb of those affected, must be highly vigilant against the possibility of suffering from gout, if their blood has higher concentrations of uric acid, can be diagnosed as gout. Typical symptoms of individual patients and the concentration of uric acid in the blood is not high, they repeated blood test, examination or take joint fluid, sodium crystallization of uric acid found, can also be diagnosed as gout. Gout has two primary and secondary. As early as the 5th century BC, the Greek physician Hippocrates, gout is a genetic disease. Modern medicine also believe that the primary gout and the enzyme and metabolic defects, and other relevant, most are family history, foreign coverage is 10% -25%, there are similar reports of domestic. The disease was first developed symptoms of age from more than 10 years, until about 80 years old, the average age of 40-year-old from top to bottom. 95% of patients are male adults. Many patients before the onset of symptoms, the concentration of uric acid in the blood have increased significantly. Female patients accounted for about 5 percent, most of the patients in the period after menopause symptoms. Most secondary gout is due to chronic hemolytic anemia, leukemia and myeloma, malignant neoplasms, hyperparathyroidism, such as various kidney a result of renal dysfunction caused by. Gout generally appear first time, often in the original have been a few years after the onset. In addition, high-calorie, high-purine diet and drinking can also be induced gout. According to clinical manifestations of gout can be divided into three categories: ① acute gouty arthritis; ② tophi and chronic arthritis; ③ gouty nephropathy.

Gout can cause kidney damage?

Gout can appear kidney damage. According to statistics, gout patients are 20 to 25 per cent of uric acid kidney, and the autopsy confirmed that a kidney disease almost 100%. It includes gouty nephropathy, acute obstruction of the urinary tract and kidney stones. (1) gouty nephropathy persistent hyperuricemia, 20% in clinical performance on the nephropathy, after several years or more may have a glomerular and tubular damage to the development of a small number of urine Duzheng. Urate the incidence of kidney after gouty joint damage, and is closely related with the disease and treatment. Research shows that uric acid salt nephropathy and gouty arthritis unrelated to the extent that the mild arthritis patients may have renal disease, arthritis and severe kidney patients is not necessarily abnormal. Early mild unilateral or bilateral pain, swelling and later a mild to moderate hypertension. Urinary acid, intermittent or sustained proteinuria, generally no more than + +. Almost all renal function decline in enrichment, a nocturnal enuresis, and more urine and urinary relatively low density. About five to ten years after the kidney increase, for further development of uremia, about 17% -25% died of renal failure. (2) urolithiasis gout patients urinary acid, thus increasing concentration of uric acid in urine, with smaller stones from the urine, but often without feeling, urinary sediments shows that small brown sand; larger stones can be obstructive Ureter caused hematuria and renal colic, because of a urinary infection secondary to poor pyelonephritis. Huge stones can cause renal pelvis beacon deformation, hydronephrosis. X uric acid stones simply not the online image, when uric acid, sodium and calcium stones that X online shadow. (3) Acute obstructive nephropathy found in blood uric acid in urine and uric acid increased significantly, it is because a large number uric acid crystal tubular obstruction caused by extensive. Gout often and hypertension, hyperlipidemia, atherosclerosis, coronary heart disease and type 2 diabetes. Gout in older persons in the cause of death, cardiovascular factors far more than renal insufficiency. However, gout and cardiovascular diseases there is no direct causal link between, but with both obesity and dietary factors are related.

Gout condition of the development process in several period

Gout is a lifelong disease, it's condition development of the entire process can be divided into the following four: (1) hyperuricemia period: also known as pre-gout, in this period the patient can no clinical symptoms of gout, only for the performance of serum uric acid increased. (2) early gout: This period from hyperuricemia developed from. Prominent symptoms of acute gouty arthritis attack. In acute arthritis disappeared after the attack joints can be fully returned to normal, not left over from the damage, but can be repeated attack. This usually subcutaneous the formation of tophi, there is no obvious kidney disease such as uric acid nephropathy and the formation of kidney stones, kidney function was normal. (3) gout medium-term: this period because of repeated gouty arthritis caused by acute injury to a joint varying degrees of bone destruction and dysfunction, chronic gout. Gout can be a subcutaneous stone, may have uric acid nephropathy and the formation of kidney stones, kidney function may be normal or slightly decreased. (4) advanced gout: a clear joint deformity and dysfunction, the increase in the number of subcutaneous tophi, the size of the increase can Pokui a white crystalline salt urine. Uric acid nephropathy and kidney stones to develop and kidney function decreased significantly, there azotemia and uremia.

Four dangerous complications of gout

Patients suffering from gout, in sugar and fat metabolism will be significantly decreased, making it easy with all kinds of serious diseases: [Diabetes] Diabetes and gout because both are in metabolic disorders caused by disease, it is easy with the patients. Diabetes is the regulation of blood sugar because of a lack of insulin hormone, resulting in a continuous state of high blood sugar, and uric acid and blood glucose levels between the very relevant, usually high uric acid, blood glucose levels will be higher. [Hypertension / high blood lipids: Most patients with gout is more body fat, excessive accumulation of body fat tends to cause arteriosclerosis and hypertension, and patients with gout because of bias on the daily intake of dietary fat, high-calorie food, so in the neutral fat content is very high , Cholesterol values are generally have more than the normal standard, hyperlipidemia is a good one of the ethnic groups. [Myocardial infarction / heart disease - a narrow Gout patients prone to cardiovascular arteriosclerosis of the situation, resulting in the blood can not be fully served on the heart, blood circulation dysfunctional, cause heart disease or myocardial infarction narrow the probability of particularly high, especially on the original with hyperlipidemia Gout patients are more prone to heart disease. [Cerebral vascular obstacles: The same is guided by the problem in atherosclerosis, the difference in the brain occur. Its symptoms include headache, dizziness, numbness or tingling hands and feet, serious, the patients have lost their sense of danger and even death, the patient volume, in addition to angiography, the brain needs to be done CT, MRI examination.

Tophi arthritis and chronic gout

Suffering from chronic gout tophi and more chronic arthritis patients, the crystallization of uric acid in the body will be deposited in the cartilage and synovial membrane, and soft tissue, the formation of tophi, and blood in the higher concentration of uric acid, with The longer period of disease, may be deposited, the more tophi, and sometimes will affect the blood vessels and kidneys, causing serious renal failure, nephrotic more serious and difficult to create a vicious cycle of uric acid excretion, the Tophi Also the more deposition. Often the site of deposition tophi many, including the ears, hands, elbows, Achilles tendon, ankle or toe, and sometimes even give rise to local ulcer and difficult healing, and even the latest addition to requiring surgery. Patients and cause serious deformation or chronic joint symptoms of severe deformation of the foot when the patient may cause serious problems on the shoes. In addition, the risk of kidney stones occur with increased serum uric acid concentrations increase, and often lead to renal disease, renal failure may be subject to after hemodialysis, which is caused gout patients died one of the main causes of death.

Secondary hyperuricemia, or gout

Secondary hyperuricemia, or gout that is a minor clinical manifestations, secondary to any genetic or acquired pathological process. Clinical mainly divided into two categories: A. generate excessive uric acid 1) excessive amount of high-purine food intake, 2) bone marrow proliferative diseases: multiple myeloma, 3) lymphoproliferative disease: infectious mononucleosis Cell Histiocytosis, 4) hemolytic anemia, 5) tumors, 6) psoriasis, 7) the cumulative lying liver disease: found I, III, V, VI, 8) fructose intake, 9) is not hereditary fructose Tolerance, 10) hypoxemia and organizations hypoperfusion, 11) intense muscle movement, 12) acute and chronic alcohol poisoning, B. reduce uric acid excretion 1) renal insufficiency, 2) ketoacidosis, 3) lactic acid Acidosis, 4) tubular absorb increased uric acid salts, 5) dehydrating agent and diuretic, 6) hyperparathyroidism, 7) parathyroid mechanism may be, 8) hypothyroidism, 9) hypertension, 10) Drugs: ethambutol, pyrazinamide, nicotinic acid, acetyl acid water Yang, 11) lead poisoning. 12) patients with cancer chemotherapy and radiotherapy, 13) adrenal mechanism may be, 14) renal diabetes insipidus, 15) hunger.

Gouty arthritis and gout What is the relationship between

Gout is a metabolic disorder and beautiful reduce the excretion of uric acid caused by a group of diseases. The clinical performance are: asymptomatic hyperuricemia, gout arthritis stone, urinary stone and renal disease. Gouty arthritis is when uric acid salts in the articular cartilage or synovial deposition, leading to synovial tissue and the inflammatory response. Hyperuricemia is the most important biochemical basis of gout, but is not synonymous with gout. As improvement of living standards, changes in the structure of diet, and many affected uric acid excretion of drugs (diuretics) the extensive use of hyperuricemia is in fact the incidence of the adult male is 5% -7%, the researchers statistics About 5% -12% of hyperuricemia in patients with gout for the eventual development. When the blood uric acid level of more than 420 micro-Mount / l, arthritis and gout in uric acid kidney stones, or the risk of a significant increase

Hyperuricemia and gout What's the difference between

Hyperuricemia is uric acid in the blood more than a normal state. Many reasons can cause blood uric acid salt content increased, and gout is one of the most common causes. Gout is in the long-term hyperuricemia circumstances, result in human organs and tissues in diseases. The main result of gouty arthritis, gout and kidney disease, gout and kidney stones, gout and heart disease, hypertension and gout, and other serious complications. Hyperuricemia can also say is a prelude to gout, but not necessarily able to evolve into gout disease, the patients have gout and hyperuricemia.

Tophi can take stone surgery

According to statistics, gout patients in about 20% to 30% of body surface of a stone, the stone occurred in the vicinity of the joints and limbs, and joint function in patients with serious decline, maimed, or even loss of self-care ability. Some patients stone not long after surgery wound healing, some doctors do not want to do this surgery. Gout can then stone surgery stones » How surgery » Tophi formation of tophi is because long-term patients increased serum uric acid, uric acid formation of sodium (MSU), deposited in various tissues and organs formed stones. In addition to internal organs outside the brain can be a stone to see most of the kidney stone. Surface stones mainly occurred in the vicinity of the joints and limbs, the stone sooner or later, the growth rate and increased blood levels of uric acid, hyperuricemia duration, and acute arthritis in the same number of joint attack was positively correlated. Stone serious bone and joint, hand or foot bones of several pieces of stone were all occupied. If the initial stones in the soft tissue, the skin can thinning, Pokui, MSU crystallization of the outflow or small stones to form ulcers and sinus, repeated bacterial infections, break a few years or 10 years can not be healed, the merger also osteomyelitis Are not uncommon. So as soon as possible surgery stones. ① preoperative preparation before the surgery should be the first of serum uric acid to normal or near normal levels, after a result of uric acid avoid excessive impact on healing. ② need to physically do the surgery X-ray imaging, X-ray easily through the stone, but the soft tissue in the stone often can be seen surrounding the density slightly higher than the whole of the massive image. X-ray through the little bone, stone density was significantly lower than bone density, X-ray film common wormhole-like, Chuanzao kind, the kind of low-density cellular bone defects, serious one or several pieces of bone and parts All missing. Gout is a metabolic syndrome ③ a disease, should be actively treating hypertension, diabetes and renal dysfunction and other merger-related diseases, to be in stable condition after surgery. Surgical operation is primarily aimed at joints and near the stone: ① where stone diameter of more than 2 cm or more than a stone so that the pool in uric acid increased significantly, the impact of descending uric acid treatment. ② have ulcers, sinus or osteomyelitis formed to break long-term, non-union. ③ stones affect joint function, significantly restricted the activities of patients. If surgery is not invaded stone and bone joints, regardless of whether the merger ulcer and sinus, the majority can and will be coated with stone removed, the incision in five to ten days to heal. Such as stone and bone and joint deep, large piece of stone removed, should no longer use keys, and other equipment will be scraping the remnants of stone fragments as far as possible eliminate, or stone debris will continue in the overflow from the wound, healing effects, drainage should be done at this time Treatment, more than in January after the drainage is not sealed, should be done in the second removal. A small number of serious bone damage, the need to buy bones, joints integration, and the truncated limb, so to promote tophi surgery sooner the better. ① down after dealing with uric acid, a small stone after stone in the blood return to the residue dissolved so that the blood uric acid increased rapidly, if not promptly and effectively to drop acid treatment, after the majority of people in the non-operative joint acute arthritis Some multi-joint alternating repeated incidence. At this point in addition to eat food rich in purine, down uric acid to increase the amount of drugs, and for seven days after the previous day to a daily service 1 ~ 3 mg colchicine, can significantly reduce acute arthritis. ② strengthen hypertension, coronary heart disease, diabetes, kidney disease and other diseases related to the treatment of these diseases under control.

Tophi can take stone surgery

According to statistics, gout patients in about 20% to 30% of body surface of a stone, the stone occurred in the vicinity of the joints and limbs, and joint function in patients with serious decline, maimed, or even loss of self-care ability. Some patients stone not long after surgery wound healing, some doctors do not want to do this surgery. Gout can then stone surgery stones » How surgery » Tophi formation of tophi is because long-term patients increased serum uric acid, uric acid formation of sodium (MSU), deposited in various tissues and organs formed stones. In addition to internal organs outside the brain can be a stone to see most of the kidney stone. Surface stones mainly occurred in the vicinity of the joints and limbs, the stone sooner or later, the growth rate and increased blood levels of uric acid, hyperuricemia duration, and acute arthritis in the same number of joint attack was positively correlated. Stone serious bone and joint, hand or foot bones of several pieces of stone were all occupied. If the initial stones in the soft tissue, the skin can thinning, Pokui, MSU crystallization of the outflow or small stones to form ulcers and sinus, repeated bacterial infections, break a few years or 10 years can not be healed, the merger also osteomyelitis Are not uncommon. So as soon as possible surgery stones. ① preoperative preparation before the surgery should be the first of serum uric acid to normal or near normal levels, after a result of uric acid avoid excessive impact on healing. ② need to physically do the surgery X-ray imaging, X-ray easily through the stone, but the soft tissue in the stone often can be seen surrounding the density slightly higher than the whole of the massive image. X-ray through the little bone, stone density was significantly lower than bone density, X-ray film common wormhole-like, Chuanzao kind, the kind of low-density cellular bone defects, serious one or several pieces of bone and parts All missing. Gout is a metabolic syndrome ③ a disease, should be actively treating hypertension, diabetes and renal dysfunction and other merger-related diseases, to be in stable condition after surgery. Surgical operation is primarily aimed at joints and near the stone: ① where stone diameter of more than 2 cm or more than a stone so that the pool in uric acid increased significantly, the impact of descending uric acid treatment. ② have ulcers, sinus or osteomyelitis formed to break long-term, non-union. ③ stones affect joint function, significantly restricted the activities of patients. If surgery is not invaded stone and bone joints, regardless of whether the merger ulcer and sinus, the majority can and will be coated with stone removed, the incision in five to ten days to heal. Such as stone and bone and joint deep, large piece of stone removed, should no longer use keys, and other equipment will be scraping the remnants of stone fragments as far as possible eliminate, or stone debris will continue in the overflow from the wound, healing effects, drainage should be done at this time Treatment, more than in January after the drainage is not sealed, should be done in the second removal. A small number of serious bone damage, the need to buy bones, joints integration, and the truncated limb, so to promote tophi surgery sooner the better. ① down after dealing with uric acid, a small stone after stone in the blood return to the residue dissolved so that the blood uric acid increased rapidly, if not promptly and effectively to drop acid treatment, after the majority of people in the non-operative joint acute arthritis Some multi-joint alternating repeated incidence. At this point in addition to eat food rich in purine, down uric acid to increase the amount of drugs, and for seven days after the previous day to a daily service 1 ~ 3 mg colchicine, can significantly reduce acute arthritis. ② strengthen hypertension, coronary heart disease, diabetes, kidney disease and other diseases related to the treatment of these diseases under control.

Let me walk with insomnia say bye bye

I have a spare time hobby, is the code word, often in Yeshenrenjing the keyboard when the system automatically switched out in the ring, originally on the old feel less谁知the course of time also suffering from insomnia. Do not eat every day before going to sleep on the stability and took, at the beginning every night to eat two, then three, then later four, sometimes four or effective. Day, I go to the hospital Nayao encountered a doctor, he taught me a clever move the treatment of insomnia - walk. Every day after dinner adhere to the one hour around, but also to brisk walking for one hour around the end of four kilometers, then warm water before bed Paojiao 15 minutes a day less medicine, for six months to quit and stability! Who listened to the doctor, then I will go home together with his wife every day in accordance with the instructions of doctors walk, in addition to bad weather almost no day off, and after each walk are on the Khan-Chen Lee-Chen Lee, a warm water shower washing, Bubble legs, will see a TV and then go to bed. Over time, I was a reduction drug, saying that to you may not, I insist that in less than six months, to really kick the sleeping pills. Now I sleep well, go to bed after the normal 10 to 15 minutes will be able to sleep. His wife调侃said: "Do you like the snoring like Yao Lanqu reminders I sleep." Now, I adhere to walk more than three years, has completely and insomnia拜拜, the body also much better than before, his wife Haisong me a title of "small Iron man. "

"Xianshui heart, after sleep"

With the increasingly rapid pace of modern life, the life and work pressure increased, many middle-aged friends often for their insomnia and worried, and even affect their daily work and life. Many middle-aged friends to sleep there on the understanding of the error, they believe in "Insomnia" In fact, far insomnia. Insomnia in clinical practice there are two major types: sleep difficulties and continued difficulties sleeping or Zaoxing. That is, from lying in bed ready to go to bed to sleep time, after falling asleep or wake up at night time more than 30 minutes, or even completely not sleep. EEG can sleep through accurate and objective judgement of these types of insomnia and to be treated. Of insomnia in older persons, leading to insomnia is a major reason for the disease, mood, the environment and drug areas. Certain diseases caused by cough and asthma, disease, palpitation, many symptoms such as nocturnal enuresis, affects sleep. And from the family, the pressure on all aspects of the work disturbed the mood of tension generated anxiety, irritability, panic, depression and other negative emotions certainly feel bad sleep. And environmental changes, such as noise, bright lights, overheating, cooling, air dirty, mosquito bites, as well as bedtime drink coffee Nongcha or the impact of sleep is also common reasons. The impact of sleep to find the causes, in a targeted manner to eliminate before they can safely go to sleep. "Xianshui heart, after sleep," This is the Song Dynasty, "CAI Ji-sleeping tactic" to tell people the way to sleep to make physical and mental well-being, not Xiangrufeifei. "Worry-free sleep is the" attention should be broad-minded, generous expansive doing things others, grasp the emotions, so the masters of their own emotions, nothing about the heart, Enron natural sleep. A very small number of insomnia patients with the above method still can not achieve the desired effect, then the doctors can be adopted, under the guidance of sleep accompanied by the appropriate drugs, after a period of treatment eventually received a perfect sleep.

Six psychological factors insomnia

From the clinical perspective, from physiological factors, disease, drug and dietary factors caused by factors are far less than the number of cases by psychological factors, the number of cases of the disease. Summary, there are six categories of insomnia caused psychological reasons for the psychology profession recognized by: Psychological fear of insomnia: Many patients with insomnia have "insomnia period of anxiety" at night worried that took on a bed, or try to let themselves go to sleep quickly, the results just the opposite. The cerebral cortex of Higher Nervous Activity is excited and suppression of the two processes. During the day when brain cells in the excited state. After work one day, on the need to rest, sleep and access inhibited, the question to rest after night, and naturally to clear. Cerebral cortex of excitement and inhibit each other, forming alternating cycle of sleep rhythm. "Afraid of insomnia, would like to go to sleep," purported Xiangshui, but "fear of sleep, to sleep," the idea itself is the exciting process of brain cells, therefore, the more afraid of insomnia, Yuexiang sleep, the more excited brain cells, therefore all the more Insomnia. Dream harmful psychological: many people claiming to suffer from insomnia, can not be a correct view of dreams, dreams that sleep is poor performance, harmful to human beings, and even some people mistakenly believe that more is the dream of insomnia. These misconceptions often make anxiety, worried about falling asleep again after a dream that this kind of "alert" psychological, often affecting the quality of sleep. In fact, science has proven that everyone is a dream, the dream is not just a normal psychological phenomenon, but the brain is a work, day in the dream repeat of the experience, help memory, and to clean out unwanted information . Dream no harmful effects on the human body itself, that is harmful to the "dream harmful" psychological, to have their own psychological burden. ERA psychological: Some people because of a fault, feel guilty ERA, the repetition of mistakes in his mind, and his remorse was not handled properly. As things during the day, emotional regret ERA slightly light, the night was "wandering" in ERA, the illusion of regret and excitement, a long time Nanmian. Expectations: this refers to a person or do something people look forward to worry about Shui Guotou delays, which often appear Zaoxing. For example, a "San Bandao" webmaster, as a big night (0:00 to work), often in the evening 7:00 to sleep, for fear of being late, sleep is not practical, and often sleep only 1-2 hours on , He was awakened, long the patients will become Zaoxing. Some people in the promotion, to inform the titles, housing sharing the results will soon be released, often in a state of excitement looking forward to, can not sleep. Childhood trauma psychology of reproduction: Some people since childhood by the loss of parents, intimidation, heavy penalties, such as trauma and fear, a fear of the phenomenon of darkness can not sleep, getting better with age, but the adult period, due to a Similar to the kind of childhood trauma stimulation, it will be suppressed in the subconscious of the childhood trauma of reproduction psychological reactions, insomnia repeat of the phenomenon of childhood. Shouzuwucuo psychological: Some people have been unexpected events after stimulation, we can not make the right response, Shouzuwucuo, I do not know what to do, so sleep at night when Zhanqianguhou, Zuosiyouxiang, but always in a dilemma and Juqi volatile state of anxious excitement . Insomnia duration of treatment decisions At present, the psychologist insomnia is divided into three categories: Temporary insomnia: only few days remain. May be due to emotional excitement, the spirit of a temporary or time difference caused by tension, such as major festivals, conferences, meetings, the examination and cross-time zone travel, and so on, most people can be adjusted up spontaneously, can also see it as a fresh interesting experience . In short, in this moment, do not have to panic, a few days after the dead and more. Short-term insomnia: a few days to three weeks time, people suffering from serious illness or individuals will suffer tremendous pressure often occur. Psychological adjustment usually use the method of self-help sleep or psychological experts, will be eased and improved. Long-term insomnia: can be maintained for years, some people face pressure (or even just the normal pressure), they'll suffer from insomnia, as some people easily in the migraine or chronic gastritis, has formed a deal with the pressure Customary mode. Usually requires a doctor and psychological experts to solve. Alert! Sleeping pills For insomnia is the most simple way to take medicine, which is a doctor of insomnia patients can do to help the most direct and, as patients, especially patients with the best long-term insomnia remain a Xinyan Er - that is, to exercise restraint . Because of the controlled drug use, it will have a psychological dependence. Wei Tao Mao Dun's son, daughter-in-law Chen Xiaoman the "father of his old age Mao Dun's" one book, this section of record: "Daddy has been taking sleeping pills 20 years of history, every night to serve 34 kinds of sleeping pills , Awake at night and served once or twice, often lead to dizziness Tuiruan next morning. We eat sleeping pills persuaded his father, his father did not listen, but that we do not understand the suffering of insomnia. Weitao insisted that her father Taking sleeping pills are so many psychological factors, quietly into vitamin tablets of the drug, that the same can play a role in sleep. This has been two weeks, the father of insomnia does not increase. One day, and Wei Tao and his father talk about Eat from the benefits of sleeping pills, said Chang Fu sleeping pills people have a psychological effect, think of sleeping pills eat less sleep well, actually not. Father does not agree. In order to convince his father, Wei Tao said: you The last to eat sleeping pills, some vitamin tablets, but there is no change in your sleep, that this part of drugs can cut. Huo father greatly, while another of his sons, not from small aunts no longer prepared for his drug A This is my father in his later years performance of the most stubborn thing. " Experts advise: 1 insomnia to overcome the dominant factor on its own initiative on the basis of regulation, only rely on the regulation of alcohol or drugs, in particular, both used and very dangerous, it will greatly damage people's lives and health, at the very least, you need to Tolerate drugs in the next day to you the side effects - "dizziness, Tuiruan." 2 long-term use of sleeping pills, will lead to drug-resistant patients. When a person to a certain quantitative Pharmacy, he would demand a greater dose, will have the same effect, so the formation of a terrible cycle: insomnia medication lead to lead to resistance, to continue to increase the lead to insomnia drug Dose. At this time, sleeping pills become the culprits leading to insomnia. This situation appears, to the best doctors and consultants to provide psychological help. 3 timely search and found that the psychological factors lead to insomnia, reduced the demand for drugs.

Prevention and treatment of debilitating insomnia Pianfang

1. Bedtime drink a cup of syrup, the suppression of the cerebral cortex, will soon go to sleep. 2. Bedtime drink a cup of milk, milk has tryptophan in the role of Cuiren sleep. 3. Before bed, a spoonful of vinegar into the cold water in the drink can help sleep. 4. Lily 15 grams, and regular rice, glutinous rice 50 grams each, a total of Zhucheng Yu, plus adequate Bingtang consumption. 5. 50 grams of fresh lilies, use up a day of flooding, and Bingtang of speculation consumption. 6. Acceptance of the 15 grams of cooked date, the water to cook to Java, with its lily juice will be cooked, ate Decoction. 7. 60-90 grams of fresh lilies can be used with appropriate mixing honey, steamed, before bed clothes, the role of Qingxin soothe the nerves. 8. From 100 g onion slices, soaking in 600 mL of soju, one week after removal. Onion liquor to 10 ml, milk 90 ml, 1 egg, half apple juice. To reconcile, after drinking 30 minutes before bed. 9. Lettuce in a milky white grout, with Anshen role. When used in the film Percutaneous cooked with lettuce, bedtime He Tang, Zhumian effectiveness.

Several of proprietary Chinese medicines to help you stay away from the plight of insomnia

It is learned that China has 300 million adults suffered various degrees of sleep disorders torture, the lack of awareness, only 10% of insomnia patients for medical treatment, the vast majority of patients failed to take the right treatment, medication or even blind, has to The problem of drug addiction, the cycle form a vicious cycle not only delay the disease, but also increase the symptoms of insomnia. Insomnia is not just mental health damage to the performance, but also induced depression of the important risk factors. Again, headaches can hinder sleep, insomnia can also cause headaches. In addition, those who sleep schedule was disrupted by the people, more prone to cardiovascular problems. Insomnia can also harm people in many aspects of normal life, such as: insomnia often do not focus attention there, the poor quality of work, memory, logic and attention decline, fatigue, irritability or forgetful, affecting work and study, Further pressure arising from the tension and interpersonal relations. In medicine are many reasons for insomnia, Silvlaojuan, internal injuries Xinpi, non-payment of yin and yang, heart and kidney do not pay, Yin Huo-wang, heart and stomach Qi and not factors such as the impact of mind and insomnia. Insomnia is always with the occurrence of liver and kidney and Yinxue Xinpi insufficient, the pathological changes of a bad-Shing Yam, Yin and Yang does not pay. When the treatment is to Buxu diarrhoea, to make the principle of Yin and Yang, who fill their virtual lack of Yiqi, nourishing, nourishing liver and kidney; who is more than its nosedive, and Consumers in the lead. According to Chinese medicine, "Lord of the gods, the main emotion liver, heart main blood" and there are five internal organs, "Insomnia" theory, we should start with Bushen Yanggan theory, the use of Chinese medicine Liuweidihuang Wandeng treatment of insomnia generally received more Good effect. Liuweidihuang pill, the Millennium Bushen solution, has a good nourishing the liver and kidney, can be widely used for aging caused by the lack of function, particularly applicable to all the chronic diseases of the liver in the process of lack of Shenyin loss of the disease, Treatment of intractable insomnia general 3-5 days to bear fruit. If the heart Yam inadequate, false fire as a partial-wang Laoshen excessive, palpitation Zhengchong, no night Mei, unresponsive, insomnia, etc. can easily panic-take heart soothe the nerves of the heavenly kings-Pills; If Xinpi deficiency caused insomnia, Zheng Jian Shortness of breath palpitations, insomnia and more dreams, dizziness dizziness, limb Juan fatigue, loss of appetite, and so can be taken Guipi Wan, could be Liuweidihuang and one at the same time taking.

And insomnia, how do »

Sleep on the premise that body relax, including mental, psychological and physical relaxation. Indeed, in some bedtime to relax their activities, sleep is beneficial. For example Mingsikuxiang need to give up the study on behalf of a number of easy things to do, to listen to a light music, watching TV while, can achieve the objective of mental relaxation. To do some minor movement and is also conducive to the body to relax. For example, after dinner before falling asleep or casual outdoor walking, jogging while, Liu Liu dogs, fighting Daquan, muscle because such activities will enable smooth flow, flow to the brain's blood flow would be reduced, people will easily fall asleep. Walking in, the spirit will also be relaxed, it will also help sleep. Of course, before bed can not go to a 100-meter run, or participate in the fierce competition, as the brain instead exciting, difficult to sleep. How the treatment of insomnia » Remember: drug is the last step, but only short-term purposes, not regular service, long-term service, otherwise there will inevitably be side effects. In front of the speakers, insomnia is only a symptom, it may be hidden behind other diseases. Therefore, there insomnia symptoms -- First, we should find out the reasons and because of the treatment. Such as control of blood pressure, treatment of various chronic diseases, only after the removal of causes of insomnia will not improve. Second, the adjustment of good feelings. It is very difficult to feel bad when the Shuihao. Third, pay attention to sleep hygiene. In many cases, insomnia and bad sleep habits are concerned. Including: (1) get up on time every day, including holidays. Even if the insomnia, not the old lying in bed, get up on the bed when. (2) after getting up a little to do some physical exercise. (3) try not to nap during the day. (4) Do not eat dinner Taibao. (5) evening after try not to eat, drink on the central nervous system are excited about the role of food, beverages and drugs. (6) do not read bedtime with irritation newspapers, magazines, avoid provocative look at the TV. (7) before bed can be heated shower, bath or foot bubble. (8) do something relaxing before bed, such as massage, massage and qigong, meditation, and so on. (9) bedroom environment is comfortable, avoid bright lights, noise, temperature to 18 ~ 20 ℃ suitable. Perhaps you would say that these are platitudes. Yes, why can always discuss these often do » That is because these important, but if we really want to do is not easy to persevere and not easy to do more. What are the keys to eat sleeping pills? » Treatment of insomnia, when the removal of the first cause: physical illness, treatment of diseases of the poor environment, changes in the environment; psychological contradictory to the spirit, the spirit of psychological problems to solve. Only in the more serious insomnia, dragging a long time and the circumstances, to consider eating sleeping pills. I am here to talk about the "ideal" What kind of sleeping pills should be, we can refer to choose. (1) hypnosis can be quickly, after taking 30 minutes will be able to sleep. (2) do not cause changes in sleep rhythm. (3) not Suzui, that is to wake up the next day after the medication had no dizziness brain up, Hunhunchenchen like drunk the same feeling, on the contrary should be consciously clear-headed and full of energy, work and study and improve the efficiency of both. (4) without breathing effect. (5) do not cause drug dependence, addiction. (6) and other interaction between the drug. Insomnia patients to long-term use of sleeping pills? » A sleeping pills should not generally even served more than four weeks. After four weeks should be suspended two weeks. If you need recycling, should be for another kind of sleeping pills and sleeping pills to prevent the addiction or drug dependence. I have a lot of long-term treatment of insomnia patients, in fact many of depression, but patients suspected of referral to a mental hospital "reputation is not good" and refused to result in out-patient with a large number of sleeping pills, is to eat a few years, More than 10 years, the final form of drug dependence, was admitted to a mental hospital "detoxification." Some patients also do not want to admit they have depression, eating their own long-term sleeping pills, the ultimate result of increased symptoms of depression and suicide deaths. In addition some patients clearly know they are depression, but that antidepressants statement read many side effects, the drug that should not eat, the symptoms worsen suicide deaths. As a doctor, in the face of such patients, we very sad: can the rule of impartial governance, the end to the tragic outcome, it is unnecessary! Finally, I once again told readers: sleeping pills is not a solution to long-term insomnia a good way, the best way to resolve the insomnia is to identify causes of the right remedy.

Eating improperly let you sleep

Very few people will "eat" and "sleep" linked to yesterday, Yan Chai Hospital Clinical Nutrition Section of Ruan Yi and Chen Wanrong two doctors in an interview with reporters when that result in sleep disorders for many reasons, but many Insomnia, it is precisely because the day before bed or eat in the "outdated" food and led to a night Zhanzhuanfance. By the fast-paced life of modern society, pressure, and nightlife, drinking and other bad living habits of the impact of sleep disorders in the younger trend year by year, most of which are engaged in IT, information management and mental workers. Sleep problems have become increasingly concerned about. According to the World Health Organization survey, the world some 27 percent of the people there sleep problems. According to unofficial statistics, Shanghai has only 15% of the people there insomnia, 56 percent are female. In fact, sleep and eating are closely related. If you eat too much greasy dinner rich too late to extend the stomach emptying time, stomach, intestine, liver, bile, pancreas and other organs in the postprandial of hard work will be sent information to the brain, caused the brain active, and spread to Other parts of the cerebral cortex, which can not be a good night sleep. Many people would look at the drink to make their own Haoshui. However, often drink a cup before bed, the price paid may be the middle of the night woke up several times, seriously damaged the quality of sleep, and alcohol which may inhibit their rapid eye movement-related, resulting in a very short period of deep sleep or virtually no. So this is a drinking habits of people, spent a lot of time in bed, but sleep quality is very poor reason. In addition, excessive gas consumption of food, which may not Anshui night, spicy foods interfere with sleep, hot pepper, garlic and onions Taste of Health food will cause some heartburn and indigestion stomach, which interfere with sleep. Excessive consumption of food or drinks containing caffeine is often lead to insomnia incentives. Especially for some caffeine-sensitive people, even if only the afternoon, a cup of hot cocoa, is enough to make it quite Nanmian. In addition, the diuretic effect of caffeine will make you want to Shuigehaojue hopes dashed. How to eat before bed ● dinner to eat a little less, but Yi Xiaohua appropriate choice of low-fat foods containing protein, such as fish, chicken or lean meat. Appropriate amount of carbohydrates (such as rice, wheat and other cereals), a sedative soothe the nerves play a role, who is particularly useful for insomnia. The need for non-work into the crowd Yexiao not, should choose light, water and Yi Xiaohua more food. 6:00 p.m. Dinner, 22:00 sleep is the most scientific way of food and rest. ● avoid abdominal Flatulence food: beans, cabbage, onions, green peppers, potatoes, corn, bananas, bread, desserts and carbonated drinks, such as. ● Zhumian appropriate supplementary food: milk (one of α lactalbumin rich in tryptophan and morphine-like peptides), oats (inclusive of other non-cereal rich in saponins and B vitamins), pollen and propolis (With a higher nucleic acid), lotus seeds, pearl powder, South jujube (with Yang Xin soothe the nerves).

The elderly Xinjing less insomnia

Not easy to sleep, sleep too shallow and easy to awaken, wake up after not Zaishui, which is almost the elderly common difficulties. Many elderly people taking it in turns to use hypnotic, and continue to increase volume, but the effect is getting worse. In fact, the elderly do not feel less burden as insomnia, sleep less and should be shallow, as a physiological phenomenon. An Shui dispel a long time to be kind of old-age stereotypes. The elderly do not sleep better, the general 6-8 hours a day, you can meet the requirements. At the same time, the majority of the elderly insomnia is caused by psychological factors. Prolonged bed rest, sleep hard to pursue the extension of time, it will facilitate psychological barriers, increased insomnia. Medical experts noted that the vast majority of sleep disorders of the elderly without drug therapy, can improve sleep habits and psychological adjustment to achieve the objective. Adopt the following ways to improve elderly people's sleep. ● a fixed daily exercise time, 1-2 hours before bed to a minor physical activity, good sleep. ● regulate their own sleep clock, on-time living. ●-dinner drink, do not drink within a few hours before bed coffee, Nongcha, eat snacks; cup of hot milk to sleep. ● should quit smoking, especially before bed or sleep when not smoking. ● best or foot bath every night before bed, and then go to bed

Dilated cardiomyopathy awareness

Dilated cardiomyopathy is the main characteristics of unilateral or bilateral heart enlargement, pump myocardial systolic dysfunction, have congestive heart failure, used to be known as congestive cardiomyopathy. Heart failure, arrhythmias, embolization is the expansion of the three common complications of heart disease, high mortality, men more than women (2.5: 1), the incidence rate of 5-10/10 million. Cause Dilated cardiomyopathy may be certain factors and the virus. Metabolic disorder caused by bacterial poisoning of myocardial damage. Viral myocarditis which is considered the main reason. Pathological Expansion to the main cavity, visible to the naked eye ventricular expansion, multi-wall thinning, fiber scar formation and are accompanied by wall thrombosis. Valve, coronary have no change. Organization of non-specific myocardial hypertrophy, degeneration, in particular the different levels of fibrosis and other diseases mixed there. Clinical performance [Symptoms] Slow onset, the more obvious clinical symptoms when treated if short breath, or even Duanzuo breathing, swollen liver and large congestive heart failure signs and symptoms, to diagnosis, some patients may occur embolism and sudden death. Expanding common congenital heart disease left heart failure performance: Early Changbiaoxianwei after shortness of breath or fatigue, weakness, palpitations, to the late development, performance for the rest, shortness of breath, fatigue, even at night can not sits flat, we must raise the pillow. Shuangfei can hear the sound-and wet, with cough, acute pulmonary edema, cough pink bubble-like sputum. Right heart failure common performance: general for the cycle of the performance of congestion, such as lower limb edema, pleural effusion, ascites, abdominal distention, poor appetite. [Signs] Signs for the major expansion of the heart, general and heart murmur could be heard, 75% of cases could be heard was the third or fourth heart sound Benma law, usually combined with various types of arrhythmia. Check ECG: This shows that a variety of cardiac abnormalities such as atrial fibrillation, block, and other arrhythmias. ST-T changes, Q-wave rare. Diagnosis This lack of specificity of diagnosis, clinical heart to see increased, arrhythmia and congestive heart failure patients, such as echocardiography confirmed that want to expand cavity filled with the heart throb of weakening, which should consider the disease May be, but it should be clear except for the quality of the various causes of heart disease, such as acute viral myocarditis, rheumatic heart disease, coronary heart disease, congenital heart disease and various secondary cardiomyopathy, and so will not be allowed to establish the diagnosis . Treatment and prognosis Ranging from the length of the course, congestive heart failure in the higher frequency, poor prognosis. The cause of death for many heart failure and serious arrhythmias. General symptoms that appear in a five-year survival rate of 40%, 10-year survival rate at 22 percent. Due to unknown reasons the disease, there is no special treatment. Principle is against the current treatment of congestive heart failure and all kinds of arrhythmia. General is to limit physical activity, low-salt diet, application of digitalis and diuretics. However, the disease occurred more digitalis poisoning and should therefore be anti.

Hypertrophic cardiomyopathy awareness

Myocardial hypertrophy on Asymmetry, ventricular cavity characterized by smaller, left ventricular filling blocked blood, diastolic compliance dropped to the basic pathological cardiac disease. Cause Hypertrophic cardiomyopathy may be autosomal dominant genetic related. About 1 / 3 of a clear family history. Catecholamine metabolic disorders. Hypertension, high-intensity campaign for the SIN factors. Pathological Hypertrophic cardiomyopathy major changes in the cardiac, in particular the left ventricle shape change. Characterized by inequality, such as thickening of the cardiac septum, also uniform myocardial hypertrophy (or) the type of apex hypertrophy. The characteristics of the Organization for myocardial hypertrophy, the specific shape, with disorder. Left ventricular septal myocardial cells in particular. Clinical performance [Symptoms] Hypertrophic cardiomyopathy clinical onset slow, multi-onset before the age of 30, about 1 / 3 with a family history of disease incidence history. Shortness of breath with the most common, after increased activity. Palpitation, such as chest pain. May have tired of the heart before the pain , Or when dizziness or syncope. Some may be no obvious symptoms or fewer symptoms, ultrasound and electrocardiogram showed that septum (or) non-symmetry of the left ventricular posterior wall thickening. Ventricular cavity narrow, narrow outflow tract. [Signs] Heart mild increase, and fourth heart sounds can be heard, the apex systolic murmur. Check ECG: The most common mast for left ventricular hypertrophy, ST-T changes, the pathological features of its Q-wave. Diagnosis The performance of similar clinical or ECG of patients with coronary heart disease, such as younger patients, the diagnosis of coronary heart disease is not based on other heart disease can not fully explain, they should consider the possibility of this disease. With ECG, echocardiography and cardiac catheterization to make the diagnosis. If positive family history (sudden death, heart increases, and so on) more conducive to the diagnosis. The disease through echocardiography, cardiovascular imaging and subendocardial myocardial biopsy can be heart disease and hypertension, coronary heart disease, congenital heart disease, aortic stenosis, such as differential phase. Treatment and prognosis The sudden death of the main reason for young people, more than the cause of death was heart failure in children, the advocates of ß-blockers and calcium channel blocker therapy. For patients with severe obstructive for intervention or surgical treatment.

Currently known dilated cardiomyopathy in the pathogenesis

As far as is known the cause are as follows: 1. Infection immune response that cardiac disease is a virus infection after the myocardial damage caused by immune. This is the basis for support for: ① many cardiac patients in the original onset healthy or suffering from diarrhea after respiratory infections; ② cardiac patients in cardiac immunoglobulin increased; ③ myocardial inflammatory pathological examination in the performance, such as interstitial fibrosis with lymphatic or monocyte infiltration; ④ cardiac patients have T-cell function suppression of evidence, suggesting that their immune response is there; ⑤ some cardiac patients natural killer cell function; ⑥ individual cardiac patients, especially early in the course of patients with hormone therapy effective; ⑦ cardiac patients with blood in the Coxsackie B virus and antibody is higher than normal. Now that violations of myocardial Coxsackie B virus, the virus early in the proliferation of cardiac cells and cause myocardial necrosis, this time using immunosuppressive drugs harmful. The second phase, the virus can no longer myocardial find, but there are more thymus source of T-lymphocytes, such sensitized cells to cardiac cells, immune from pathological muscle necrosis. Lymphocyte infiltration and myocardial necrosis can be found in any cavity, may be left ventricular cavity of the high pressure involved more. The latter part of the inflammatory cell infiltration reduced or disappeared, the lesions become fibrosis, and myocardial hypertrophy in or out of the cells are intertwined, this stage is dilated cardiomyopathy in the composition stage. In addition to the typical process, some cardiac patients lack of evidence of infection, when interpreted as a viral infection spread to the heart despite, but not obvious symptoms but not the attention, after cardiac diseases and potential for continuous development of signs and symptoms appear by Xi . Therefore, it can be considered part of the patient is the chronic stage of myocarditis or sequelae, but it is difficult at this time myocardial virus or isolated by fluorescence immunoassay find specific antigen, and the infection can not be sure of the cause and effect relationship. - Infected immune response in the present, though a doctrine of dilated cardiomyopathy incidence of major doctrines, but there are many areas and issues not yet clear, pending further study. 2. Myocardial of the small branches of the coronary artery disease, caused cramps and obstruction, but failed to confirm widespread. 3. Some cases of myocardial metabolism of certain enzymes, such as the lack of succinate dehydrogenase, but this may be the consequences of failure mechanism rather than the first. 4. Some cases and nutrition-related obstacles, such as the lack of selenium in the diet may cause cardiac changes, but not all cases are selenium deficiency.

Dilated cardiomyopathy cause of the pathology

Heart weight increase, which is about twice the normal. The heart enlargement, myocardial grey and relaxation. Although the heart wall myocardial hypertrophy, but room cavity wall thickness is still room to expand and close to normal. Endocardium can also be thickened. Cavity wall containing many see thrombosis. Common myocardial fibrosis, a focal distributed in the wall of the inner edge, a wall-damaged Kexin, pacing the heart of the conduction system violations may be. The heart of the microscope examination found that the lack of specificity. Fiber can see myocardial hypertrophy, condensation nuclei, deformation or disappeared, a cavity formed within the cytoplasm. More fibrous tissue, or because of increased collagen organization, or focal myocardial fiber was replaced by fibrous tissue. Myocardial fiber cable can be of fiber-like organization by the partition. Endocardial in the collagen and elastic fibers has also increased. Different degrees of degeneration can see that most of myocardial cells dissolved, especially more common in cases of long duration. Electron microscopy see myocardial mitochondrial swelling, broken or disappeared ridge; muscle serous space to expand, fibrous material and the granular lipofuscin; myofibril can disappear. Cardiomyopathy contraction of the heart weakened. Early capacity, such as left ventricular systolic left ventricular pressure increased slow down, slow down the speed of Penxue. At this point stroke volume decreased by compensatory accelerated heart rate, cardiac output can still maintain. After the left ventricle not emptying, the residual blood, end-diastolic pressure increased, the progressive development of left heart failure. Long left atrium, pulmonary artery pressure have increased in the last right heart failure. A small number of cases of disease mainly to the right ventricle, the development of right heart failure. Ventricle of the heart valve ring expansion to expand, resulting in the tricuspid valve or mitral regurgitation. Cavity expansion, increased tension within the heart wall, oxygen consumption increased, myocardial hypertrophy, accelerated heart rate caused relatively myocardial ischemia, and myocardial oxygen perturbation has the ability to limit and thus can cause angina. Cardiomyopathy involves pacing and transmission system can cause all kinds of arrhythmia.

Cardiomyopathy clinical manifestations and treatment

Cardiomyopathy Myocardial disease known as primary myocardial disease, idiopathic cardiomyopathy, a group of unknown cause of myocardial to the non-inflammatory lesions consisting mainly of heart disease. To the heart of the mast, arrhythmias, heart failure and blood clots as the main performance. This type of cardiac disease and other diseases no obvious correlation. Usually divided into dilated, hypertrophic cardiomyopathy and restrictions, such as 3, before the two-for多见. This disease belong to the medical "palpitations", "Zheng Chong," "edema" and other areas. [Clinical] 1. Dilated cardiomyopathy, also known as congestive cardiomyopathy, a pathological, myocardial degeneration, fibrosis, heart cavity for the expansion of prominent, and its main characteristic is the contraction of myocardial dysfunction and then in heart failure. Easy to merge all kinds of arrhythmia patients and embolism, or sudden death occurred. Patients with more than a palpitation, short breath, chest tightness, heart Bie area before symptoms such as pain does not apply. There were heavy swelling, Duanzuo breathing, liver enlargement with tenderness, such as congestive heart failure performance. 2. Hypertrophic cardiomyopathy, like myocardial hypertrophy of non-symmetry, to narrow the characteristics of ventricular cavity. Patients may have palpitations, shortness of breath, chest tightness of chest pain, labor, and other symptoms of breathing difficulties. Weight, dizziness and syncope occurred. With outflow obstruction, in effect immediately, or movement often induced vertigo, loss of consciousness or even the performance. 3. Restricted cardiomyopathy, a heart endometrial hyperplasia fiber-based, resulting in the systolic and diastolic heart function is affected. Patients with obstacles to returning to the right heart, right heart failure significantly, there palpitations, difficulty in breathing, swelling, Nuzhang jugular vein, liver enlargement, such as performance and ascites. [Diagnosis] The diagnosis of cardiac disease in a comprehensive diagnosis based, according to a typical clinical manifestations, such as cardiac ultrasound checking and supporting the cardiac pathology results comprehensive judgement. Attention should be the exception and other cardiovascular diseases. [Treatment] 1. Western medicine treatment (1) causes of control: a positive deal with infection. (2) to promote myocardial metabolism: to inosine, large doses of vitamin c and polarization, and so on. (3) control of heart failure: diuretics and cardiac glycosides, from ascending to dose and gradually increase. (4) to correct arrhythmias: In accordance with different types of arrhythmia election anti-arrhythmia drugs. 2. Chinese medicine (1) Qiyin double loss: palpitation shortness of breath, Shenjuan easily tired, chest tightness not Shu, spontaneous perspiration thirst, less-Shehong, the clock breakdown or guitar. Treatment: Yiqi Yangyin. Recipe: Radix Pseudostellariae 30 grams, winter days, Ophiopogon japonicus, situ, Schisandra, Dendrobium, lo grams of the TGP, Zhigancao 8 grams. (2) Yang Pan-water: palpitation chest Bie, Shenpi shortness of breath, cold-Zhileng, swelling oliguria, moving the asthma, Moss white, Shen Fine veins. Treatment: Onyang and Water. , Recipe: Fuling 20 grams, 15 grams Zhuling, the system of films, TGP, white tricks, dangshen, 10 grams of Salvia, Guizhi, Dried Ginger all six grams. (3) to Yang from: palpitation short breath, not sits flat Hanchulinli, hand-foot-Jueleng, tongue moss white light, pulse Shen Fine extremely weak. Treatment: back-from-solid. Recipe: Ginseng 15 grams, 12 grams system of film, the keel 30 grams, 20 grams oysters, cornus officinalis, Ophiopogon japonicus, situ, Salvia, Chinese angelica, astragalus to 10 grams. [Prevention and tone] I. Aggressive treatment may result in the incidence of cardiac disease. 2. According to cardiac function, appropriate activities, but must not be too tired, should rest, bed rest should be in critical condition. 3. Catering to light, heart failure should have control of sodium and water intake, the law of life, and to avoid Shouhan induced diseases aggravated.

The treatment of myocardial disease characteristics

Heart disease, including coronary heart disease, angina, myocarditis, dilated cardiomyopathy, cardiac autonomic dysfunction, arrhythmias, heart Bo morning (before the contraction of the heart), heart block, rheumatic heart disease, heart failure ( Heart failure), and other heart disease. The symptoms of heart disease, in particular the clinical symptoms of angina pectoris and more for chest tightness, chest pain, palpitation (flustered). Angina pectoris due to coronary heart disease is the basis of pathological changes of atherosclerosis, coronary heart disease treatment, including treatment of angina, from the perspective of modern medicine can not cure. In response to this medical problem, Ding Chinese medicine successor Dr. Ding Dayu Based on years of clinical experience and research results has been developed treatment of angina pectoris effects of drugs, "Hu Ling Dan Capsule" and "Dange capsule." Angina solve the medical problems of repeated attacks. The "Tiger Ling Dan Capsule" treatment of angina pectoris was identified as the focus of Jilin Province, Chinese medicine research projects (96), the Tiger Ling Dan capsules as a treatment for coronary heart disease, angina in 05 of the new drug was National invention patents. And a large number of clinical pharmacology and toxicology experiments show that the tiger Ling Dan capsule and the capsule is effective Dange rapid, complete treatment, non-toxic side effects of the merits of their drug treatment theory and composition were significantly different from the domestic treatment of coronary heart disease heart cutter The pain of other drugs, these two drugs as two new drugs in the treatment of heart disease in 2006 by the Jilin Provincial Food and Drug Administration approval. As a result of these two drugs can regulate the pharmacological effects of human physiological balance, to improve its own human pathological changes such as the role of the repair capacity. Therefore, in clinical, in addition to treatment of angina pectoris and other heart disease such as dilated cardiomyopathy, myocarditis, all kinds of arrhythmia, autonomic dysfunction, and so have a very good therapeutic effect.

Differential diagnosis of cardiac disease

Differential diagnosis of cardiac disease April 9, 1998, the Beijing Union Medical College Hospital heart medicine experts, Professor Ji Baohua, through the Guardian medical network - Union Medical College Hospital long-distance diagnosis centre, external assistance provided by the provincial hospital patients were long-distance consultations, from diagnosis to treatment of one by one And put forward their views. Published here, for the exchange. First, medical records Abstract: Female patients, 52-year-old, married, Han nationality, due to repeated chest tightness, palpitations more than six months, adding to two months of admission. Patients in September 1997 due to exertion or emotional after chest tightness, palpitations, shortness of breath, rest can be eased. The last two months, chest tightness, palpitations Obviously, in January 24 this year, his income homes, in the hospital was diagnosed as one. "Dilated cardiomyopathy and heart function III-class", 2. "Polymyositis." To "West to Portland, furosemide," such as medicine, the symptomatic treatment after symptoms eased slightly, with demand for a clear diagnosis, in the March 16, 1998 transferred to our hospital. Previous history: In 1995, the muscle biopsy, diagnosis as "polymyositis" in September of that year found that the frequency of the electrocardiogram of the room as early as Bo. Polymyositis has been used by one month the "strong pine" treatment (30 mg / day dose, after the gradual reduction). On the Green, streptomycin allergies. Investigations of: T 36.5. Ο C P 89 times / sub-R 18 / min BP 18/12 kpa. Clear consciousness, filling jugular vein, two in the lung and a little moist Luo Wen-heart on both sides of industry to expand to the left significantly, heart rate 89 times / points, missing law, it is the early 7-8 Bo / min, Wen and the apex District II-III-class systolic murmur. Abdominal soft, referring to the liver in Leixia 3, under 5 that Jiantu, quality, light tenderness, liver - levy suspicious neck back positive, both lower extremities mild swelling. Supplementary examination: blood: WBC10.4 G / LN 54%; echocardiography: the increase of the left, left slightly increased, the lower left ventricular function, mitral, tricuspid a small number of anti-flow; electrocardiogram: sinus Rhythm, not entirely left bundle branch block, multi-derived rooms as early as the frequency of clinical cardiomyopathy electrocardiogram changes; chest X-rays: Shuangfei door shadow increased heart rate increased significantly, the left and right ventricle increase ; Abdominal CT scan: hepatomegaly; chest CT scan: left ventricle increased Holter: sinus rhythm, the frequency of the RUF as early as the speed and shorter, more frequent source of long and short-room array ventricular tachycardia, indoor Block; limb muscle biopsy: the number of myocarditis; myocardial enzymes: LDH 493 U / L, α-hydroxybutyric acid dehydrogenase 526 U / L, CPK 2000至3085 U / L (normal: 195 U / L), CK-MB: 106 U / L. Preliminary diagnosis: 1. Dilated cardiomyopathy, frequent premature ventricular contractions, heart failure (cardiac function Ⅱ - Ⅲ level); 2. Polymyositis. Therapeutic Use: enteric-coated aspirin 100 mg qd, Chino of 0.2 Bid, Rachel Yan Lok 100 mg Bid, phenytoin 0.1 Tid, polarization treatment. Second, Professor Ji: 1. Echocardiography said the left atrium, may I ask specific numerical » (Answer: 46 mm); 2. Let me see if chest X-ray » (The scene to produce X-rays) Third, Professor Ji-site analysis: Review of the patient's medical history and check all kinds of information, I think that is not consistent with the disease, "Dilated cardiomyopathy." First of all, the heart is not in line with increasing extent, heart shape from the X-ray view does not increase significantly, from echocardiography, left the increased value of only 46 mm (normal is about 40 mm), the increase was not obvious , And the left ventricle is also only slightly increased. Dilated cardiomyopathy is多见committed to expand and extend the very obvious, particularly the left ventricle is more obvious. In addition, dilated cardiomyopathy is unknown cause of heart disease, the diagnosis prior to the next, we should first rule out the possible existence of the various risk factors. Patients with a connective tissue disease - the existence of polymyositis. Spectrum from the muscle of view, CPK (creatine phosphokinase) from 2000 mg / L to 3085 mg / L (normal value of 195 m g / L below) and muscle biopsy support, patients have systemic symptoms of muscle pain, Note also multiple myositis activities. Polymyositis can myocardial involvement, can cause heart failure and cardiac different degrees of expansion. Therefore, the patient should first take into account the secondary cardiomyopathy may be, that is secondary to polymyositis. Therefore, the first treatment to control the disease. Treatment: consider the use of corticosteroid control polymyositis. For the treatment of heart failure, I think that you now use a single too. You now only awarded welcomed the music, this is nitrate drugs for anti-heart failure are performing poorly. General would also like to combine anti-α1-adrenergic receptor drugs, or anti-angiotensin-2 enzymes convert the drug, so not only reduces heart before the load, can reduce the load after; proper use of diuretics, also reduce the burden of heart Necessary; digitalis drugs can also be appropriate to use, comprehensive anti-congestive heart failure. Anti-arrhythmia, in general do not advocate using phenytoin, the drug digitalis poisoning for many patients, but also a 1000 mg / first day of the next day, 500 mg; while you are 100 mg 3 / day, the dose is clearly not enough. Propose to you for using propafenone, triethylamine iodine-skin.