Friday, July 11, 2008
How to prevent the occurrence of epilepsy
Epilepsy disease prevention is very important. The prevention of epilepsy involves not only the medical field, but also the whole society and relevant. The prevention of epilepsy should focus on three levels: First, focus on the causes and prevention of epilepsy in the second to have the author, to prevent the emergence of symptoms of epilepsy; three epilepsy patients is to reduce the physical, psychological and social adverse effects. (1) the prevention of the occurrence of epilepsy That is the cause for a cure epilepsy and prevention. Genetic factors make some children with susceptibility to seizures, in a variety of environmental factors under the trigger epileptic seizures. In this connection, like to stress the importance of genetic counseling, should conduct a detailed investigation of the family, understanding of parents, close relatives and compatriots on whether there are characteristics of seizures and attacks, whether there is a history of febrile seizures, asked his cell, descendants and other relatives The incidence rate may be a rough estimate, and pay attention to marriage fertility problems, birth to children with epilepsy and improve the quality of the population. On can cause mental retardation and epilepsy in some serious genetic disease, prenatal diagnosis should be carried out or neonatal screening examination to determine termination of pregnancy or early treatment. For secondary prevention of epilepsy should be clear to the special cause, the attention of prenatal maternal health, reduce infections, nutritional deficiencies and diseases so that the fetus less subject to adverse effects. To prevent accidents maternity and neonatal-onset epilepsy injury is one of the important reasons to avoid injury to the middle class is important to prevent epilepsy. If we can make periodic checks to pregnant women, the implementation of clean delivery, the timely processing of produce, could have been avoided or reduced production of neonatal injury. For the period of high fever in infants cooler dedicated to give adequate attention to avoid seizure, drug seizures should be immediately controlled. On the central nervous system diseases in children should actively prevent and timely treatment to reduce consequences. The health of pregnant women do work, attention to child custody, child care for the prevention of epilepsy are of great significance, because some of epilepsy in children born shortly after the onset, because many women during pregnancy do not pay attention to the spirit of tone, not to strengthen human nutrition, and other factors , So the ancients have epilepsy occurred in the "births" said. Therefore, attention should be paid to child custody, child care, so mothers can not only make good health and can also make good fetal development, so as not to lead after birth because of inherent weaknesses become prone to epilepsy in children. (2) prevent the emergence of symptoms of epilepsy Mainly refers to epilepsy-induced factors and children with epilepsy to undertake a comprehensive treatment to control epilepsy seizures. Statistics show that patients in the first seizure, the recurrence rate was 27 percent to 82 percent in a single attack after the majority of patients will relapse seems, therefore, prevent the return of the symptoms of epilepsy it is particularly important. For this reason, patients should be to create a good living environment, so that patients develop a healthy lifestyle, avoid emotional, mental tension, overworked, restaurants and not a special section, and other physical and chemical stimulation. For patients with epilepsy should seize the opportunity to make the diagnosis, determine the type of early treatment. The sooner the treatment, brain injury is, the less recurrence, the better the prognosis. It is necessary to correctly use a reasonable and timely adjustment of dose, the attention of individual treatment, treatment should be a long, slow process of withdrawal, and should adhere to the law medication, if necessary, to the effect of drugs used by the assessment and monitoring of blood concentration. Avoid chaos for drugs, non-standard medication. Remove or reduce the incidence of the original cause of epilepsy, such as occupying intracranial disease, metabolic disorders, infections, the recurrent cases have important significance. (3) to reduce the sequelae of epilepsy Epilepsy is a chronic disease, can be deferred several years, even decades ago, thus the patients physical, mental, marital status and socio-economic cause serious adverse effects. In particular, is a lot of complicated social problems, such as deep-rooted social prejudice and discriminatory attitudes of the public, patients and family relations, school education and employment, and the unfortunate setbacks, cultural and sports activities such as the restrictions, not only will patients have a stigma and pessimism Psychological, with serious impact on the physical and mental development, but also in troubled families, teachers, doctors and nurses, and even society itself. Such seizures caused by the aftermath of the social problems are related to people's ability to overcome the key to epilepsy, and the people's awareness of the issue, study and resolve is far from epilepsy itself and to the diagnosis and treatment, which can not be said that instead of epilepsy research A major regret. So many scholars emphasized that the prevention of epilepsy social consequences of the disease and its prevention are equally important, epilepsy patients that is the aftermath of the body, is also the community as a whole, which requires all sectors of society with epilepsy understand and support, To minimize the social consequences of epilepsy.
Beware febrile seizures changed epilepsy
Febrile seizures, as the name suggests is caused by high fever and convulsion. Common in children less than 6 years old, because of what happened outside the central nervous system infections, the body temperature of 38 ℃ by the fever over the seizure. Many parents worry that children with high fever and convulsion will be transformed into epilepsy. In fact, this worry is not superfluous. Under normal circumstances, febrile seizures after most of the course is good, but high fever caused by a recurrence of the convulsions that the characteristics and the tendency to epilepsy. According to clinical survey, febrile seizures in children than the general rate of children with epilepsy 3-6 times higher, but any type of seizures can change from the febrile seizures. Domestic and foreign scholars believe that the existence of the following factors will change significantly increased the risk of epilepsy: 1, a family history of epilepsy. 2, the first high fever and convulsion before the onset of certain suspicious or abnormal nervous system development. 3, the complexity of febrile seizures, convulsions such as the duration of more than 15 minutes, fever within 24 hours of repeated attack or limitations of attack, after the attacks the nervous system and other abnormal signs. In addition, electroencephalogram (EEG) check for tips febrile seizures can also help to epilepsy. But to note, more accurate EEG examination time should be arranged in 1-2 weeks after the attack, because of high fever seizure in the week about 1/5-3/5 of the children are non-specific EEG slow wave increase. Therefore, the 6-year-old children within the regular fever, parents and doctors should actively prevent febrile seizures into epilepsy, in addition to peacetime improve the health of infants and young children, to reduce the incidence of febrile seizures, the two main measures to be taken: 1. Is febrile seizures attack, immediately intravenous injection stability and ease 0.2-0.5 Mg / Kg. At the same time maintain respiratory smooth, cool down and to take measures such as oxygen inhalation and the other is to have febrile seizures in children with risk factors, the use of intermittent short-term use of anti-epileptic drugs, or in children under the recurrence of the number of risk factors, long-term service to the benzene Barbieri Properly and sodium valproate, and other anti-epileptic drugs. The selection of drugs and the specific use of Zunyi Zhu should be carried out.
How to control epilepsy had
People suffering from epilepsy should not drive all kinds of vehicles, machinery operations and not to engage in high-altitude operations to prevent the lake, river, Jingbian play, can not swim. Kankongbupian avoid concept, not playing games, when the focus should not be frightened. Fasting tobacco, alcohol, spicy, pork, lard and other provocative strong things. Difficult to over-exertion: including mental work such as manual work, mental work is the main problem of over-thinking, work pressure. Playing chess or playing cards, such as over the heart. Most of manual re-mainly physical. Internet time is too long or long-term Aoye can induce seizures. Treatment of epilepsy treatment must establish confidence, no haste is not impatient. And have the confidence to overcome the disease. Should not Zibaoziqi. Moderate physical activity, may increase its resistance. The lives of seven conditioning, two-thirds of drug treatment, we can overcome epilepsy seizures. Eventually overcome the disease. During treatment, can not be replaced free of drugs, can not be a sudden withdrawal, if common diseases should be timely treatment. Or contact with the attending physician, medication guide.
Wednesday, July 9, 2008
The possible cause of peptic ulcer What are the factors
The cause of peptic ulcers and pathogenesis, despite the many years of research, has not yet been fully clarified. Is now sufficient evidence that its incidence is not a factor involved, but involves a variety of factors. However, under normal circumstances, stomach, duodenum mucosa can withstand these factors invasion of harm. Stomach, duodenum mucosa have such self-protection mechanism in order to avoid the invasion of harmful factors and to maintain the stomach, duodenum integrity. The stomach, duodenum a protective role of the main factors mucosal barrier, a mucus bicarbonate barrier _ mucus blood flow, cell update, prostaglandin, such as epidermal growth factor. Although the cause of peptic ulcers are still not clearly explained, but in general, because of stomach and duodenal mucosa damaging effects of self-defense mucosal invasion and loss of balance between the factors of the results. Is generally believed that genetic factors, geographical environment, climate season, restaurants, Helicobacter pylori, drug stimulation, smoking, mental factors, the impact of certain diseases and gastric and duodenal mucosa their own protective factors and so on and peptic ulcer On the incidence.
Ulcer disease and old age should be differentiated from the diseases?
(1) functional dyspepsia. This means there are no symptoms of ulcer dyspepsia or other , such as chronic gastritis and duodenitis or biliary disease. Patients frequently have anxiety, insomnia, nervous tension, depression, mental factors can induce or increase, the effective treatment of anti-ulcer medicine, gastrointestinal motility drug use could significantly ease. In this disease is quite common in young women, the elderly are not uncommon, attention should be paid with identification. (2) of gastric cancer. Benign and malignant gastric ulcer ulcer (stomach cancer) is sometimes difficult to identify. Some ulcer type of gastric cancer in the early days, its shape and clinical performance and benign gastric ulcer is similar, or even the anti-ulcer treatment can be temporarily healed, and to the early diagnosis difficult. Benign and malignant gastric ulcer in the differential based on X-ray, pathology and endoscopy examination, therefore, for all elderly patients with gastric ulcer should visit gastroscopy, and many take some marginal ulcer biopsy to determine the nature of ulcers. (3) chronic gastritis. The disease may have similar symptoms of peptic ulcers and easy with their confusion. Analysis of gastric acid found lack of peptic ulcers can be ruled out, a higher incidence of the disease, gastroscopy is the identification of the two main methods. (4) chronic duodenitis. Has not yet sure whether the disease can be developed for the duodenal ulcer. Both clinical and X-ray imaging is similar, relying mainly on their differential diagnosis of duodenal endoscopy. (5) Gastroptosia. The disease can be associated with kidney, liver and other internal organs down, and indigestion symptoms appear. All of its symptoms when the increase in the upright, sits flat at ease. Barium X-ray inspection without the X-ray signs of ulcers, stomach and small bending shows that the lowest point in the iliac crest level Following is the basis for the diagnosis of the disease. (6) chronic biliary disease. Biliary motor dysfunction can cause seizures spastic right upper quadrant pain, pain more than in the meal, the application of basic drugs can not be alleviated. If asked in detail about history, with the gallbladder X-ray imaging, B-chao, liver and gallbladder γ camera flashes, such as inspection, can be diagnosed.
Tuesday, July 8, 2008
Hepatitis merger of liver cancer treatment principle is what?
Hepatitis merger cancer of the liver cancer should be based on size, location, transfer or sub-clinical stage, and then determine the treatment principles: (1) morning, the medium-term patients: cancer small size, condition and liver patients basic situation better, no signs of the transfer, no other taboos surgery, the surgery as soon as possible, after treatment with Chinese medicine and immunization. Some patients is expected to completely cure or prolong survival. (2) mid-term patients: cancer larger, and important parts (such as hepatic portal) nearby, there is no indication for surgery, can be radiotherapy and chemotherapy treatment and Chinese medicine, and so on, so as to extend survival time. Because chemotherapy often damage normal tissue, the small dose to a long course of treatment. Liver function is good, the gap may be in the dose treatment. (3) in patients with advanced: the vast majority of Chinese medicine and used to mainly low-dose chemotherapy. Silt at the end of Duzheng guitar, to Huayu detoxification, Xiaozheng Sanjie; Reduqing Yunjie, to Qingrejiedu, streaming liver Lidan; evil it is empty, this should Fuzheng pui. Also serve some optional treatment of liver cancer alone, the prescription.
What are the common chronic bronchitis complications
(1) obstructive pulmonary emphysema: bronchitis, chronic bronchitis the most common complication in patients with diffuse alveolar wall fibrous hyperplasia. Plus lumen stenosis and sputum obstruction, breath poor, it can occur obstructive pulmonary emphysema. (2) bronchial pneumonia: the spread of chronic bronchitis and bronchial surrounding lung tissue, patients have chills, fever, cough by drama, sputum volume increased, and was Nongxing. WBC and the total number of neutrophils increased. X-ray examination, two of lung field with a dot or small pieces of the shadow. (3) bronchiectasis: repeated attacks of chronic bronchitis, bronchial mucous membrane congestion, swelling, ulcer formation, the wall fibrous hyperplasia, more or less deformation of the lumen, expansion or narrow. Duocheng expansion of the core changes. Whooping cough, measles or pneumonia after the formation of columnar or cystic bronchiectasis Changcheng, and bronchitis caused by slower expansion as serious.
Saturday, July 5, 2008
Limitations of clinical manifestations of cerebral infarction
Cerebral infarction seen more than middle-aged people, the majority have high blood pressure, diabetes, heart disease or high blood lipid history, and some have already TIAs or stroke. Acute onset usually in the development of peak within a few hours. Xingzhuan part of patients in the early morning when found that abnormal. Side can be sick headache, with little drama headache, vomiting onset. Mainly in the following four categories. (A) main artery atherosclerosis in the artery wall infarction atherosclerosis on the basis of the development of thrombosis, or emboli, cause artery disease or hemisphere of the brain cortex, the cerebellum, the brain stem the loss of local functions. Specific symptoms, see above. Can have the same arterial system TIAs history. A small number of patients in the 24 hours after the onset the continued deterioration of a ladder or increase may be due to thrombosis in a loss of expansion or new emboli. (B) cardiac infarction suppository to see more young adults are sudden onset, can increase the ladder. Often have other brain artery TIAs, history of stroke or systemic embolism history. There the cause of cardiac embolism. (C) lacunar infarction or small arterial occlusive stroke development relatively slow, and some can be as long as 36-hour period and to gradually increase the peak. Infarction small in size, according to a specific location of the focal symptoms. (1) simple movement of stroke: the side, arm, leg, foot, toe paralysis, internal capsule hind legs or bridge, in the small ventral brain infarction. (2) pure feeling of stroke: the opposite feeling very good, is seen at the lateral hypothalamus abdominal lacunar. (3) ataxia of unilateral Qingtan: contralateral arm, the hand with a total economic obstacles Qingtan legs, ventral view of the bridge cerebral infarction. (4) dysarthria - clumsy hand: Speech unclear opposite hand and the activities of obstacles to bridge the ventral brain or internal capsule of the knee infarction. (5) with the unilateral expression aphasia Qingtan: internal capsule knee and forelimb infarction involving radiation near the crown white matter. (D) Other causes of cerebral infarction non-atherosclerotic vascular diseases, blood diseases, blood coagulation, and other rare causes abnormal due to ischemic stroke.
Arteriosclerosis of the clinical manifestations of cerebral infarction
Arteriosclerosis stroke, also known as atherosclerosis thrombosis stroke, brain atherosclerosis and thrombosis, cerebral vascular lumen stenosis or occlusion, leading to acute cerebral insufficiency, caused partial brain ischemic necrosis. Patients may appear hemiplegia, aphasia focal brain damage and other symptoms, an ischemic stroke. to the elderly. High-fat diet, diabetes, smoking, such as patients with a higher incidence rate. Caused cerebral vascular obstruction There are two main reasons: First, cerebral thrombosis, which is itself due to cerebral vascular lesions, often cerebral artery atherosclerosis so that the lumen endometrial rough, narrow the lumen, under certain conditions, such as Lower blood pressure, blood flow slow. Increased blood viscosity, such as platelet clotting factor in blood vessels can make the block, a cerebral thrombosis. The other is the cerebral embolism, it is other parts of the body of thrombosis loss, with the blood flow to the brain blood vessel blockage, caused cerebral embolism. Such emboli can be the vegetation from rheumatic heart disease, may also be fracture of the fat emboli, or blood into the air from air embolism, or loss of tumor cells formed tumors embolism, and so on. Cerebral thrombosis caused by cerebral infarction, the slow onset, often in quiet sleep or rest when, which may lower blood pressure and rest, of the slow flow. From the onset to peak condition to development, often take several minutes or even several days. And cerebral embolism caused by cerebral infarction, more than the onset Jizhou, often in seconds or minutes of the peak.
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