Wednesday, March 30, 2016

Aspiration pneumonia

  Aspiration pneumonia  Department of inhaled acidic substances, such as animal fat after food, stomach contents and other irritating liquids and play nature of hydrocarbons due to chemical pneumonia. In severe cases, respiratory failure may occur, or respiratory distress syndrome.

Etiology
    Aspiration of gastric contents clinically due to pneumonia caused by gastric acid is more common than the inhalation of hydrocarbon liquid and more important. Kerosene, gasoline, dry cleaners, furniture polish and the like sometimes aspiration, more common in children. Since normal laryngeal protective reflex and synergies swallowing, general food and foreign matter into the lower respiratory tract is not easy, even if a small amount of liquid aspiration can also be discharged by coughing. When delirious as general anesthesia, cerebrovascular accidents, seizures, alcoholism, excess anesthesia or sedated, the defense weakened or disappeared, can be inhaled foreign body trachea; esophageal lesions such as esophageal loss flaccid disease, upper esophageal carcinoma swollen, Zenker diverticulum, esophageal swallow not all stomach, reflux into the trachea; tracheoesophageal fistula caused by various reasons, food can transesophageal directly into the trachea; iatrogenic factors such as the stomach to stimulate the throat to induce vomiting; trachea intubation or tracheostomy affect laryngeal function, inhibit the normal movement of throat may be vomit inhaled airway. The reaction of the elderly poor are more likely to aspiration pneumonia.

After inhalation of stomach contents, due to the stimulation of gastric acid, resulting in acute lung inflammation, the severity and the concentration of hydrochloric acid, gastric juice intake and distribution in the lungs related. Inhalation of gastric acid pH≤2.5, 25ml intake that can cause severe lung damage. Animal experiments demonstrated that inhalation of pH <1 .5="" 3ml="" be="" body="" can="" damage.="" deadly.="" distributed="" font="" inhalation="" kg="" liquid="" more="" of="" range="" serious="" solution="" the="" weight="" when="" widely="">

Pathological changes
    After inhalation of stomach contents, stomach acid can cause the airways and lungs chemical burns immediately. Stimulate bronchial spasm caused by strong wall, ensuing acute inflammatory reaction of the bronchial epithelium and bronchial inflammatory infiltration around. The rapid spread of gastric fluid into the alveoli to the lung tissue, causing the bubble now epithelial cell damage, degeneration, and involving the capillary wall, increased permeability of the blood vessel wall, intravascular fluid leakage, causing edema and hemorrhagic pneumonia. At the same time due to the destruction of the alveolar capillary membrane, forming interstitial pulmonary edema. A few days later alveolar edema and hemorrhage gradually absorbed, and was replaced by a transparent film. A long time can the formation of pulmonary fibrosis. If inhalation of food or foreign body throat dwelling bacteria into the lungs can lead to anaerobic bacteria mainly of secondary bacterial infection, abscess formation. Pulmonary edema, decreased elasticity of the lung tissue, reduced compliance, reduce lung capacity, coupled with the reduction of pulmonary surfactant, so that small airway closure, alveolar collapse caused by micro-atelectasis, can produce insufficient ventilation, ventilation / perfusion imbalance and static arterial shunt increased, leading to hypoxemia or with metabolic acidosis. Intravascular large number of leaking fluid or reverse vasodilation, can produce hypotension. Pathological process hydrocarbon inhalation and inhalation of gastric acid is similar, because of its low surface tension, immediately diffusion in the lungs after inhalation of a large area, and surfactant inactivation, easily produce atelectasis, lung water species, leading to serious hypoxemia.

Clinical manifestations
    Patients often have symptoms after inhalation inducement history, rapid onset, more than 1 to 3 hours, and the clinical manifestations induced etiologies, as from tracheal - esophageal fistula due to aspiration pneumonia, each after eating there spasmodic cough, shortness of breath . In the confusion, the suction is often no obvious symptoms, but 1 to 2 hours after a sudden difficulty in breathing, rapid cyanosis and hypotension, cough often serous foamy sputum may be blood. Lungs heard and wet rales, may be associated with addicted beeps. Severe respiratory distress syndrome can occur.

Check test
    Chest X-ray showed that in 1 to 2 hours after inhalation that can be seen scattered in both lungs irregular flakes edge blur shadows, when lung lesions related to the distribution and absorption position, common in the lower lung fields, right lung is more common. Pulmonary edema, the lungs appear flaky, flocculent cloud shadows confluent sheet, spread out from two hilar to the lungs within the band is obvious, and acute cardiogenic pulmonary edema X-ray similar, but normal heart size and shape, no signs of pulmonary venous hypertension.

Treatment
    In case of emergency, it should be immediately given a high concentration of oxygen inhalation, application or fiberoptic intubation foreign body aspiration, plus PEEP Respiratory Therapy "acute respiratory distress syndrome." Correct hypovolemia albumin or low molecular weight dextran. In order to avoid an excessive burden between the left ventricle and colloid fluid leakage into the lungs quality, use of diuretics. Application of adrenocorticotropic hormone therapy is still controversial, there is that extensive use of inhaled corticosteroids within 12 hours at 3-4 in favor of absorption of lung inflammation, but there are those who hold the opposite view. Antibiotics to control secondary infection, rather than advocate for the prevention of bacterial infection, medication because neither reduce secondary bacterial infection and prone to drug-resistant strains. Principles after inhalation of hydrocarbon liquids as described above.

Prognosis and Prevention
    The main measures to prevent aspiration pneumonia to prevent inhalation of food or stomach contents, such as gastric emptying should be fully let before anesthesia, coma patients can take the low head and lateral position, tube placement as soon as possible, the need for intubation or trachea cut. Strengthening care is more important.

Monday, March 28, 2016

Against tuberculosis

Spring is the season of high incidence of TB, in the end what is tuberculosis, they should how to prevent it?
What is tuberculosis?
Tuberculosis commonly known as "TB", is a chronic respiratory disease caused by M. tuberculosis. Mycobacterium tuberculosis can invade various organs of human body, but it mainly affects the lungs, called pulmonary tuberculosis. What organs TB violations What organs tuberculosis, such as violations of meninges called meningeal tuberculosis, violations of bone called bone tuberculosis. TB accounts for more than 80% of all types of tuberculosis, and tuberculosis is the main type of TB infection.
The main symptoms of tuberculosis is continuous cough, expectoration more than 2 weeks, or sputum with bloodshot eyes. At the same time, it may be accompanied by chest pain, night sweats, afternoon fever, general fatigue, loss of appetite and other common symptoms.
Tuberculosis can be cured?
Just adhere to regular treatment, the vast majority of TB patients can be cured. Emerging infectious tuberculosis medication is generally required to completely cure time of 6 to 8 months, and the middle and can not miss a dose intermittent medication. If unauthorized withdrawal or intermittent medication, not only easy to relapse, there may be resistance. Resistant tuberculosis patients after treatment technology complex, longer treatment time (18 to 24 months), treatment costs more (about 100 times the non-drug-resistant TB treatment costs around).
"We must take medicine under the supervision of a doctor and his family," deputy director of the Chinese Center for Disease Control Center Chenming Ting knot to remind you that one month of treatment in general, symptoms will be significantly improved, patients are often mistaken for the disease has been cured and self-withdrawal causing TB has been suppressed and repopulate resistance.
How to prevent tuberculosis?
Cover: consciously choose to wear a surgical mask, according to Beijing Chest Hospital central sterile supply for 20 hospitals in 32 tuberculosis area of ​​disinfection and isolation Survey found that: nearly forty percent of patients with pulmonary tuberculosis ward rarely wear masks, are only a small part Liucheng Ward patients wear masks. TB patients with a reasonable standard to wear surgical masks (sub-absorbent layer, a filter layer and a water-repellent layer, bacterial filtration efficiency of greater than 95%, non-oily particles on filtration efficiency of greater than 30%), not only can reduce the spread of TB in the air to ward , and also avoid the risk of other pathogens in the patient's own infection.

Place: was empty window ventilation masks alone intercept bacteria and viruses is not enough ventilation window can not be ignored. I must say it is a ward ventilation can remove 63.2% of the original number of bacteria. Ideally ventilation frequency of 12 times / h or more (when the outgoing and the incoming ventilation air is reached once the room volume). In a poorly ventilated room, natural ventilation should be installed auxiliary equipment.
Sweep: the upper space of traditional ultraviolet irradiation ultraviolet radiation generates ozone has harmful effects on the human body, so the ordinary downward irradiating ultraviolet light can only be used in the absence of state; and UV air disinfection cycle of wind, although in the case under someone open, but high for the room airtight requirements. We recommend using the upper space ultraviolet irradiation sterilization technology, install baffles or blinds passes under the UV light to ward upper space through the upper and lower air circulation to achieve the purpose of continuous disinfection, sterilization can also continue in the case of someone.

Saturday, March 26, 2016

myocardial infarction

Myocardial infarction coronary artery occlusion, blood flow interruption, so that part of myocardial ischemia due to severe persistent and localized necrosis. After vigorous and have a more lasting chest pain, fever, leukocytosis, erythrocyte sedimentation rate to accelerate, serum enzyme activity increased and progressive ECG changes, arrhythmias can occur, shock or heart failure clinic.
Myocardial infarction should be how to prevent?
Infarct size and prognosis of the situation generated by the collateral circulation and treatment is timely and relevant. Past the acute phase of inpatient mortality rate is generally about 30%, after the treatment of clinical care has dropped to about 15%, after the development of thrombolytic treatment to 10% or less. In the acute phase, the first week of the onset of the highest mortality. Heart failure, serious arrhythmia or shock, especially in disease mortality, mortality among patients with shock up to 80%. Our Beijing area of ​​myocardial infarction patients followed up for long-term data indicate that 53.4% ​​of patients can restore some of the work, of which 45.6% of patients return to work within six months after. After discharge due to cardiac reasons and those who died in the first year there are 7.7%, 3.7% the second year, third year, 3.0%, 2.7% in the fourth year, the fifth year of 1.4%, 3.4% in the sixth year, the seventh year of 1.1% .

Chinese medicine for the treatment of Chinese medicine, "Yang deficiency" Sini soup (cooked aconite, ginger, licorice), Ginseng alone or Shen Fu Tang, the treatment of this disease with blood pressure, or shock those who have a certain effect. Patients can Shengmaisan (Ginseng, Schisandra, Radix) such as when both the performance deficiency. These prescriptions are made of injection, emergency use is also more convenient.

1, psychological guidance
That is a correct understanding of myocardial infarction do not lose a sense of security, worried all day, not activities, feelings of depression, and do not produce psychological matter. Remain optimistic, happy mood, confidence in conquering the disease.
2, work and rest
Myocardial infarction patients should lift the ideological concerns, not long-term bed rest. Prolonged bed rest will not only weaken the contractile force of the heart muscle, can also cause dangerous stimulate thrombus. In the case of someone to accompany walking, tai chi, do exercises, qigong and so on. But do not wind brisk walking and climbing, autumn and winter activities to keep warm. Movement should be appropriate to maintain the following events occurs: A, heart rate does not exceed 110 beats / min. B, no chest pain, difficulty breathing or excessive fatigue. C, no palpitation, chest tightness. D, no ECG changes further myocardial ischemia. E, systolic blood pressure did not rise above 2 ~ 2.6Kpa. If unusual circumstances, we should continue to keep quiet. Patients can recover according to their physical circumstances, three to four months later, as appropriate, restore some physical activity throughout the day to resume work later.
3, a reasonable diet
A, should be small meals, avoid overeating. B, food structure should be given low-fat, moderate protein, fruits, high in vitamins, high fiber liquid or semi-liquid diet. C, should adjust diet to prevent constipation. D, as little salt, tea, coffee, avoid alcohol.
4, adhere to drug treatment

Adhere to drug therapy, the medication should not stop trespassing. Regular outpatient counseling, physical examination.

Tuesday, March 22, 2016

Atherosclerosis

The study found: the formation of atherosclerosis and related factors are smoking, dyslipidemia, overweight and obesity, hypertension, diabetes, and poor diet, too little exercise and these predisposing factors have a direct relationship.
To prevent arteriosclerosis, must do: First, a balanced diet; Second, control and treatment of hypertension, dyslipidemia and diabetes; third, to emphasize the law of life, avoid stress. Today, younger trend of development of atherosclerosis, the main reason is the law of life, work and life too much pressure; fourth, proper physical exercise. Important reason sedentary lifestyle also atherosclerosis.
◇ reasonable supply of energy. Intake and calorie consumption must be balanced, it is best to maintain the balance within the standard weight range. If you are overweight, not only to reduce calorie intake, increased physical activity should also increase energy consumption.
◇ control of dietary fat and cholesterol intake. Each meal must be strictly controlled meat. Because even the leanest meat containing 10% to 20% of animal fat, should remove excess fat from the meat, reducing fat intake to a minimum. Do not eat or eat chicken skin as possible, because chicken skin contains a high proportion of fat. Pigs eat every week, no more than three times beef, other times the best chicken or fish (not including shellfish), saturated fatty acids, which contain less than pigs, cattle and other meat. Eat liver, kidney and other organs, as organs contain a lot of cholesterol and fat.
◇ select the appropriate cooking methods. Meat or fish is best to take fire, boiled or steamed, not fried or deep-fried. Application of cooking vegetable oil, animal oil and butter with a little cooking.
◇ eat sweets, do not eat or Eat cream, candy or carbonated drinks, eat a standard meal, eat less flour. This can improve digestion, reduce calorie intake, reduce intestinal absorption of fat and cholesterol.
◇ to eat regularly, do not snack between meals plus snacks, if the non-eating is not, it can eat apples, carrots, crackers or other low-fat foods.
◇ drink coffee, tea, and caffeinated beverages should be appropriate.

Irregular menstruation

Four harm menstruation as follows:
1, lead to gynecological inflammation crisis
Menstruation for women's health poses a serious hazard. Such as menstrual arthritis, menstrual rash, menstrual pain, menstrual asthma, endometriosis, cervicitis. So menstruation is likely to be a signal of gynecological diseases.
2, cause headaches
Headache is a relatively common disease, the probability of its onset, women than on men, which is related to women's unique physiological characteristics, epidemiological survey showed that headaches associated with menstruation, women accounted for headache 20%.
3, the direct cause of infertility
Women also lead to irregular menstruation direct cause of infertility. So I plan to pregnant women, irregular menstruation if this disease, we must first be treated.
4, no longer beautiful face pigmentation, acne her door
Some women in pigmentation after acne, irregular menstruation is not considered to lead, but to the beauty salon treatment. In fact, these spots, acne those cosmetics can not be resolved, because it is a reflection of the body's disease, especially in the external manifestations of menstruation. Without early diagnosis and treatment, not only affect the beauty, but also affect health.
Situation irregular menstruation female friends once there, be sure to go to the hospital for medical treatment, so as not to trigger a series of complications, for their own health threat.

Monday, March 21, 2016

Uterine Fibroids

Uterine fibroids may not only cause infertility, it may set off a fatal pulmonary thrombosis crisis! Uterine fibroids are common gynecological benign tumor, not necessarily to surgery, but doctors advise, if patients with uterine fibroids lower limb edema and general operations easy asthma symptoms, should try to do a detailed examination of the peripheral blood vessels, and rule out deep vein thrombosis the possibility of pulmonary arterial thrombosis.
Uterine fibroids may lead to pulmonary embolism too great
Uterine fibroids are common gynecological diseases, usually in small size of fibroids, to take a more treatment observation; the timing of surgical removal of uterine fibroids usually excessive bleeding, pain or urinary frequency or causing obstruction condition.
  It should be noted that a small number of patients because of uterine fibroids is too large, oppression to the lower extremities back to the heart of the large veins, venous thrombosis. Once again thrombosis pulmonary artery flow, causing pulmonary thrombosis, blocking blood circulation, easily lead to shock, hypoxia and even death.
      Pulmonary thrombosis! Chest pain and breathing are warning
Pulmonary thrombosis in clinical is not uncommon, mostly blood clots from the limbs (especially lower limbs) intravenously, and then migrate to the lungs, deep vein thrombosis can cause swelling and pain. Part of deep vein thrombosis can cause pulmonary artery thrombosis, then there will be breathing and symptoms of chest pain, severe or even shock.

Do not neglect uterine fibroids! With lower limb edema peripheral vascular quick check, although acute pulmonary thrombosis is not a common disease, but in a particular part of the population, such as: patients with chronic diseases, cancer patients, bedridden patients, as well as gynecological and orthopedic patients, etc., are not uncommon. Severe pulmonary thrombosis is potentially fatal, in patients with uterine fibroids, if lower limb edema, as well as general operations easy asthma symptoms, be sure to do as soon as possible for further peripheral vascular examination, reducing the risk of deep vein thrombosis deterioration.

Thursday, March 17, 2016

Asthma Prevention

Asthma prevention should include: ① eliminate or avoid allergy and asthma, a variety of factors; ② early diagnosis, early treatment; ③ positive airway inflammation and control symptoms, prevent disease progression, prevent complications.
1. Prevention of asthma - primary prevention described above, the majority of patients (especially children) in the case of asthma and allergic asthma. Fetal immune response is dominant Th2 response, in late pregnancy, certain factors such as excessive maternal allergen exposure, viral infection can strengthen Th2 response, increased Th1 / Th2 imbalance, if the mother is allergic constitution is more obvious, so try to avoid. In addition, there is sufficient evidence to support the infants of smoking mothers wheezing and asthma can increase the chance after birth, and after birth four to six months of breast-feeding, the baby can reduce the incidence of allergic diseases, pregnancy mothers should avoid smoking, which are an important part of prevention, the impact of asthma related to maternal diet on the fetus, still need more observations.
2. Avoid allergens and motivator - secondary prevention
(1) Avoid allergens: In particular for patients with specific physical, eliminate or avoid contact as much as possible triggers of asthma. Such as house dust mites, pollen, animal fur, which can cause food allergies, drugs, occupational asthma, should be separated from the professional environment.
As mentioned earlier, whether respiratory viruses asthma allergens is still controversial, but there is a close relationship with the development of asthma, especially in children with respiratory syncytial virus, rhinovirus in adults to prevent respiratory viral infections is also important measures to prevent asthma.
(2) prevention and treatment of allergic rhinitis: allergic rhinitis and asthma relationship is very close, it was simple for allergic rhinitis patients were followed up for nearly 20 years and found that nearly 17% of the development of asthma, far higher than (5%); The study also showed that the presence of airway hyperresponsiveness (histamine or methacholine challenge ammonia) 20% to 25% of patients with allergic rhinitis simple, it is considered that some patients may be "subclinical asthma". Patients with asthma associated with allergic rhinitis about 28% to 50%. Recent data indicate that such patients on the basis of the trachea inhaled corticosteroids on the positive control if rhinitis (such as oral non-sedating H1 receptor blockers, nasal inhaled corticosteroids) can significantly reduce the frequency of asthma attacks and alleviate its symptoms, and therefore aggressive treatment of allergic rhinitis in preventing the occurrence of asthma and reduce the attack are valuable.
3. Early diagnosis and treatment to control symptoms and prevent progression of the disease - tertiary prevention

Bronchial Asthma Symptoms

In the World Health Organization and the US National Institutes of Health Organization revised "Global asthma control strategy" (2002) definition of asthma as "bronchial asthma by a variety of cells and cellular components involved in chronic airway inflammation, such inflammation is often associated with airway hyperresponsiveness, resulting in recurrent symptoms of wheezing, shortness of breath, chest tightness, and (or) cough, occurs at night and (or) in the morning, often accompanied by symptoms such extensive and varied airflow obstruction, or through self-treatment can be reversed. "

1. asthma symptoms manifested as paroxysmal cough, chest tightness and difficulty breathing. Some patients sputum, phlegm gradually eased when more than attack, without infection, often white sticky sputum, quality and tough, and sometimes rice-like or columnar mucus. The severity of the onset and duration of individual differences, the light only chest tightness, continued a few minutes, severe extreme difficulty in breathing, for several weeks or longer. Characteristic symptoms are reversible, that is, after treatment in a relatively short period of remission, partial remission natural, of course, no small part of which was sustained remission status. Often attack certain predisposing factors, many patients have episodes of apparent biological laws, daily at 2 to 6 attack or worsen, usually occurs in the spring and summer when the transfer or winter, some women (about 20%) before menstruation or during an asthma attack or worse. Note that atypical asthma. Some patients often paroxysmal cough as the only symptoms, often clinically misdiagnosed as bronchitis; some places adolescent patients with chest tightness during exercise, tight gas as the only clinical manifestations.

2. Signs Signs are wheezing breath, and breathing difficulties appear and disappear at the same time, in general, the higher the wheeze, fine, appeared in the end of expiration, the more severe asthma symptoms. Attack may have symptoms such as lung hyperinflation and barrel chest, percussion too voiceless, decreased breath sounds, etc., respiratory assistance and sternocleidomastoid muscle contraction increased, it can have severe cyanosis, expiratory jugular vein engorgement, odd mai, some critically ill patients, severe airflow limitation, wheezing disappeared, showing a "silent lung."

Monday, March 14, 2016

Cervicitis

Cervicitis is a common disease of women of childbearing age, there are acute and chronic. Often associated with acute cervicitis endometritis or acute vaginitis exist, but chronic cervicitis. Mainly as increased vaginal discharge, thick mucus or purulent mucus, sometimes accompanied with bloodshot eyes bloodshot or clip. Chronic mechanical stimulation is the primary cause leading to cervicitis, this case is available gel treatment, the best results.性生活过频 or habitual abortion, childbirth and abortion, etc. can damage the cervix, leading to the formation of bacterial invasion and inflammation, infection or due to pyogenic bacteria directly, or high concentrations of acidic or alkaline solution rinse the vagina, or vagina placing foreign objects left inside or infection. Chronic cervicitis than childbirth, miscarriage or surgery cervical injury, pathogen invasion and infection. There are many manifestations of chronic cervicitis. Such as cervical erosion, cervical hypertrophy, cervical polyps, cervical gland cyst, cervical endometrial go far, of which the most common cervical erosion. For a correct understanding of cervicitis (cervicite) understanding kind of person believes that married women will have, it will not affect the work without affecting the life, insignificant, treatment and no treatment are the same. Another person think, cervicitis are precancerous lesions, to talk about cancer, discoloration, have a "fear of cancer" and even personal feelings affect their daily lives, which are not correct. Chronic cervicitis and cervical cancer, there are some common symptoms, such as vaginal spotting after sexual intercourse or vaginal discharge with bloodshot eyes. Such a situation occurs, we must make cervical smears, colposcopy and cervical biopsy to exclude cancer after treatment of cervicitis. Defense system ① cervical squamous cervix and vagina cervix closed ② ③ cervical mucus plug
In general: redness, mucosal edema cervix, cervical canal is slightly valgus. Histological: vascular congestion, mucosal and submucosal tissue, glands around the large number of neutrophil infiltration, glandular cavity purulent material. Cervicitis main symptoms are increased vaginal discharge. Acute cervicitis vaginal discharge was purulent, with abdominal and lumbosacral pain, or frequent urination, urgency, dysuria and other urinary bladder irritation. Chronic cervicitis vaginal discharge milky white mucus-like, or yellowish pus; severe cervical erosion or cervical polyps, can be presented after sexual intercourse bleeding or bloody vaginal discharge. Light can asymptomatic body when inflammation along the uterosacral ligament spread to pelvic, may have lumbosacral pain, heavy feeling in the lower abdomen and dysmenorrhea, etc., each in defecation, sexual intercourse increased. In addition, the viscosity of purulent vaginal discharge is not conducive to sperm through, it can cause infertility. Symptom 1. Acute cervicitis: increased vaginal discharge, purulent, with back pain, abdominal discomfort. 2. Chronic cervicitis: leucorrhea more milky, mucoid vaginal discharge, or in the folder with bloodshot eyes, or sexual intercourse bleeding, with vulvar itching, lumbosacral pain, menstrual worse. 3. Signs: acute cervicitis, pelvic examination, cervical congestion, edema, and tenderness; chronic cervicitis, pelvic examination, cervical varying degrees of erosion, hypertrophy, or polyps. Early symptoms of a cervicitis, increased vaginal discharge: sometimes the only symptoms cervicitis performance. Usually viscous mucus or purulent mucus. Sometimes symptoms of chronic cervicitis with bloodshot eyes or secretions may be a small amount of blood, may also have contact bleeding. Because vaginal stimulation can cause genital itching. Second, vaginal bleeding, manifested as contact bleeding, menstruation, cycles, increased by the amount and the like. There is an increase in vaginal discharge, white or bloody, sometimes thin like water or rice soup, stench. Late due to cancer tissue ulceration, tissue necrosis, secondary infection, there will be a large number of purulent vaginal discharge or rice soup-like stench.

Epidemic parotitis/Mumps

Mumps (epidemic parotitis, mumps, mumps or mumps short) is common in children and adolescents respiratory diseases, adults have the disease. The disease caused by the mumps virus, the virus mainly affects the parotid gland, but may also be violations of almost all organs of the various glandular tissue of the nervous system, liver, kidney, heart, joints. Therefore, apart from outside the parotid gland swelling and pain often can cause meningoencephalitis, orchitis, pancreatitis, ovarian symptoms go far.

Incubation period of 8-30 days, an average of 18 days. Most of the more acute onset, without prodromal symptoms. Fever, chills, headache, sore throat, poor appetite, nausea, vomiting, body pain, parotid gland swelling and pain for several hours, became clear, body temperature can reach 39 ℃, adults are generally more serious.
The most characteristic swelling of the parotid gland. Generally earlobe as the center, forward, backward, under development, shaped like a pear-shaped, the edge is unclear; local skin tight, shiny but not red, touch of tough and resilient, there is touch of pain; speech, chewing (in particular stimulus into an acidic diet) saliva secretion, resulting in increased pain; usually 1 to 4 days after the involved side contralateral parotid gland swelling, bilateral swelling by about 75%. Submandibular gland or sublingual gland may also be involved simultaneously. Severe tissue surrounding the parotid gland height edema, distorts, and difficulty swallowing. Parotid duct openings early may have swelling, parotid always squeeze no purulent discharge from the overflow openings. Most of parotid gland swelling reached a peak in 1 to 3 days, for 4 to 5 days and return to normal gradually subside. It takes about 10 to 14 days. Submandibular gland and sublingual glands can also be simultaneously involved, or appear alone. Submandibular gland enlargement, showed anterior mandibular swelling and palpable enlargement of the gland. Sublingual gland swelling visible swelling of the tongue and floor of the mouth, and difficulty swallowing.
According to the prevalence and history of exposure, as well as the characteristics of parotid swelling, the diagnosis is not difficult. In case of atypical suspected cases, according to the above method further laboratory tests to confirm the diagnosis.
1. isolation of patients to make bed rest until the parotid swelling subsided completely. Attention to oral hygiene, diet with liquid, soft appropriate to avoid acidic foods, ensure that the liquid intake.
2. General antibiotics and sulfa drugs ineffective. There are those who seem to have a trial of interferon effect.
3. adrenocorticotropic hormone therapy is certainly no effect, when severe or complicated by meningoencephalitis, myocarditis, etc. can be considered short-term use.
4. He-Ne laser irradiation treatment of mumps to the local pain, swelling and have a certain effect.
5. high fever, headache, vomiting may be given symptomatic treatment, including dehydrating agent. Complications of the disease by handling.
6. A male adult patients early in the disease application diethylstilbestrol, 3 times a day, every 1mg orally, may have preventive effect orchitis occurred.

Wednesday, March 9, 2016

HF ate/Heart Failure

HF ate? Patients with heart failure can not drink, especially beer and hard liquor. Alcohol will damage the heart, leading to enlargement of the heart and cardiac arrhythmias. The beer can cause sodium and water retention, increased burden on the heart. Next, let's look at diet Raiders patients with heart failure it.
HF ate
Radish Seed Hawthorn jujube soup. Radish Seed 10 grams, 50 grams of hawthorn, jujube 100 grams. The radish seeds with a small gauze bag, dates, hawthorn to the core, washed into the pot can be eaten cooked. Twice a day, morning and evening meal. Diuretic, blood, digestion effect, is very effective for the treatment of heart failure.
Poria porridge. Poria powder 15 grams, 100 grams of rice. Rice, Poria powder into the pot, add water, after Wuhuoshaofei, turn simmer stew rotten rice into porridge. Twice a day, breakfast and dinner consumption. It is very effective for the treatment of heart failure.
Radish seed porridge. Radish Seed 15 grams, 100 grams of rice. Wash rice, radish seed washed to remove impurities, into gauze bags, tie the bag. Gauze bags into the pot, add some water, juice boiled with the fire, do not remove the gauze bag. Rice, soup into the pot, with Wu Huo after boiling, switch to simmer and cook until rotten rice into porridge. Twice daily for breakfast, eat dinner, can lead to the prevention of heart failure because water swelling obvious, it is very effective for the treatment of heart failure.

Lotus seeds and rice porridge. Lotus seeds with spleen, lung, nourishing the heart, nerves, kidney and other effects, gastrointestinal motility rice helps improve immunity. Practice: lotus 30 grams, 50 grams of rice. Lotus seeds, Wash rice with wok, add appropriate amount of water, boiled into porridge. Directions: fasting food, twice daily for 1 times.

Sunday, March 6, 2016

Mammary gland hyperplasia

Mammary gland hyperplasia is a common women as breast disease. The disease, also known as lobular hyperplasia, mammary dysplasia disease, fibrocystic disease and the like. It had previously called chronic cystic mastitis, in fact, no inflammatory changes of the disease, and thus should not be applied. The characteristics of this disease is breast hyperplasia constituents in the structure, quantity and morphology exhibit abnormal, it is called cystic hyperplasia or dysplasia breast structure.
1, psychological treatment is very important, the health hazards of breast hyperplasia than the psychological damage due to lack of proper understanding of the disease, adverse psychological factors concerns over exciting grief, causing neurasthenia, endocrine disorders will increase, prompting hyperplasia of the increase, it should be a lifting of the adverse psychological stimulation. Psychological endurance of poor people should pay attention, less angry, maintaining emotional stability, cheerful mood that is conducive to proliferation of early recovery.
2, changes in diet, prevent obesity, eat less fried foods, animal fats, sweets and excessive tonic food, to eat more vegetables and fruits, eat more whole grains. The best black beans, eat walnuts, black sesame, black fungus, mushrooms.
3, should be the law of life, rest, maintaining a harmonious sexual life. Adjustable endocrine disorders keep stool will reduce breast pain.
4, more exercise to prevent obesity and improve immunity.
5, the prohibition of abuse of estrogen-containing contraceptives and beauty products, do not eat chicken with estrogen-fed beef.
6, to avoid the flow of people, many breast-feeding mothers can take preventive measures.
7, self-examination and regular review.
8, a clear diagnosis, to develop a reasonable treatment plan according to the disease. Currently comprehensive treatment using traditional Chinese medicine specialist, a breakthrough was made, the effect is more significant. Such as breast cysts or small length of time after treatment disappeared in about two weeks. Timely corrective endocrine hyperplasia of the breast, lumps, pain, facial nerve can be removed to relieve pain after treatment of acute mastitis.

Epilepsy

Epilepsy commonly known as "epilepsy" or "epilepsy wind", a variety of causes brain neuron group paroxysmal abnormal discharge due to the onset of movement, sensation, awareness, spiritual, an abnormal autonomic function disease. According to China's latest epidemiological data show that the overall prevalence of domestic seizures of 7.0 ‰, the annual incidence rate of 28.8 / 100,000, there are episodes of active epilepsy prevalence rate of 4.6 ‰ 1 year. According to the clinical seizure types are divided into: epilepsy generalized tonic - clonic seizures, epilepsy absence seizures, epilepsy of simple partial seizures, complex partial seizures, epilepsy, autonomic seizures. Different types of seizures: idiopathic epilepsy, secondary epilepsy, symptomatic epilepsy syndrome, idiopathic epilepsy syndrome, epilepsy with mental disorders, status epilepticus, traumatic epilepsy, refractory epilepsy, frontal lobe epilepsy, temporal lobe epilepsy, parietal lobe epilepsy, occipital lobe epilepsy, primary reading epilepsy. Epilepsy different crowd: pregnant women with epilepsy, early infantile epileptic encephalopathy, epilepsy, senile epilepsy.
First, the wind Tan Yong Sheng-type
Patients often feel before the onset of dizziness, headache, chest tightness, fatigue, phlegm birth and so on. Attack suddenly collapsed, unconsciousness, convulsions, foaming mouth spit Festival, or the roar Ming loss is called, or only see a short coma, convulsions or without trance, tongue slightly red, bitter, greasy or yellow greasy. Optional Phlegm resuscitation ,, information frightened wind therapeutic side: (l) Gastrodia Citrus porridge. Tianma, Chan 10 grams, 100 grams of rice, sugar amount. Gastrodia (sliced), rice porridge with dried tangerine peel, add sugar and mix thoroughly cooked, 2 times, l day served. (2) alum olives. Alum 1.5 g, 12 olives. Wash the olives, with a blade to cut the number of olive draw vertical lines, and then incorporated into end grain alum, alum to be immersed in olive after an hour eating l-2 个, ponder, swallow spit juice residue. (3) Xianzhuli porridge. Light Xianzhuli 30 grams, 2 grams of earthworm, 100 grams of rice. Long drying research to fine dry rice porridge. Porridge cooked transferred Zhu Li, earthworm is not, sub-l-2 times finished eating.
Second, the lack of blood type
Patients with recurrent, persistent long time, injured spleen, blood deficiency, lassitude, forgetfulness, insomnia, poor appetite eat less, waist and knees, pale, pale tongue, white fur. Optional outs kidney, benefit qi and blood, phlegm law dingxian therapeutic side: (1) Ginseng Orange soup. Ginseng, orange peel 10 grams of sugar amount. Ginseng, orange peel fry, to slag juice, add sugar behalf of the tea. (2) Chinese wolfberry stewed sheep brain. Medlar 30 grams, a sheep brain, oil, salt amount, medlar, sheep brain put the steaming pot, add water, simmer separated, oil, salt and seasoning. (3) Chinese yam wolfberry burning pork. Yam 30 grams, medlar 15 grams, 100 grams of pork, put in the same pot, add some water, after refueling cooked pot, salt, fractionated feeding.

Wednesday, March 2, 2016

Menstrual disorders

Menstrual disorders, also known as irregular menstruation, gynecological diseases. Expressed as menstrual cycle or abnormal bleeding or before menstruation, abdominal pain and systemic symptoms during menstruation. Cause may be organic disease or dysfunction.
1, early menstruation
1) Heat: Zheng Jian menstruation in advance to, volume, color dark red or purple, sticky mass and thick, with irritability, dry mouth, flushing, urine, then dry, red tongue, yellow tongue. Hemostatic treatment selection sheet.
2) Hot: Zheng Jian advance through the line, less color red, thick, with dysphoria hot, two zygomatic flushing, little red tongue. ZDP treatment can be used.
3) stagnation of heat: Zheng Jian menstruation in advance, the amount of more or less, the color red or purple, or folder stasis block, with the breast, chest, abdominal pain, irritability, mouth pain, thin yellow tongue . Treatment with Modified Xiaoyao.
4) Deficiency: Zheng Jian advance through the line, the amount pale, quality Qingxi, with lassitude, palpitation, shortness of breath, eat less, stool soft, pale tongue, thin. Treatment should use ginseng Guipi.
2, late menstruation
1) Real cold: Zheng Jian delayed menstruation, less color dark, with lower abdomen, pain reduction is hot, cold, pale. Treatment can be used seven Cyperus pill or dysmenorrhea pill.
2) Deficiency: Zheng Jian menstruation delayed, less, quality Qingxi, abdominal dull pain, thermophilic hi, with backache, weakness, urine long, thin stool soft. Treatment is available Ai Nuangong pills.
3) deficiency: Zheng Jian delayed menstruation, less pale, quality Qingxi, with dizziness, palpitation, insomnia, pale or sallow complexion, numbness. Treatment can be used Angelica pills, Bazhenyimu pills, Angelica jujube particles.
4) Qi stagnation: Zheng Jian delayed menstruation, less color dark block there, with abdominal pain, chest breasts for inflation. Treatment of selected seven Cyperus pill or Yuan Hu painkillers.
3, menstruation has no regular
1) Liver: Zheng Jian by or to advance or after the fault, or less by volume, the line of poor, with chest, breasts, lower abdomen pain, belching eat less, depressed. Pills, metyrapone treatment can be used.
2) kidney deficiency: Zheng Jian to or after the first or, less pale, dizziness, tinnitus, backache petrified, heel pain, nocturnal enuresis. Treatment should use Wujibaifeng Liuweidihuang pill.
4, menstruation
1) Deficiency: Zheng Jian menstrual dripping dirty, pale thin quality, with lassitude, palpitation insomnia, eat less, loose stool, pale tongue. Treatment should use ginseng Guipi.
2) blood heat: Zheng Jian menstruation continued without a net, less red, with dysphoria hot, dry mouth and throat, two zygomatic flushing, red tongue, little moss. Treatment available to stop bleeding piece together ZDP.
5, menorrhagia
1) Deficiency: Zheng Jian menstrual volume, pale, Qingxi water, with pale complexion, palpitation and shortness of breath lazy words, limb weakness, pale tongue. Treatment can be used Wujibaifeng, ginseng Guipi.
2) blood heat: Zheng Jian come by volume, color dark red or purple, or quality thick blocks, upset with thirst, waist pain, dark urine, dry stool, red tongue yellow. Treatment should use hemostatic sheet.
6, after a few months
1) deficiency: Zheng Jian menstruation pale, or spotting a net, with empty stomach pain, dizziness, palpitation, pale complexion, pale tongue. Angelica chosen dates particle therapy, oral or Fukangbao Siwu mixture.
2) kidney deficiency: Zheng Jian menstruation, with weak knees, heel pain, dizziness, tinnitus, pale tongue. Treatment should use Wujibaifeng Liuweidihuang pill.
3) blood stasis: Zheng Jian through to less color Zihei block, abdominal pain refused to press, discharge blood clots pain reduction, dark purple tongue with petechiae. Treatment of selected seven Cyperus pill, gynecological pills too close Motherwort cream. Please take these drugs under the guidance of a doctor.

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