Exercise is one of the main method of diabetic patients. Regular exercise, to control the disease and reduce complications. However, most diabetic patients not suitable for morning exercises. Exercise is one of the main method of diabetic patients. Regular exercise, to control the disease and reduce complications. However, most diabetic patients not suitable for morning exercises.
Because, the morning low temperatures, increased sympathetic activity in humans, while the addition of diabetic patients determined to cerebrovascular complications, encountered the cold air stimulation or fatigue are prone to sudden onset. Especially those who suffer from heart and brain diseases and other chronic complications of diabetes patients should pay attention. In addition, most people are fasting early morning exercise, so easily induced by low blood sugar, or even cause a low blood sugar coma. Clinically, we often encounter the morning fasting exercise Erzhi syncope patients with diabetes. Diabetic patients (in particular, determined to cerebral vascular diseases complicated) should be the early morning to 9 o'clock as their "cordon" in this time do not become impatient, tense, angry, etc., and do not participate in more exercise activities.
Moreover, the early morning air pollution is more serious, especially in thick fog of the morning air. Air pollutants in the heavier solids and particles down to the floor general, but less than 10 micron particles floating in the atmosphere for the long term. During the day, sunlight, ground heat, air and more from the bottom up, with the dirt in the air, reduce the concentration of air pollution near the ground. Night, the ground temperature dropped, not only can not move up dirt spread, but tend to back down, the fog, the concentration of dirt up to the highest point. Exercise by breathing deeply and fast at this time, dirt, dust, bacteria can easily enter the body through the respiratory tract. In particular, diabetic patients, disease and poor, can easily cause lung, trachea infection in diabetic condition. At the same time early in the morning flowers, small trees release oxygen, carbon dioxide concentration but higher than during the day, this is because the oxygen intake at night plants release carbon dioxide results.
Diabetic patients the best time to exercise to the afternoon or evening.
2010年4月6日星期二
Cold water tea can prevent diabetes?
Tea is a beverage that people drink daily. However, the consumption of a variety of cold boiled water tea can prevent and cure diabetes, this diet is a new point of view, Professor Morita of Japan concluded a long-term study. Tea is a beverage that people drink daily. However, the consumption of a variety of cold boiled water tea can prevent and cure diabetes, this diet is a new point of view, Professor Morita of Japan concluded a long-term study.
Professor Morita three years of experimental research on more than 1,300 in six months time, the cold water to drink tea the subjects were investigated, of which 82% of patients disease was reduced by 9% of people are cured.
The study found that tea contains a polysaccharide, which both promote the islet, but also remove excess blood sugar. This polysaccharide content in the crude tea 36.8%, 31.7% green tea, black tea is 19.4%. Tea with boiling water immersion, polysaccharides heat will be severely damaged.
Professor Morita three years of experimental research on more than 1,300 in six months time, the cold water to drink tea the subjects were investigated, of which 82% of patients disease was reduced by 9% of people are cured.
The study found that tea contains a polysaccharide, which both promote the islet, but also remove excess blood sugar. This polysaccharide content in the crude tea 36.8%, 31.7% green tea, black tea is 19.4%. Tea with boiling water immersion, polysaccharides heat will be severely damaged.
Diabetics should not drink vinegar
Vinegar production has a long history in China, was born in Shanxi mature vinegar, Zhenjiang vinegar, Sichuan Browning vinegar, red yeast rice vinegar Fujian Yongchun many names vinegar. In addition, health vinegar Vinegar family as a new member in recent years by many consumers. Vinegar production has a long history in China, was born in Shanxi mature vinegar, Zhenjiang vinegar, Sichuan Browning vinegar, red yeast rice vinegar Fujian Yongchun many names vinegar. In addition, health vinegar Vinegar family as a new member in recent years by many consumers.
However, experts suggest that drinking vinegar can not drink a lot of time, try not to drink empty stomach or without water dilution. With gastric ulcer, gastric acid or too many people with diabetes should not drink vinegar. Some people are allergic to the fruit should also look at the detailed instructions before drinking to avoid the corresponding fruit vinegar. Experts suggest consumers use brewing process as much as possible products.
Vinegar in the purchase, the first look at the color of vinegar, body. Vinegar is amber or red-brown, shiny person to share and. Body to clarify the appropriate concentration, no suspended solids and sediments of the product quality better. Second News aroma, taste the taste. Good vinegar should unique aroma of vinegar and ester aroma, soft acidity, lingering aftertaste, a mellow, non-astringent, no smell.
However, experts suggest that drinking vinegar can not drink a lot of time, try not to drink empty stomach or without water dilution. With gastric ulcer, gastric acid or too many people with diabetes should not drink vinegar. Some people are allergic to the fruit should also look at the detailed instructions before drinking to avoid the corresponding fruit vinegar. Experts suggest consumers use brewing process as much as possible products.
Vinegar in the purchase, the first look at the color of vinegar, body. Vinegar is amber or red-brown, shiny person to share and. Body to clarify the appropriate concentration, no suspended solids and sediments of the product quality better. Second News aroma, taste the taste. Good vinegar should unique aroma of vinegar and ester aroma, soft acidity, lingering aftertaste, a mellow, non-astringent, no smell.
Can diabetics eat papaya?
There is no research on papaya blood sugar index to judge, therefore this fruit is not classified as "high sugar" or "low sugar" fruit, but its components analysis perspective, one can produce 135 kg of papaya calories, rather 35 grams of food produced in the heat, so if eating papaya with diabetes may exchange food accordingly. There is no research on papaya blood sugar index to judge, therefore this fruit is not classified as "high sugar" or "low sugar" fruit, but its components analysis perspective, one can produce 135 kg of papaya calories, rather 35 grams of food produced in the heat, so if eating papaya with diabetes may exchange food accordingly.
Q: diabetes can eat the fruit, sugar content is low. Although I heard sweet papaya, also has hypoglycemic effect, I do not know for the latter, whether in medicine has been confirmed?
A: The original name papaya papaya, native of tropical America and China since ancient times used to be abroad, said Fan Bang and ending with, but also because of its fruit such as melons, tree, hence the name of papaya, pumpkin, Taiwan and Guangdong and Guangxi is known as papaya. Papaya is known as "king of fruits have benefits," said, Li's "Compendium of Materia Medica" in the discussion: papaya and warm Weisuan, soothe the liver and stomach, Shujin contact, live bones, lower blood pressure. Means that the papaya is a good nutrition, can spleen and stomach to help digest it through two, Ching Shu thirst, drug hangover, lower blood pressure.
Diabetes certainly want to know, the fruit is not that they can rest assured that choice fruit? Studies have shown that papaya papaya fruit is rich in alkali, papain, rennet, and β-carotene, and rich in more than 17 kinds of amino acids and more elements, its main function is to help digestion, reduce blood fat. Which contains the β-carotene is a natural antioxidant, can effectively combat the aging of body cells. In addition, papaya, vitamin C content of more than 20 times as much as Apple, and the milky juice of papaya, with a condition known as "papaya enzyme" protein decomposing enzyme, can be decomposed and removed the aging of the skin surface stratum corneum, thus , eat a papaya skin care, anti-aging effect.
However, there are no studies on papaya blood sugar index to judge, therefore this fruit is not classified as "high sugar" or "low sugar" fruit, but the ingredients of view, one can produce 135 kg of papaya calories , equivalent to 35 grams of food heat, so if consumption of papaya with diabetes may exchange food accordingly.
Q: diabetes can eat the fruit, sugar content is low. Although I heard sweet papaya, also has hypoglycemic effect, I do not know for the latter, whether in medicine has been confirmed?
A: The original name papaya papaya, native of tropical America and China since ancient times used to be abroad, said Fan Bang and ending with, but also because of its fruit such as melons, tree, hence the name of papaya, pumpkin, Taiwan and Guangdong and Guangxi is known as papaya. Papaya is known as "king of fruits have benefits," said, Li's "Compendium of Materia Medica" in the discussion: papaya and warm Weisuan, soothe the liver and stomach, Shujin contact, live bones, lower blood pressure. Means that the papaya is a good nutrition, can spleen and stomach to help digest it through two, Ching Shu thirst, drug hangover, lower blood pressure.
Diabetes certainly want to know, the fruit is not that they can rest assured that choice fruit? Studies have shown that papaya papaya fruit is rich in alkali, papain, rennet, and β-carotene, and rich in more than 17 kinds of amino acids and more elements, its main function is to help digestion, reduce blood fat. Which contains the β-carotene is a natural antioxidant, can effectively combat the aging of body cells. In addition, papaya, vitamin C content of more than 20 times as much as Apple, and the milky juice of papaya, with a condition known as "papaya enzyme" protein decomposing enzyme, can be decomposed and removed the aging of the skin surface stratum corneum, thus , eat a papaya skin care, anti-aging effect.
However, there are no studies on papaya blood sugar index to judge, therefore this fruit is not classified as "high sugar" or "low sugar" fruit, but the ingredients of view, one can produce 135 kg of papaya calories , equivalent to 35 grams of food heat, so if consumption of papaya with diabetes may exchange food accordingly.
What are the complications of diabetes, stomach
What are the complications of diabetes, stomach
Stomach paralysis is due to dominant gastric motility caused by nerve damage. In ketoacidosis, it may temporarily occur. Paralysis occurs when the stomach, food in the stomach can not be emptied in a timely manner while remaining in the stomach will cause some discomfort. Stomach paralysis is due to dominant gastric motility caused by nerve damage. In ketoacidosis, it may temporarily occur. Paralysis occurs when the stomach, food in the stomach can not be emptied in a timely manner while remaining in the stomach will cause some discomfort.
Metoclopramide in the treatment of paralysis of the stomach and so can be used to stimulate gastric emptying of drugs or cimetidine and other drugs inhibiting gastric secretion, the latter class of drugs to reduce gastric secretion, and thus reduce the sense of fullness. Removed by endoscopy when there gastrolith.
Acid deficiency may be caused as autoimmune. Achlorhydria, the alien can not be kill bacteria, easy to stomach infection, inflammation, and also the lack of gastric acid, also affected the digestion of food.
When the stomach cells to reduce the internal factors, it can cause the body vitamin b12 lack of nutritional anemia.
Stomach paralysis is due to dominant gastric motility caused by nerve damage. In ketoacidosis, it may temporarily occur. Paralysis occurs when the stomach, food in the stomach can not be emptied in a timely manner while remaining in the stomach will cause some discomfort. Stomach paralysis is due to dominant gastric motility caused by nerve damage. In ketoacidosis, it may temporarily occur. Paralysis occurs when the stomach, food in the stomach can not be emptied in a timely manner while remaining in the stomach will cause some discomfort.
Metoclopramide in the treatment of paralysis of the stomach and so can be used to stimulate gastric emptying of drugs or cimetidine and other drugs inhibiting gastric secretion, the latter class of drugs to reduce gastric secretion, and thus reduce the sense of fullness. Removed by endoscopy when there gastrolith.
Acid deficiency may be caused as autoimmune. Achlorhydria, the alien can not be kill bacteria, easy to stomach infection, inflammation, and also the lack of gastric acid, also affected the digestion of food.
When the stomach cells to reduce the internal factors, it can cause the body vitamin b12 lack of nutritional anemia.
Traditional Chinese Medicine Treat Diabetes Complications
Chinese believe that sputum is a major cause of diabetic pathology, but also the many complications of diabetes, the main reason. Diabetes long time, can lead to injury or the Yin and Yang and Yin of the two all true, even more important in the formation of phlegm, so that lesions gradually increased, eventually leading to the formation of many complications. Sputum is the main reason for diabetic complications
Chinese believe that sputum is a major cause of diabetic pathology, but also the many complications of diabetes, the main reason. Diabetes long time, can lead to injury or the Yin and Yang and Yin of the two all true, even more important in the formation of phlegm, so that lesions gradually increased, eventually leading to the formation of many complications.
Disease topic - Diabetes
Sputum evil and stasis remain in the body, with the gas lift, everywhere to, or resistance in the lung, or stop in the stomach, or Monte-minded manner, or depression in the liver, or moving in the kidney, or fled the meridians, or phlegm evil with but no, the change permits clustered.
If the phlegm in the lungs, diabetes, pulmonary infection can be seen, tuberculosis, cough, sputum embolism; if the phlegm in the heart vessel, see diabetes and coronary heart disease, manifested as chest tightness, painful, cyanotic lips, the unbearable weight of cardiac back, back broke our hearts; if the phlegm in the meridians, blind orifices and as hemiplegia, Kouyanwaixie, delirium, diabetes and cerebrovascular disease can be seen. If Meridian Blockage of the blood does not go through, were seen in diabetic retinopathy retinal hemorrhage; if meridian dystrophy, not General pain, then see diabetic neuropathy, pain, numbness performance. If the phlegm on the Mongolian orifices, can occur with hypertension of dizziness, blurred vision, etc.; if the bleeding stops within, phlegm overflows skin shows edema complicated by kidney disease and there.
Thus, phlegm and diabetic complications very close relationship, is an important complication of diabetes incidence of a number of reasons.
Expectorant Jiangzhuo tackling the problem
Complications of diabetes is closely related with sputum. Yin deficiency is one aspect of Diabetes, and phlegm compared to the other side, the two are interrelated and can pathogenesis of diabetic complications become more reasonable and perfect. The formation of phlegm, a direct Haoshangyinye, two sputum Yu of the fire also Haoshangyinye more phlegm meridians, Yin Jin lost to lose cloth, all so that the body can not Ru Yang, disease Diabetes . Both for the pathological product of sputum, the same time as the cause leading to dysfunctional organs, so enter the vicious circle, to date into the pathogenic potential, stubbornly intractable. Yin and alone before the heat treatment of this type of person, Youru Yang Yang just boiling, only treat the symptoms, sputum evil not, hot is not mitigated, Jin Ho Yin Fu? If lies in the phlegm Jiangzhuo and mainly in the heat, nourishing yin, activating blood and so was the art of tackling the problem. I verified by clinical observation, and so the effective treatment of effective.
Syndromes and treatment method
In the treatment of diabetic complications should identify diseases and differentiation combined with phlegm dampness, blood glucose lipid of law, in order to seek this treatment.
Phlegm in the resistance: patients with dizziness, vertigo, tinnitus, nausea, vomiting, tracheal aspirate, abdominal Fu Man nausea, body fat, shortness of breath, fatigue, limb numbness, tongue, body fat, pale tongue, thin white fur, slippery pulse slow, or How and blood sugar, blood pressure normal. Expelling dampness phlegm, medicinal Banxia Baizhu Tianma Decoction: Pinellia, Atractylodes, Tianma, tangerine peel, ginger, 15 grams each, Poria 25 grams, 50 grams Alismataceae, jujube 4, basil 20 grams.
Phlegm-heat internal disturbances: patient dizziness, palpitations, insomnia, irritability, dry stool, I do not want to drink thirst, body fat, dark red tongue, thin yellow tongue coating, slippery pulse, blood lipid hyperglycemia. Expelling phlegm mainly medicinal Huanglian Wendan Tang: Coptis, Pinellia, Citrus 15 grams each, Jhuru, Zhishi each 20 grams, 15 grams of licorice, red peony, white peony root all 20 grams, fried jujube Ren 30 grams, 20 grams Zhimu, habitat, 50 grams, 25 grams medlar.
Meridian Qi phlegm: The patient did not drink significantly more than thirst, limb numbness, body fat, dizziness, limb numbness, dark red tongue, thin yellow tongue coating, thin weak pulse, increased blood sugar, blood pressure normal. Expelling phlegm Qi, activating blood and collaterals, Shenqi Wendan Tang: Astragalus, Codonopsis each 25 grams, Pinellia, each 15 grams of dried tangerine peel, Poria 25 grams, 9 grams Citrus aurantium, herb, 12 grams each Jhuru Health yam 20 grams, 15 grams of Radix, Millettla, Salvia, each 30 grams of pollen.
Chinese believe that sputum is a major cause of diabetic pathology, but also the many complications of diabetes, the main reason. Diabetes long time, can lead to injury or the Yin and Yang and Yin of the two all true, even more important in the formation of phlegm, so that lesions gradually increased, eventually leading to the formation of many complications.
Disease topic - Diabetes
Sputum evil and stasis remain in the body, with the gas lift, everywhere to, or resistance in the lung, or stop in the stomach, or Monte-minded manner, or depression in the liver, or moving in the kidney, or fled the meridians, or phlegm evil with but no, the change permits clustered.
If the phlegm in the lungs, diabetes, pulmonary infection can be seen, tuberculosis, cough, sputum embolism; if the phlegm in the heart vessel, see diabetes and coronary heart disease, manifested as chest tightness, painful, cyanotic lips, the unbearable weight of cardiac back, back broke our hearts; if the phlegm in the meridians, blind orifices and as hemiplegia, Kouyanwaixie, delirium, diabetes and cerebrovascular disease can be seen. If Meridian Blockage of the blood does not go through, were seen in diabetic retinopathy retinal hemorrhage; if meridian dystrophy, not General pain, then see diabetic neuropathy, pain, numbness performance. If the phlegm on the Mongolian orifices, can occur with hypertension of dizziness, blurred vision, etc.; if the bleeding stops within, phlegm overflows skin shows edema complicated by kidney disease and there.
Thus, phlegm and diabetic complications very close relationship, is an important complication of diabetes incidence of a number of reasons.
Expectorant Jiangzhuo tackling the problem
Complications of diabetes is closely related with sputum. Yin deficiency is one aspect of Diabetes, and phlegm compared to the other side, the two are interrelated and can pathogenesis of diabetic complications become more reasonable and perfect. The formation of phlegm, a direct Haoshangyinye, two sputum Yu of the fire also Haoshangyinye more phlegm meridians, Yin Jin lost to lose cloth, all so that the body can not Ru Yang, disease Diabetes . Both for the pathological product of sputum, the same time as the cause leading to dysfunctional organs, so enter the vicious circle, to date into the pathogenic potential, stubbornly intractable. Yin and alone before the heat treatment of this type of person, Youru Yang Yang just boiling, only treat the symptoms, sputum evil not, hot is not mitigated, Jin Ho Yin Fu? If lies in the phlegm Jiangzhuo and mainly in the heat, nourishing yin, activating blood and so was the art of tackling the problem. I verified by clinical observation, and so the effective treatment of effective.
Syndromes and treatment method
In the treatment of diabetic complications should identify diseases and differentiation combined with phlegm dampness, blood glucose lipid of law, in order to seek this treatment.
Phlegm in the resistance: patients with dizziness, vertigo, tinnitus, nausea, vomiting, tracheal aspirate, abdominal Fu Man nausea, body fat, shortness of breath, fatigue, limb numbness, tongue, body fat, pale tongue, thin white fur, slippery pulse slow, or How and blood sugar, blood pressure normal. Expelling dampness phlegm, medicinal Banxia Baizhu Tianma Decoction: Pinellia, Atractylodes, Tianma, tangerine peel, ginger, 15 grams each, Poria 25 grams, 50 grams Alismataceae, jujube 4, basil 20 grams.
Phlegm-heat internal disturbances: patient dizziness, palpitations, insomnia, irritability, dry stool, I do not want to drink thirst, body fat, dark red tongue, thin yellow tongue coating, slippery pulse, blood lipid hyperglycemia. Expelling phlegm mainly medicinal Huanglian Wendan Tang: Coptis, Pinellia, Citrus 15 grams each, Jhuru, Zhishi each 20 grams, 15 grams of licorice, red peony, white peony root all 20 grams, fried jujube Ren 30 grams, 20 grams Zhimu, habitat, 50 grams, 25 grams medlar.
Meridian Qi phlegm: The patient did not drink significantly more than thirst, limb numbness, body fat, dizziness, limb numbness, dark red tongue, thin yellow tongue coating, thin weak pulse, increased blood sugar, blood pressure normal. Expelling phlegm Qi, activating blood and collaterals, Shenqi Wendan Tang: Astragalus, Codonopsis each 25 grams, Pinellia, each 15 grams of dried tangerine peel, Poria 25 grams, 9 grams Citrus aurantium, herb, 12 grams each Jhuru Health yam 20 grams, 15 grams of Radix, Millettla, Salvia, each 30 grams of pollen.
Turn on the lights to sleep anti-diabetic eye disease?
Experts on the seven observational study with diabetes and found that while they were sleeping, the light entering the retina through the eyelids, can avoid the eye to adapt to darkness and consume more oxygen. As we all know, retinopathy, a complication of diabetes, can not turn off the light sleep diabetes really good for it? Experts on the seven observational study with diabetes and found that while they were sleeping, the light entering the retina through the eyelids, can avoid the eye to adapt to darkness and consume more oxygen. As we all know, retinopathy, a complication of diabetes, can not turn off the light sleep diabetes really good for it?
Xiyuan Hospital of China Academy of Traditional Chinese Medicine, director Wei Zixiao diabetes Chief Physician to the denial of this claim: This is a violation of the law of life, affecting the quality of life approach. He said: enough sleep, control of the disease in diabetic patients is 100% useful, but turn on the lights to sleep, may result in patients with neurological disorders, biological clock, and will bring hormone disorder. Hormone secretion during the day and night are different, especially growth hormone secreted at night much, so, good rest easier at night cause neurological dysfunction.
In addition, Wei, MD, stressed: partial can not cover the whole, the regulation of body rhythm, can not be "pressed up under the calabash gourd." Non-drug therapy also should consider their safety. Consider only effective, without regard to security, in medicine will not work. For the case of the British investigation of clinical studies, Wei, the doctor said several patients alone case, is not telling. A few patients because of the security problem is not the case can be reflected. He said, all related to treatment and efficacy, no systematic and comprehensive investigation, the safety and efficacy are insufficient as evidence.
For foreign-related health guidance and medical reports, Wei, MD, advocates can safely be discounted, at best, only for research reference, must not be adopted hastily.
Xiyuan Hospital of China Academy of Traditional Chinese Medicine, director Wei Zixiao diabetes Chief Physician to the denial of this claim: This is a violation of the law of life, affecting the quality of life approach. He said: enough sleep, control of the disease in diabetic patients is 100% useful, but turn on the lights to sleep, may result in patients with neurological disorders, biological clock, and will bring hormone disorder. Hormone secretion during the day and night are different, especially growth hormone secreted at night much, so, good rest easier at night cause neurological dysfunction.
In addition, Wei, MD, stressed: partial can not cover the whole, the regulation of body rhythm, can not be "pressed up under the calabash gourd." Non-drug therapy also should consider their safety. Consider only effective, without regard to security, in medicine will not work. For the case of the British investigation of clinical studies, Wei, the doctor said several patients alone case, is not telling. A few patients because of the security problem is not the case can be reflected. He said, all related to treatment and efficacy, no systematic and comprehensive investigation, the safety and efficacy are insufficient as evidence.
For foreign-related health guidance and medical reports, Wei, MD, advocates can safely be discounted, at best, only for research reference, must not be adopted hastily.
Breakfast can reduce the risk of diabetes
Insulin resistance is the loss of body sensitivity to insulin, which is often a precursor to diabetes. Researchers on the 2681 25-37 year-olds followed for eight years, during which they appeared a variety of health problems, including insulin resistance and obesity. The results showed that those eating breakfast less than twice a week compared to people who eat breakfast every day who suffer from obesity and insulin resistance may reduce the risk of symptoms of 35% to 50%. A new study shows that those who ate breakfast every day obesity and diabetes will be reduced.
Insulin resistance is the loss of body sensitivity to insulin, which is often a precursor to diabetes. Researchers on the 2681 25-37 year-olds followed for eight years, during which they appeared a variety of health problems, including insulin resistance and obesity. The results showed that those eating breakfast less than twice a week compared to people who eat breakfast every day who suffer from obesity and insulin resistance may reduce the risk of symptoms of 35% to 50%.
The researchers said that in addition to the frequency of eating breakfast, the breakfast quality are also important. Example, composed entirely of breakfast cereal can reduce the risk of disease, and processed breakfast cereals are not. Breakfast was able to reduce the risk of obesity, Ⅱ type diabetes and cardiovascular disease risk, because so people can better control their appetite and reduce the possibility of excessive daytime eating.
The researchers concluded that: The results provide a better understanding of people to diet and obesity and the risk of other diseases.
Insulin resistance is the loss of body sensitivity to insulin, which is often a precursor to diabetes. Researchers on the 2681 25-37 year-olds followed for eight years, during which they appeared a variety of health problems, including insulin resistance and obesity. The results showed that those eating breakfast less than twice a week compared to people who eat breakfast every day who suffer from obesity and insulin resistance may reduce the risk of symptoms of 35% to 50%.
The researchers said that in addition to the frequency of eating breakfast, the breakfast quality are also important. Example, composed entirely of breakfast cereal can reduce the risk of disease, and processed breakfast cereals are not. Breakfast was able to reduce the risk of obesity, Ⅱ type diabetes and cardiovascular disease risk, because so people can better control their appetite and reduce the possibility of excessive daytime eating.
The researchers concluded that: The results provide a better understanding of people to diet and obesity and the risk of other diseases.
Kidney help prevent the complications of diabetes
Diabetes are treated with the current use of metformin or sulfonylureas, hypoglycemic easy, smooth control of blood sugar difficulties, and the amount of good will to master the formation of ketoacidosis, hypoglycemia shock. Blood sugar is not stable, prone to cardiovascular disease, retinal hemorrhage, kidney complications of diabetes, liver, spleen and other organs lung and kidney function will deteriorate. More serious is the leading cause of death caused by diabetes, is from these complications. Diabetes are treated with the current use of metformin or sulfonylureas, hypoglycemic easy, smooth control of blood sugar difficulties, and the amount of good will to master the formation of ketoacidosis, hypoglycemia shock. Blood sugar is not stable, prone to cardiovascular disease, retinal hemorrhage, kidney complications of diabetes, liver, spleen and other organs lung and kidney function will deteriorate. More serious is the main cause of death in patients with diabetes is from these complications.
Smooth control of blood glucose, blood sugar regulation requires the body's own function, that is the normal pancreatic insulin secretion, the insulin regulate blood sugar to be sensitive to.
General diabetes drugs, such as injecting insulin, the body of this treatment is exogenous insulin in terms of long-term use will have to use a large number of dependent insulin secretion function of the pancreas susceptible to degradation. The oral administration of metformin, sulfonylurea diabetes medicines, over-stimulate the pancreas to secrete insulin, equivalent to an old and sick horses hard pumping whip, also allow horse race. One day because of diabetes the pancreas no longer produce insulin the fatigue.
Both of which can not achieve the purpose of a smooth control of blood sugar, diabetes complications arose.
Treatment of diabetes requires a comprehensive long conditioning. The latest clinical program is based on the joint use of antidiabetic insulin sensitizers (on behalf of medicine: Donatello) treatment to increase the body used insulin, and protection of pancreatic β cells, control of diabetes. At the same time, but also to protect internal organs of the organ system.
Diabetics are well aware that diabetes is a pathological disorder of Endocrinology and Metabolism, which is speaking Chinese heart, liver, spleen, lung, kidney dysfunction five internal organs, or rather are due to kidney deficiency caused. Therefore, a comprehensive diabetes conditioning treatment the best way is to hand control of sugar in one hand and Kidney and make up the five internal organs.
Diabetes in Chinese medicine called "Diabetes Disease", that is, kidney, Dryness, splenic fever, stomach heat caused by Diabetes symptoms.
Diabetes Shenpi fatigue, not the spirit, dry mouth, dry nose, dry and itchy skin, hair loss, with the wounds difficult to heal, are the clinical symptoms of kidney Dryness.
The old and hungry people with diabetes, while kidney, stomach heat, spleen thermal performance. Because the kidney, renal water shortage, caused by excessive gastric local blood circulation, strengthen the stomach contractility, leading to stomach the work of this organ in the disorder, the symptoms of formation of more food.
Stomach disorder work blindly rapid digestion of food, will increase the workload of the spleen into blood, resulting in splenic fever. Of stomach, spleen and the result is the body heat increases metabolic block, endocrine disorders, can not properly digested and absorbed the essence of food loss, weight loss, fatigue.
Of stomach, spleen and kidney injuries in turn heat the water. More virtual kidney, renal main "water" feature will further reduce the edema symptoms of diabetes appeared, and severe diabetes would develop into a nephrotic syndrome, uremia.
Through the analysis of traditional Chinese medicine theory, we know that diabetes is a metabolic disorder caused by endocrine, "endocrine metabolic disorder" from the Chinese point of view is the heart, liver, spleen, lung, kidney dysfunction five internal organs. Five internal organs dysfunction is the root of diabetes, causes found, we will start from the kidney complications of diabetes.
Diabetes selected as "Bushenyishou Capsule" that nourish the kidney yin yang, the five internal organs function in regulating medicine, on the adjuvant treatment of diabetes helpful.
"Bushenyishou Capsule" by nourishing yin, yang, regulating the five internal organs, lungs gas, to Wei Huo, to activate the islet cells to restore pancreatic function. "Bushenyishou Capsule" not directly reduce blood sugar glucose, but the five internal organs by regulating kidney function, adjuvant treatment of diabetes effects are significant, so that people with diabetes were improved overall health. The diabetic taking "Bushenyishou Capsule" initially being used according to the original amount used drug for treating diabetes.
"Bushenyishou Capsule" is a pure Chinese herbal medicine's high-powered purification of components made of proprietary Chinese medicines, through the yin and yang, kidney, pancreas and restore function to eliminate the cause of the Dryness of the kidney, stomach heat, hot spleen symptoms, to help people with diabetes to fundamentally restore health, control diabetes syndrome, so as to achieve with "disease" and longevity purposes
Smooth control of blood glucose, blood sugar regulation requires the body's own function, that is the normal pancreatic insulin secretion, the insulin regulate blood sugar to be sensitive to.
General diabetes drugs, such as injecting insulin, the body of this treatment is exogenous insulin in terms of long-term use will have to use a large number of dependent insulin secretion function of the pancreas susceptible to degradation. The oral administration of metformin, sulfonylurea diabetes medicines, over-stimulate the pancreas to secrete insulin, equivalent to an old and sick horses hard pumping whip, also allow horse race. One day because of diabetes the pancreas no longer produce insulin the fatigue.
Both of which can not achieve the purpose of a smooth control of blood sugar, diabetes complications arose.
Treatment of diabetes requires a comprehensive long conditioning. The latest clinical program is based on the joint use of antidiabetic insulin sensitizers (on behalf of medicine: Donatello) treatment to increase the body used insulin, and protection of pancreatic β cells, control of diabetes. At the same time, but also to protect internal organs of the organ system.
Diabetics are well aware that diabetes is a pathological disorder of Endocrinology and Metabolism, which is speaking Chinese heart, liver, spleen, lung, kidney dysfunction five internal organs, or rather are due to kidney deficiency caused. Therefore, a comprehensive diabetes conditioning treatment the best way is to hand control of sugar in one hand and Kidney and make up the five internal organs.
Diabetes in Chinese medicine called "Diabetes Disease", that is, kidney, Dryness, splenic fever, stomach heat caused by Diabetes symptoms.
Diabetes Shenpi fatigue, not the spirit, dry mouth, dry nose, dry and itchy skin, hair loss, with the wounds difficult to heal, are the clinical symptoms of kidney Dryness.
The old and hungry people with diabetes, while kidney, stomach heat, spleen thermal performance. Because the kidney, renal water shortage, caused by excessive gastric local blood circulation, strengthen the stomach contractility, leading to stomach the work of this organ in the disorder, the symptoms of formation of more food.
Stomach disorder work blindly rapid digestion of food, will increase the workload of the spleen into blood, resulting in splenic fever. Of stomach, spleen and the result is the body heat increases metabolic block, endocrine disorders, can not properly digested and absorbed the essence of food loss, weight loss, fatigue.
Of stomach, spleen and kidney injuries in turn heat the water. More virtual kidney, renal main "water" feature will further reduce the edema symptoms of diabetes appeared, and severe diabetes would develop into a nephrotic syndrome, uremia.
Through the analysis of traditional Chinese medicine theory, we know that diabetes is a metabolic disorder caused by endocrine, "endocrine metabolic disorder" from the Chinese point of view is the heart, liver, spleen, lung, kidney dysfunction five internal organs. Five internal organs dysfunction is the root of diabetes, causes found, we will start from the kidney complications of diabetes.
Diabetes selected as "Bushenyishou Capsule" that nourish the kidney yin yang, the five internal organs function in regulating medicine, on the adjuvant treatment of diabetes helpful.
"Bushenyishou Capsule" by nourishing yin, yang, regulating the five internal organs, lungs gas, to Wei Huo, to activate the islet cells to restore pancreatic function. "Bushenyishou Capsule" not directly reduce blood sugar glucose, but the five internal organs by regulating kidney function, adjuvant treatment of diabetes effects are significant, so that people with diabetes were improved overall health. The diabetic taking "Bushenyishou Capsule" initially being used according to the original amount used drug for treating diabetes.
"Bushenyishou Capsule" is a pure Chinese herbal medicine's high-powered purification of components made of proprietary Chinese medicines, through the yin and yang, kidney, pancreas and restore function to eliminate the cause of the Dryness of the kidney, stomach heat, hot spleen symptoms, to help people with diabetes to fundamentally restore health, control diabetes syndrome, so as to achieve with "disease" and longevity purposes
Integrated Treatment of Diabetes
Integrated Treatment of Diabetes traditional Chinese and Western medical etiology and pathogenesis of diabetes awareness, both similarities and differences in emphasis, Chinese medicine attaches great importance to the role of internal factors the body, "the five internal organs are weak, good disease Xiaodan "clear that the incidence of diabetes and inadequate endowments, which modern medicine is closely related to diabetes and genetic factors in common cause, and as Chinese medicine, improper diet, product thermal disability allowance, can lead to Diabetes . Modern research shows that diet can reduce the burden of pancreatic β cells, is conducive to the recovery of β cell function, but also to make obese people lose weight, increase the number and sensitivity of the insulin receptor. Integrated Treatment of Diabetes traditional Chinese and Western medical etiology and pathogenesis of diabetes awareness, both similarities and differences in emphasis, Chinese medicine attaches great importance to the role of internal factors the body, "the five internal organs are weak, good disease Xiaodan "clear that the incidence of diabetes and inadequate endowments, which modern medicine is closely related to diabetes and genetic factors in common cause, and as Chinese medicine, improper diet, product thermal disability allowance, can lead to Diabetes . Modern research shows that diet can reduce the burden of pancreatic β cells, is conducive to the recovery of β cell function, but also to make obese people lose weight, increase insulin receptor number and sensitivity, in recent years, modern scientific research that the Chinese medicine treatment The mechanism of diabetes first, through comprehensive regulation, make up the five internal organs, Yijing gas, stasis of blood, specimens wen, so that the body's yin and yang imbalance, blood disorders, weakened organs function returned to normal; Second, Chinese medicine has some glucose role has now been confirmed that the hypoglycemic effect of 70 kinds of Chinese medicine, compound 30 the first, traditional Chinese medicine antidiabetic mechanism may have the following aspects: to promote β-cell insulin secretion, inhibit glucagon secretion; increase The number of insulin receptor binding capacity and improve the after-effects of the insulin receptor; inhibited gluconeogenesis, and glucose utilization, delay the intestinal absorption of glucose.
1, diabetes, identify diseases and syndrome differentiation combined with the gradual formation of a diagnosis model of Integrative Medicine
This model draws on Chinese and Western medicine, combining them with Western medicine focuses on the cause and the pathological diagnosis and Chinese medicine focuses on the body reflected in physiological and pathological diagnosis of organically combined so that the doctors have a more comprehensive understanding of disease, both to focus on TCM overall macro to micro technology further, objective and quantitative, they can focus on local and Western disease differentiation toward micro-integration and integration. In the diagnosis of diabetes, in Western diagnostic criteria are the same. TCM broke through the dialectic method of eliminating the traditional three, to enrich the yin and yang, viscera, blood and body fluids syndrome, and we passed many years of clinical observation on 328 cases of diabetes were divided into Yin Deficiency and Heat Syndrome, Qi-yin deficiency, yin and yang III. One deficiency of three types of common, this disease has always been throughout, leading to diabetes, the development of internal factors, as the diabetes of the present; excessive heat, dampness, blood stasis for the diabetes standard. The criteria identified by the Chinese Ministry of Health to develop a "new Chinese medicine clinical research guidelines" adopted standardization for diagnosis and guide new drug development and clinical treatment have some practical value, for the treatment of diabetes in the Western focus is different in disease differentiation and the combination of differentiation put forward many new ideas, new theory, enrich the content of Chinese medicine including diabetes, many scholars of TCM Syndrome type of "evidence" and some objective indicators of contact were studied, the overall differentiation and micro-differentiation disease combined, discussed in the medical macro "card" in the microscopic material foundation, launched the "evidence" nature of research, such as diabetes, syndrome differentiation and insulin release and insulin anti-regulation factors , and the adrenal cortex and medulla hormone metabolism, and scavenging free radicals damage, and improving the relationship between insulin resistance and diabetes, a study of blood stasis, and achieved gratifying results, the establishment of a "dialectical objectivity" and "quantitative diagnosis "and" standardization of syndrome "and other objective indicators associated with the system, so that the diagnosis of diabetes combined Chinese and Western research into the higher level.
Through years of clinical practice, Chinese scholars for Integrative Medicine model of diabetes a useful exploration of the hot than the Shing, the early onset of people with higher blood sugar, the first application of the various methods of Western medicine (diet, exercise, Chinese medicine , chemical synthetic drugs or insulin) as soon as controlling blood sugar; so satisfactory blood glucose control, will be key to the prevention and treatment of the maximum delay the development of various complications, this treatment model has been carried out in many places, and have achieved encouraging results .
2 Integrative Medicine has greatly enriched the way for treatment of diabetes significantly increased the efficacy of treatment has changed the traditional concept of
Integrated Treatment of diabetes in the Western full play their respective advantages. If Western medicine hypoglycemic effect, rapid onset, while the traditional Chinese medicine to improve the symptoms of good hypoglycemic effect lasting, both combined, can increase efficacy, shorten treatment, In addition, Chinese medicine and Western medicine dialectical combination of a series of objective indicators to distinguish Syndrome of combined scientific leap forward a step, on the "giving of treatment," and more precise guidance.
Diabetes to a certain period, there may be complications, these complications are usually irreversible, and 进行 significance of the development Conger to decline in the quality of life in patients, Er Muqianzhongshi improve the QOL of patients, has become a study of the important purpose of Zhi Lin Chuang 1. In recent years, in Treating the complications of diabetes clinical and experimental research and development faster, study confirmed the existence of diabetic patients with abnormal blood rheology, and traditional Chinese medicine on diabetes prevention and control high blood viscosity and microcirculation advantage. Chinese aldose reductase inhibitors and protein inhibitors in treatment of non-enzymatic glycosylation and chronic complications of diabetes has made gratifying achievements.
In summary, in Treating Diabetes, not only proved to be clinically feasible in theory for the genetics of modern immunology, pharmacology, molecular enzymology, molecular biology states that currently, in the Diabetes areas important task is to select the right breakthrough, the maximum application of modern science and technology to further develop and carry out appropriate clinical and experimental research, to play in medicine and in Treating Diabetes Mellitus and the life of diabetic patients.
1, diabetes, identify diseases and syndrome differentiation combined with the gradual formation of a diagnosis model of Integrative Medicine
This model draws on Chinese and Western medicine, combining them with Western medicine focuses on the cause and the pathological diagnosis and Chinese medicine focuses on the body reflected in physiological and pathological diagnosis of organically combined so that the doctors have a more comprehensive understanding of disease, both to focus on TCM overall macro to micro technology further, objective and quantitative, they can focus on local and Western disease differentiation toward micro-integration and integration. In the diagnosis of diabetes, in Western diagnostic criteria are the same. TCM broke through the dialectic method of eliminating the traditional three, to enrich the yin and yang, viscera, blood and body fluids syndrome, and we passed many years of clinical observation on 328 cases of diabetes were divided into Yin Deficiency and Heat Syndrome, Qi-yin deficiency, yin and yang III. One deficiency of three types of common, this disease has always been throughout, leading to diabetes, the development of internal factors, as the diabetes of the present; excessive heat, dampness, blood stasis for the diabetes standard. The criteria identified by the Chinese Ministry of Health to develop a "new Chinese medicine clinical research guidelines" adopted standardization for diagnosis and guide new drug development and clinical treatment have some practical value, for the treatment of diabetes in the Western focus is different in disease differentiation and the combination of differentiation put forward many new ideas, new theory, enrich the content of Chinese medicine including diabetes, many scholars of TCM Syndrome type of "evidence" and some objective indicators of contact were studied, the overall differentiation and micro-differentiation disease combined, discussed in the medical macro "card" in the microscopic material foundation, launched the "evidence" nature of research, such as diabetes, syndrome differentiation and insulin release and insulin anti-regulation factors , and the adrenal cortex and medulla hormone metabolism, and scavenging free radicals damage, and improving the relationship between insulin resistance and diabetes, a study of blood stasis, and achieved gratifying results, the establishment of a "dialectical objectivity" and "quantitative diagnosis "and" standardization of syndrome "and other objective indicators associated with the system, so that the diagnosis of diabetes combined Chinese and Western research into the higher level.
Through years of clinical practice, Chinese scholars for Integrative Medicine model of diabetes a useful exploration of the hot than the Shing, the early onset of people with higher blood sugar, the first application of the various methods of Western medicine (diet, exercise, Chinese medicine , chemical synthetic drugs or insulin) as soon as controlling blood sugar; so satisfactory blood glucose control, will be key to the prevention and treatment of the maximum delay the development of various complications, this treatment model has been carried out in many places, and have achieved encouraging results .
2 Integrative Medicine has greatly enriched the way for treatment of diabetes significantly increased the efficacy of treatment has changed the traditional concept of
Integrated Treatment of diabetes in the Western full play their respective advantages. If Western medicine hypoglycemic effect, rapid onset, while the traditional Chinese medicine to improve the symptoms of good hypoglycemic effect lasting, both combined, can increase efficacy, shorten treatment, In addition, Chinese medicine and Western medicine dialectical combination of a series of objective indicators to distinguish Syndrome of combined scientific leap forward a step, on the "giving of treatment," and more precise guidance.
Diabetes to a certain period, there may be complications, these complications are usually irreversible, and 进行 significance of the development Conger to decline in the quality of life in patients, Er Muqianzhongshi improve the QOL of patients, has become a study of the important purpose of Zhi Lin Chuang 1. In recent years, in Treating the complications of diabetes clinical and experimental research and development faster, study confirmed the existence of diabetic patients with abnormal blood rheology, and traditional Chinese medicine on diabetes prevention and control high blood viscosity and microcirculation advantage. Chinese aldose reductase inhibitors and protein inhibitors in treatment of non-enzymatic glycosylation and chronic complications of diabetes has made gratifying achievements.
In summary, in Treating Diabetes, not only proved to be clinically feasible in theory for the genetics of modern immunology, pharmacology, molecular enzymology, molecular biology states that currently, in the Diabetes areas important task is to select the right breakthrough, the maximum application of modern science and technology to further develop and carry out appropriate clinical and experimental research, to play in medicine and in Treating Diabetes Mellitus and the life of diabetic patients.
Do not detect diabetes in the afternoon
U.S. medical scientists have recently found that afternoon, check for diabetes is often inaccurate, the detection rate decreased. U.S. medical scientists have recently found that afternoon, check for diabetes is often inaccurate, the detection rate decreased.
In the Dec. 27 issue of "Journal of the American Medical Association", the U.S. National Cancer Institute Rebecca - Cesi and other published articles, check at different times in one day during the fasting blood glucose levels of diabetic patients in order to verify the morning and afternoon test results are the same. The criteria to judge diabetes, blood glucose levels reach or exceed 7.0mmol / L shall be diabetes, but the main basis for digestion after night, morning, got the blood from the patient sample test results. The results showed that blood glucose levels were significantly higher than the afternoon of the morning, the morning was diagnosed with diabetes in the afternoon may be considered to be healthy. Recommended if you need to do blood sugar checks in the afternoon, should determine the standard diabetes blood sugar dropped 0.67mmol / L.
In the Dec. 27 issue of "Journal of the American Medical Association", the U.S. National Cancer Institute Rebecca - Cesi and other published articles, check at different times in one day during the fasting blood glucose levels of diabetic patients in order to verify the morning and afternoon test results are the same. The criteria to judge diabetes, blood glucose levels reach or exceed 7.0mmol / L shall be diabetes, but the main basis for digestion after night, morning, got the blood from the patient sample test results. The results showed that blood glucose levels were significantly higher than the afternoon of the morning, the morning was diagnosed with diabetes in the afternoon may be considered to be healthy. Recommended if you need to do blood sugar checks in the afternoon, should determine the standard diabetes blood sugar dropped 0.67mmol / L.
What people tend to suffer from diabetes?
These threats are at high risk diabetes, if not a good way of life, are very prone to diabetes. How can they minimize the risk for diabetes level? Internationally accepted measures for the prevention of diabetes is at least to do \ "4 something \" that \ "to learn a little, eat a little, move a little ground, relax a little." With the blood of family members with diabetes.
History of female birth macrosomia (ie birth weight> 4 kg) or suffered from gestational diabetes.
Obesity.
Hypertension, hyperlipidemia (mainly hypertriglyceridemia persons).
Had history of high blood sugar or urine sugar positive person.
After 40 years of age, less physical activity, good nutrition, heavy workloads or nervous person.
These threats are at high risk diabetes, if not a good way of life, are very prone to diabetes. How can they minimize the risk for diabetes level? Internationally accepted measures for the prevention of diabetes is at least to do \ "4 something \" that \ "to learn a little, eat a little, move a little ground, relax a little."
To learn a bit: we should see more of the diabetes books, newspapers, TV, listen to lectures about diabetes and broadcasting, to increase their basic knowledge of diabetes and diabetes prevention and control methods of understanding.
Go easy on: is to reduce daily caloric intake, especially to avoid eating and drinking, Feigan Atsumi, smoking, alcohol consumption and so on.
Fixed a little ground: that is the time to increase their physical activity and exercise, stay in shape fit, to avoid obesity.
Relax a little: that is tried to be cheerful, open-minded, optimistic, work and rest, avoid excessive tension and stress.
History of female birth macrosomia (ie birth weight> 4 kg) or suffered from gestational diabetes.
Obesity.
Hypertension, hyperlipidemia (mainly hypertriglyceridemia persons).
Had history of high blood sugar or urine sugar positive person.
After 40 years of age, less physical activity, good nutrition, heavy workloads or nervous person.
These threats are at high risk diabetes, if not a good way of life, are very prone to diabetes. How can they minimize the risk for diabetes level? Internationally accepted measures for the prevention of diabetes is at least to do \ "4 something \" that \ "to learn a little, eat a little, move a little ground, relax a little."
To learn a bit: we should see more of the diabetes books, newspapers, TV, listen to lectures about diabetes and broadcasting, to increase their basic knowledge of diabetes and diabetes prevention and control methods of understanding.
Go easy on: is to reduce daily caloric intake, especially to avoid eating and drinking, Feigan Atsumi, smoking, alcohol consumption and so on.
Fixed a little ground: that is the time to increase their physical activity and exercise, stay in shape fit, to avoid obesity.
Relax a little: that is tried to be cheerful, open-minded, optimistic, work and rest, avoid excessive tension and stress.
The diagnostic criteria of gestational diabetes
Women who had no diabetes in pregnancy, abnormal glucose tolerance during the time, called "gestational diabetes" may cause fetal malformations, neonatal hypoglycemia and respiratory distress syndrome, stillbirth, polyhydramnios, premature delivery , pregnant women, urinary tract infection, headache, etc., will not only affect fetal development, but also endanger the mother's health, so check for diabetes during pregnancy is very important. What is gestational diabetes
Women who had no diabetes in pregnancy, abnormal glucose tolerance during the time, called "gestational diabetes" may cause fetal malformations, neonatal hypoglycemia and respiratory distress syndrome, stillbirth, polyhydramnios, premature delivery , pregnant women, urinary tract infection, headache, etc., will not only affect fetal development, but also endanger the mother's health, so check for diabetes during pregnancy is very important. Pregnant women with gestational diabetes may recur in the next pregnancy, if pregnancy should try the doctor again, and for examination. Pregnant women who suffer from this disease, the risk of diabetes after older than the normal women who, Gu postpartum should try to maintain an appropriate weight and keep Guilv ideal diet, exercise habits, and to regularly test blood glucose Zhi.
How gestational diabetes test
24 to 28 weeks of gestation when, after 50 g oral glucose screening and 100 g oral glucose tolerance test, measured fasting, postprandial 1 hour, 2 hours and 3 hours of blood glucose levels, if discovered at least two value higher than the standard value (fasting, 105mg/dl; postprandial 1 hour, 190mg/dl; meal 2 hours, 165mg/dl; meal 3 hours, 145mg/dl), the diagnosis of gestational diabetes.
Women who had no diabetes in pregnancy, abnormal glucose tolerance during the time, called "gestational diabetes" may cause fetal malformations, neonatal hypoglycemia and respiratory distress syndrome, stillbirth, polyhydramnios, premature delivery , pregnant women, urinary tract infection, headache, etc., will not only affect fetal development, but also endanger the mother's health, so check for diabetes during pregnancy is very important. Pregnant women with gestational diabetes may recur in the next pregnancy, if pregnancy should try the doctor again, and for examination. Pregnant women who suffer from this disease, the risk of diabetes after older than the normal women who, Gu postpartum should try to maintain an appropriate weight and keep Guilv ideal diet, exercise habits, and to regularly test blood glucose Zhi.
How gestational diabetes test
24 to 28 weeks of gestation when, after 50 g oral glucose screening and 100 g oral glucose tolerance test, measured fasting, postprandial 1 hour, 2 hours and 3 hours of blood glucose levels, if discovered at least two value higher than the standard value (fasting, 105mg/dl; postprandial 1 hour, 190mg/dl; meal 2 hours, 165mg/dl; meal 3 hours, 145mg/dl), the diagnosis of gestational diabetes.
Incidence of diabetes What are the ways?
Insulin-dependent diabetes mellitus disease more common in children and young people in general more acute onset, severe illness onset, often with ketoacidosis as the first symptom. Insulin-dependent diabetes mellitus disease more common in children and young people in general more acute onset, severe illness onset, often with ketoacidosis as the first symptom.
More than non-insulin-dependent diabetes mellitus in adult-onset, slow onset, patients in a few months or years gradually occurred thirst, polydipsia, polyuria, polyphagia and weight loss and other symptoms, about 60% -80% of the history of obesity. Some patients in the health check or because of other diseases, incidental findings were first discovered some complications such as suppurative skin infections, urinary tract infections, female genital itching, cholecystitis, tuberculosis, and even coma due to ketoacidosis or hyperosmolar one hospital. Women of childbearing age may be a result of the premature birth, stillbirth, fetal malformations, macrosomia, polyhydramnios, threatened child pain, and found this disease. There were initially found in diabetic retinopathy, cataracts, atherosclerosis, coronary heart disease, stroke or blood clots, kidney disease, neuropathy, etc., and then back and the disease.
More than non-insulin-dependent diabetes mellitus in adult-onset, slow onset, patients in a few months or years gradually occurred thirst, polydipsia, polyuria, polyphagia and weight loss and other symptoms, about 60% -80% of the history of obesity. Some patients in the health check or because of other diseases, incidental findings were first discovered some complications such as suppurative skin infections, urinary tract infections, female genital itching, cholecystitis, tuberculosis, and even coma due to ketoacidosis or hyperosmolar one hospital. Women of childbearing age may be a result of the premature birth, stillbirth, fetal malformations, macrosomia, polyhydramnios, threatened child pain, and found this disease. There were initially found in diabetic retinopathy, cataracts, atherosclerosis, coronary heart disease, stroke or blood clots, kidney disease, neuropathy, etc., and then back and the disease.
Wrong diagnosis of diabetes
In clinical work, found that most diabetic patients got sick a few years or decades, only had fasting blood glucose, urine examination, on the view that diabetes has been diagnosed and started taking hypoglycemic agents, in fact, this is wrong. Modern medicine, diabetes is an endocrine metabolic disorders. In clinical work, found that most diabetic patients got sick a few years or decades, only had fasting blood glucose, urine examination, on the view that diabetes has been diagnosed and started taking hypoglycemic agents, in fact, this is wrong. Modern medicine, diabetes is an endocrine metabolic disorders. As the relative or absolute lack of insulin caused by sugar, fat and protein metabolism disorders spinning. Blood sugar, urine sugar diabetes increased only standard, its simply in the "islet dysfunction." A diagnosis of diabetes is insulin release test objective indicators, C-peptide stimulation test, a conditional can also check the rate of insulin receptor binding. Through the above test can determine the type 1 or type 2 diabetes in stable condition or not, the condition is mild, moderate or severe, for the treatment and prognosis play an important role in guiding. Necessary to point out is: glucose tolerance test, insulin release test, C-peptide stimulation test should always go together. This makes it easy diagnosis of controlled observation, exact understanding of his illness, to avoid misdiagnosis, wrong treatment. In addition, the amount of urinary glucose control by the renal glucose threshold, pathological cases, urine and blood sugar often directly proportional. Some patients under examination urine "+" sign to adjust how much to use as hypoglycemic agents, insulin doses based on a very dangerous
Chinese Medicine of the treatment of diabetes deafness
Diabetes, hearing loss is sensorineural hearing loss, more common in diabetic patients aged 60 or older, with age, increasing incidence of hearing impairment. Diabetes, hearing loss is sensorineural hearing loss, more common in diabetic patients aged 60 or older, with age, increasing incidence of hearing impairment. Hearing loss mostly bilateral symmetry to the main high-frequency hearing loss, some patients are from low frequency to high frequency hearing decline, often accompanied by tinnitus and vertigo. Diabetic retinopathy, hypertension, kidney disease or other neurological complications, a higher incidence of deafness, hearing damage and more serious.
As the deficiency diabetes pathogenesis and more hot, burning Yin Shuo refined, resulting in kidney dry essence true, sinister and yang. Guer diabetes, deafness mostly deficiency, due to weak kidney yin deficiency, yin deficiency lack precision, ear orifices missing the Ru Yang, virtual fire obstruct ear orifices, listen to the Secretary for dereliction of duty; sinister and the yang, cause kidney Kuihao, Vital Fire decline, not very inviting on the wing ear orifices, deficiency of blood loss, blood loss Wing ear orifices, ears deaf. There is no effective treatment western medicine, the use of Chinese medicine treating a certain type effects can be divided into two types.
Kidney Yin Deficiency type Binaural hearing after middle age gradually decreased, accompanied by dizziness, tinnitus, memory loss, insomnia and more dreams, backache petrified, throat pay less, five upset hot. Red tongue, yellow tongue fur, pulse breakdown. Governance in order to fill in fine Kidney, Rong Cong ear orifices. Da Bu Yuan Jian Fang election co Erlongzuociwan addition and subtraction, medicinal: Rehmannia glutinosa, cornus each 15 grams, Huai yam, turtle shells, magnets each 20 grams, paeonol, Zhimu and Cork each 10 grams, five flavors son, the 6 grams of pangolin.
Diabetic Kidney gradually after middle age deafness, tinnitus, and more for the ears, with waist and knee acid cold, pale lips, thirst and more drinking, more clear long in urine, or bloating loose stools, even the breathlessness and foot ankle edema. Tongue is fat and pale and tender, thin white fur, later the virtual pulse. Governance to kidney yang, qi and activating blood, Rong Cong ear orifices. Party election Pill, medicinal: Rehmannia, Dioscorea, cornus, Chinese wolfberry, each with 12 grams, Eucommia, dodder seed, purple red sage root, Chinese angelica 10 grams each, 15 grams of astragalus, system Aconite 6 to 10 grams, cinnamon , Iris 6 grams each.
Take effective control of diabetes, deafness and glucose, in order to avoid increasing deafness. As long course of this disease, "will enter a long illness contact, long term there must be stasis", context stasis, sperm can not be on air transport wing orifices. Pathologic findings of modern medicine, there is capillary basement membrane thickening, deposition of carbohydrate metabolism, resulting in microcirculatory disturbance, Guer TCM drugs should Zhuojia blood circulation drugs, efficacy will be better.
As the deficiency diabetes pathogenesis and more hot, burning Yin Shuo refined, resulting in kidney dry essence true, sinister and yang. Guer diabetes, deafness mostly deficiency, due to weak kidney yin deficiency, yin deficiency lack precision, ear orifices missing the Ru Yang, virtual fire obstruct ear orifices, listen to the Secretary for dereliction of duty; sinister and the yang, cause kidney Kuihao, Vital Fire decline, not very inviting on the wing ear orifices, deficiency of blood loss, blood loss Wing ear orifices, ears deaf. There is no effective treatment western medicine, the use of Chinese medicine treating a certain type effects can be divided into two types.
Kidney Yin Deficiency type Binaural hearing after middle age gradually decreased, accompanied by dizziness, tinnitus, memory loss, insomnia and more dreams, backache petrified, throat pay less, five upset hot. Red tongue, yellow tongue fur, pulse breakdown. Governance in order to fill in fine Kidney, Rong Cong ear orifices. Da Bu Yuan Jian Fang election co Erlongzuociwan addition and subtraction, medicinal: Rehmannia glutinosa, cornus each 15 grams, Huai yam, turtle shells, magnets each 20 grams, paeonol, Zhimu and Cork each 10 grams, five flavors son, the 6 grams of pangolin.
Diabetic Kidney gradually after middle age deafness, tinnitus, and more for the ears, with waist and knee acid cold, pale lips, thirst and more drinking, more clear long in urine, or bloating loose stools, even the breathlessness and foot ankle edema. Tongue is fat and pale and tender, thin white fur, later the virtual pulse. Governance to kidney yang, qi and activating blood, Rong Cong ear orifices. Party election Pill, medicinal: Rehmannia, Dioscorea, cornus, Chinese wolfberry, each with 12 grams, Eucommia, dodder seed, purple red sage root, Chinese angelica 10 grams each, 15 grams of astragalus, system Aconite 6 to 10 grams, cinnamon , Iris 6 grams each.
Take effective control of diabetes, deafness and glucose, in order to avoid increasing deafness. As long course of this disease, "will enter a long illness contact, long term there must be stasis", context stasis, sperm can not be on air transport wing orifices. Pathologic findings of modern medicine, there is capillary basement membrane thickening, deposition of carbohydrate metabolism, resulting in microcirculatory disturbance, Guer TCM drugs should Zhuojia blood circulation drugs, efficacy will be better.
Constipation in patients with diabetes self-conditioning
Constipation in patients with diabetes should pay attention to food conditioning, smoking cessation alcohol limit, a reasonable meal to light mainly, to avoid excessive drinking alcohol, spicy Atsumi and cold food cold and cool. Constipation is a common clinical symptoms of diabetes, accounting for about 60% of hospitalized patients. Is generally believed that not more than 3 times daily stool or less than 2 times per week, are a normal scope. Too belong to diarrhea, constipation are too little sebum. Determine the degree of constipation is not the number of bowel movements, but the stool consistency. The main causes of long-term high blood sugar lead to gastrointestinal autonomic nerve damage, decreased gastric motility occur, gastrointestinal emptying delay. Constipation can cause harmful toxin, not only the physical pain of patients, but also serious psychological burden, fear of defecation, so that against the hormonal secretion of insulin increases the incentive of a high blood sugar. If patients also with severe retinopathy or coronary heart disease, constipation can lead to retinal detachment Erzhi sudden blindness, or myocardial infarction occurs, therefore, must pay attention to constipation in diabetic patients can take some methods of self conditioning.
Diet
Conditioning should be diet, smoking cessation alcohol limit, reasonable diet, in order to light the main, preference should eat more coarse grains (such as oats, buckwheat, corn), green vegetables, radish, sesame, walnut, white fungus, seaweed, konjac and so on. Avoid excessive drinking alcohol, spicy Atsumi and cold food cold and cool.
Prescription diet can be used for illness, Yang dry stool or constipation quit, discharge difficulties, pale white, hand, foot and cold, hi, hot cold, belly Leng Tong, and pale tongue white, the pulse and later those edible shrimp fried leek Cistanche. Yin constipation, such as sheep for the pulse rate, body weight loss, dizziness, tinnitus, night sweats, or see the zygomatic red, weak waist, insomnia, and less-chun, red tongue, pulse breakdown, could eat it sesame porridge (black sesame, japonica). Deficiency manifested as constipation or stool dry and hard, but then the quality and not hard earned temporary toilet weakness, face white Shenpi, lassitude, and pale tongue white, and those of weak pulse, edible Yu Liren Zhou (Yuli Ren, rice, astragalus ).
Behavior therapy
Constipation in patients with diabetes, self-massage to the navel as the center, from the inside of 36 laps clockwise massage, then massage counterclockwise from outside to inside 36 laps to do 3 times a day. Develop regular bowel habits, Do not read newspaper in the stool. Reasonable exercise of the good treatment of constipation, can take a walk, shadow boxing, practicing Wuqinxi, Ba Duan Jin and so on, long-term adherence, must be able to improve gastrointestinal function. Can take simple measures: the morning to drink 250 to 500 ml of cold boiled water, then standing walking or tai chi, etc., or the navel as the center, clockwise massage the abdomen, and promote gastrointestinal peristalsis, so that stool discharge.
Drug therapy
Proprietary treatment of diabetic constipation are the following: Liuwei Anxiao capsules for stomach fullness, indigestion, etc.; Paul and pills for food product stagnation, abdominal distention, etc.; Maren Pills for constipation, intestinal dryness; Compound Aloe Capsule for habitual constipation; car Qianfan diarrhea particles laxatives for mild constipation.
In addition, patients can use unilateral Recipe: 30 grams Cassia, decoction, twice serving for heat end chronic constipation; senna 3 grams, boiled water service for the general empirical constipation; Polygonum 30 to 60 grams, apply to blood deficiency constipation.
Some patients stool is not dry, but can not guarantee 1 day, then self-service, laxatives, and the results less sensitive to intestinal or produce dependence on the laxative. In this regard, to correct misconceptions, the phasing out of laxatives, the establishment of normal bowel habits.
Diet
Conditioning should be diet, smoking cessation alcohol limit, reasonable diet, in order to light the main, preference should eat more coarse grains (such as oats, buckwheat, corn), green vegetables, radish, sesame, walnut, white fungus, seaweed, konjac and so on. Avoid excessive drinking alcohol, spicy Atsumi and cold food cold and cool.
Prescription diet can be used for illness, Yang dry stool or constipation quit, discharge difficulties, pale white, hand, foot and cold, hi, hot cold, belly Leng Tong, and pale tongue white, the pulse and later those edible shrimp fried leek Cistanche. Yin constipation, such as sheep for the pulse rate, body weight loss, dizziness, tinnitus, night sweats, or see the zygomatic red, weak waist, insomnia, and less-chun, red tongue, pulse breakdown, could eat it sesame porridge (black sesame, japonica). Deficiency manifested as constipation or stool dry and hard, but then the quality and not hard earned temporary toilet weakness, face white Shenpi, lassitude, and pale tongue white, and those of weak pulse, edible Yu Liren Zhou (Yuli Ren, rice, astragalus ).
Behavior therapy
Constipation in patients with diabetes, self-massage to the navel as the center, from the inside of 36 laps clockwise massage, then massage counterclockwise from outside to inside 36 laps to do 3 times a day. Develop regular bowel habits, Do not read newspaper in the stool. Reasonable exercise of the good treatment of constipation, can take a walk, shadow boxing, practicing Wuqinxi, Ba Duan Jin and so on, long-term adherence, must be able to improve gastrointestinal function. Can take simple measures: the morning to drink 250 to 500 ml of cold boiled water, then standing walking or tai chi, etc., or the navel as the center, clockwise massage the abdomen, and promote gastrointestinal peristalsis, so that stool discharge.
Drug therapy
Proprietary treatment of diabetic constipation are the following: Liuwei Anxiao capsules for stomach fullness, indigestion, etc.; Paul and pills for food product stagnation, abdominal distention, etc.; Maren Pills for constipation, intestinal dryness; Compound Aloe Capsule for habitual constipation; car Qianfan diarrhea particles laxatives for mild constipation.
In addition, patients can use unilateral Recipe: 30 grams Cassia, decoction, twice serving for heat end chronic constipation; senna 3 grams, boiled water service for the general empirical constipation; Polygonum 30 to 60 grams, apply to blood deficiency constipation.
Some patients stool is not dry, but can not guarantee 1 day, then self-service, laxatives, and the results less sensitive to intestinal or produce dependence on the laxative. In this regard, to correct misconceptions, the phasing out of laxatives, the establishment of normal bowel habits.
American ginseng is effective in Treating Diabetes
Chinese medicine, ginseng is sweet, bitter, cold, wide application of the crowd. With qi and yin, thirst, fatigue, soothe the nerves puzzle, cold heart and spleen dynasties false fire and refreshing effect. American ginseng is now being favored by more and more people, of course, thanks to its Weihou not hot, nourishing but not greasy characteristics. Modern medical study found that American ginseng can increase the body to harmful stimuli of non-specific resistance. Doses in the treatment of non-interference to normal function, no side effects. Therefore, some foreign medical experts call it "adaptation immunogenicity drugs." The biggest advantage is that can rapidly improve physical and mental work rate, there is naturally popular with the people welcome.
Chinese medicine, ginseng is sweet, bitter, cold, wide application of the crowd. With qi and yin, thirst, fatigue, soothe the nerves puzzle, cold heart and spleen dynasties false fire and refreshing effect. Especially for circulatory system diseases, urinary system diseases, blood diseases, metabolic and endocrine system diseases, such as diabetes and complications, combined with his drug treatment with American ginseng can receive significant results.
Recent clinical study found that patients with diabetes mellitus type 1,2, taking American ginseng alone can improve immunity, help to repair insulin function, to eliminate insulin resistance, increased serum insulin. Hypolipidemic and platelet aggregation at the same time, can improve diabetes symptoms such as fatigue, dry mouth and so on. And diabetes caused by internal heat as yin dizziness, palpitations, mouth ulcers, can also take American ginseng alone. 1 to 2 times a day, every 3 to 6 grams of chewing or stew served. He can also be combined with drug therapy, such as diabetes, lung and stomach injuries Jin-type, more vexed hot drink, starvation, thin, dry mouth, constipation, red tongue tip side of the pulse breakdown. Expelling heat arrests restless.
Recipe: American ginseng (also fried on the service) 10 grams of gypsum 24 g, 6 grams of bamboo leaves, Radix 15 grams, 10 grams Zhimu, Scrophulariaceae 12 g, 15 grams of pollen, Coptis 6 grams, 10 grams medlar. Water simmer in water.
Chinese medicine, ginseng is sweet, bitter, cold, wide application of the crowd. With qi and yin, thirst, fatigue, soothe the nerves puzzle, cold heart and spleen dynasties false fire and refreshing effect. Especially for circulatory system diseases, urinary system diseases, blood diseases, metabolic and endocrine system diseases, such as diabetes and complications, combined with his drug treatment with American ginseng can receive significant results.
Recent clinical study found that patients with diabetes mellitus type 1,2, taking American ginseng alone can improve immunity, help to repair insulin function, to eliminate insulin resistance, increased serum insulin. Hypolipidemic and platelet aggregation at the same time, can improve diabetes symptoms such as fatigue, dry mouth and so on. And diabetes caused by internal heat as yin dizziness, palpitations, mouth ulcers, can also take American ginseng alone. 1 to 2 times a day, every 3 to 6 grams of chewing or stew served. He can also be combined with drug therapy, such as diabetes, lung and stomach injuries Jin-type, more vexed hot drink, starvation, thin, dry mouth, constipation, red tongue tip side of the pulse breakdown. Expelling heat arrests restless.
Recipe: American ginseng (also fried on the service) 10 grams of gypsum 24 g, 6 grams of bamboo leaves, Radix 15 grams, 10 grams Zhimu, Scrophulariaceae 12 g, 15 grams of pollen, Coptis 6 grams, 10 grams medlar. Water simmer in water.
To prevent osteoporosis, diabetes
In addition to actively control the blood sugar of diabetic patients, but also must guard against osteoporosis, so that early detection and early treatment. Diabetes in addition to more food, more drinking, urination, weight loss, this "more than three a little", but also often the emergence of a "loose", that is, osteoporosis. According to statistics, about half of the diabetes associated with osteoporosis.
High blood glucose levels, renal glucose in the over-discharges the same time, the filtration rate of calcium increased, resulting in substantial loss of calcium from the urine. In the discharge of calcium, while a large number of bones in the phosphorus and magnesium also will lose the low magnesium secretion of parathyroid hormone to stimulate the neck, to promote the release of calcium in the bones, causing bone loss. Diabetic patients also often appear vitamins, calcitonin and other imbalances, affect bone metabolism. In addition, lack of collagen synthesis in patients with diabetes, reduced bone matrix, also contributed to osteoporosis.
Therefore, in addition to the positive control of blood glucose in patients with diabetes, but also must guard against osteoporosis, so that early detection, early treatment. Usually have to watch for symptoms such as back pain, regular measurement of serum calcium, urinary calcium, bone mineral density or bone mineral density measurement instrument, supplementary calcium and vitamin D, and to properly participate in outdoor activities.
Diabetic patients should generally be calcium foods is the cardinal, the medicine could supplement. Tonic to skim or low-fat milk is better. Sibu is not enough, you can take calcium supplements, but also under the guidance of a doctor taking vitamin D, bisphosphonates, calcitonin, etc.. Contain lactose for sugar or calcium, there must not worry about diabetes, its sugar content is very small, does not affect blood sugar. Be noted that postmenopausal women with diabetes used with caution in patients with estrogen treatment of osteoporosis. Because estrogen can cause blood sugar is not conducive to control of diabetes, in this case can be treated with calcitonin.
High blood glucose levels, renal glucose in the over-discharges the same time, the filtration rate of calcium increased, resulting in substantial loss of calcium from the urine. In the discharge of calcium, while a large number of bones in the phosphorus and magnesium also will lose the low magnesium secretion of parathyroid hormone to stimulate the neck, to promote the release of calcium in the bones, causing bone loss. Diabetic patients also often appear vitamins, calcitonin and other imbalances, affect bone metabolism. In addition, lack of collagen synthesis in patients with diabetes, reduced bone matrix, also contributed to osteoporosis.
Therefore, in addition to the positive control of blood glucose in patients with diabetes, but also must guard against osteoporosis, so that early detection, early treatment. Usually have to watch for symptoms such as back pain, regular measurement of serum calcium, urinary calcium, bone mineral density or bone mineral density measurement instrument, supplementary calcium and vitamin D, and to properly participate in outdoor activities.
Diabetic patients should generally be calcium foods is the cardinal, the medicine could supplement. Tonic to skim or low-fat milk is better. Sibu is not enough, you can take calcium supplements, but also under the guidance of a doctor taking vitamin D, bisphosphonates, calcitonin, etc.. Contain lactose for sugar or calcium, there must not worry about diabetes, its sugar content is very small, does not affect blood sugar. Be noted that postmenopausal women with diabetes used with caution in patients with estrogen treatment of osteoporosis. Because estrogen can cause blood sugar is not conducive to control of diabetes, in this case can be treated with calcitonin.
Retinopathy Diabetes Treated
The occurrence of diabetic retinopathy, and decline, and stasis of virtual organs, heat, phlegm, eyes wet and so the invasion of evil. Chinese medicine, blood and body fluids such as yin essence. Head to television, depends on the precision of blood and body fluids nourishing, Yin days you will lose the support caused by head. Diabetic retinopathy is a serious complication of diabetes, reflecting the endocrine status and blood vessel damage in the microvascular disease. The main performance is the blurred vision is unclear, and even sudden blindness. Chinese Eye Blind this disease classified as violent, as looking faint vague, clouds moving eyes and other disease. With the annual incidence of diabetes increased, diabetes, the incidence of retinopathy also increased.
The occurrence of diabetic retinopathy, and decline, and stasis of virtual organs, heat, phlegm, eyes wet and so the invasion of evil. Chinese medicine, blood and body fluids such as yin essence. Head to television, depends on the precision of blood and body fluids nourishing, Yin days you will lose the support caused by head. The present home win, man on top of orifices, essence and blood and body fluids such as dependent yang of warmth, solid proactive and catalytic role, can only lose in the head on. Interdependence, yin and even can damage and yang. Yang deficiency, use a heavier head orifices dystrophy, leading to the occurrence of diabetic retinopathy development.
Diabetic retinopathy in hot or Spleen Yin weak based. Ferrite deficiency, emotional disorders, can cause excessive labor spleen injury of loss of transportation, long term will be poor renal, bad water, fire, injuries caused by false fire dynamic blood contact, or Qi Tong She right, resulting in excess blood pulse, the there microaneurysms, retinal hemorrhage, neovascularization, etc.. Process often accompanied by lesions caused by virtual stasis, phlegm each node, false is mixed, clustered lesions can form a complex of diabetic retinopathy pathological changes.
Treatment of articles
Chinese medicine on early diabetic retinopathy treatment significantly Syndrome, type the following instructions.
Type Zheng Jian Yin hot drink more than thirst, hunger elimination of good grain, red tongue, yellow coating. Fundus examination revealed: retinal hemorrhage, edema, exudation. Expelling Ziyinqingre. Side with Yunv Jian, Zeng Ye Tang White Tiger soup or tonifying.
Blood stasis type illness are run, hot burning camp blood, blood stasis head contact, dark purple tongue or ecchymosis, petechiae. Fundus examination revealed: retinal hemorrhage, long-suppressed absorption, even the vitreous hemorrhage. Expelling cooling blood to blood. Side with the rhino horn to yellow Decoction.
Yin deficiency type Zheng Jian dry mouth fatigue, weak waist, short dark fur of white or less tongue coating. Fundus examination revealed: retinal hemorrhage, exudation, edema, or organized. Expelling kidney yin. Side with increasing liquid decoction LDB or Liu Wei Di Huang Tonga Ligustrum, Eclipta, Anemarrhenae.
With traditional Chinese medicine on the disease also have a certain effect, but under the guidance of a doctor to use, such as Dendrobium luminous balls, Mingmu Pill, Qijudihuang balls. For retinal hemorrhage, and other hemostatic agents can take Yunnanbaiyao. Absorber for the long-suppressed retinal hemorrhage, use of intravenous infusion of Danshen injection, may play a role in blood hemostasis.
Prepared papers
Traditional theory stresses "one-third rule, seven support", focusing on governance to support integration.
Conditioning reasonable diet diet conditioning on the treatment of diabetes is essential. Patients with diabetic retinopathy or too many factors Spleen Feigan thick greasy food, resulting in loss of the spleen and stomach operation of the Division, causing phlegm heat, on the guilty head orifices and disease. Therefore, patients should not eat Feigan thick greasy and spicy stimulation products, quit alcohol, strict control of carbohydrate intake of food and carbohydrates. To digest food, crude fiber, to prevent the occurrence of constipation. Due to hard stool, easily lead to blood pressure, increased intraocular pressure, leading to retinal bleeding. Would also like to eat bitter melon hypoglycemic food. Hi thirsty drinker, can Radix, lilies and other Jianshui on behalf of the tea. Can often eat a nourishing the liver and kidney, qi nourishing and other effects of the chemicals, such as Codonopsis, Rehmannia glutinosa, in order to achieve the vital essence, qi and blood, nourish the purpose of head orifices. Not eat sugar because of diabetes foods, easily lead to physical malnutrition, can eat more sugar-free milk and other calcium-rich foods with protein. Usually have to pay attention to hunger and eat appropriate, dietary diversification.
Emotional care of emotional disorders are the cause of diabetic retinopathy is one. After the patients more prone to illness anxiety, fear and other negative emotions, treatment and rehabilitation are very unfavorable, or even exacerbating the disease. Therefore, patients should be relaxed attitude, failing not to offend, to avoid the emotional stimulus. Particularly sharp decline in visual acuity of diabetic retinal hemorrhage who should understand the illness and during the development of effective treatment methods, and Regulating Emotion to enhance confidence in overcoming the disease. In addition, family members of patients should help patients access to family and community support and care to get satisfactory effect.
Personal care and medicine that were very close relationship with nature. Therefore, in treatment and rehabilitation period, the surrounding environment directly affects the efficacy. Patient families and medical professionals should be to create a fresh air, sunny, clean quiet and comfortable environment for patients with more rest, less manual labor, but also adequate exercise, such as playing too
Most boxing, training, etc. Five Animals. Usually pay attention to eye health with the proper use of eyesight. Not to abuse, abuse of eye drops. If the eye does not apply to timely treatment, so as not to delay in diagnosis and treatment.
The occurrence of diabetic retinopathy, and decline, and stasis of virtual organs, heat, phlegm, eyes wet and so the invasion of evil. Chinese medicine, blood and body fluids such as yin essence. Head to television, depends on the precision of blood and body fluids nourishing, Yin days you will lose the support caused by head. The present home win, man on top of orifices, essence and blood and body fluids such as dependent yang of warmth, solid proactive and catalytic role, can only lose in the head on. Interdependence, yin and even can damage and yang. Yang deficiency, use a heavier head orifices dystrophy, leading to the occurrence of diabetic retinopathy development.
Diabetic retinopathy in hot or Spleen Yin weak based. Ferrite deficiency, emotional disorders, can cause excessive labor spleen injury of loss of transportation, long term will be poor renal, bad water, fire, injuries caused by false fire dynamic blood contact, or Qi Tong She right, resulting in excess blood pulse, the there microaneurysms, retinal hemorrhage, neovascularization, etc.. Process often accompanied by lesions caused by virtual stasis, phlegm each node, false is mixed, clustered lesions can form a complex of diabetic retinopathy pathological changes.
Treatment of articles
Chinese medicine on early diabetic retinopathy treatment significantly Syndrome, type the following instructions.
Type Zheng Jian Yin hot drink more than thirst, hunger elimination of good grain, red tongue, yellow coating. Fundus examination revealed: retinal hemorrhage, edema, exudation. Expelling Ziyinqingre. Side with Yunv Jian, Zeng Ye Tang White Tiger soup or tonifying.
Blood stasis type illness are run, hot burning camp blood, blood stasis head contact, dark purple tongue or ecchymosis, petechiae. Fundus examination revealed: retinal hemorrhage, long-suppressed absorption, even the vitreous hemorrhage. Expelling cooling blood to blood. Side with the rhino horn to yellow Decoction.
Yin deficiency type Zheng Jian dry mouth fatigue, weak waist, short dark fur of white or less tongue coating. Fundus examination revealed: retinal hemorrhage, exudation, edema, or organized. Expelling kidney yin. Side with increasing liquid decoction LDB or Liu Wei Di Huang Tonga Ligustrum, Eclipta, Anemarrhenae.
With traditional Chinese medicine on the disease also have a certain effect, but under the guidance of a doctor to use, such as Dendrobium luminous balls, Mingmu Pill, Qijudihuang balls. For retinal hemorrhage, and other hemostatic agents can take Yunnanbaiyao. Absorber for the long-suppressed retinal hemorrhage, use of intravenous infusion of Danshen injection, may play a role in blood hemostasis.
Prepared papers
Traditional theory stresses "one-third rule, seven support", focusing on governance to support integration.
Conditioning reasonable diet diet conditioning on the treatment of diabetes is essential. Patients with diabetic retinopathy or too many factors Spleen Feigan thick greasy food, resulting in loss of the spleen and stomach operation of the Division, causing phlegm heat, on the guilty head orifices and disease. Therefore, patients should not eat Feigan thick greasy and spicy stimulation products, quit alcohol, strict control of carbohydrate intake of food and carbohydrates. To digest food, crude fiber, to prevent the occurrence of constipation. Due to hard stool, easily lead to blood pressure, increased intraocular pressure, leading to retinal bleeding. Would also like to eat bitter melon hypoglycemic food. Hi thirsty drinker, can Radix, lilies and other Jianshui on behalf of the tea. Can often eat a nourishing the liver and kidney, qi nourishing and other effects of the chemicals, such as Codonopsis, Rehmannia glutinosa, in order to achieve the vital essence, qi and blood, nourish the purpose of head orifices. Not eat sugar because of diabetes foods, easily lead to physical malnutrition, can eat more sugar-free milk and other calcium-rich foods with protein. Usually have to pay attention to hunger and eat appropriate, dietary diversification.
Emotional care of emotional disorders are the cause of diabetic retinopathy is one. After the patients more prone to illness anxiety, fear and other negative emotions, treatment and rehabilitation are very unfavorable, or even exacerbating the disease. Therefore, patients should be relaxed attitude, failing not to offend, to avoid the emotional stimulus. Particularly sharp decline in visual acuity of diabetic retinal hemorrhage who should understand the illness and during the development of effective treatment methods, and Regulating Emotion to enhance confidence in overcoming the disease. In addition, family members of patients should help patients access to family and community support and care to get satisfactory effect.
Personal care and medicine that were very close relationship with nature. Therefore, in treatment and rehabilitation period, the surrounding environment directly affects the efficacy. Patient families and medical professionals should be to create a fresh air, sunny, clean quiet and comfortable environment for patients with more rest, less manual labor, but also adequate exercise, such as playing too
Most boxing, training, etc. Five Animals. Usually pay attention to eye health with the proper use of eyesight. Not to abuse, abuse of eye drops. If the eye does not apply to timely treatment, so as not to delay in diagnosis and treatment.
Gastrointestinal disorders in patients with diabetes self-conditioning
Gastrointestinal disorders in patients with diabetes self-conditioning
Common complications of diabetes is one of gastrointestinal disorders. For this problem, taking Chinese medicines generally have the effect of spleen and stomach, but if not pay attention to self-care, disease easily repeated, and even delayed healing, caused great distress to patients. Common complications of diabetes is one of gastrointestinal disorders. For this problem, taking Chinese medicines generally have the effect of spleen and stomach, but if not pay attention to self-care, disease easily repeated, and even delayed healing, caused great distress to patients. In self-care, the main should note the following:
Thorough investigation of serious blood sugar control of diabetes, regular review, especially 2-hour postprandial blood sugar glucose. Although some patients with normal fasting glucose, postprandial glucose, but high, and must not be taken lightly, we must take medication to control high blood sugar status.
Keep warm with diabetes because the body is autonomic dysfunction, poor response to avoid sudden contact with cold air. Even in order to "relieve internal heat," and do not eat a lot of cold drinks and cold dishes, so as not to lead to accelerated gastric peristalsis, abdominal pain, diarrhea.
Should try to eat less to adjust recipes to make flatulence, exhaust increased food such as milk, beans, reduce the wheat, potatoes and corn and other starch-like food intake, since most of these foods depends on the bacterial metabolism within the colon decomposition, thus increasing gas production. However, different people's reaction on the food is different, it is necessary to carefully observe their displacement and the relationship between consumption of different food. Cooking cooking can properly join the ginger, garlic, pepper and other spices, can help reduce emissions. Coffee, chocolate, plum, pear, peach, candied fruits, jams and other foods can speed up bowel movements, it should reduce the intake.
It is important to stabilize mood. Because emotional stress can speed up the gastrointestinal tract motility, resulting in diarrhea.
Abdominal massage can be an empty stomach morning and evening massage in the abdomen. In the left hand, clockwise from right to left, right next to belly button as the center massage turning counterclockwise from left to right; 50 each time. This massage can improve gastrointestinal motility and blood circulation. Can also click inside the customs, and other points Zusanli, 2 times a day, every 30 minutes, to enhance gastrointestinal dredge the meridians. Sustained, there must be effective.
Common complications of diabetes is one of gastrointestinal disorders. For this problem, taking Chinese medicines generally have the effect of spleen and stomach, but if not pay attention to self-care, disease easily repeated, and even delayed healing, caused great distress to patients. Common complications of diabetes is one of gastrointestinal disorders. For this problem, taking Chinese medicines generally have the effect of spleen and stomach, but if not pay attention to self-care, disease easily repeated, and even delayed healing, caused great distress to patients. In self-care, the main should note the following:
Thorough investigation of serious blood sugar control of diabetes, regular review, especially 2-hour postprandial blood sugar glucose. Although some patients with normal fasting glucose, postprandial glucose, but high, and must not be taken lightly, we must take medication to control high blood sugar status.
Keep warm with diabetes because the body is autonomic dysfunction, poor response to avoid sudden contact with cold air. Even in order to "relieve internal heat," and do not eat a lot of cold drinks and cold dishes, so as not to lead to accelerated gastric peristalsis, abdominal pain, diarrhea.
Should try to eat less to adjust recipes to make flatulence, exhaust increased food such as milk, beans, reduce the wheat, potatoes and corn and other starch-like food intake, since most of these foods depends on the bacterial metabolism within the colon decomposition, thus increasing gas production. However, different people's reaction on the food is different, it is necessary to carefully observe their displacement and the relationship between consumption of different food. Cooking cooking can properly join the ginger, garlic, pepper and other spices, can help reduce emissions. Coffee, chocolate, plum, pear, peach, candied fruits, jams and other foods can speed up bowel movements, it should reduce the intake.
It is important to stabilize mood. Because emotional stress can speed up the gastrointestinal tract motility, resulting in diarrhea.
Abdominal massage can be an empty stomach morning and evening massage in the abdomen. In the left hand, clockwise from right to left, right next to belly button as the center massage turning counterclockwise from left to right; 50 each time. This massage can improve gastrointestinal motility and blood circulation. Can also click inside the customs, and other points Zusanli, 2 times a day, every 30 minutes, to enhance gastrointestinal dredge the meridians. Sustained, there must be effective.
2010年4月5日星期一
The how to treat renal cell carcinoma
Renal cell carcinoma mainly depend on radical surgery. Radiotherapy and chemotherapy can not completely control the tumor, generally as a palliative treatment to relieve pain, prolong life, or as adjuvant therapy after surgery. Endocrine treatment of advanced renal cell carcinoma patients with small tumors can partly degraded. Immunotherapy of tumor development may have a certain extent. Renal cell carcinoma mainly depend on radical surgery. Radiotherapy and chemotherapy can not completely control the tumor, generally as a palliative treatment to relieve pain, prolong life, or as adjuvant therapy after surgery. Endocrine treatment of advanced renal cell carcinoma patients with small tumors can partly degraded. Immunotherapy of tumor development may have a certain extent.
(A) of the surgical treatment
This is the main method to cure kidney cancer. The principle of treating kidney cancer, in addition to removal of kidneys with tumors other than to remove the tumor cells should be spread to the surrounding tissue, including fat and fascia around the kidney, adrenal gland, regional lymph nodes and renal vein and inferior vena cava tumor thrombus within the . Should be used to better surgical exposure, incision, before the first fight for the separation of renal vascular renal pedicle ligation, to prevent the spread of cancer cells separation surgery and / or thrombosis of the transfer. The smaller the tumor volume I, section 11 can be used in renal cell intercostal incision. Or the tumor stage Ⅱ, Ⅲ kidney should be removed 10 or 9 ribs of the thoracoabdominal incision. According to Beare and McDonald on 488 cases of renal cell carcinoma specimens were huge physical and histological examination, was found in 343 patients (70%) of the cancer cells have infiltrated the renal capsule or perinephric fat arrival. The results suggest that the value of expanding the scope of operation. Foley According to the pathological examination results will be in clinical renal fascia and the fascia around the capsule contents for en bloc resection, follow-up results, efficacy has improved significantly. Shanghai Medical University reported the first radical nephrectomy be long-term follow-up of 21 patients were very high survival rate. This shows that radical nephrectomy in renal cell carcinoma prognosis and improve the efficacy of change has very important significance. According to Robson and other reports, the operation was within the renal vein tumor thrombus in 13 patients, 6 patients with tumor thrombus removal after 5 to 7 years of existence, the Shanghai First Medical College in 2 cases of renal vein thrombosis after removal up more than 10 years still alive.
Lymph node metastasis to survival in patients with renal cell carcinoma decreased significantly, but the value of lymph node dissection and removal of the range there is no uniform opinion. Some patients have blood in the early stage of metastasis, lymphatic drainage and renal cell carcinoma is very rich in the direction of its drainage and sometimes do not follow the normal channels, it clearly affects the efficacy of lymph node dissection. For these reasons, Dekernion advocate unilateral lymph node dissection limited to the limitations of lymph node metastasis of early opportunities for patients to be cured, and as the basis for staging renal cell carcinoma. He believes that in the absence of a clear line of this operation not before extensive retroperitoneal lymph node dissection. Unilateral removal of his range is under the inferior mesenteric artery level since the beginning, from the ligation of adrenal blood vessels cut off date. Only clear the aorta (vena cava) in front of and outside of the lymphatic tissue, blood vessels and the dorsal and large organizations are not clear, no lumbar artery ligation. Some advocates of the first stage Ⅱ, Ⅲ tumors, clear extended to the diaphragm to the aortic bifurcation level of the following major blood vessels around the lymph nodes.
For large tumors before surgery or renal artery embolization in vitro irradiation, can reduce tumor volume, varicose veins shrink to reduce the difficulty of operation and reduction of blood loss. Some advocate preoperative embolization of renal artery routinely, 1 weeks after the radical nephrectomy, in order to improve the circulation in the anti-tumor specific antibody concentration, after routine application of medroxyprogesterone acetate (400mg, intramuscularly, weekly 2) to enhance effectiveness.
Solitary kidney renal cell carcinoma in situ after cooling the kidney to remove the tumor. If the tumor is located in the central renal tumor size or large, difficult to estimate in situ operation, after cooling in vitro completely remove the tumor, then a kidney transplant in the iliac fossa. Bilateral renal cell carcinoma, without distant metastasis was found, according to two kidney conditions may be, will do part of the bilateral nephrectomy, or the larger side of the radical nephrectomy, the smaller side of the line part of the nephrectomy. Patients with endocrine therapy (medroxyprogesterone acetate), immunotherapy and chemotherapy.
Primary renal cell carcinoma has invaded adjacent organs Stage Ⅳ tumors with poor prognosis, such as the patient's condition permits, should seek the original tumor with invasion of adjacent organs and tissues be removed, adjuvant chemotherapy and immunotherapy. Very small number of patients can survive. If there are a wide range of preoperative local infiltration, radiation therapy can be used in vitro or renal artery embolization to shrink tumors before operation.
Renal cell carcinoma with distant metastasis, in addition to the following circumstances are not generally suitable palliative nephrectomy. ① primary tumors of gross hematuria, pain, hypertension, liver dysfunction and other serious symptoms, those with medical treatment can not alleviate; ② transfer of the small number of the estimated total surgical resection can be used; ③ only bone metastasis surgery, the relative mean Zheng, suffering from renal palliative
After resection, 1-year survival rate as high as 36%.
(B) radiation for renal cell carcinoma less sensitive to radiotherapy, it has long been the main method of treatment has not been used. However, this method has been widely used in preoperative or postoperative adjuvant therapy, as well as relieve pain and other symptoms of metastatic renal cell carcinoma treatment. The role of this therapy, which can improve patient survival, reduce the relapse rate, has not been determined. Renal cell carcinoma indication for radiotherapy as follows: ① the higher the degree of malignancy or stage Ⅱ, Ⅲ tumors, postoperative radiotherapy as an adjuvant therapy can be used; ② large primary tumor and / or infiltrative tumor blood supply fixed or venous engorgement who Preoperative radiotherapy can shrink tumors, vascular contraction to increase the resection rate; ③ bone pain caused by metastatic renal cell carcinoma, etc., can alleviate the symptoms of radiation; ④ advanced inoperable patient, radiotherapy can relieve hematuria, pain and other symptoms and prolong life.
(C) chemotherapy cytotoxic effect of poor treatment of kidney cancer, according to Bloom comprehensive literature 354 cases of the application of various drug treatment showed that only 7.6% of patients had a temporary objective response, there is little therapeutic value of cyclophosphamide amide, 6 - mercaptopurine, vinblastine, actinomycin and cyclohexyl nitrosourea (CCNU). In the application of CCNU in 26 patients, 5 patients with objective response. Vinblastine treatment of Stage Ⅳ kidney cancer, 25% had objective response. Huashan Hospital, Shanghai Medical University, apply the following chemotherapy regimens on the first objective Ⅳ Effect of renal cell carcinoma is about 50%; fluorouracil 1500mg soluble 1000ml5% glucose water or saline, intravenous drip, drop by 10 to 12 hours of completion. 1 day, 5 days for a course of treatment. Day 1 plus mitomycin 20mg by slow intravenous push. The chemotherapy 1 month.
(D) endocrine therapy less effective. Oral medroxyprogesterone, 100mg1 times, 3 times a day, or 400mg intramuscularly, 2 times per week, on average, 15% of patients with partial degradation. The effect of testosterone propionate worse. The above information is the first patient application of the results Ⅳ. Thus, as in the course of earlier applications, such as primary tumor resection adjuvant therapy after surgery may reduce the incidence of transfer opportunities and improve the cure rate.
(E) renal cell carcinoma immunotherapy is likely to cause the immune function of tumor. Use of immunotherapy may inhibit tumor development.
(A) of the surgical treatment
This is the main method to cure kidney cancer. The principle of treating kidney cancer, in addition to removal of kidneys with tumors other than to remove the tumor cells should be spread to the surrounding tissue, including fat and fascia around the kidney, adrenal gland, regional lymph nodes and renal vein and inferior vena cava tumor thrombus within the . Should be used to better surgical exposure, incision, before the first fight for the separation of renal vascular renal pedicle ligation, to prevent the spread of cancer cells separation surgery and / or thrombosis of the transfer. The smaller the tumor volume I, section 11 can be used in renal cell intercostal incision. Or the tumor stage Ⅱ, Ⅲ kidney should be removed 10 or 9 ribs of the thoracoabdominal incision. According to Beare and McDonald on 488 cases of renal cell carcinoma specimens were huge physical and histological examination, was found in 343 patients (70%) of the cancer cells have infiltrated the renal capsule or perinephric fat arrival. The results suggest that the value of expanding the scope of operation. Foley According to the pathological examination results will be in clinical renal fascia and the fascia around the capsule contents for en bloc resection, follow-up results, efficacy has improved significantly. Shanghai Medical University reported the first radical nephrectomy be long-term follow-up of 21 patients were very high survival rate. This shows that radical nephrectomy in renal cell carcinoma prognosis and improve the efficacy of change has very important significance. According to Robson and other reports, the operation was within the renal vein tumor thrombus in 13 patients, 6 patients with tumor thrombus removal after 5 to 7 years of existence, the Shanghai First Medical College in 2 cases of renal vein thrombosis after removal up more than 10 years still alive.
Lymph node metastasis to survival in patients with renal cell carcinoma decreased significantly, but the value of lymph node dissection and removal of the range there is no uniform opinion. Some patients have blood in the early stage of metastasis, lymphatic drainage and renal cell carcinoma is very rich in the direction of its drainage and sometimes do not follow the normal channels, it clearly affects the efficacy of lymph node dissection. For these reasons, Dekernion advocate unilateral lymph node dissection limited to the limitations of lymph node metastasis of early opportunities for patients to be cured, and as the basis for staging renal cell carcinoma. He believes that in the absence of a clear line of this operation not before extensive retroperitoneal lymph node dissection. Unilateral removal of his range is under the inferior mesenteric artery level since the beginning, from the ligation of adrenal blood vessels cut off date. Only clear the aorta (vena cava) in front of and outside of the lymphatic tissue, blood vessels and the dorsal and large organizations are not clear, no lumbar artery ligation. Some advocates of the first stage Ⅱ, Ⅲ tumors, clear extended to the diaphragm to the aortic bifurcation level of the following major blood vessels around the lymph nodes.
For large tumors before surgery or renal artery embolization in vitro irradiation, can reduce tumor volume, varicose veins shrink to reduce the difficulty of operation and reduction of blood loss. Some advocate preoperative embolization of renal artery routinely, 1 weeks after the radical nephrectomy, in order to improve the circulation in the anti-tumor specific antibody concentration, after routine application of medroxyprogesterone acetate (400mg, intramuscularly, weekly 2) to enhance effectiveness.
Solitary kidney renal cell carcinoma in situ after cooling the kidney to remove the tumor. If the tumor is located in the central renal tumor size or large, difficult to estimate in situ operation, after cooling in vitro completely remove the tumor, then a kidney transplant in the iliac fossa. Bilateral renal cell carcinoma, without distant metastasis was found, according to two kidney conditions may be, will do part of the bilateral nephrectomy, or the larger side of the radical nephrectomy, the smaller side of the line part of the nephrectomy. Patients with endocrine therapy (medroxyprogesterone acetate), immunotherapy and chemotherapy.
Primary renal cell carcinoma has invaded adjacent organs Stage Ⅳ tumors with poor prognosis, such as the patient's condition permits, should seek the original tumor with invasion of adjacent organs and tissues be removed, adjuvant chemotherapy and immunotherapy. Very small number of patients can survive. If there are a wide range of preoperative local infiltration, radiation therapy can be used in vitro or renal artery embolization to shrink tumors before operation.
Renal cell carcinoma with distant metastasis, in addition to the following circumstances are not generally suitable palliative nephrectomy. ① primary tumors of gross hematuria, pain, hypertension, liver dysfunction and other serious symptoms, those with medical treatment can not alleviate; ② transfer of the small number of the estimated total surgical resection can be used; ③ only bone metastasis surgery, the relative mean Zheng, suffering from renal palliative
After resection, 1-year survival rate as high as 36%.
(B) radiation for renal cell carcinoma less sensitive to radiotherapy, it has long been the main method of treatment has not been used. However, this method has been widely used in preoperative or postoperative adjuvant therapy, as well as relieve pain and other symptoms of metastatic renal cell carcinoma treatment. The role of this therapy, which can improve patient survival, reduce the relapse rate, has not been determined. Renal cell carcinoma indication for radiotherapy as follows: ① the higher the degree of malignancy or stage Ⅱ, Ⅲ tumors, postoperative radiotherapy as an adjuvant therapy can be used; ② large primary tumor and / or infiltrative tumor blood supply fixed or venous engorgement who Preoperative radiotherapy can shrink tumors, vascular contraction to increase the resection rate; ③ bone pain caused by metastatic renal cell carcinoma, etc., can alleviate the symptoms of radiation; ④ advanced inoperable patient, radiotherapy can relieve hematuria, pain and other symptoms and prolong life.
(C) chemotherapy cytotoxic effect of poor treatment of kidney cancer, according to Bloom comprehensive literature 354 cases of the application of various drug treatment showed that only 7.6% of patients had a temporary objective response, there is little therapeutic value of cyclophosphamide amide, 6 - mercaptopurine, vinblastine, actinomycin and cyclohexyl nitrosourea (CCNU). In the application of CCNU in 26 patients, 5 patients with objective response. Vinblastine treatment of Stage Ⅳ kidney cancer, 25% had objective response. Huashan Hospital, Shanghai Medical University, apply the following chemotherapy regimens on the first objective Ⅳ Effect of renal cell carcinoma is about 50%; fluorouracil 1500mg soluble 1000ml5% glucose water or saline, intravenous drip, drop by 10 to 12 hours of completion. 1 day, 5 days for a course of treatment. Day 1 plus mitomycin 20mg by slow intravenous push. The chemotherapy 1 month.
(D) endocrine therapy less effective. Oral medroxyprogesterone, 100mg1 times, 3 times a day, or 400mg intramuscularly, 2 times per week, on average, 15% of patients with partial degradation. The effect of testosterone propionate worse. The above information is the first patient application of the results Ⅳ. Thus, as in the course of earlier applications, such as primary tumor resection adjuvant therapy after surgery may reduce the incidence of transfer opportunities and improve the cure rate.
(E) renal cell carcinoma immunotherapy is likely to cause the immune function of tumor. Use of immunotherapy may inhibit tumor development.
The symptoms and signs of renal cell carcinoma
The symptoms and signs of renal cell carcinoma
Kidneys in the retroperitoneum were abdominal and back muscles of the internal organs surrounded, so the lack of kidney tumors are often early clinical manifestations, the traditional meaning of the hematuria, pain and abdominal mass composed of "triad of renal cell carcinoma," are lesions to the relatively late development of symptoms. Kidney in the retroperitoneal, was abdominal and back muscles of the internal organs surrounded, so the lack of kidney tumors are often early clinical manifestations, the traditional meaning of the hematuria, pain and abdominal mass composed of "triad of renal cell carcinoma," are lesions to the relatively late development of symptoms. In fact, most patients showed only a triad of symptoms after one or two, there were about 10 3. But interesting is that kidney cancer may occur many "extra-renal manifestations," clinically easily confused with other systemic diseases, but these symptoms often lead patients to come to another reason for attendance. In addition, symptoms of the tumor metastasis to come for medical treatment is found to be the case is not rare in renal cell carcinoma.
1, urine: kidney into contact with the outside world through the urine, so urine is the renal cell carcinoma The most common clinical symptoms, tumor invasion by the renal pelvis or calyx mucosa caused. About 40-60 patients about different degrees of hematuria occurs, usually painless intermittent gross hematuria whole, sometimes strip clot, Department of ureter tube. When a blood clot blocked ureter can cause renal colic.
2, pain: kidney pain mostly occurs in the waist, the nature of the dull, the rate of about 20. In addition to the reasons for the growth of the tumor outside the kidney capsule stretch, but also because the surrounding organs or lumbar tumor invasion caused the latter is often heavy and persistent pain. Hematuria, ureteral obstruction caused by severe blood clot formation can occur when the renal colic.
3, abdominal mass: renal cell carcinoma patients who had abdominal mass performance of about 20, slender body type who is more likely, in the upper abdomen costal arch, it can be moved up and down movement with the breath. Examiner may be touched by the tumor itself, but also may have been over the lower pole of kidney cancer. If the mass fixed and note violations of kidney cancer has been the structure around the organs, this patient's tumor resection difficult, poor prognosis.
4 extra-renal expression: kidney is an important addition to the metabolic organs, the endocrine or an organ, under normal circumstances can synthesize and secrete prostaglandin E1, 25 - dihydroxyvitamin D3, renin, and erythropoietin, renal cell carcinoma can secretion is much higher than normal levels of these hormones, but can also secrete parathyroid-like factor, glucagon, and insulin into the human chorionic gonadotropin and other substances, thus causing a variety of extrarenal renal systemic symptoms about 20. In addition to these symptoms of high blood calcium, the other is difficult to remove with conventional treatment, but after removal of primary tumors, can be recovered to the normal index.
(1) ESR Express: kidney cancer patients faster because there is not clear ESR, the incidence of around 50. The University of Oslo, Norway, 236 cases of RCC, a retrospective study of patients found that 70.3 of the patients had erythrocyte sedimentation rate faster performance, even being diagnosed with kidney cancer had occurred during the first 6 years, so make the continued ESR fast B-kidney patients should check to except renal tumors.
(2) fever: renal cell carcinoma patients than in the common occurrence rate of about 20. Recent research found that 25 of the primary tumor could be ectopic secretion of interleukin -6, this ectopic secretion of interleukin -6 and fever may be related.
(3) high blood pressure: about 20 kidney cancer patients have high blood pressure, but recent epidemiological investigation showed that hypertension and treatment of high blood pressure and the occurrence of bone cancer, therefore, only when returned to normal after resection of renal cell carcinoma hypertension can be identified as caused by the kidney. Excessive renin secretion, the tumor - vein fistula, tumor suppression is likely to be caused by renal vascular causes of hypertension.
(4) High blood calcium: not because the situation is ambiguous, the incidence of about 10. A tumor may produce parathyroid hormone-related protein similar to the peptides. Returned to normal after tumor resection, tumor metastasis or recurrence increased again after. Sometimes, hypercalcemia may also be caused by the tumor metastasis to bone.
(5) polycythemia: the specific reason is unclear, may be related to direct secretion of erythropoietin in cancer or tumor normal kidney tissue ischemia caused by compression, to stimulate the secretion of erythropoietin.
(6) liver dysfunction: is not caused by the tumor metastasis to the liver, also called Staufer syndrome, patients also have neutropenia, fever, and focal liver necrosis. After removal of kidney tumor normal liver function, or is likely to have metastases. A few cases, jaundice can also be associated with cholestasis.
(7) Other: anemia, weight loss, elevated serum alkaline phosphatase, amyloidosis and neuropathy are all likely to occur in kidney cancer patients.
5 varicocele: is characterized not disappear after the supine position, due to renal vein or inferior vena cava tumor thrombus within the spermatic vein obstruction caused by blood reflux.
6, metastatic lesions: renal cell carcinoma metastasis often earlier, when the primary tumor is very small shift can occur, and changing the location of the transfer, almost see
In any part of the body. About 20-35 cases of kidney cancer patients during their early visits the transfer, and about 6-15 patients is due to tumor metastasis symptoms come visits. In addition to lung, liver, brain, bone and other common site of metastasis, the kidney is also often transferred to other rare sites, such as the common bile duct cavity, mediastinum, thumbnail, the vagina, choroid, external auditory canal and the eyes, etc.. Thus, for any part of the body appear abnormal, but especially those of unknown origin, should thought of the possibility of renal cell carcinoma metastasis.
7, associated cancer: Di Silverio other 17 cases have been reported in patients with primary renal cell carcinoma, while suffering from steroid hormone target organs of primary tumors, including breast cancer 10 cases, 4 cases of endometrial cancer and ovarian cancer in 3 cases . Although we can not explain with hormone-dependent renal cell carcinoma, renal cell carcinoma and in a way suggest the link between these tumors is estrogen.
8, accidentally discovered: entry of 80 since, with the rapid development of image technology, more and more in the RCC or other diseases, routine physical examination was "accidentally" discovered, and is generally believed that Zhan Muqianshenai more than 30 patients. Jayson and other reports 131 cases of renal cell carcinoma, 61 are no symptoms of sporadic cancer. The author admitted 1991-1995 to 217 units in cases of renal cell carcinoma, 103 cases of sporadic cancer.
Kidneys in the retroperitoneum were abdominal and back muscles of the internal organs surrounded, so the lack of kidney tumors are often early clinical manifestations, the traditional meaning of the hematuria, pain and abdominal mass composed of "triad of renal cell carcinoma," are lesions to the relatively late development of symptoms. Kidney in the retroperitoneal, was abdominal and back muscles of the internal organs surrounded, so the lack of kidney tumors are often early clinical manifestations, the traditional meaning of the hematuria, pain and abdominal mass composed of "triad of renal cell carcinoma," are lesions to the relatively late development of symptoms. In fact, most patients showed only a triad of symptoms after one or two, there were about 10 3. But interesting is that kidney cancer may occur many "extra-renal manifestations," clinically easily confused with other systemic diseases, but these symptoms often lead patients to come to another reason for attendance. In addition, symptoms of the tumor metastasis to come for medical treatment is found to be the case is not rare in renal cell carcinoma.
1, urine: kidney into contact with the outside world through the urine, so urine is the renal cell carcinoma The most common clinical symptoms, tumor invasion by the renal pelvis or calyx mucosa caused. About 40-60 patients about different degrees of hematuria occurs, usually painless intermittent gross hematuria whole, sometimes strip clot, Department of ureter tube. When a blood clot blocked ureter can cause renal colic.
2, pain: kidney pain mostly occurs in the waist, the nature of the dull, the rate of about 20. In addition to the reasons for the growth of the tumor outside the kidney capsule stretch, but also because the surrounding organs or lumbar tumor invasion caused the latter is often heavy and persistent pain. Hematuria, ureteral obstruction caused by severe blood clot formation can occur when the renal colic.
3, abdominal mass: renal cell carcinoma patients who had abdominal mass performance of about 20, slender body type who is more likely, in the upper abdomen costal arch, it can be moved up and down movement with the breath. Examiner may be touched by the tumor itself, but also may have been over the lower pole of kidney cancer. If the mass fixed and note violations of kidney cancer has been the structure around the organs, this patient's tumor resection difficult, poor prognosis.
4 extra-renal expression: kidney is an important addition to the metabolic organs, the endocrine or an organ, under normal circumstances can synthesize and secrete prostaglandin E1, 25 - dihydroxyvitamin D3, renin, and erythropoietin, renal cell carcinoma can secretion is much higher than normal levels of these hormones, but can also secrete parathyroid-like factor, glucagon, and insulin into the human chorionic gonadotropin and other substances, thus causing a variety of extrarenal renal systemic symptoms about 20. In addition to these symptoms of high blood calcium, the other is difficult to remove with conventional treatment, but after removal of primary tumors, can be recovered to the normal index.
(1) ESR Express: kidney cancer patients faster because there is not clear ESR, the incidence of around 50. The University of Oslo, Norway, 236 cases of RCC, a retrospective study of patients found that 70.3 of the patients had erythrocyte sedimentation rate faster performance, even being diagnosed with kidney cancer had occurred during the first 6 years, so make the continued ESR fast B-kidney patients should check to except renal tumors.
(2) fever: renal cell carcinoma patients than in the common occurrence rate of about 20. Recent research found that 25 of the primary tumor could be ectopic secretion of interleukin -6, this ectopic secretion of interleukin -6 and fever may be related.
(3) high blood pressure: about 20 kidney cancer patients have high blood pressure, but recent epidemiological investigation showed that hypertension and treatment of high blood pressure and the occurrence of bone cancer, therefore, only when returned to normal after resection of renal cell carcinoma hypertension can be identified as caused by the kidney. Excessive renin secretion, the tumor - vein fistula, tumor suppression is likely to be caused by renal vascular causes of hypertension.
(4) High blood calcium: not because the situation is ambiguous, the incidence of about 10. A tumor may produce parathyroid hormone-related protein similar to the peptides. Returned to normal after tumor resection, tumor metastasis or recurrence increased again after. Sometimes, hypercalcemia may also be caused by the tumor metastasis to bone.
(5) polycythemia: the specific reason is unclear, may be related to direct secretion of erythropoietin in cancer or tumor normal kidney tissue ischemia caused by compression, to stimulate the secretion of erythropoietin.
(6) liver dysfunction: is not caused by the tumor metastasis to the liver, also called Staufer syndrome, patients also have neutropenia, fever, and focal liver necrosis. After removal of kidney tumor normal liver function, or is likely to have metastases. A few cases, jaundice can also be associated with cholestasis.
(7) Other: anemia, weight loss, elevated serum alkaline phosphatase, amyloidosis and neuropathy are all likely to occur in kidney cancer patients.
5 varicocele: is characterized not disappear after the supine position, due to renal vein or inferior vena cava tumor thrombus within the spermatic vein obstruction caused by blood reflux.
6, metastatic lesions: renal cell carcinoma metastasis often earlier, when the primary tumor is very small shift can occur, and changing the location of the transfer, almost see
In any part of the body. About 20-35 cases of kidney cancer patients during their early visits the transfer, and about 6-15 patients is due to tumor metastasis symptoms come visits. In addition to lung, liver, brain, bone and other common site of metastasis, the kidney is also often transferred to other rare sites, such as the common bile duct cavity, mediastinum, thumbnail, the vagina, choroid, external auditory canal and the eyes, etc.. Thus, for any part of the body appear abnormal, but especially those of unknown origin, should thought of the possibility of renal cell carcinoma metastasis.
7, associated cancer: Di Silverio other 17 cases have been reported in patients with primary renal cell carcinoma, while suffering from steroid hormone target organs of primary tumors, including breast cancer 10 cases, 4 cases of endometrial cancer and ovarian cancer in 3 cases . Although we can not explain with hormone-dependent renal cell carcinoma, renal cell carcinoma and in a way suggest the link between these tumors is estrogen.
8, accidentally discovered: entry of 80 since, with the rapid development of image technology, more and more in the RCC or other diseases, routine physical examination was "accidentally" discovered, and is generally believed that Zhan Muqianshenai more than 30 patients. Jayson and other reports 131 cases of renal cell carcinoma, 61 are no symptoms of sporadic cancer. The author admitted 1991-1995 to 217 units in cases of renal cell carcinoma, 103 cases of sporadic cancer.
Clinical manifestations and diagnosis of renal cell carcinoma based on
Clinical manifestations and diagnosis of renal cell carcinoma based on
Renal cell carcinoma is the most common adult kidney tumor. Female ratio of about 3.5:1, and often occurs after the age of 40, sometimes 30 years of age, only individuals aged 20 years. Renal cell carcinoma is the most common adult kidney tumor. The male to female ratio of about 3.5:1, and often occurs after the age of 40, sometimes 30 years of age, only individuals aged 20 years.
Clinical manifestations of renal cell carcinoma
1, early asymptomatic. Tumor development, the main symptoms of intermittent painless gross hematuria.
2, tumors in the kidney lower pole or larger, the upper abdomen and the mass can be.
3, for the advanced symptoms of pain, often lower back dull pain.
4 extra-renal manifestations were fever, hypertension, high blood calcium, plethora, varicocele, cachexia and tumor metastasis symptoms.
Kidney cancer diagnosis is based on
1, age> 40 year old male with painless gross hematuria, renal cell carcinoma should be suspected.
2, urography showed renal lesions.
3, renal ultrasound examination showed local thickening bulging, compressed and shifted echo renal collecting system, renal hypoechoic round mass.
4, CT scan, showed substantial occupancy of renal disease.
5, blood alkaline phosphatase increased.
Renal cell carcinoma is the most common adult kidney tumor. Female ratio of about 3.5:1, and often occurs after the age of 40, sometimes 30 years of age, only individuals aged 20 years. Renal cell carcinoma is the most common adult kidney tumor. The male to female ratio of about 3.5:1, and often occurs after the age of 40, sometimes 30 years of age, only individuals aged 20 years.
Clinical manifestations of renal cell carcinoma
1, early asymptomatic. Tumor development, the main symptoms of intermittent painless gross hematuria.
2, tumors in the kidney lower pole or larger, the upper abdomen and the mass can be.
3, for the advanced symptoms of pain, often lower back dull pain.
4 extra-renal manifestations were fever, hypertension, high blood calcium, plethora, varicocele, cachexia and tumor metastasis symptoms.
Kidney cancer diagnosis is based on
1, age> 40 year old male with painless gross hematuria, renal cell carcinoma should be suspected.
2, urography showed renal lesions.
3, renal ultrasound examination showed local thickening bulging, compressed and shifted echo renal collecting system, renal hypoechoic round mass.
4, CT scan, showed substantial occupancy of renal disease.
5, blood alkaline phosphatase increased.
Obesity is one of the factors induced by renal cell carcinoma
A new study suggests that men and women, maintaining normal weight can reduce the risk of kidney cancer incidence, and risk of overweight will increase the risk of kidney cancer. However, in the past people always think that obesity is more dangerous to women
A new study suggests that men and women, maintaining normal weight can reduce the risk of kidney cancer incidence, and risk of overweight will increase the risk of kidney cancer. However, in the past people always think that obesity is more dangerous to women.
Sweden's Karolinska Institute researchers found that overweight caused by renal cell cancer risk for men and women alike. Morbid obesity compared with normal weight, the risk of kidney cancer patients to be twice as high, twice as high obesity, overweight but not obese were higher than 35%.
The researchers said: the body may be the obesity of some hormones (eg insulin) levels increased, promoting the growth of renal cell carcinoma; or obesity affected the renal blood supply to kidneys are more sensitive to the carcinogens.
A new study suggests that men and women, maintaining normal weight can reduce the risk of kidney cancer incidence, and risk of overweight will increase the risk of kidney cancer. However, in the past people always think that obesity is more dangerous to women.
Sweden's Karolinska Institute researchers found that overweight caused by renal cell cancer risk for men and women alike. Morbid obesity compared with normal weight, the risk of kidney cancer patients to be twice as high, twice as high obesity, overweight but not obese were higher than 35%.
The researchers said: the body may be the obesity of some hormones (eg insulin) levels increased, promoting the growth of renal cell carcinoma; or obesity affected the renal blood supply to kidneys are more sensitive to the carcinogens.
What are the pathological classification of renal cell carcinoma?
Many types of renal tumors, yet a unified classification of tumors according to sources, is divided into 9 categories. Many types of renal tumors, yet a unified classification, according to the source of tumors, mainly divided into the following nine categories:
1, from the renal tumor, renal adenomas and renal cell carcinoma (also known as renal cell carcinoma);
2, from the renal pelvis epithelial tumor, transitional papilloma, transitional cell carcinoma, squamous cell carcinoma and adenocarcinoma;
3, fetal kidney tissue from the tumor, Wilms tumor (ie, Wilms tumor), embryonal carcinoma and sarcoma;
4, from the leaf tissue between the tumor, fibroma, fibrosarcoma, lipoma, liposarcoma, leiomyoma and leiomyosarcoma;
5, from the blood vessel tumor hemangioma, lymphoma, and hamartoma;
6, from the nerve tissue of the tumors of neuroblastoma, sympathetic blastoma;
7, from the renal capsule of the tumor, fibroma, leiomyoma, lipoma, mixed tumor;
8, cysts, there are isolated cysts, multiple cysts, cystadenoma, dermoid cyst, cystadenocarcinoma;
9, metastatic tumors.
Most of malignant kidney tumors, poor prognosis, pathological complex, different clinical manifestations, of which renal cell carcinoma is the most common, followed by transitional cell carcinoma and Wilms tumor.
1, from the renal tumor, renal adenomas and renal cell carcinoma (also known as renal cell carcinoma);
2, from the renal pelvis epithelial tumor, transitional papilloma, transitional cell carcinoma, squamous cell carcinoma and adenocarcinoma;
3, fetal kidney tissue from the tumor, Wilms tumor (ie, Wilms tumor), embryonal carcinoma and sarcoma;
4, from the leaf tissue between the tumor, fibroma, fibrosarcoma, lipoma, liposarcoma, leiomyoma and leiomyosarcoma;
5, from the blood vessel tumor hemangioma, lymphoma, and hamartoma;
6, from the nerve tissue of the tumors of neuroblastoma, sympathetic blastoma;
7, from the renal capsule of the tumor, fibroma, leiomyoma, lipoma, mixed tumor;
8, cysts, there are isolated cysts, multiple cysts, cystadenoma, dermoid cyst, cystadenocarcinoma;
9, metastatic tumors.
Most of malignant kidney tumors, poor prognosis, pathological complex, different clinical manifestations, of which renal cell carcinoma is the most common, followed by transitional cell carcinoma and Wilms tumor.
Influenza A H1N1 influenza treatment program
March 2009, the Mexican outbreak "of human infection with swine flu" epidemic, and quickly spread worldwide. World Health Organization (WHO) this initial influenza known as the "swine flu", will be renamed as "influenza H1N1 influenza." June 11, WHO announced that influenza H1N1 pandemic warning level to upgrade six, global access to pandemic phase. The flu is a new respiratory disease, the pathogenic H1N1 influenza virus for the new strains of influenza virus gene contains swine influenza, avian flu and human influenza virus gene fragments.
The treatment program is in the July 10 program based on the second edition of clinics, according to recent research results at home and abroad and our experience in diagnosis and treatment of influenza H1N1 Influenza amendments made. Because of this Influenza H1N1 influenza is an emerging disease, the disease needs further observation and study law.
I. Etiology
Influenza A H1N1 influenza virus belongs to the Orthomyxoviridae Division (0rthomyxoviridae), influenza virus, (Influenza virus A). Typical virus particles were spherical with a diameter of 80nm ~ 120nm, with envelope. Sac membrane of many processes arranged radially glycoprotein hemagglutinin were red blood cell (HA), neuraminidase (NA) and matrix protein M2. Nucleocapsid within the viral particles, spiral symmetry, a diameter of 10nm. For the single strand RNA virus minus-strand genome of about 13.6kb, ranging from the size composition of 8 separate segments. Virus on ethanol, iodine, iodine and other disinfectants commonly used sensitive; on the heat-sensitive, 56 ℃ 30 minutes under the conditions of inactivation.
Second, epidemiological
(A) source of infection.
Influenza A H1N1 influenza patients as the main source of infection, asymptomatic infection is also contagious. There is no evidence of animals to humans.
(Ii) transmission.
Mainly through droplets spread by the respiratory tract, but also through the mouth, nose, eyes, mucous membranes, etc., directly or indirectly contact. Contact with respiratory secretions, body fluids and items contaminated by the virus may cause infection. Spread by aerosol to be further confirmed by the respiratory tract.
(C) of the susceptible population.
Was susceptible to SARS.
(D) easier to be at high risk of severe cases.
Influenza-like symptoms following the crowd, the easier the development of the severe cases, should be given high priority, early detection of influenza A H1N1 influenza virus nucleic acids and other necessary checks.
1. Pregnant women;
2. With the following diseases or conditions are: chronic respiratory disease, cardiovascular disease (except hypertension), kidney disease, liver disease, blood disorders, nervous system and neuromuscular diseases, metabolic and endocrine system disorders, immune suppression ( including the application of immunosuppressive agents or HIV infection induced Low), 19 years of age who take aspirin long-term;
3. Obesity (body mass index ≥ 40 high risk, body mass index may be risk factors in 30-39);
4. Aged <5 years of age (age <2 years old were more susceptible to serious complications);
5. Aged ≥ 65 years old.
Third, clinical manifestations and laboratory examinations
Incubation period is usually 1 to 7 days, more than 1 to 3 days.
(A) of the clinical manifestations.
Manifests itself in flu-like symptoms, including fever, sore throat, runny nose, stuffy nose, cough, cough, headache, body aches, fatigue. In some cases vomiting and / or diarrhea. Only a small number of cases of mild upper respiratory symptoms, no fever. Signs include swelling of the throat and tonsil congestion.
Complications such as pneumonia can occur. A small number of cases are progressing rapidly, respiratory failure, multiple organ dysfunction or failure.
Can induce aggravation of the original underlying diseases, rendering the corresponding clinical manifestations.
Severe cases can lead to death.
(B) laboratory tests.
1. Peripheral blood examination: WBC count generally is not high or lower.
2. Blood biochemical tests: Some cases are hypokalemia, a small number of cases of creatine kinase, aspartate aminotransferase, alanine aminotransferase, lactate dehydrogenase increased.
3. Etiological examination:
(1) Nucleic acid testing: the RT-PCR (preferably with real-time RT-PCR) Detection of respiratory tract specimens (throat swab, nasal swab, nasopharyngeal or tracheal aspirate, sputum) of influenza H1N1 influenza virus nucleic acid, the results can be positive.
(2) virus isolation: respiratory specimens could separate Influenza H1N1 influenza virus.
(3) serum antibody test: dynamic detection of double Influenza H1N1 influenza virus-specific serum antibody levels were four times or four times higher.
(C) of the chest radiograph.
When combined with pneumonia lung visible flakes
Shadow.
IV diagnosis
Diagnosis combined with epidemiological history, clinical manifestations and pathology examination, early detection, early diagnosis and effective treatment is the key to prevention and control.
(A) of the suspected cases.
One of the following conditions can be diagnosed as suspected cases:
1. 7 days prior to the onset and spread of influenza H1N1 have close contact with confirmed cases of influenza and influenza-like clinical manifestations.
Close contact is not effective protection in the case, treatment, care transmission of influenza A H1N1 influenza patients; and were living together; contact with respiratory secretions, body fluids and so on.
2. Have been to 7 days before the onset of influenza H1N1 influenza pandemic (human spread of a virus, and sustainable level of popular and community-based outbreak) areas, the incidence of influenza-like clinical manifestations.
3. Flu-like clinical manifestations, influenza virus-positive, yet further testing virus subtype.
These three kinds of circumstances, in conditions permitting, may cause pathogenic influenza A H1N1 influenza inspection.
(B) clinically diagnosed cases.
Limited to the following clinical circumstances: with the H1N1 influenza outbreak with influenza outbreak, not laboratory-confirmed cases of influenza-like symptoms, the exclusion of other diseases caused by influenza-like symptoms can be diagnosed clinically diagnosed cases.
Influenza A H1N1 influenza outbreak is an unusual area or unit a short number of influenza-like cases of influenza confirmed by laboratory tests H1N1 flu.
In the conditions allow, the clinical diagnosis etiological examination can be arranged.
(C) of the confirmed cases.
Influenza-like clinical presentation, while one or more of the following laboratory test results:
1. Influenza H1N1 influenza virus nucleic acid testing positive (can use real-time RT-PCR and RT-PCR method);
2. Isolated influenza A H1N1 influenza virus;
3. Double Influenza H1N1 influenza virus serum antibody level was 4 times or 4 times higher.
5, severe and critical illness
(A) one of the following conditions for the severe cases:
1. Persistent fever> 3 days;
2. Severe cough, cough Nong Tan, hemoptysis, or chest pain;
3. Respiration rate fast, difficulty breathing, lips cyanosis;
4. Consciousness change: slow reaction, sleepiness, restlessness, convulsions, etc.;
5. Severe vomiting, diarrhea, dehydration performance;
6. Imaging signs of pneumonia;
7. Creatine kinase (CK), creatine kinase (CK-MB) and other cardiac enzyme levels increased rapidly;
8. Significantly increase the original basis of disease.
(B) one of the following conditions for the critical cases:
1. Respiratory failure;
2. Septic shock;
3. Multiple organ dysfunction syndrome;
4. Appears in need of care treatment of other severe clinical conditions.
Six principles of clinical classification
(A) of suspected cases: well-ventilated room in a separate isolation. Hospitalized cases of influenza pathogenic H1N1 influenza to do inspections.
(B) clinical diagnosis of cases: well-ventilated room in a separate isolation. Hospitalized cases of influenza pathogenic H1N1 influenza to do inspections.
(C) confirmed cases: well-ventilated isolation rooms. Inpatients may be people in the same room.
7, the principle of patient
Under the condition of patients and local medical resources, according to the principle of priority arrangements severe hospitalized.
(A) give priority to cases admitted to hospital with severe and critical. In critically ill patients, according to local medical facilities conditions, timely prevention and control into the conditions with severe Medicine (ICU) treatment.
(B) do not have the severe and critical cases where the conditions of medical institutions, in ensuring the safety of the premise of health care, patients should be promptly transported to the hospital with conditions; condition not suitable for referral, the local health administrative department or higher level health administrative departments experts on the spot to active treatment.
(C) high-risk groups to become more easily infected with influenza A H1N1 influenza severe cases, appropriate arrangements for hospital treatment. Such as the implementation of home quarantine treatment, should closely monitor the patient's condition deteriorated to the event of a timely diagnosis and treatment arrangements for hospitalization.
(D) of the mild cases, arrangements can be isolated for observation and treatment at home.
8, treatment
(A) general treatment.
Rest, drinking water, close observation of changes in condition; on the heat treatment of fever cases may be granted.
(B) anti-viral treatment.
Studies have shown that influenza A H1N1 influenza virus present this to the neuraminidase inhibitors oseltamivir (oseltamivir), zanamivir (zanamivir) sensitive to amantadine and rimantadine
Resistance.
For less serious symptoms and no complications, the condition has become self-limiting influenza A H1N1 influenza cases, no positive application of the neuraminidase inhibitors.
When the disease is a serious condition, the dynamic deterioration after onset of disease cases were infected with influenza A H1N1 influenza high-risk groups should be timely and the neuraminidase inhibitors for antiviral therapy. Start delivery time should be possible within 48 hours of onset (36 hours for the best). For severe cases easier to become a high risk of influenza-like symptoms if not necessarily wait for the virus nucleic acid test results, you can start antiviral therapy. Influenza-like symptoms in pregnant women after the early appropriate treatment to the neuraminidase inhibitors.
Oseltamivir: Adult dosage of 75mg bid, treatment for 5 days. For critical or severe cases, doses of oseltamivir may be added as appropriate to 150mg bid. For persistent cases of illness, medication may be appropriate to extend the time. 1 year old and older pediatric patients should be administered according to body weight: 15kg underweight persons, to 30mg bid; weight of 15 ~ 23kg person, to 45mg bid; weight of 23 ~ 40kg person, to 60mg bid; weight greater than 40kg person, I 75mg bid. Have difficulty swallowing capsules for children can choose oseltamivir suspension.
Zanamivir: for adults and children over 7 years. Inhalation adult dosage of 10mg bid, treatment for 5 days. Children over 7 years of age and usage with adults.
(C) other treatment.
1. If there hypoxemia or respiratory failure, should be timely and appropriate treatment measures, including oxygen therapy or mechanical ventilation.
2. Combined to give the corresponding anti-shock, shock therapy.
3. There other organ damage, given the appropriate supportive treatment.
4. With bacterial and / or fungal infection, to give the corresponding anti-bacterial and / or antifungal treatment.
5. For the severe and critical cases, you can also consider the use of Influenza H1N1 influenza patients recovering from recent vaccination by immune serum or plasma treatment.
1 week on the incidence of severe and critical cases, the premise of ensuring medical safety, appropriate early use. Recommended Usage: General Adult 100 ~ 200ml, child 50ml (or antibodies were adjusted according to the amount of plasma), intravenous. When necessary, can be reused. Use of the process, pay attention to allergic reactions.
(D) of the TCM treatment.
Mild syndrome treatment
1. Wind-heat guilty Wei
Main symptoms: early onset, fever, or fever, red throat discomfort, Qing Ke little phlegm, no sweat.
Tongue and Pulse: red tongue, thin coating or a thin greasy, floating pulse.
Governing Law: breeze heat
Basic Recipe: Silver Flower Forsythia 15g 15g 10g Chrysanthemum grandiflorum leaf 10g 15g 10g Arctium Mint Leaves 30g 6g reed rhizome (post under) 3g 3g Health and liquorice
Decoction method: water simmer in water, decoction 400 ml per dose per oral administration of 200 ml, 1, 2; if necessary Day Service 2, orally every 6 hours 1 per 200 ml.
Modified: thick greasy coating plus patchouli, Perrin; cough re-Almond, loquat; diarrhea Kagawa Coptis, wide woody; sore throat weight increase Physalis.
Commonly used Chinese patent medicines: breeze heat of Chinese patent medicines such as Shufeng detoxification capsules, Xiangju capsules, Yinqiaojiedu class, Sang Ju cold type, Shuanghuanglian class of oral agents; Huoxiangzhengqi, class preparation, etc. Gegenqinlian.
2. Heat pulmonary drug raid
Main symptoms: high fever, cough, sputum expectoration uncomfortable sticky, thirsty hi drink, sore throat, red eyes.
Tongue and Pulse: red tongue, yellowish or greasy slippery pulse.
Governing Law: Qingfei detoxification
Basic Recipe: Roasted Almond ephedra 3g 10g 10g Health and liquorice Gypsum (Xian Jian) 30g 10g Fritillaria Campanulaceae Anemarrhenae 10g 15g 15g Chai Hu 15g skullcap
Decoction method: water simmer in water, decoction 400 ml per dose per oral administration of 200 ml, 1, 2; if necessary Day Service 2, orally every 6 hours 1 per 200 ml.
Modified: constipation Add rhubarb; sustained high fever plus Artemisia annua, paeonol.
Commonly used Chinese patent medicines: Qingfei antidote Lianhuaqingwen proprietary Chinese medicines such as capsules, silver and yellow class preparation, class preparation and other Lotus heat.
Differential Treatment of severe and critical illness plan
1. Hot drug obstruct pulmonary
Main symptoms: high fever, cough cough, yellow sputum, breathlessness and shortness of breath; or palpitations, ankle interference disturbed, cyanotic lips.
Tongue and Pulse: tongue red, yellow and greasy fur, or gray greasy, slippery pulse.
Governing Law: heat Xie Fei, detoxification Sanyu
p; Zhimu Houttuynia 15g 10g 10g Fagopyrum Descurainiae skullcap 10g 10g 10g Fritillaria Moutan Rhubarb 10g 10g 15g Artemisia annua
Decoction method: water simmer in water, decoction 400 ml per dose per oral administration of 200 ml, 1, 2; if necessary Day Service 2, orally every 6 hours 1 per 200 ml.
Modified: sustained high fever, coma delirium plus Angong Niuhuang Wan; seizures plus antelope horn, silkworm, pheretima etc.; bloating will end plus Zhishi and sodium sulfate.
Commonly used Chinese patent medicines: Xiyanping, Tanreqing, Qingkailing injection.
2. Gas business the two burnt
Main symptoms: high fever, thirst, irritability, serious was coma delirium, cough or hemoptysis, chest tightness, shortness of breath and suffocating.
Tongue and Pulse: scarlet tongue, yellow coating, pulse breakdown.
Governing Law: Qing Qi Liang Camp
Basic recipe: buffalo habitat 15g 30g 15g Salvia Radix 10g Silver Flower Forsythia 15g 12g 10g Radix Gypsum Leaf 30g 6g kirilowii (Xian Jian) 30g 12g Gardenia
Decoction method: water simmer in water, decoction 400 ml per dose per oral administration of 200 ml, 1, 2; if necessary Day Service 2, orally every 6 hours 1 per 200 ml.
Modified: constipation Add rhubarb; febrile seizures plus antelope horn powder body.
Commonly used Chinese patent medicines: Angong Niuhuang Wan, Xuebijing, XNJI so.
Note: The above drugs should be used under the guidance of the physician; dose for reference, children's doses reduce it; have complications, patients with a history of chronic basis, with the certificate and giving of treatment. If see shock, multiple organ dysfunction syndrome, or combined with other serious diseases, while in the application of western medicine, according to the actual situation with the card and giving of treatment.
9, discharge standards
1. Temperature is normal 3 days, other flu-like symptoms disappeared, clinically stable, can be discharged.
2. The basis of illness or complications due to heavier, take longer hospitalized cases of influenza A H1N1 influenza, influenza A H1N1 influenza virus in throat swab DNA test became negative after the isolation ward from the ward go to the corresponding further treatment.
The treatment program is in the July 10 program based on the second edition of clinics, according to recent research results at home and abroad and our experience in diagnosis and treatment of influenza H1N1 Influenza amendments made. Because of this Influenza H1N1 influenza is an emerging disease, the disease needs further observation and study law.
I. Etiology
Influenza A H1N1 influenza virus belongs to the Orthomyxoviridae Division (0rthomyxoviridae), influenza virus, (Influenza virus A). Typical virus particles were spherical with a diameter of 80nm ~ 120nm, with envelope. Sac membrane of many processes arranged radially glycoprotein hemagglutinin were red blood cell (HA), neuraminidase (NA) and matrix protein M2. Nucleocapsid within the viral particles, spiral symmetry, a diameter of 10nm. For the single strand RNA virus minus-strand genome of about 13.6kb, ranging from the size composition of 8 separate segments. Virus on ethanol, iodine, iodine and other disinfectants commonly used sensitive; on the heat-sensitive, 56 ℃ 30 minutes under the conditions of inactivation.
Second, epidemiological
(A) source of infection.
Influenza A H1N1 influenza patients as the main source of infection, asymptomatic infection is also contagious. There is no evidence of animals to humans.
(Ii) transmission.
Mainly through droplets spread by the respiratory tract, but also through the mouth, nose, eyes, mucous membranes, etc., directly or indirectly contact. Contact with respiratory secretions, body fluids and items contaminated by the virus may cause infection. Spread by aerosol to be further confirmed by the respiratory tract.
(C) of the susceptible population.
Was susceptible to SARS.
(D) easier to be at high risk of severe cases.
Influenza-like symptoms following the crowd, the easier the development of the severe cases, should be given high priority, early detection of influenza A H1N1 influenza virus nucleic acids and other necessary checks.
1. Pregnant women;
2. With the following diseases or conditions are: chronic respiratory disease, cardiovascular disease (except hypertension), kidney disease, liver disease, blood disorders, nervous system and neuromuscular diseases, metabolic and endocrine system disorders, immune suppression ( including the application of immunosuppressive agents or HIV infection induced Low), 19 years of age who take aspirin long-term;
3. Obesity (body mass index ≥ 40 high risk, body mass index may be risk factors in 30-39);
4. Aged <5 years of age (age <2 years old were more susceptible to serious complications);
5. Aged ≥ 65 years old.
Third, clinical manifestations and laboratory examinations
Incubation period is usually 1 to 7 days, more than 1 to 3 days.
(A) of the clinical manifestations.
Manifests itself in flu-like symptoms, including fever, sore throat, runny nose, stuffy nose, cough, cough, headache, body aches, fatigue. In some cases vomiting and / or diarrhea. Only a small number of cases of mild upper respiratory symptoms, no fever. Signs include swelling of the throat and tonsil congestion.
Complications such as pneumonia can occur. A small number of cases are progressing rapidly, respiratory failure, multiple organ dysfunction or failure.
Can induce aggravation of the original underlying diseases, rendering the corresponding clinical manifestations.
Severe cases can lead to death.
(B) laboratory tests.
1. Peripheral blood examination: WBC count generally is not high or lower.
2. Blood biochemical tests: Some cases are hypokalemia, a small number of cases of creatine kinase, aspartate aminotransferase, alanine aminotransferase, lactate dehydrogenase increased.
3. Etiological examination:
(1) Nucleic acid testing: the RT-PCR (preferably with real-time RT-PCR) Detection of respiratory tract specimens (throat swab, nasal swab, nasopharyngeal or tracheal aspirate, sputum) of influenza H1N1 influenza virus nucleic acid, the results can be positive.
(2) virus isolation: respiratory specimens could separate Influenza H1N1 influenza virus.
(3) serum antibody test: dynamic detection of double Influenza H1N1 influenza virus-specific serum antibody levels were four times or four times higher.
(C) of the chest radiograph.
When combined with pneumonia lung visible flakes
Shadow.
IV diagnosis
Diagnosis combined with epidemiological history, clinical manifestations and pathology examination, early detection, early diagnosis and effective treatment is the key to prevention and control.
(A) of the suspected cases.
One of the following conditions can be diagnosed as suspected cases:
1. 7 days prior to the onset and spread of influenza H1N1 have close contact with confirmed cases of influenza and influenza-like clinical manifestations.
Close contact is not effective protection in the case, treatment, care transmission of influenza A H1N1 influenza patients; and were living together; contact with respiratory secretions, body fluids and so on.
2. Have been to 7 days before the onset of influenza H1N1 influenza pandemic (human spread of a virus, and sustainable level of popular and community-based outbreak) areas, the incidence of influenza-like clinical manifestations.
3. Flu-like clinical manifestations, influenza virus-positive, yet further testing virus subtype.
These three kinds of circumstances, in conditions permitting, may cause pathogenic influenza A H1N1 influenza inspection.
(B) clinically diagnosed cases.
Limited to the following clinical circumstances: with the H1N1 influenza outbreak with influenza outbreak, not laboratory-confirmed cases of influenza-like symptoms, the exclusion of other diseases caused by influenza-like symptoms can be diagnosed clinically diagnosed cases.
Influenza A H1N1 influenza outbreak is an unusual area or unit a short number of influenza-like cases of influenza confirmed by laboratory tests H1N1 flu.
In the conditions allow, the clinical diagnosis etiological examination can be arranged.
(C) of the confirmed cases.
Influenza-like clinical presentation, while one or more of the following laboratory test results:
1. Influenza H1N1 influenza virus nucleic acid testing positive (can use real-time RT-PCR and RT-PCR method);
2. Isolated influenza A H1N1 influenza virus;
3. Double Influenza H1N1 influenza virus serum antibody level was 4 times or 4 times higher.
5, severe and critical illness
(A) one of the following conditions for the severe cases:
1. Persistent fever> 3 days;
2. Severe cough, cough Nong Tan, hemoptysis, or chest pain;
3. Respiration rate fast, difficulty breathing, lips cyanosis;
4. Consciousness change: slow reaction, sleepiness, restlessness, convulsions, etc.;
5. Severe vomiting, diarrhea, dehydration performance;
6. Imaging signs of pneumonia;
7. Creatine kinase (CK), creatine kinase (CK-MB) and other cardiac enzyme levels increased rapidly;
8. Significantly increase the original basis of disease.
(B) one of the following conditions for the critical cases:
1. Respiratory failure;
2. Septic shock;
3. Multiple organ dysfunction syndrome;
4. Appears in need of care treatment of other severe clinical conditions.
Six principles of clinical classification
(A) of suspected cases: well-ventilated room in a separate isolation. Hospitalized cases of influenza pathogenic H1N1 influenza to do inspections.
(B) clinical diagnosis of cases: well-ventilated room in a separate isolation. Hospitalized cases of influenza pathogenic H1N1 influenza to do inspections.
(C) confirmed cases: well-ventilated isolation rooms. Inpatients may be people in the same room.
7, the principle of patient
Under the condition of patients and local medical resources, according to the principle of priority arrangements severe hospitalized.
(A) give priority to cases admitted to hospital with severe and critical. In critically ill patients, according to local medical facilities conditions, timely prevention and control into the conditions with severe Medicine (ICU) treatment.
(B) do not have the severe and critical cases where the conditions of medical institutions, in ensuring the safety of the premise of health care, patients should be promptly transported to the hospital with conditions; condition not suitable for referral, the local health administrative department or higher level health administrative departments experts on the spot to active treatment.
(C) high-risk groups to become more easily infected with influenza A H1N1 influenza severe cases, appropriate arrangements for hospital treatment. Such as the implementation of home quarantine treatment, should closely monitor the patient's condition deteriorated to the event of a timely diagnosis and treatment arrangements for hospitalization.
(D) of the mild cases, arrangements can be isolated for observation and treatment at home.
8, treatment
(A) general treatment.
Rest, drinking water, close observation of changes in condition; on the heat treatment of fever cases may be granted.
(B) anti-viral treatment.
Studies have shown that influenza A H1N1 influenza virus present this to the neuraminidase inhibitors oseltamivir (oseltamivir), zanamivir (zanamivir) sensitive to amantadine and rimantadine
Resistance.
For less serious symptoms and no complications, the condition has become self-limiting influenza A H1N1 influenza cases, no positive application of the neuraminidase inhibitors.
When the disease is a serious condition, the dynamic deterioration after onset of disease cases were infected with influenza A H1N1 influenza high-risk groups should be timely and the neuraminidase inhibitors for antiviral therapy. Start delivery time should be possible within 48 hours of onset (36 hours for the best). For severe cases easier to become a high risk of influenza-like symptoms if not necessarily wait for the virus nucleic acid test results, you can start antiviral therapy. Influenza-like symptoms in pregnant women after the early appropriate treatment to the neuraminidase inhibitors.
Oseltamivir: Adult dosage of 75mg bid, treatment for 5 days. For critical or severe cases, doses of oseltamivir may be added as appropriate to 150mg bid. For persistent cases of illness, medication may be appropriate to extend the time. 1 year old and older pediatric patients should be administered according to body weight: 15kg underweight persons, to 30mg bid; weight of 15 ~ 23kg person, to 45mg bid; weight of 23 ~ 40kg person, to 60mg bid; weight greater than 40kg person, I 75mg bid. Have difficulty swallowing capsules for children can choose oseltamivir suspension.
Zanamivir: for adults and children over 7 years. Inhalation adult dosage of 10mg bid, treatment for 5 days. Children over 7 years of age and usage with adults.
(C) other treatment.
1. If there hypoxemia or respiratory failure, should be timely and appropriate treatment measures, including oxygen therapy or mechanical ventilation.
2. Combined to give the corresponding anti-shock, shock therapy.
3. There other organ damage, given the appropriate supportive treatment.
4. With bacterial and / or fungal infection, to give the corresponding anti-bacterial and / or antifungal treatment.
5. For the severe and critical cases, you can also consider the use of Influenza H1N1 influenza patients recovering from recent vaccination by immune serum or plasma treatment.
1 week on the incidence of severe and critical cases, the premise of ensuring medical safety, appropriate early use. Recommended Usage: General Adult 100 ~ 200ml, child 50ml (or antibodies were adjusted according to the amount of plasma), intravenous. When necessary, can be reused. Use of the process, pay attention to allergic reactions.
(D) of the TCM treatment.
Mild syndrome treatment
1. Wind-heat guilty Wei
Main symptoms: early onset, fever, or fever, red throat discomfort, Qing Ke little phlegm, no sweat.
Tongue and Pulse: red tongue, thin coating or a thin greasy, floating pulse.
Governing Law: breeze heat
Basic Recipe: Silver Flower Forsythia 15g 15g 10g Chrysanthemum grandiflorum leaf 10g 15g 10g Arctium Mint Leaves 30g 6g reed rhizome (post under) 3g 3g Health and liquorice
Decoction method: water simmer in water, decoction 400 ml per dose per oral administration of 200 ml, 1, 2; if necessary Day Service 2, orally every 6 hours 1 per 200 ml.
Modified: thick greasy coating plus patchouli, Perrin; cough re-Almond, loquat; diarrhea Kagawa Coptis, wide woody; sore throat weight increase Physalis.
Commonly used Chinese patent medicines: breeze heat of Chinese patent medicines such as Shufeng detoxification capsules, Xiangju capsules, Yinqiaojiedu class, Sang Ju cold type, Shuanghuanglian class of oral agents; Huoxiangzhengqi, class preparation, etc. Gegenqinlian.
2. Heat pulmonary drug raid
Main symptoms: high fever, cough, sputum expectoration uncomfortable sticky, thirsty hi drink, sore throat, red eyes.
Tongue and Pulse: red tongue, yellowish or greasy slippery pulse.
Governing Law: Qingfei detoxification
Basic Recipe: Roasted Almond ephedra 3g 10g 10g Health and liquorice Gypsum (Xian Jian) 30g 10g Fritillaria Campanulaceae Anemarrhenae 10g 15g 15g Chai Hu 15g skullcap
Decoction method: water simmer in water, decoction 400 ml per dose per oral administration of 200 ml, 1, 2; if necessary Day Service 2, orally every 6 hours 1 per 200 ml.
Modified: constipation Add rhubarb; sustained high fever plus Artemisia annua, paeonol.
Commonly used Chinese patent medicines: Qingfei antidote Lianhuaqingwen proprietary Chinese medicines such as capsules, silver and yellow class preparation, class preparation and other Lotus heat.
Differential Treatment of severe and critical illness plan
1. Hot drug obstruct pulmonary
Main symptoms: high fever, cough cough, yellow sputum, breathlessness and shortness of breath; or palpitations, ankle interference disturbed, cyanotic lips.
Tongue and Pulse: tongue red, yellow and greasy fur, or gray greasy, slippery pulse.
Governing Law: heat Xie Fei, detoxification Sanyu
p; Zhimu Houttuynia 15g 10g 10g Fagopyrum Descurainiae skullcap 10g 10g 10g Fritillaria Moutan Rhubarb 10g 10g 15g Artemisia annua
Decoction method: water simmer in water, decoction 400 ml per dose per oral administration of 200 ml, 1, 2; if necessary Day Service 2, orally every 6 hours 1 per 200 ml.
Modified: sustained high fever, coma delirium plus Angong Niuhuang Wan; seizures plus antelope horn, silkworm, pheretima etc.; bloating will end plus Zhishi and sodium sulfate.
Commonly used Chinese patent medicines: Xiyanping, Tanreqing, Qingkailing injection.
2. Gas business the two burnt
Main symptoms: high fever, thirst, irritability, serious was coma delirium, cough or hemoptysis, chest tightness, shortness of breath and suffocating.
Tongue and Pulse: scarlet tongue, yellow coating, pulse breakdown.
Governing Law: Qing Qi Liang Camp
Basic recipe: buffalo habitat 15g 30g 15g Salvia Radix 10g Silver Flower Forsythia 15g 12g 10g Radix Gypsum Leaf 30g 6g kirilowii (Xian Jian) 30g 12g Gardenia
Decoction method: water simmer in water, decoction 400 ml per dose per oral administration of 200 ml, 1, 2; if necessary Day Service 2, orally every 6 hours 1 per 200 ml.
Modified: constipation Add rhubarb; febrile seizures plus antelope horn powder body.
Commonly used Chinese patent medicines: Angong Niuhuang Wan, Xuebijing, XNJI so.
Note: The above drugs should be used under the guidance of the physician; dose for reference, children's doses reduce it; have complications, patients with a history of chronic basis, with the certificate and giving of treatment. If see shock, multiple organ dysfunction syndrome, or combined with other serious diseases, while in the application of western medicine, according to the actual situation with the card and giving of treatment.
9, discharge standards
1. Temperature is normal 3 days, other flu-like symptoms disappeared, clinically stable, can be discharged.
2. The basis of illness or complications due to heavier, take longer hospitalized cases of influenza A H1N1 influenza, influenza A H1N1 influenza virus in throat swab DNA test became negative after the isolation ward from the ward go to the corresponding further treatment.
Undue susceptibility to mastitis in lactating
More acute mastitis during lactation occurred, mostly due to improper feeding, poor lead to milk the milk discharge deposition, when combined with infection due to breastfeeding. Yu-Fei Guo remind young mothers who want to learn the correct methods of breast-feeding, avoid milk deposit, must also pay attention to breast health, this will avoid the occurrence of acute mastitis, but also conducive to the healthy growth of babies.
Breastfeeding should pay attention to the following areas:
To maintain the correct posture nursing nursing posture. Breast-feeding generally take seats, the natural upper body erect, both for milk and smooth discharge, but also will help the baby swallow the milk. Bed nursing undesirable.
Feeding time to master the feeding time, usually every 15 minutes. Some mothers in order to coax a child, a feed 12 hours, this is a bad habit. From the child's perspective, the baby's stomach capacity is small, Eat small meals benefit the child's digestion and absorption; from the mother's point of view, prolonged breast feeding is not conducive to health, because healthy children have bacteria in your mouth, nipples long time in bacteria and saliva of the environment, children can easily inflamed. Therefore, to prevent a child develop the habit of long hold in mouth nipple. Let the children go to bed mouths nipple is also a bad habit, this is not conducive to the child to swallow the milk, which does not help mothers breast health.
Nursing skills to master a number of nursing skills. Sometimes feeding has been more than 15 minutes, the children still ate with relish reluctant to let go, then do not forcibly pull the nipple, to take a certain approach, skillfully to stop breast-feeding. One way is to use the direction of the breast to the child block wall nose, or pinching your child's nose, mouth breathing children will release when the nipple; Another way is to use a clean finger into the child's mouth , when the removal of the child nipple sucking fingers.
Prevention of mastitis if the baby eat milk large breasts and swollen due to accumulation of milk, you can squeezed out. Do not squeeze the breast milk, only to squeeze the areola on the line. Because breast milk secreted after the discharge from the breast ducts, stored in the areola following lactiferous ampulla, the child suck the nipple is caused by stimulating lactation response, squeeze the nipple areola suck achieved. Row plot in time when breast milk, if milk office product mass more than two days has not been eliminated, further means exclusive breast very difficult.
Timely treatment of mastitis If he is suffering from acute mastitis, to timely treatment. The initial presentation of acute mastitis of breast lumps, generally the size of table tennis. Then just need to practice exclusive breast, sticking medicine can make arrangements smooth milk, to eliminate the tumor. If not treated early, serious siltation milk, breast pain may also occur, mass increases, with the development of the disease may also be chills, fever, purulent breast lumps and other symptoms. Treatment of acute mastitis to go to regular hospitals, specialist clinics, specialist treatment programs according to their conditions, in addition to practices outside the row of milk, medicine sticking, take him for the medical treatment of differentiation would be more effective. Means row milk requires skills and experience, the best specialists please; condition simply inferior to the lighter, you can let family members under the guidance of specialists.
Breastfeeding should pay attention to the following areas:
To maintain the correct posture nursing nursing posture. Breast-feeding generally take seats, the natural upper body erect, both for milk and smooth discharge, but also will help the baby swallow the milk. Bed nursing undesirable.
Feeding time to master the feeding time, usually every 15 minutes. Some mothers in order to coax a child, a feed 12 hours, this is a bad habit. From the child's perspective, the baby's stomach capacity is small, Eat small meals benefit the child's digestion and absorption; from the mother's point of view, prolonged breast feeding is not conducive to health, because healthy children have bacteria in your mouth, nipples long time in bacteria and saliva of the environment, children can easily inflamed. Therefore, to prevent a child develop the habit of long hold in mouth nipple. Let the children go to bed mouths nipple is also a bad habit, this is not conducive to the child to swallow the milk, which does not help mothers breast health.
Nursing skills to master a number of nursing skills. Sometimes feeding has been more than 15 minutes, the children still ate with relish reluctant to let go, then do not forcibly pull the nipple, to take a certain approach, skillfully to stop breast-feeding. One way is to use the direction of the breast to the child block wall nose, or pinching your child's nose, mouth breathing children will release when the nipple; Another way is to use a clean finger into the child's mouth , when the removal of the child nipple sucking fingers.
Prevention of mastitis if the baby eat milk large breasts and swollen due to accumulation of milk, you can squeezed out. Do not squeeze the breast milk, only to squeeze the areola on the line. Because breast milk secreted after the discharge from the breast ducts, stored in the areola following lactiferous ampulla, the child suck the nipple is caused by stimulating lactation response, squeeze the nipple areola suck achieved. Row plot in time when breast milk, if milk office product mass more than two days has not been eliminated, further means exclusive breast very difficult.
Timely treatment of mastitis If he is suffering from acute mastitis, to timely treatment. The initial presentation of acute mastitis of breast lumps, generally the size of table tennis. Then just need to practice exclusive breast, sticking medicine can make arrangements smooth milk, to eliminate the tumor. If not treated early, serious siltation milk, breast pain may also occur, mass increases, with the development of the disease may also be chills, fever, purulent breast lumps and other symptoms. Treatment of acute mastitis to go to regular hospitals, specialist clinics, specialist treatment programs according to their conditions, in addition to practices outside the row of milk, medicine sticking, take him for the medical treatment of differentiation would be more effective. Means row milk requires skills and experience, the best specialists please; condition simply inferior to the lighter, you can let family members under the guidance of specialists.
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