Friday, December 5, 2008
Esophageal cancer patients to "good taste"
Esophagus and stomach is an important part of the human digestive system, is the transfer, transport, food to accommodate the organ. And esophageal cancer, cardiac patients have to make most of the esophagus, stomach or part of the plenary to achieve radical excision of the purpose and use of the stomach or intestine for transplantation to replace and rebuild the digestive tract. The entire process of trauma surgery, often caused by easy digestion disorders. To this end, esophageal cancer and cardiac patients how to "eat" is very important, can be divided into four stages. Nasal feeding after stage 1 to 5 days Patients in just the trauma of surgery, anastomotic not yet healed, and gastrointestinal function has not very good recovery, poor digestive function. Which can only be taken by nasal feeding. Nasal is a very small place and is tailor-made nutrition tube directly to the jejunum to transport nutrients. Nasal feeding stage patients can be fed mixed milk, juices, fruit juice, rice, etc., can be injected volume of 500 ml of the first day, at 2 to 3 times drip, after a day in accordance with the patient's tolerance to 1500 to 2000 ml. When the temperature drops to near body temperature and appropriate. Require as much as possible to meet nasal feeding nutrient solution containing protein, fat, carbohydrate, vitamins, salt and water, proper proportion. Fresh flow refers to the stage after 5 to 10 days Here, the patient has been through the trauma of the surgery, to begin to restore gastrointestinal function, for the performance of appetite, anal discharge (vulgar? A href = "http://face.39.net/PP/" target = " _blank "class = blue> brand?. can give a small amount of water (3 to 5 tablespoons), gradually increasing to 30 to 50 ml, in the absence of obvious discomfort, may be given rice, Dan Tang, fresh milk, soup and various types of Poultry simmer the soup, each 100 to 200 ml per day 5 to 7 Dayton. And a half from the current phase of the diet after the beginning of the second week of Here, after the patients of a variety of drainage catheter tube has been removed by intravenous infusion liquid has stopped growing, with the exception of elderly or very old people can not get out of bed in patients with activities, most of them can walk, eat on the rise. However, this period can only Shaosiduocan to non-digestible food residue-based (such as rice, noodles, eggs, soup, tofu, etc.), in particular the large number of pre-operative patients should not eat a lot to eat in order to avoid any complications in the digestive tract Or anastomotic leakage. Normal diet at this stage generally from the stage after the fourth week Here, most of the patients had been discharged from hospital to rest at home by their relatives to take care of. At this time can be as much as possible to expand the scope of food (other than sweets and fried), with the exception of doctors discharge can not be special emphasis on the food can eat outside and guide the patient to do some appropriate physical activity to facilitate digestion and absorption. The period of a small number of patients may experience abdominal fullness, diarrhea, vomiting symptoms such as acid, can take 20 mg of domperidone (2), 3 times a day; Compound 2 is scheduled phenyl piperazine, 3 times a day. If the drug does not alleviate the symptoms, diagnosis and treatment of patients at the hospital.
Chila excessive harmful to health
Pepper contains capsaicin (for Hong-Meilan), and eat after the tip of tongue stimulation, oral mucosa, the mouth of the nerve endings, reflex down through the brain to promote the secretion of saliva, favorable to digest food, and people are easily excited and have a hot post - And the delicious pleasure, is considered to be the ideal condiment. At the same time also increased gastrointestinal secretion of digestive juice, as the digestive juice containing FQ not only help to digest food, but also to enhance gastrointestinal motility. As a result of the overwhelming majority of food is spicy hot and humid nature, can promote blood circulation, so that the blood is running better and organs are properly nourished, and the driving force for every 100 grams of vitamin C content as high as pepper 198mg, vitamin B2, calcium and carotene, Iron ore, and other special content is also very rich, can improve immune function, cold winter could Chila appropriate body to promote collagen synthesis to prevent the breakdown of capillaries and improve immune function. Food and pepper can increase the activity of brain cells, anti-aging, slow down the degradation. It is said that as a result of chili-containing carotene can promote the formation of vitamin A, can protect the integrity of the skin and mucous membrane in the body. As a result be able to stimulate the cells to convey information between the gene may prevent cancer. Because of its resistance to low-density cholesterol (LDL) is oxidized into a harmful form, it can prevent arteriosclerosis. Although many of these peppers are the benefits, but not everyone is safe to eat hot peppers, especially excessive use of harmful, even life-threatening. So, first of all have to eat chili out of the three errors: 1. Many people believe that hot peppers appetizer, no matter what vegetables are combined with pepper. In fact, over Chila, only the feeling of peripheral nerve damage, with the passage of time, so that the gastrointestinal mucosa damage caused by chronic inflammation, vomiting, cramps, diarrhea and pain, and so on. 2. The so-called "pepper to lose weight," there is no scientific basis. Although the report: capsaicin can promote nerve conduction material and the secretion of adrenaline, epinephrine, through sweating, burning fat and can play the role of weight loss, but so far there is no scientific basis. Pepper skin redness, fever, partial to speed up play a role in metabolism, so that results can not be lasting, not a natural anti-obesity. 3. Chila anti-cancer may be, this is absolutely not correct. Although the chili contains a large number of antioxidants can kill cancer-causing substances, but could not find scientific evidence to the contrary, precancerous lesions of oral cancer precursor - oral leukoplakia, it is because people like to eat hot, spicy food because, This is from a different side of caution us that Chila Enough is enough. So who does not eat hot peppers? 1. Suffering from cardiovascular and cerebrovascular disease, high blood pressure patients should not eat hot pepper, chronic bronchitis, pulmonary heart disease, pulmonary tuberculosis is no exception. So that capsaicin as a result of increased blood circulation, rapid heartbeat, tachycardia, with a large number of short-term use may be caused by acute heart failure, sudden cardiac death, even if no accident, nor to obstruct the implementation of the existing cardio-cerebral vascular disease and lung Rehabilitation of disease. 2. Suffering from chronic gastritis, gastric ulcer, esophagitis patients, as the capsaicin irritation, mucous congestion and edema, erosion, increase gastric peristalsis, and the cause abdominal pain, diarrhea and so on, will also affect the digestive function. 3. Chronic cholecystitis, cholelithiasis, chronic pancreatitis patients, as the capsaicin irritation caused increased secretion of gastric acid, gastric acid can cause more cholecystokinin, sphincter of Oddi spasm, causing difficulties in discharge of bile, and induce cholecystitis, Biliary Colic and pancreatitis. 4. Patients suffering from hemorrhoids, as the capsaicin irritation, edema and congestive heart hemorrhoid vein, you can add to hemorrhoids, and even the formation of anal abscess. In addition peppers can add to constipation, hemorrhoids become so heavy. 5. Hongyan Bing suffering, keratitis patients chili Jishi, from the perspective of Chinese medicine easy to be lit, and add to the disease. 6. Mothers, pregnant women should not eat hot pepper, can occur not only festered words, constipated, as a result of breast-feeding babies can make it sick. 7. Kidney patients should not eat hot pepper, capsaicin as a result of excretion through the kidneys, kidney damage cells, which can cause serious kidney function and even renal failure. 8. Hyperthyroid patients unfit for human consumption, itself a result of rapid heart rate, speed up the heart rate after eating, the more obvious symptoms. 9. Dermatitis and skin disease in patients unfit for human consumption, as a result of regular food after the increase. 10. Thin Man should not eat hot pepper, often as a result of Yangan Thin Man, I suffer, irritability irritable, if the consumption of hot peppers not only add to the above-mentioned symptoms, but also lead to easy bleeding, inflammation and allergies, occurs when a serious infection such as sore carbuncle . 11. Are taking Chinese medicines in the treatment of patients with the disease is a taboo list, as a result of consumption will affect the efficacy of capsaicin. Even normal people should not be long-term consumption of hot pepper. According to the information provided, in esophageal cancer, gastric cancer patients, and long-term consumption of hot pepper, a large proportion. To sum up, though delicious spicy food, when the stop before going too far
A summary of esophageal leiomyoma
Esophagus rare benign tumor, accounting for all of the esophageal tumor from 0.5 to 0.8. As a result of minor symptoms or asymptomatic, patients often do not seek medical attention or ignored by clinicians. In recent years, due to the X-ray inspection and other technological advances and found that the case has gradually increased to 90% of esophageal leiomyoma. Esophageal leiomyoma originated from esophageal muscle inherent to the main longitudinal muscle, most of the food in the wall, that wall in the mucous membrane type. Individual convex into the inner lumen was polypoid, and the pedicle wall connected to food, from the mouth of the Ou Chu report, these patients may Ou Chu in the respiratory tract caused by suffocation when the plug. Esophageal cancer can occur at any site, home to the middle of most reports, under the second paragraph, at least in the preceding paragraph, in the cervical little, as a result of cervical esophagus by involuntary muscle composition, in the belly of the paragraph is not more difficult to distinguish from Esophageal or cardiac muscle. Most of the tumor as single, multiple, with only about 2% to 3%, from more than 2-10 range, the literature has also referred to diffuse esophageal disease fibroids. Tumor size, 2 ~ 5cm of the most common, the removal of a small sample to 0.5cm × 0.4cm × 0.4cm, up to 17cm × 10cm × 6cm, in order to balance the weight of the smallest 0.25g, most of the 5000g. Leiomyoma diagnosis must take into account the possibility of esophageal cancer in order to rule out the identification. Esophagoscopy avoid inspection line mucosal biopsy to avoid injury and mucosal adhesion and tumor, after surgery to remove hampered. Desirable effect choose surgery, trauma and less complications outside the mucous membrane of tumor surgery, the issue should not be part of the esophageal surgery.
Wednesday, November 26, 2008
Organophosphorus pesticide poisoning symptoms and first aid to deal with
Contact: organophosphorus pesticide production and use of personnel. Invasive ways: through the skin, respiratory, gastrointestinal absorption. Toxicology: All varieties can be toxic, most are highly toxic and highly toxic category, for a small number of low toxicity category. Some hybrid varieties from time to time by the use of drugs, such as malathion and trichlorfon, and trichlorfon Valley, such as parathion mixture. Some varieties can be converted into and by drugs, such as the oxidation of 1605 after increasing toxicity, trichlorfon in alkaline solution into a more toxic and dichlorvos. Organophosphorus pesticides (organophosphate pesticides) in the body and the formation of cholinesterase DIPP AChE, acetylcholinesterase activity was inhibited, so that enzymes can not break down from the role of acetylcholine, tissue caused by excessive accumulation of acetylcholine So that the cholinergic neurons over-excited, caused by muscarinic and nicotinic and central nervous system symptoms. DIPP enzyme choline esterase in general about 48 hours after the "aging" is not easy to resume. Some of the aromatic esters and alkyl phosphate-based compounds are still delayed neurotoxicity, is due to organophosphorus pesticides inhibit the body neuropathy target esterase (EST neurotoxicity), and "aging", caused by delayed Neuropathy. This toxic effect has nothing to do with the cholinesterase activity. Sustained-release microcapsules of organophosphorus pesticide formulations, the time may be longer. Clinical manifestations: Acute poisoning The incubation period: the concentration of the species and pesticides, and the way the body to absorb the situation to another. General through the skin to absorb more than 2 to 6 hours in the incidence of respiratory tract after oral inhalation or more in the 10-2 minutes incidence. Symptoms: poisoning caused by a variety of ways to absorb the performance of similar, but the symptoms can be different. If the skin is often first appear mainly to absorb sweat, salivation, irritability, and so on; oral poisoning often appear to nausea, vomiting, abdominal pain and other symptoms; respiratory tract when inhaled toxic Shiwumohu symptoms such as difficulty breathing and can happen faster . According to the site and the role of drug-induced symptoms: a. muscarinic-like symptoms: loss of appetite, nausea, vomiting, abdominal pain, diarrhea, salivation, hyperhidrosis, Shiwumohu, reduce pupil, the increase in respiratory secretions, bronchospasm, dyspnea, pulmonary edema. b. nicotine-like symptoms: muscle bundle fibrillation, decreased muscle strength, muscle cramps, respiratory muscle paralysis. c. central nervous system symptoms: headache, dizziness, fatigue, weakness, drowsiness or insomnia, irritability, confusion, unclear language, delirium, convulsions, coma, respiratory center inhibition caused by respiratory arrest. d. autonomic nervous system symptoms: high blood pressure, heart rate accelerated progress of the disease occurs when heart rate, cardiac arrhythmia. Classification poisoning a. mild poisoning: there is dizziness, headache, nausea, vomiting, sweating, chest tightness, Shiwumohu, not symptoms, may reduce the pupil. Whole blood cholinesterase activity in general 50% to 70%. b. moderate poisoning: add to the above-mentioned symptoms, the band still vibrate, to reduce the pupil, mild dyspnea, salivation, abdominal pain, diarrhea, hobbled gait, or the sense of fuzzy-ching. Whole blood cholinesterase activity in general 30% to 50%. c. severe poisoning: In addition to the above symptoms, there are pulmonary edema, coma, respiratory paralysis or brain edema. Whole blood cholinesterase activity in general below 30%. Delayed sudden death: dimethoate, trichlorfon serious poisoning recovery period can be sudden death. Often after the poisoning occurred in 3 to 15. Were found in oral poisoning. Intermediate syndrome: fenthion, dimethoate, monocrotophos, dichlorvos, methamidophos, such as poisoning after 2 to 4 days, appears to proximal limb muscles, cervical flexion and extension movement at the disposal of nerve and muscle respiratory muscle Inability of the main clinical features, including the rise of shoulder, hip flexor and difficult to open eyes, limited eye movements, double vision, facial expression muscle movement restricted, hoarse voice, chewing and swallowing difficulties may be due to respiratory muscle paralysis and死亡. Delayed peripheral neuropathy: methamidophos, propylamine phosphorus, fluorine C P, parathion, malathion, Yi Pien, dimethoate, dichlorvos, trichlorfon, propylamine phosphate fluoride poisoning, such as the resumption of the disease after 4 to 45 Day of limbs feeling - Sports polyneuropathy. Has nothing to do with the cholinesterase activity. Ruyan splash of pesticides within the pupil can cause reduced, there may not be poisoning the body. First-aid deal with: Too much contact away from the scene immediately to fresh air. Contamination of the skin immediately with plenty of water or soapy water rinse. Eye contamination of irrigation water use. Oral gastric lavage were detained after the stomach in order to pesticides reflux can be cleaned again, such as oral dimethoate after gastric tube should be kept 2 to 3 days, regular cleaning. Can not stomach when the gastric lavage for gastrostomy tube gastric lavage. Mild muscarinic, or nicotine-like symptoms of central nervous system, blood cholinesterase activity were normal; no obvious symptoms, whole blood cholinesterase activity below 70%; contact or large, are Observation should be 24 to 72 hours, to deal with in a timely manner. Effects antidote: a. atropine: to remove or reduce the muscarinic and central nervous system symptoms, improve the respiratory center inhibition. Use principles: early, regular and repeated drug delivery, quick reach, "atropine" (the pupil to expand, facial flushing, skin sweat-free, dry mouth, accelerated heart rate). Usage: mild poisoning, each 1 ~ 2mg, or subcutaneous injection every 4 to 6 hours 1 to reach "atropine" changed after the oral 0.3 ~ 0.6mg, day 2 or 3 times. Moderate poisoning, for the first time 2 ~ 5mg, intravenous injection. Severe poisoning for the first time 10 ~ 20mg, intravenous injection, such as the muscarinic-like symptoms did not improve or not "of Atropine," is 5 to 10 minutes later to repeat the whole or half the amount; can also be used to maintain the intravenous drug, at any time to adjust Dose, amounting to "atropine" until the muscarinic-like symptoms improved significantly in favor of maintaining the volume. If the symptoms subside basic signs, the reduction can be observed for 12 hours, such as non-recurring illness, drug withdrawal. Mild poisoning can be a separate application of atropine, moderate and severe poisoning when the merger application of atropine and cholinesterase agent can resume. There are drugs merger synergies, the appropriate dose should be reduced. Ruyan splash with a small amount of pesticides to reduce pupil caused no systemic symptoms of poisoning, with no need for systemic treatment of atropine, the application of 0.5% to 1% atropine drops can be.
Carbamate pesticide poisoning symptoms
Carbamate pesticide poisoning due to inhibit cholinesterase in the human body, thus affecting the body's transmission of nerve impulses. Pesticides through various channels and mechanisms to affect or harm the human body a variety of physiological and biochemical processes normally. Different types of pesticides to human organs, the physiological function of different, sometimes very big difference, so poisoning symptoms and signs are not the same. Different pesticide poisoning symptoms of poisoning staff for the timely rescue and treatment is necessary. Carbamate pesticide poisoning symptoms: carbamate pesticide poisoning and the reasons for the same organic phosphorus, but also inhibit cholinesterase in the human body, thus affecting the body's transmission of nerve impulses. Carbamate pesticide poisoning, but the incidence is much faster and to restore De Yekuai. Did not take appropriate protective measures on the spending measures such pesticides, for a while after feeling unwell will stop working. Because the immediate termination of the contact, the patient will begin to feel better, but through contaminated clothing or skin to absorb pesticides except in the case. Carbamate pesticide poisoning symptoms in the specific work for 3 hours after the beginning, the beginning of the poisoning symptoms of poisoning are feeling unwell and may be vomiting, nausea, headache and dizziness, chest tightness and fatigue; after the beginning of a large number of patients Khan and saliva flow (drooling), blurred vision, spontaneous muscle contraction, convulsions, tachycardia or bradycardia, may be a small number of people burst into convulsions and coma. Generally within 24 hours to restore full (great dose of poisoning except), and left no after-effects of disability.
What should be done hypnotics poisoning
(A) cause There are commonly used sleeping pills of phenobarbital (luminal), sleep-Seoul (peace), the speed can sleep (which the Secretary may barbiturates), Chlordiazepoxide, chlorpromazine (Dongmian Ling), methaqualone (methaqualone) , Stability, and so on. Small dose can be calm and moderate volume can be hypnotic, high-dose anti-convulsive can. If the play had used the amount of 5 to 6 times the amount of intoxication can be, if more than 15 times the amount of time to death. After the poisoning caused by the central respiratory center and inhibit blood vessel, can be worse vascular damage hair. Pharmacological effects of these drugs varied, but the clinical symptoms of poisoning and first aid similar to the basic principles. (B) to determine There are high-dose oral or injected barbiturates history, and have the following symptoms, diagnosis easier. Do have a mild drowsiness, dizziness, nausea and vomiting, slow language, such as skin rash. There are severe dry slow breathing, irregular, narrow the pupil, decreased blood pressure, coma, Niaoshao, jaundice, bleeding and so on. Respiratory paralysis, heart failure and died. (C) first-aid 1, such as clear-headed in the poisoning of patients within 6 hours, the finger can be used chopsticks to stimulate the emetic throat, water or 1:2000 to 1:5000 solution of potassium permanganate gastric lavage. If more than 6 hours, the drug is absorbed, is not the role of gastric lavage, catharsis can be used sodium 20g (Ji Yong magnesium sulfate). 2, a coma can be hand-guided needle or people, springs, and He Gu, Baihui point, and so on. 3, in time to clear the mouth, nasal secretions and maintain smooth breathing. Difficulty breathing oxygen immediately. 4, the conditions can be selected central stimulant brake meters, mountain food base stem, such as PTZ. Also intravenous drip of 5% to 10% of glucose in urine to accelerate the 40mg, there are drugs and promote the role of the discharge, decreased blood pressure when they take Alamin, dopamine, such as ephedrine.
Cancer patients should self-regulate
Cancer patient's psychological self-regulation, anti-cancer improve their quality of life and self-confidence will play a positive role. The methods of psychological self-regulation, introduced as follows: First, do everything in its power under the premise of doing the work, or shadow boxing, practicing qigong, a walk and do household chores, watching television, listening to the radio, chat with other people, and so on, the natural state of mind will follow More relaxed and happy. Second, we must have the courage to face reality. Have a better understanding of their own around some long-term survival after cancer "Cancer Shouxing" life experience, to encourage people to spend more time reading and disease resistance and the fate of popular science books, will be able to continue to increase their oil Tian Jin, and enhance the spiritual sense of security. Third, as long as can be clearly aware of the extreme long-term concerns it would upset the mental balance, leading to severe insomnia, loss of appetite and affect the normal range of other useful desire, the body caused by physiological function and energy metabolism. As long as you treat optimistic about the reality of maintaining good mental health, will be able to get great strength and courage to overcome the pessimism of the "self" in promoting recovery and improve the quality of life is good. Fourth, let the past be the past, do not have infinite regret, is looking forward to the future, do not know Cunduan intestine. Psychological balance, you can have a lot of anti-cancer vitality and cherish their own mental health.
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