Archive for the ‘Family doctor. Counseling’ Category

Do not rush to take lipid-lowering drugs

Sunday, June 27th, 2010

Do not rush to take lipid-lowering drugs

Hyperlipidemia is a major risk factor for cardiovascular disease, so that some elderly people heard that his high blood lipids, requires doctors prescribe lipid-lowering drugs or lipid-lowering drug use to buy their own. But lipids are not lower the better, especially the elderly, can not be free to take drugs to lower blood lipids.

Cholesterol and triglycerides are the main component of lipids, cholesterol less than if 2.86mmol / L, not only can cause metabolic disorders, can lead to decreased immune function, immune function had been so low for the elderly more difficult. Only when the plasma cholesterol than 5.98mmol / L, cholesterol will be deposited in the vessel walls only need to lower cholesterol.

There is a form of lipoprotein lipids, high density lipoprotein on healthy, low-density lipoprotein risk factors for coronary heart disease is increased. Therefore, the prevention of cardiovascular disease and hyperlipidemia, an important one is the increasing high-density lipoprotein, low density lipoprotein.

In daily life, eat salmon, octopus, yellow croaker, butterfish and other fish, is conducive to increasing high-density lipoprotein. Scientific tests show that a small amount of low consumption of red wine can also increase high-density lipoprotein. Olive oil, tea oil, etc. rich in monounsaturated fatty acids, can reduce LDL and triglycerides. Fat, lard, butter, suet, butter, cream, coconut oil is rich in saturated fatty acids, to try to eat less.

When diet and exercise therapy can not control hyperlipidemia, you can take a number of lipid-lowering drugs prescribed by a doctor. But the side effects of each drug are not suitable for long-term use. Suspension of lipid after taking a quick recovery, it must be emphasized diet, supplemented with appropriate exercise, and active cause of treatment is a good way to control blood lipids, lipid-lowering drugs to only rely on is not scientific.
Yuguang

Contraceptive drugs for external use should supine

Monday, November 30th, 2009

Contraceptive drugs for external use should supine

External use contraception is a chemical agent, on the vaginal depths, near the cervix, so that loss of sperm activity here, so can not reach the oviduct and egg uterus, so called topical contraceptive spermicide.

A topical contraceptive suppository topical contraceptives (contraceptive suppository lover, wife of Friends), contraceptive film (Le ether external membrane), the pill (Lok ether topical contraceptive pills) and jelly, etc. Lele ether.

Use
Topical vaginal contraceptives should be placed in the depths of the woman, the cervix is near the location. From the vaginal opening, about 10 to 12 cm deep. If using paste, according to the instructions on the first dose injection pump, then pump the cream into the vagina near the cervix by the location of the mouth may be intercourse. Pump with soap and water after the dry cleaning, wait until the next use. Such as the use of suppositories, tablets, film former, we should hand into the vagina of drug 10 to 12 cm deep, 10 to 15 minutes after the drugs to be dissolved before they can be sexual intercourse.

External benefits of contraceptive drugs
External use contraception without a doctor's prescription or an operation, and therefore more flexible. Drugs can not easily be absorbed into the body, thus affecting the body small. Women using topical contraceptives, sexually transmitted infections was low. Is used when condom use can increase the contraceptive effectiveness of these drugs.

Notes
Use of topical contraceptives prior to the proper use of each room, careless or improper use may result in contraceptive failure. Use suppository, film, film former, such drugs must be dissolved only after intercourse. Each room should be placed in advance. If you put more than one hour not ejaculation or sexual intercourse again to re-place. Intercourse when the woman should adopt the supine position (upper or upright position when women will be self-medication vaginal contraceptive effect of paper out from the sky). Room after the woman should sit 15 to 30 minutes, room after 6 hours should not wash the vagina.

Little Cheung Yung

Wet compress to deal with facial dermatitis

Sunday, November 22nd, 2009

Wet compress to deal with facial dermatitis

Doctors in the treatment of facial dermatitis in practice, that the wet packing is a good idea. Method is to take the size of 6 layers of gauze covering the lesion, with room temperature water, cold water or cold tea, water, wet, with its non-drip for the degree of spreads in the face, about 15 to 30 minutes to change once, so every day about do 2 or 3 times. The role of the cold wet compress to alleviate inflammation caused by telangiectasia erythema reaction, moisture and repair damaged skin barrier, and can achieve the antipruritic effect. Should choose the appropriate time slot each day, low season to guard against catching colds.

At the same time, daily life in patients with facial dermatitis should be avoided whenever possible thermal stimuli, including hot drinks, hot baths, sun or by hot air, etc., try not to wash your face with a towel and scrub the conventional method, but the light splashing water with a towel after washing Light dry.

The wet compress to reduce erythema, the skin was dry, scaling and have a sense of tension, then you can wipe some of edible plants and animals of foreign oil, or a soothing emollient oil, and appropriate oral administration of some anti-allergy or vitamin medicine, but must be used with caution Waicha drugs, until the gradual restoration of skin barrier function and healing.

Cheng Shouqin

Abuse of women prone to cervical cancer lotion "latent"

Thursday, August 13th, 2009

Abuse of women prone to cervical cancer lotion "latent"

The most common cancer of women can be regarded as a "best" cancer, because all the cancer, cervical cancer is the most preventable kind.

State key disciplines of Integrative Oncology, Fuzhou General Hospital of Nanjing Military Region, Shenyang University of tumor Koo farm director, said, early cervical cancer, cancer confined to the skin or mucosa, not through the skin or mucous membrane below the basement membrane to the surrounding tissue violations as long as early detection and early treatment, almost 100% curable.

Although relatively few early marriage, but cohabitation, early sexual activity and other phenomena has increased, so the national cervical cancer incidence is increasing. Agricultural science, said Ouyang, now that the main risk factors for cervical cancer early sexual activity, early marriage and early education, productive, dense production, such as multiple sex partners, but also with the HPV infection, her husband semen, vaginal anaerobic bacteria and the other close related. Especially the human papilloma virus, the present study shows that over 90% of cervical cancer patients carry the virus.

"Women buy their own lotion or anti-inflammatory pain medication to solve the 'private parts' erosion, inflammation and other problems will often be hidden among the early symptoms of cancer, delay the best time to treat." Ouyang Xue-nong that 95% of cervical cancer can be effectively prevented, because cervical position easily, and cervical precancerous lesions are mostly very easy to find. Meanwhile, precancerous cervical lesions have a longer development phase, progress from precancerous lesion to cancer that will take about 10 years time, "tolerance" to give people ample time to discover, prevent or remove it.

Precancerous lesions of cervical cancer is reversible. Therefore, when the sexual life, gynecological examination, and then bleeding, increased vaginal discharge, white or bloody, thin water-like or rice soup-like, there is stench and other symptoms, should go to regular hospital, never to see only intolerable doctors.

Once the diagnosis of patients, it should be based on clinical staging and the development of specific types of the most appropriate treatment. Treatment program developed with age, in general, lesions on the other, complications exist, the various functions of the organs and systems should consider the degree of malignancy of tumor cells and its relationship with the surrounding tissue. The main treatment is surgery and radiotherapy, or both in combination. In recent years, chemotherapy has also been seriously and get good results. The current trend is to emphasize comprehensive treatment to surgery, radiotherapy and chemotherapy to combine in order to achieve greater efficacy, improved quality of life, reduce complications, as far as possible to retain reproductive function and purpose of ovarian function.

Ouyang Xue-nong proposed sexually active adult women should have annual gynecological examination 1, in particular cervical cytology. Who have sex too early (18 years ago), their own or their spouses who have multiple sexual partners, many pregnant women in preterm labor should conduct regular inspections. Women over the age of 30 every year for a second thin-layer liquid-based cytology. In addition, contact bleeding is more typical clinical symptoms of cervical cancer, any vaginal bleeding after sexual life of women should arouse enough attention to the hospital in time.

Wu

Do not just pain in one step

Tuesday, February 10th, 2009

Do not just pain in one step

Cancer is a serious harm to human health diseases. Globally, about 1,000 people each year a new cancer. The next 20 years in the number of patients from the current 10 million to 15 million per year, about 160 million people in China every year a new cancer.

It is noteworthy, cancer pain is a common symptom of cancer patients. According to WHO statistics, for treatment of cancer patients 50% had varying degrees of pain, 70% of advanced cancer patients that pain is the main symptom, 30% of cancer patients have severe pain unbearable. Shows that cancer pain is a common worldwide problem. Effective pain treatment to improve the quality of life of cancer patients is very important. To this end, the World Health Organization strongly recommends a three step method of relieving pain of cancer pain.

Method is a three-step analgesic ladder of pain in patients with different degrees according to the different levels of pain medication were used for the treatment principles for analgesia.

Three-step method of relieving pain using the premise that the level of assessment of cancer pain to learn. Patients with cancer pain should be divided into mild, moderate and severe 3, the most common method is to use the 0-10 pain rating scale level. Doctors to ask patients to him: "If 0 is a painless, 10, was the most pain you can imagine. Well, you are now the pain is almost level? Pain when the most important of several class? Lightest when several stages?"

1 ~ 4 for the mild pain, although patients with pain but tolerable, can live a normal life;
5 to 6 moderate pain, significant pain, can not stand, of sleep;
7 to 10 severe pain, severe pain, can not sleep, may be associated with a passive position or the performance of autonomic dysfunction.

Three-step method of relieving pain with oral medication-based, oral drug used for each step there.

The first step
Mild pain to non-opioid (non-steroidal anti-inflammatory drugs) plus or minus auxiliary painkillers. Commonly used drugs as aspirin, Fenbid (ibuprofen sustained-release capsules) and so on.

The second step
Moderate pain, weak opioid to add and subtract non-steroidal anti-inflammatory drugs and painkillers aid. Common drugs of codeine, tramadol, etc..

The third step
Severe pain for opioid addition and subtraction of non-steroidal anti-inflammatory drugs and painkillers aid. Commonly used drug morphine tablets, the United States Physio (morphine sustained release tablets) and so on. In the past that the pain will be with morphine addiction, so patients are usually reluctant to use morphine, now that this view is wrong.
Shen Xuan