August,Wednesday 22:40
Urology
Wrapping agnail can cause glans and glans inflammation, glans agnail and wrapping agnail often exist at the same time, friend be called by a joint name wraps dermatitis for glans (wrapping glans phlogistic) . Glans is phlogistic it is to show because dirty of infection, wrapping stops,wrapping and the penis with hypodermic bag are bought a general designation that waits for a reason to cause pathological change of glans occurrence inflammation. Agnail of glans of glans phlogistic and wrapping agnail often exist at the same time, friend be called by a joint name wraps dermatitis for glans (wrapping glans phlogistic) . Just as its name implies, the illness that glans includes dermatitis to glans and wrapping are affected at the same time and be caused namely. Causing the main reason with glans phlogistic wrapping is packet of bine or wrapping too long. Additional, exciting or feculent sexual intercourse, medicaments is allergic, also be the cause that causes disease. When the acute after should be being affected commonly breaks out, local Chang Youchao wet, red, aching, coquettish is urticant, produce erosion and shallow small ulcer even, maize pus sex or ivory stink secretion appear, companion has special stink. Serious when can appear glans is necrotic. After acute breaks out, because infection can cause wrapping and glans ministry adhesion, wrapping cannot go up break up, cause urethral mouth stricture even. Partial patient is after acute period adhesion of road junction of hair unripe make water is narrow, cause dysuria. Affect repeatedly can make glans or wrapping are added thick, form blaze. When taking certain drug allergy, can behave sometimes fixed oedema sex erythema is formed on glans or wrapping, central place occurrence bleb, broken infection can be caused after;burst;ulcerate;festering. The 24-36 after the symptom is taking drug more happens inside hour, after stopping drug, improve, take medicine to repeat again again appear. The cure that acute breaks out is will break up on wrapping or incision wrapping carries side on the back with benefit drainage, local with 1 ∶ dip of solution of 5000 tall fierce acerbity Potassium is washed, or ointment of the bacteriophage on besmear, wait like aureomycin ointment. Use antibacterial thing all over (antibiotic) , be like inject penicillin, every time 800 thousand unit, everyday 2 ～ 3. Acute breaks out period afterwards, answer to do wrapping annulus to cut method to the hospital. Be like the word of urethral stricture, still need plastic surgery. Still should take by what drug allergy causes fight allergic medicaments. Wrapping is too long, appear repeatedly glans bag dermatitis is very common. When bathing at ordinary times, answer to retroflexion wrapping, the wrapping inside abluent wrapping bursa dirties, be precautionary inflammation is the simplest and the method of effective. The slow sexual excitement that wrapping dirties and glans wrapping are phlogistic break out repeatedly, also be the main factor that causes phallic cancer, reason applies wrapping annulus cuts art to have certain sense to preventing phallic cancer at an early date. Glans of glans phlogistic is phlogistic it is to show because dirty of infection, wrapping stops,wrapping and the penis with hypodermic bag are bought a general designation that waits for a reason to cause pathological change of glans occurrence inflammation. Outside causing the reason of this kind of common disease to stop except dirty of infection, wrapping, the stimulation that because place of glans and damp clothings attrition, clothings contains chemical material to reach contraceptive film or breast to cream,returns a likelihood it is the easiest to wait and send Bo diabetic Xing Yan having tortoise, because candy portion is contained in their make water, easy abet bacterium breeds further. Sometimes, because turn over wrapping very hard,be the same as rear will clean have a department, chelonian buys the ache of a ministry and strut to be able to become more serious. Have glans of a kind of dry and out-of-the-way sex phlogistic, the pathogeny is at present unidentified, it won't cause as phlogistic as most glans appearance similar red reach aching symptom, when breaking out every time however, wrapping and glans can become unusually cadaverous reach shrinkage. Although 1000 dry are out-of-the-way sexual glans is phlogistic without painful, but can make wrapping cannot shrink back however, and make urethral mouth narrow, cause uric flow resistance to fill in. Manage glans phlogistic housekeeping money brief nostrum: (Wrapping breaks up on 1) , local with 1:5Fluid of 000 potassium permanganate is cleaned, keep dry. Cannot go up like wrapping break up, can dissection wrapping carries side on the back, mix with benefit drainage clean. (2) can take certain antibiotic below doctor guidance kind medication. (After 3) inflammation subsidise, bag bine or wrapping cross better appropriate to make wrapping annulus cut method.
August,Wednesday 22:40
Surgery
Cystic radiography confirms for pervious to light and calculous, gallbladder the function reachs cholelith not to have calcification normally. The bilestone that X line cannot pass through contains a lot ofcalcium commonly, unfavorable use cholic acid treatment. Cystic radiography shows floating small bilestone is cholesterol stone mostly. Blame cholesterol is calculous only 1/3 can drift, latter majority contains bravery pigment and calcium, cannot dissolve for cholic acid place. When patient gallbladder does not have a function, not applicable cholic acid is treated, because can affect not saturated bile to be in the loop all round cholelith, also cannot undertake following examine with cystic radiography at the same time. The treats irreclaimable gallbladder function of cholic acid of goose to oxigenate, so these patients suit operation cure. Because dissolve stone cure needs proper time, reason bilestone disease should is in dormant period, unfavorable use at often appearing bravery path symptom or have the person that had produced complication recently, be like pancreatitis, cholecystitis, and have hepatic disease clinical or the person that biochemistry is behaved. Because although longitudinal is biliary,deposit also will cause the bile in the loop to increase, the expression of and so on of urticant disease of Sao of occurrence such as. Gravid can increase bile degree of saturation and the sex that become rock, affect curative effect thereby, and gallstone treatment also can be affected fetal, what research shows classics cholic acid treats pair of collect monkey is fetal have potential and hepatic noxiousness, reason should avoid to apply. Prophylactic of profess to convinced also can increase biliary saturation excessive, make step of other birth control should be taken as far as possible when cholic acid cure. In addition, disease of alvine path phlogistic sex, did not get sex of sclerosis of pilot hypertension, coronary artery, pathology the remedy that fat, near future has used hepatic noxiousness unfavorable have cholic acid treatment. During cure if appear serious bravery path symptom, icteric, do not have functional gallbladder or be able to bear or endure hard remedy should change when the diarrhoea that suffer.
August,Wednesday 22:40
Surgery
Be in as of all kinds medicaments clinical wide application, the kidney that in recent years of all kinds medicaments causes damages occurence rate to have the tendency that increases apparently. The disease of kidney of medical source sex that has discovered at present includes the nephritic disease of all sorts of types almost, be like: Acute kidney failure (ARF) , canaliculus of chronic kidney failure, kidney - qualitative disease and kidney spherule or capillary are ill between kidney sexual disease. Among them, because the ARF that medicaments causes comes on urgent suddenly, clinical expression is complex the kidney of diversiform, sex of main medicine source that already made harm patient life gradually one of diseases. To me the courtyard comes nearly 5 years 205 ARF inpatient undertakes the pathogeny analyses discovery, medicaments dependency ARF occupies 29.9 ％ . Compare with the data phase 10 years ago, because pledge between acute sexual nephritis (AIN) or pledge between acute kidney canaliculus pathological changes (ATIN) ARF of be caused by person increase apparently, its occurence rate is about before 2 ～ 3 times, among them, medicaments be caused by person scale already was as high as 70 ％ . This shows, the knowledge that improves this pair of disease and diagnostic remedy standard already no time to delay. ARF is related medicaments what in the medicaments that cause disease, hair ill mechanism, pathology reachs clinical performance side one group to all differ is clinical and integrated proof. According to the data of my courtyard, cause medicaments the main medicaments type of relevant ARF is antibiotic kind (70.2 ％ ) , solution heats up demulcent medicine (21.1 ％ ) with all sorts of Chinese traditional medicine (24.6 ％ ) , the disease that has 19.3 ％ uses medical be caused by integratedly artificially. Among them, ARF is taken with excessive more related the medicaments that causes by Chinese traditional medicine or take the medicines with improper n/med the process of preparing Chinese medicine to concern. The patient is counting day with medicine or come on inside number week, distinctive and clinical expression is not had mostly when having disease, constant with uric check or kidney function unusual see a doctor. Statistic of my courtyard data discovers, the patient of the 35.7 ％ when having disease can have the enteron symptom such as accept difference, disgusting, abdominal distension, diarrhoea, the patient of 57.1 ％ can be accompanied have spend anaemia gently, most (76.7 ％ ) expression is blame little make water ARF, constant companion has more outstanding kidney canaliculus function to damage, partial patient appears possibly still at the same time liver function is damaged etc. But in these patients, the person that there is systemic allergy to behave after using drug is very few, medicaments heats up occurence rate to be 4.8 ％ only, rash occurence rate is 16.7 ％ only. Because its are clinical performance is not excellent, lack again distinctive, sensitive detect method, clinical go up extremely examine of fallibility, leakage. Medicaments is relevant of ARF inchoate the key that diagnosing is decision patient prognosis. Accordingly, unidentified to the reason acute kidney declines it is very important that the patient notices detailed inquiry uses medical history, allergy history, need to doubtful case of illness instantly doubtful medicaments trends observes out of service, undertake kidney vivid check often conduces to diagnose in time when necessary. In the case of illness of my courtyard, the person that share diagnose of pathology of vivid check of 125 classics kidney. Analytic discovery, in needing to depend on the patient of diagnose of kidney vivid check, it is clinical expression mostly foundation of disease of spherule of not typical, original kidney or pledge between existence kidney canaliculus and kidney at the same time pathological changes person; And more typical to those expression acute kidney canaliculus necrotic or pledge between acute sexual nephritis, want a doctor to raise vigilance only clinical can diagnose. The remedial principle of ARF is basic and same related medicaments, all want out of service commonly the complication that doubtful medicaments treats ARF actively, give general support treatment according to the illness. Partial patient needs sugar of right amount, timely application coriaceous hormone, the person that weigh disease should as soon as possible gives dialytic treatment. Should avoid to use other during cure may allergic or have kidney noxiousness remedy. Classics is seasonable and correct prognosis of patient of the great majority after processing is good, not permanent kidney function damages bequeath. In my courtyard case of illness, via stopping drug right amount to disease processing, application candy is coriaceous hormone, or give at the same time after dialytic cure, the kidney function part of 38.1 ％ patient restores, the kidney function of 47.6 ％ patient restores completely. Break the exception that visit disease except 2.4 ％ , classics hormone and (or) the person that dialytic cure disables occupies 11.9 ％ only. To medicaments the precaution of relevant ARF, basically depend on raising the common sense of the patient that use drug and the monitoring that strengthen medicaments application. Should teach a patient to realise, fine medicine also needs be apt to to use, blame prescription drug, Chinese traditional medicine reachs all sorts of health care medicine to be not completely harmless, more cannot " sick chaos drops medical service " , answer to boycott false medicine, inferior medicine conciously. As the medical worker, we should strengthen the monitoring that applies to medicaments, rigid standard uses remedy, strengthen pair of easy feeling crowds monitor, raise the understanding to this kind of ARF and level of make a diagnosis and give treatment further.
August,Tuesday 22:40
Surgery
Already confirmed now, interverbebral disc dash forward (Peng) going out is interverbebral disc happening is retreated after changing, as a result of outside force or the action that accumulate sexual strain, fiber annulus burst, pith nucleus is outstanding, stimulation or oppressive and adjacent nerve and appear the position that it controls and limbs appear a series of symptoms. The asepsis sex such as the oozy, adhesion that the injury of vertical ligament after annulus of the oedema of outstanding marrow nucleus, fiber is reached causes inflammation makes nerve root is oppressed by mechanical the stimulation with chemical sex, and occurrence waist leg is painful, acerbity, heavy, bilge, hemp, cool, faint even the symptom such as sweeny, so, remove outstanding organization is right the mechanical sex of nerve root oppresses and the chemical sexual excitement of asepsis sex inflammation is to effect a radical cure the key of this disease. According to afore-mentioned pathology mechanisms, will traditional medicine and contemporary and academic photograph combine ill expert of medical group spirit, summary gives a Chinese traditional medicine to add kinesiatrics, in conservative cure this open up in ill domain a new way. Long-term and clinical observation and pharmacodynamics experiment make clear, ' Wen Yang opens capsule of subsidiary channels in the human body through which vital energy ' can rapid wait for the oozy, adhesion all round pathological changes effectively asepsis sex inflammation to eliminate, will highlight constituent oedema dehydrate selectively, in short-term inside make its atrophic, remove of pair of nerve roots oppress and stimulate, achieve rehabilitation thereby. Kinesiatrics is heal hind exercises a method simply, the purpose is to prevent reappearance, suffer from with never to be seen again.
August,Tuesday 22:40
Skin
Diabetic full treatment: (1) is given priority to with precaution, endeavor to avoid sufficient ministry loss, if wear loose lest the footgear that closes a base wears away skin; is like eyesight not beautiful, do not cut toenail; to lest scald is waited a moment,wash a foot with Wen Shui oneself. (2) treats commonly: Divide strict control blood sugar, outside raising systemic health level, want to remove the critical factor of a few foregone and hemal pathological changes, if treat hypertension, reduce hematic fat, avoid smoke. (3) purify oedema: Want to have oedema only, all ulcer all cicatrization not easily, the reason of this and ulcer has nothing to do. Can use diuretic or ACE-I treatment. (The cure of sufficient ulcer of 4) nerve sex: The nerve sex ulcer of 90% can adopt conservative therapy and cicatrization. The key is to reduce sufficient pressure negative charge. The definition that reduces negative charge is to avoid all adding the mechanical pressure at sufferring from limb. It is the main demand that makes suffer from sufficient heal. The orthopaedic shoe that can pass special change pressure or sufficient orthopaedic implement change patient enough pressure. Additional, should the basis is size of cankerous deepness, area, oozy how many and standoff ministry uses the whether amalgamative infection number that will decide to change medicine medicine. Important is the characteristic of the different sufficient ulcer that can identify different account be caused by, like nerve - be short of ulcer of courage and uprightness, should not be without a large number of oozy reason commonly with absorbency very strong dressing; is like amalgamative infection, oozy relatively a long time, dressing choice mistake can make achieve papula soft, illness aggravation; is sufficient to what cure hard ulcer, because of,grow subclass material, be like Dermagraft. Dermagraft is skin of the first kind of person replaces a product, it contains skin to grow factor, insulin appearance grows factor, horn changes a cell to grow factor, plaque is derived grow factor, hemal endodermis grows factor, A- and B- have a change of luck grow factor and matrix albumen if collagen 1 with collagen 2, fiber join element and other a few normal skins exist. Use sufficient ulcer of remedial nerve sex, effect of stimulative ulcer heal relatively beautiful. (5) is short of the processing of pathological changes of courage and uprightness: If hemal block is not very serious or point to the person that ask for without the operation, can take conservative therapy, vein drop notes enlarge blood-vessel and the medicaments that improve haemal circulation. Like the; such as Qin of the root of red-rooted salvia, the rhizome of chuanxiong, heparin, 654-2 close somebody reports, vein drop notes Er of front row ground (protect amount to new) earth up with profess to convinced amount to have the effect that blood circulates all round better improvement. Er of front row ground (protect amount to new) 40 microgramme dissolve in 50-250 milliliter physiological saline, note at drop of 2 hours of vein end, daily 2; or Er of front row ground (protect amount to new) 60 microgramme dissolve in 50-250 milliliter physiological saline, note at drop of 3 hours of vein end, daily 1. Kidney function is not complete person should begin from 20 microgramme, drop note time to be 2 hours, daily 2. But according to clinical and particular case, increase dosage to the regular dose that afore-mentioned commendation inside 2-3 day. Kidney function is not complete with the patient that has heart disease its drop notes liquid quantity to should be restricted in 50-100 milliliter / day, had better note with transfer pump drop. Have the patient of the sufficient inadequacy that offer blood, after infection is controlled, should do angiography to make blood-vessel rebuild next art. Blood-vessel rebuilds can promote cankerous heal, eliminate is aching, improve lower limbs function, improve life quality. All do not succeed through all sorts of cure when the patient, or not when life of patient of amputation general menace, amputation also is a kind of right choice. Answer to check a result according to angiography or Duopule, make the amputation with more low-level lower limbs as far as possible, with maintaining lower limbs function as far as possible. After a side amputation, another side still has produce ulcer or gangrenous possibility, because this must strengthen the education about full protection to the patient. (The cure that 6) affects: Have the patient of sufficient infection, the person that have osteomyelitis and deep abscess especially, want to be on the foundation of the blood sugar that monitor, aggrandizement insulin is treated, with making blood sugar is achieved or approach normal level. Should according to the result of germiculture and medicaments sensitive experiment chooses appropriate bacteriophage. The infection that expresses shallow organization can give local Qing Dynasty to achieve with wide chart bacteriophage, if element of head Bao mildew adds Kelinda mildew element (element of Ke Linda mildew can enter an organization very well, those who include to be entered very hard is diabetic sufficient) ; should not use head Bao enzymatic element or remedy of Kui Nuo ketone alone, because the chart fighting bacterium of these medicaments does not include bacterium of oxygen of be disgusted with and bacterium of a few G+ . Cure of profess to convinced can be counted continuously. Deep affects usable afore-mentioned bacteriophage, but in should give drug from vein in the begining, still need surgical drainage at the same time, include to excise the bone organization of infection and amputation. (7) surgery treats: Treat sexual ulcer hard to be able to adopt surgical operation therapy. Arrive when diabetic sufficient infection or gangrenous influence sufficient the greater part after and mid, the surgeon must choose to let a patient undertake big amputation is returned is as far as possible conservative cure. (The cure with 8) Charcot ill joint: Basically be long-term apply the brake, abroad already had a variety of applying to diabetic sufficient ulcer and Charcot joint raise nerve sex. Bracket can make the articulatory apply the brake of pathological changes, change and the sufficient ministry pressure that correct be caused by of nerve pathological changes are unusual. Joint of Charcot of surgical operation cure is ill, curative effect not beautiful, but somebody reports: The surgical excision of Charcot ankle, effect that recombine and stabilizes an operation is good. The operation includes: The odd-come-short that excises anklebone and gambrel, flabby parenchyma, sufficient recomposition is listed and secure. The fixity that operation of the 6 eliminate after week handles, reoccupy gesso is raised secure 6 weeks. After 3 months with correctional implement replace gesso to raise let a patient wear tailor-made shoe. (Therapeutics of oxygen of 9) high pressure can raise rate of heal of diabetic sufficient ulcer: Kessler of hospital of French Strasbourg university reports before look up sex contrasts randomly research, bring into 28 sufficient ministries to have the diabetic patient of chronic ulcer in all, all ill average per capita do not have arterial ill clinical symptom, but neuropathic body is asked for. All patient is treated via 3 months standard, ulcer all does not have improvement. Random cent is contrast group and remedial group (treat 5 days every week, everyday 2, in all 2 weeks) the cankerous area ratio that group patient treats after cure ends contrasts the series is outstanding reduce, reduce nonsignificant difference to the 30th day of ulcer area of two groups of patients, 4 week hind treat group of 2 patients ulcer to cicatrization completely, but contrast group cicatrization completely without ulcer of a patient. Whether can the remedial time that extends high-pressured oxygen raise heal rate of ulcer further, remain to consider to decide further.
August,Tuesday 22:40
Surgery
To the intervening cure of liver hemangioma Ying Shen is weighed, in order to prevent the complication of serious bravery path after liver artery embolism. To discuss classics conduit art of liver artery embolism to bravery scathing pathogeny, cure and precaution, the bravery think that the summary such as Huang Xiaojiang causes 5 times because of liver artery embolism injures a patient, among them 4 hemangioma that it is liver after art of embolism of classics conduit artery, after glue of TH of inject of artery of liver of a ligate when be an operation. At the same time animal experiment observes to the inject inside bandicoot liver artery alcohol duplicates the injury of hemal embolism agent to liver. As a result 5 patients all have bravery path to destroy sexual pathological change, cause cirrhosis of biliary sex liver even, 4 undertake be identical of bravery path jejunum and bravery path are propped up. Experimental result confirms liver artery injects hemal stiffening agent can cause vicinity to collect abbacy liver after anhydrous alcohol local and necrotic, bravery road block.
Decide the level that whether are you affected by AIDS virus detects, build the discovery in itself of virus of and rather than of antibody of virus of the AIDS in blood to go up. Have test of adsorption of immunity of such as enzymatic couplet (ELISA) and simple and fast (A/R) detect the antibody of so different type detects method. Recently these in year, detect in development all the time the AIDS virus in saliva and uric fluid fights check-up to measure a method. The first kind of antibody that place of a person makes detects, call a sieve to investigate a test. If the sieve checks experiment negative, this is meant did not discover antibody. Think the person that is detected is AIDS virus negative, and do not need to do corroborant test. If the sieve checks an experiment to relapse electropositive, must undertake corroborant. Be like,can use western print experiment or mensuration of line form cotton-padded clothes (LIA) wait to detect specially the method undertakes corroborant. Also can use adsorption of enzymatic couplet immunity jointly experiment or detect simply quickly corroborant and positive result. Although can use sample of same share blood to do corroborant test, but to prevent any accident, had better use sample of another a blood to do corroborant test. Sometimes, AIDS virus sieve checks an experiment to may give out false positive report, especially in the crowd that AIDS virus does not see more, the sample book that this examines test result positive to the sieve namely always should have the reason of corroborant experiment. The false positive result that checks to eliminate to sift, this kind corroborant be need. The validity about antibody is average and character, after be being affected by AIDS virus 25 days, AIDS virus detects just can show positive result. What this uses now than introducing is special detect sensitively the time-interval before the method, shortened a lot of. If just be affected recently, detect the likelihood shows negative result. Detect when saliva and uric fluid, need longer time-interval, ability detects antibody after 3 months, the affect person of 99% above, 3 months after indication positive is affected as a result, the affect person of 99% above, AIDS virus fights check-up to measure masculine gender.
August,Monday 22:40
Surgery
A young man gives Tianjin his cummer hair short message chats to midnight, amount to 56 hours continuously, subsequently right hand big toe cannot be moved suddenly played. The ability after classics hospital is checked knows those who suffer from is acute tenosynovitis. Point to the phenomenon such as inconvenience of occurrence oedema of articulatory tendon strain, aching, activity, it is people often say " trigger points to " , " play noisy point to " , namely narrow sex tenosynovitis. Make a director say: "Excessive hair short message makes finger causes tenosynovitis easily not only, still can affect vision. Because watch mobile phone screen for long, the eye suffers stimulation to cause eyesight exhaustion, still can cause giddy, disgusting wait for a symptom. " make a director remind a youth, when using feeling of short message contact must somewhat abstemious. Because articulatory excessive strain is caused,tenosynovitis is, much hair reachs ministry of big toe root at palmar joint, if cannot get,take seriously still can be by acute change chronic. And the number that the means of settlement reduces hair short message namely, finger does not make Qu Shen motion continuously, the attention rests, still can do next do massage, hot compress or physiotherapy.
August,Monday 22:40
Urology
Because concealed Gao may bring about a few undesirable amalgamative disease to happen,treat cryptorchidism , reason appropriate is handled in time, basically include the following kinds of methods at present: (1) awaits therapeutics below normal circumstance, the spermary when the baby is born already dropped scrotal, but also have one part baby, because embryo sends the cause of Yo defer, the decay time of spermary is OK 3 months after remit to is born arrive 1 year. Accordingly, have concealed Gao like the baby when be born first, but need not be eager to using medicaments or operation method to try concealed Gao restoration, can await patiently, expect concealed Gao drops automatically. Ever somebody watched 3612 male baby, discover Gao of true hidden from view seldom drops again after 1 year old, this reminds us, do not take positive step, pure the therapeutics that await applies to 2 years old of less than only. (Because endocrine reason is caused,2) hormone treats the patient that has Gao of one part concealed is. If what narrate before us, fetal when the mother's body its spermary drops to close to with the mother's body closely related sexual gland hormone. Accordingly, in recent years a lot of scholars are used use LH-RH(to close to sexual gland hormone releases hormone first) use hormone of sexual gland of HCG(chorion hurried after that) the remedial effect with be obtained better. HCG therapeutics treats gross with 10 thousand ～ 20 thousand unit is advisable, specific means is 1500 units tertian. Additionally a kind of short-term large dose pounds therapeutics, everyday flesh notes 4000 ～ 6000 units in all 3 days. If treatment is effective, the 2 ～ after using drug 3 weeks, spermary falls likely namely scrotal. Its appropriate cure age is in 2 ～ is 9 years old, all disable in this around. Synthesize law of the sparge inside LH-RH bazoo, the method is milliliter of LH-RH(1 milligram ／ ) 1.2 milligram, divide the sparge inside bazoo 6 times everyday, a period of treatment is 4 weeks. This law is more applicable to cheeper, HCG of the reoccupy in using the person that this law disables still but effective, afore-mentioned 2 laws can use reason jointly. (Spermary of ① of 3) operation cure is fixed, make sb the first aim of attack secures spermary forcibly inside scrotum, treat cryptorchidism therefore the mainest with the most effective method, most patient uses this law to be able to win successful treatment. Operation opportunity option is very important, premature likelihood loses the chance that concealed Gao proper motion drops, cross evening to will affect the function of spermary again, it is advisable to advocated 2 ～ 5 years old in the past, at latest does not exceed 6 years old. In recent years the scholar puts forward appropriate to be treated with respect to the operation before 2 years old, the spermary organization that reason is the little patient after 2 years old has produced pathology to change. ② spermary transplants, as microscopical and surgical operation begin extensively, use from body spermary transplantation to treat exalted concealed Gao to achieve better result. Doctor its blood-vessel cuts along with of uniquely Gao of will whole hidden from view simultaneously, "Move " in scrotum, leave an operation in microscope again, spermary blood-vessel carefully be identical falls in celiac wall move, on vein, in order to make sure the blood of spermary circulates. ③ spermary resection, once discover spermary is apparent development is undesirable, atrophic decrescent or molten of quality of a material lose functional case, answer to excise concealed Gao ruthlessly, happen in the future in case evil change.
August,Sunday 22:40
Urology
Infection of department of secrete make water is a kind of common disease. According to estimation, have １ about / the woman of 3, can be in the some period in their lifetime, occurrence secrete make water fastens infection, show partly among them break out repeatedly, and often contact with coital photograph. Secrete make water fastens infection is the problem that tackles hard to patient and doctor. Because it breaks out easily repeatedly, and be hard to treat or prevent, what cause as a result of infection again a variety of unwell reach appear easily new infection, often make a patient very depressed. In addition, disturb or sexual activity of the patient also often is interrupted. Wrong message makes the patient blames him, the wholesome habit that be like infection is him is undeserved be caused by, or they can blame the husband, think the husband infects him infection, sexual intercourse often makes they feel horrible, because fear,make infection another times. The seasonable, appropriate diagnosis that this kind of unfortunate situation can affect through be opposite and cure get controlling. The pathology mechanism that fastens infection with respect to secrete make water has adequately education very helpful also. If need still can be adopted,grant appropriately to defend measure. Pathology mechanism Doctor all the time from epidemiology angle, the secrete make water the woman that has active sexual life fastens infection and coital connection to rise. "Honeymoon cystitis " also is a very commonly used term, after it happens at sexual intercourse more 36 - 48 hours, this paragraph of time will make the bacterium can breed enough produces the concentration of exciting symptom, namely every milliliter contains 100 thousand clone. However, just the last few years comes, people just begins to undertake study to the precise impact between both. Although concern the square field surface of this one difficult problem to still fail to understand very clearly, but we know really, because secrete is urethral,the infection of department of secrete make water that breaks out repeatedly is, especially urethral all round area is put have pathogen, be like coliform organisms, be before infection or cause twice in great quantities between infection. On the other hand, the interfuse of bacterium of nonexistent without the woman that affects repeatedly cause of disease. The condition of infection has two, it is existence of pathogen of the sex that cause disease, 2 it is they have grow progenitive condition. Why the case is such, still unknown. In grown woman, it and individual sanitation habit have nothing to do, in fact this may be mixed as a result of the vagina urethral all round area lacks local defense mechanism, some researcher think, as a result of,this is blemish of antibody of palace neck vagina, bring about pathogen thereby cause. Consider not less to make clear, the man gets not easily the infection of this kind of bacterium, so, the bacterium of the woman that affects repeatedly, be not what infect by their husband. Anyhow, once the woman caused these bacteria, sexual intercourse promotes a bacterium to spread it seems that urethral with bladder, if cystic condition is helpful for bacterial growth, and the bacterium is pathogen really, infection can happen. Direct machinery is traumatic, in female secrete make water the department affects medium influence to also not allow to ignore. (１ ) eyewinker, it is to seek sexual excitement commonly, but their use often brings about afterwards to send a gender urethral area is traumatic, because these organize itself,exist especially a certain number of potential function sexes or implement it is such more when qualitative sex problem. Also some women the eyewinker direct disclose is entered urethral. (2) reason of cure source sex, if the operation of examination of department of gynaecology and family planning operation is undeserved, all can causing secrete make water is infection and scar. (3) the contraceptive appliance such as cap of neck of contraceptive diaphragm, palace, if place undeserved, especially appliance is too big, set time too long when, can make urethral get local scar. They can cause local scar not only, and still can cause next urethral afterwards to send infection. Accordingly, correct placement is the most important, must notice more after the certain change that causes the vagina in the circumstance such as childbirth especially. (4) the hand causes scar After the department of make water issueing secrete in the success affects cure, still experience the local tenderness of persistent urethral area possibly. When she wants to know whether this one tenderness already disappeared, she may be pressed repeatedly control this one position. Itself of this one movement also can cause afterwards to send urethritis of sexual scar sex. When be being treated and handling afore-mentioned mechanical sex scar, education and conciliation are the most important step. Diagnose The key that treats these patients correctly is correct diagnosis. The typical symptom that secrete make water is infection is the burn feeling when micturition, frequent micturition, make water is urgent, the uric fluid bulk of eduction is very few however. A lot of research make clear, in the woman that has similar symptom, only half left and right sides is infection of department of secrete make water, make an appointment with half the number to have all sorts of different reasons, include vaginitis, the chemistry all round urethral area is exciting, garment former put oneself in another's position is affected, clap, because what mechanical stimulation causes,accidentally also is met, if find a place for undeserved contraceptive diaphragm. If did not discover a bacterium in the patient's make water, must think of these another reasons. Apparent, crucial is the bacterium that whether apparent amount exists in wanting to know make water. Adopt the microscope examination of uric fluid or education, can finish the job that diagnoses clearly. The fare of lens check is low, can get a result very quickly again, it is a kind of better choice undoubtedly. Have the uric liquid that collects in clean container first centrifugal, undertake to precipitation microscope is checked next, in order to seek leucocyte and back epithelial. If the vagina is epithelial amount is apparent heighten, the collection of clew example process existence problem. Also want to notice to whether be put in the bacterium of course. Be in times taller below microscope, often make conclusion sex judgement to whether be being put in the bacterium hard, be opposite with respect to need at this moment uric fluid is sedimentary undertake coloring of change orchid family name. Whether does so OK and certain bacteria exist, and the type that can judge existence bacterium. If in every oily lens eye shot is found at least １ bacterium of positive of change orchid family name, have diagnostic sense so. If find fungus of negative of change orchid family name only, show caused bacterium is very few, hint Lv of take an examination is afore-mentioned other diagnose. If be first time infection, can according to lens check need not foster. If be to be affected repeatedly, for more complete, more effective treatment, have germiculture and remedy sensitive experiment appears very necessary. Cure Once make secrete make water fasten the diagnosis of infection, a radical cure plans to depend on a few elements. It is to be affected first, still affect repeatedly? Whether antibiotic allergy problem exists? Whether to still have the side effect besides the allergy that has not discover? What is bacterial type? Medicaments sensitivity how? Finally, infection is bladder of bureau be confined to, already still spread to the kidney? Will tell commonly, chan Ping symptom, make make a decision very hard still, if a woman has celiac lateral ache, high fever, shiver and make water are painful when waiting for a symptom, the likelihood is had on secrete is urethral infection. Have on secrete is urethral the woman of infection, often did not go to already history. If doctor suspicion affects a make water of secrete of be confined to,the department falls paragraph, do not have high fever namely, shiver, celiac coerce is painful, semiotic fit time is short also, also do not have the infection that did not grant to treat of late, can take single dose therapy so. Study the result makes clear in great quantities, antibiotic of one-time large dose is treated, infection of cystic to most bureau be confined to department of secrete make water is effective. But law of this one party, cannot use at gravid woman, man, or the patient that has complex potential disease, be like diabetic or kidney stone. However, if nonexistent these problems, can be at ease with medicine. If have,go up secrete make water is infection, should use drug strictly 10 - 14 days. When the infection that encounters frequent fit, need to judge the recrudesce that is infection, still affect again? Be being affected again is obtained recently, often concern with sexual intercourse, often have different bacterial kind every time, they are sensitive to most antibiotic commonly. These affect bladder of much be confined to, good to the reaction of a variety of cure. The breaks out repeatedly concerns with sexual intercourse secrete make water of 80 ％ fastens infection, it is new infection. However, because it is insidious,recrudescent infection is a kind of infection at the kidney, normally antibiotic period of treatment often cannot make its cut the weeds and dig up the roots. Cause the bacterium of this kind of infection, often be the same kind that has seen in previous infection, often be hard to control to them. The clew that hints recrudesce affects is to come on time: Recrudescent infection of the patient happens in 3 weeks when treat last more inside; And the time interval that affects again, want commonly some longer. Recrudesce is affected and affect this two sort afresh model the cure that breaks out repeatedly is completely different. The cure that affects afresh is relatively simple, require short-term antibiotic treatment only, and recrudescent infection, often need week or 6 longer time, ability is cured. In addition, antibiotic can grant to prevent affect again, and the long antibiotic that cures recrudescent infection to require larger dose. Precaution Main task of precaution is to prevent of course affect repeatedly. The patient cares the new infection that how prevents to be concerned with sexual intercourse especially. These include the micturition before sexual intercourse, the micturition after sexual intercourse, after sexual intercourse rinse, lavement. Contrast in in research, ever thought their effective doctor discovers all the time, these measure can't prevent infection effectively. Antibiotic precaution is effective, but the patient that it should leave those frequent and new infection. OK and daily, tertian, weekly 2, after making love even, take. If furan calm bites,wait with sulphanilamide synergist. Adopt effective precautionary measures, still can help these patients resolve the difficulty that fortunately sexual life respect produces.
August,Sunday 22:40
Surgery
Cancerous generally refer to produces large intestine in rectum and all colon (litre colonic, transverse colon, fall second shape is colonic, colonic) malignant tumor, it is clinical go up one of common malignant tumor. A large number of data confirm, because the change of living conditions and habits and customs is big,the incidence of a disease of alvine cancer shows ascendant trend, be in especially big in city, come on the age is controlled in 45 years old more. Incidence of a disease of male and female is basic and same. Cancerous incidence of a disease occupies large intestine about the whole body is malign the 15 ％ of 12 ％ ～ of tumor. Cancerous tumor is located in the agreement of joint of colon of rectum second shape to occupy 60 ％ above, other distributings at departmental colon. And be located in anal cancer tumor to make an appointment with 80 ％ above, rectum touch examination can discover. Clinical go up, pointing to anus check to check rectum cancer is diagnosed is very important. Cancerous hair ill reason considers as large intestine the result of synergism of a variety of the element that cause disease commonly. Research makes clear, what the change of lifestyle reachs prandial structure is unreasonable with large intestine closely related cancerous incidence of a disease. １ , genetic element, genetic element may remove the large intestine of about 20 ％ in cancerous patient main effect. Among them 10 ％ sends sexual polyp disease more for familial sex; 10 ％ of 5 ％ ～ is not large intestine of polypous disease sex for transmissibility cancer, and already discovered duplicate mistake of foundation of its element genetics and DNA is concerned, already discovered relevant fault matchs repair gene. 2, benign tumor is evil change, the benign tumor that large intestine sees more is polypous, polyp is the excrescence that hyperplasia of mucous membrane organization forms, show more globose. Think adenoma polyp change needs a few years into cancer commonly. Broader canceration may exceed polypous base big, the canceration rate with older polyp is higher. 3, enteritis sex disease and the cankerous sex colonitis that if pathological changes range is wide,stimulate chronically, alvine mucous membrane is destroyed repeatedly with repair, course of diseases 10 years of above are easy produce canceration, schistosome egg, rest chronically the room is phlogistic reach long treat the anal fistula that does not heal, can cause cancer. Of late the data shows old haemorrhoid also can produce canceration, and canceration rate is higher. Did not treat 10 years, canceration rate amounts to 5 ‰ . 4, environmental element, and the environmental element of 60 ％ of 40 ％ ～ is concerned with food, nutrition on certain level. So food is considered as very main factor. Food of tall adipose, high protein, low cellulose can add ① the incidence of a disease that increases alvine cancer. The food of ② deepfry, decoct that bake, souse is tasted in contain carcinogenic substance, certain microelement lacks other, the likelihood also adds the incidence of a disease that increases alvine cancer. Cancer can not have inchoate large intestine any symptoms, develop along with the illness, according to its pathological changes is in place, produce different clinical show. If defecate habit or character are changed, second grow in quantity, mucky belt blood and mucous, dung attenuate, anus dropping, bilge keenly feel, in urgent hind heavy, constipation or diarrhoea reach bellyacke, intestinal obstruction symptom, can appear the systemic symptom such as angular, lack of power, anaemia. Because cancer grows,place and pathology type differ, the symptom appears early or late ordinal each are not identical. Right half colonic cancer is much with anaemic, abdomen piece, bellyacke, lack of power wait for systemic symptom to be clinical expression. Very rare break out n/med having blood in one's stool go to a doctor, a few have constipation, the symptom such as frequency appears. Left blood of belt of excrement and urine of half colonic cancer, mucous, frequency, those who cause intestinal obstruction is righter half colonic cancer sees more, can have bellyacke, abdominal distension wait for a symptom, anaemia is righter half colonic cancer is scarce. Rectum cancer is inchoate the symptom is change of the habit that discharge dung, namely the person of dung of original rule platoon turns random law into the gender, occurrence constipation or number increase, discharge endless feeling, hind anus still feels unwell. Behave ever since carry blood for excrement and urine, n/med having blood in one's stool reach mucous, along with illness development occurrence rectum stimulates a symptom, meaning frequency, many, anus dropping feels, in urgent hind heavy. If encroach,the organization can produce relevant symptom. Rectum cancer patient has these symptoms more, constant with " chronic bacterium dysentery " , " enteritis " and by accident examine. As a result of large intestine cancer lacks particularity clinical expression, together with patient is insufficient to this understanding, consciousness of ego health care is poorer or conceal one's fault for fear of criticism, see a doctor later. Constant with " dysenteric, enteritis, haemorrhoid " wait for disease proper motion to use medication, need the talent when disabling but see a doctor at internal medicine or surgery, and the doctor is right large intestine cancerous vigilance not tall or get undergraduate course room the thinking of common disease, frequently-occurring disease decides power influence to be caused easily also by accident examine. Different pathology in installment prognostic difference is big, accordingly, should reach specialized subject hospital in time when having above symptom go to a doctor, lest delay an illness.
August,Sunday 22:40
Surgery
American cropland the orthopaedics of university outpatient department teachs Naxi Campbell Beaty, say on annual meeting of doctor of orthopaedics of the 69th United States, scrupulously abide by traditional thinking, much apt of the surgeon 10 years ago is not operation cure, and they are willing to suggest the patient chooses operation treatment more nowadays. Beaty says: "How do we consider skeleton no longer cicatrization. What what we consider is the benefit of different treatment method and fraud, include how to shorten time of time of be in hospital, rehabilitation time, be absent from school, and the effect that reduces pair of families. In treating choice process, we consider domestic factor morely. " time of be in hospital of femur dry fracture and rehabilitation time are very long. In nearly 10 years, orthopaedics doctors consider when remedial method chooses " life quality " element, caused dry to teenage femur fracture to treat the reappraisal that the method chooses thereby. Professor Beaty says: "In handling process of children femur fracture, we realize time of fracture apply the brake is too long clearly. This makes we begin to consider other treatment method. " of course, the choice that treats a method because of injury different. But, our purpose is to make the patient leaves hospital at an early date as far as possible, as far as possible inchoate activity. " orthopaedics doctor divides children fracture commonly it is 3 kinds: (The fracture that 1) passes operation ability to achieve good heal only (like hip joint fracture, grow board fracture and) of articulatory face fracture; (2) operation or the fracture that can cicatrization likewise through apply the brake (if femur does fracture) ; (The fracture that 3) does not require an operation normally (be like antebrachium fracture) . Professor Beaty says: "We use the fracture that is not all types operation cure. Major to children fracture can use blame operation treatment. But, to but operation but not the fracture of the operation, we will adopt the method that case of illness contrasts, pay close attention to these two kinds of different methods the difference of clinical curative effect. " Professor Beaty says, the age of children affects the choice of pair of fracture processing techniques. Teenager children femur does fracture heal to need 3 months, and need 3 ～ only in the children before school age 4 weeks. Accordingly, to young age children Ying Shaojian discusses an operation to treat.
August,Sunday 22:40
Surgery
Anal fissure often has 5 minutes of dichotomy, trichotomy, ways in installment. (① of of 1) dichotomy is urgent, chronic anal fissure of taxonomy acute: Skin of canal pointing to anus is new breach, without tit hypertrophy and piquet naevus. Chronic anal fissure: Show anus runs dated gap, via ulcer is being formed after infection repeatedly, amalgamative hypertrophy of the scleroma that achieve a predestined relationship, tit and piquet naevus wait. ② is early, late taxonomy inchoate anal fissure: Breach is new, have not form chronic ulcer, ache is lighter person. Dated sex anal fissure: Breach already showed shuttle form ulcer, have hypertrophy of sinusitis of piquet naevus, anus or anus tit at the same time, have periodic ache. ( of 5 minutes of laws is 2) more foreign scholar is used. ① stricture: Constrictor assumes convulsion position inside, anus canal is nervous and narrow, have typical periodic ache, in anal fissure this kind occupies 70% above. ② emergence: By anal fissure of be caused by of emergence of naevus of inside and outside, agnail. Ache is light, anus canal does not have apparent stricture. ③ mixes model: The stricture and emergence anal fissure that mix and becomes. ④ is flimsy model: The ulcer of watch shallow sex that eczema of anus canal skin, dermatitis causes. ⑤ disease sex: If colitis of sex of disease of clone family name, ulcer, anus is in charge of n/med tuberculosis, syphilis,wait for disease sex anal fissure. The breach that after anus provides method, traumatic defer cicatrizations also belongs to this. (Trichotomy of 3) trichotomy is clinical go up common adoption cent method, handy and practical, go easily clearly. Ⅰ period anal fissure: Also say to anal fissure is sent first, namely fresh anal fissure or inchoate anal fissure. Anus is in charge of the skin to express superficial injury, the organization is basic and normal all round cut. Ⅱ period anal fissure: Also weigh pure anal fissure. Anus canal already formed cankerous gender gap, but without amalgamative disease, naevus of hypertrophy of the tit that do not have anus, piquet and hypodermic fistula. Ⅲ period anal fissure: Point to dated sex anal fissure namely, show anal fissure is triplex commonly disease, also include 4 couplet disease or the formulation such as 5 couplet disease. Its expression is, breach shows dated sex ulcer, hypertrophy of amalgamative anus tit reachs piquet naevus, or companion has hypodermic fistula and anus recess inflammation to wait.
August,Sunday 22:40
Urology
Although male examination differs with female examination, but basic inquiry medical history, medical and the method that generalization check checks are consistent. The male not Yo, because seminal quality is low,be for the most part very, so seminal convention is every patient needs the inspection that make. To the problem that seminal fluid discovers in groovy assay, some need investigate its matter further, if there is spermatozoon in seminal fluid, determine with respect to what need haemal hormone or spermary biopsy. In order to understand the situation of function of spermary raw energy. Need seminiferous duct radiography to suspecting those who have seminiferous duct block, have the degree that does not have block, block and place in order to understand. Besides, unusual to sexual development or the patient that the wife aborts for many times, need chromosome to check. To decide the prime cause with spermary undesirable function also needs haemal hormone to determine, be in in order to decide pathological change spermary itself, still issueing grave head or pituitary. To decide epididymis, prostate, spermatic function, should do a series of biochemistry determines, choose the representative chemical class status of each organ, can determine like spermatic problem fructose, the problem of prostate should determine citric acid and acidity phosphoric acid are enzymatic, the problem of epididymis should determine fleshy poison is alkaline with choline of glycerine phosphoric acid. Normal to seminal quality woman's basic also and normal patient should make immunology inspection, produce oneself in order to understand to fight spermatozoon antibody. Finally, it is normal to if each are checked,be belonged to, still is the word that cannot make the woman is pregnant, be about to consider whether the function of spermatozoon has a problem. Besides the neck that make a note of the ancient Chinese five-tone scale mucous penetrable experiment reachs the running test of spermatozoon, in order to understand spermatozoon whether cross palace neck mucous, go up inside uterine oviduct outside, return the test that can make penetrable hamster egg. But because procedures of this kind of test is trivaller, technical demand is higher, before be being used at test tube baby only so, detect the function of spermatozoon or apply in scientific research, apply lesser in common outpatient service.
August,Sunday 22:40
Urology
A patient of 48 years old of males, because of make water little, bloated, accept is differred, beg order expert outpatient service. The discovery when examining system is left on the abdomen touchs swollen content of pear shape circle, give B exceeds an examination immediately, discovery is bilateral much bursa kidney, left kidney shows 8 × 10 centimeters of size, companion has much bursa liver. Check urea nitrogen urgently 80 milligram ％ . Diagnose: Much bursa liver is amalgamative much bursa kidney; Afterwards sends exhaustion of chronic kidney function. The patient seeks advice: Is much bursa kidney kidney cancer? Kidney cyst is cyst of cell of skin of clothe of nephritic occurrence less than the bursa sex disease that is a feature, it is a kind of benign disease, but the person that weigh also can cause undesirable consequence. Cyst can have individual or many, embedded liquid or semisolid fragment, it is congenital transmissibility more, minority also can be acquired acquired character. Men and women but sicken, occurence rate O. 2 ％ . Have a few kinds of cases normally: Much bursa kidney: Be a kind congenital unusual, it is more bilateral the gender sends sexual cyst more. Adult progress is slow, some people do not have a symptom, the area that do not have kidney kowtows painful, be when check-up or just discover after cadaver check. Most adult is when 35 ～ is 45 years old ability occurrence symptom, symptom but because cyst is big small, amount how many, degree of kidney organization press press and have do not have complication and decide. Die inside a week after kidney of baby much bursa is mostly unripe. The adult is clinical the symptom often has make water of lumbago, hematuria, albuminuria, night much, hypertensive, heart declines, can bleed after infection of road of intercurrent make water, calculous, block and peritonaeum, a few have evil the likelihood that change. Cyst but can small, ever somebody reports: From the liquid that 3600 milliliter take out inside cyst, the kidney submits bee bursa form, communicate each other between cyst, oppressive kidney essence, produce fiber to change slowly, increase as a result of bursa antrum pressure or of bursa fluid affect and cause blood in the urine. When occurrence kidney function not full-time can produce uremia. Purpose of cure of much bursa kidney basically is to prevent complication and save kidney function. Want to avoid violent campaign, water appropriately. To having a symptom, be in without complication and cyst 3 centimeters of the following patients need not special treatment. If individual kidney cyst is in 3 centimeters of above, and clinical go up to had appeared when the symptom, can consider operation and puncture to draw liquid, infuse stiffening agent is treated. Much bursa kidney is a kind of benign disease, unless a few patient is amalgamative,kidney declines. The patient wants half an year only or check B one year to exceed, observe cyst size changes, do uric routine, check blood to detect when necessary the change of kidney result, avoid strong physical labor can. The health of this kind of patient and life do not suffer the effect of cyst more. Disease of sex of cyst of acquired character kidney: Show terminal kidney ill patient appeared kidney cyst, cure basically is pair of disease processing, to the hematuria that breaks out badly repeatedly, can consider treatment of kidney artery embolism. Medullary bursa is venereal: More infrequent, appear in children or teenager period more irritated thirsty, much make water, enuresis, can produce kidney to decline. Do not have special treatment to this kind of circumstance, basically be protective kidney function. of of understanding kidney cyst 1, liver kidney cyst is congenital mostly, also have single shot, also can send more, sometimes cyst of liver, kidney exists at the same time, say liver kidney cyst to be done not have to human body health commonly how old influence. 2, too big liver kidney cyst. To viscera its itself or the organ all round can form oppressive symptom or have inflammation, usable needle sucks cure or operation decompression cure, want to be treated with antibacterial content when inflammation. 3, do not form cyst of oppressive liver, kidney to need not grant to treat, also do not have effective remedy. 4, cyst of palmmprint diagnostic liver, kidney is very reliable, need not make more inspections commonly. 5, OK and regular job and life, cyst of bigger liver, kidney, should notice to avoid local and traumatic. 6, cyst of liver, kidney develops commonly slow, won't canceration, prognostic and good.
