bookmarkrole Chapter 405
Chapter 405
Chapter 405
What is systemic lupus erythematosus?
It is an autoimmune disease.
In layman’s terms, there is a problem with the patient’s immune system, and the immune system will attack one’s own organs or tissues, causing multiple system damage.
As for why it causes problems with the immune system?
Sorry, the medical industry has not yet figured out its principle, perhaps it is genes, or it may be the environment.
Therefore, it cannot be prevented.
Lin Feng told the patient what he knew.
“Doctor Lin, can I cure this?”
The patient Zhang Wu looked nervous.
Lin Feng: “Cure is very difficult, but it can be treated reasonably to achieve long-term relief, and it will last a lifetime.”
“One more thing……”
Lin Feng solemnly said:
“You have anemia, but now you can’t find the place to bleed. It cannot be ruled out that it is alveolar hemorrhage (the blood of the pulmonary capillaries enters the alveoli, a syndrome). If it is really alveolar hemorrhage, the prognosis is generally very poor, and it is possible. It will cause suffocation due to heavy bleeding, the onset is very rapid, and it is too late to send to the hospital (there is still a word that I dare not say: the mortality rate is as high as 50%)…”
Patient Zhang Wu: “…”
Already feel that life is dark!
Lin Feng: “Wait, I will give you a B-mode ultrasound for a more detailed examination.”
Patient Zhang Wu took the slip and went to check it quickly.
“Don’t be alveolar bleeding!”
He prayed.
…
after an hour,
The patient Zhang Wu looked back with a look of grief.
·B-ultrasound results: consider alveolar hemorrhage syndrome!
Lin Feng: “……………………”
It is a good thing to be diagnosed. If the cause is found, the right medicine can be prescribed. But the bad news is that alveolar hemorrhage is a serious disease.
“Doctor Lin, what should I do now?”
At this time, the patient Zhang Wu had a determination to’go to death’.
Lin Feng: “You are more serious, and you may need to use strong medicine: “hormone shock therapy”: Use large doses of hormones to suppress inflammation and disordered immune conditions in the body as soon as possible to reduce organ damage. 々. ”
The so-called “XX shock” all means using a ‘large dose’!
In large doses, there will be powerful side effects.
Large doses of hormones will bring:
·Diabetes: Hormones can cause glucose metabolism disorders
·Hypertension, glucocorticoids have the effect of sodium and water retention, which will make people obese, which in turn will increase blood pressure.
·Osteoporosis……
·Gastrointestinal ulcers, bleeding…
·Immunity decline…(The aim is to reduce the patient’s immune system to attack the human body itself)
This time, the patient Zhang Wu, his wife, and his parents all came.
Therefore, such an important decision is just discussed and resolved together.
Lin Feng explained the side effects of “hormonal shock”.
“Dr. Lin, this side effect is so serious, do I have to use it (hormone shock)? Is there no other way?”
Lin Feng: “At present, the patient’s condition is still quite serious… My suggestion is hormone shock, but you can contact a rheumatism and immunology department and see the doctor’s opinion there.”
The patient’s family discussed for 30 minutes…
finally,
People are gone!
Yes, Lin Feng never saw this family again.
Lin Feng: “……………………”
Obviously, I must have gone to see the rheumatology and immunology department, because I didn’t say goodbye to Lin Feng because of my guilty conscience.
Lin Feng sighed.
In fact, there is one more sentence that I didn’t say: Don’t look at the patient Zhang Wu, who seems to be ill now, just low-grade fever and cough. Maybe he will go to the ICU in a few days when his condition gets worse.
…
…
The next patient,
A young guy, supported by his girlfriend, walked into the consulting room.
Walking, limping, his face was distorted in pain.
“Doctor Lin…”
An authentic Cantonese.
I saw Lin Feng with surprise in his expression.
Lin Feng: “Sit…what’s wrong?”
Young man Wang Qing: “That’s it. This time I visited the imperial capital with a group of friends, seven or eight people, and climbed the Great Wall. Then last night, I didn’t know why, and suddenly my knee hurts…and it has been so painful until now. ”
Lin Feng: “How old is it?”
Wang Qing: “24 years old…”
Lin Feng nodded.
There are several possibilities for knee pain:
·The knee joint is damaged and inflamed (the knee joint may be damaged and inflamed when the patient climbs the Great Wall)
Lumbar spine (The lumbar and knee joints seem to be out of reach, but in fact they are closely connected. The sciatic nerve and femoral nerve are distributed to the lower limbs in the lumbar spine, passing the knee on the way.)
·gout
·Rheumatism
· Osteoporosis (knee is the most important joint for the body to bear gravity. The loss of calcium will lead to osteoporosis, degeneration or wear and tear, and local pain will be frequent…)
Lin Feng now needs to eliminate the cause one by one.
“｀” Have you ever tried back pain? ”
“No……”
“Have you had any diseases such as lumbar disc herniation before?”
“No……”
Lin Feng nodded.
Temporarily rule out nerve conduction pain caused by the lumbar spine.
“Yesterday, I went to climb the Great Wall, right? How long did you climb?”
“About seven or eight beacon towers, right?”
Lin Feng: “???”
Lin Feng has never been to the Great Wall, so I don’t know how far Seven or Eight Beacon Towers are.
Wang Qing: “I don’t know how far the seven or eight beacon towers are, but it’s hard to climb. After about 4 hours, few people can climb that high and so far…”
When speaking, Wang Qing looked proud.
Lin Feng nodded.
·Conclusion 1: A lot of exercise, climbing mountains, there should be damage to the knees.
Lin Feng continued to ask: “What did you eat last afternoon?”
Gout has a lot to do with food.
Gout has a name “Prosperity Disease”.
(Of money)
Gout, usually “high purine” + “excretion”…
Of the two, no matter which one has a problem, it may cause gout.
“High-purine” foods: seafood, roast duck intestines and other foods, seafood such as shrimps, shellfish, and animal organs all contain high levels of “purines”. Excessive consumption can lead to excessively high levels of “uric acid” (uric acid is metabolized by purines in the body) End products), increasing the risk of gout.
In addition, hot pot soup, thick broth, etc. are all high-purine foods. Excessive intake can also lead to increased uric acid levels.
Therefore, Guangdong Province likes to drink soup, and the probability of gout is higher than other areas (excluding coastal seafood areas).
In addition, alcoholic beverages can also increase the risk of gout. For example, beer contains guanylic acid, which can be metabolized into purines in the body, and the alcohol in beer can also produce “lactic acid” after the body is metabolized, which can inhibit the “uric acid”. Excretion, thereby increasing the risk of gout.
.Yuan.