bookpower Chapter 403
Chapter 403
"Sure enough, it's acidic!"
Lin Feng smiled.
It was exactly as I expected.
Chen Qingru looked at Lin Feng with adoration.
"The teacher is really good!!"
And the patient Wang Qing was a little sore at this time.
Gout!
I heard that gout is something that can't be cured...
To accompany for a lifetime...
He made a bitter face: "Doctor Lin, what should I do now?" "
Lin Feng: "Wait, I have to do another check..."
Wang Qing: "????? "
My day!
Still doing a check-up?
Lin Feng: "Gout this disease, in fact, high uric acid is the best examination, your uric acid is less than 420, there will be a certain error... There is another test, called "dual-energy CT", which is an important non-invasive test in the differential diagnosis of gout, and studies have shown that its sensitivity and specificity reach 91.9% and 85.4%, respectively..."
Finally, Lin Feng said:
"However, you can do it or not... Because I am sure that you are definitely pain caused by "gout". "
Patient Wang Qing: "Then don't do it, thank you Dr. Lin... Next, do I have to take medicine? "
Lin Feng nodded: "That's right, your gout has just appeared, it's not serious, there is no tophi, and there is no need for surgery to remove it." "
The so-called surgical removal is to use surgery to cut open the skin and fascia, and cut out the tophi (crystalline sediment accumulates and becomes a 'stone') inside.
"You just need to take medicine to control it now..."
How about drug control?
As mentioned earlier, gout is "high uric acid" + "poor urination"...
Therefore, the purpose of the drug is to "control the increase of uric acid" + "increase the excretion of uric acid"!
before
The drugs used to inhibit uric acid production are mainly "allopurinol", a very classic drug. Can reduce the production of uric acid, mainly inhibiting xanthine oxidase.
But
"Allopurinol" will have great side effects on kidney function.
The general gout patients will basically have three highs (hypertension, hyperlipidemia, hyperglycemia), and most of the patients with the three highs are renal insufficiency.
Moreover, it is also easy to cause skin allergies, and severe cases can cause fatal exfoliative dermatitis.
But!
Despite its many drawbacks, it is both the best medicine for gout because there is no other better medicine.
Until 2009.
The island nation has developed a new "miracle medicine"!
A sensation in the global medical community!
It is "febuxostat", which acts the same as "allopurinol" and belongs to the 'xanthine oxidase inhibitor'.
It has many advantages: fewer side effects, stronger pertinence, small dosage, less demand for kidney function... Allopurinol can fall, it can fall, allopurinol can not fall, it can still fall...
In short, this is the miracle medicine!
Well, in addition to being expensive, a box of several hundred pieces. (Gout requires long-term medication to suppress)
However, more than a decade later, according to the latest findings in the beautiful country, "febuxostat" is more likely to cause heart disease than "allopurine".
"Gout is a lifelong disease that cannot be cured at present, so long-term medication is required..."
Lin Feng introduced these two drugs to the patient.
"Specifically, do you eat expensive "febuxostat" or cheap "allopurine"... It's up to you to choose..."
"This..."
Patient Wang Qing thought about it,
After all, he is still young, but he can't eat "don't purine", when the time comes, peeling, baldness, etc., don't you want to die?
At the moment, there was a decision: "Doctor Lin, you better prescribe me that "non-he"... It's safer for you..."
Lin Feng nodded.
Prescribe medication.
"By the way, Dr. Lin, do I need to pay attention to anything other than taking medicine?"
"There are a lot of places to pay attention to, corresponding to the pH + temperature mentioned at the beginning, so don't get cold, and try not to catch a cold and fever and other infections, which will cause gout... There are also joint injuries, which can also speed up gout, so do not exercise vigorously with high loads..."
Lin Feng continued:
"In addition, there is no soup, the longer the soup is boiled, the higher the purine, and most of the drinks you can't drink, the wine try not to drink, and seafood try not to eat, meat less ..."
Patient Wang Qing cried a face...
That doesn't work, that's not okay...
What else is the meaning of life?
Lin Feng chuckled: "Come, show you a picture, see if you dare to eat..."
Lin Feng computer searched for pictures of tophi.
Image: A palm that has become an old tree root because of tophi, deformed and huge.
Patient Wang Qing looked,
The scalp suddenly felt numb!
Disgusting!
"Do you dare to eat it?"
"Don't dare, don't dare..."
Wang Qing shook his head repeatedly, obviously frightened (disgusting)!
Lin Feng: "By the way, there is another thing, although the current diagnosis of gout, but in fact, the cause of "rheumatism" cannot be ruled out... But this test will take 2 days, you still go home after the tour, go to the local hospital for a rheumatism test..."
Patient Wang Qing nodded repeatedly.
In fact, rheumatism is more troublesome than gout ...
......
......
Outside the waiting hall,
A middle-aged woman, Wang Huizhen, 52 years old, was waiting for medical treatment.
She was in the clinic of the forest wind.
At this point,
She was hugging her knees, frowning, a soreness.
Things have to start 3 years ago...
Three years ago, she was the lead dancer in the square dance, and a group of aunts regarded her as a leader.
Then, one by one, the aunts got older, and then began to have joint pain, and one by one doctors told these aunts:
"You're suffering from joint degeneration..."
Joint degeneration has become a common disease for people of their age.
subsequently
Wang Huizhen also had joint pain, when dancing, the right knee began to have intermittent pain, at first did not pay attention, after two or three months, the left knee, left toe, right toe also hurt.
"Is it joint degeneration?"
There was no way, Wang Huizhen had to go to the hospital to register for treatment.
The doctor said: "You are not a joint degeneration, but a problem with the immune system, rheumatism... Moreover, this disease is an autoimmune system disease, if the treatment is not systematically standardized, it will involve multiple organs and systems of the heart, lungs and other parts and systems of the body, and joint deformity in the later stage will affect life, resulting in a decline in quality of life, and even life can not take care of itself... Hospitalize..."
Wang Huizhen: "Impossible, everyone is joint degeneration, why am I rheumat?" "
Wang Huizhen was very angry, after all, she always felt that she was healthy, but the doctor said what paralysis, deformity, heart and lung failure... And hospitalized!
Make a mountain out of a molehill!!
This doctor must be trying to cheat money!!
Yes, Black Doctor!!
Wang Huizhen firmly did not trust the doctor, feeling that she was just a joint degeneration, not a so-called rheumatism.
But
Joint pain is still present.
If you don't take the rheumatic medicine prescribed by the doctor, how can the pain be solved?
Friends of the same age, tell Wang Huizhen a "miracle medicine" that can treat my joint pain!
"Ibuprofen"!!
(ps: This medicine is the medicine that appears the most in this book, and when you have a fever, it basically appears.) It is a classic medicine. ）
And then
Wang Huizhen went to the pharmacy and bought some pain-relieving ibuprofen.
One eats,
Hey, it works!
The joint pain is much better.
Therefore, Wang Huizhen insisted that doctors were absolutely fussy.
An ordinary painkiller "cured" my disease!
Why should I be hospitalized?
.