The intestines are apt to defy syndrome to have standard _'s treatments to make a diagnosis and give treatment

The intestines are apt to defy syndrome to have standard _'s treatments to make a diagnosis and give treatment

The rhythm of life is accelerated, the spiritual pressure increases, and the attention to psychology and social factor of medical mode, made a kind of disease that we were not familiar with in the past paid attention to, it was that the intestines are apt to surge syndrome. This one functional the intersection of intestines and disease, suffer from abdominal pain with the intersection of belly and discomfort companion defecate, used to, change characteristic into, delay repeated, treat difficult, influence patient survive quality seriously. But in our country, lacked the unified diagnostic standard to this kind of disease in the past, is unfavorable to the patient's treatment. A few days ago, held in Guangzhou first apt to defy syndrome at the scientific seminar intestines, have issued the routine of making a diagnosis of this disease. The reporter has interviewed Zhongshan University and attached to the first hospital to digest head of the department of internal medicine Professor Hu PinJin for this.
The diagnostic standard is in line with international standards
At present, we implement intestines Rome 2 diagnostic standard apt to defy syndrome to generally adopt in the world, if following behaves, pointing out patients suffers from this disease:
1.Have 12 weeks totally at least in the past 12 months ' It needn't be continuous) Belly discomfort or abdominal pain, and with 2 items in the following 3 symptoms: The intersection of belly and discomfort or suffer from abdominal pain after not defecating relieving; And the change of the number of times with defecating happen in belly discomfort or abdominal pain; And the change with excrement and urine properties happen in belly discomfort or abdominal pain.
2.It is supported to diagnose that the more following symptoms are: Defecate unusual frequency ' Defecate for greater than 3 times every day or defecate and is smaller than 3 times every week) ; Excrement and urine property unusual ' Hard to relieve oneself or water sample piss) ; Excrement and urine unusual to discharge course ' Fei Li, sense of urgency, sense of defecating non- netly) ; Piss of mucus; Bloated air of intestines and stomach or swelling sense of belly. While these symptoms appear, it is unusual to lack morphology and biochemistry that can explain symptom.
What is such standard advantage? The expert thinks, it is based on the fact that excluded from the organic disease (belong to functional disease of the intestine) ,Emphasize or the relation that the belly aches and defecates that the belly is uncomfortable, thus is different from other intestinal functional disease. In addition time course that standard judge lengthen, to 12 month, can make organic disease especially intestinal tumour leak and examine probability to reduce. Moreover, not in the standard is in the essential condition the number of times and excrement and urine property lay down hard and fast rule to defecating, only emphasize belly discomfort or the changes of the number of times and excrement and urine property with defecating of abdominal pain, can make more cases diagnose, have improved the sensitiveness diagnosed.
It is with treating to treat the principle in grades to the ill
The doctors think, relieve the patient's worry (such as intimidating the cancer psychology) With improving to the confidence of the treatment, it is to treat the most important step. The patient cooperates with the doctor to find the risk factor ' For instance diet factor, some should surge the incident) And try to dispel, accept doctor's relevant meal and suggestion of adjustment of life style, help to relieve symptom. If the patient has insomnia and anxious situation, can use sedative appropriately under the guidance of doctor.
The obvious one of symptom, can use medicines to treat to control:
1.Solve convulsion pharmaceutical: Suffer from abdominal pain, can use, resist the intersection of choline and medicine such as atropine, general the intersection of Ruben and hard, east the intersection of Hyoscyami and alkali,etc., but should pay attention to the bad reaction. Resist pharmaceuticals short of moneyly as to the specific intestinal smooth muscle calcium ionophore if one can also select to link bromine amine for use.
2.Anti-diarrheal: Suffer from diarrhoea, can select Lip river for use, send the intersection of man and amine or fragrant the intersection of promise and ester compound, pay attention to constipation, side reaction of abdominal distension. Light disease person can select adsorbents for use.
3.Lead cathartic: The constipation patient can use laxative with gentle function in order to reduce side reaction and drug dependence. The commonly used one has volume that forms medicines such as psyllium preparations or methylcellulose, penetrating laxative such as polyethylene ethylene glycol, fructose or mountain pear alcohol of milk.
4.Motivator medicine: Luo effective to improving constipation, abdominal pain, abdominal distension, suitable for the constipated patient for add color.
5.Antidepressants: To suffer from abdominal pain serious failing to respond to any medical treatment, can try out with more obvious spiritual symptom person especially while being above-mentioned symptom. Antidepressants treatment dosage little treatment amount have resisting depression at the disease this.
6.Can choose traditional Chinese medicine and benefit to grow the fungus treatment.
Serious but obstinate patient to symptom, can treat, lull the treatment, biofeedback etc. with the psychotherapy such as cognition after through general treatment and medicine fail to respond to any medical treatment.
At present, it is enteric and apt to defy the cause of disease of syndrome not to be so obvious. The religion of the Pan 's of BJ Union Hospital awards thinking: The patient's colon is relatively high to amazing sensitiveness, the faint stimulus is unable to cause the obvious response on healthy people, make enteric and apt to defy the intersection of syndrome and intestines of patient shrink and cause and suffer from abdominal pain and defecate unusually vigorously.
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