{"nowTime30":1711662176100,"lyBarModerator":null,"metaSearch":{"description":"1、肺胃热盛型 【证见】烦渴多饮多尿,消谷善饥,便秘。舌红,苔燥黄,脉洪数或细数。 【分析】心胃之火熏蒸,致肺燥津伤,肺阴亏耗,水津不布测烦渴多饮以自救;肺燥金桔,金水不能相生,有开无合,关门不固则饮多尿多;胃火旺盛,则消谷善饥;肺与大肠相表里,肺津亏损,肠腑失润,则燥结便秘;舌红、苔燥黄,为火热伤","keywords":"尿崩症的中医分型_洞医","title":"尿崩症的中医分型_洞医","channels":null},"identificate":{"id":"0300b4bddfaf11e6a61c00163e04584d","isDel":0,"createAt":1484985344390,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","realName":"赵玉","certifiedStatus":2,"phone":"111111111111","email":"2276635444@qq.com","hospitalId":"31c19c1b453011e69d4700163e005165","departmentId":"2000","illName":"","illId":"793a72a2bb5f11e6a61c00163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1484985951761.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"儿科","hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"1699","isDel":0,"createAt":1483439342990,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"北京协和医院内分泌科","type":101,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":"110000","cityId":"110101","illId":null,"hospitalId":"15009","keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"description\":\"洞医为您提供:协和内分泌科专家门诊、北京协和医院 内分泌科相关信息、北京协和内分泌科病友的治疗经验等相关信息,让您在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"北京协和医院 内分泌科_北京协和内分泌科_协和内分泌科专家门诊_洞医\",\"title\":\"北京协和医院 内分泌科_北京协和内分泌科_协和内分泌科专家门诊_洞医\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"2491","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"尿崩症应该如何进行预防?","content":"
1、避免长期精神刺激长期精神刺激(如恐吓、忧伤、焦虑或清神紧张等)可引起大脑皮层功能紊乱进而引起内分泌失调。使抗利尿激素分泌更加来足,尿量更多使本病更加严重。
2、避免食用高蛋白高脂肪辛辣和含盐过高的食品及烟酒。因为这些可使血浆渗透压升高,从而兴奋大脑口渴中枢;并且易助火生热化燥伤阴,加重本病烦渴等症状。
3、忌饮茶叶与咖啡茶叶和咖啡中含有茶碱和咖啡因,能兴奋中枢神经,增强心肌收缩力扩张肾及周围血管,而起利尿作用,使尿量增加病情加重。
1、患者由于多尿、多饮,要嘱患者在身边备足温开水。
2、注意预防感染,尽量休息,适当活动。
3、指导患者记录尿量及体重的变化。
4、准确遵医给药,不得自行停药。
5、门诊定期随访。
女,8岁8个月。乳房发育b4期,17年1月31日月经来潮。待治疗
\n根据目前的状况需要如何治疗
","barId":"1699","topicTypeId":null,"topicThemeId":"1020","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":4},{"id":"2091","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"打生长激素有副作用吗","content":"女,8岁6个月。女孩现在8岁5个月,最近发现孩子乳房有硬块,已经发育,做b超发现有卵泡,骨龄拍片后医生说骨龄9岁6个月,身高125.5厘米,体重60斤,性激素六项结果,医生说正常,暂不考虑性早熟,身高偏矮让打生长激素,请问我们这种情况用打生长激素吗?孩子以前很少运动,通过增加运动,改善饮食,先观察一段时间可以吗?打生长激素有什么副作用吗?谢谢。
","barId":"1699","topicTypeId":null,"topicThemeId":"1019","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":4},{"id":"2332","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"尿崩症早期有哪些症状","content":"多尿使尿崩症病人不能正常休息,工作和生活均受到影响,长久下去可引发精神症状,虚弱,头痛,失眠,困倦,情绪低落.在劳累,感染,月经期和妊娠期时,烦渴,多尿可加重.那么尿崩症早期又有哪些症状?
尿崩症早期症状有哪些?
尿崩症可发生于任何年龄,但以青壮年多见。男女的发病率相近。大多起病缓慢,往往为渐进性的,数天内病情可渐渐明显。少数可突发,起病有确切日期。
突出的临床症状为烦渴、多饮、多尿。多尿表现在排尿次数增多,并且尿量也多,24h尿量可达5~10l或更多。尿液不含糖及蛋白质。尿比重通常在1.001~1.005,相应的尿渗透压为50~200mosm/l,明显低于血浆渗透压(290~310mosm/l)。若限制摄水,尿比重可上升达1.010,尿渗透压可上升达300mosm/l。若严重脱水时,肾小球滤过率明显下降,此时尿比重可达1.010以上。多尿引起烦渴多饮,24h饮水量可达数升至10l,或更多;病人大多喜欢喝冷饮和凉水。
若有充足的水分摄入,病人的生活起居同正常人相近,可有轻度的脱水症状、唾液及汗液减少、口干、食欲减退、便秘、皮肤干燥、睡眠欠佳、记忆力减退,多尿多饮使病人不能安睡、影响休息,久而久之,影响工作,出现精神症状,头痛、失眠及情绪低落。
在得不到饮水补充的情况下,可出现高渗征群,为脑细胞脱水引起的神经系统症状,头痛、肌痛、心率加速、性情改变、神志改变、烦躁、谵妄,最终发展为昏迷,可出现高热或体温降低。
若饮水过多,出现低渗征群,也系神经系统的症状,头痛加剧、精神错乱及神志改变,最终可昏迷甚至死亡。
继发性尿崩症,除多饮和多尿等表现外,还有原发病(所致病因疾病)的症状,此等症状可出现在尿崩症发生以前或以后。
以上是尿崩症的早期症状,那得了尿崩症又有哪些注意事项呢?1.避免长期精神刺激。2.避免食用高蛋白、高脂肪辛辣和含盐过高的食品及烟酒。 3.忌饮茶叶与咖啡。
巨人症摘要:巨人症为发生在青春期前的垂体前叶机能亢进症,分泌生长激素旺盛,病因不明。常常继续发展为肢端肥大症。患者应注意预防和治疗感染,以改善本病的预后。
巨人症(gigantism)多数发生在18至20岁以下者,即生长板(又称骨骺板,epiphyseal plate)尚未闭合前。 生长板位于人类四肢骨骼的中间,当人类在10至18岁(发育较慢的会到20岁左右)时, 生长板会打开。由于生长板的软骨细胞拥有分裂能力,所以能让骨头增长。一旦过了这段发育时期,生长板就会自动闭合,届时不论使用药物或各种运动等外来刺激,软骨细胞都不会再分裂,这时身体就不会长高了。
巨人症-症状
生长发育过度,身高多在2m左右,生长过速可持续到20岁以上。食欲强,肌肉发达,性欲旺,在衰退期,精神不振,乏力,背佝偻,阳痿,迟钝。
巨人症-病因
在人的眼睛后方,鼻腔的上端,有一个腺体,叫做脑垂腺,可以分泌生长素,当腺体脑出现肿瘤时,会使 巨人症与常人对比
生长素分泌过量,形成巨人症,生长激素的功能是促进身体组织之发育与成长,它可促进体内细胞的数目增加及变大,使身体各部分组织之器官变大,是每一个人成长的重要因素,在成长过程的第二性征发育,若是生长激素分泌过量或过少会引起「巨人症」或「侏儒症」。
生长激素分泌过多的原因同时主要有垂体性和垂体以外的原因:
垂体性:如发生在垂体部位的致密颗粒型或稀疏颗粒型gh细胞腺瘤或增生gh和prl混合细胞眼瘤促催乳生长激素细胞腺瘤嗜酸干细胞腺瘤多激素分泌细胞腺瘤偶可为多内分泌腺瘤病型的组成部分。
垂体外性:异位gh分泌瘤(如胰腺癌肺瘤)ghrh分泌瘤(下丘脑错构瘤胰岛细胞瘤支气管和肠道类癌等)绝大多数由垂体瘤分泌过多gh所致统称为生长激素分泌瘤。
虽然知道晚睡不好,但每天熬夜;书到用时方恨少,但宁愿躺着也不阅读;抱怨“游泳圈”日渐丰满却从不运动…梦想从来不是靠空想就能实现,想要得到最好的,先要把自己做到最好。你想成功吗,今天开始,从改变一个个坏习惯做起,每月改掉一个坏习惯可有胆量?(人民日报)
\n关于每月改掉一个坏习惯,且看网友如何评论:
\nARES周瑜:早睡早起成为现在所有人都难做到的事
\nmaomaoclever:事以密成,语以泄败,大张旗鼓下的决心 基本都会草草收尾
\nStephenHC:早点休息别熬夜,对手机不好[二哈]
\n_小港子_Zz-:早睡早起是不可能的 这辈子不可能早睡早起的,干活又不会做,就是熬夜这种,才能维持得了生活这样子
\n中二病控:改变太多太累了 我还是就这样吧
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1、肺胃热盛型
【证见】烦渴多饮多尿,消谷善饥,便秘。舌红,苔燥黄,脉洪数或细数。
【分析】心胃之火熏蒸,致肺燥津伤,肺阴亏耗,水津不布测烦渴多饮以自救;肺燥金桔,金水不能相生,有开无合,关门不固则饮多尿多;胃火旺盛,则消谷善饥;肺与大肠相表里,肺津亏损,肠腑失润,则燥结便秘;舌红、苔燥黄,为火热伤津之象,病初热盛为洪数脉,病情发展,伤及阴津,则为细数脉。
2、中阳虚弱型
【证见】面白少华,昏倦乏力,纳呆,口渴多饮,小便频数,溲清如水。舌淡,苔白腻,脉细弱。
【分析】“阳气者,若天与日”,脾胃阳虚,运化失常,不能化生气血测纳呆,面白少华,昏倦乏力;津液失于气化,降而不升,则口干多饮,小便频数,溲清如水;舌淡,苔白腻,脉细弱,为中阳虚弱之征。
3、肾阴亏损型
【证见】尿频量多,口唇干燥多饮,形体消瘦,面色无华,腰膝酸软。舌红,苔薄少,脉沉细数。
【分析】肾藏精,主固摄,为人体阴液之本。肾虚失固,则尿频量多;阴津流失,肾阴亏损,水失资源,不能上承,则口唇干燥多饮;阴精虚少,机体失于充养,则形体消瘦,面色无华;腰为肾之腑,肾主骨,肾虚则腰膝酸软;舌红,苔薄少,脉沉细或数,均为肾阴亏损,或阴虚内热之象。
4、气阴两虚型
【证见】消瘦乏力,自汗气短,口干舌燥,多饮多尿,腰酸,或五心烦热,大便秘结。舌嫩红,苔薄白少津,或少苦,脉细弱。
【分析】气阴两虚,可见消瘦乏力,自汗气短;肺胃阴虚,肾虚失调,则日于舌燥,多饮多尿,腰酸;阴虚内热测五心烦热,大便秘结;舌嫩红,苔薄白少津,或少苦,脉细弱,均为气阴两虚之征。
5、阴阳两虚型
【证见】口于多饮,皮肤干燥,消瘦,饮一溲一,腰膝酸软,阳痿早泄,形寒肢冷,面色白。舌淡苔白,脉沉细弱或沉微。
【分析】阴阳互相依存,阴虚日久,必损及阳,阴阳俱虚;肺胃肾阴虚,则见口干多饮,皮肤干燥,消瘦;肾阳虚,不能气化津液,则饮一溲一;肾虚于下,则腰膝酸软;命门火衰,则阳痿、早泄;阳虚不能温运,则形寒肢冷,面色白;舌淡苔白,脉沉细弱或沉微,均为阴阳俱虚之征。
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