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    Home > Medical News > Latest Medical News > Zhu Geliang, 54, "died before he left school" What's the matter with him?

    Zhu Geliang, 54, "died before he left school" What's the matter with him?

    • Last Update: 2020-01-02
    • Source: Internet
    • Author: User
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    The figure in this picture is believed to have been seen through historical TV dramas He was Zhugeliang, a famous strategist in the Three Kingdoms period Chen Shou, the author of the chronicles of the Three Kingdoms, described him as "eight feet long and great looking" However, what disease did Zhuge Liang, 54, get when he "left school before he died first"? In the etiological analysis, Zhuge Liang had every opportunity in the day, and he had to deal with everything in person The degree of tiredness was conceivable He was too busy to sleep and eat, and his life was irregular He maintained the situation of Shu Han, supported Liu Adou, and also suffered great mental pressure In the romance of the Three Kingdoms, Zhuge Liang's hematemesis was mentioned many times Some historians speculated that Zhuge Liang was most likely to die of hematemesis due to peptic ulcer Peptic ulcer is a global common disease, which is familiar to modern people Until now, the incidence rate of peptic ulcer is still quite high About 10% of people suffer from peptic ulcer in their lifetime Zhuge Liang and modern people, especially the hard-working white-collar workers in the workplace, have similar problems and prone factors, so historians made such speculation Today, yaowa will show you the truth! Dispelling doubts! What is peptic ulcer? For a long time, the formation of ulcer is considered to be related to the digestion of gastric acid and pepsin, so it is called peptic ulcer Peptic ulcer can occur in any age group, in which duodenal ulcer is more common in young adults, and gastric ulcer is more common in the elderly The main symptom of peptic ulcer is epigastric pain, which is manifested as dull pain, burning pain, distended pain, etc Some patients have no typical pain symptoms, such as abdominal distension, anorexia and acid reflux In severe cases, if the ulcer invades the large blood vessels, in addition to abdominal pain, there will also be hematemesis Labelling! Peptic ulcer has these three characteristics! Chronic disease, with a history of several years or more than ten years; periodic attack, with a duration of weeks or months, but also seasonal, mostly at the turn of autumn and winter and winter and spring; abdominal pain symptoms can be alleviated by antacids or antacids Dig deep! How does peptic ulcer happen? Peptic ulcer is the imbalance between the invasion of gastric acid and pepsin and the defense ability of gastrointestinal mucosa, and the self digestion of gastric acid and pepsin to mucosa Let's make an example: if we compare the mucosal barrier to the "roof", stomach acid and pepsin to the "acid rain", when the "roof" meets the "acid rain", it will be corroded, and peptic ulcer may occur Understand the causes of peptic ulcer, the treatment plan is obvious! "Reduce acid rain" + "strengthen roof" = Ko peptic ulcer! In fact, people's understanding of peptic ulcer has gone through three leaps, and the drug treatment process has also gone through three milestone progress: inhibiting gastric acid secretion, eradicating Helicobacter pylori and protecting gastric mucosa The first leap forward in 1910 was the first leap in people's understanding of peptic ulcer Since then, inhibition of gastric acid secretion has become the core of the treatment of peptic ulcer Drugs that can reduce gastric acid secretion are divided into two categories: one is cimetidine, ranitidine, famotidine, nizatidine and rosatidine; the other is omeprazole, esomeprazole, pantoprazole, lansoprazole and rabeprazole The name contains "prazole", which can inhibit the last step of gastric acid secretion, produce a strong effect of inhibiting gastric acid secretion, and has a long time of acid suppression Therefore, pain symptoms can be controlled within 2-3 days It should be noted that this kind of medicine is unstable in acid gastric juice, so it is made into enteric soluble preparation, which requires us not to chew it when taking it The second leap of Helicobacter pylori is the only known microbial species that can survive in the human stomach It was first discovered by two Australian scientists in 1983 Their "no Helicobacter pylori, no ulcer" is the second leap of people's understanding of peptic ulcer The two scientists also won the Nobel Prize in medicine in 2005 Helicobacter pylori infection is an important cause of peptic ulcer, and sterilization can accelerate ulcer healing and significantly reduce the recurrence of peptic ulcer If it is found that we are infected with Helicobacter pylori through the examination, the doctor will make a sterilization plan according to the specific situation, we just need to take the medicine according to the doctor's order One month after the treatment, the effect of sterilization should be rechecked The third leap in 1990, American medical experts proposed to "improve the quality of ulcer healing", realizing the third leap in people's understanding of peptic ulcer Combined use of gastric mucosal protectant can promote the repair of gastric mucosa, which is an important link in the treatment of peptic ulcer There are also two kinds of drugs for gastric mucosal protective agents in clinical use: the first kind is bismuth agent, which is colloidal in acid solution and forms protein bismuth complex with the protein on the basal surface of ulcer, covering the surface of ulcer, which can block the self digestion of gastric acid and pepsin to mucosa In addition, bismuth can also envelop Helicobacter pylori and kill Helicobacter pylori However, the tongue coating, teeth and feces may turn black during bismuth administration If you can tolerate the above situation, you may not need to stop taking bismuth Another kind of medicine, such as aluminum carbonate, can neutralize gastric acid, reduce the activity of pepsin, and temporarily relieve pain Patients with peptic ulcer need to change their bad habits in addition to medication according to the course of treatment If Zhuge Liang lived in modern times, doctors would advise him to: 1 Keep optimistic mood, rest properly, avoid excessive tension and fatigue, reduce mental pressure; 2 Stop taking unnecessary non steroidal anti-inflammatory drugs, glucocorticoids, etc If you really need to take this kind of medicine, you should add the medicine of acid suppression and protection of gastric mucosa at the same time; 3 You should eat regularly to maintain the rhythm of normal digestive activity, and should not eat before going to bed; 4 You should stop smoking and drinking, and avoid the intake of coffee, strong tea, strong broth and spicy stimulating food Zhuge Liang said: if only I lived in modern times! I will do what the doctor says, so that I won't die young Forget it, I'm in the past Everyone must work and rest on time If you have any discomfort, you must see a doctor in time! The original author of penicillin: Li Haiyan, Hu bin, Xue Xiaorong, the fourth hospital of Xi'an city This article is reprinted by yaozhi.com The copyright belongs to the original author The purpose of reprint is to transmit more information, which does not represent the viewpoint of this platform If the content of the work, copyright and other issues are involved, please contact our website message, we will delete the content in the first time.
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