Saturday, October 18, 2008

Early cancer can be found in the medical project

Every year some of China's 2,500,000 new cancer patients, most of them at the time of diagnosis, cancer has entered advanced. 早期发现癌症并及时治疗,是现代人拥有健康的生活质量的必要条件。 Early detection and timely treatment of cancer, is a modern man with a healthy quality of life of a necessary condition.
体检是早期发现癌症和癌前病变的重要途径。 Is a physical examination and early detection of cancer, precancerous lesions important way. 体检中各项血液检查指标,B超、X光、肛门直肠指检, 妇科体检中的巴氏涂片、乳腺钼钯摄片等都是常用的筛查肿瘤的方法。 Physical indicators in the blood test, B Super, X-ray, anal digital rectal examination, gynecological examination of Pap smears, breast X-ray film, such as molybdenum palladium are used in screening tumors.
血液检查是体检中查出早期癌症的重要手段,检测血液中各种肿瘤标志物指标是否升高,则可发现、鉴别各种恶肿瘤。 Blood test is a medical examination found an important means of early cancer detection in the blood of a variety of tumor markers indicators of whether the increase can be found to identify a variety of malignant tumors. 如:甲胎蛋白AFP可查原发性肝细胞癌、生殖腺胚胎性肿瘤。 Such as: alpha-fetoprotein AFP available hepatocellular carcinoma, the embryonic gonad tumors. 癌胚抗原CEA明显升高时,常见有结肠癌、胃癌、 肺癌 、胆管癌;存在肝癌 、乳腺癌、 卵巢癌、胰腺癌时也有升高。 CEA CEA significantly increased, there is a common colon cancer, gastric cancer, lung cancer, bile duct cancer; the existence of liver cancer, breast cancer, ovarian cancer, pancreatic cancer has also increased. 糖基抗原CA199可作为胰腺癌、胆管癌的诊断和鉴别指标,肝癌、胃癌、 食道癌 、部分胆管癌的患者亦可见增高。 Glycosylation CA199 antigen as pancreatic cancer, the bile duct Diagnosis and identification of targets, liver, stomach, esophagus, bile duct cancer patients are also part of the increase can be seen. 糖基抗原CA125常用于卵巢癌的诊断,子宫内膜癌、胰腺癌、 输卵管癌也有轻度升高。 Glycosylation CA125 antigen used in the diagnosis of ovarian cancer, endometrial cancer, pancreatic cancer, fallopian tube cancer has increased slightly. 糖基抗原CA153可用于乳腺癌患者的诊断,尤其对于转移性乳腺癌的早期诊断有重要价值。 Sugar-based antigen CA153 can be used in the diagnosis of breast cancer patients, especially in the early diagnosis of metastatic breast cancer has important value. 骨、胶素CY211是肺癌诊断的重要指标。 Bones, plastic-CY211 is an important indicator of lung cancer diagnosis. 前列腺特异抗原PSA是前列腺癌的特异性标志物。 Prostate-specific antigen PSA is a prostate cancer-specific markers.
妇科体检中巴氏涂片:采用巴氏染色的方法,可检测早期宫颈癌,检出率约60%-70%。 Gynecological examination and Pakistan's smear: The Papanicolaou stain method can detect cervical cancer early detection rate of about 60% -70%.
B超:利用彩色多普勒成像技术,可清晰地发现全身大多数器官是否有肿块及病变。 Super B: The use of color Doppler imaging, can be clearly found that the majority of body organs and whether there is a mass lesion.
X线胸片:X线穿过人体后,因器官、组织密度不同呈现影像,由此可直接显示肺部肿瘤,也可通过肺气肿、阻塞性肺炎、胸水等间接性改变寻找胸部肿瘤。 X-ray: X-ray through the body, as a result of organs, tissues of different densities show images, which can show lung cancer, emphysema can also be, obstructive pneumonia, pleural effusion, and so indirectly, to find changes in the chest tumor.
肛门直肠指检:大致可以确定距肛缘7厘米-10厘米的肛门、直肠有无病变和病变的性质。 Anal digital rectal examination: to determine roughly 7 cm from the anal margin of -10 cm of the anus and rectum lesions and whether or not the nature of the disease.
胃镜和肠镜:直接用肉眼观察胃、肠黏膜的色泽、血管纹理、腺体开口形态,来识别有无病变,对可疑病灶可做活检确诊。 Colonoscopy and endoscopy: direct visual observation of stomach, intestinal mucosa of color, texture blood vessels, glands form of openings, to identify any disease, biopsy of suspicious lesions can be diagnosed.

Common gynecological examination

Papanicolaou (Pap) smears vaginal cells

该法既可以用于检查雌激素水平,又可查找癌细胞。 The method can be used to check the level of estrogen, can find cancer cells. 从宫颈刮取细胞检查,看是否可能患癌;建议妇女每年检查一次,从初次交或年龄18岁时开始检查。 Guaqu cells from the cervix check to see if it might be cancer; recommended for women once a year, from the initial sex or age, 18 years old when Inspection. 这种检查既安全又不费时。 This inspection is not safe and time-consuming.

阴道镜检查 Colposcopy

用10倍双筒放大镜检查子宫颈有无癌变征象,通常在巴氏检查结果异常时作该检查。 10 times with a magnifying glass double check whether cervical cancer symptoms, usually in abnormal Pap test results when the inspection. 阴道镜检查无痛、不需要麻醉,检查时间只需几分钟。 Colposcopy painless, and do not need anesthesia to check the time only a few minutes.

活检 Biopsy

子宫颈和阴道活检,通常在进行阴道镜检查时完成,以便从观察到最不正常的部位获取标本。 Vaginal and cervical biopsy, usually during colposcopy, when completed, in order to observe from the most unusual specimens access to the site. 对外阴小范围的活检可在诊断室内用局麻完成;子宫颈活检通常不需要麻醉。 The vulva of a small biopsy can be used indoors in the diagnosis of the completion of local anesthesia; cervical biopsy usually do not need anesthesia. 怀疑癌症时,要取小于6mm的组织在显微镜下检查。 Suspected cancer, we should take less than 6mm organization under the microscope examination.

宫颈管刮除术 Cervical canal curettage

用一小刮匙伸入子宫颈管刮取宫颈内膜组织。 Using a small spoon scraping the cervix into the possession of cervical Guaqu endometrium. 由病理专家在显微镜下检查,通常在阴道镜检查时完成。 By pathology experts in the examination under a microscope, usually in the timely completion of the colposcopy.

子宫颈锥形切除术(锥形活检) Resection of cervical cone (cone biopsy)

用激光器、电烙器或手术刀,在麻醉下,从子宫颈上切下12-25mm长、18mm宽的组织。 Using laser, scalpel or electrocautery, in anesthesia, cut off from the cervix at 12-25mm long, 18mm wide organizations. 锥形切除术有时用于活检结果异常,进一步诊断或切除异常组织。 Cone biopsy surgery is sometimes used to abnormal results of further diagnosis or the removal of anomalies organizations.

子宫内膜活检 Endometrial biopsy

用一金属或塑料的细管,通过子宫颈进入子宫腔,管子前后左右移动,同时在外端进行抽吸,吸出并收集子宫内膜组织,送实验室检查。 Using a small metal or plastic tube through the cervix into the uterine cavity, the tubes before and after moving around the same time, outer side aspiration, aspiration and the collection of endometrial tissue, to send laboratory. 通常可确诊异常出血的原因。 Usually can be diagnosed with abnormal bleeding. 子宫内膜活检可在诊断室完成,不需要麻醉,就像月经痉挛的感觉。 Endometrial biopsy in the diagnosis room, do not need anesthesia, just like the feeling of menstrual cramps.

子宫镜检查 Uterine examination

用一根约8mm直径的细管,通过子宫颈插入宫腔内,管中有能传送光的光纤装置用来观察黑暗的宫腔,还可有取活检的器械或电烙器。 With a diameter of about 8mm thin tube, inserted through the uterine cervix, the tube can be conveyed in the fiber-optic devices for optical observation of the dark cavity, there is also the biopsy device or electrocautery device. 通常能看到异常出血的来源或其他病变,还能取活检标本和进行缝合或切除。 Normally be able to see the source of abnormal bleeding or other diseases, but also biopsy specimens and stitching or removal. 可在诊断室完成,也可在医院与诊断性刮宫同时进行。 Can be completed in the diagnosis room, but also in hospitals and diagnostic curettage at the same time.

刮宫术(D和C) Operation curettage (D and C)

用金属扩张器扩开子宫颈以便刮匙能进入子宫刮取子宫内膜。 Metal expander expansion in order to blow open the cervix into the uterus to key Guaqu endometrium. 这种手术用于取活检,诊断子宫内膜异常,或不完全流产的治疗。 This surgery for biopsy, diagnosis of endometrial abnormalities, or incomplete treatment of abortion. 不完全流产治疗时,使用的刮匙是塑料的,在外侧端有用来抽吸的装置。 Treatment of incomplete abortion, the use of the key is to scratch the plastic in the outer side to have a suction device. 手术通常在医院用全身麻醉进行。 Surgery is usually used in hospitals for general anesthesia.

子宫输卵管造影术 Hysterosalpingography

用能在X线照片显影的显影剂,通过子宫颈注入宫腔和输卵管,用X线检查。 Can be used in the X-ray photo imaging test reagent, through the cervix into the uterine cavity and fallopian tubes, using X-ray examination. 常用作不孕原因检查。 Check for common causes of infertility. 检查时可能引起不适,如痉挛等,可服镇静剂。 Inspection may cause discomfort such as cramps, and so on, can serve sedatives.

超声波扫描(频率很高,以致不能听见的声波) Ultrasound scan (very high frequency such that it is no audible sound waves)

通过腹壁或阴道探测内部器官,它能反射出内部结构的图形显示在监视器屏幕上,帮助明确胎儿的情况和大小,诊断胎儿异常,多胎妊娠,输卵管妊娠, 肿瘤 、囊肿或盆腔器官的其他异常。 Through the abdominal wall or vagina to detect the internal organs, it reflected the internal structure of the graphics displayed on the monitor screen to help clear the situation and the size of the fetus, diagnosis of fetal anomaly, multiple pregnancy, tubal pregnancy, cancer, cysts or other abnormalities of the pelvic organs . 超声波扫描是无痛的。 Ultrasound scan is painless. 它也用于羊膜囊穿刺术和其他采集标本的手术。 It is also used to puncture amniotic sac and other surgical specimens.

腹腔镜检查 Laparoscopy

通过肚脐底部作一小切口,插入带光纤的可视细管进入腹腔。 At the bottom of the navel through a small incision, insert a small video with fiber-optic tube into the abdominal cavity. 用二氧化碳膨胀腹部,使腹部和盆腔器官看得更清楚。 Expansion of the abdomen with carbon dioxide so that the abdominal and pelvic organs to see more clearly. 通常腹腔镜用于确诊盆腔疼痛、不孕和其他妇科疾病的原因。 Laparoscopy is usually used for diagnosis of pelvic pain, infertility and other gynecological diseases. 腹腔镜和其他器械一起用于取活检、绝育手术和其他手术;它也可用于人工助孕时回收卵子。 Laparoscopic and other equipment used together with biopsy, surgery and other surgical sterilization; it can also be used for artificial treatment when the egg recovery. 该检查应在医院进行并需要麻醉;有些操作需要局麻,大多数使用全身麻醉。 The inspection should be carried out in hospitals and the need for anesthesia; some operations require local anesthesia, the majority of the use of general anesthesia.

后穹窿穿刺术 After the fornix puncture

穿刺针通过子宫颈后方的阴道壁刺入盆腔,通常在怀疑宫外孕时进行,确定是否有出血。 Needle through the vagina behind the cervix piercing pelvic wall, usually in suspected ectopic pregnancy when carried out to determine whether there is bleeding. 该项检查一般在急诊室进行,不用麻醉。 The general examination in the emergency room, no anesthesia.

See gynecological appointments to choose when and how?

Diagnosis and treatment of gynecological diseases, and many have to go through check vagina, women with menstruation Laichao cyclical. 应根据月经周期的时间选择诊治时间。 Menstrual cycle should be based on the timing of diagnosis and treatment time. 若就诊时间适宜,不仅有利于疾病的诊断,也有利于治疗。 If the appropriate time to visit is not only conducive to the diagnosis of the disease, but also conducive to treatment. 一般月经期不进行妇科检查 ,因为行经期宫口略有开大,子宫内膜具有创面,检查时极易将细菌带入而引起子宫内膜、 输卵管等生殖器官炎症,处理不好,还可引起长期腰痛、腹痛等毛病。 General menstrual period is not gynecological examinations, as menstrual Bank Palace big mouth slightly open, with endometrial wound, the bacteria would be easy to check into the cause of endometrial, fallopian tubes, such as genital inflammation, handled properly, can also Cause long-term low back pain, abdominal pain, and other illnesses. 另外, 妇科检查时还可将月经脱落的子宫内膜碎片挤入子宫肌壁、输卵管甚至盆腔内,而造成子宫内膜异位,引起逐渐加重的痛经 。 In addition, women can check off period will be endometrial debris into the muscle wall of the uterus, fallopian tubes or pelvic cavity, caused by endometriosis, caused by the gradual increase of dysmenorrhea.
所以做妇科检查的最佳时间是月经干净3天以后,但是,若出现持续性不规则阴道出血,或突然大量出血伴有腹痛、晕厥、肿物出现时,不应机械地等待月经干净后,以免延误病情。 So do gynecological examination is the best time to clean 3 days after menstruation, but if there are persistent irregular vaginal bleeding or bleeding associated with sudden abdominal pain, syncope, the tumor appears, should not wait for the machine to clean menstruation, So as not to delay treatment.
患者在就诊前最好用清水清洗一下外阴部,前一天应避免性交以及阴道用药,以免影响化验检查结果。 In the treatment of patients with the best water before you wash genitals, the day before to avoid vaginal intercourse and drug use, so as not to affect test results.
准备做输卵管通畅性检查,上环或取避孕环、宫颈治疗、宫腔镜检查、宫腔造影等,均应在月经干净后3~7天进行,且在月经后至检查前禁止房事,以防引起感染。 Prepared to do tubal patency check, or take on the ring ring, the treatment of cervical, hysteroscopy, intrauterine imaging, and so on, should be clean after the period from 3 to 7 days, and to check in after the period before the ban on sexual, Anti-caused infection. 而不孕症患者检查卵巢是否排卵做诊断性刮宫时,应在预测行经前12小时或月经来潮初期刮取子宫内膜,而不是在月经后。 Check in patients with infertility and ovarian ovulation whether to do a diagnostic curettage, the forecast should be passing through the 12-hour period or the early Lai Chao Guaqu endometrium, rather than after menstruation.
检查是否妊娠者,应在停经50天左右就诊,此时做妊娠试验多呈阳性反应,且妇科检查子宫增大已较明显。 Check for pregnancy, menopause should be 50 days or so visits, this time to do mostly positive pregnancy tests, gynecological examination and the uterus has been a significant increase. 总之,诊断和治疗的疾病不同,方法不同,需要选择不同的时间,患者需要有所了解,同时也要听从医生的安排。 In short, diagnosis and treatment of different diseases, different methods need to choose a different time, patients need to understand, but also listen to the doctors.

How to use the diaphragm

Diaphragm before use, the first by a doctor to do gynecological examination, according to the size of the vagina to choose the appropriate model on a trial basis into the diaphragm, and then under the guidance of a doctor in the Institute and out into the methods, until fully able to master the use of date. 如果选用的型号合适,放入后站立、走动、蹲、坐都没有不舒服的感觉,阴道隔膜在阴道内的位置就不会改变。 If you choose the appropriate model into after standing, walking, squatting, sitting did not feel uncomfortable, and diaphragm in the vagina on the location will not change. 放置阴道隔膜前须先排尿,把手洗干净,检查阴道隔膜有无破损现象,然后在阴道隔膜上及弹簧圈上涂上避孕药膏,这样从阴道隔膜边缘进入隔膜内的精子就能被避孕药膏杀死。 Diaphragm placed before voiding, the clean hand to check whether the damaged diaphragm, and then in the diaphragm and coil coating on the pill cream, so from the diaphragm into the divide within the edge of the sperm will be able to have been killed contraceptive cream Death. 放置阴道隔膜多数采取站立弯腰的姿势,即一只脚踩在凳子上。 Diaphragm placed to take most of the bending of the standing position, that is, at the foot of a bench. 也可采用坐式、蹲式或平卧式。 May also sit-and-squat or horizontal level. 放置阴道隔膜时应先将两腿分开,用右手拇指、食指和中指将阴道隔膜捏成狭长形,左手分开阴唇,然后将其沿阴道后壁送入阴道内;弹簧圈的后缘一直顶到阴道后上部,用食指将弹簧圈紧紧托住阴道顶部,恰好把子宫颈盖住,再把阴道隔膜的弹簧圈前缘向上顶在耻骨后面,最后用手指进入阴道内检查阴道隔膜是否将子宫颈盖好,如果没有盖好,应取出重放。 Diaphragm should be placed first legs separated from the right hand with the thumb, index and middle fingers will be long and narrow shape Niecheng diaphragm, to separate the left labia, and then along the posterior wall of the vagina into the vagina; coil has been trailing edge of the roof After the vagina to the upper, with the index finger to hold tightly coil at the top of the vagina, just to cover the cervix, vagina and then divide up the top front coil in the back of pubis, the last finger into the vagina to check whether the diaphragm Will cover the cervix, in the absence of cover should be removed replay. 阴道隔膜放好后即可进行交,性交后8-12小时才能取出,否则仍有怀孕可能,但最长不宜超过24小时。 Diaphragm can be placed after sexual intercourse, sexual intercourse after 8-12 hours to remove, or else there might be pregnant, but should not be up more than 24 hours. 取出阴道隔膜的姿势同放入时一样,用洗净的手指伸入阴道内钩住弹簧圈轻轻向阴道外拉出即可。 Remove the diaphragm into the same position as when the use of clean fingers into the vagina coils hook inside the vagina to gently be pulled apart. 阴道隔膜取出后用温水或肥皂水洗净擦干,扑上滑石粉放在洁净干燥的盒子中,以备下次再用。 After the diaphragm out with warm water or soapy water to wash dry, clean Pushang powder dry on the box, and then for the next. 一般来说,一个阴道隔膜可以反复使用两年。 In general, a diaphragm can be used repeatedly for two years. 阴道隔膜不要接触油类物质(如凡士林),以免损坏乳胶膜。 Do not touch diaphragm substances other than oil (such as Vaseline), so as to avoid damage to the film emulsion. 阴道隔膜的优点是安全,没有副作用,长期使用对身体健康无影响,也不影响性生活。 Diaphragm has the advantage of safety, no side effects, long-term use had no effect on the health or life of the impact. 由于阴道隔膜的使用方法比较麻烦,目前使用者还不多。 As the diaphragm use is too much trouble to not more than the current user.

Women look at the age should be ahead of Obstetrics and Gynecology

American Medical Association recently recommended that: women for the first time to see the obstetrics and gynecology should be moved up to 13-15 years of age.
因为青春期早期这段时间是提供性教育的最好时机,医生也能借此提供有效的指导和预防性健康照护服务。 Early puberty because this is the best time to provide sex education, doctors can take to provide effective guidance and preventive health care services. 从少女的怀孕率便可以看出,许多少女应该知道的资讯其实并没有被讨论到。 From the rate of teenage pregnancy, we can see that many of the girls should know that in fact the information has not been discussed.
有数据显示85%的女性在少女时期就有强烈的性欲,而三分之一的女性在十六七岁前就已有过性行为。 Statistics show that 85% of women in the period of adolescent girls have strong sexual desire, and one-third of the women in the sixteen or seventeen-year-old has had sex before.
但是女性却很难和别人讨论性问题,而且许多关心少女健康的医生也不太愿意和青少女的父母讨论有关性的话题,因此少女和妇科医生的直接接触就变得格外重要。 However, it is difficult to women and others to discuss issues, and many people concerned about the health of young doctors are reluctant to adolescent girls and their parents to discuss the topic, the girls and gynecologist direct contact has become particularly important. 医师协会的专家认为,这样的就诊经验对于年轻的女性而言,除了能让她们充分了解生育健康知识外,也能借此机会建立一种和医生相互信赖的医患关系,让女性在未来的人生中有能力充分注意和评估自身的健康状况,减少不必要的身体损失和性传播疾病的发生。 The Medical Association experts believe that this kind of treatment experience for young women, in addition to let them fully understand the reproductive health knowledge, but also be able to take this opportunity to establish a doctor and the doctor-patient relationship of mutual trust so that women in the future Life and have the ability to give full attention to its own assessment of the state of health, reduce unnecessary loss of health and sexually transmitted diseases.

Routine gynecological examination should pay attention to the issues

Check the date of inspection should be easy to wear clothes, modest length skirts are the best choice.
检查时间应避开经期,且最好选择月经结束到排卵日之前的这段时间接受检查。 Inspection should avoid menstruation, and the best choice to the end of the period before ovulation during the period examined.
检查的前一天晚上洗澡要选择淋浴,检查前24小时内不能洗阴道内部,因为这样会把不正常分泌物和一些可能透过切片检验到的潜在癌细胞洗掉,影响医生正确诊断。 Check the night before to choose a bath or shower, 24 hours before the check can not be washed within the vagina, because it will abnormal secretions and some may slice through the examination of the potential to wash out cancer cells, the effects of a doctor correctly diagnosed.
检查的前一天晚上不要做爱,因为男方的精液和安全套上的杀精剂都可能出现在第二天的化验样本中,干扰医生的判断力。 Check the night before not to have sex, because the man's semen on the condom and spermicides may appear on the second day of the test samples, interfere with the doctor's discretion.
检查的前一天晚上不要使用任何阴道药物,任何治疗阴道感染的药剂,或者润滑剂等都会影响化验样本,覆盖异常细胞,影响检查结果。 Check the night before not to use any vaginal medicines, no pharmaceutical treatment of vaginal infections, such as lubricants or will affect the analysis of samples, covering abnormal cells and affect the results. 白带标本由妇科医师留取后立即送检,不要耽误。 Leucorrhea specimen from a gynecologist dedicated immediately after the inspection, do not delay.

Hypertrophy of the labia minora and the performance of plastic

When the labia minora to FUNG center at the bottom of the labia minora edge of the lateral distance between the more than 4 cm when the mast as the labia minora. 肥大的小阴唇形态各异,小阴唇肥大可以是对称的,也可以是非对称性的(两侧大小不一)。 Hypertrophy of the labia minora different form, the labia minora hypertrophy can be a symmetry, or non-symmetry (on both sides of the large and small). 可以是先天性的,也可以是后天性的。 Can be congenital, may also be acquired. 后天性的小阴唇肥大多数由于局部的长期慢性刺激或持续磨擦所致. Acquired most of the fat of the labia minora as a result of local or long-term chronic stimulation caused by the continued friction.
肥大的小阴唇不仅在外形上不美观,并使部分患者产生心理障碍,而且给患者生活带来褚多不便。 Hypertrophy of the labia minora, not only in the form Bumei Guan, and some patients have psychological barriers, and to the lives of patients with multi-Chu inconvenience. 如肥大的小阴唇在运动、行走、骑车或久坐时由于局部受挤压和磨擦而感到不适。 If the mast of the labia minora in the movement, walking, cycling or sedentary time due to friction and pressure by local and feeling unwell. 或在月经期由于卫生巾磨擦而疼痛,部分患者在性交时出现阻挡或疼痛不适。 Or menstrual period due to friction sanitary napkins and pain, in some patients when sexual intercourse or pain does not stop.
因此,小阴唇肥大影响正常生活时应手术治疗。 As a result, labia minora mast to be affected normal life in surgery. 然而,由于某些原因,大多数患者都羞于找医生看病,认为是见不得人的病而黙黙忍受痛苦,这是非常错误的想法。 However, for some reason, the majority of patients are ashamed to seek medical treatment, is that people can not see the disease and suffer Summerside Summerside, which is very wrong. 目前开展小阴唇肥大整形术,小阴唇肥大整形术后新形成的小阴唇色泽恢复自然,大小适度,外形美观,局部不遗留瘢痕,无手术后遗症。 At present, to carry out plastic surgery hypertrophic labia minora, labia minora plastic mast after the formation of the new labia minora to restore the natural color, moderate size, beautiful appearance, the scar left by non-local, non-surgical after-effects.