"Respiratory health" (phase second)Dear friends, Shuguang Hospital, lung disease, respiratory health, second and we met. This issue focuses
"Respiratory health" (phase second)
Dear friends, Shuguang Hospital, lung disease, respiratory health, second and we met. This issue focuses on the reasons for the impact of haze common respiratory hazards and preventive health care methods, lung function, and the notice of March 11th dawn East Institute haze prevention clinic and winter disease treated in summer of 2014 lung disease.
For this print, you can go to the east of the East Hospital Department of respiration ward registration address, you can also go to the good doctor website, landing Dawn Hospital Department of respiration page, view article information. If you have any questions or discomfort, you need counseling, outpatient or inpatient treatment, you can call 021 -20256372 or 20256375 contact with the Department of pulmonary medicine. May we all build a healthy body together. Notice one: welcome to participate in lectures and counseling activities
Haze raging, how should we deal with the right"
Department of pulmonary diseases,
Time: March 11, 2014
Location: Dawn East Hospital Clinic two floor hall
A lecture haze harm"
9:00 - 9:30
Haze causes and trends
9:30 - 10:00
Effects of haze on respiratory health
10:00 - 10:30
Haze and lung cancer
Miao Yan Shi
10:30 - 11:00
How should we deal with the haze
Two, the effect of haze respiratory disease clinic consultation
Time: 9:00 - 11:00
Clinic staff: Song Xiuming, Shi Miaoyan, Xu Guihua, Sun Meng
Shuguang Hospital of tuberculosis Department of TCM treating winter disease in summer, is scheduled for 14 years starting on Monday May 5th, both in the East and West lung disease outpatient appointment registration, the first to introduce preengage, see the end.
Zhang Wei, chief physician, Department of pulmonary diseases, Shuguang Hospital
This winter, the air quality index is a big city in China with a new high, Beijing's air quality index is repeatedly burst table, many days more than 500 days in Shanghai; there are more than 250, is a heavily polluted. Among them, PM2.5 index continued to rise is the main reason. Haze days is a high incidence of air pollution, but also a lot of early spring haze days in March.
In the air, floating particles many naked eye can not see, "PM2.5" refers to the diameter of the suspended particles of 2.5 mm, can deep into the tiny bronchoalveolar and deposited in the side, and these small bronchi bear the main function of human breath. In fact, PM2.5 particulate matter itself is not much threat to the human body, but it is easily attached to bacteria, viruses, heavy metals and other toxic carcinogens and pathogens. Once these with carcinogenic and pathogenic substances suspended particles deposited in the bronchus, the long-term adverse stimulus received bronchial damage occurs, diseases such as COPD, asthma, severe lung cancer may also occur.
However, the human body also has the function of self purification, including nasal and bronchial epithelium, respiratory tract, have cilia tiny particles, can be absorbed through the mucous cilia, which is excreted through the ciliotoxicity. In addition, the lungs also have phagocytic cells, bacteria, viruses and other pathogens can be eliminated. The two self purification system of the lungs, maintain a healthy balance of the human respiratory tract. But if the stimulus is too strong, serious air pollution, the number of suspended particles seriously exceed the standard, make the body self purification system is unable to load, then the balance will be broken, and a threat to health.
According to who's statistics, chronic airway disease has become the third major human health disease following hypertension and diabetes. Experts say the so-called chronic airway disease, including chronic obstructive pulmonary disease (COPD), asthma, interstitial lung fiber. It is well known that smoking is harmful to the trachea, but the effects of haze on the trachea than smoking ifheavier. First, the haze may destroy the airway mucosa; secondly, the haze may destroy the trachea cilia swing and mucus; these two reasons, together lead to high incidence of airway inflammation. This is precisely the fog and haze days many people cough, feel the root cause of discomfort.
Some of the basic history of the disease population, repeated infection increase may lead to complications, application of thymosin, inactivated Mycobacterium tuberculosis in glycoprotein, enhanced respiratory immune ability. In general, cough (for three months), phlegm, shortness of breath, shortness of breath, respiratory and other groups, are likely to be people with chronic airway risk, suggests that this type of crowd over the age of 40, should the annual lung function testing, timely detection of signs of the disease, early intervention treatment, the progression of the disease can not be ignored.
Effects of haze on respiratory health
Shuguang Hospital Xu Guihua
Harm is the main body of the haze of atmospheric particles on the respiratory system, atmospheric particles can produce direct harm to the body of the lungs, the size of the main hazards of concentration and particle size and particle diameter, concentration and particle diameter, the smaller the greater the harm. The greater the concentration, the greater the harm is easy to understand, but the smaller the particle diameter, the more harmful it? The reason is the more "clumsy", the easier it is to nasal cilia interception, it is difficult to enter the respiratory tract and alveoli.
A large number of particles into the lungs of blocking effect on local tissue, the effect of local ventilation bronchial ventilation function decline, the loss of the bronchioles and alveoli, particle adsorption of harmful gases can also stimulate even corrosion of alveolar wall, long-term effect can make the respiratory defense function damage. Although the specific mechanism of PM2.5 caused by respiratory injury is not clear, but the current evidence shows that the harm to the body of the haze is fine particles into the respiratory tract through the respiratory system (including lung), and even into the blood, and then through a series of complex possible mechanisms (including oxidative stress) of the body damage.
Currently, the impact of haze on the respiratory system is mainly caused by acute respiratory infections, bronchitis, asthma, chronic obstructive pulmonary disease, rhinitis and other diseases. On the one hand, respiratory suspended matter haze stimulation, caused by airway inflammation and airway spasm, aggravate respiratory disease, cause of chronic obstructive pulmonary disease and bronchial asthma attack; on the other hand, the adhesion of bacteria and viruses in small particles of PM2.5, quickly enter the respiratory tract, induced infection leads to chronic bronchitis, rhinitis.
Respirable particulate matter increased by 10ug per cubic meter, respiratory disease increased by 3.4%, cardiovascular disease increased by 1.4%, the total daily mortality increased by 1%. In short, the impact of haze on respiratory health is huge, we have to act to protect the environment for survival, away from haze.
Haze led to increased incidence of lung cancer
Shi Miaoyan, deputy chief physician
The incidence of lung cancer is closely related to air pollution, lung disease and smoking. Air pollution including indoor pollution, such as haze, passive smoking, fuel combustion and outdoor pollution, such as asphalt and other industrial emissions, vehicle exhaust, construction material in use, are the result of the causes of lung cancer. So there is a long-term inhalation of carcinogenic air pollution can cause lung cancer. Patients with lung disease and low immunity, or a family history of lung cancer, the possibility of lung cancer are higher than the average person. According to American scholars reported that 2 packs of cigarettes a day (more than 40), the risk of lung cancer than non-smokers increased by a factor of 63.
Haze is carcinogenic Zhong Nashan academician at a meeting of the twelve National People's Congress reiterated: "haze now seems more terrible than SARS, haze is not only on the respiratory system, cardiovascular system, has an effect on the cerebral blood vessels, nerves, Beijing ten years of lung cancer increased by 60%, this is a very alarming figure. It should be said that air pollution is a very important reason."
The establishment of the haze in haze carcinogenic theory contains many harmful substances, including harmful gases, industrial production and emissions of city vehicle exhaust pollution, construction dust, these substances form some fine particles contain harmful ingredients, the discharge of gas and dust in the inside, there is some carcinogenic substances, long-term inhalation of harmful gases is the haze.
Haze raging, how should we respond?
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine Sun Meng
In recent years, with the increasingly serious air pollution, haze weather is the large range wantonly, affect the daily life and the health of the people. According to the study showed that long-term exposure to air pollutants such as PM2.5, of human respiration, immune, cardiovascular, nervous, endocrine, reproductive and other systems will produce adverse effects, even may cause cancer.
So, in the face of raging haze, how should we correctly deal with it? Here are some suggestions for you:
First, reduce out. The most simple way to deal with haze, direct and effective way is to reduce the out. In particular, the need to avoid outdoor exercise, may be appropriate to exercise at home. If you have to go out, you should avoid the rush hour, because these two periods, serious automobile exhaust emissions, increased air pollution PM2.5.
Second, wear a mask, do a good job cleaning. Haze days out, should wear a mask, choose 8 to 12 layers of mask mask is appropriate, more than 4 hours should be replaced in a timely manner, with clean water and high temperature disinfection. Home logistics wash, gargle and wash the nose.
Third, less window, timely window. Fog and haze should be as little as possible to avoid a large number of air pollutants into the room. To avoid the peak morning and evening, choose more wind, Lee opened the window a crack, with the flow of air, 1 hours each time is appropriate.
Fourth, clean indoor health. Clean sanitation Home Furnishing should try to avoid dust, use wet cloth to wipe the furniture, keep indoor humidity, can absorb fine dust.
Fifth, the promotion of smoking cessation. Try to avoid indoor smoking, reduce air pollution.
Sixth, indoor appropriate planting plants. In the room green, evergreen, bamboo and other green plants, can improve the air quality of indoor pollutant adsorption.
Seventh, light diet, medicated food. Severe haze weather, diet should be light, balanced nutrition, eat more fruits and vegetables rich in vitamin C and other antioxidants, appropriate to eat foods rich in vitamin A, D, animal liver, meat, milk and egg, to improve immunity. Can also eat some such as tremella, lily, yam, lotus seeds, Chinese wolfberry, lungs and spleen, medicine and food ingredients, food to tune up.
Through the above methods, I believe we will be able to minimize the damage to our haze, peace through the heavy air pollution in the very period.
Lung injury factors ranking
Song Xiuming, deputy chief physician
All organs of the body to work can not be separated from oxygen, and the lungs are the only organ that transports oxygen and carbon dioxide". However, lung protection is poor, all kinds of germs and viruses, dust particles and chemical substances, often take the air "ride" invading lung, such as sponge elastic healthy lungs become hard, even like the fishing nets, full of holes.
In addition to haze, there are a lot of damage to the lungs risk factors worthy of attention. If the severity of injury in accordance with the severity of the injury factors ranked as follows:
1 air pollution. Every day, a large amount of air is inhaled into the lungs, in which the mixture of dust particles, microorganisms, chemical poisons and so on are threatening the health of the respiratory system. Even the tiny cilia lobectomy on arrangement of cleaning pollutants and bacteria, but if a long time in the air pollution, and the strong lungs will not stand. In the haze, the lungs become a 'quarry', dust and other particles are deposited in the lungs, and it is difficult to remove." In the course of time, the damaged alveolar will become black and become less elastic, feeling like cotton. In the short term, the toxicity of air will weaken lung function, induce bronchitis, asthma and other diseases; in the long run, may also lead to COPD and lung cancer. Over the past 30 years, China's public smoking rates continue to decline, the prevalence of lung cancer has increased by more than 4 times, to some extent, this is probably caused by haze days.
2 smoking. The normal lung is red, smokers lung is completely blackened." Smoking and secondhand smoke is the second largest killer of air pollution". It can damage the respiratory tract, destroy the local immune system, or even directly or indirectly. Research shows that about 40% of the chronic obstructive pulmonary disease directly caused by smoking; smoking more than 20 cigarettes a day, or smoking index (the number of cigarettes smoked per day * smoked) more than 400, lung cancer incidence will increase 7 times.
3 drugs. Drugs are the third major factors of lung injury, such as drug pneumonia, asthma, pulmonary edema, pulmonary fibrosis, pulmonary embolism, etc., may be caused by drugs. The drug pneumonia cases, penicillin can cause fever, headache, cough, shortness of breath, chest tightness, phlegm and other symptoms, can mostly disappeared after stopping drug. In addition, aspirin and Bloven antipyretic analgesic drugs may trigger asthma; methotrexate, cytarabine and other drugs may cause pulmonary edema.
4 indoor gas. Harmful and toxic ingredients in the kitchen are most likely to erode the lungs, especially fumes. A study by the Institute of oncology, Tongji University, Shanghai, showed that regular exposure to fumes of middle-aged women, the risk of lung cancer is 2 - to 3 times the normal. Renovation of the new house of harmful gases and particles are also hurt the lungs, the WHO announced that the study by radon (which exists in the decoration materials such as ceramic tile) caused by lung cancer in all regions of the lung cancer cases 3% - 14%.
5 basic diseases. Is a direct violation of respiratory diseases, such as colds, bronchitis, asthma, emphysema and lung cancer. These diseases can accelerate lung function damage to some extent.
What is the use of lung function?
The diagnosis of a disease is growing, just as the patient needs to know what the disease is and where it is located". After the diagnosis, to know how the severity of the disease, severe not serious, the future will be how to develop, it is called functional diagnosis".
For ordinary people, lung function is far less familiar with liver function, kidney function. This is because the detection means like liver and kidney functions as only blood, urine so convenient, pulmonary function to do a number of tests were also cooperated very well. At the same time, there are also a large part of the reason is that the overall development is backward, the concept, technology can not keep up, leading to the neglect of the lung function of doctors and patients. But this does not mean that lung function is insignificant, on the contrary, it is of great significance for the diagnosis and treatment of lung disease. Understand it, you can determine whether there is no risk of lung disease, so that patients with vigilance, but also can help guide doctors to treat disease, and to assess the effectiveness of treatment. In some cases, pulmonary function tests are essential for the correct diagnosis of the disease. For example, chronic cough, wheezing, cough variant asthma, pulmonary function test is the only diagnostic means.
How to judge the lung function?
When it comes to lung function, people may think of the first vital capacity. How long can hold under water breath, breath to climb a few flights of air blowing balloons can not blow much, these are the vital performance. And Zheng Jinping told reporters, lung capacity is only one aspect of the lung function, if carefully enumerated, lung function also includes the airflow limitation, expiratory flow measurement, airway resistance and other factors. According to the standard of the same height, weight, age and sex of the normal person, the examiner can judge the lung function.
However, if often cough, asthma, chest pain, breathing is not smooth, especially asthma and breathing, pulmonary function is likely to have problems, check the recommendations as soon as possible. Zheng Jinping said that in many cases, lung function has been damaged by half, the patient may not have asthma and other typical symptoms, to be found abnormal, pulmonary function damage will progress very quickly. Therefore, the earlier the examination, the more beneficial to reduce the damage of lung function.
Who should do pulmonary function tests?
Experts believe that the protection of lung function is the best to be included in the routine physical examination project, especially the risk factors of long-term smoking or frequent contact with harmful gas or dust and other people. Currently known cigarette smoking is the most important cause of lung function decline. People with asthma, chronic obstructive pulmonary disease, or chronic cough, asthma, shortness of breath and other symptoms, should be done in a timely manner to determine the diagnosis of pulmonary function. In addition, people over the age of 40, lung function slowly downhill, should be a year inspection. Obesity, less words, lazy language, the total feeling of fatigue, etc., are also suitable for pulmonary function tests.
Pulmonary function test is the most basic function of ventilation, 80% of people through this examination will be able to understand whether there is abnormal airway, abnormal degree and how the lesion. If the problem can not be carried out lifestyle intervention, removal of risk factors; problems should be further examination, treatment, follow-up, follow-up.
Protection of lung function should be how to do?
First of all, to avoid the risk factors of the stimulus: smokers; poor living environment should be away from work or move out of the environment (coal fired home for gas burning); weight loss; mental stress is too large to learn relaxation, or seek psychological help; suffering from respiratory and pulmonary diseases timely and actively the treatment of disease. These measures are of great significance to protect lung function.
Secondly, to avoid allergic factors such as allergic to pollen, not flowers and grass, wild outing to the park, but also to do preventive measures on foot; shrimp allergy, can not eat seafood; allergic to mites, should pay attention to Home Furnishing health, clean the house corner, bed sheets, quilt cover, pillowcases, curtains, bed nets Qin wash, air conditioning is often cleaning. Can effectively prevent asthma attacks.
Finally, to strengthen physical exercise. You can consult a specialist advice, but to emphasize two points: asthma patients suggested swimming, but not suitable for the elderly can run; Taijiquan, but not weight-bearing exercise, should not climb the stairs and climbing exercise.
Pulmonary function of lung disease in examination room Shuguang Hospital affiliated, the introduction of the most advanced German Jaeger spirometry testing instrument, can carry out the whole lung function project. Pulmonary function tests do not need an appointment, visit the same day can be carried out, about 30 minutes to complete the inspection report, lidengkequ. Welcome to the hospital for pulmonary function examination!
Shuguang Hospital Department of respiration "winter disease summer treatment combined therapy"
- chronic bronchitis, asthma, cough, Tixu cold again with the gospel
Shuguang Hospital Department of respiration (Department of pulmonary disease) is the focus of the State Administration of traditional Chinese medicine specialist, with over 30 years of historical experience of special therapy - "winter disease therapy", is mainly through internal and external treatment of Chinese medicine and other means, the use of drugs Wen Tongwen, with the help of hot summer time, comprehensive physical conditioning, to play to prevent and cure diseases and reduce occurrence of winter respiratory disease and the extent of effect. Mainly for disease: repeated colds, cough, asthma, chronic bronchitis, emphysema, pulmonary heart disease, pneumonia, chronic rhinitis, chronic pharyngitis, tonsillitis.
The summer season summer winter disease in remission, the viscera function is relatively stable, the condition is stable, but the human body Yang Sheng in the outside and empty on the inside, the skin of relatively loose, take TCM therapeutic methods: using oral drugs are warming gas to support, according to the constitution of the patients. Using lungssolid table, spleen, kidney qi and other treatment, expelling cold evil, to eliminate the winter disease winter chills Sugen, improve performance; two is the use of acupoint injection, acupoint external treatment method raises its deficiency of Yang, to help the growth of energy, to enhance physical fitness, health objective. External treatment at the same time with traditional Chinese medicine oral administration, internal and external treatment, in order to achieve the best therapeutic efficacy. The "dawn of Kechuan plaster" is featured with prescription Wenyang Yiqi Gubiao and relieving cough and asthma, nose efficacy, drug penetration method combined with lung, acupoints Shenshu, Tiantu acupoint and other characteristics, especially suitable for adult skin, acupuncture and medication characteristics, compared to other hospitals and departments more effective.
Shuguang Hospital Department of respiration "winter disease treatment" from slight to Chushu (early July to mid August), the characteristics of self and drug treatment, the Chinese medicine decoction daily 1 agent acupoint injection, acupoint application 2 times a week, 1-2 times a week, 6 weeks of continuous treatment, continuous treatment for 3 years. The three can be treated separately, can also be a flexible combination, can consult a doctor of lung disease. Tel: East Hospital 20256372 West Hospital, 53827479
May 5, 2014 from the dawn of the East and West Hospital Department of respiration general and expert outpatient service at the same time to start booking.
East hospital expert
Miao Yan Shi
Chen as Guangxi
Xiao Li Bi
Chen as Guangxi
Chen as Guangxi
West hospital expert
Chen as Guangxi
Xiao Li Bi
Han Min Yu
Han Min Yu
Chen as Guangxi
Miao Yan Shi
West Hospital: Monday to Friday all day Saturday morning
East Hospital: Monday to Sunday
Hospital consultation Tel: 021-20256372 20256375 Song Xiuming, Shi Miaoyan