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Thyroid cyst

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[Intro]

Thyroid cyst containing liquid bladders found in the thyroid, thyroid cysts are usually no symptoms, unless the cyst is large or there is bleeding within the cyst phenomenon, this time may cause some compression symptoms such as pain, difficulty swallowing, difficulty breathing, hoarseness. In general, thyroid cysts rarely malignant cells, usually only observe, to see if there are larger trends can be.


basic overview

thyroid cysts tumor was round, diameter between 2 and 5 cm. Smooth, and generally hurt or slight pain, move up and down with swallowing. Most of the single nodule, rare multiple nodules. thyroid intracapsular pressure is not high, the texture is more soft, if the liquid is more, the texture will be more resilient.

thyroid cyst schematic


patients with no apparent feeling, usually inadvertently found that the anterior Ministry of tumor. Usually check ultrasound diagnosis is cystic or nodular, the distinction between the thin-walled or thick-walled cyst. The cysts were benign, thyroid cancer with cyst are rare.
ultrasound can be seen within the mass of liquid dark area, and the substantive nodules difference. radionuclide imaging is more than "cold nodule". thyroid function tests within normal limits. thyroid cysts are mostly benign. With cyst of thyroid cancer is rare, about 1% -2% of the cancerous cysts cyst fluid cytology is usually able to find cancer cells. The

etiology

due to reduced body absorb the iodine thyroid hormone concentration in the blood consequent reduced nerve - humoral regulation of the pathway, the anterior pituitary secretion of large amounts of thyroid-stimulating hormone, to promote thyroid swelling, this swelling is actually compensatory enlargement of the thyroid is a shortage of thyroid function.
early expansion of the follicle is more evenly scattered in the glands of the ministries, the formation of a diffuse goiter. If not treated, the lesions continue to develop the expansion of the follicular gathered into several nodules of varying sizes, the gradual formation of nodular goiter (nodular goiter). Some nodules can occur due to poor blood supply, degeneration caused by cyst formation.

symptoms

symptoms of thyroid cysts mainly heart palpitations, chest tightness, heat intolerance, sweating, tremor, insomnia, appetite, hyperactivity, weight loss, fatigue, diarrhea, goiter and eye prominent and more acute onset of signs and symptoms of thyroid unilateral or bilateral swelling and hard, accompanied by local pain, and often to the ears, behind the top of radiation, the body may have chills, fever, more common in middle-aged women . thyroid morphology was mostly diffuse increase; some can be nodular, no pain, no systemic symptoms of thyroid cyst symptoms; individual symptoms of hyperthyroidism, the disease for a long time who may have some kind of thyroid function to reduce the symptoms, such as reducing appetite weakness, mild edema.
within the leaf of the thyroid mass, slow growth, usually single, intact membrane, clear boundaries with the surrounding normal tissue, pain and tenderness, nodular texture, medium hard, smooth surface, adhesion with the surrounding, you can move down with swallowing. Neck enlargement (goiter due), the texture is generally softer, significantly swollen cervical tumor may be protrusion of falling backward or oppressed cause shortness of breath or difficulty breathing, or caused by swallowing resistance choking feeling; from time to both the size of the nodules of nodular and hard and soft, and some nodules hard; usually no systemic symptoms. No obvious symptoms of thyroid cyst early, only the cervical area appear hard painless mass, surface uneven and rapid tumor growth rate, the upper and lower mobility when swallowing. Then, cervical lymph node metastasis; can compression symptoms such as shortness of breath, swallowing resistance choking, hoarseness, and horner syndrome (disease side miosis, upper eyelid ptosis, enophthalmos, and sweat-free face with side head) . Occurs in puberty, pregnancy or lactation, thyroid mild or moderate swelling, a smooth surface, soft texture, normal thyroid function tests, often self-healing, hyperthyroidism, hypothyroidism should be discharged and other reasons caused by goiter possibility. Most of the single nodule, occasionally multiple nodules, the diameter of 2-5 cm. The lesions were round, smooth surface, clear boundary, the majority of pain or mild pain, no tenderness, with swallowing move up and down thyroid function to check in the normal range. With cyst of thyroid cancer is rare, about 1% -2% of the cancerous cysts cyst fluid cytology is usually able to find cancer cells.
It is understood that nodular goiter in thyroid cyst about 5% ~ 20%. thyroid nodules or adenomas oppression around the vein, resulting in local blood circulation disorders, ischemia, degeneration and necrosis, interstitial congestion and edema, fluid accumulation in the formation of cysts. If the blood vessels rupture, the formation of the cyst with hemorrhage. Depending on the nature of the cyst contents can be divided into a colloid cyst, serous cysts, hemorrhagic cysts, necrosis, cyst and mixed cysts. collagen capsule is merging made by the thyroid follicular sac of fluid viscosity, light tribute color, non-iodized thyroglobulin; serous cyst more than degradation from thyroid nodules or adenomas, cyst fluid thin colorless; hemorrhagic cyst cyst fluid for the old blood was brown; and necrosis and mixed swollen cyst fluid of necrotic tissue and old blood. Simple thyroid cysts are rare, more common nodular goiter part in the clinical merger of cystic change. This is a goiter, part of the organization of vascular hemorrhage or absorption, the formation of multiple small cysts, the integration of multiple cysts form large cyst.

cyst characteristics

performance of thyroid cyst is smooth, the pressure of a tension, B ultrasonic anechoic fluid level, puncture to see that the liquid is a clear diagnosis. thyroid cyst, benign, with rare cyst of thyroid cancer, about 1% to 2%. Found that B thyroid cyst wall papillae, to be alert to the possibility of thyroid carcinoma with hemorrhage and cystic degeneration. hardener can make the wall of aseptic necrosis occurs, the wall adhesions, fibrosis, cyst occlusion, for therapeutic purposes, the success rate of 90% or more. thyroid cyst mass was circular, the diameter in the range of 2 to 5 cm. Smooth, and generally hurt or slight pain, move up and down with swallowing. Most of the single nodule, rare multiple nodules. thyroid intracapsular pressure is not high, the texture is more soft, if the liquid is more, the texture will be more resilient.

nature Depending on the nature of the cyst contents can be divided into a colloid cyst, serous cysts, hemorrhagic cysts, necrosis, cyst and mixed cysts:
● collagen-induced capsule is a combination of each other by the thyroid follicular, cystic fluid viscosity, light tribute color, non-iodinated thyroglobulin
● hemorrhagic cyst, cyst fluid for the old blood was brown
● serous cysts mostly thyroid nodules or adenomas degradation from the cyst fluid thin colorless
● necrosis and mixed cystic fluid of the swollen necrotic tissue and old blood composition.
simple thyroid cysts are rare, more common nodular goiter in the clinical part of the merger of cystic degeneration. This is a goiter, part of the organization of vascular hemorrhage or absorption, the formation of multiple small cysts, the integration of multiple cysts form large cyst.

diagnostic criteria for thyroid

(1) was unilateral or bilateral swelling, diagnosed software nodular cystic pressure of sexy local color temperature is normal, no tenderness.
(2) basal metabolism, iodine 131 determination and blood thyroxine determination to rule out hyperthyroidism, simple goiter, thyroiditis, and thyroid tumors.
(3) Ultrasonic A or B-type ultrasonic inspection, except to see the increase of thyroid volume outside and the fluid level wave.

thyroid cysts

thyroid cyst refers to the bladders containing liquid found in the thyroid, the bladders may be small (<1 cm) or very large, small thyroid cyst must be done by ultrasound can be found, thyroid cyst with the eyes can see that often the patients found that palpable nodules or physical examination by a physician, and then confirmed by ultrasound examination. thyroid cysts are usually no symptoms, unless very large or there is bleeding within the cyst are cysts, this time may cause some compression symptoms such as pain, difficulty swallowing, difficulty breathing, hoarseness. Sonography can be found in the cyst may all be liquid filled, or outside in the liquid also contains some real solid material, or because the thyroid gland has many blood vessels, and sometimes the cyst will be a bleeding tendency. In general, thyroid cysts rarely malignant cells, usually only observe, to see if there are larger trends can be. thyroid cyst may also disappear through the extraction of the fine needle, but after the extraction of the cyst is still possible recurrence. Small part of the cyst containing malignant cells, thyroid cyst extracts must be sent to cell laboratory addition, blood tests of thyroid function.
thyroid gland cysts early without any discomfort, often inadvertently found that the anterior Department masses, and some have a history of thyroid nodules. Most of the single nodule, occasionally multiple nodules, the diameter of 2-5 cm. The lesions were round, smooth surface, clear boundary, the majority of pain or mild pain, no tenderness, and move up and down with swallowing. Intracapsular pressure is not high, soft texture, touch the capsule of sexy; capsule meat more liquid when the pressure is high, but also the touch of tough. rely on palpation is difficult to make a diagnosis, then ultrasound, can accurately determine the mass was cystic or substantive nodules, and can distinguish between the thin-walled or thick-walled cyst. ultrasound examination showed mass liquid dark area, the with substantive nodules difference. radionuclide imaging is more than "cold nodule". thyroid function tests within normal limits. thyroid cysts are mostly benign. With cyst of thyroid cancer is rare, about 1% -2% of the cancerous cysts cyst fluid cytology is usually able to find cancer cells.
thyroid cysts account for about nodular goiter, 5% ~ 20%. thyroid nodules or adenomas oppression around the vein, resulting in local blood circulation disorders, ischemia, degeneration and necrosis, interstitial congestion and edema, fluid accumulation in the formation of cysts. If the blood vessels rupture, the formation of the cyst with hemorrhage.
thyroid cyst is a relatively common disease, the treatment of surgical treatment, Chinese medicine treatment of TD antibody ablation. thyroid in the neck, the neck there are some important tissues, blood vessels and nerve, then surgery, there is definitely a risk. The major complications of the surgery: postoperative respiratory difficulties and suffocation. Common causes: hemorrhage compression of the trachea; laryngeal edema; airway collapse. 2, the recurrent laryngeal nerve injury. Side of the injury can be manifested as hoarseness, on either side depending on the degree of aphonia or severe difficulty in breathing can cause suffocation. 3, the superior laryngeal nerve injury. Mainly for drinking cough. 4, tetany. Reason for the surgery may damage the parathyroid glands. Recurrence is possible.

tcm demonstrated treatment

Chinese medicine for thyroid disease attributed to a "burl" category, its causes lies, first of ferrite in patients with yin deficiency, kidney yin deficiency, the water does not bypass wood, liver yin loss of convergence. On this basis, the complex has been emotional disorders, and trauma. Nine volumes of the ancient pharmacopoeia, the needle "---" coffin "attributed to the scope of the gall tumors," to treat patients waiting on the gall climate ", said:" gall, by the fear of rage gas knot born. "Spring and Autumn Annals give all" light water, and more bald and gall ". jin Ge Hong's "rear elbow" First of all talk about the seaweed and kelp treatment of gall disease. sun ssu tang dynasty "Qian jin yao Fang", discusses the acupoints treatment of gall tumors and other diseases, the book records a number of effects herbs, such as seaweed, kelp, sheep dimple treatment of gall tumors. ming Chen Shi Gong "surgical authentic burl On the main pathological gall gas, phlegm, blood stasis, yong statement is made:" Mrs. raw gall tumor disease, non-yin and yang righteousness node swelling, blood stasis is the five internal organs, sewage, sputum Hysteresis is made. " The Chinese medicine has long been recognized to the emotional and mental factors on the occurrence. emotional depression, liver failure catharsis, the qi of the fire, if the original constitution and kidney yin deficiency, are more easily condensed liquid into sputum Yongzhi meridian Results from gall under. traditional Chinese medicine on behalf of the prescription A dissipated, King grass Gaodeng.
prescription: astragalus, raw Radix, raw oysters (Xian Jian), hedyotis diffusa 30g, Atractylodes, arrowhead Mountain, Honeycomb, rhubarb, helioscopia each 12g, cloud Poria, Prunella, raw yam, beijing Scrophularia, scutellaria barbata, sunburn turtle shell, raw yi ren 15g, Pinellia, angelica powder Dan, among the yellow, Fritillaria, gecko powder (sub-swallow) the 9g, green cohosh, taro balls (sub swallow) each 6g. 1 day, decoction 2 times service.
effect: the treatment of patients with advanced thyroid cancer lymph node metastasis, had surgery, radiation therapy, the effect could not. Two and a half after the service this side, symptoms, tumor size, following the service for six months, the mass extinction husband, discontinuation of treatment. More than four years without recurrence.
party source: yang Jun: Chinese medicine to cure advanced thyroid papillary carcinoma cases. "Chinese medicine" (1)
recipe: ① the acanthaceae grass 30g, leaves the red 30g wild build Wei, fruit 30g, dog liver dish 20g, jujube 6 Jiantang cup of tea.
the ② universally pill: seaweed, conch, sea Gefen, cuttlebone, kelp, gentian, green wood decile into powder system honeyed pill (a pill money) or tablets. Clothes twice, each time a pill.

preventive health care

thyroid cyst, try to avoid the application of iodine or reduce its amount of close observation and follow-up. With iodine for pregnant women also should be noted that to prevent newborns suffering from iodine goiter, or even died of asphyxiation. Response to water and food for the filtration and absorption of endemic iodine goiter, lower iodimetric.
iodine deficiency hash goiter, should be based on salt iodization, salt iodization of sodium or potassium iodide, the use of 1:10000 (0.01%). Daily intake of iodine 150 to 200μg reached prevention required. The world used iodized salt content varies as the specific needs of the conditions, the use of the range of 1:10 million to 1:1 million (0.001% ~ 0.01%). In recent years, the domestic application of iodized oil intramuscularly to prevent and treat adult disposable injection of iodized oil 2.5ml (iodine 1000mg) effect can be maintained for five years, the thyroid can be significantly narrowed. Children than adults (kg body weight), the iodine content of about 1 year old is 125mg, 2 to 4-year-old is 250mg iodine content of 5 to 9 years old is available in 750mg iodine content of more than 10-year-old adults reached 900 ~ 1000mg iodine content in the body due to the lipiodol absorption very slow. With an annual follow-up effects were observed.
China has a vast, varying terrain, inland iodine area Xiaoyi County, and inland iodine deficiency coexist. Coastal periodate areas such as Rizhao City, Shandong Province, can coexist with the mountainous area of ​​iodine deficiency. Therefore, more than each other adjacent to the phenomenon, and thus can not be unified with the prevention of iodine, because the patients with high iodine goiter, easily lead to the occurrence of hyperthyroidism, should attract attention. To combat goiter must be provincial and municipal separate investigation, after obtaining the basic data analysis, and treat them separately in order to effectively combat sporadic simple goiter and endemic goiter.

self-treatment

1) treatment Note

1. Eat more iodine-rich seafood, such as kelp, seaweed, shrimp, jellyfish, mussels and so on.
2. Keep the mood relaxed, calm, and try to control the mood of irritability.
3. gestational goiter in pregnancy subside on their own, usually without treatment.

2) autonomy therapy

1. Medicine since therapy
① 10% potassium iodide solution, 10 ml per serving, 3 times a day.
thyroxine tablets, 60 mg per serving, 3 times a day, and even served a month for a course of treatment.
(3) Xiaoying pill, per serving, 10 grams, 3 times a day.
2. Prescription from therapy
① take kelp, seaweed, 30 g, with Shuijianbi, 2 times a day.
② wild amaranth root 60 grams, 10 grams of brown sugar with water simmer in water, 2 times a day.
③ take arctium root 10 grams, with Shuijianbi 2 times a day.
3. Dietary self-therapyto take kelp
① 50 grams, 250 grams of tofu, taking soup, day 1.
② with seaweed 25 grams, 10 grams of shrimp, soup, seasoning food.
250 g (3) take the jellyfish (head), vinegar amount of seasoned mixed with water.
4. Outside the governance self-therapy
① take the gall amount, set the casserole, fried yellow, Yan Mo, every night before bed to wrap the affected area with vinegar, wash away the next morning for 7 days.
② smashed fresh iron feet clematis (all trees), wrap the affected area, once daily.
③ take amount cherry and grinding, juice, paint the affected area with vinegar.
④ use raw radix 60 grams, mashed, use Cuchao heat topical lesion.

3) therapeutic diet prescriptions

1. Seaweed porridge
take dried seaweed 15 grams, 50 grams of minced pork, 5 grams of salt, 1 g of monosodium glutamate, chopped green onion 5 g, 2 g of pepper, sesame oil 15 grams, 100 grams of rice. First washed seaweed, then rice, washing clean, into the pot, add water to get angry, and cooked before the end of pork, seaweed and salt, monosodium glutamate, green onion, sesame oil, Shaozhu moment to withdraw on pepper powder, served on a sub-second food.
side clearing and detoxifying the lungs and phlegm, Endometriosis, lower blood pressure, suitable for simple goiter, hyperthyroidism, cervical lymph node nuclear edema, gonorrhea, athlete's foot, cough, chronic bronchitis, hypertension, arteriosclerosis, embolism. Where the spleen and stomach and the hysteresis is unfit for human consumption.
2. seaweed soup ribs
Kelp 50 grams, 200 grams of pork ribs, rice wine, salt, MSG, sugar, onion, ginger appropriate. First kelp with blisters, washed and shredded; Wash pork ribs cut into pieces. Boil hot under the ribs, stir-fry for some time. Add the rice wine, salt, sugar, onion, ginger, and amount of water, till the ribs cooked, add kelp till tasty flavored table consumption.Ruanjian phlegm
the side, heat diuretic effect, apply to skin itching, goiter, cervical lymph node nuclear embolism.
3. pig pancreas light soup
taken porcine pancreas 1, 60 g of mussels. The first pig pancreatic cut into bars; mussels washed with water to soak for about 20 minutes into the pot, add water, simmer soup 10 minutes after the boil then add the porcine pancreas; simmer after cooking a little MSG, informal when eating. Yifei Spleen, moistening the thirst quenching effect, for diabetes, goiter, hair dry less weakness, postpartum weight loss embolism.
4. Seaweed pork soup
hair kelp with water 250 grams, 50 grams of lean pork, 150 grams of carrots, salt, MSG, soy sauce, pepper, water, onion, sliced ​​onion, pork soup right amount. The first wash the pork shredded carrots, washed and cut into filaments. Heat up a saucepan and added into the pork and stir fry until white soy sauce, pepper, water, onion, ginger, garlic and continue to stir-fry pork cooked, add the broth, salt, kelp, carrots wire cooking, skim Mo, adding MSG, table consumption.

thyroid cyst of care

thyroid cyst how care? patients should never smoke, eat greasy can not eat such as public and chicken, pork, beef and mutton, carp, shrimp, etc.; like pepper, ginger, garlic and other spicy foods can not eat.
For some elderly patients should be appropriately extended to eating liquid in order to facilitate digestion. For the able-bodied people in stable condition improved, eating normal food, gastrointestinal surgery after The diet should be liquid and semi-liquid foods easier to digest.
thyroid gland cysts diet, pay attention to what, for ambulatory patients, patients can enhance the activity of the gastrointestinal maintain defecate unobstructed, so eat a certain amount of vegetables in the diet, it is best to eat some green leafy vegetables; diet can not be a partial eclipse, dessert food should not be eaten, preferably fresh fish soup, both nutrition and increase appetite, allows patients to accelerate recovery.

nodular goiter disease etiology and pathogenesis

causes

pathogenesis and etiology of thyroid nodules is still unclear, it is likely the Department of the multi-factor due to factors such as genetics, radiology, immunization, geographical environment, causing a multi-disciplinary factors of goiter, iodine deficiency, chemical substances to stimulate the endocrine changes caused by stimulation.
goiter caused by substances, including certain foods, medicines, water pollution, soil contamination and environmental pollution, etc.; iodine deficient areas have goitre with nodular goiter popular; radiation injury can be carcinogenic, but application of 131 Ⅰ After treatment, the decades of experience and statistics prove the main side effects of the radioactive 131 Ⅰ treatment is not carcinogenic, but low thyroid function, especially in long-term dysfunction. Found in some multi-nodular goiter patients with TGA and TMA testing positive rate of 54.7%, 16.9% of the positive rate of single nodule. nodular goiter patients with congenital metabolic defects and excessive cause goiter compensatory proliferation. The lack of selenium, fluoride, calcium, chloride, and magnesium and other trace elements intake in the environment. In summary, the pathogenesis of nodular goiter is more complex, the current is still not exact, to be studied.

the pathogenesis

pathogenesis and etiology of thyroid nodules remain unclear, it is likely the Department of multi-factor due to goiter caused by factors such as genetic, radiological, immunological, geographic and environmental factors, iodine, chemicals stimulation and endocrine changes caused by stimulation. In recent years, involving factors are also closely related to biological tumor gene mutations in thyroid tissue. It was suggested that the "trigger factor - promoting factor" theory, due to the thyroid itself, goiter caused by substances and radioactive damage or carcinogenic substances to promote, causing properties of dna within the cells of the thyroid tissues, prompting tsh or immunoglobulin substance gene mutations evolving, and can lead to thyroid tissue, and even cancer. Entitled to good effect early autonomous function changes before, after treatment, hyperplasia of the thyroid nodules can be dissipated, late due to the autonomous function of nodule formation or the occurrence of other changes, the use of medication is difficult to take effect, must be surgery to remove nodules appropriate.
In short, the pathogenesis of nodular goiter is more complex, and the former is still not exact, to be studied.

thyroid thyroglossal duct cysts and fistula early symptoms

thyroid photo cysts clinical manifestations
in the neck, middle of the equivalent of the infrahyoid the thyroid cartilage site, we can see the round mass of 1 ~ 2cm diameter, smooth surface, the edge clearly cystic real sense of filling tension. Than fixed. Not up and down or left and right to promote, but with the swallowing or Shenshe movement slightly moved up and down. Small cyst palpable to a cable with links to the hyoid bone. No infection, no adhesion with the skin, tenderness, pain and tenderness, thyroglossal duct fistula formed after their own ulceration or incision and drainage discharge from the fistula often transparent or cloudy mucus fistula after a certain period of time may be temporarily closed crusted together, but soon after ulceration sap can be a recurrence, prolonged unhealed. Palpable in the depths of the fistula, and up to sneak cords organizations leading to the tongue tube bone.
thyroid photo cyst diagnosis
1. more common in children and young people. Round mass in the anterior hyoid flat, smooth surface, clear boundaries, capsule sexy, skin adhesion, to move up and down with swallowing. Along the the hyoid direction can be touched cords, the mouth Shenshe feel swollen retraction lift.
2. cyst secondary to infection, local swelling and tenderness, self-rupture or incision and drainage can be formed into the unhealed fistula.
3. mucus secretions, often with columnar and squamous epithelial cells.


[Cause]

boil is caused by what the?

infection and skin dirty, scratches, high ambient temperature or lower the body resistance to infection-related. Boils can occur in any follicles of the skin area, often to the head, face, neck, armpits and buttocks so often by the friction of the parts is more common.

(a) causes

boil the pathogenic bacteria Staphylococcus aureus based, Streptococcus, Staphylococcus epidermidis, are also caused by the disease. Local and systemic skin's resistance to infection is reduced mainly due to Benbingfasheng, so infants, malnutrition, diabetes is a good risk of this disease. Dirty skin, skin abrasions, high ambient temperatures often lead to local infection such as the direct cause.

(B) the pathogenesis

bacteria invade the hair follicle and their sebaceous glands and sweat glands, in hair follicles and surrounding tissue multiply rapidly, producing toxins, causing local tissue degeneration, necrosis, and the center of the formation of boils, the performance of local congestion, exudation, induration. Aggregation of neutrophils to the damaged body tissue cells and bacteria to be destroyed, and he gradually necrosis and dissolution, the formation of abscesses in the dermis. Due to Staphylococcus aureus, coagulase contain toxins, so the formation of pus bolt, protruding outward. Swelling and induration clinically visible in the center of a yellow-white pus plug. This is Staphylococcus aureus infected lesion characteristics. Ulceration after discharge pus, abscess gradually by the new fibrous tissue repair and healing.

[Sign]

boil the early symptoms?

1. redness, swelling, heat, pain summary, cylindrical cone.

2. inflammation to the development of nodules increases, the pain intensified.

3. A few days later nodules central necrosis, abscess formation, dissolution, soft induration, pain relief, the central pus head most of the self-rupture, discharge pus, inflammation subsided recovery.

4. furuncle usually no obvious symptoms, but if the blood flow occurred in the rich parts of the body resistance weakened, it can cause discomfort, chills, fever, headache and loss of appetite and other symptoms of toxemia.

5. Facial Boil such as intracranial infection, facial swelling and severe, may be associated with chills, fever, headache, sinus infections and other embolization.

boil because of location, severity of different clinical manifestations may vary.

local swelling and pain sclerosis: no systemic symptoms of early disease and more, only infection redness, swelling, pain, range of not more than 2cm in diameter, small nodules gradually enlarged, as papules bulge. A few days later lesions extended about 3 ~ 5cm, nodules gradually softened, the center was white, a slight touch of the fluctuations; then ulceration pus, and the emergence of yellow-white pus plug. Pus bolt off, pus shed, the inflammation subsides and healing. There is no pus boil bolt (the so-called headless boil), since the collapse a bit late, need to find ways to promote its pus discharge (Figure 2 ).

fever, swollen lymph nodes: furuncle serious infection, the local area of ​​the lymph nodes, tenderness, and may be associated with body heat, and sometimes lymph node abscess formation.

nose, upper lip and around (called "dangerous triangle") of the surface boil, add or pushed in touch, the bacteria via the angular vein, ophthalmic vein into the brain, causing intracranial suppurative infection. At this point may have fever, headache, vomiting, consciousness disorders.

early follicular redness, swelling, heat, pain, induration. After the white purulent center, there is volatility. May be associated with systemic fever, elevated white blood cell count and differential count.

[Aftertreat]

boil ate?

therapeutic side:

1. composed of: a single head of garlic, honey, 9 grams. Usage: pound evenly wrap the affected area.

2. consists of: single head of garlic amount. Usage: Peel and slice into 2 to 3 mm, with the first affected area with warm salt water when dry wash, and then sticking garlic, and gently massage the 10 to 20 minutes, 2 or 3 times a day, 2 3 There is no more. Indications: Boil, folliculitis. Note: In severe cases, such as local irritation may reduce the massage time, a serious condition should be added to serve anti-inflammatory drugs.

3 . composed of: tea 2 grams of dried honeysuckle 1 gram. Usage: boiling water 6 minutes after each meal drink in a cup. Indications: Boil, exogenous heat.

4. composed of: fresh Malan first 100 grams, the amount of liquor. Usage: Add a little salt before blindly smashed wine Ban Cheng paste, coating the surface of the skin furuncle carbuncle. Indications: furuncle, carbuncle.

5. Composition: rosin 10 grams of white wine. Usage: rosin research to fine tune white wine into a paste, resisting heat, wrap the affected area after dissolution, for the degree of responsibility to cover all of the above and then covered with wax paper and tape securely, to enhance efficacy, can drop a few drops of wine, rosin to keep moist. Indications: furuncle, carbuncle, folliculitis.

6. smashed topical papaya leaves, swollen boil carbuncle treatment drug.

7. fresh peach leaf, plug smashed the lesion, treatment of nasal furuncle.

8. rhizome or fresh banana leaves smashed Jiao Zhi, coating the surface of the skin, cure carbuncles, boils, swelling.

9. almond powder with sesame oil paint, heat treatment boil.

10. Purple cane coal deposit of the skin, powder, paint the affected area or sesame oil dressing, boil carbuncle treatment, stomatitis , eczema.

11. raw taro add a little salt, smashed drunk wrap the affected area twice a day replacement, bones can cure pain, swelling of unknown drugs, pediatric head hot boil, finger boil.

12. raw loofah (or leaf), smashed juice, coated surface of the skin, soak sore treatment days, yellow water sores, heat boils, urticaria .

13. mung bean sugar kelp: seaweed 60 grams, shredded, green beans, 150 grams, with the soup, add brown sugar to taste food. There Sedative, diuretic, soft-kin, Phlegm, scattered gall tumor effect. For hypertension, beriberi edema, neck lymphadenopathy, simple goiter, prickly heat boils hot summer day in children poison, phlegm cough embolism.

14. yi melon soup: melon (not peeled) 500-600 g, yi 50-100 grams of soup. Can be flavored with sugar or salt, on behalf of the tea used, heat, hot weather, diuretic, dehumidification effect. Drugs for Rush boils, eczema athlete's foot, yellow urine deficient.

15. Daozhi raw turnip, vinegar and rub the affected area transfer, heat treatment boil.

16. green beans 30 grams of powder, each 10 grams, water delivery service, boils cure breast swelling and pain.

17. failure to adopt the open rose 3 - 5 朵 wash, add water, two pregnant, suffering from a cup of low heat, ice sugar 30 grams, made of rose soup, until the temperature dose, to cure blood stasis amenorrhea, boils Chung pain, traumatic swelling and pain.

18. boils and pus ulceration of the skin sore or eczema, rinse with water, tea, allow the wound clean and promote healing.

19. a white sweet potato, peeled and chopped, smashed, can also be added with the same amount of fresh Houttuynia smashed, spreads in the affected area, apply to the local heating that line replace (about two three hours long), and even apply a few days more, boils cure mastitis.

20. soybeans amount, turn on the water immersed soft, add a little alum were smashed drunk, external surface of the skin, swollen boils boil treatment.

21. adzuki beans with water until soft, mash with water or vinegar, or honey or egg amount, into a paste, external surface of the skin, cure mumps, hot boil.

22. Kapok 30 - 50 grams of sugar amount, fry a bowl with water and drink two bowls and a half. Favorable moisture, heat effect. For enteritis, urethritis, eczema, summer boil embolism.

23. fresh buckwheat leaves 60 grams, Shuijianbi day one; or fried yellow noodles with the vinegar into a paste, applied to the lesion, sooner or later be replaced. Governance sore, swollen boils, erysipelas, mastitis, and swelling of unknown drugs.

appropriate patients to eat what?

1, edible grapes plus zinc salt or zinc, other foods such as soy, sunflower seeds, wheat bran, yeast, brown sugar and so on.

2, Yi Shi taste light, the cold food, such as Malan head, purslane, melon, red and white radish, bitter gourd, sponge gourd, mung bean, red bean, lily, chrysanthemum brain and celery.

patients unfit to eat what?

not eat ginger, pepper and other spicy foods , as well as mustard, yellow croaker, shrimp, crab, chicken head, goose, Zhu Tourou so fat objects.

should avoid fried foods and meat, edible oil cans.

data only refer to the specific, please ask a doctor.

[Prevent]

how to prevent boils?

boil is born of acute suppurative superficial skin disorders, widely available health, children, young people more common. "Surgical management case" that: "boil persons, birth processes, floating red rootless feet, swollen found in the skin, only the width of an inch, there is less pain, a few days later Microsoft, thin peel, the beginning of the blue water, the latter from breaking the pus out of. "The disease occurs in the summer and autumn, protruding roots shallow, swelling potential limitations, lift the red pain, mostly in the range of about 3cm, easily swollen, easy to collapse, Yi Lian. Early can be divided into a head, without the first two kinds of general light and easy to cure the symptoms, so the saying goes, "no boil the size of a pus like." ;;; ;;;;; ;;;;; ;;;;; But also due to the formation of improper treatment or care "mole cricket boils," or repeated seizures, lack of disunion. Multiple furunculosis ", is difficult to cure.

[Treat]

boil precautions before treatment?

attention to the skin clean, timely replacement of underwear and avoid skin injuries, especially in the summer, to bathe, wash your hair, hair, changing clothes, nails, children in particular should pay attention. With honeysuckle and wild chrysanthemum Jiantang tea. Boil the surrounding skin should be kept clean and coated with 70% alcohol to prevent infection spread to nearby hair follicles.

boil Chinese medicine treatment methods

total boil caused by the toxic heat treatment to detoxify the basic principles.

A Differential Treatment:

1. Heat toxin Accumulation card: lesion processes, such as cone, burning pain, or fever, thirst, tongue pink, yellow fur, rapid pulse. Detoxification. Flavors disinfection decoction.

2. Shushi heat Melancholia: seen in summer and autumn, the affected area, such as agglomeration cone, single or multiple, burning pain, chest tightness, anorexia, deficient urination, red tongue, greasy or yellowish, veins slippery. Qingshu dampness, detoxification swelling. Qingshu Decoction.

3. Is virtual evil love cards: distributed in the body, local color dark red, pus scarce, one after another, delayed healing, with fever, irritability, thirst, or fatigue, limb soft, red tongue thin yellow, rapid pulse. Righting detoxification. Liu Wei Di Huang Decoction.

Second, external treatment and other treatment:

1. The beginning of detoxification should be swelling, moderate to henbane, water reconcile, wrap the affected area. Or wishful golden powder for external application. Or green cream Waicha.

2. Pus, the clip bolt out the pus.

3. Unhealed after the collapse, sores can be a little ninety-one Dan to drugs or drug line twist into sores, topical berberine gauze.

4. Oral Meihuadianshe Dan, Niuhuangjiedu, Fang Feng Tong Sheng Wan, Liushen other medicine.

5. Unilateral prescription: Silver Flower 30g, licorice 10g, decoction, on behalf of the tea.

Western boil treatment

1. Local treatment, such as heat, physical therapy, 10% ichthyol coated ointment. Facial Boil should rest in bed should not squeeze or prick Boil, so as not to spread to the brain.

2. Swelling or have a large range of obvious symptoms, should give systemic antibiotics (third-generation cephalosporin antibiotics).

3. The formation of abscess, incision and drainage should be timely but should be avoided Boil the face cut.

(a) treatment

1. The principles of early treatment to promote inflammation subsided, after early drain purulent pus; timely elimination of systemic adverse reactions.

2. Local treatment

(1) Physical therapy: early, ultraviolet micro-irradiation, can promote local anti-inflammatory, to prevent proliferation. Swelling stage, the selection of FM, infrared and other heat, promote Boil liquid. 2 to 3 times / d, 20 ~ 30min / times.

(2) Drug eraser: 0.5% povidone-iodine scrub, the drug not only for skin irritation, and the role of long-lasting, no pigmentation. Can also be used erythromycin, tetracycline ointment.

(3) topical cream: local swelling and a small pustules, use ichthyol, wishful golden powder, Gyokuro powder and so on.

(4) incision and drainage: Boil into pus, nodules soften, a sense of volatility, you can make a small incision drainage or fire needle drainage. Taboo squeeze purulent lesions.

(5) to keep local clean and dry: adhere to local skin cleaning, daily showers are the best conditions. Young children with skin, topical lip after taking a bath in summer, to avoid the formation of multiple Boil.

3. Systemic treatment usually does not require systemic treatment of boils. But facial boils or accompanied by chills, fever, headache, general malaise, etc., should be given antibiotics. Clinical observations and experimental results show that the efficacy of penicillin, cephalothin, cefazolin and amikacin better effect.

(B) the prognosis

generally good prognosis after active treatment, without sequelae.

[Examine]

boil should be how?

1. Peripheral blood

(1) white blood cell count: fever, elevated WBC count may have.

(2) white blood cell count: white blood cell count was elevated often accompanied by increased neutrophils .

2. diabetes check

(1) fasting plasma glucose measurement: two fasting blood glucose were increased, should consider the possibility of diabetes.

(2) glycated serum protein: This clinical trial is not the impact of fluctuations in blood glucose higher than normal to help the diagnosis of diabetes.

(3) glycosylated hemoglobin: glycosylated hemoglobin and blood glucose were positively correlated, and the irreversible reaction. Diabetes is often higher than the normal 2 to 3 times.

3. bacteriologic

(1) bacterial culture: the multiple, repeated infections, abscesses can be extracted directly pus for bacterial culture, positive results will help the diagnosis of pathogens.

(2) drug susceptibility testing: bacterial culture in the pus, while line drug susceptibility testing can provide the scientific basis of clinical drug treatment.

[Diff]

boil diseases easily confused?

1. Multiple sweat gland abscesses are summer disease, more common in infants and young children and frail mother's head, forehead, etc .. Lesions of multiple subcutaneous abscesses. Surface tenderness, inflammation lighter. No pus bolt, left scars. Usually accompanied by a lot of prickly heat. Generally known as prickly heat poison. It was also known as pseudo furunculosis (Pseudofurunculosis).

2. Hidradenitis suppurativa common in young women, lesions of the skin induration. Subcutaneous abscess formation, followed by skin redness, swelling, heat, pain, ulceration scarring. Lesions occur in the armpits, groin, genital and perianal, umbilical, etc.

3. acne acne mild infection, red, swollen, painful, but the disease is small, the top a little bit like creamy.

4. sebaceous cysts sebaceous cyst infection are redness, swelling, pain, but the previous round has been painless mass over an extended period , the epidermis as usual.

5. carbuncle carbuncle with redness, swelling, pain, but there are several hair follicle infection, lesions larger than the boil.

[Disease]

hump-related diseases

juvenile osteochondrosis of vertebral osteoporosis youth sexual hump sore scoliosis ankylosing spondylitis vitamin D deficiency disease

more back symptoms

small blisters appear back back pain back spasms, back pain does not have subtle linen spine back pain sinus pain Road with sensory ataxia spinal nerve root damage spinal cord hemisection syndrome, spinal cord lesions of hemorrhagic infiltration of the spinal cord injury spinal cord infarction, cauda equina involvement across the spinal cord within the spinal cord gliosis in the spinal cord anterior horn of the spinal cord lesion cavity formed spinal thalamic tract compression


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