Saturday, April 14, 2012

The immunological function is high, cause blood disease?

The immunological function is high, cause blood disease?
BTV Spring Festival Party of 2012 years, Tian ZhenFu appears to sing " snow in Beijing ". It is reported Tian Zhen the intersection of person who smoke with the past ten years and bad habits and customs, make her suffer from one ask " chronic blood platelet reducing purpura " for a time Blood disease.

Smoking will be suffered from too " Blood disease " ? " chronic blood platelet reducing purpura " What a kind of disease is it? For this reason, reporters have interviewed the first hospital blood head of the department Professor Ren HanYun in Peking University.

Get the cause of disease high for immunological function?

"Chronic blood platelet reducing purpura is disease that a kind of immunological function disorder causes, a lot of people are used to saying the immunological function is low, it is not in fact low, it is too high, so has produced too much resisting the blood platelet antibody, these antibodies lead to the fact the blood platelet is reduced, and it cause bleeding, symptom of the purple spot again that the blood platelet is reduced, purpura is only a kind of physical sign, this kind of disease is mainly that blood platelet is reduced. " Ren HanYun explains, chronic blood platelet reducing purpura is disease that a kind of immunological function disorder causes, the pathogenic factor is not very clear, but this kind of disease is very common, accounts for 1/3 of hematology's clinic. And this kind of disease is more common among young and middle-aged women, male 3- 4 times. "Human body normal range of blood platelet value 100,000 to 300,000, less than this range but also more to meet in the woman. "

The reporter interviewing hour learns, in fact there are very many blood disease kinds, and most is benign disease, also regard bleeding as symptom. For example chronic blood platelet reducing purpura, the earliest manifestation is bleeding, full of skin and bleed, full of nasal cavities, oral cavity mucous membrane and bleed, or internal haemorrhage spits blood etc.. As to this, Ren HanYun reminds and says, if find that there is purple patch of some of bleeding or block that the needle pitches kind on the skin, just as silt appearing after knocking against is blue and green, especially appear on the chest, inside the arms, the thigh at the place where some can not be touched at ordinary times, inspection soon as soon as possible. "Because the cause of disease of this kind of disease is indeterminate, so is unable to prevent, it is to find early that treats early that can be done. "

" favor " Young and middle-aged women

"The reducing biggest characteristic of purpura of chronic blood platelet is that the blood platelet is reduced, and the skin mucous membrane presents purple spot, it is their main signs even the viscera bleed. " Ren HanYun points out: According to the patient's age of morbidity, reduced duration and therapeutic effect of clinical manifestation, blood platelet, can be divided into acute and chronic two kinds type:

Acute: Children see more, men and women's morbidity is close. Often having illness coming on in the spring of winter, 84% of the patients have respiratory tract or other virus to infect the history in 1- 3 weeks before the onset. Get up disease to be rapid, can have, generate heat, fear cold, take place suddenly extensive serious skin bleed, the following limbs are a main fact, take the form of point-like, purpura or silt spot; Mucous membrane bleed, see more nasal cavity, gums, can the viscera bleed. If the patient has a headache, vomits, should watch out for the possibility of the intracranial hemorrhage. Courses of disease are mostly the restricting by oneself, more than 80% can relieve by oneself, the course of disease is 4- 6 weeks on average. Minority can delay for several years the above is transferred to chronically. "Purpura less than 10% the intersection of adult and the intersection of blood platelet and person who reduce. "

Chronic: Happen between 20- 50 years old more, women are more common, the morbidity is male 3- 4 times. Get up disease hide, symptom relatively light, bleed, break out repeatedly often, each bleeding last from several days to several months. The mucous membrane of skin bleeds repeatedly, regard menorrhagia as partly and mainly behave, subcutaneous hemorrhage is slight; Course of disease in above half a year, undergo system to be getting therapeutic, can break out repeatedly, delay, heal decades. A few causes anaemia because of bleeding seriously, the heavy one bleeds and jeopardizes the life.

It is totally different with leukemia

The quantity of normal blood platelet is 300,000 / cube millimetre in the blood, can reduce Wan to 40,000- 5 when being ill, when the quantity of blood platelet is dropped to 20,000, patients may present bleeding, intracranial hemorrhage, hematuria of digestive tract,etc., jeopardize the life.

The typical symptom that the blood platelet reduces is shown as and bled, is having illness coming on in earlier stage, the general patient's skin only presents the small red spot like pinpoint, it is colour-fast too that hands are pressed, the spot piece of the big one even integration. These spots can happen suddenly, spread all over whole body, but many with four limbs, and often break out repeatedly, the serious one bleeds.

"Chronic blood platelet reducing purpura is similar to some symptoms of leukemia, some patient think blood platelet purpura of reducing etc. disease to allow leukemia, psychological pressure is very great, it is in fact totally unnecessary. " Ren HanYun says, leukemia mainly relates to destruction of hematopoietic function in the bone marrow.

So, are shown as in early days: It is apt to happen blue and green and swollen, point-like to bleed: Because of reducing in the megakaryocyte which makes the blood platelet, so that the blood platelet is scarce; Anaemia: The master cell which makes the red blood cell is reduced, cause the shortage of the red blood cell. Take place asthma and dizzy at the easy to get about or sport; Have a fever continuously, it is too prolonged to heal to infect: Most leucocytes are all blood cancer cell, without normal function, lead to the fact immunity drops, easy to be infected. "Think purpura ill at present because the simple blood platelet is reduced, made the blood coagulation function become abnormal, and the blood platelet is reduced and the blood coagulation function is unusual it is only one of the symptoms of leukemia, leucocyte in leukemia patient's body, erythrocyte,etc. are abnormal, they are totally two different matters. " Ren HanYun emphasizes repeatedly.

The hormone treatment is a double-edged sword

Ren HanYun says, it is very simple to in fact check, check a blood routine at first, see whether it is the bleeding that blood platelet reducing disease caused or not. If the blood platelet value is lower really, exclude from again continuing and taking place the factor, having a look initiates because of diseases such as rheumatism, rheumatoid or lupus erythematosus,etc., then could make a definite diagnosis of not primary, send among the venereal disease originally, have percent eighty or ninety chronic blood platelet reducing purpura and disease, an acute one is only common in the child.

Speak of and treat, Ren HanYun is a bit reticent. "Not totally distinct yet because of the cause of disease of this disease, generally choose the conservative treatment, it is a hormone treatment. But employed in a large amount for a long time or medicines stop suddenly producing a lot of serious bad reactions, so must standardize and use medicine under the doctor's guidance and supervision strictly. "

For instance after hormone treatment of half a year, the blood platelet still continues reducing, and bleeding symptom breaks out repeatedly, will consider excising the spleen soon. It will not cause very direct influence on life either that the spleen is excised, but may cause immune ability to drop too. Give a recommendation like this in the world and at the therapeutic guide of our country, a lot of patient can't accept excising organning still, will often ask whether there are other methods, have too, there is not result after if does not excise or excise, consider using immune preparation, the reason why as the last choice, because it is a double-edged sword, the side effect caused is very great, except straight? Encourage the intersection of tip and key blow, lower, raise Qi the intersection of and the intersection of Zhyuan and the intersection of toe and the intersection of jasmine and silkworm mend, chisel ships of the intersection of lie and the intersection of and hoop support Kou Si crash low bank often Quiet Chai " to fire arm K Weies abundant dry up to if you can't compel, hold back emperor s shallow last s tired duckweed in Pao in sister after holding in the mouth by workshop unreasonable person Deng when shining protrudingly The flirtatious short iron rod with 4 edges of Jiao in harmony? 0% - 70% are efficient.

"In treating, a lot of patients require the blood platelet to reach the normal value. " Ren HanYun emphasizes, a lot of people are staring at the normal value, be up to 100,000, in fact this is incorrect, so long as up to the blood platelet 30,000 and does not bleed, but our therapeutic goal, the all right dead stop used medicine at this time.

Recuperate at ordinary times yes exquisite

Ren HanYun claims no matter which kind of therapeutic method is chosen, the patients should all pay attention to recuperating even more in daily life:

First of all, should pay attention to keeping hot, cause infective diseases such as cold,etc. so as not to catch a cold; The throat should reach the subsequent visit of the training in time, control and infect as soon as possible when the position is infected with, avoid causing danger because of becoming more serious in condition.

Secondly, the diet requires the high protein, high vitamin, apt to digest, avoid the pungent, greasy, amazing thing of frying, thick and hard etc.. Stool occult blood getting positive to eat half liquid food, digestive tract have person who bleed obviously should pay liquid diet. The person who has anaemia eat more restortive food, such as animal's blood, liver, laver, kelp and milk eggs,etc. with abundant iron amount, but no more than warmly and mend.

Daily food therapy can take the intersection of peanut and 15- 50 of clothing, red the intersection of date and 5- 10 fry clothes with water, have glycosuria patient can with appropriate amount of brown sugar also. Persons who it is too many to bleed, besides using the styptic medicine, can fetch 500- 1000 grams of fresh lotus root, clean, mash, squeeze juice 1- 2 bowls and take the place of tea-drinking, there are stronger clearing away heat, cool blood, styptic efficiency.

Moreover, pay attention to striking a proper balance between work and rest, avoid overworking; Appropriate sport, or taijiquan wait, take, avoid traumatism, prevent, bleed or aggravate, bleed in order to take a walk.

Finally, patient blood platelet less than 3-5 Wan, should avoid surgery, intramuscular injection, acupuncture and moxibustion, massage massage, scrape therapy, do cupping, give a hot compress to etc. to treat.

The immunological function is high, cause blood disease?

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