As life expectancy increases, it means that we will have to live with many chronic health problems such as cholesterol, diabetes, heart disease, cancer, etc. and must take drugs to control these conditions. However, when the disease is stable or in good progress, some drugs will be considered to be discontinued to minimize “multi-drug” and adverse interactions. The scientists found that, among more than 29,000 adults aged 65 and older, who stopped taking cholesterol-lowering medications (while maintaining other medications), had an increased risk of having a cardiovascular emergency. and death. “The results of this study suggest that cutting back on statins may not be the optimal way,” said lead author Federico Rea, of the University of Milan. The patients in the study were taking a statin (such as lipitor) along with blood thinners, blood pressure medications, and diabetes medications from October 1, 2013 to January 31, 2015, and were followed up until January 31, 2015. ends June 30, 2018. Compared with those who continued to take statins, patients who stopped taking them were 24% more likely to need hospital care for heart failure, 14% more likely to have certain other heart conditions, and more likely to die. mortality from any cause is higher than 15%. They were also 12% more likely to need emergency treatment. Because the benefits of statins outweigh the risks in terms of cardiovascular protection, physicians should carefully consider discontinuing their use in elderly patients, the researchers said. Often doctors and patients want to cut off certain medications in the elderly, to avoid having to take multiple medications at once, reduce drug burden, and limit drug interactions… However, this is not always the case. is a safe choice. When deciding to discontinue medication, the physician should carefully consider the evidence based on it. Dr. Benjamin Hirsh, Sandra Atlas Bass Heart Hospital said. The American Heart Association recommends starting statins before age 75 for patients who need it, and continuing it in patients over 75 years of age who can tolerate it. This study further reinforces the benefit of continued statin treatment in older adults, even among those taking multiple other medications. Dr. Gregg Fonarow, University of California said. Jade ( According to Drugs 6/2021 )

Pumpkin is a good food for people with colitis (Illustration from the Internet) Note that vegetables should use the young part, remove the fiber, old and hard. Dishes should be mainly cooked in the form of steaming, boiling, and limiting frying and stir-frying. In addition, you should drink enough water. Foods that should not be eaten include grilled meat, fatty meat, grilled fish, fried spring rolls, black beans, white beans, onions, raw onions, potatoes, bamboo shoots, wine, beer, coffee, carbonated soft drinks. because these foods can cause flatulence and bloating. Also, do not eat foods with a lot of lactose such as cow’s milk, with a lot of sugar such as too sweet fruits, honey, sweet candies, because these sugars will cause bloating, gas and diarrhea. Avoid hard foods such as tendons, cartilage, head, neck, chicken wings, bamboo shoots, raw vegetables, peas, cowpeas, boiled corn, boiled beans, roasted beans…

1. Circle of hands Working with the computer a lot makes you always in a state of stiff shoulders. Arm circle will help solve the condition of stiff shoulders, better blood circulation. With this movement, you are stretching your back and shoulders while doing a quick arm exercise. Start by standing upright, arms outstretched to the sides. Move the arm in small circular motions, gradually moving into larger movements. Continue making larger circles, making sure you feel a stretch in your shoulders, arms, and back. After 10 seconds, reverse the movement, making larger circles. 2. Wrist circle Typing all day can make the wrists and hands numb. Performing a wrist circle will help make your wrists more flexible. Performing this movement before resistance training exercises such as push-ups, weightlifting … also avoids injury. To do this, bend your elbows to bring your wrists in front of you. Begin to rotate your wrist in a certain direction for about 10 seconds, before turning it in the opposite direction. You can move both wrists at the same time or focus on each wrist if you want. 3. The hip circle The hip circumference (hip swing) will help the body move while stretching the back and hips. This is the perfect move to counteract tension all over the body. Start with a standing position with feet shoulder-width apart, hands on hips. Rotate hips in small circles. Gain momentum and move using larger, fuller circles with your butt. You should feel your back and hips relax. The hip circumference improves flexibility, improves blood circulation, reduces stress. Do 10 hips circles in one direction, then work in the opposite direction. 4. Ankle circle Sitting for a long time can lead to lack of circulation in the ankles and feet, which can cause them to become swollen. During the sitting process, you do not put pressure on your ankles and feet, and for a long time it can decrease flexibility and strength of your lower body. The ankle circle helps maintain range of motion and can be performed in almost any position. To do this, sit still. Bend one knee and cross the other leg so that the leg is closer to the upper body. Start rotating your ankle in one direction, then the other. Do it slowly and relax each ankle. Rotate 10 turns in each direction in each ankle. 5. Circle of legs The last move to do is the circle of legs. If sitting to work all day, the legs are relaxed, the knees are bent or the legs are crossed according to the habit. To avoid cramps or poor circulation, ideally both feet should be on the ground, right in front of you. So, always take note of where you sit. Either way, if the legs are not straightened or moved, the leg may become stiff, losing range of motion. The circle in the legs helps to circulate blood, the legs and hips move. This can be done while lying down or standing up. If standing, start with two feet shoulder-width apart, hands on hips. Pick the leg you want to move first, lift it off the ground and spin it around. Start slowly, from small circles to larger circles. Raise your legs higher as the circle gets bigger. You are also stretching your hamstrings and glutes. Make 10 circles of legs in one direction, then rotate the legs in the other direction. Continue to do the same thing on the other leg.

On a small hospital bed, young Pham Tran Le Trieu (born in 2008) is sleeping, despite the hot, sweating weather. And Pham Tran Le Tran (born in 2007), Trieu’s sister cannot sleep, sitting next to her frowning face. With a whisper, Le Tran confided: “ I have not slept well for a long time. The disease caused my child to suffer hand pain and leg pain that could not stand it. Many nights I could not sleep, and I sat holding my hands and feet. Because of that, my mother could not sleep “. Around August 2018, after long, tiring days, Le Tran was diagnosed with end stage chronic kidney failure. I had to quit school halfway to go to Children’s Hospital 2 in Ho Chi Minh City for treatment. During these 3 years, the child was treated according to the method of peritoneal dialysis (peritoneal dialysis). Recently, however, doctors discovered that conventional membranes for children are no longer effective, so they begin to combine more with hemodialysis methods. “ The doctor said that the best method and if the child can recover from the disease, only kidney transplant, but not to mention the donation, the cost for a kidney transplant is up to 600-700 million VND, my husband and I can not handle it. “Tran Hoang Bich Cam choked. In the first two years, after each visit to the hospital for re-examination, medication and infusion, Le Tran will be able to go home. But from March 2020 up to now, the health is too weak, so the child has to be hospitalized continuously for the doctor to monitor. Last Tet, Mrs. Jin’s mother and daughter had to welcome the New Year in the hospital. Because her husband did not have money, he could not visit. Two sisters Le Tran – Le Trieu both suffer from chronic kidney failure, are being monitored and treated at Children’s Hospital 2. Suffering from her daughter being abused by illnesses, Mrs. Jin felt more grief for her young son. Just now, the doctor encouraged her to prepare herself, and her son is about to transition to stage 4 chronic kidney failure. Then there will be a stage where you have to choose between peritoneal dialysis, hemodialysis or a kidney transplant. treatment. However, her family has nowhere else to rely on. Cam’s family is from the seaside of Binh Dinh province. Fishing did not bring much income so they decided to move to Phu Yen to build a life. Far from brothers, relatives, there is only one grade-four house and acacia-planted land. Pham Quang Nhat, her husband Cam used to have meningitis and stomach cancer. Due to his weak health, he could not “plow” to make money. Every day, in addition to taking care of the acacia garden, he also takes the opportunity to work as hired labor, but not much. Mrs. Cam is alone in charge of taking care of the child. In order to have money for the treatment of two sisters Le Tran, she and her husband had to quickly sell their 4-year-old acacia garden for 100 million VND. The money quickly dissipated, they planned to sell the house to save their children, but the two sisters Tran disagreed. “ The two children told us that this disease cannot be cured, if the house is sold then where the parents are. Then, when the children no longer have any more, then get somewhere to worship. I heard that my heart ached. Why is my family’s destiny so floating! “, Mrs. Jin sobbed. Not to sell the house, you only have a mortgage to borrow 100 million dong from the bank. In addition, they also borrowed about 50 million from relatives and relatives. But during the past 3 years, all are over. Cam’s eyes were red after crying silently because she loved her child. “ I am nearly 40 years old to give birth to 2 children. Thought God was merciful, who would have expected you to be so miserable. Now I do not know how to manage 7-8 million VND per month to treat my children anymore. May all the philanthropists take care of the family situation in need, save my children! “, Mrs. Jin pleaded. Khanh Hoa Any help please send to:

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The reason that the relatively low rate of early diagnosis of cancer in people is directly related to the lack of understanding of cancer related knowledge and ignoring physical symptoms.

Currently, the most common type of cancer is cancer of the internal organs, such as gastrointestinal cancer, liver cancer, lung cancer … These organs are all located in the abdominal cavity, so after developing into Cancer, the patient’s abdomen will also appear various abnormal symptoms.

If these 3 symptoms appear on the abdomen, being alert is a sign of cancer.

1. Abdominal pain

Illustration

Pain is the most typical symptom of cancer. Almost all solid internal organs in the body can become cancerous. Illness in each stage will have different levels of pain. For example, liver cancer can cause upper right abdominal pain, pancreatic cancer can cause upper middle abdominal pain, and bowel cancer can cause lower abdominal pain …

If you have been experiencing a dull, throbbing, or persistent pain in a certain part of your abdomen in recent times, but you may not be able to tell the specific location and sensation of pain. After taking the drug is not relieved and lasting more than two weeks, you need to see the hospital, because this may be a sign of cancer.

2. Ascites

Illustration

Ascites is a condition used to refer to the accumulation of pathological fluid or water in the peritoneal cavity. Clinically believed that ascites appeared not necessarily cancer, but it was definitely a sign of serious illness. Such as cirrhosis and kidney failure.

If it is not, the appearance of ascites may be related to cancer. Clinically, regardless of the type of cancer of the internal organs, as long as it invades the peritoneum, the symptom of ascites develops. In which, ascites caused by liver cancer is the most common disease, its occurrence is related to portal hypertension and decreased blood protein.

3. Bloating, loss of appetite

Illustration

Many people will blindly think that it is a common chronic stomach disease after they have symptoms such as bloating and loss of appetite. But in reality, there are many factors that cause bloating, loss of appetite, for example, after the liver, pancreas and other digestive organs have cancer, they are dysfunctional, not secreting enough bile and fluid. pancreas or interfere with excretion. In the early stages of the illness, the person may experience symptoms such as loss of appetite, nausea, bloating, and abdominal pain.

If there is no chronic stomach disease, while the above symptoms have recently appeared or do not improve after taking medication for chronic stomach problems and the symptoms last for more than 2 weeks, this may be the sign. signs of cancer, you should see your doctor.

In addition to the above 3 abnormal symptoms, if you feel a hard, irregular, painless tumor, poor mobility on your abdomen, you should also be careful of the appearance of a malignant tumor. If you experience all 3 of the above symptoms, this means you need a complete physical exam. Patients should accurately inform their doctor of their actual symptoms, age, family, and medical history before proceeding to professionally indicated examination to get the most accurate diagnosis.

The rare disease ‘lurks’ through pain in the neck and neck pain

Ms. H. was admitted to the hospital for examination in the condition of pain in the neck and neck area, right shoulder pain, and numbness increased for nearly 2 months. The pain symptoms are not related to movement, still pain, feeling heavy and reduce the strength of the right hand muscle during work. Symptoms do not improve with rest, massage, acupressure, or warm compresses.

Doctor Vu Hai Yen – Neuroscientist Specialist at Thu Cuc General Clinic – 32 Dai Tu, Hoang Mai, Hanoi, under Thu Cuc Medical System) said that Mrs. H. had a healthy history. family and 2 children, who are office workers and travel regularly by motorbike. or degenerative cervical vertebrae, a common disease in office workers. But the special thing is that through the examination, patient H. does not recognize heat and cold in his right hand, does not know pain even though his right arm is cut, his left arm is still normal. In addition, the tendon reflexes in the patient’s right arm are also reduced, even without reflexes. In the presence of these suspicious signs, I have assigned the patient to have a MRI of the spine and spinal cord to assess the condition of the injury and to rule out other related diseases..- Dr. Hai Yen said.

Magnetic resonance imaging MRI is considered “the gold standard” in the diagnosis of diseases of the brain, eye socket, spine, neck area, pelvic abdomen, musculoskeletal area, mammary gland … (illustration)

Diagnostic radiologist Nguyen Chi Phon – Thu Cuc General Clinic said: “In Ms. H.’s case, it was MRI of the spine and spinal cord with an injection of magnetic antagonist to detect nerve damage. This is the most reliable tool to diagnose hollow spinal disease. For those who suspect that the patient has a hollow spinal cord, if only X-ray or computerized CT scan is indicated, it will be difficult to accurately assess ”.

The image obtained from the MRI of Mrs. H.’s spinal cord MRI shows that in her spinal cord a hollow of fluid is formed, which accumulates to form cavities and cavities, this is a manifestation of the root. hollow marrow disease. Immediately after the results of the subclinical examination, Thu Cuc’s doctors consulted to determine the cause of the disease and find the best treatment for Ms. H.

Early detection is an important “key” to protect health even in rare cases

According to chiropractors, osteomyelitis is caused in the spinal cord forming a hollow in the center of the gray matter containing cerebrospinal fluid. Cerebrospinal fluid accumulates to form cavities or cavities that grow and cause damage to the marrow, pinching nerves, making the disease manifest as movement disorders, sensory and nutritional disorders. The disease is often discovered by chance when examining related diseases or when having symptoms such as neck and neck pain, numbness of the hands, loss of feeling of muscle weakness, muscle atrophy, loss of tendon reflexes, loss of sensation. pain or heat, especially in the hands.

It is known that syringomyelia is an uncommon chronic disease in the spinal cord with the incidence of 8.4 / 100 000 and is common in the age of 20-50 years old .. The disease can be found in the neck, chest. and lumbar, however, the most common prevalence lies in the border between the cervical and thoracic marrow.

There are many causes of myelosuppression, including some idiopathic cases (the cause cannot be determined). Some have root causes such as: birth defects of the spine; after injury; lumbar spondylitis …

The pulp is empty due to the formation in the cavity containing fluid to gradually develop, causing pressure and damage to the marrow. (illustration)

There are many causes of myelosuppression, including some idiopathic cases (the cause cannot be determined). Some have root causes such as: birth defects of the spine; after injury; lumbar spondylitis …

In Ms. H.’s case, she was idiopathic, so doctors advised that she should visit regularly every 2 months, take MRI every 6 months to evaluate and supplement vitamins of group B, Using some medicines to help relieve the symptoms of fatigue, numbness. It is necessary to limit the work that needs a lot of bending, the jobs that need sophistication in the right hand, especially the right hand. In addition, the patient needs to exercise spinal cord damage rehabilitation exercises. If the severity causes many neurological deficiencies, doctors may have to prescribe surgical intervention to draw fluid in the hollow canal to release a compression of the marrow, stopping the progression of the disease, because the empty marrow is not present. There is a radical treatment.

Currently, Thu Cuc Medical System is equipped with MRI (magnetic resonance imaging) systems in all affiliated facilities. This is considered as the “gold standard” to help detect and early detect many diseases in important organs such as the brain, abdomen, spine, joints, … this helps detect many diseases including diseases. difficult and rare cases, from which there is a way to promptly handle and intervene. In addition, the leading team of endocrine specialists in Thu Cuc will directly examine and consult interdisciplinary not to “fall” the disease and advise the best treatment for patients. Contact Thu Cuc Health System by phone number 0904.97.0909 to make an appointment.

Then tears can no longer drain down the nose as usual and will cause live tearing symptoms, irritating or causing chronic eye infections.

The pupil is a tubular system, with a special structure that begins with a scale in the inner corner of the eyelid and ends at the lower nasal slit.

Due to the anatomical feature of the tubular system, the most common pathology in the tears is obstruction. When there is an obstruction, tears are not drained down the nose, so it will flow out. Therefore, the most common symptom is watery eyes. If the obstruction process lasts for a long time, then the tear can build up in the tear duct, which can cause an infection in the tear duct. Religious practice can cause inflammation, pain …, if left for a long time, it will lead to complications in the eye.

Anyone can get sick

Pathology that causes morbidity can be found in all ages, from infants to teenagers, and the elderly. Babies after birth (especially premature babies) can also have a blocked religion, called congenital obstruction. The principle is usually caused by the process of forming the vagina in the fetus is incomplete, so the lower end of the nasal tear duct remains the obstructive membrane. Most of these cases go away on their own as they get older.

The cases of obstruction are often caused by trauma to the eye, sinuses or after surgery in the jaw sinus. Chronic eye infections such as trachoma, conjunctivitis can cause tears narrowed. Religious practice is more common in women than in men.

Image of rule of law.

Common complications

When there is an obstruction, especially an obstruction of the nasal tear duct, it can cause chronic cholecystitis. Patients often have watery eyes, accompanied by purulent discharge. The corner area in the eye can be lighter and tighter. Pressing into this area has pus oozing at the corner of the eye. If left untreated, chronic inflammation can progress to acute inflammation, causing a tear abscess, even leakage, drainage of pus. The patient often aches a lot, the corner in the eye is swollen and red.

The methods of rule of law

Many cases of congenital obstruction will improve on their own within a few months after birth when the baby’s tear drainage system is more complete or when the nasal tear duct opens. In some cases, the ophthalmologist will show you how to press the edge of your baby’s nose to dislodge the membrane.

Most cases of obstruction after a facial injury will not require supportive treatment because the tear drainage system usually takes several months to start working on its own. Therefore, the ophthalmologist will likely suggest the patient wait several months before considering surgery.

In children where the blockage does not improve on its own, or in cases of adults with semi-morbid obstruction, the doctor will intervene with a traditional method. An instrument will be used to dilate the ratio before inserting the catheter into the tear duct through this scale. The stick will be threaded down to the nose and withdrawn. After that, the religion will be pumped with normal saline to flush away the stuffy stagnant substances.

For cases where the vagina is blocked due to inflammation or scar tissue, the doctor will use a small tube thread inserted into the canal down to the nasal tear duct, inflating the balloon at the tip of the tube to expand into a narrow space. , then blow off the ball. This method requires general anesthesia.

Another method, which also requires general anesthesia, is called intubation. The doctor will insert a small piece of the tube into the tear duct through 1 or both of the tear points in the inner corner of the eye, then insert it completely down the nose and remain there for 3 – 4 months. The tip of the tube at the rate is knotted to keep the wire from falling off. This constriction will not cause discomfort.

Surgery is often the option of progressive obstruction. This method is also quite effective for young children with congenital morbidity. However, it is applied after the above methods have failed.

Nasal tear bags are often used to treat most cases of obstruction. The doctor will create a junction between the tear bag and the nose. Therefore, tears will no longer flow down the nasal tear duct, where the obstruction, as before, but flows straight into the nose with a new route. To stabilize the connection, the doctor will put the tube in and save the tube for 3 – 4 months before taking it out.

To prevent postoperative infection, nasal vasoconstrictors and eye drops will be needed. After 3-6 months, the tube placed inside is removed.

If the obstruction is caused by a compression of the tumor, surgery to remove the tumor or other methods to reduce the size of the tumor will be performed to address the cause.