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【健康】这10种病,千万别自己吓自己!

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发表于 2017-7-20 02:25:01 | 显示全部楼层 |阅读模式
很多时候因为我们没有足够的医学知识,不能自医,有一点毛病就要去医院。但在医生看来,很多病听着挺吓人,其实不用治,都是瞎花钱。

1、乳腺增生—正常的生理现象
一个体检下来,10个女生8个有“乳腺增生”问题。这时很多女性往往会跑去医院问医生“乳腺增生会不会癌变成乳腺癌?”、“吃点什么药才能‘消灭’增生”。其实,大部分乳腺增生的患者根本不用治疗。
在医学上,有些乳腺增生属于正常的生理现象。最典型的莫过于经期引起的乳腺增生,女性月经前乳房会特别不舒服,感觉胀胀的,还有点痛,但生理期过了胀痛就渐渐消失。另外,一些女性为了凸显“好身材”,内衣经常会穿得过紧;亦或时最近发生了不开心的事情心情比较郁闷,精神压力比较大,同样也会引起短期的乳腺增生。
郑州大学第三附属医院乳腺科主任医师贾国丛介绍,乳腺增生其实是一种良性病变,正常的生理现象,无特别的治疗方法,极少数会发展为乳腺癌,注意定期复查即可。另外,只要每天保持良好心态,少吃含激素较高的食品,坚持适量运动就能有效缓解乳腺增生。
2、宫颈糜烂—只是名字吓人
“糜烂”一词威力巨大,第一次听到“宫颈糜烂”这个词,脑中已经脑补出“宫颈开始慢慢溃烂、发臭,进而波及整个子宫”的可怕画面。其实,这只是医学名词史上一个大失误。
在国际上,“宫颈糜烂”这个名称已经被取消,我国妇科教材也取消了这个称谓。它的真身是“宫颈柱状上皮异位”,属于正常的生理现象。
北京协和医院妇产科主任医师谭先杰介绍,宫颈糜烂是女性一种正常生理改变现象,并不能称之为病,大部分宫颈糜烂的女性只是受激素水平的影响出现上皮异位,待激素水平稳定后所谓“糜烂”情况就会得到改善。
许多女性被街边小广告忽悠,通过所谓“物理治疗”处理宫颈糜烂、宫颈炎,弄得不好还会引起无谓的感染,钱包受伤的同时还伤身,简直是大整蛊!
3、子宫肌瘤—多数都相安无事
“子宫肌瘤”这个词实在太容易让人联想到癌症了!其实,此“瘤”非彼“瘤”,子宫肌瘤的瘤多数是良性的。子宫肌瘤也是妇科体检的“常客”,几乎三分之一的妈妈级人物都会遇到。有些小肌瘤不但没有任何症状,甚至连妇科检查也难以觉察,偶尔做B超才发现。
武汉大学人民医院妇产科主任医师洪莉介绍,如果肌瘤比较小,患者无明显症状,而且查过肌瘤无恶变征象,只要定期随诊观察即可。但是 如果单个子宫肌瘤直径超过5cm,属于比较严重的情况,最好及时手术切除。
4、慢性浅表性胃炎—就是消化不良
据调查显示,慢性浅表性胃炎的检出率达80%-90%。在医院,只要你接受胃镜检查,几乎无一例外会得到这么一个最轻级别的诊断:慢性浅表性胃炎。 临床医师很难见到“胃、十二指肠未见异常”的正常胃镜报告。所以,几乎大多数人都有慢性浅表性胃炎。
南方医科大学南方医院消化科副主任医师白杨介绍,事实上,胃镜报告中的很多慢性浅表性胃炎,只是功能性消化不良或非溃疡性消化不良,并不是胃黏膜真的有了慢性炎症,完全不需要治疗。如果饭后出现饱胀、消化不良时,吃点多酶片、多种益生菌即可缓解,并不需要担心。
5、甲状腺结节—95%都是良性
另一个体检“高频”疾病就是——甲状腺结节。很多人体检一查出有“甲状腺结节”就非常紧张,认为要马上治疗,非常担心变成“甲状腺癌”!
中华医学会内分泌学分会前任主任委员滕卫平介绍,之所以很多人都有甲状腺结节的问题,主要是因为B超技术的进步,连3毫米的结节都可以看到。
事实上,1厘米以下的“甲状腺结节”完全不必担心,也不需做进一步检查。绝大多数是良性的,更不会变成“甲状腺癌”。大多数甲状腺癌是“惰性肿瘤”,即“它很懒,不爱转移,也不爱进展。”如果结节大小在1-4厘米,一定要定期做检查。
6、骨刺—是人体的自我保护
大多数人一听到有“骨刺”就立即想到拔刺,欲把刺弄掉而后快。甚至常常会和“骨裂”联系到一起,担心是不是“骨裂”导致的细小“骨刺”?大家完全被“骨刺”的名字欺骗了,骨刺其实是一种人体的自我保护。
广州中医药大学骨伤科医院骨伤三科主任医师张文财介绍,骨刺即骨质增生,是人体的一种自我保护反应,也不是引起疼痛的主要原因,而且大多数骨刺并不用治疗, 要治的话就只能治引起骨刺的原发病——骨性关节炎,比如进行减肥、选择合适的运动方式,以及药物止痛等。
7、心脏早博—没症状不用治疗
心脏在正常跳动时,如果提前出现一些跳动,就像是演奏舞曲节奏乱了点,这种情况被称为“心脏早搏”。
很多人认为查出“心脏早搏”往往会和心脏病联系起来,认为要立即治疗。事实上,花了一大堆钱,治了一个本无需治疗的病。注意:心脏早搏本身不是病,多是心脏其他问题的伴随症状。
吉林大学第四医院心内科副主任潘洪涛提醒,如果早搏是体检查出来的,患者没有任何感觉,也不影响日常生活,这种情况不用治。即使要治,最好的治疗不是用药,而是应积极化解、疏导患者的焦虑情绪。 建议这些人平时少喝浓茶、咖啡等饮品;正常作息,少熬夜。而如果心脏早搏症状明显,影响了日常生活,可以在医生的指导下用抗心律失常药对症治疗即可。
8、盆腔积液—3厘米以下不用治
“盆腔积液”听起来非常可怕,其实人体的盆腔、腹腔并不是干巴巴的一块“土地”,腹膜、大网膜、肠管等都会分泌一些液体,这些液体通常起到润滑和保护盆腹腔器官和组织的作用。

而“盆腔积液”仅是一种表现,而不是一种疾病,更确切地说是影像学对盆腔内液体的一种描述。
中国医科大学附属第一医院妇科主任张颐介绍,几乎每个女性都会有不同程度的盆腔积液,一般女性都在3厘米以下。3厘米以下可以视为正常范围,如果没有其他不舒服的症状,是不需要治疗的。
“那如果稍微多于 3cm 呢?”如果是排卵期、月经期或者月经刚结束的时候,积液可能会略有增多,但如果没有其他任何异常,即使稍微多于 3cm 也不必大惊小怪。
9、单纯性肝囊肿—小于5厘米不用治
很多人体检查出了“肝囊肿”,就像得了肝癌一样,感觉人生无望,天妒英才,其实大可不必。肝囊肿大多是先天性的,即“娘胎里带的”,并且生长非常非常缓慢,多数人更是无明显症状。如果不是体检时偶然发现,有些人甚至一辈子都不会发现。
浙江金华文荣医院外科主任施福田介绍,肝囊肿临床最常见的是单纯性肝囊肿,主要是先天性肝内胆管或淋巴管发育异常造成的,是肝脏良性的病变。
由于囊肿生长缓慢,大多数人无任何明显症状。一般小于5厘米的肝囊肿,不需做任何治疗,但有必要定期(每隔6个月或12个月)到医院做B超复查。若大于5厘米以上,应该到医院接受治疗。
10、湿疹—一瓶润肤霜就搞定
得了“湿疹”又痒又疼,很多人愁得不得了。辗转治疗,散尽千金,也不见好。然而如果医生告诉你,对付大部分湿疹,润肤霜就行! 你信吗?
其实湿疹是一种由多种内外因素引起的“皮肤过敏”反应,想要保护好皮肤,就得保护好皮肤的两层结构,一层是皮肤角质层,一层是角质层外覆盖的一层脂膜。
看似普通的润肤霜既能更好地保护皮肤屏,又能减缓刺激反应。首都儿科研究所附属儿童医院主任医师刘晓雁介绍,抹润肤霜要遵循三原则:量足、多次、按摩。
量足:在用量上,针对皮肤干燥,患有特异性皮炎的孩子,要使用超过平时润肤的用量,厚厚地抹上一层,因为量大才能起到作用,一般一周就要用完250克。
多次:除了量足,还得每天反复多次,不厌其烦地涂抹,加固保湿力度。一般而言,一天抹上4到6次才算正常。并不是洗完澡才抹,不洗澡也得抹!
按摩:除了用对量,还得学会涂法,否则三下五除二一股脑推匀,反会伤害皮肤。正确的涂抹手法是,手掌、手指形成一个扇形面,轻轻地把药膏推开,轻轻地揉,按摩,让润肤霜吸收得更均匀,给孩子揉得更舒服。同时,揉搓还能起到一个止痒,按摩皮肤的作用。
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发表于 2017-7-20 11:44:34 | 显示全部楼层

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