520321923333什么意思思

春天,当心老年人得流行性脑脊髓膜炎
  人们往往认为,流行性脑脊髓膜炎(简称流脑)是儿童易患的传染病。殊不知,流脑也会侵袭老年人。如果掉以轻心,常会造成严重后果甚至危及生命。  流脑险在何处  由于老年人各脏器逐渐老化,生理功能减退,免疫力下降,一旦感染了脑膜炎双球菌后,细菌可以从呼吸道侵入血液,在血液里大量生长繁殖并释放出内毒素,极易引发多脏器功能衰竭,出现休克等险情。细菌随血液透过血脑屏障进入颅内,引起脑膜、脊髓膜化脓性改变,颅内压力升高。病情严重的还会造成脑实质的损害,出现抽搐、昏迷,甚至因呼吸衰竭而丧生。  老年人患流脑有何特点  老年人患流脑与儿童患流脑不大一样,儿童患流脑的发病高峰多在三四月份,老年人患流脑则稍滞后,多在四五月份,发病年龄多见于60~65岁,女性多于男性,农村高于城市。从临床症状上看,多数老年病人病情发展较慢,症状不典型,早期症状很轻,无特异性。常见的有咽痛、头痛、头昏,轻咳、食欲减退、低热等症状,易被当成一般感冒而忽视。也有的流脑来势凶猛,病人有头痛、呕吐、血压升高、意识障碍、脉搏缓慢等脑水肿,颅内压增高的表现。尤其是有高血压、脑动脉硬化、冠心病、糖尿病等疾患的老人,易被误认为是发生了中风,如延误治疗,常因并发脑疝而死亡。  老年流脑患者身上的瘀点或瘀斑不像儿童那样典型,瘀点和瘀斑数目少则几个,多则几十个不等,瘀斑小,与儿童大片瘀斑不同,—般分布在躯干、臀部或下肢。由于老年人皮肤老化、长有老年斑及针尖或绿豆大小的红色血管瘤,如不仔细观察,很容易被忽视。所以,应仔细检查分辨,及时做必要的检查,以明确诊断。  得了流脑怎么办  老年人患流脑一经确诊,应尽快住院隔离治疗,合理使用青霉素、复方新诺明等抗菌物;对出现脑水肿和颅内压增高的病人,要反复静滴20%甘露醇,降低颅内压,防止发生脑疝。同时,加强护理,重视并发症的防治。  如何预防流脑  老年人平时要坚持适度的运动,增强体质,乐观开朗可提高机体的抗病能力,抵御病菌侵袭;生活规律,不妄作劳,按时作息,保证睡眠;根据天气变化来增减衣服,防寒保暖;老人住室应常开窗通风,保持空气洁净,温度湿度适宜,并做到勤晒被褥、勤换洗衣服;饮食上注意营养,常吃些富含维生素的新鲜蔬菜和水果,以及大蒜、洋葱;在流脑流行季节尽量不串门,不去公共场所;如接触过流脑患儿的老人,可在医生指导下服用复方新诺明、利福平等,或用蒲公英30克、板蓝根15克,野菊花、藿香、佩兰各10克煎服,这对预防流脑有较好的作用。(实习编辑:朱小宇)【责任编辑:猪上树0815】【小ch0815】
 
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患者咨询:
大家在关注专家提醒,春天由于其特殊气候因素,老年人在生活上做到以下五忌有利身心健康:
  一忌睡眠过多。  春天人易犯困,有些老年人有睡懒觉的习惯。中医认为久卧伤气,睡眠过多,无病也会躺出病来。因为久卧会造成新陈代谢能力下降,营养障碍,气血运行不畅,筋脉僵硬不舒,身体亏损虚弱。因此,老年人在春天要早睡早起,既要保证充足的睡眠,又要防止睡眠过多,一般每天睡八小时即可。  二忌懒于活动。  春光明媚,正是老年人走出家门参加健身活动的大好时光。常到户外活动,可以尽情地呼吸新鲜空气,荡涤体内污气,增强心肺功能;还能舒适地沐浴和煦阳光,杀死皮肤上的细菌、病毒,增强机体的免疫力。  三忌衣着不当。  春天气候多变,忽寒忽暖。一天中,气候也有朝暮凉、白昼暖、午夜寒的变化。因此,老年人不要过早地脱掉棉衣,而应适当地“捂”一段时间,以便身体各个部位能够适应,这样可以防止受凉感冒,从而免除诱发肺炎、肺气肿、肺心病的危险。  四忌生冷食品。  在春天,老年人要注意饮食调理,宜多吃富有营养而又容易消化的清淡食物,不吃或尽量少吃生冷食品,以免刺激胃肠引发疾病。胃寒者早晚要喝点姜糖水,有御寒和防治感冒的双重作用。  五忌四处串门。  春天是呼吸道传染病的多发季节,由于免疫力差,所以容易感染,在疾病流行期间,老年人不要频繁出入商场、影剧院等人多的公共场所。每天用淡盐水漱口,或吃几瓣生蒜,或在室内熏醋,均有预防呼吸道传染病的良效。(实习编辑:陆少君)【责任编辑:猪上树0815】【小ch0815】
 
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大家在关注随着生活水平的提高,老百姓的保健意识也越来越强,喜吃粗粮、少吃细粮,成了当代的保健潮流。  粗粮由于加工简单,其中保存了许多细粮中没有的营养成分,比如食物纤维素较多,并且富含B族维生素和矿物质。很多粗粮还具有用价值:美国科学家发现,麸可降血脂、血糖,有利于防治糖尿病。哈尔滨医科大学一项调查也表明,荞麦对糖尿病更为有益。而玉米可加速肠蠕动,有利于肠道排毒,从而减少患大肠癌的机会。此外,它还能有效防治高血脂、动脉硬化、胆结石等。因此多吃粗粮对易患肥胖症、高血脂、糖尿病、便秘的老年人而言,是很好的选择。  然而,老年人长期、过多地吃粗粮对健康也是不利的。这是因为,老年人在加强营养时有其特殊性。进入老年期,其机体代谢率降低,生理功能减退,消化系统的调节适应能力也下降。这些生理变化使老年人的营养需求也会发生相应的变化。所以老年人吃粗粮还是要有所节制。  首先,粗粮中含有较多的食物纤维,有利于解除老年性便秘。但长期进食过多的高纤维食物,会使老年人的蛋白质补充受阻,脂肪摄入量大减,微量元素缺乏,以致使心脏、骨骼等脏器功能,以及造血功能受到影响,发生贫血,降低人体免疫力。  目前,联合国粮食与农业组织颁布的纤维食品指导大纲建议,每天的常规饮食中应含有30~50g纤维。通常来讲,在每100g食物中,麸皮含18g纤维、黄豆含11.9g、荞麦含6.5g、玉米面含2.1g、小米含1.3g。食物中以6份粗粮、4份细粮混合搭配最合理。  从营养学角度来讲,玉米、小米、大豆等单独食用不如将它们按一定比例混合食用营养价值高,因为混合可以使蛋白质起到互补作用。我们在日常生活中常吃的腊八粥、八宝粥、大米小米粥、荞麦面白面馒头、豆面白面面条等,都是很科学的粗细粮搭配混吃食物。  另外,在吃粗粮的同时要及时补充矿物质。荞麦、、玉米中的植酸含量较高,会阻碍钙、铁、锌、磷的吸收,影响肠道内矿物质的代谢水平,所以老年人吃粗粮时应增加对这些矿物质的摄入。(实习编辑:黄家欣)【责任编辑:猪上树0815】【小ch0815】
 
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