【抗癌路】化療朋友都為養血而努力
#宜多吃優質蛋白質食物增強體質
#可諮詢醫師配合益氣養血治療
#星期二提升正能量
花生衣水養血
癌症病人進行化療後,都會出現程度不一的副作用,包括疲倦、嘔吐、反胃、便秘、腹瀉、口腔潰爛、脫髮等,而所有化療都會引致白血球、紅血球、血小板下降,白血球負責身體免疫力,紅血球負責輸送血液及氧氣,而血小板負責止血,所以進行化療後要注意提升白血球、紅血球及血小板指數,飲用花生衣水是其中一個方法,從中醫角度來看,花生衣性平,有止血功效,亦能促進骨髓製造血小板,化療病人可以用花生衣煲水全天飲用。花生衣要自己買花生回來取衣嗎?不用啊!花生衣是中藥的一種,在藥材舖有售。
而對一般人來說,花生衣具有養血功效,所以下次煮花生時,不用花時間給花生去衣了,連衣一起吃更有益呢!
花生衣 — 性平,有良好的止血作用,其止血功效是花生仁的50倍,能抗纖維蛋白溶解,有促進骨髓製造血小板的功能,縮短出血時間。
花生衣水
功效:養血止血,促進骨髓製造血小板。
材料:花生衣1飯碗、蘋果2個、蜜棗2枚
做法:
1. 花生衣浸泡數次洗淨瀝乾放入魚湯袋備用,其他材料洗淨,蘋果去皮去芯切塊 。
2. 鍋中加入約1000毫升水,放入全部材料,以武火煮至水滾,調文火煮約45分鐘即成。剩下的花生衣水放入冰箱中儲存,再飲用時候記得以熱水座暖。
注意:如陰虛火旺症狀明顯,可以雪梨2個代替蘋果,如有便秘則可以無花果4枚代替蜜棗。
Peanut coat water can nourish blood
After cancer patients receive chemotherapy, there will be varying degrees of side effects including fatigue, vomiting, nausea, constipation, diarrhea, oral ulcers, hair loss. All forms of chemotherapy will cause a decrease in white blood cells, red blood cells and platelet. White blood cells are responsible for human immunity, red blood cells are responsible for transporting blood and oxygen, and platelets are responsible for stopping bleeding. Therefore, it is important to pay attention to red and white cell count and platelet index after chemotherapy. Drinking peanut coat water can help. From Chinese medicine perspective, peanut is mild in nature and has an effect to stop bleeding and strengthen bone marrow to produce platelets. Patients receiving chemotherapy can boil peanut coat water and drink during the whole day. Is it necessary to take out the skin from peanut by yourself? No! Peanut coat is a kind of Chinese medicine, which is found at medicinal shops.
For a general person, peanut coat has the effect of nourishing blood, so the next time you cook the peanuts, you do not need to spend time to take out the peanut coats. It is more beneficial to eat together.
Peanut coat- mild in nature, has a good effect to stop bleeding, towards 50 times that of peanut kernels, can resist fibrinolysis, has the function of promoting bone marrow to produce platelets, and shorten bleeding time.
Peanut coat water
Effects: nourishes blood and stops bleeding, promotes marrow to produce platelets
Ingredients: 1 bowl of peanut coat, 2 apples, 2 candied dates
Preparation:
1. Soak the peanut coats several times, drain and put those into the fish soup bag for later use. Rinse other ingredients, peel and core the apple and cut into pieces.
2. Combine all ingredients with 1000ml of water in a pot and cook on high heat until boiling. Turn to low heat and simmer for 45 minutes. Store the rest of the peanut coat water in the refrigerator. When drinking, remember to warm in a hot water bath.
Note: If the symptoms of yin deficiency with excess fire are obvious, you can replace apples with 2 pears. Use 4 figs instead of candied dates if you have constipation.
#男 #女 #我疲憊 #血虛
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fibrinolysis 在 加護病房查房日誌 Facebook 的最佳貼文
加護病房查房日誌20150119
昨天晚上老師看了一部電影叫做自由之心,有看過的同學舉手,從知道有這部電影開始,我就很想看,昨天真的看了之後,真的是非常沉重的一部電影阿。那種感受是非常強烈的,也或許我從前就對黑人這類種族探討的議題,特別有感覺,所以看的時候,總會有很多的畫面。我始終無法了解,為什麼當時白人能做出這樣慘忍的事情,還覺得自己是對的。人不論膚色,職業,都不應劃分階級,人人生而平等才是對的。
今天我們再來分享針對STEMI後的處理流程,大家可以看圖片,老師將流程用圖表的方式呈現給大家。
基本上就是要選擇再灌流的策略,而強烈建議要做Primary percutaneous coronary intervention (PCI) 尤其是cardiogenic shock, heart failure,不能做 fibrinolysis的病人。
病人的症狀已經大於12小時的話,就不能用fibrinolytic therapy,但可考慮PCI,尤其是病人有證據是正在心臟缺血或是高風險死亡的病人。
另外所有病人都要給抗血小板和抗凝血的藥物治療。
抗血小板:
1. 病人用fibrinolytic therapy: 小於75歲給clopidogrel loading dose 300 mg,大於75歲給loading dose of 75 mg
2. No reperfusion therapy: 給ticagrelor loading 180 mg
3. 病人做PCI: 給ticagrelor loading dose of 180 mg or prasugrel loading dose of 60 mg (且病人無禁忌症,包括: 之前有中風或TIA, 或prasugrel的相對禁忌症:年紀大於75歲或體重小於60公斤),若有出血高風險,或是不能用ticagrelor or prasugrel,可用clopidogrel 600 mg
抗凝血劑:
病人做PCI,且用ticaagrelor, prasugrel的話,建議用unfractionated heparin (UFH),若病人用clopidogrel的話,建議用bivalirudin。
病人用fibrinolysis: 若非高出血風險的話,建議用enoxaparin,高出血風險用fondaparinux
病人沒有reperfusion therapy的話: 建議用enoxaparin或UFH。
劑量的部分,這邊我就先不講。
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