4lqedz 发表于 2024-6-25 08:24:10

17岁学霸查出直肠癌,医生痛心:有些习惯得改,别到晚期才懊悔!


    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">医馆君今天看到一个<span style="color: black;">病人</span>故事,</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">来自广东<span style="color: black;">中山大学<span style="color: black;">附庸</span>第六医院的<span style="color: black;">大夫</span>,</span></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">他<span style="color: black;">近期</span>新收治的一名<span style="color: black;">病人</span>——</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">这名17岁的高二学生,成绩优异,是冲刺北京大学的苗子,在<span style="color: black;">无</span>家族病史的<span style="color: black;">状况</span>下,<span style="color: black;">忽然</span>被诊断出直肠癌,经过直肠癌根治术以及造瘘术后,<span style="color: black;">病人</span>顺利出院了,准备进一步恢复后重返校园。</span></strong></span></p><span style="color: black;"><span style="color: black;">然而,练磊的心情仍然有些沉重,他发出<span style="color: black;">伴侣</span>圈“警告”——</span><span style="color: black;"><strong style="color: blue;">“17岁就得了直肠癌,40岁的你还有什么理由不<span style="color: black;">注意</span>胃肠体检”,</strong></span><span style="color: black;"><span style="color: black;">期盼</span>让<span style="color: black;">更加多</span>的人<span style="color: black;">注意</span>体检,<span style="color: black;">即时</span>狙击癌症警报信号,早诊断早治疗,延长<span style="color: black;">存活</span>期和<span style="color: black;">提高</span>生活质量。</span></span><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"><span style="color: black;"><span style="color: black;">微X</span><span style="color: black;">伴侣</span>圈截图</span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">连续</span>半年肛门痛,少年确诊患癌</span></strong></span></p><span style="color: black;">年仅17岁的<span style="color: black;">病人</span>小辉(化名)来自外省,在当地一所重点中学就读高二,成绩非常优秀,每次考试平均在全级前两名,<span style="color: black;">倘若</span><span style="color: black;">根据</span>正常的轨迹,他的高考志愿是<span style="color: black;">期盼</span>冲刺北京大学。</span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">图:视觉中国</span></p><span style="color: black;">然而,今年<span style="color: black;">败兴</span>,病魔悄然来袭。据<span style="color: black;">认识</span>,约半年前小辉<span style="color: black;">起始</span><span style="color: black;">显现</span>肛门<span style="color: black;">病痛</span>并进行性加重<span style="color: black;">连续</span>1月,两个月前,</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">发掘</span>自己<span style="color: black;">起始</span><span style="color: black;">显现</span>鲜红色血便,于当地县级医院行肠镜并活检示:</strong></span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">直肠下段肿物,病理疑癌。</span></strong></span><span style="color: black;">后转至当地省级医院,重新取活检,病理示腺癌。确诊后,家人带着小辉连夜赶至广州,来到了中山六院求诊。</span><span style="color: black;">接诊<span style="color: black;">大夫</span>、中山六院外六科<span style="color: black;">大夫</span>练磊仔细询问了<span style="color: black;">病人</span>的家族史,并马上为<span style="color: black;">病人</span>进行了肛门指检,<span style="color: black;">发掘</span>肿瘤下缘距肛缘不到2cm,环绕直肠约3/4周。这么低位的肿瘤,能否保得住肛门?然而这名<span style="color: black;">病人</span>才17岁,太<span style="color: black;">青年</span>了。</span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">肿瘤局部晚期实施根治术保命</span></strong></span></p><span style="color: black;">练磊找到影像科<span style="color: black;">大夫</span>专门研究了肿瘤与肛门括约肌的关系,小辉的肿瘤<span style="color: black;">位置于</span>齿状线,已突破肌外膜5-15mm,MRI分期T4bN1,EMVI(+),MRF(+)。突破肌外膜<span style="color: black;">寓意</span>着肿瘤局部浸润,局部晚期。<span style="color: black;">倘若</span>不<span style="color: black;">即时</span>手术,肿瘤会进一步侵犯<span style="color: black;">周边</span>组织,这将会对小辉<span style="color: black;">青年</span>的生命<span style="color: black;">导致</span>严重威胁。</span><span style="color: black;"><span style="color: black;">经<span style="color: black;">太多</span>学科讨论以及跟<span style="color: black;">病人</span>及家属商量后,练磊为<span style="color: black;">病人</span>进行了腹腔镜直肠癌根治术,手术<span style="color: black;">连续</span>3个半小时,术中<span style="color: black;">流血</span>量仅有50ml,即便从腹腔镜直肠癌根治术的专业<span style="color: black;">方向</span>而言,</span><span style="color: black;"><strong style="color: blue;">这<span style="color: black;">已然</span>是一台“近乎完美”的手术,但练磊却仍倍感遗憾,<span style="color: black;">由于</span>肿瘤离肛沿非常近,不足2cm,为了将肿瘤切除干净“以绝后患”,只能<span style="color: black;">没</span>奈<span style="color: black;">选取</span>为<span style="color: black;">病人</span>进行腹壁结肠造瘘。</strong></span></span><span style="color: black;"><span style="color: black;">结束漫长的手术后,看到这位<span style="color: black;">病人</span></span><span style="color: black;"><strong style="color: blue;">这么<span style="color: black;">青年</span>就需要带瘘<span style="color: black;">存活</span>,</strong></span><span style="color: black;">这名<span style="color: black;">大夫</span>心痛地跟团队成员说出<span style="color: black;">第1</span>句话,“<span style="color: black;">期盼</span>这位小<span style="color: black;">伴侣</span>不要恨我”。</span></span><span style="color: black;">尽管经过直肠癌根治术以及造瘘术后,小辉在术后<span style="color: black;">次日</span>便<span style="color: black;">能够</span>下床走路。</span><span style="color: black;"><span style="color: black;">每日</span>查房时,总是问<span style="color: black;">大夫</span>什么时候<span style="color: black;">能够</span>回去上学……</span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">不要等癌症发展到晚期才追悔莫及</span></strong></span></p><span style="color: black;">“17岁就得了直肠癌,40岁的你还有什么理由不<span style="color: black;">注意</span>胃肠体检。”带着惋惜的心情发下这条<span style="color: black;">伴侣</span>圈,练磊<span style="color: black;">期盼</span>有<span style="color: black;">更加多</span>的癌症<span style="color: black;">病人</span><span style="color: black;">能够</span><span style="color: black;">注意</span><span style="color: black;">疾患</span>的<span style="color: black;">初期</span>信号,不要等待中晚期症状严重才到医院确诊,错失最佳的治疗<span style="color: black;">机会</span>。</span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/Yk01M2bVYQaS4iacT1UrnW1fkzc9xdI7LDLibgDtYIFEHw10sE2o8HS3RrOTBPIuKrqWibjIh09mS95pgj1Ae3hjQ/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"></p><span style="color: black;">练磊介绍,小辉并<span style="color: black;">无</span>家族肠癌病史,结合手术标本的病理学特征及基因检测结果,<span style="color: black;">思虑</span>还是散发的直肠癌,经过半年的症状后,确诊时肿瘤已<span style="color: black;">出现</span>局部浸润,术标本的病理<span style="color: black;">检测</span><span style="color: black;">表示</span>肿瘤<span style="color: black;">已然</span>侵犯了<span style="color: black;">掌控</span>肛门的横纹肌。他<span style="color: black;">暗示</span>,直肠癌虽<span style="color: black;">害处</span>大,但<span style="color: black;">初期</span>诊断正确并<span style="color: black;">即时</span>治疗,五年<span style="color: black;">存活</span>率<span style="color: black;">达到</span>90%以上。</span><span style="color: black;">练磊强调:</span><span style="color: black;"><strong style="color: blue;"><span style="color: black;">血便、粘液便、大便次数<span style="color: black;">增加</span>、肛门下坠、便不尽感、肛门痛、大便变形...以上这些疑似症状,若<span style="color: black;">显现</span>1-2项,<span style="color: black;">意见</span>到医院进行直肠指诊和粪便潜血<span style="color: black;">检测</span>。</span></strong></span><span style="color: black;">若<span style="color: black;">显现</span>2项以上症状或症状<span style="color: black;">连续</span>时间较长,<span style="color: black;">意见</span>到医院进一步进行肠镜检查。</span><span style="color: black;"><span style="color: black;">患病</span>了再去看病好,</span><span style="color: black;">还是在没病的时候<span style="color: black;">重视</span>预防,</span><span style="color: black;">压根不给<span style="color: black;">疾患</span>上身的机会好?</span><span style="color: black;">脚趾头想想,肯定是后者好啊!</span><span style="color: black;"><span style="color: black;">便是</span>这个道理:重在预防。</span>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">平常</span>的生活4个方面着预防</span></strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“<span style="color: black;">膳食</span>”习惯:</span><span style="color: black;"><span style="color: black;">再也不</span><span style="color: black;">摄食</span><span style="color: black;">太多</span>高脂肪、高热量、高胆固醇食品,避免<span style="color: black;">膳食</span>过量。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“生活”习惯:</span><span style="color: black;">生活作息规律,不熬夜、劳逸结合。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“排便”习惯:</span><span style="color: black;"><span style="color: black;">注意</span>便意,不强忍大便,不久蹲厕所,<span style="color: black;">不方便</span>时分心。</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“心理状态”:</span><span style="color: black;">保持心情愉悦及<span style="color: black;">心情</span>稳定,避免躁怒、过度悲观忧虑等不良<span style="color: black;">心情</span>。</span></p><span style="color: black;"><span style="color: black;">那些</span>人是肠癌高危人群?</span><span style="color: black;"><span style="color: black;">怎样</span>进行排查?肠癌有<span style="color: black;">那些</span><span style="color: black;">初期</span>信号?</span><span style="color: black;">肠道<span style="color: black;">疾患</span><span style="color: black;">病人</span><span style="color: black;">膳食</span>应<span style="color: black;">重视</span>什么?</span><span style="color: black;">人民日报制作的这组图,非常实用▼</span><img src="https://mmbiz.qpic.cn/mmbiz_jpg/RT9XD5E0r2LsJ02OqLULJHibyOvKMOBFdZZHC6dG1QSE5PW5uMYZibfOdpibgduDJPUwYmlj1Xqun1ebCFN1XyXbg/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/RT9XD5E0r2LsJ02OqLULJHibyOvKMOBFdsJOMTqDB9GozNzUpMcjiaoWDyXfepnO1QjHOUU16t8QS8yNtchh25qA/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/RT9XD5E0r2LsJ02OqLULJHibyOvKMOBFdBzgLb1NX6yCxTDrMyMibKiboDdbjDic6oLawltLJdGu3HHibXCLKic7VIfA/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/RT9XD5E0r2LsJ02OqLULJHibyOvKMOBFd1tLltc9mAeDqjYovV8U7licHOlwP2WvYqaBlq8gpUhJMhNk9Vp3Bqqg/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/RT9XD5E0r2LsJ02OqLULJHibyOvKMOBFdVS7R5HpicpvhMQBXDKRicRNSZXffmukYoicEp6sXdplNHQ1MEHwvHT2Wg/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/RT9XD5E0r2LsJ02OqLULJHibyOvKMOBFdIBa6IKBFQaD479agv9bYeC14XuXjVB484NiaDPQPsVx4uaAFAlgwHqQ/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/RT9XD5E0r2LsJ02OqLULJHibyOvKMOBFdqSfxZ7vJ3G2AICSPAVLykVKGuLFHmN9ggxM4tVAWB2bUx7OGEetzrw/640?wx_fmt=jpeg&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;"><img src="data:image/svg+xml,%3C%3Fxml version=1.0 encoding=UTF-8%3F%3E%3Csvg width=1px height=1px viewBox=0 0 1 1 version=1.1 xmlns=http://www.w3.org/2000/svg xmlns:xlink=http://www.w3.org/1999/xlink%3E%3Ctitle%3E%3C/title%3E%3Cg stroke=none stroke-width=1 fill=none fill-rule=evenodd fill-opacity=0%3E%3Cg transform=translate(-249.000000, -126.000000) fill=%23FFFFFF%3E%3Crect x=249 y=126 width=1 height=1%3E%3C/rect%3E%3C/g%3E%3C/g%3E%3C/svg%3E" style="width: 50%; margin-bottom: 20px;"><span style="color: black;">为自己和家人健康,转发<span style="color: black;">保藏</span>!&nbsp;</span>




taiker 发表于 2024-8-25 09:39:14

哈哈、笑死我了、太搞笑了吧等。

nykek5i 发表于 2024-11-10 05:24:34

楼主的文章非常有意义,提升了我的知识水平。
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