【正文】
hods of nursing45Stranguria / Gonorrhea? Nursing evaluation? Introduction on healthl 避免各種外邪入侵和濕熱內生的因素,如冷暖失宜、忍尿不解、過食肥甘,縱欲過度、外陰不潔等。l 積極治療消渴、癆瘵等原發(fā)??;減少不必要的泌尿道器械操作。l 加強鍛煉,提高機體抵抗力。 46消渴( Consumptive Disease / Diabetes)主講: 高健47Consumptive Disease / Diabetes? Definition 是以多飲、多食、多尿、身體消瘦,或尿有甜味為主要臨床表現(xiàn)的病證。 ? Cause of Disease and Pathomechanism 本證病機總屬陰虛燥熱,以陰虛為本,燥熱為標,兩者互為因果,燥熱甚則陰愈虛,陰愈虛則燥熱愈甚。病變主要在肺、胃、腎,以腎為關鍵。 48Consumptive Disease / Diabetes? Analyses of pathological conditionsl 上消: 煩渴多飲,口干舌燥,尿頻量多,舌邊尖紅,苔薄黃,脈洪數(shù)。 l 中消: 多食易饑,形體消瘦,大便干燥,苔黃,脈滑實有力。 l 下消: 尿量頻多,混濁如脂膏,或尿甜,口干舌燥,舌紅,脈沉細數(shù)?;蛐”泐l數(shù),混濁如膏,甚則飲一溲一,面色黧黑,耳輪干焦,腰膝痰軟,甚則陽痿,舌淡苔白,脈細無力。 49Consumptive Disease / Diabetes? Nursing interventionsl 上消l Principle of nursingl Entirety nursing: life care diet care drugs care other methods of nursing50Consumptive Disease / Diabetes? Nursing interventionsl 中消l Principle of nursingl Entirety nursing: life care diet care drugs care other methods of nursing51Consumptive Disease / Diabetes? Nursing interventionsl 下消l Principle of nursing:l Entirety nursing: life care diet care drugs care other methods of nursing52Consumptive Disease / Diabetes? Nursing evaluation? Introduction on healthl 節(jié)制飲食對本病的治療與護理有至關重要的意義。應限制糧食、油脂的攝人,忌食糖類,飲食宜以適量米、麥、雜糧,配以蔬菜、豆類、瘦肉、雞蛋等,定時定量;戒煙酒、濃茶及咖啡等。l 凡中年以上,反復發(fā)生瘡癤,或 “ 三多 ” 癥狀不典型而有消瘦乏力的,應積極進行有關檢查,早期診斷。l 指導患者定期監(jiān)測血糖。 53