Daily life precautions for chronic reoccurrence

  Therefore, the following issues should be noted: pay attention to the bleeding tendency of patients, such as skin and mucous membrane bleeding, epistaxis, gum bleeding, fundus bleeding, etc., and give symptomatic and hemostatic treatment; when gastrointestinal hemorrhage occurs or there is a risk of intracranial bleeding, immediately report to the doctor, and at the same time prepare various If gastrointestinal hemorrhage or intracranial hemorrhage is present, immediately report to the doctor and prepare various rescue drugs and supplies to assist in rescue.  Keep the room clean, disinfect the air every day, and perform protective isolation for those with declining white blood cells to reduce infection.  Pay attention to oral and anal hygiene. Insist on gargling after meals and before going to bed to prevent oropharyngeal ulcers, commonly used gargling solutions include saline, compound boric acid solution, 1% hydrogen peroxide, sodium bicarbonate solution, etc.; insist on sitting in a bath with 1/5000 potassium permanganate solution after stool to prevent necrotic ulcers around the anus that can lead to sepsis.  For those with extensive bleeding of skin and mucous membrane, pay attention to maintaining the integrity of skin and mucous membrane to prevent infection, and change clothes in time for those with high fever and heavy sweating to avoid getting cold and flu.  The following side effects can occur with long-term application of androgenic drugs and should be treated and handled correctly  Acne on the skin, increased hair, thickening of the voice in children and women, menopause and masculinization in women, and hypersexuality in men.  Intramuscular injection of androgenic drug Kupropion can cause local pain and local hard lumps or even abscesses, so cooperate with medical personnel and change the injection site frequently.  Those who apply glucocorticoids should pay attention to observe the side effects.  Bleeding and infection are the two most common causes of death in patients with reoccurrence. Prevention of bleeding and infection is the most noteworthy issue in the daily care of patients with chronic reoccurrence.  The care should make patients treat the disease correctly, build up confidence and cooperate with all treatment and preventive measures. Life should be regular, nutrition should be increased appropriately, living environment should be clean, hygienic and fresh air, and visitors should be restricted appropriately to reduce the chance of infection.  Severely ill patients with extremely reduced white blood cell counts should be cared for in isolation. The patient’s skin should be kept clean to avoid infection and septicemia. Brush the teeth after meals, especially for patients with bleeding gums. Patients with blood in the mouth should be cleansed and rinsed in a timely manner, and small amounts of oral prednisone or gelatin sponge or Yunnan Baiyao can also be used to stop bleeding in a timely manner. Keep the bowels open. Patients with significantly reduced platelets should limit their activities or rest in bed to prevent fatal cerebral hemorrhage.  In addition, care should be taken to stop contact with suspected pathogenic factors in a timely manner and avoid using drugs that damage bone marrow. In case of high fever, physical cooling methods such as ice packs and alcohol baths can be used to avoid the use of antipyretics, etc.  Third, the food therapy of chronic aplastic anemia: the principles and requirements of the food therapy of repletion 1, supplementation of hematopoietic substances: although aplastic anemia is not due to the lack of hematopoietic substances, but due to repeated bleeding, it can often lead to chronic hemorrhagic anemia, thus aggravating the degree of anemia of aplastic anemia, so the food should often be supplemented with iron, folic acid, vitamin B12, vitamin B6, vitamin K, vitamin C-rich foods.  2.Supply high protein diet: The proliferation, differentiation and regeneration of various red blood cells need to rely on protein as the basis, so aplastic anemia patients need to supply high nutritional value of animal protein in their diet, such as protein-rich lean meat, eggs, fish, dairy, chicken, soy products and animal kidneys. In addition, eat more turtle, tortoise and animal bone or bone marrow soup, etc.