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Zhou Yan
Geriatrics
About me
Member of the 7th Rehabilitation Professional Committee of the Chinese Society of Rehabilitation Medicine, and Chairman of the 1st Youth Committee of the Geriatric Health Medical Professional Committee of the Hunan Provincial Women Physicians Association.
Proficient in diseases
Specializes in geriatric internal medicine diseases, particularly in the rescue of cardiovascular critical illnesses such as acute coronary syndrome, hypertensive crisis, malignant arrhythmia, acute heart failure, etc.
Voices
How to treat senile vulvitis
Senile vulvitis refers to an inflammatory disease of the vulva in elderly women caused by decreased hormone levels. Common symptoms include itching or discomfort of the vulva, increased skin folds in the vulva, reduced sebaceous glands, and hair loss or thinning of the skin. For treatment, certain estrogens can be administered to increase resistance. Additionally, treatments that inhibit bacterial growth and local use of antibiotics can be provided. (Specific medications should be used under the guidance of a physician.)
How is myocarditis cured?
Myocarditis often has a self-limiting course, and viral infection is a common cause of myocarditis. Currently, there is no specific treatment for viral myocarditis. Treatments are divided into two main categories: general treatment, primarily consisting of rest. Generally, patients should rest in bed for more than three months, while also paying attention to their diet by eating easily digestible foods rich in vitamins and proteins. The second category is drug treatment, which mainly supports heart function. In cases of heart failure, diuretics, vasodilators, and ACE inhibitors should be administered. For arrhythmias, anti-arrhythmic treatment is necessary. If viral myocarditis is confirmed, antiviral treatment should be given. Additionally, drugs that enhance myocardial metabolism, such as cyclic adenosine monophosphate, coenzyme A, or adenosine triphosphate, should also be used. (Specific medication use should be conducted under the guidance of a doctor.)
What medicine should be taken for senile vulvitis?
Senile vulvitis, also known as senile vulvar atrophy, is more common among postmenopausal women. Its main symptoms include thinning and drying of the skin, reduced elasticity and looseness, wrinkling of the epidermis, atrophy of sweat glands, reduced sebaceous gland secretion, and hair loss or sparseness. Generally, the treatment principle involves hormone supplementation to increase the vaginal resistance and the use of antibiotics to inhibit the growth of bacteria.
Can arrhythmia be cured?
There are many types of arrhythmia, some of which, like sinus tachycardia, sinus bradycardia, occasional premature atrial contractions, premature ventricular contractions, and premature junctional contractions, can also occur in healthy individuals and usually do not require treatment. Another category requires treatment, such as supraventricular tachycardia, including atrioventricular nodal reentrant tachycardia, which can be cured by radiofrequency ablation. Additionally, conditions like atrial fibrillation can be treated with radiofrequency ablation; many patients may be cured, but some may not respond to this treatment and require medication instead. There are also patients with intrinsic structural heart disease presenting various arrhythmias that can only be managed with medication, not cured.
Candidal vulvovaginitis is caused by what?
Streptococcal vulvitis is an inflammation of the vulva caused by streptococci. The primary reasons for this condition are as follows: Firstly, inadequate hygiene; secondly, improper use of antibiotics, such as overuse, long-term use, or use of cleansers; thirdly, transmission through sexual activity, such as when one partner in a couple has a streptococcal vulvitis infection and transmits it to the other; fourthly, a decrease in immune resistance, such as in patients with diabetes or those undergoing chemotherapy for cancer; and fifthly, in patients with injuries to the vulva.
Criteria for Diagnosing Myocarditis
The diagnosis of myocarditis is primarily clinical, based on typical precursor symptoms, corresponding clinical manifestations, and physical signs. The precursor symptoms usually occur one to three weeks before the onset, including symptoms of a viral infection such as fever, general fatigue, and muscle soreness, or gastrointestinal symptoms like nausea and vomiting. Subsequently, symptoms such as chest tightness, palpitations, difficulty breathing, and even fainting and sudden death may occur. The physical signs generally include arrhythmias, commonly premature atrial contractions, premature ventricular contractions, or conduction blocks. There may be an increased heart rate which does not correspond to the body temperature, and there could be the presence of second or third heart sounds or gallop rhythm. A minority of patients may show signs of heart failure. Tests can include electrocardiograms, enzymatic studies, or echocardiograms, and magnetic resonance imaging may show symptoms of myocardial injury. To confirm the diagnosis, an endomyocardial biopsy must be performed.