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16
Ai Bing Quan
General Surgery
About me
Huizhou Central People's Hospital, General Surgery Department, Attending Physician, Master's Degree in Medicine. Engaged in clinical work in the field of surgery since graduation, with rich work experience. Also involved in multiple research projects and has published relevant academic papers in various journals.
Proficient in diseases
Specializes in diagnosis and treatment of common surgical diseases, especially limb fractures, trauma, appendicitis, as well as diseases like erectile dysfunction and premature ejaculation.
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What will happen with tetanus?
In clinical settings, tetanus is a type of surgical-specific infectious disease caused by the infiltration of Clostridium tetani through human skin, mucous membranes, or wounds. Tetanus toxin is a true anaerobic bacterium that thrives in oxygen-deprived environments and is highly resistant to environmental conditions. Clostridium tetani mainly produces tetanus toxin and tetanolysin, which can cause whole-body muscle spasms, including facial muscle spasms and difficulty opening the mouth. It can also lead to persistent spasms of the respiratory muscles and diaphragm, causing respiratory arrest and, in severe cases, can result in patient death.
What department should I go to for tetanus?
Tetanus is a special type of infection that should be treated through routine surgery or emergency surgery. It is caused by the tetanus bacillus, an anaerobic bacterium typically found in feces. Tetanus is easily contracted after an injury, especially in deep wounds. Clinically, tetanus manifests initially with difficulty in opening the mouth, followed by a grimacing smile, convulsions, and respiratory difficulties later on. Preventive measures include going to the hospital immediately after an injury to have the wound cleaned at the department of general surgery or emergency surgery and concurrently receiving a tetanus serum injection.
Can you exercise with appendicitis?
During the acute onset of appendicitis, it is not suitable to exercise. This is because the patient's immune system is weakened, and exercise can exacerbate the spread of inflammation, making the appendix more likely to perforate. In cases of chronic appendicitis, as well as during the recovery period after appendix surgery, moderate activities can be performed. Exercise can be carried out after the stitches are removed, but the intensity of the exercise should not be too high. It is necessary to progress gradually, and an abdominal binder should be used to protect the incision site. It's also important to strengthen nutrition, improve physical fitness, and eat more coarse grains to maintain smooth bowel movements.
How to determine if a wound has tetanus
Tetanus wounds are mainly characterized by deep wound redness, accompanied by a certain degree of pain, and sometimes there is pus discharge. The incubation period is usually around seven days. After infection with Clostridium tetani, symptoms such as lockjaw and excessive arching of the back occur, which are caused by excessive muscle spasms. During the acute phase of clinical treatment, it is crucial to actively use antitoxins and antibiotics to treat the infection. Otherwise, muscle spasms may lead to paralysis of the respiratory muscles, ultimately resulting in death by suffocation. Prevention of tetanus is more important than treatment, and care should be taken to avoid injuries from rusty nails.
How to treat sciatica?
Patients with sciatic nerve pain must rest in bed, especially those whose pain is caused by nerve compression. They must pay close attention to keeping warm and resting regularly, and use heat application on the waist and buttocks. For medicinal treatment, the drugs are mainly divided into Western medicine and traditional Chinese medicine. Western medicine primarily uses non-steroidal anti-inflammatory drugs and neurotrophic drugs. Traditional Chinese medicine mainly uses drugs that invigorate the blood to promote the repair of nerve edema and surrounding tissue swelling. Treatment can also include acupuncture and physical therapy, particularly ultrashort wave therapy and direct current iontophoresis during the acute phase, combined with acupuncture, which can effectively promote the alleviation of sciatic nerve pain.
How to treat hemorrhoids with bleeding?
If the bleeding from hemorrhoids is not severe, treatment might not be necessary for the time being. However, it is important to be cautious in daily life. Avoid consuming spicy, cold, or greasy foods, and ensure that bowel movements are smooth to prevent constipation and diarrhea. Doing so will gradually reduce the bleeding and improve the condition. If the condition worsens and the bleeding increases, topical ointments can be applied as a treatment. Additionally, taking oral hemostatic medications and employing sitz baths as treatment methods can be beneficial. If bleeding persists repeatedly and does not improve after these treatments, or if the bleeding is substantial, surgery might be required.
Tetanus vaccination is effective if administered within a few days.
A tetanus shot is best administered within 24 hours after injury, and it is still effective if given within 48 hours. If not feasible, the injection can be administered within a week. Tetanus is caused by an infection with tetanus bacillus and is usually very severe. The incubation period for tetanus bacillus is about one week, hence, tetanus antitoxin should be administered as soon as possible after injury to prevent infection. If a tetanus antitoxin skin test is positive, tetanus immunoglobulin can be administered for immunologic skin testing. Symptoms of tetanus, when they appear, mainly include trismus, a forced grin, throat swelling, choking, opisthotonus, etc. If not promptly treated, these symptoms can lead to death.
Is tetanus painful?
Tetanus is a specific infectious disease in surgery, caused by the exotoxin of Clostridium tetani. Tetanus infection can lead to rigid muscle spasms, which is a disease with a high mortality rate. Although its treatment is difficult, the prevention is effective, so tetanus infections can be avoided by vaccinating with the tetanus vaccine. The tetanus shot includes human tetanus immunoglobulin and tetanus antitoxin serum. The injection of human tetanus immunoglobulin is administered via muscle and is not very painful, generally tolerable. The injection of tetanus antitoxin serum, being a foreign protein to the body, requires an initial sensitivity test. The pain is evident, as the sensitivity test involves a skin prick.
chances of a person getting tetanus
Tetanus is a special type of infection that can enter the human body through skin, mucous membranes, or wounds and grows and reproduces in anaerobic conditions. The likelihood of a tetanus infection depends mainly on the depth and size of the wound, as well as what caused the wound. If the wound was caused by rusty nails or unclean sharp objects, and is both deep and large, the possibility of developing a tetanus infection is higher. Conversely, smaller or superficial wounds caused by relatively clean sharp objects are less likely to result in a tetanus infection.
How to treat tetanus?
Generally speaking, a tetanus shot needs to be administered intramuscularly, but a skin test must be conducted before injection because tetanus vaccines can easily cause allergic reactions. The skin test usually involves a subcutaneous injection on the palm side of the forearm, followed by an observation period of 15 to 20 minutes. If there is no redness or itching, and the skin test is negative, then the vaccine can be administered intramuscularly, usually in the buttock. However, if the skin test is positive, as indicated by symptoms like redness, significant itching, or even systemic symptoms such as dizziness and cold sweats, it shows that the skin test for tetanus is positive. In this case, one can opt for a desensitization injection of diluted tetanus vaccine, followed by intramuscular injections four times, once every half hour, needing about two hours to complete.