I am a kryptonian doctor
Chapter 125
"My guess is that since ordinary examinations reveal problems, I think nerves are closely related."This time he didn't say it was this disease. After all, it would be too shocking to tell it at a glance. It's okay once or twice, but it's a coincidence that it happens every time, isn't it?
"Well, if a comprehensive inspection costs too much, then try this inspection."Zhang Zongrong nodded.
After finally getting the patient's consent, he asked the patient to go for an examination.
The reason why Zhang Zongrong believed in Yang Tian was because Yang Tian had diagnosed the patient more accurately in the past few times, so this time when he couldn't see the cause of the disease, he Ask Yang Tian for his opinion.
After listening to Yang Tian's words, he thought it made sense.
Soon, the patient paid for the examination.
The examination was quick and the patient got it in half an hour. Came back with the inspection report
"Doctor, please take a look."The middle-aged man showed Zhang Zongrong the inspection report.
Zhang Zongrong took the inspection report and read it. After reading it for about ten seconds, his face suddenly became serious. Because this inspection report is very bad.
"This patient, you have a neuroendocrine tumor in your stomach!"Zhang Zongrong said seriously. He has heard of neuroendocrine tumors, but this is the first time he has seen them.
"ah? What are neuroendocrine tumors?"The patient obviously didn't know what this was.
Anyway, it sounded serious, and his face turned pale with fright. Because tumors, tumors are cancer! Do you think cancer is scary?
"When we usually talk about lung cancer, colorectal cancer, liver cancer, and breast cancer, you can directly know that these are cancers that grow in the lungs, large intestine, liver, and breasts.
Only when these cancers metastasize will they travel to other parts of the body.
But the concept of neuroendocrine tumors is different.
Neuroendocrine tumors can occur anywhere in the body, and the most common places are the lungs, appendix, small intestine, rectum, and pancreas.
We will call this tumor a pulmonary neuroendocrine tumor or a pancreatic neuroendocrine tumor!
"Zhang Zongrong explained patiently.
At the same time, he expressed admiration for Yang Tian's diagnosis and guess!
He didn't expect Yang Tian's analysis and guess!
It was really a problem with his nerves.
"Where, where, where...will I die? Zi panicked. There is no way. When encountering this situation, the first thing many ordinary people think about is whether they will die.
"Wait a minute, I'll take a look
"Your tumor doesn't seem to be big, and you don't need chemotherapy or other treatments. You should be cured by just surgical removal! It can be considered a great blessing among misfortunes!"Zhang Zongrong said calmly.
"Phew...that means I can still be saved? That's good, that's good……"The patient took a deep breath
"Yang Tian, you are amazing!"Zhang Zongrong praised Yang Tian
"Hey, maybe I was right."Yang Tian smiled. This patient is indeed unlucky, but he is also lucky. If the tumor is too large, it will probably be difficult to treat. First of all, a lot of money is needed. For treatment, drugs such as somatostatin are used. Drugs such as long-acting octreotide inhibit the secretion of growth hormone and shrink the tumor before surgery. The current surgical cure rate is 70%.
However, this patient's situation is different. His tumor is not very large, and it is still in the stomach and elsewhere. No!
In other words, just perform surgical removal of the stomach.
"Yang Tian, this disease is quite different. Can you call Director Yang to discuss it?"Zhang Zongrong said
"Okay, I'll call him right now. Yang Tian nodded.
Soon, Yang Jinrong also came.
When he heard that it was a neuroendocrine tumor, he was obviously stunned. He has only encountered this disease once so far, five years ago!
He didn't perform the surgery at the beginning, but the previous director diagnosed it, and he was there to help.
"Director, what do you think?"Everyone looked at Yang Jinrong
"He has this kind of nerve tumor in more than half of his stomach. If he wants to have a complete surgery, then he needs a total gastrectomy! Yang Jinrong said
"ah? If my entire stomach is removed, how can I still eat?"The patient was stunned.
Well, in fact, many ordinary people think that if the entire stomach is removed, how can they eat?
Yang Jinrong smiled and said:"After the gastrectomy, food will be digested and absorbed through the small intestine.
And normal people also eat through the small intestine.
Absorb the nutrients from food.
Under normal circumstances, after gastrectomy, the patient's intestinal function can gradually recover within 1 to 3 days.
After intestinal ventilation (i.
e.
, farting), the patient can eat a small amount of clear liquid diet, such as rice soup, thin lotus root powder, honey water, noodle soup, Vegetable soup, etc.
, drink about 100 ml each time, and eat 7-8 times a day.
After 3-5 days, you can switch to rice porridge, millet porridge, steamed egg custard, egg soup, egg batter, etc.
The number of meals per day can be about 6 times.
At this stage, do not eat foods that are prone to gas production, such as milk, soy milk, etc.
, as well as foods containing high amounts of crude fiber, such as celery, bean sprouts, onions, etc.
After gastrectomy, in addition to eating small meals frequently and drinking as little water as possible when eating, you should also be careful not to eat high-sugar foods.
Patients after gastrectomy should also pay attention to appropriately adding foods containing calcium and vitamin D to their meals to facilitate bone calcification.
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