latelenovela Chapter 520
Chapter 520
"Let's go for a full check-up... The inspection I did a few days ago, I don't have to do it today, save some money..."
Lin Feng said so,
Patient Zhang Suhua quickly thanked him.
Lin Feng prescribed blood routine, urine routine and so on...
The patient holds the checklist and goes for various tests.
......
An hour later,
The results of the examination are out.
"Huh..."
Lin Feng took the "blood routine" and immediately saw the problem.
Hemoglobin is only 58g/L (reference value 120-150)
This is severe anemia!
Above 90 is mild anemia, 60-90 moderate anemia, below 60 is severe anemia. Patient Zhang Suhua is severely anemia!
Lin Feng couldn't help but guess:
Such severe anemia has a very large potential for dizziness.
If the blood supply is not enough for the brain, then the brain function is bound to be impaired, such as dizziness, nausea, etc., and even a short coma in severe cases.
This is a very reasonable inference.
Looking at the patient's face again, it was indeed a little pale, at first Lin Feng thought that it was caused by dizziness and vomiting, but now it is estimated that it should be excessive blood loss.
So here's the problem.
Why is there anemia?
Blood, is it lost for a short time, or for a long time?
As mentioned earlier,
The causes of anemia are nothing less: less hematopoiesis, more blood loss!
Then, Lin Feng asked: did he vomit blood, his aunt's bleeding was normal and abnormal, his stool was black or not, what was the history of disease (hemolytic anemia), whether he had hemorrhoids...
Asked a bunch ...
(It has already been written before, so I will not write in detail)
In the end, nothing special was discovered.
At this time,
The son of the patient Zhang Suhua suddenly said:
"Doctor, if you are anemia, is it related to fava bean disease? My uncle seems to have broad bean disease..."
“.................."
Lin Feng's face was stunned.
A little angry.
"What's going on with you guys? There is such an important medical history, why not say!! "
Faba bean disease will be hemolytic, red blood cells will be destroyed, and naturally severe anemia.
"Hemolysis": red blood cells rupture, hemoglobin escape is called erythrolysis, referred to as hemolysis. It can be caused by a variety of physicochemical factors and toxins (causes: cold, acid-base, toxic, hypotonic solution, mechanical strong shock).
And there is a category of people who have a "fava bean disease", which is also hemolytic anemia.
Fava bean disease is a type of glucose-6-phosphate dehydrogenase deficiency, patients who lack this enzyme, red blood cells are very unstable, manifested as hemolytic anemia caused by eating broad beans, but the specific mechanism of hemolysis is unknown (not studied).
That's right
Faba bean disease is a genetic disease.
So if the patient's brother also has broad bean disease, then Zhang Suhua is also likely to have broad bean disease.
Lin Feng looked at the patient seriously: "Have you eaten broad beans recently?" "
Zhang Suhua shook his head repeatedly: "I haven't eaten it...
Lin Feng asked: "What about vermicelli and bean paste..."
These may have broad bean components.
Zhang Suhua nodded this time: "There is food, bean paste... But I used to have no problem eating... And this time I only ate two spoonfuls..."
Lin Feng had a headache and explained: "Faba bean disease", not every time you eat broad beans, you will be hemolytic and anemia!" Moreover, the degree of hemolysis and anemia of the onset is not parallel to the amount of broad beans eaten... I'll give you a bill, and you can go for an examination to see if there is "broad bean disease"..."
However, before the test, blood should be replenished.
First give the patient 2 units of red blood cells to relieve the anemia first.
After blood transfusion,
The patient took several checklists and went for the examination.
......
Next patient,
"Huh..."
Lin Feng looked at the patient's face, pale.
Thinking of the previous patient, Zhang Suhua, I subconsciously felt anemia.
Patient, Yu Xianwei, male, 35 years old...
As soon as you get closer, sit down,
Lin Feng asked with a smell.
Mothballs.
"What's your problem?"
"Dr. Lin, it's like this, I've been feeling dizzy lately, weak, and unable to lift up..."
Lin Feng carefully looked at the patient Yu Xianwei, and it really seemed to be anemia.
"Your wardrobe at home, with mothballs?"
"yes..."
"It's okay... Go for a "blood routine"..."
Billing.
The patient Yu Xianwei held the slip with a confused look.
"Doctor Lin, is this the end of it? I waited more than half an hour... You see me for less than 1 minute..."
He was a little dissatisfied and hated to ask for a few more minutes.
Lin Feng was happy: "I see short, it means that you are lucky, if you watch long, you will be in trouble..."
When the patient Yu Xianwei heard it, he was also right.
Suddenly, Joy left.
......
Another hour later,
The patient Yu Xianwei returned.
Blood routine: hemoglobin 75g/L (reference value 120-150)
Moderate anemia!
Lin Feng is happy!
Absolute!
Two anemias in a row.
Combined with the taste of mothballs on Xianwei's body, an answer is about to come out.
Faba bean disease!
That's right!
Mothballs and fava bean disease can really be related.
Mothballs contain "naphthalene" components, which have a certain chance of causing fava bean disease hemolysis.
(Because the mechanism of fava bean disease has not been studied, all related are laboratory and empirical inferences)
First replenish blood, and then Lin Feng also prescribed a "broad bean disease" examination item for the patient Yu Xianwei - G6PD.
Yu Xianwei left.
The next moment,
Very coincidentally,
The patient, Zhang Suhua, returned with the results of the examination.
Lin Feng looked at the results.
G6PD item inspection: below normal value...
Determined,
It's "fava bean disease"!
In other words, Zhang Suhua's headache and dizziness are not at all the so-called "slightly narrowed vertebrobasilar artery".
It is fava bean disease, eating bean paste, resulting in long-term anemia.
Lin Feng instructed the patient Zhang Suhua:
"If you want to eat bean paste in the future, change to one that does not have broad bean ingredients... Also do not use antipyretic drugs aminopyrine and phenacetin..."
Lin Feng remembered something and added:
"Do you have mothballs at home?"
"There is..."
"Throw it away... Can't use mothballs ... Take the clothes that smell of mothballs and suck them..."
"Ahh..."
Patient Zhang Suhua is sluggish...
Can mothballs be related to fava bean disease?
......
4 km away.
a community,
A certain family, a group of relatives came to visit today.
Inside the living room, it is very lively, tea, fruits, all kinds of chat...
And in one of the rooms,
Chen Fengmei was lying on the bed at this time.
She was awake, her eyes open, full of horror.
She couldn't move.
The whole body was as if it was being pressed, and the heart felt a little heavy.
She remembered, but she couldn't get up at all, her whole body couldn't move, and it was difficult to move her fingers.
She could hear the noise outside the hall, but no one came in to see her, and one by one, she was still in hand: "Why can't your wife get up yet?" "Yes, is your wife sick?" "It's okay, she's not sick..." "Could it be that she was too tired yesterday?" "Haha~~~ Young people pay attention to their bodies..."
Chen Fengmei: "..............."
You're coming in!
I wanted to scold, but I couldn't open my mouth.
She was terrified.
It was as if the dark abyss was constantly falling.
Struggled for more than ten minutes,
Finally, she got a glimmer of turnaround.
The mouth moves.
"Help!!!!!!!!"
20 minutes later...
Chen Fengmei was supported by her husband, got into the car, and rushed to the hospital.
......