Urinary infection is more likely to occur in men, many patients feel ashamed because of face-saving reasons, often seek side prescriptions do not accept formal treatment, coupled with the lack of attention or lack of professional knowledge of some patients, making it more difficult to treat.
Key points of nursing
(1) General nursing:
① psychological nursing. The psychological disorders of patients with venereal diseases are depression, anxiety, fear, fear of discrimination, self-remorse, unmarried people are afraid of affecting marriage, married people are afraid of losing family harmony, part of the performance is sexually transmitted disease phobia, so patients should be warmly received, according to the psychological state of different patients, psychological care.
② life care. Acute period should be bed rest, some patients use a large number of antibiotics, may have loss of appetite, gastrointestinal discomfort, should be given delicious diet.
③ early syphilis is highly contagious and should be treated as soon as possible to prevent further transmission. Patients are advised to have sex forbidden during treatment and follow-up, and sexual partners are advised to receive treatment at the same time, separate from other family members, and separate from daily necessities.
(2) Disinfection and isolation:
① medical staff protect themselves, strictly prevent stabbing the skin and mucous membrane, set up a single room, isolated by the bed, the door is equipped with 1, 000 bromogeramine or 0.2% peracetic acid bubble hands, contact patients wear gloves, wear isolation clothes, special for medical devices, scrub and disinfect with 75% alcohol or 1% peracetic acid.
② disinfection method. Boiling water, sun exposure, soapy water, common disinfectants (mercury, 0.1% carbolic acid, alcohol) can kill syphilis and gonorrhea pathogens, contaminated clothing and utensils can be boiled and sterilized, bedding exposure, patient sputum, feces and leftover diet are soaked in 1:10 bleach powder for 10 minutes.
The blood, sputum, urine and feces of ③ patients should be marked.
(3) observe the drug reaction:
① penicillin may have allergic reaction, Hirsch reaction (general discomfort, fever, chills, etc.) from a few hours to 24 hours after the first use of penicillin.
② antibiotics cause gastrointestinal discomfort and other reactions. It should be closely observed, reported to the doctor and given corresponding nursing.
(4) strengthen publicity and education: tell patients about the pain and harmfulness of sexually transmitted diseases, and strengthen the publicity of sexual health and sexually transmitted diseases knowledge. Establish a registration card system for patients with sexually transmitted diseases and report the epidemic situation, and closely monitor them.
Gonorrhea
1. Etiology
Caused by Neisseria gonorrhoeae, including symptomatic and asymptomatic genitourinary gonococcal infection, gonococcal pelvic inflammation, disseminated gonococcal infection and neonatal gonococcal conjunctivitis. Can also be found in the anus, pharynx and other places. It can be infected through contaminated clothing, towels, bathtubs, birth canal and amniotic cavity. The incubation period is 2-10 hours.
2. Clinical manifestation
Frequent urination, pain, dysuria, urethral orifice redness and swelling, pus, with itching and burning sensation; women can also have cervical endometritis, often have vulva itching, burning sensation and vaginal purulent secretions.
3. Diagnosis
According to the history of unclean sexual intercourse and typical symptoms, it can be diagnosed by smear or culture examination.
4. Treatment
Procaine penicillin 4.8 million μ, injection 2.4 million μ on both sides of buttocks, and oral administration of probenecid 1g, or flurapax 0.8g, once, or tetracycline / erythromycin 0.5g, 4 times a day for 7 days, or spectinomycin 2g, intramuscular injection, or bacteriophage 125g-250mg, intramuscular injection. In the acute stage, 3 consecutive smears or culture negative 2-3 weeks after treatment can be considered cured.
5. Nursing essentials
With syphilis care, encourage patients to drink more water, promote the flushing of urethral pus, light diet, no stimulation, so as to avoid dysuria. Newborns routinely use 0.5% erythromycin eye drops. Do syphilis serological examination, check for other venereal diseases.
What are the taboos on STD diet?
Because venereal disease is an infectious disease, it does not belong to digestive tract or allergy. Immune diseases, so there are no special dietary taboos. But because STDs are inflammation of the genitourinary tract. So it's like gonorrhea. Nongonococcal urethritis and so on. Bladder, urethral irritation symptoms after drinking alcohol or eating spicy food, blood vessels in the focal area fill the blood pressure to squeeze the focus, which can aggravate the symptoms. Therefore, it is not suitable to drink alcohol and eat spicy food. In terms of one share, the patient's diet should be light. white gourd. watermelon. Lentils. Adzuki bean. Mung beans and so on have diuresis. Foods with detoxification and other functions contribute to the recovery of venereal diseases.
Complete diet strategy for patients with venereal diseases
Dietary principles for people living with HIV and patients:
1. High-energy, high-protein diet
Usually, people infected with HIV and patients will have increased protein consumption, decreased absorptive capacity of the small intestine, weight loss and other phenomena due to physical changes. In addition, taking drugs will also affect the hematopoietic function of patients. In view of these characteristics, the diet of patients and infected people should be high-protein and high-calorie food, and follow the "diverse, small, balanced" diet principle. Beneficial high-protein foods include: fish and shrimp, such as marine fish, shrimp, cuttlefish, shellfish, crabs, etc.; poultry, such as chicken, pigeon meat, rabbit meat; milk and dairy products, such as quality cheese; eggs, such as eggs, duck eggs; beans, such as tofu
male chastity , soy milk or other bean products; other meat. A high-protein diet can increase the burden on the kidneys. If you are not feeling well, contact your doctor and dietitian to make appropriate adjustments to your diet.
2. Pay attention to vitamin and mineral supplements
Eat more fresh fruits and vegetables, especially foods rich in carotenes (such as spinach, kale, sweet potatoes, pumpkins and carrots), vitamin C (such as green peppers, oranges, green cauliflower, spinach), vitamin E (such as hazelnuts, pine nuts, pistachios, big almonds) and zinc (such as oysters, shellfish, cereals). Try to eat less high-fat foods and less sweets.
3. Eat more fresh vegetables and fruits. People living with HIV / AIDS had better eat more fresh vegetables and fruits every day to enhance their resistance to the disease. In particular, you should eat more fresh vegetables and fruits rich in vitamin A, carotene and vitamin C, as well as foods containing vitamin E.
4
lesbian double dildo , a small number of meals, regular meals, eating too much at a time is easy to cause indigestion, damage the spleen and stomach, which is disadvantageous to the condition; eating too little will lead to insufficient intake of nutrients, more lack of nutrition. Therefore, people living with AIDS and patients should eat less and eat more, generally with five or six meals a day.
5. Food diversification every meal, try to eat as many kinds of food as possible, and learn to plan a diet that includes five types of food.
6. Avoid eating sour, spicy and other irritating foods.
7. refers to the appropriate cold and heat, because the spleen and stomach of AIDS patients are generally weak, and there are more people with spleen and stomach deficiency and cold in traditional Chinese medicine, so most cases should be given warm food and hot drinks.
8. Avoid raw, cold and greasy foods to prevent diarrhea
Chronic diarrhea is a common complication of AIDS and a major contributing factor to weight loss, and the survival time of weight loss is significantly shorter than that of normal weight patients. Therefore, to reduce diarrhea and improve the absorption rate of food is very necessary to maintain the normal weight of patients. Director Lu said that AIDS patients to prevent diarrhea should eat some low-fat food, daily fat intake of about 40g, do not eat too much, difficult to digest will aggravate diarrhea. When cooking food, the use of vegetable oil should be restricted, mainly by steaming, boiling, stewing, burning and other methods, while deep-frying, frying and stir-frying are prohibited. In addition, daily protein intake should be about 100g, energy should be between 10.46-12.55MJ (2500-3000kcal).
Can eat some foods with low fat content and rich protein content, such as lean meat, chicken, fish and shrimp and other seafood, bean products and so on. Avoid foods that are rich in fiber and coarse, such as seeds, peeled fruits and vegetables, legumes, corn, onions, garlic, cauliflower, bread and peanuts. Foods with high fiber content, such as leek, celery and mustard, stimulate intestinal peristalsis and aggravate diarrhea. Eat some food that is easy to digest, such as fine noodles, porridge, rotten rice
chastity sissy , tofu and so on. Take vitamins and minerals. If there are more times of diarrhea, try to eat less vegetables and fruits, and supplement vitamins such as fresh fruit juice and tomato juice. Replenish plenty of water and potassium-rich foods because diarrhea can cause dehydration and drink 34 cups of water more than usual. Supplement foods rich in potassium ions such as bananas, potatoes, fish and meat. There are some foods that are helpful to stop diarrhea, such as white rice, boiled white noodles, white bread and so on. If flatulence occurs, legumes should not be eaten.
9. refers to the selection of digestible food and liquid (semi-liquid), eat less fried food (fried chicken, cruller, etc.), and eat more digestible steamed dishes (steamed eggs, noodles, etc.).
10. Pay attention to food hygiene.
Due to the poor immune function of people infected with HIV and patients, special attention should be paid to dietary hygiene at ordinary times. Do not eat unclean raw food or half-cooked food, be sure to wash your hands before eating, and pay attention to the environmental hygiene when eating. In the event of diarrhea, drink plenty of drinks, such as water and fruit juices that do not contain citric acid, to replenish water, and do not drink caffeinated drinks (such as coffee, cola) and dairy drinks. Never eat fried food and fresh fruit until diarrhea is cured.
After the human body is infected with HIV, the metabolism of the body and the digestion and absorption of food will change due to a variety of reasons. most people will have some symptoms that affect the intake and utilization of nutrients, such as diarrhea, loss of appetite, nausea and vomiting, which will aggravate the nutritional deficiency of patients, reduce the body's resistance to disease, and affect its physiological function. Experts pointed out that AIDS patients in addition to drug treatment, but also pay attention to nutritional support, nutritional status is an important factor to determine the survival time of AIDS patients. When AIDS patients have different symptoms, they should pay attention to supplement nutrition in time.
Do not smoke or drink alcohol.
So what kind of food is suitable for AIDS patients to eat, and has the effect of anti-HIV?
Soybeans
Soybeans are not only rich in protein, but also rich in selenium, a trace element that can improve the body's disease resistance. Soybean soap sweet in soybeans, has an inhibitory effect on HIV, even if the virus enters the body, it is difficult to grow and reproduce.
Cucumber
Cucumber contains carotene C, which can enhance human immune function, anti-virus and anti-cancer. There is a bitter chemical in the tail of the cucumber that kills HIV that enters the body.
Bitter gourd
Balsam pear protein in balsam pear has a strong inhibitory effect on HIV entering the human body. American scientists have made 50 AIDS patients eat balsam pear or mouth containing Bitter Melon Juice, and achieved good therapeutic results.
Kelp
Kelp contains the most iodine, iodide can promote the absorption of inflammatory exudates and has a certain inhibitory effect on cancer. There is also sulfate in kelp, which can protect the cells of the body's immune system from HIV, so as to prevent AIDS.
Goose blood
Goose blood contains a large number of immunoglobulins, which can enhance the immune function of the human body, increase the white blood cells in the blood, promote the phagocytosis of lymphocytes, and have a strong resistance to HIV.
Garlic
The "cocktail" treatment of AIDS
Garlic contains phytofungicides, which not only kill cells, but also all kinds of viruses and Rickettsia. Eating garlic regularly can also improve immunity and prevent various diseases. According to research, putting HIV in garlic leaves for 5 minutes will all die. Therefore, eating more garlic is of great significance to the prevention of AIDS.
In addition, people living with AIDS can also take some medicated diets appropriately:
1 Fuzheng Peiben
The prescription of Chinese herbal medicine to enhance the immune function of the body was used to improve the function of macrophages, increase the transformation rate of lymphocytes and the formation of rose petal, or stimulate the immune function and regulate the level of hormones to activate the function of some enzymes.
Ginseng porridge
Prescription: ginseng powder 3G, japonica rice 50g, porridge mixed.
Efficacy: tonifying vital energy, tonifying spleen and lung, invigorating essence and calming nerves. Ginseng, as an immunomodulator of AIDS
small vibrator , can improve non-specific immune function and increase the biosynthesis of DNA.
Atractylodes macrocephala tripe porridge
Group prescription: Atractylodes macrocephala 30g, betel nut 10g, a little ginger with the same decoction to remove residue. Tripe 250g cut into small pieces, add 100g japonica rice to boil porridge, seasoning and eat.
Efficacy: tonify the middle and replenish qi, strengthen the spleen and stomach. It is suitable for burnout and lack of qi, not thinking about diet, abdominal distension, discomfort in stool and so on.
2 clearing away heat and detoxification
AIDS is prone to a variety of fatal opportunistic infections. Heat-clearing and detoxifying drugs have anti-inflammatory, antiviral and antibacterial effects. It can enhance the immune function of the body and inhibit the pathological immune response.
Diding Bei Sauce Sugar Tea
Group prescription: purple flower Di Ding, dandelion, Patrinia officinalis 30 grams each, fried juice to residue, add a little sugar on behalf of tea.
Efficacy: heat-clearing and detoxification, antibacterial and anti-inflammatory. Sulfonated polysaccharides rich in galactose have been isolated from Zihua Diding, which can inhibit HIV in cell culture medium.
Silver chrysanthemum porridge
Group prescription: 50 grams of japonica rice into porridge, honeysuckle, chrysanthemum each 10g boiled water into dew, when eating porridge, add this dew.
Efficacy: clearing heat and detoxification, treating febrile disease and fever. Honeysuckle can inhibit HIV and reduce the absorption of cholesterol in the intestinal tract.
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