Chapter 480: Bile and pop

Chapter 480: Bile and Slap
Fan Fan glanced at the test results. Although the test results reported that she was just a little silt, she could complain according to the patient's complaint, but she had obvious discomfort.
Zhang Fan then asked the woman again, "How old is the child? Do you usually eat regularly? Do you like greasy food?"
"The child is over four years old, and he usually eats on time. Greasy food can't be eaten at all, and he will be nauseated when he eats it."
"Go, let's go to the treatment room for a physical examination." Zhang Fan said to them after a little thought.
"Ah ~! Thank you, Zhang Yuan." The men's eyes and eyebrows were with joy, and the women did not react.
In Western medicine, the definition of the gallbladder is simple: the gallbladder is a small centrally controlled organ attached to the dry surface, which can store and concentrate bile synthesized by the liver, the vagus nerve controls the contraction of the gallbladder, and the gallbladder mucosa has a special absorption effect.
In layman's terms, it is a container for bile secreted by the liver.
Bile, a type of digestive juice. This thing is that after the red blood cells in the blood are eliminated, the bile is synthesized after the hemoglobin is reused by the liver.
Regardless of ideals or missions, people live to eat.
The same is true of the human body. The three major energy sources of the human body are sugar, protein, and fat.
These substances not only provide the energy required by the human body, but also the raw materials of metabolism. With these substances, the body can work.
The human body is not constant, but a special dynamic balance. The cells that make up the human body are constantly dying of life and death.
These energy substances provide energy and substances for the human body to continuously repair.
Consumption of energy allows the absorbed substances to form new ones that can repair the various cells of the human body, among which the fat is the most difficult to digest.
What is too old and toothless, too young and toothless, and eat some fat to digest it are all wrong. Special child, go for a bite of fat and stop eating for three days!
What is bile in the end, to be more popular, it is actually a medium. Because fat is insoluble in water, it cannot be fully contacted by digestive enzymes.
Bile is to emulsify the fat molecules to become smaller, and then increase the contact area between digestive enzymes and fat molecules, and then the fat molecules are broken down. This is the feature it is currently discovering.
Fat in the intestine, combined with bile, is absorbed into the cells of the intestine, and then continues to break down in the cells and enter the blood. This series of processes generates energy.
Fat is like a car. It is broken down into many parts in the intestinal cells, and then it enters the blood and is transported to the liver.
These parts include the famous triglycerides, total phospholipids, and cholesterol.
After the triglyceride is decomposed, it can generate a large amount of energy, which is also the main substance that fat provides energy.
But if this thing is not consumed by the body, it will be stored by the body's fat cells.
With more storage, fat cells will become fat, and people will become fat. Obesity can also be understood in this way.
Storage of triglycerides in fat cells can make fat cells become fat. When stored in liver cells, large amounts of triglycerides become fatty liver.
Phospholipids have many uses, especially nerve headquarters, and the brain has many demands for phospholipids. If some special neurons in the brain are removed, the structure of the brain is actually similar to that of fat.
This is also the reason why eating the brain flower can eat the fat aroma.
Cholesterol is a strange thing. Except for the brain and red blood cells, the human body cannot produce it, and other organs can produce it more or less.
The most common place is the liver, which is mainly used to synthesize some hormones. The more important hormones are the adrenal and testicular (a) pills, and some inexplicable hormones that grow in the ovaries.
In other words, the human body will only want to make some hormones if it is full. If the food is not good or the person is too thin, then the person's body will not be able to remember to do something else!
The ancients said that warm drinking thinking is actually very reasonable.
However, once cholesterol, phospholipids, and triglycerides cannot be consumed, it will hurt.
Fan Zhang took the couple to the orthopedic treatment room because there was an examination bed in this room.
Although the female teacher had normal cholesterol and triglycerides. However, according to her own complaint.
The feedback to Zhang Fan is that this female teacher should be a fat man, a fat man with excessive blood lipids.
But the female teacher was not fat, but was a little malnourished. Zhang Fan had to come for a detailed examination.
"Do you want me to go out?" The female teacher's husband asked politely.
"No." After Zhang Fan said a few words, she said to the female teacher, "You lie down on this bed and then show your belly."
"Okay!" The female teacher didn't hesitate, she lay down on the bed, her belly was exposed. It's too thin, the subcutaneous fat is almost negligible, the rib fork can't be touched by hand, and the naked eye can count clearly.
Zhang Fan opened the faucet, washed his hands, took a mask, and started to do a physical examination.
"Come, hold your legs up a bit. Well, gently inhale and exhale." Zhang Fan started palpation a little bit from the lower abdomen, making abdominal palpation around the navel eye counterclockwise.
"Does it hurt?"
"No pain!"
"Does it hurt?"
"It doesn't hurt."
She had no clinical signs at all, but she was uncomfortable.
"Get up!" After Zhang Fan checked, he washed his hands.
"How about Zhang Yuan, my wife is fine." The man was not nervous, just a little looking forward. Since her wife gave birth to a child.
His temper exploded directly, and he turned his face a little bit, and he almost collapsed.
Zhang Fan thought about and organized the language a bit, and it would be very troublesome to treat it according to the thought of a single subject western medicine.
The melasma on the face of the patient's female is related to ultraviolet rays or oral contraceptives and pregnancy. If you want to treat it, you can use some decolorizing agents, such as hydroquinone and retinoic acid.
Bile sediments can be ordered to patients to eat a light diet, and then take some drugs to relieve liver and gall.
As for irritability, if you cannot adjust yourself, you must prescribe benzodiazepines, which is called stability. Directly treat mental symptoms.
This is the diagnosis and treatment of western medicine.
Because the patient has no obvious symptoms, and many things are not well researched and cannot be quantified. Therefore, if this disease is treated by a specialist western medical doctor, it will not work well.
In Chinese medicine, gallant determination means that gall has the function of judging things and making decisions in mental conscious thinking activities.
The bold decision has an important role in defending and eliminating the adverse effects of certain mental stimuli (such as panic attacks, etc.), maintaining and regulating the normal operation of qi and blood, and ensuring the coordination of the relationship between the internal organs.
Generally speaking, a person with courage and courage has the courage to make a decision, and the external spiritual stimulation will have less impact on it and recover faster;
Those who are timid and timid are indecisive and indecisive. When they are affected by bad mental stimulation, they are prone to mental disorders such as timidity, panic, insomnia, and dreams.
The function of gall master decision is closely related to the function of liver master's conspiracy. Contemplation is the process of thinking planning, comparative identification, and analysis of reasoning;
Decision is the final decision on the many possibilities that emerge from the above thought process. Liver and gallbladder are the relationship between the inside and the outside, the liver is the officer of the general, the main concern;
Courage is the official of Zhongzheng, the Lord's decision; the decision comes from the conspiracy, and the decision must be decided after conspiracy, so that the decision is not biased, just right. Therefore, "Su Wen Ling Lan Secret Theory" said: "The courageous, the official of Zhongzheng, decisive."
This kind of thinking coincides with the hormonal thinking of the bile involved in the response of western medicine, but because it cannot be quantified, there is currently no good way for western medicine.
Zhang Fan does not understand Chinese medicine. However, compared to general specialists, he is comprehensive.
After thinking about it, he looked at the female teacher and asked, "Don't you like talking at home?"
"Well, I took a few classes of math. After one day, I have to talk a lot, so when I get home, I don't want to open my mouth." The female teacher nodded and said.
His husband nodded, as if confirming again.
"Is it a rare matter? How many times a week?"
"How many times?" The female teacher had not spoken yet, and her husband was shocked. Although the female teacher rolled her eyes, he still said: "Once a month is fine! She is impatient."
"Dying!" The female teacher's voice immediately improved a lot.
"Sometimes there is diarrhea, and there is a foul oily stool." Zhang Fan hurriedly asked.
"Yes, right, after she flushed the toilet, there were oil flowers in the toilet! And the smell ..." The man is probably too excited, because Zhang Fan said the symptoms are all in line.
Seeing that her wife was about to run away, he didn't dare to say it, but he still muttered silently.
Look at the lips, it is probably something that can't prevent illness.
"Oh!" Zhang Fan smiled helplessly, no wonder the woman is easy to explode, because her husband talks too much.
After a series of examinations and a medical history, the diagnosis was clear, and cholestasis. But it is not a simple cholestasis.
"In this way, I will prescribe some medicine for you, and then you will change your lifestyle and see if it works." Zhang Fan said as he went to the orthopaedic office to get a prescription.
"Bear debilitating acid, multivitamin, calcium, vitamin A acid cream." After writing, Zhang Fan said to the woman, "take a course of treatment and see."
Then he said to the man, "In the future, at home, you talk less and let your wife talk more, which is the so-called cricket. If you can do this, I think she will be well!"
"Uh, I'm also medicine?" The man froze.
"Yes, this is the most important dose of medicine." Women, no matter how powerful women, because of estrogen and genes, it is a very good way to relieve stress everyday.
The woman who loves to be stubborn is very different from the woman who likes to take things to heart.
The female teacher, because of her career, also had a husband who could talk too much at home, which led to her becoming less and less vocal. Over time, the hormone secretion in the body became abnormal.
Then there are all kinds of discomfort. The medicine is only symptomatic. To cure it, she and her family have to adjust slowly.
If it can't be adjusted, when the quantitative change is qualitative, it is time to move the knife. It is either stone or obstruction.
"Thank you, Doctor Zhang." The female teacher thought Zhang Fan was right. Zhang Fan smiled slightly at the couple.
He understands this man, and the feeling he can't help but feels very uncomfortable!
After the two left, Zhang Fan went to the operating room without returning to the office. Today, he had a special operation.
A patient with an Achilles tendon rupture came yesterday! I don't know when it started, the tea culture suddenly became popular.
What wolf team, what unity team should be like a person, there must be coordination, tacit understanding. Various sayings prevail.
How to train? I do n’t know if science is unscientific. Anyway, it is to bring a group of middle-aged men and women who have stayed in the office all year round, and take them into the mountains and mountains, and then conduct so-called outreach training.
The expansion coaches in small cities are a bit unreliable and the amount of training is a little too much.
Then add these middle-aged men and women who have been blessed with inappropriate body mass indexes. Something went wrong while playing a survival wall.
One of the strongest guys in the company was a person ladder, allowing colleagues to sprint one by one and climb his hands up a wooden wall.
Everyone went up, and the fat boss was left, everyone shouted and encouraged. But the fat boss was very hesitant to step on his employees.
"Rush! Hurry, you are a team. Do you want to drag everyone's hind legs? Hurry!" The coach blushed and cheered.
"Chong, boss, everyone is waiting for you. I insist, rush!" The man as a human ladder was also shouting.
Men and women who have turned over the wall of people are constantly encouraging. The adrenal glands soared, and the fat boss ran to his teeth.
No wonder he was afraid of stepping on others, and the running boss was rolling like a meat dumpling.
How fat are you? It can be said that his two feet are not together because the legs are too thick.
You can't see the navel eyes when you sit down, because the fat on your belly is hanging in his waist like a meat slap.
The running meat dumplings, sweat was flying, and the road was shaking. The man under the wooden wall also used his hands with strength.
When the fat boss sprinted over and stepped on his hand, he shoved hard.
As a result, the fat boss shouted like killing a pig. Immediately afterwards, a huge body hit the man like a falling meat wall.
"Oh! Oh!" Like the long tune, the fat man shouted sharply and exuberantly. Nose, tears, and sweat.
Face to face, the face of the fat boss's sting, tears mixed with yellow pus and snot like a tan worm, as the boss cried, he pumped one by one.
Seeing it was about to drip into this man's mouth.
He was originally under his body and opened his mouth, panting, covering his mouth in horror.
"Mother, I will never be a wall again!" In this life, he will never forget that his nose turned out to be so disgusting.
After everyone tried to pull up the fat boss, the coach looked at it, and his heart was a little stunned. The already thick ankle was swollen with the naked eye.
"Hurry to the hospital!" The coach and company employees pushed the boss to the car and were so fat that four or five people couldn't lift him.
(End of this chapter)