The diagnosis method of tumor

3.12.2009

The in common use tumor diagnoses a method mostly sick history the survey and check-up check and the assistance check etc. a few aspects.
The Chinese traditional medicine-Chinese medicine hopes, smells, asks, slices;The modern medical science sees, touches, Kou, listen to each has his own strong point.Induce now for ask, smell, Kou, touch(include to slice vein) an usage at the history of the disease of tumor survey and physical examination up.
The ① asks a rash:The history that asks a disease is to judge paroxysm a kind of important survey method.So, value the patient's lord tell symptom;In detail of inquire a patient life and environment of circumstance, occurrence development and its performance for getting sick.The key problem in the history that only holds tight a disease, just may have of put Shi ground to carry on check diagnosis.For example to keep on sexual of take a meal the feeling of Geng Zu or breastbone behind burn a patient who burn the feeling, will thought of if there is the possibility of oesophagus cancer or not;Have to carry on an again and again checking of the necessity, until definitely diagnosis.
The ② hopes to diagnose:To observe a mental state, complexion and whole body nourishment circumstance with judgment whether tumor or tumor influence degree to the whole body.The part hopes to diagnose the size that to observe tumor, the appearance is special to transform and have already had no body of form varix or anasarca etc. with understand the part of tumor all looks.The tongue-coating often can reflect the circumstance of the spirit blood rise and fall and pathological changes importance of human body internality.The cancer sufferer's tongue-coating expresses the tongue quality red Tai white more, the tongue thin Tai the Huang and the tongue purple Tai is little or the tongue see blood clot.
The ③ smells a rash:Include to smell its orotund and friendly flavor.For example when the larynx cancer break vocal cord or chest tumor oppression larynx to return nerve cause voice hoarse, hear sounds have already helped diagnosis.The lung that the lung cancer causes not piece, can discover that the breath sound weakens or disappears while listenning to diagnose.When the tumor oppresses bronchus can produce bronchus breath sound.The audibility arrives Luo's sound while merging to be infected.The heart listens to diagnose the influence that can judge tumor to the heart function.Some bloods carry abundant tumor and return audibility to afferent miscellaneous sound in the part.The cancer lump breaks a Kui infection, can smell a kind of special bad smell.
The ④ listens to diagnose:Have certain meaning to the tumor diagnosis of the chest, belly cavity.The existence of the tumor makes the partial Kou rash presented a solid sound, the Kou diagnoses to present a muddy sound while appearing chest water and stomach water, this is the tumor creation to transfer of advertise for elephant.
The ⑤ touches a rash:Slice vein, tumor part to touch rash and lymphoid knot to touch a rash three parts.
1.Slice vein:The vein elephant can reflect the variety of a rise and fall of human body and tumor influence internal organs function.The cancer sufferer's vein elephant generally expresses Xian, slip, falsely, thin four kinds of circumstances.In early days expressed Xian more to slip count big, later period much is falsely thin have no dint.
2.The part of tumor touches to diagnose:
a.The part of tumor:Take place what organ;With close to how the relation of organ is;Whether have an important dirty machine and greatly the blood vessel implicate etc..
b.The size of tumor:Length, thickness and width of detailed check tumor, and soft degree of hardness etc..
c.The big body appearance of tumor:Appearance why;Whether state knows;Whether lump body is smooth.
d.The degree of hardness of tumor:Like bone kind(bone lump, cartilage lump);Hard rubber kind(fiber lump, fiber tumor, and skin cancer...etc.);Bag kind;(bag tumor)Compressed quality;(sponge-like in shape afferent lump and sponge-like in shape lymph tube lump)Pulsate.(the tumor that the blood vessel enriches such as some dissolve blood relationship of lump, returning may hear an afferent miscellaneous sound)
e.The movable degree of tumor:Tumor and around organize the relation of organ can activity.To the body form tumor want to observe to have with skin have never glued connect, having didn't invade smooth etc..
3.The lymphoid knot touches a rash:Mainly is check pure tumor relevant pour to flatteringly transfer.Generally shallow at of the lymphoid knot can is divided into several big districts such as neck, armpit department and stomach ditch department etc..
a.The neck lymphoid knot check, one by one in order touch neck bottom and Han bottom after of the eyes ear bottom follows the chest lock milk Tu muscle get down, until lock the bone last nest.
b.The armpit department lymphoid knot check, can start to give the sufferer's elbow department with the forearm of Examiner, from armpit crest to the chest wall direction touch, may also start to give to be subjected to the check elbow department all alone, another skill check.If is swollen big lymphoid knot, can immediately be pointing i.Carry to up slide past.
c.When stomach the ditch department lymphoid knot checked, make the legs light degree song stretches outside Xuan, ditch department touched a stomach by even hand first with find out the watch shallow swollen lymphoid knot;Namely then deeply touch an abdomen department, with understand Ka nest inside have have no swollen big lymphoid knot.Touch the small and soft lymphoid knot much being a normal phenomenon in the stomach ditch.Another still the beard check elbow department pulley top and the 腘 nest department lymph knot.
In addition, to the tumor of different part, often the beard carry on a homologous check.Such as match to diagnose a check to the double of gynecology tumor patient, diagnose a check to the finger anus of ass rectum tumor patient etc..
Lend support to a check:
General after the history and physical examination of careful and attentive survey disease, carry on the diagnostic to the tumor, if confidence not and greatly or is a tumor, then need to adopt an assistances such as apparatus or laboratory etc. check, diagnose by help.But necessarily allow close and clinical check knot to put together, carry on comprehensive analysis, then can acquire correct diagnosis.Apparatus or laboratory check include X line, bio-chemical, super B, the CT, Ci resonance and oesophagus mirror, bronchus mirror and fiber bowel mirror, and stomach mirror...etc..

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