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  4月17日电国家中医药管理局17日召开健康中国中医药健康促进主题发布会之“中医药与运动健康”专题发布会,介绍中医运动养生理念与调养方法等,并回答记者提问。会上,国家体育总局运动医学研究所运动康复研究中心主任张乐伟指出,一般在损伤发生的时候,我们有一套处理急性运动损伤的流程,我们要按照这个流程进行处置。这里讲的损伤一般是指闭合性的运动损伤。

  张乐伟表示,首先要停止运动,对患处进行保护,其次,在受伤的72小时以内,可以用冰袋或者冷毛巾外敷受伤的部位,每次10-20分钟,还可以用绷带或弹力绷带对受伤的部位进行加压包扎,将受伤的肢体抬高,略高于心脏水平,以促进血液回流。以上措施都可以减轻疼痛肿胀症状,避免进一步加重损伤。

  张乐伟称,需要注意的是,儿童、青少年在冰敷的时候要时刻观察局部的体温,避免冻伤。如果损伤严重,可能存在骨折或者脱位,切记不要随意移动,以免造成二次损伤。请保持受伤的体位,等待专业医疗人员救援。如果出现开放性的伤口出血,可以用干净的纱布、毛巾按压住伤口止血,尽快到医院进行救治。

  正确认识和干预胃癌前病变,尽早发现胃癌,对保障健康具有重要意义。

胃的“危险信号灯”

  胃癌前病变主要包括慢性萎缩性胃炎、胃息肉、胃溃疡等,其病理变化主要包括胃黏膜上皮异型增生和肠上皮化生。

  慢性萎缩性胃炎的特征性改变包括胃黏膜腺体数量减少、腺体结构异常,以及胃黏膜变薄。

  胃息肉是指胃黏膜表面长出的突起状乳头状组织,是胃良性肿瘤的一种,比如胃底腺息肉等。

  胃溃疡是由饮酒、幽门螺杆菌感染、止痛药和激素过度使用等多种原因导致的胃黏膜破损。

  肠上皮化生是指胃黏膜中出现类似小肠或大肠黏膜的上皮细胞,通常属于萎缩性胃炎的继发性变化。

  上皮内瘤变也被称为异型增生或不典型增生,是细胞开始“变坏”的阶段,临床上一般分为低级别上皮内瘤变和高级别上皮内瘤变。低级别上皮内瘤变相当于轻中度异型增生,有可能发展为癌。高级别上皮内瘤变相当于重度异型增生或原位癌,需要尽早治疗。

  有上述疾病的患者可能出现胃部疼痛、食欲下降等症状,有时与胃癌的症状无法准确区分,因此要尽早就医。

你的胃正在被这样伤害

  01

  幽门螺杆菌:一种在人胃黏膜中普遍存在的细菌,是藏在胃里的“钉子户”,可通过唾液传播,并与慢性胃炎、胃溃疡和胃癌等多种疾病密切相关。

  02

  饮食刺客:腌菜等食物中亚硝酸盐含量较高,被人体吸收后可能转化为亚硝胺导致癌变。烧烤、油炸食物品是危险因素之一,其主要致癌物是多环芳烃类化合物。此外,饮食不规律、吸烟、饮酒、熬夜等“伤胃组合拳”也是胃癌的高危因素。

  03

  遗传警报:有胃癌家族史者要特别警惕。一级亲属(父母、兄弟姐妹)罹患胃癌的人群应加强胃癌筛查。

抓住诊疗的“黄金时机”

  发现胃癌前病变是阻断胃癌发展的关键窗口期,可显著降低胃癌风险。

  根据《中国早期胃癌筛查流程专家共识(2023)》,对于上述提到的高危人群,建议尽早进行胃镜筛查。胃镜+活检是诊断胃癌及胃癌前病变的金标准。若发现高级别上皮内瘤变则需要尽快咨询专科医生,制订相关治疗方案,比如内镜黏膜下剥离术。

  此外,筛查方式还包括血液学检查、幽门螺杆菌检测等。若发现幽门螺杆菌感染应在医师指导下制订药物治疗方案。

  作者:四川大学华西医院胃癌中心陈小龙

  审核:国家健康科普专家库成员、四川大学华西医院胃癌中心主任医师胡建昆

  策划:谭嘉王宁

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