(1) Eliminate psychological pressure and improve psychological quality.
It is not easy to completely eliminate psychological pressure when people encounter bumps and tribulations. To do this, we need the joint efforts of patients, families and society. Families should maintain a peaceful atmosphere. Whenever patients are in a bad mood, family members should patiently guide, persuade and give comfort. Never add fuel to the fire and cause trouble to the patient. It should help patients to enhance their confidence in disease treatment and maintain a peaceful mind. Colleagues should give care and help in the right way, avoid unnecessary inquiries about the illness, and even more can't ask while knowing perfectly well. Too frequent inquiries will make patients uneasy. Talking with others will hurt the patient's self-esteem, so it is forbidden to talk with others about the patient's condition. Vitiligo is not an infectious disease and will not be transmitted to others, so don't avoid discriminating against patients. It is very important for patients to improve their psychological quality, adjust their mentality and eliminate psychological pressure. According to clinical observation, the curative effect of cheerful type is obviously better than that of depressed type; Men are superior to women; Children are better than adults, indicating that the curative effect is related to psychological factors. Therefore, in the process of treatment, patients should keep a good mood, not angry, not angry, not angry, try to eliminate troubles and worries, give full play to subjective positive factors, and choose methods to adjust their psychological state according to their hobbies, such as participating in sports or music activities. Tai Ji Chuan and Taiji Sword are dynamic and static exercises, which have the effects of harmonizing qi and blood, nourishing the heart and calming the nerves, and balancing yin and yang. They are easy to learn and do, and are suitable for all ages. It is better to take part in group activities in the morning, and it is better to concentrate on your studies under the guidance of the teacher. Pay attention to the combination of work and rest during illness, ensure adequate sleep, eat regularly and combine work and rest.
(2) Carefully follow the doctor's advice.
(1) Follow up regularly or report to the doctor. If the transportation is convenient, the patient will visit the hospital once every 1 ~ 2 months, and the doctor can talk to the patient directly through face-to-face consultation, so as to grasp the condition more accurately and draw up a suitable treatment plan. If you can't come to the hospital for face-to-face consultation on time, you should introduce your illness to the doctor by telephone, email, letter, photo, etc. Never mistake "only use one medicine from beginning to end until it is cured". Even if the initial treatment effect is obvious, follow the doctor's request for regular follow-up, so that the doctor can adjust the treatment plan in time according to the change of the condition to obtain the best effect. Patients should fully understand the importance of regular follow-up.
② Carefully treat according to the doctor's advice. During the treatment, the doctor's advice should be carefully implemented, and the medicine should be taken and applied on time, and the autologous epidermal cell transplantation should be cooperated in time. Some patients think that "autologous epidermal cell transplantation is skin grafting, which treats the symptoms rather than the root cause". The principle of autologous epidermal cell transplantation is not clear. Skin grafting is a surgical method to supplement skin defects in surgery or plastic surgery. It is to take out the full-thickness skin graft and transplant it to the skin defect area. Autologous epidermal cell transplantation is to transplant the epidermis of the skin (without damaging the skin) to the white spot area. Seven days after operation, the skin graft fell off, and the pigment cells survived and multiplied in the white spot area, which accelerated the healing of the white spot. Whether the transplanted pigment cells can survive depends on the effect of drug treatment. The combination of drugs and epidermal transplantation is like farming. First, loosen the soil, apply fertilizer and water (equivalent to drug therapy), then sow when the soil is fertile and suitable for seed germination and growth (equivalent to epidermal cell transplantation), and the seedlings will be neat and lush. Although this analogy is inappropriate, it can be understood that drug therapy is used to adjust the body's general state (endocrine and immune function), and epidermal cell transplantation is used to supplement the deficiency of local pigment cells.
We believe that epidermal cell transplantation should not be carried out at will regardless of the condition, and the best operation opportunity should be chosen according to the condition to improve the success rate of epidermal cell transplantation. Otherwise, the failure of treatment will increase the psychological burden of patients.
(3) contraindications to medication
Traditional Chinese medicine treats vitiligo. Traditional theory holds that fish, shrimp, beef, mutton and spicy food should not be eaten during taking medicine. At present, the statements of various hospitals are quite inconsistent. We don't think it is necessary to avoid eating the same food, but we should pay attention to two points: adults should avoid eating alcohol and tobacco; Children should not eat snacks and drinks. According to our observation, the above two points will have adverse effects on the occurrence, development and treatment of this disease, and are not beneficial to human health. Therefore, whether it is treated or not after the onset, it should be taboo; Pepper, onion, ginger, garlic and other spicy tastes can be eaten properly and can be used as seasoning for dishes normally; Fish, shrimp, beef and mutton have no effect on this disease, so there is no need to avoid eating. If you avoid eating for a long time, malnutrition will occur, especially for children, which will affect normal development and growth due to insufficient intake of protein. For children who do not eat vegetables, but only eat fish, meat and eggs, and have a partial eclipse habit, the dietary ratio should be appropriately adjusted. For obese children with excessive fat accumulation, the intake of animal food should be properly controlled.
Clinically, it is found that children who eat barbecue chicken skeleton for a long time are mostly obese children, and the analysis may be related to the residual growth hormone in broilers, so children should use it less. Use fish and shrimp with caution if you have a clear medical history (self-reported rapid development after eating fish and shrimp) or a specific constitution (such as heterogeneous protein allergy). It is incorrect to avoid eating fruits and vegetables, even foods rich in vitamin C such as oranges and tomatoes. In theory, too much vitamin C will hinder the absorption of copper and zinc ions in the intestine, while the lack of copper and zinc will hinder the synthesis of pigment cells. But taking too many vitamins from the diet will not have any effect on the prevention and treatment of this disease, and there is no need to avoid eating it.