Sohu famous doctor | Xiehe Liu Xiaohong: The elderly should prevent slow diseases and infectious disease superimposed

Author:Sohu Health Time:2022.07.26

Produced | Sohu Health

Author | Hu Xin

Edit | Yuan Yue

At present, about 190 million elderly people in my country have chronic diseases in 2021, and about 75%of the 60 -year -old and over the age of 60 and above have one or more chronic diseases, and 43%of the disease (two or more) coexist. In this regard, Professor Liu Xiaohong, director of the Department of Old Medical Department of Beijing Union Hospital of China Medical Sciences and Vice President Liu Xiaohong, vice chairman of the Chinese Medical Association Senior Medical Medical Physician Branch, said at the Health News Agency to "promote elderly health, start with disease prevention" media communication meeting that the elderly should be the elderly. Be alert to superposition risk of chronic diseases and infectious diseases.

Professor Liu Xiaohong introduced that common elderly chronic diseases are divided into three categories:

1. Disease -related diseases. For example, atherosclerosis caused by diabetes, hypertension, hyperlipidemia, and hyperuriceic acid causes myocardial infarction like stroke and heart.

2. Cancer and malignant tumors. After aging, inflammation will cause aging and immune aging. Tumor cells cannot be recognized for tumor cells. About 40%of the possibilities over the age of 80 will suffer from tumors.

3. Degenerate lesion. For example, the probability of decline in bone and joint diseases, cataracts, and hearing is very high. There is another dementia. The incidence of elderly people over 65 years old is 4%to 6%. Each age increases at 5 years, and the incidence is doubled. By the age of 90, the incidence of dementia is nearly 50%.

In addition, malnutrition is closely related to chronic diseases. The elderly who coexist with diseases take multiple drugs daily. Many drugs will affect appetite, and the risk of malnutrition in the elderly increases. However, some chronic diseases, such as diabetes, metabolic abnormalities, malignant tumors, and fracture, and more protein and nutrients are needed to help the elderly recover. Once the elderly with chronic diseases have malnutrition, the decline in defensive ability is not enough to fight against diseases, and the chance of suffering from infection increases, and then the acute increase of chronic diseases and affecting the quality of life.

In infectious diseases, influenza, pneumococcal pneumonia and shingles are acute infectious diseases that are common among the elderly and bring bad endings.

Influenza is not a "large cold". The light ones are similar to ordinary colds, but their systemic symptoms such as fever and muscle pain are more obvious. Hospitalization.

The community's acquisition of pneumonia is mostly caused by pneumonia, and most of them occur in the elderly and infants, and those with chronic diseases, such as chronic heart, lung and kidney disease, and patients with low diabetes and immune function. Essence

Band -shaped shingles are commonly known as waist dragons. The typical manifestation is that the rash that is distributed along the nerves on the body in the body is often accompanied by neuralgia, mostly paroxysmal. Affect sleep and daily life activities. Liu Xiaohong said that although shingles can occur at any age, the incidence rate increased significantly after the age of 50. Studies have shown that people over the age of 50 in my country have about 1.56 million new shingles each year. Ninety percent of the disease is due to the decline in immunity, and the adequacy of chickenpox virus in the body is resurrected.

Fortunately, the above three infectious diseases can be prevented through vaccination. As one of the important means of improving specific immunity, vaccine is the most effective way to prevent infectious diseases. Call for the elderly while managing their own chronic diseases, and actively vaccinate flu vaccines, pneumococcal vaccines and shingles vaccines to prevent these common infectious diseases and pave the way for their future life.

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