② Consulting rehabilitation patients. In the early stage of the disease, it is very important to choose the appropriate treatment scheme, so as to obtain the best curative effect after the first treatment. If the treatment fails many times, it may become a chronic disease. After getting sick, we should face the reality, keep a normal state of mind and actively look for patients who have recovered. Master various treatment information, consider and compare it repeatedly, and then choose the treatment plan according to your own situation to avoid blind treatment without consultation. In clinical work, we often encounter two strange phenomena: first, parents are afraid of being known and do "confidential treatment" after their children get sick; Second, when the patient visited the cured patient and consulted him, the cured patient denied that he had suffered from the disease and refused to provide treatment information. As a result, many patients blindly use drugs because of improper selection methods, which leads to the development of the disease. After getting sick, you should seek advice from many parties, get timely and appropriate treatment, and make yourself responsible for the early recovery of the disease. All the patients who have recovered have been ill, so we should have empathy for new patients and give enthusiastic help.
It is understood that the reason why patients are unwilling to communicate with each other is that a few people are biased against the disease, mistakenly think it is contagious or hereditary, and are afraid of affecting their reputation and being known. This disease is not contagious and the genetic probability is very low, so we should eliminate our concerns. Don't delay the treatment opportunity because of vanity, and you will regret it for the rest of your life.
③ Consult a hospital for treatment. At present, there are many kinds of drugs on the market, and the therapeutic effect of single drug is not significant except western medicine. Most specialized hospitals use self-made empirical prescriptions, and the approval number is "non-standard preparation number". Such preparations are approved by the provincial and municipal drug supervision and administration departments. Provincial and municipal food and drug administration officials are close to and understand the actual clinical situation, with short approval period and low cost. The hospital used self-made experience flexibly and cured many difficult diseases. At present, the deficiency is that comprehensive treatment measures are still needed for different diseases, doctors need to formulate treatment plans based on syndrome differentiation according to all aspects of patients, and they need to constantly adjust the treatment plans according to the changes of patients' condition during the treatment. So the curative effect of the hospital is different. Patients can consult several hospitals before treatment, and the focus of consultation is on curative effect, such as effective rate and cure rate, consulting medical records and observing and comparing photos before and after treatment. However, it should be noted that the real photos are clearly imaged, and the skin texture, hair (hair) and pores can be clearly observed. The edges of skin lesions are polymorphic and irregular. The color edge, shape and structure of the altered picture are dim, stiff or unclear, and traces after alteration can be seen. According to the above method, no matter how it is modified, it can be distinguished from the original picture. Written information should record the patient's name, sex, age, onset time, diagnosis and treatment process, address and contact telephone number.
After many consultations and repeated comparative analysis of various information and treatment methods, we can select a more suitable treatment method according to our own situation.
(2) Observation of curative effect ① Initial validity period. The clinical manifestations of the initial effect are that the leukoplakia shrinks inward from the periphery, and the edge of the leukoplakia gradually becomes clear (the blurred edge is the performance of the disease development), which is slightly darker than the normal skin, and there are black spots (pigment islands) in the leukoplakia. If the method is proper, 65% of patients will take effect within 1 month; More than 85% take effect within 2 ~ 3 months; It is very rare that the effective time exceeds 3 months.
2 validity period. Black spots increased and merged into blocks, small white spots disappeared, and large white spots were obviously reduced.
3 cure. The leukoplakia completely subsides, and the skin in the leukoplakia area can be slightly darker than the normal skin color, and it takes more than 3 months to completely restore the normal skin color.
4 is invalid. If the condition does not improve after more than 3 months of treatment, it will be ineffective and the treatment plan should be considered to be adjusted.
In the course of treatment, the attending doctor should conduct a face-to-face consultation once a month to observe the condition in detail so as to prescribe the right medicine. If you can't meet face-to-face every month because of the distance, take photos of the affected part every 1 ~ 2 months for the doctor to see. It is also necessary to introduce the changes of the condition and the reaction after taking the medicine to the doctor frequently by telephone (at least once a month) or letter. If doctors and patients can cooperate closely, severe patients can sometimes have better results.
(3) The curing time is affected by six factors.
① Time of onset. Early onset (within 3 months) takes about 3 ~ 10 months to recover, with an average of 7 months; Intermediate patients (onset time 4 months to 3 years) recovered from 6 months to 2 years, with an average of 65438 0.5 years; Advanced patients (more than 4 years) 1 ~ 4 years recovered, with an average of 2 years. We counted 2597 patients, and the cure rates at different onset times were 95% in the early stage, 57% in the middle stage and 33% in the late stage.
② Skin lesion area. The lesions were distributed as localized patches from rice grains to nails, and the healing time was about 3 ~ 10 months. There is only one piece in the whole body, the area is the size of a palm, and the healing time is about 8 ~ 14 months; The area is 2 ~ 3 palms, and the healing time is about 10 ~ 16 months. Large area, multiple pieces distributed all over the body, cured in 2 ~ 4 years.
③ Lesion site. The facial effect is quick and easy to cure. It is the face, head, neck, back, chest, ilium, waist, abdomen, hands, feet and mucous membranes. Mucosal treatment of joints, hands and feet and limbs has a long course of treatment and a low cure rate. Hair turns white, black and white people tend to turn black, and all white people are more difficult to cure. White eyebrows are easy to cure, while white eyelashes are more difficult to return to normal color.
4 years old. The curative effect of teenagers and children is better than that of middle-aged and elderly people, but there is no significant difference in early-onset curative effect. There is a significant difference in curative effect between middle and late stage patients because of their different ages.
⑤ Individual differences. Different individuals have different curative effects, such as living habits, mental state and physical condition. Those who are partial to food, like alcohol and tobacco, and children like snacks and drinks have slow curative effect and long course of treatment. The curative effect of those who keep comfortable and stable mood is better than those who have long-term mental stress, depression, insomnia and other neuropsychiatric disorders; It is difficult to treat obese children and people with white skin.
⑥ Type of skin lesions. The local small area cure rate can reach 96%; The cure rate of ganglion segment type can reach 98%, but it takes a long time to take effect, up to 9 months. Patients with large area and serious illness need 2~3 years to be cured. Because of the complete loss of pigment cells in the diseased area, this type must be cured by autologous epidermal cell transplantation. A large area of sporadic skin lesions, distributed in joints, limbs, hands and feet, is unstable and difficult to cure; Broadly speaking, it is the most difficult to cure, and the cure rate is below 5%.
(4) Doctor's sense of responsibility Because vitiligo is complicated and complicated, the treatment effect is also affected by many factors, and one drug or method cannot cure all patients. Therefore, the doctor's sense of responsibility is very important for achieving the best curative effect and making patients recover. Medical staff should have good medical ethics, take Dr. Bethune as an example, regard patients as relatives, carefully observe each patient's condition, accurately grasp and record the condition, so as to formulate appropriate treatment plans according to the individual differences and condition differences of patients, and try their best to get rid of the pain and troubles of patients as soon as possible.