How should pulmonary nodules be detected? What needs to be done?

Spiral CT is a good method for diagnosing pulmonary nodules. For pulmonary nodules, we need to combine this patient. If the patient is older than 45 years and has undergone a long-term spiral CT of the chest, the above pulmonary nodules can be detected.

In general, nodules smaller than a centimeter have smooth margins, no lobulation, no previous history of cancer, no history of smoking, but a history of smoking. If you want to reduce your risk of disease, you should learn how to prevent lung nodules when there is a nodule in your lungs.

Exercise more. We should do more exercise in our lives. Exercise can improve the body's immunity.

Many patients are only found during physical examination, CT scan, or chest photograph. Pulmonary nodules are usually less than 3 centimeters in diameter. If they detect lung nodules at an early stage, they get it right** and effectively prevent lung nodules from turning into advanced lung cancer.

More than 3 cm, it is often referred to as mass. To support the need to quit smoking, the second is to avoid secondhand smoke and avoid bacterial and viral infections.

Right now, it's the season when it's easy to catch a cold, so we should focus on prevention. Wear a mask to reduce the likelihood of exposure to bacteria and viruses; Practice more every day to improve your physical shape. Then, in the diet, it was found that the rate of vitamin-rich nodules was more than 90%, and the radiation to the human body was very small.

Of course, early screening and early diagnosis are not only the best means to prevent lung diseases, but also the best way to stay away from other diseases. Again, more and more people are finding out that they have "pulmonary nodules or small nodules" through a moderate amount of closed vegetable, melon and fruit exercise.

Control of benign tumors, metastatic tumors, etc. At present, we need to pay attention to the imaging features of the nodule and the personal history. How to prevent and ** pulmonary nodules?

1. In short, the way to prevent pulmonary nodules is to ensure that the air machine runs smoothly and the organs function normally, so it is necessary to maintain good living habits. Among pulmonary nodules, the risk of malignancy is highest among mixed glass nodules on the ground.

I think I should go to the hospital regularly for physical examinations so that I can detect whether there are lung nodules in time. Usually you should develop a good living habits and eating habits, eat more fresh vegetables and fruits, eat more nutritious food, be sure to pay attention to the balanced combination of nutrition, don't overeat, don't diet, and then don't stay up late. Get enough sleep, exercise properly, and maintain a good state of mind.

We say that a low-dose spiral CT is one of the best ways to detect lung nodules. Lung nodules, we also have to combine the patient's age is greater than 45 years old, has a long-term smoking history, has an occupational exposure risk, whether there is exposure to polluted air, including asbestos and other fuels, etc., we have to make a comprehensive judgment. And whether he has a history of chronic cough, let's comprehensively judge one of his risk factors.

In terms of prevention, we first advocate the need to quit smoking, and second, avoid secondhand smoke. Then in terms of diet, take more vitamin-rich vegetables, melons and fruits, exercise moderately, and ensure a good living habit.

Observe your physical condition as well as your breathing. Quit smoking and drinking, smoke less, go to places with more smoke and dust, exercise more, and eat more fruits and vegetables.

We must observe more, we must go to the hospital for more physical examinations, and we must find out through various symptoms, we must quit smoking and drinking, eat lightly, we must do more aerobic exercise, and we must improve the body's immunity.

Pulmonary nodules are divided into benign nodules and malignant nodules, generally nodules less than 5mm are mostly benign nodules, if the nodules are larger than 8mm or more, attention should be paid to exclude the possibility of malignant nodules.

We often detect small lung nodules during physical examinations, but lung nodules ≠ lung cancer, the vast majority of lung nodules are benign, and only a small number of dangerous lung nodules will develop into lung cancer.

Nowadays, with the increasing popularity of CT examination in health examinations, the detection rate of pulmonary nodules is also increasing. It has been reported that the proportion of small lung nodules detected on physical examination is as high as 20-30%, and the detection rate in smokers is nearly 50%.

What is a pulmonary nodule?

Pulmonary nodules are a concept in medical imaging, and those smaller than 3cm are called nodules. In layman's terms, for example, the long bag on our face, or the pimple on our body, and the nodule growing on the lungs is called a pulmonary nodule.

What should I do if a lung nodule is found during a physical examination?

First of all, don't be too nervous because of the physical examination found lung nodules, lung nodules do not equal lung cancer, most nodules are benign.

Secondly, regarding the treatment of pulmonary nodules, there are the following situations: one is a benign nodule, which should be closely observed and followed up for a long time; One is the nodule caused by inflammation, which should be anti-inflammatory** under the guidance of a doctor, and then perform chest CT examination; For an unqualified nodule, long-term chest CT follow-up should be carried out according to the doctor's instructions, and if there is a high suspicion of lung cancer, the nodule should be "vigilant and operated in time".

Even if cancer is detected very early, it can be done as long as it is done properly and in a timely manner. Therefore, it is the right choice to find a professional doctor when you get a report of pulmonary nodules, and follow the doctor's instructions.

From the perspective of traditional Chinese medicine, it is easier to get the two constitutions of lung nodules?

From the perspective of traditional Chinese medicine, qi stagnation and blood stasis, blood stasis and phlegm stasis are prone to lung nodules. According to my 40 years of clinical experience, people with the following two constitutions are more likely to get lung nodules.

First: people with yang deficiency constitution, especially those with yang deficiency in the lungs and spleen, do not dissolve fluid. The fluid turns into phlegm, and the phlegm condenses into a nodule.

Second: People with damp and hot constitution, who often have a bitter mouth, dry mouth, thick tongue coating, sticky stool and other damp and hot constitution, are also prone to damp heat stagnation in the body, affecting the flow of qi and blood to form a nodule.

What are the precautions?

Quit smoking, avoid exposure to secondhand smoke and thirdhand smoke; ventilation in the kitchen, use of range hoods when cooking, and wear masks with protective functions; Stay away from smog, establish a good lifestyle, and keep a good mood; Those over the age of 40 have regular health check-ups every year.

To improve the concept of health management, Dr. Guo Yuqin, director of the Department of Traditional Chinese Medicine and Respiratory Medicine of Beijing Sihui West District Hospital, said that having a healthy lifestyle, regular physical examination, and finding a professional doctor to solve lung nodules are the key to early detection, early diagnosis, and early diagnosis.

This disease is generally infected by viruses or bacteria, or it may be because long-term smoking occupations or some toxic substances will have a serious impact on their abdomen, resulting in the occurrence of this disease, if you want to prevent this from happening, first keep the atmosphere clean, but also keep the surrounding environment clean, let yourself breathe in a better state.

Most patients with pulmonary nodules can be relieved on their own, if the patient is stable and has no special symptoms, there is no need to carry out**, if the symptoms have obvious two or three stages, such as chest nodules, eye nodules, and nervous system untangle invasion, **myocardial involvement, increased blood calcium, hematuria, SACE levels are significantly increased, these symptoms occur, hormones can be used to carry out**.

The commonly used hormones are prednisone, 30 to 60 mg orally per day, can be taken in divided meals, after four weeks of continuous use, the dose is gradually reduced to 15 to 30 mg per day, and the maintenance dose is 5 to 10 mg per day, patients need to use it continuously for a year or longer, if the patient uses glucocorticoids for a long time, we must pay attention to the *** produced by the patient after using glucocorticoids.

Secondly, patients can be recommended to use hydroxychloroquine, methotrexate, azathioprine, etc., and it is worth noting that if all drugs that can cause increased blood and urine calcium, such as vitamin D, patients with pulmonary nodules must not eat, and should be listed as contraindicated, because this will have a great impact on our outcomes, and the cause of pulmonary nodules is still unknown, mainly a multi-organ granulomatous disease, which often invades our lungs and bilateral hilar lymph nodes, as well as ** and other organs.

First, the nature of pulmonary nodules should be clarified first.

Since pulmonary nodules are benign and malignant, it is necessary to clarify the nature of pulmonary nodules after they are discovered, so as to give a targeted plan. To determine the nature of a pulmonary nodule, a nonsurgical biopsy, such as tracheoscopy or needle biopsy, is usually required. If a non-surgical biopsy is not possible for some reason, it can be diagnosed with artificial intelligence.

If pathology cannot be obtained by nonsurgical biopsy and malignancy is highly suspected, surgical biopsy, such as thoracoscopic biopsy, may be considered.

2. Symptomatic after clarifying the nature of pulmonary nodules**.

1.Benign pulmonary nodules**.

1) Targeting**.

If it is a benign pulmonary nodule and the specific cause of the disease has been identified, it can be targeted**. For example, benign pulmonary nodules caused by tuberculosis infection should be treated with anti-tuberculosis drugs, and the course of treatment must be sufficient, and the dosage must also meet the standard. If it is a benign nodule caused by a fungal infection, it needs to be treated with antifungal drugs promptly**.

2) Other**.

After the onset of benign pulmonary nodules, it is necessary to change bad habits, especially not smoking. If you can quit smoking in time, your condition will improve to a great extent. If there is a relatively large psychological burden, you can consider psychological **.

2.Malignant pulmonary nodules**.

If it is clear or highly suspected that it is a malignant pulmonary nodule, aggressive surgical intervention should be performed. At present, the more commonly used surgical method is surgical laparoscopic surgery, which is a minimally invasive surgical method, with a wide field of vision, less trauma caused after surgery, and relatively rapid postoperative recovery, which can effectively reduce the pain of patients.

If there are nodules in the lungs, first do a lung CT to clarify the nature, size and number of nodules, if it is an inflammatory nodule in the lungs, you need to do an anti-tuberculosis test to rule out the factors of tuberculosis, and then take cefixime dispersible tablets orally for anti-inflammatory**.

Pulmonary nodules include benign nodules and malignant nodules, benign nodules only need to be reviewed regularly, malignant nodules need to be completed tumor series, lung nodules biopsy or bronchoscopy. If the patient has a malignant nodule that requires surgery**, radiotherapy, chemotherapy, or target-cell agents** may be considered after surgery**. If the patient has a pulmonary nodule due to tuberculosis, anti-tuberculosis is required**.

If you find tuberculosis, you should be active** and go to a regular hospital to cooperate with the doctor to do positive **. Tuberculosis is not an incurable disease now. There is every hope of healing.

Don't panic if you find a pulmonary nodule, it is likely to be benign, follow the doctor's advice to have regular follow-up, if you find that the nodule grows rapidly and the edges show irregular changes, you should do surgery as soon as possible**, the success rate is still very high.

If tuberculosis is detected, you should first isolate yourself from your family and ensure that you do not go to an infectious disease hospital on the basis of infecting others**. Tests for tuberculosis and the degree of conjugation are required, as long as other necessary tests are continued. Symptomatic as appropriate**.

After the discovery of a lung nodule, it does not matter as long as it is not large. Regular check-ups are sufficient. If it's so small, don't worry about it, and if it gets bigger and bigger, then you need to be hospitalized**or surgery**.

If the diagnosis is confirmed to be a pulmonary nodule. You should contact your doctor as soon as possible for surgery. Avoid the nodule becoming larger and affecting the respiratory function of the lungs.

When we find that we have pulmonary nodules, we first need to change our eating habits, and then we need to change our daily habits, which is very important, and we are positive**.

If you find a lung nodule, you don't have to be so nervous, but you should pay close attention to it. First of all, it is necessary to find a professional respiratory specialist, especially a respiratory specialist specializing in the diagnosis and treatment of lung cancer, for evaluation, and then take corresponding diagnosis and treatment follow-up measures according to the specific situation.

If you find that you have pulmonary nodules, you should not be too nervous, you should go to a large hospital, and a professional doctor will conduct relevant examinations, including tumor-related examinations, tracheoscopy, lung puncture and invasive testing**, and further strengthen ** according to the results of the examination**.

If it is malignant, be ready for surgery at any time, do not panic, and keep a calm mind.

If you find that there is a lung nodule, you should follow the doctor's instructions to recheck it regularly, pay attention to Sister Fei, whether there is a change in size and shape, and also carry out blood tests and other relevant examinations, if there is no change in stability, this means that the problem is not big, if there is a change, further consideration is needed**.

Then you should avoid dusty and hazardous positions, and find some dust-free working environments to work.

If a pulmonary nodule is found, a nonsurgical or surgical biopsy is first required to determine whether it is benign or malignant, and then according to its nature**. Benign pulmonary nodules can be targeted according to the specific **, and other ** can also be carried out, such as smoking cessation. If the lung nodule is malignant, surgical intervention should be performed at an early stage.

Pulmonary nodules are one of the more common lung diseases, which usually have no obvious clinical manifestations in the early stage, and are difficult to detect on their own, and are generally known at the time of chest X-ray or CT examination. Pulmonary nodules are divided into benign and malignant, although most of them are benign, but malignancy is not excluded, so it should be timely after the onset of the disease.