Source: MediaCorp
Video Transcript:
马哥嗯 肾癌是新加坡男性第七大常见癌症哎是的 那么在本地呢患上肾癌的病患每年度增加到2%-3% 所以我们今天就来好好了解肾癌贫血尿血背痛都是症状吗风险又有哪一些除了扫描还有什么其他诊断方法吗中医治疗原则是什么哪一些食疗是有帮助的医师还会传授功法帮我们固肾强腰以及患者的故事我们一起来听听通通都在这一集的医疗大小事一起涨知识马哥你说人没有肾还可不可以活下去开玩笑这种可笑问题吗我当然懂啊那答案就是答案是我今天不会告诉你
我要问两位嘉宾看他们到底懂不懂好那欢迎今天的嘉宾帅粑粑苏志成还有杨志龙当然还有我们的这个泌尿专科陈翘业医生欢迎欢迎欢迎来请坐两位小帅请坐有哇想请问一下两位嗯嗯如果一个人没有肾还能活下去吗是一个没有人是两个都没有两个都没有应该是可以吧应该是可以那志龙呢有一个可以如果两个都没有就不可以OK
那请问一下陈医生如果一个人真的没有肾能够活下去吗如果一个人没有两粒肾对那不能生存呀为什么我们的肾是制造尿液嗯如果没有肾就不能制造尿液不能排除身体的多余的水分嗯就不能生存了一个还可以对不对对哦如果说有一些人他有肾病的话两颗肾都没有办法起到作用那该怎么办世界上有一个伟大的发明叫做洗肾机啊经过这个洗肾机呢我们可以排除多余的水分嗯这样就可以继续生存好明白
那请问这个肾癌有哪些症状初期的肾癌是没有症状的啊可是比较后期是或者肿瘤太大那有三个典型的症状
第一血尿
血尿我们肉眼看得到的有时候看得到哦但是很严重了大部分呢就是肉眼看不到嗯我们叫做隐血隐血就是我们做那个尿液检测的时候呢看到红血球哦那个是要检测所以要检测检验的时候才看得到
对那还有呢在这个侧面这边呢嗯有腰痛腰痛侧面或者从后面有时候转移到前面啊痛这种痛呢通常是一直痛OK那还有吗
还有其他症状肿块肿块自己摸得到哎呀为什么有深圳的肿块是硬的当然如果肾癌已经转移到肺部嗯那可能呼吸有困难啊哇转移到骨头呢可能有骨痛嗯转移到脑呢嗯可能就中风啊啊或者头痛
所以通常两个肾都会一起患癌吗当然有可能可是这样的情况很少见是啊大多数是治疗之后呢可能几年后另外边再有另外一个肾癌这是因为基因的突变基因的突变所以另外边的肾突然间又长了几年后的几年后的事情OK
那有哪一些风险因素呢增高风险的包括年龄年龄年龄越高患肾癌的可能性比较高几岁到几岁但50-70岁最近我们看的比较更年轻的几岁40多都有啊哇30多也有OK
除了年龄之外还有家族食
OK家族史嗯还有男性比女性患癌的可能性超过两倍2倍啊两倍啊那其他因素比如说啊
基因突变也有可能基因突变嗯
肥胖啊抽烟者啊OK那肾衰竭的病人风险会不会比较高
是的晚期生病嗯 或者长期洗肾的 患这个肾癌的可能性更高哦哇
所以不能开玩笑对不对 那如果说是血压高呢 会不会造成这个肾癌
也会如果一个人的血压越高 是患上肾癌的可能性越大哇
但是既然说初期的话他没有症状对那病患怎么知道他患上了这个呃肾癌呢对他可能就是没有病状可是去做常年的体检是发现到尿里面的尿液嗯有红血球啊或者呢有时候是偶然间发现的嗯他们可能是去做肝脏的超声波检查或者脊椎骨的核磁共振审查发现到哎肾为什么有长的肿瘤哦那如果怀疑自己有肾癌的话要将进行诊断最好是做一个CT扫描或者是MRI扫描两个都是呃同样的准确性准确度可以去掉百分之将近100%
哇哇所以今天我们的这个医生呢也有带这个超声波仪器来有谁想试的啊我我我我推荐他OK哈哈哈Ben Yeo好不好对对好不好来这是超声波仪器嗯现在我要帮Ben检查他的肾有没有生肿瘤哇紧张了紧张了首先我们检查呢右肾测量他的大小长度他的肾的长度10.6公分这是很正常平均是10-12公分哦OK看我们的体格比较高比较大肾会比较大嗯然后现在我测量那个厚度肾的厚度比较薄的话嗯那可能呢肾有点萎缩哦他的肾功能比较差我的厚不厚对正常正常然后我现在我是看他的肾里面有没有肾积水啊肾结石啊嗯有没有肿瘤都看得出啊OKso far 右边那颗怎么样没问题OKOK我们现在不要到另外一边高兴还有左边数还要高兴还有左边呢一样的我们来看这个形状是不是正常的左边的肾好像比右边的大一点点这个不用紧了不要担心了里面看起来没有结石没有肿瘤也没有积水所以你的肾看起来很正常所以总的来说两颗肾都没问题好好太好了太好了谢谢谢谢啊
那我们继续去了解这个肾癌的问题好不好好来给说到肾癌啊要怎么样分期肾癌在第一期的时候呢肿瘤是在肾包膜里面嗯长度呢少过7公分嗯那少过7公分是第一期呢他的治愈率是多少治愈率很高哦5年的存活率嗯90%啊10年的存活率85%其实很好第二期呢肿瘤还在肾包膜里面嗯可是他的长度超过7公分那治愈率就比较低了低一点点可是治愈率还是很高OK嗯第三期呢肿瘤呢已经侵略到肾周围的脂肪或者肾静脉里面嗯啊那五年的存活率是下降到50%哇一半第四期的肿瘤呢已经扩散转移到肺骨头哇肝脏对甚至脑部哇那个就很严重了那注意力就很低了很低了哇那么其实真的是早发现早治疗是非常重要的说了没错嗯那我们广告过后还有中医师加入讨论
我们稍后再见欢迎董晶晶中医师加入今天的讨论是那想请问一下这个意思啊是怎么看这个肾癌的中医认为呢产生肾癌的原因有三个方面嗯
那第一个方面呢 是跟房事太多有关系啊 会损伤肾脏是
第二个方面呢是和年老体衰有关系 嗯啊那就会造成肾气的不足啊
那第三个方面 是和感受外邪有关系 嗯啊会造成湿热侵袭肾脏
这3个原因呢造成肾气的虚弱 然后日久呢就会产生气质血瘀 那么气质血瘀 他会在肾里面形成一个极块 这个极块呢 就是形成肾癌的一个原因了
哦有哪一些症状在中医呢比较看舌相和脉相OK啊那么从这个舌苔上来看呢啊在早期啊会出现这个舌苔会比较黄腻啊到了中晚期呢他的舌苔呢会出现焦黑的舌苔啊焦黑啊是的到了疾病的后期呢这个舌苔就会出现没有胎、光滑的我们叫镜面舌这样的一个情况哦那有没有可能从脉向那边发现到这个问题啊是的我们也是通过脉向来看啊这个肾脏的他的虚弱程度啊那把三个手指放在寸口的位置这个第三个手指的位置呢我们叫齿脉齿脉的位置呢是对应肾气的当我们觉得这个位置呢脉向啊跳动啊是非常弱的或者是你摸不到了这个时候就是肾气弱的一个表现就是说你肾出现了问题对啊对好明白明白
那今天呢我们也邀请了这个肾癌的康复者来到现场跟我们一起分享我们掌声欢迎他好不好来欢迎邦田欢迎欢迎来来来请坐请坐请坐哎邦田我们想了解一下就是说你是怎么发现呃是出了什么症状呢嗯没有任何症状啊去年5月的时候是我在我老婆多次坚持一下我去让我去做了个体检去见医生去Rev的时候就告诉我身上长了个东西让我去做CT Scan然后照CT Scan之后发现那个肿瘤大概是3公分哦是属于第一期肾细胞癌我说你看你的老婆真的很细心听老婆的话是对的对就没错是的我也是非常感谢他我就跟他说莫名其妙的一只脚踏进了鬼门关他帮我拉出来了对不对哇好感动这句话那后来你有马上安排去做治疗吗是的新期结果确认之后就是马上联系医生做朋友联系医生然后联系到陈医生哦医生就马上帮我们安排了那帮我安排了手术哇那你老婆当时不是很担心吗是啊他非常担心晚上都睡不好觉有一次晚上我迷迷糊糊的听到他在半半夜在哭哎呦那家里有小孩吗有有两个小孩儿子9岁女儿5岁去看陈医生的时候他们两个跟我一起去而且当时就眼泪眼泪哗哗的流女儿在那段时间有一天我发现他头上长了个白头发5岁长白头发担心啊是我问他为什么怎么会白头发他说很担心哇真的很感动啊所以我就是说这个病啊有些时候就是也会让家人也辛苦了对不对是说一旦生病不仅仅是自己其实家人家人是也是带着很大的痛苦对对对那手术后有做什么化疗吗啊没有完全没有不需要没有哎医生为什么手术后不需要做化疗对他是早期吗第一期啊第一期啊只是做手术嗯不用再做其他的治疗OK那手术之后呃你的伤口需要多久才敷衍啊第一个月因为伤口还没有没有长好所以会有点痛还不能提重的东西嗯大概三个月之后就基本上恢复正常了那现在还需要回去复诊吗嗯现在还需要两个月前还有去做一些检查随着CT Scan嗯然后一些都好的后面就是可能半年再去检查一次是所以像这种检查要维持多久哦最少10年吧一个月回来做检查我们检查那个肾嗯然后看肿瘤有没有转移到肺部所以要做一个肺的x光嗯
那有什么问题要问我们的中医师吗如何减少这种癌症的发生呢刚才医生有提到这个很大方面其实跟基因有关系了是其实我们蛮担心我的小孩的在预防方面呢我认为这个饮食起居生活环境这些是非常重要啊比如说嗯我们饮食的时候少喝冷饮其实冷饮伤脾胃也伤肾少吃盐因为那个盐呢是咸的他是入肾的嗯啊最重要的一点就是啊情致的问题情绪管理很重要很多癌症的病人你最初都是跟情绪有关系的嗯
那这一次的经验有给你什么感悟吗最大的感悟就是要善待身边的人嗯尤其是和自己患难与共的另一半嗯然后对朋友对邻居好一些嗯因为最艰难的时候帮了很多忙那今天你跟我们分享这些我们也真的是获益不浅呢非常的感恩那祝你一家大小幸福安康快乐好不好好谢谢谢谢谢谢谢谢谢谢谢谢谢谢
那医生治疗肾癌有哪一些方法手术
但是第一线的治疗方法 因为肾癌呢 他不会受到
化疗或者放射性治疗的控制哦第一个问题我们要问就是切除这个肿瘤的时候呢我们能不能保留那个其他部分的肾脏嗯嗯如果可以的话我们就要部分切除嗯单单把肾癌包括周围的一点点正常的肾的肉嗯切除掉切除掉哦就保留其他没有影响到的肾肿瘤太大或者位置太过的中央我们没有办法保留那个肾那就整个肾脏要切除掉哇听你这么说手术应该有好几种
第一我们可以做啊
这个开放性传统性啊就是开大刀啊开腹啊肾很深嘛所以那个切口是很长很痛哦做完手术之后病人有急痛复原期也是很长嗯所以我们现在做的越来越少了嗯我们做的是微创的手术嗯我们用这个特别的刀具经过3-4个小切口我们就可以把肾脏跟肿瘤一起切出来啊这是2D影像OK比较容易做是
如果那个肿瘤是比较小我们要做部分切除那么我们就要用Robotic设计就是机械人手臂的手术嗯嗯这是3Dvision嗯很像在最尾端那边呢他的哦可以移动哎可以移动很明显可以左右移动哎如果很灵巧所以很复杂的手术都都可以做但是这个切口就要可能比较大一点对不对只是大了一点点一点点而已啊最后呢还是要有一个切口是足够那个肿瘤取出来就把它拿出来对OK
OK那比如说如果健康有问题的不能动手术的病人那该怎么办如果在早期的话单单做手术就足够了可是如果第三期第四期的话还要经过靶向治疗发现治疗甚至免疫疗法
那在中医我相信应该有食疗法对吧是的嗯嗯所以今天有带来吗食疗啊有带来然后让我们马上就去品尝一下好不好来这个黑米淮山枸杞粥有哪些食材呢有黑米黑米呢是有补肾的作用健脾的功效黑芝麻呢是有补肾还有乌黑发润肠的这样的功效黑豆呢它是有这个补肾的功效之外呢还可以治疗自汗盗汗谢谢枸杞子呢可以补肾淮山呢可以补肾健脾嗯那是怎么煮这个食疗的呢啊水泡一个小时左右然后呢放在锅里面用大火煮啊给它煮开煮开之后呢再用这个小火一直煮到这个粥烂或者粥熟根据个人的口味那我这个粥呢是用那个沙包焖炖锅煲了5个小时5个小时难怪口感这么好对不对嗯我觉得很清甜的嗯嗯我都是天然的味道我非常喜欢虽然它味道是很微微的不是那种很重口味的但是我就喜欢整个食材自己的自身的那个美味的那个味道嗯非常棒
那除了这些食疗之外还有其他的治疗方法吗主要是在肾癌患者的术后啊起到一个辅助的作用而减少副作用我们采取的方法呢主要是对症治疗比如说这个患者有贫血啊那我们就采取一些补血呀补气呀这样的呃治疗方法嗯呃我们有可以应用中药的方法可以应用针灸的方法嗯啊还有叩打的方法还有功法哦哇哦那有哪些中药是经常会用到我们经常用到的中药呢就是啊有一种公邪的中药白花蛇舌草鱼腥草还有半支莲这些中药那还有一些中药呢是根据患者的体质病症论治啦那针灸也是为了减轻这个症状吧是的啊针灸呢我们通常是取一些啊补肾的穴位和补气血的穴位OK啊那我给大家介绍一个叩打的方法嗯啊就是呢我们啊用双手握空拳来扣打我们的肾枢穴那么肾枢穴在哪里呢啊他就是在我们掐腰的时候这个拇指的位位置大概拇指也是我做毛的毛啊大胸这里吗对扣正中线这个脊柱两侧的位置啊那这个时候呢我们可以用拳头啊扣打肾输穴的位置哦一次拍打多久一天大概100次左右了在100次以上啊因为他要有一个那个动作的积累他才起到作用啊是是动作次数太少没有作用嗯哦那如果有这个肾癌病人的话他是不是也可以用这个方法来啊肾癌的患者我们不建议用这个抠打的方法嗯避免对他刺激避避免对肿瘤的刺激哦OK OK
那刚才我们的意思也听到这个功法哦那我们就找个好的位置一起来学习一下这个功法好不好好好好来这个功法呢是把两手心放在肚脐的两旁啊然后呢慢慢向上向上推向上推在推的过程中呢手可以翻转翻转到头顶呢啊手心向上手臂用力向上撑起接下来呢把手打开嗯再伸侧打开回到腰部一个护腰的动作就是一个掐腰的动作嗯向后弯腰哇哦吼这弯腰呢可以可以弯到你最大的这样的一个程度啊一个极限对啊接下来呢再向前弯腰向前弯腰通常我们到90度然后呢手随着我们大腿的后侧向下滑一直滑到足跟部哈哈哈怎么倒的了如果啊以自己最大的极限是啊然后呢从脚侧滑到脚前嗯接下来从小腿和大腿的侧面向上滑是啊这个就是肾经的走形的位置啊哇然后谁来到啊肚脐部一次要做多少多少个一天做10个一天做10个也看自己的喜欢我们可以多做这样子哦看自己的喜欢啦这个功法呢它有一个呃就是肾脏的这样的前后的这样的一个移动的过程啊所以有补肾固腰的作用好
然后明白人的一生最后有没有什么小叮咛呢嗯很多肾癌都是因为呃经过常年体检的发现所以应该继续的做的这个体检说没错所以身体检查是很重要的赶快去安排一下那当然我们的日常生活呢就一定要有规律那饮食呢一定要注意那体现的小毛病你不去处理的话他会变成大问题的没错再次要谢谢我们陈医生董医师苏志成杨志龙谢谢好医疗大小事一起涨知识下星期见拜拜
Mark
You said that people can live without kidneys.
Are you kidding me? Of course I understand.
Then the answer is: I won’t tell you today.
I want to ask two guests and see if they understand
Then welcome today’s guest Shuai PaPa, Su Zhicheng and Yang Zhilong
And of course, our urology department: Dr. James Tan
Welcome welcome welcome
Come, please take a seat, two handsome boys, please take a seat. Wow.
I would like to ask the two of you
Hmm, if a person does not have kidneys, can you survive?
Is one no, if two no.
Neither.
It should be possible, what about Zhilong?
There is one that can, if you don’t have both, it’s not OK.
Then may I ask Dr. Chen?
If a person really doesn’t have kidneys, can you survive?
If a person doesn’t have two kidneys, it can’t survive.
Why do our kidneys produce urine?
Well, you can’t make urine without a kidney.
You can’t get rid of excess water from the body. Hmm.
They wouldn’t survive.
One is okay, right?
Right.
If there are some people who have kidney disease, neither kidney works, what to do then?
The world has a great invention, it’s called a dialysis machine.
What about this dialysis machine?
We can get rid of excess water, so you can continue to survive
So what are the symptoms of this kidney cancer?
Early stage kidney cancer is asymptomatic.
But it is relatively late or the tumor is too large.
There are three typical symptoms.
First hematuria:
Hematuria we can see with the naked eye. Sometimes you can see it.
But it’s serious, most of them are invisible to the naked eye.
Well, we call it microscopic hematuria. Microscopic hematuria is what we do
What about the urine test?
I see red blood cells, that is to be tested.
So you can only see it when you need to test it.
Yeah, and what else?
It’s on this side here. Hmm.
Have low back pain, low back pain on the side or from the back
Sometimes it hurts to transfer to the front
What about this pain?
It usually hurts all the time.
What else?
There are other symptoms
The lump can feel itself
Oops, why is there a lump that is hard?
Of course, if kidney cancer has metastasized to the lungs
Hmm, that might be hard to breathe. Wow.
Transfer to bone
Maybe bone pain
Transfer to the brain
Hmm, maybe a stroke or a headache
So usually both kidneys get cancer together?
Of course it is possible
But this is rare
Yeah, mostly after treatment
Maybe in a few years, another kidney cancer and this is because of a mutation in the gene.
The mutation in the gene, so the other kidney
Suddenly it’s longer.
A few years later, things are OK.
What are the risk factors?
Increased risk includes age.
The older you are, the possibility of developing kidney cancer is relatively high, a few to a few years old
But 50-70 years old
Lately we’ve been looking at younger ones.
There are more than 40, wow, there are also more than 30 OK.
In addition to age, there are also family foods
OK family history
There are more males than females.
You’re more than twice as likely to have kidney cancer.
Twice, twice.
What about other factors like?
Genetic mutations are also possible genetic mutations
Fat, smoker, OK.
Is there a higher risk for patients with kidney failure?
Yes late illness eh
Or long-term dialysis
Higher risk of this kidney cancer oh wow
So no jokes, right?
What if it is high blood pressure?
Will it cause this kidney cancer?
Also if a person’s blood pressure is higher
Is the greater the likelihood of developing kidney cancer wow
But since it’s preliminary, he has no symptoms, right?
How did the patient know he had this, uh
Kidney cancer? Yeah.
He may just be asymptomatic.
But go for a perennial physical examination
Is the urine found in the urine
Hmm, red blood cells?
Or, you know, sometimes by accident. Hmm.
They probably went for an ultrasound of the liver.
Or an MRI of the spine revealed
Hey, why does the kidney have a long tumor?
If you suspect you have kidney cancer, to be diagnosed, it’s better to do a CT scan or an MRI scan
Both are the same accuracy
Accuracy can be removed by percent.
Nearly 100%
Wow, so what about our doctor today?
I also brought this ultrasound instrument.
Anyone want to try it?
I, I, I recommend him OK.
Hahaha, Ben Yeo, okay? Yes, yes, okay?
This is an ultrasound machine. Hmm.
Now I’m going to help Ben check his kidneys
Is there any life?
Tumor wow
I’m nervous. I’m nervous.
First we examine the right kidney
Measure his size and length
The length of his kidney is 10.6 cm which is normal
The average is 10-12 cm, OK.
See our physique is taller and bigger
The kidneys will be bigger
And now I measure the thickness, Kidney thickness ratio
If it’s thinner, well, maybe the kidneys are a little atrophied
Oh his kidney function is poor
Is mine thick?
Yes normal normal
Then I am now I am
See if there’s hydronephrosis in his kidneys.
Kidney stones
You can see if there is a tumor or not, OK?
How about the one on the right so far?
No problem OK.
OK, let’s not be happy on the other side now
And happy to count on the left, and the left?
The same.
Let’s see if this shape is normal
The kidney on the left seems to be a little bigger than the kidney on the right
Don’t worry about this.
Don’t worry about it.
It doesn’t look like there are any stones in it.
No tumors.
There’s no standing water.
Your kidneys look normal. So in general, both kidneys are fine
Okay, great, great, thank you, thank you.
So let’s move on to this kidney cancer problem.
Okay, okay, here it is.
Speaking of kidney cancer, how do you stage it?
What about kidney cancer in stage one?
The tumor is inside the renal capsule. Hmm, what about the length?
Less than 7 cm
Then less than 7 cm is the first phase?
What is his cure rate?
The cure rate is very high, the 5-year survival rate is hmm
90 percent, 10-year survival rate, 85 percent.
It’s actually good.
What about the second issue?
The tumor is still inside the renal capsule
Yeah, but he’s over seven centimeters long.
The cure rate is lower
A little bit lower.
But the cure rate is still very high, OK.
Well, what about the third issue?
What about tumors that have invaded the fat around the kidneys?
Or in the renal veins
Well, the five-year survival rate drops to 50%.
Wow, half the stage four tumors?
Has metastasized to the lungs
Bones wow liver pair
Even the brain wow
That’s serious. That’s attention.
Very low, very low wow
Then it really is
Early detection and early treatment are very important
That’s right. Hmm
Then we have more after the advertisement.
TCM practitioners join the discussion
See you later.
Welcome to join today’s discussion
Do you want to ask what this means?
What do you think of this kidney cancer?
What does Chinese medicine think?
There are three main causes of kidney cancer. Hmm.
What about the first aspect?
Does it have something to do with having too much sex?
Damages the kidneys: yes
The second aspect is related to aging and frailty
Hmm, that will cause a lack of kidney qi.
What about the third aspect?
It has something to do with feeling external evil
Hmm, it will cause damp heat to attack the kidneys
What about these 3 reasons for kidney weakness?
Then over time, temperament and blood stasis will occur
Then temperament and blood stasis
He will form a pole in the kidney
What about this pole?
It’s a cause of kidney cancer
Oh, what are the symptoms?
In traditional Chinese medicine, it depends on the tongue phase and pulse phase, OK?
So what about this tongue coating?
Ah, in the early days.
Will this tongue coating be more yellow and greasy?
What about the mid- to late stages?
What about his tongue coating? There will be burnt black tongue coating?
Burnt, yes
In the later stages of the disease?
This tongue coating will appear flat and smooth. We call it a situation like mirror tongue.
Is it possible that the pulse
Did you find this problem there?
Yes, we also see it through the pulse.
How weak is his kidney?
Then put three fingers on the inch position
What about the position of the third finger?
We call it the dentition.
The position of the dental veins corresponds to the kidney qi.
What do we think of this position?
The pulse is beating, it’s very weak, or you can’t touch it.
This is a sign of kidney weakness
That means you have a kidney problem, right?
Understand
How about today?
We also invited this
Survivors of kidney cancer come to the scene
Share with us
Let’s give him a round of applause
Come and welcome Bang Tian Welcome Welcome
Come, come, please sit, please sit, please sit
Hey Bangtian, we want to know about it.
That is, how did you find out that, uh
What are the symptoms?
Well, there are no symptoms.
Last May.
It was my wife who insisted many times that I go. She made me go for a medical checkup
Go see the doctor
Tell me when you go to Rev
I have something growing on me.
Let me do the CT Scan
Then CT Scan found the tumor
About 3 cm.
It’s stage one renal cell carcinoma.
I said you see your wife is really careful
It is right to listen to your wife
Yes, that’s right. Yes, I am also very grateful to him.
So I told him.
Inexplicably, one foot stepped into the gate of hell
He helped me pull it out, didn’t he?
Wow, so touching.
Did you arrange for treatment right away?
Yes, after the new period results are confirmed
Just contact the doctor immediately
Make friends and contact a doctor
Then contact Dr. Tan.
The doctor arranged it for us right away
That arranged the surgery for me
Wow! Then, wasn’t your wife very worried?
Yeah, he’s really worried.
I can’t sleep well at night.
So one night.
In a daze, I heard him crying in the middle of the night.
Ouch, are there any children at home?
Yes. He’s got two kids.
Son 9 years old
Daughter 5 years old
When I went to see Dr. Tan
They’re both coming with me.
And there were tears streaming down my face.
Daughter during that time
One day I noticed a white hair growing on his head
5 years old with long white hair
Worried, I asked him why
How could it be white hair? He said he was worried.
Wow, that’s touching.
So I’m talking about this disease.
Sometimes it makes the family work hard too
Right? It means once you get sick
Not just yourself
In fact, family members are also in great pain
Yes, yes, yes.
Did you do any chemotherapy after the surgery?
No, not at all.
No need no
Hey, why don’t doctors need chemotherapy after surgery?
Is it early for him?
The first period, the first period.
Just surgery
Well, no other treatment is required, OK.
After the surgery, uh
How long does it take for your wound to be perfunctory?
In the first month, because the wound has not healed yet
So it will be a little painful and I can’t lift heavy things.
Well, in about three months.
Basically back to normal
Do you still need to go back for follow-up treatment now?
Well, I still need it now.
I went for some tests two months ago
With CT Scanning Well Then Some Are Okay
Later, it may be checked again in half a year. Yes.
So how long does it take for a check like this?
At least 10 years
Come back in a month for tests and we’ll check that kidney
Well, then see if the tumor has metastasized to the lungs
So we’re going to do a lung x-ray. Yeah.
Do you have any questions for our traditional Chinese medicine physician?
How can we reduce the risk of this type of cancer?
The doctor just mentioned
And a lot of it has to do with genes.
Yes, actually, we are quite worried about my child.
What about prevention?
I think this diet
Living environment is very important.
Like, hmm?
Limit cold drinks with our meals
In fact, cold drinking hurts the spleen and stomach and also hurts the kidneys
Eat less salt because that salt is salty.
He entered the kidney. Hmm?
The most important thing is…
Sentimental question
Emotional management is important
Many cancer patients
You started with emotions.
OK
Did this experience give you any insights?
The greatest insight is to be kind to the people around you
OK
Especially the other half who shares hardships with themselves
Well, then be nice to your friends and neighbors.
Yeah, because I helped a lot during the hardest time.
Then you share this with us today
We really benefited a lot.
Thank you very much.
Thanks a lot.
Then I wish your family happiness, health and happiness.
Okay? Okay?
Thank you thank you thank you thank you thank you thank you
So what are the methods that doctors use to treat kidney cancer? Operation.
But the first line of treatment
What about kidney cancer?
He will not be subject to
Control of chemotherapy or radiation therapy
The first question we have to ask
Is it when this tumor is removed?
Can we keep that?
Other parts of the kidney
OK
If it’s ok, we’ll partially remove it.
Well, kidney cancer alone
Including the surrounding bits of normal kidney flesh
Well, cut it out, cut it out.
Keep the other kidneys that are not affected
The tumor is too large or too centrally located
There was no way we could save the kidney.
Then the whole kidney needs to be removed. Wow.
Hearing you say that, there should be several surgeries
First, we can do it.
This openness, this tradition, is a big knife.
Open the abdomen, the kidneys are deep
So that incision is very long and painful.
The patient has acute pain after surgery
The recovery period is also long
So we’re doing less and less now
We do minimally invasive surgery
We use this particular knife
After 3-4 small incisions
We can put
Is the kidney cut out with the tumor?
This is a 2D image OK
It is easier to do
If the tumor is smaller
We’re going to do a partial resection
Then we’re going to use Robotic Design
It’s surgery on the robotic arm. Hmm.
This is 3D vision
It looks like it’s at the very end.
His oh can move
It can move, obviously it can move left and right
such as
Fruit is very nimble
So complex surgeries can be done
But this incision may be larger.
Right?
It’s just a little bit bigger.
Finally, there must be one
The incision is sufficient
Take that tumor out and take it out
Yes OK
OK, so for example, if there is a health problem
What to do with patients who cannot be operated on?
If in the early days
Surgery alone is enough
But if the third period
The fourth period has to go through
Targeted therapies discover treatments and even immunotherapies
What about black beans?
Does it have the effect of tonifying the kidney?
It can also treat spontaneous sweats and night sweats.
We hold empty fists with both hands
Let’s buckle our kidney pivot point
So what about, for example?
If there is a health problem
inoperable patient
What to do then?
We have cryoablation
One is the ablation treatment of electric burn. Wow.
This is a crystal, that’s a CT.
Or scan to put the needle in and out
Then use it
Electric or electric ablation ablates the tumor.
But can it have a high recurrence rate like this?
Because you didn’t cut it off after all?Right.
The recurrence rate will be higher than the surgery
It will be more complicated during review.
Because after the surgery
There’s no more cancer.
Yeah, we’re just looking at the fact that the tumor hasn’t come back.
Or move others to other places.
Yes, if you use it.
With ablation, well, the tumor is still there.
Hey, so you do that CT?
Will it be more complicated?
There is no way
No surgery.
Yes, yes, yes, yes.
That’s like after surgery
Is there anything to follow up on?
To do it if at an early stage
Surgery alone is enough
But if the third period
In the fourth stage, targeted therapy is also required.
Even immunotherapy oh ok
In traditional Chinese medicine, I believe there should be food therapy, right?
Yes hmmm
So did you bring it today? Diet? I brought it.
Then let’s go and taste it right away
Okay? Come on.
What ingredients does this black rice Huaishan wolfberry porridge have?
There is black rice.
Black rice has the effect of nourishing the kidney and strengthening the spleen
What about black sesame seeds? They nourish the kidney and have black hair.
The effect of moisturizing the intestines
What about black beans?
Does it have the effect of tonifying the kidney?
It can also treat spontaneous sweats and night sweats, thank you.
What about wolfberry? It can nourish the kidney.
Huaishan can invigorate the kidney and spleen
Hmm, so how is this diet cooked?
Ah, soak in water for about an hour
Then put it in a pot and cook it over high heat.
Bring it to a boil.
After it boils
Use this little fire again
Cook until the porridge is rotten or the porridge is cooked
According to personal taste
What about my porridge?
I used that sandbag stew pot to cook for 5 hours
5 hours
No wonder it tastes so good, right?
I find it very sweet
Hmm, it’s all natural flavors, I like it very much.
Although its taste is very slight
It’s not that heavy.
But I just like the whole ingredient.
own
The delicious taste of oneself
Yeah, it’s great.
In addition to these diets
Is there any other treatment?
Mainly after surgery for kidney cancer patients.
Play an auxiliary role while reducing side effects
Well, the approach we’ve been taking is mainly symptomatic.
Let’s say the patient has anemia.
Then let’s take some blood tonic
Qi replenishment, such a treatment method, uh, uh
We have ways of applying traditional Chinese medicine
Methods of acupuncture can be applied
Hmm, there are also methods of knocking and exercises.
Wow, what are some traditional Chinese medicines that are often used?
What about the traditional Chinese medicine we often use?
There is a traditional Chinese medicine for public evil
Snake tongue grass
Houttuynia cordata and half a lotus, these traditional Chinese medicines
There are also some traditional Chinese medicine.
It is treated according to the patient’s physical condition.
Then acupuncture is also to relieve this symptom, right?
Yes, what about acupuncture?
We usually take some.
Acupoints for nourishing the kidney and acupoints for nourishing qi and blood
OK
Then let me introduce you to a method of beating
Hmm, that’s it
We hold empty fists with both hands
Let’s buckle our kidney pivot point
So where is the Shenshu point?
Ah, he was when we pinched our waists
The position of this thumb
Maybe my thumb is also made by me.
Big boobs here?
Opposite the midline of the buckle on both sides of the spine
Ah, what about this time?
We could use our fists.
Deduct the location of the kidney input point.
How long is a beat?
About 100 times a day, more than 100 times?
Because he has to have an accumulation of that action
That’s how it works.
Yes, there are too few movements, it doesn’t work. Hmm.
What if there is this kidney cancer patient
Can he also use this method?
Patients with kidney cancer
We do not recommend using this method
Avoid irritation to the tumor
Then we also heard this practice just now.
Then we’ll find a good location
Let’s learn this practice together, okay?
Ok ok ok come
What about this practice?
Do you put your palms on either side of your belly button?
Then slowly push up and up
Push up, the hand can be flipped during the push process
Flip to the top of the head
Ah, palm up.
Arm up hard
What’s next? Open your hand. Well, reach out and open it.
Back to the waist
It’s a waist move.
It’s just a waist pinch.
Bend back
Whoa whoa whoa
How about bending over?
Yes, yes.
Bend to your maximum.
A limit
Yeah, what’s next?
Bend forward again
Bend forward usually we get to 90 degrees
And then what?
As the back of our thighs slide down
Slide all the way to the heel
Hahaha, how did it fall?
If ah, at your own maximum limit
Yeah, and?
Slide from the side of the foot to the front of the foot
OK
Next slide up the side of the calf and thigh
Yes, this is the position where the kidney meridian is out of shape.
Ah wow and then who comes to the belly button
How many to do at a time?
Do 10 a day do 10 a day
Also see what you like
We can do more like this.
See what you like.
What about this practice?
It has a uh
It’s for the kidneys.
Such a moving process before and after?
So it has the effect of nourishing the kidney and fixing the waist.
Then understand human life
Is there any little reminder at the end?
Well, a lot of kidney cancers are caused by uh
Findings after perennial physical examination
So you should continue to do this physical examination.
That’s right, so the physical examination is important.
Hurry up and arrange it.
Sure
Our daily life must be regular
What about your diet? You must pay attention.
If you don’t deal with that little bug
He’s going to be a big problem.
Yes, thank you again, Dr. Tan.
Doctor Dong
Su Zhicheng Yang Zhilong
Thank you, good medical care, big and small things will increase knowledge together
See you next week. Bye.