Health New Knowledge| will it mutate after the new coronavirus strain Aomi Kerong replaces Delta?

[Will the new coronavirus strain Aomi Kerong replace Delta?] 】

New source: Tencent News Knowledge Officer @ Wang Yuedan

[After an organ transplant, will you be able to live?] 】

See the news that a patient developed psychiatric symptoms after a liver transplant and then jumped off a building.

At the beginning of the month, he gave a lecture to students, entitled "Ethical Issues of Organ Transplantation", which said: The success rate of organ transplantation is far less optimistic than the media report, in fact, many organ recipients do not survive off the operating table, some die from later rejection periods, and some die from insurmountable complications.

Therefore, organ transplantation (including liver transplantation) is a choice that needs to be repeatedly evaluated and cautious, and only if all other methods do not work, it is necessary to consider the choice of organ transplantation.

And the preoperative must do a good job of informed consent, including the explanation with the organ donor and the recipient and the relatives, the video said that this includes - "there may be delirium, hallucinations, delusions and other psychiatric symptoms after the operation", so in the end the court ruled that the hospital is not responsible for the operation, but there are problems in postoperative care.

This is an ethical question, let's analyze the causes:

Postoperative delirium:

This is a complication with a high probability of appearing after surgery, delirium is a kind of cerebral organic mental disorder, usually due to postoperative secondary infection, electrolyte disorders and other factors caused by the consciousness disorder, the most common manifestations include: incomplete directionality (time, place, character orientation is poor), nocturnal excitement and lack of verbal logic, horror hallucinations (some patients claim to be able to see ghosts on the wall, beasts of prey or can see dead people).

This patient after the liver transplant had a feeling of victimization and fear, and it was more likely to consider postoperative delirium.

Protective restraints should be given promptly, with antipsychotics, such as intramuscular haloperidol or oral olanzapine or quetiapine, and avoiding sleeping pills (benzodiazepines), which can exacerbate delusional symptoms.

If this is the case, then the hospital may have a situation where the consultation is not timely and the care is not in place!

Hepatic encephalopathy:

This is due to the abnormal metabolism caused by lesions of the liver itself, elevated blood ammonia, and entering the brain through blood circulation, affecting people's consciousness and cognitive function. This may also lead to psychiatric symptoms, but this is not too likely, because the reason why patients want to change livers is because they want to treat necrotic livers, and the transplant itself is less likely to cause hepatic encephalopathy.

New knowledge source: Tencent News Knowledge Officer @ Spiritual Psychology Shen Chenyu

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Note: The opinion of the knowledge officer is not recommended for treatment, if you need to obtain an individual disease treatment plan, please go to a regular hospital.