Introduction
The thallium is a disease caused by skin cactus infections in shallow skin other than the skin, hair, palm and nails. The incidence is high and is more common in primary medical clinics. Given the wide range and accessibility of primary health-care facilities, which are responsible for a large number of first-time consultations and treatments, it is important to understand the current state of treatment in primary health-care facilities in order to control the spread of diseases and improve the quality of life of patients.
II. Status of hysteria treatment in primary health-care institutions
(i) Diagnostic methods
1. Clinical performance judgement
Most of the primary doctors perform preliminary diagnostics based on the patient ‘ s typical clinical performance, such as the presence of red or polycyclic red spots, rubles, water herbs in the skin, the presence of scabs on the edge and slightly higher than the skin surface, and the central tendency to self-rehabilitate. However, there may be errors in the diagnosis based on clinical performance alone, such as confusion with diseases such as rashes and rose herpes.
Funcular examinations
Some grass-roots medical institutions have carried out fungal screenings, such as direct mirrors, which are simple and quick to observe myths or spores by scratching skin edges under microscopes, but the positive rate is influenced by such factors as the extraction of material and the experience of the tester. Fungi culture, although it is clear about bacterial species, takes a long time, is relatively low in general primary hospitals and may be deficient in the collection of specimens, transport and control of conditions of development.
(ii) Treatment
1. Exterior anti-fluent drugs
Exogenous anti-foulbacterial drugs are the main means of treatment at the grass-roots level. Common drugs such as americium (Crozene, Micconium, etc.) and acrylate (Tbiphene, etc.). These drugs are relatively user-friendly and safe. Patients with a mild body acreage are generally treated by regulating external medication, and symptoms are more likely to be effectively mitigated. However, there are problems of patient dependence, such as insufficient access to medication, and some patients stop their own medications after a slight improvement in their symptoms, leading to a higher rate of relapse.
Oral anti-fluent drugs
In the case of patients with poor external medications, large skin damage or repeated cases, the basic physician considers oral anti-fouling drugs, such as Ictarconol, Tebbiphen, etc. However, oral anti-facteric drugs may have some adverse effects, such as gastrointestinal discomfort, liver function impairment, etc., and medical doctors at the grass-roots level need to carefully assess the patient ‘ s state of health during their use, and to monitor the adverse effects during their use. However, the lack of a well-developed system and equipment for monitoring the adverse effects of drugs in some primary health-care institutions has to some extent limited the rational use of oral anti-fist drugs.
III. The challenges of physicotherapy in primary health-care institutions
(i) Limited health resources
Primary medical institutions are relatively poorly equipped, lacked sophisticated fungi detection equipment and equipment, and difficulties in conducting precise bacterial identification and drug-sensitization tests, affecting the targeting of treatment. At the same time, the number of specialist dermatologists is insufficient, the primary level doctors are mostly general practitioners, and there is a relative lack of expertise and experience in the treatment of skin diseases, and difficulties in the diagnosis and treatment of a number of unusual body parts.
(ii) Inadequate education of patients
Many patients are not sufficiently aware of the causes of the disease, the means of transmission and the importance of treatment. Some of the patients consider the hysteria to be a minor problem, do not value the treatment, or do not follow the instructions of the doctor during the treatment, reduce their own volume or stop, leading to poor treatment and a relapse into disease. Primary-level health-care institutions devote relatively little effort to patient education and lack systematic health education models and information.
(iii) Drug supply and management
The range of drugs in primary health-care institutions is relatively limited, and some new, efficient anti-facter drugs may not be available adequately. In the area of drug management, problems such as the non-conformity of drug storage conditions and irregularities in the treatment of obsolete drugs affect the efficacy and safety of drugs.
IV. Looking forward to physicotherapy in primary health-care institutions
(i) Increased training of doctors at the grass-roots level
Basic doctors are regularly organized to attend training courses on dermal treatment, with a focus on strengthening training in the diagnosis, treatment and identification of fungal skin diseases and improving the professionalism of primary doctors. At the same time, a tele-medicine education project has been launched to provide doctors at the grass-roots level with access to up-to-date research and diagnostic protocols in the field of skin diseases, through online lectures, case discussions and so forth, to enhance their capacity in the field of physicotherapy.
(ii) Improving fungi detection techniques
Increased investment in fungi detection equipment in primary health-care institutions and the promotion of simple, rapid and accurate fungi detection techniques, such as new microscope screening techniques such as fluorescent dyeing, to improve the positive and accurateness of fungi testing. The establishment of mechanisms for cooperation between primary health-care institutions and higher-level hospitals or specialized testing institutions to enable the timely screening of fungi samples for suspected cases, to obtain more accurate results and to provide a basis for treatment.
(iii) Improved patient education
Development of health education materials, such as brochures, videos and the like, to inform patients about the causes, symptoms, treatments, preventive measures and the importance of obscurity of treatment. In the course of their treatment, doctors at the grass-roots level should strengthen their communication with patients, provide patient answers to patients ‘ questions, guide patients in the proper use of medicines and day-to-day care, and improve their self-management capacity and compliance.
(iv) Optimizing drug supply and management
Improving the system of drug procurement in primary health-care institutions to ensure an adequate supply of commonly used anti-fouling drugs, while rationalizing the introduction of new anti-fouling drugs in the light of local epidemics and patient needs. (d) To strengthen the monitoring and inspection of the storage and management of medicines in primary health-care institutions, to establish a standardized drug management process and to ensure their quality and safety.
Conclusions
Primary health-care facilities play an important role in the treatment of hysteria, but many challenges remain. The implementation of measures to improve the training of doctors at the grass-roots level, to improve fungi detection techniques, to improve patient education and to optimize the supply and management of drugs is expected to increase the level of treatment at the grass-roots level, to provide better quality and efficient medical services to the general population of gills and to effectively control their transmission and recurrence among the population at the grass-roots level. In the future, as the primary health care system continues to develop and improve, the quality of treatment for common skin diseases, such as hysteria, will gradually improve.
