Can march sex haemoglobinuria eat honey?

summary

Marching hemoglobinuria is a kind of disease caused by repeated violent impact of palm, sole or other parts of the body with hard objects, resulting in mechanical damage of red blood cells, resulting in transient intravascular hemolysis and hemoglobinuria. The first patient reported by Fleischer in 1881 was a soldier who got sick after a long march.

Can march sex haemoglobinuria eat honey?

It mainly occurs in a variety of activities in upright posture, such as long-distance March, forward training, long-distance running, race walking, playing ball on hard ground, karate competition, continuous hitting sandbags or hand drums, continuous somersault of Peking Opera wusheng actors, etc. it is even reported that one case of senile dementia patient developed hemoglobinuria after repeatedly hitting the wall with his head. It is rare for swimmers and cyclists to develop this disease.

The main clinical manifestation of marching hemoglobinuria is that after walking, marching, running, playing basketball, professional drumming with fingers, karate and other physical activities, the patient suddenly resolves dark red urine, which generally lasts for only a few hours. The color of the second urine turns pale, and the urine color is normal after 6-12 hours. Occasionally hemoglobinuria lasts for several days. Generally no systemic symptoms, but can have abdominal pain, backache, leg pain, plantar fever and other mild symptoms, occasionally nausea, vomiting. Because hemolysis time is very short, anemia rarely occurs. Even in hemoglobinuria attack, the shape of red blood cells is still normal.

Myoglobinuria can also occur after exercise, and patients often have strong myalgia and tenderness. Myoglobin has small molecular weight and is easy to be excreted from the kidney. The concentration of plasma haptoglobin does not decrease during the attack. The appearance of plasma in myoglobinuria is normal, while that in hemoglobinuria is reddish brown, which mostly occurs after muscle injury or myocardial infarction. Myoglobin can be dissolved in 80% saturated ammonium sulfate solution, but hemoglobin is insoluble. Myoglobin is easy to be excreted from urine due to its small molecule, so the concentration of plasma haptoglobin does not decrease during the attack. In addition, due to their different molecular weights, the electrophoretic rates of myoglobin and hemoglobin are different. Myoglobin can be dissolved in 80% ammonium sulfate saturated solution, but hemoglobin can not. It can be identified according to these different physical and chemical characteristics.

matters needing attention

The prognosis, after stopping the activity, can disappear, no sequelae. In order to reduce or avoid recurrence, prevention should be given priority to, such as wearing elastic sports shoes with appropriate thickness, choosing appropriate venues, correcting bad posture and adjusting the amount of exercise.