[{"body":{"content":"您好。我是全科医生任佳,非常高兴由我为您提供医疗咨询服务,请问您有哪些医药问题需要咨询的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050159423},{"body":{"content":"上述问题怎么回事?如何解决","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050180476},{"body":{"content":"哺乳2个多月了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050199051},{"body":{"content":"请问您您爱人母亲啊有发热疼痛不适表现吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050204392},{"body":{"content":"爱人","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050211456},{"body":{"content":"平时哺乳吸奶及时吗","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050219553},{"body":{"content":"没有固定规律","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050241815},{"body":{"content":"请问您爱人哺乳有发热疼痛不适表现吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050244170},{"body":{"content":"昨天洗了洗头有点小感冒","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050286215},{"body":{"content":"您爱人有明显涨奶感觉吗?乳汁吸出有颜色异常吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050289841},{"body":{"content":"上述情况是单侧还是双侧,乳房排空后上述情况是否缓解或者消失?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050333339},{"body":{"content":"乳汁是清水","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050415625},{"body":{"content":"吃完也没消失还有块","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050471114},{"body":{"content":"好的了解,结合您的上述情况描述,目前是考虑您爱人存在堵奶情况导致的乳房出现肿块的可能性比较大的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050559387},{"body":{"content":"但不完全除外可能存在的乳腺炎的可能,我可为您做出初步对症的用药建议,您看可以吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050593163},{"body":{"content":"可以","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050642478},{"body":{"content":"为了您的用药安全,推荐用药前需要和您确认一下:没有药物过敏史,没有肝肾功能异常?------------对吗?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050657825},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050669537},{"body":{"content":"然后呢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050758235},{"body":{"content":"没有药物过敏,肝肾功能正常","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050793484},{"body":{"content":"好的了解,","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050839777},{"body":{"content":"医生,请您帮我开具处方或用药建议。","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050856077},{"body":{"content":"口服 蒲公英颗粒,不影响哺乳 联合外敷*****治疗的,一次20-30分钟,一天2-3次的。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050863461},{"body":{"content":"*****外敷乳房,蒲公英颗粒口服。喂奶前热敷乳房硬块,宝宝吸吮时手法轻轻按摩,从乳房周围轻推至乳头根部。按需哺乳,保证双乳通畅。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050883044},{"body":{"content":"口服 蒲公英颗粒 一日3次 一次1袋**对症缓解乳腺炎症不适","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050934619},{"body":{"content":"以上药物均是非处方用药,您可直接点击链接购药使用即可,付费后如您附近药店支持药急送,购药您可以选择药急送,就近药店配送一般1小时左右可以到达。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051000267},{"body":{"content":"需要先将乳房疏通,建议增加哺乳次数,宝宝吸不完的奶可以用吸奶器吸出,建议减少汤水摄入,如果疏通不了,可以请**师按摩疏通或线下医院就诊;体温超过38.5度建议线下公立医院急诊外科就诊,根据查体检查进一步评估,调整治疗方案","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051074955},{"body":{"content":"好的??谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051132340},{"body":{"content":"您客气了,希望我的建议能够帮助到您,望您在百忙中,右上角表扬医生评价一个\"5星\"好评,感谢您支持。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051224156},{"body":{"content":"温馨提示:您爱人在用药后如果病情缓解不佳后出现发热局部明显红肿热痛的表现,建议您及时线上复诊或者线下公立医院急诊外科就诊,根据查体检查,指导治疗方案的调整。不适随诊。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051270408},{"body":{"content":"您之后有任何其他问题,可以在京东APP搜索“京东医生任佳”就可以找到我。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051274372},{"body":{"content":"好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051404626},{"body":{"content":"希望我的建议对您有所帮助,请问您是否还有其他医药问题需要咨询?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051421732},{"body":{"content":"没有了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051429009},{"body":{"content":"如果您没有其他问题的话我这边就先结束问诊了,希望我的建议能够帮助到您,感谢您的关注与信任。请在对话结束后给予五星好评,您的好评是对我工作最好的肯定和鼓励,欢迎您再次咨询。祝您和家人生活愉快,再见。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051446589}]