刘继帅

[{"body":{"content":"您好，我是主治医师申传莱，很高兴由我为您提供咨询服务。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050010151},{"body":{"content":"您好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050014000},{"body":{"content":"血糖多少","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050021913},{"body":{"content":"9点以内","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050042068},{"body":{"content":"空腹?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050128138}]

女

2022.05.20

[{"body":{"content":"您好，京东大药房药师工号0082号，很高兴为您服务！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050830329},{"body":{"content":"老师你好","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050859011},{"body":{"content":"在的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050894133},{"body":{"content":"备孕可以用哈","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050904084},{"body":{"content":"如果想补充其他***类，建议可以有*********效果好一些","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050920114},{"body":{"content":"也不确定缺不缺*****啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050964640},{"body":{"content":"可以去医院检查一下俣","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050997515},{"body":{"content":"好的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051008703},{"body":{"content":"谢谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051015501},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051030551},{"body":{"content":"您好，您看还有其他药理问题需要咨询药师吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052046472},{"body":{"content":"很高兴为您服务，感谢您对京东大药房的支持，祝您生活愉快，谢谢！","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653052054130}]

女

2022.05.20

[{"body":{"content":"您好，请问这种情况出现多久了？有哪些症状呢？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965495127},{"body":{"content":"男性的阴茎头有hpv病毒吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965534199},{"body":{"content":"没有","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965551730},{"body":{"content":"请问有过高危性行为吗？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965559609}]

男20岁

2022.05.20

[{"body":{"content":"说说你的情况怎么样包皮过长。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652969488088}]

男18岁

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049822939},{"body":{"content":"请问您有没有做过尿常规检查？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653049846374},{"body":{"content":"您泡沫尿有几天了？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050045765},{"body":{"content":"是这样的，如果只是偶然发现泡沫尿增多，您有可能不好鉴别是真的泡沫尿还是假的，然后尿液发黄，一般和尿量有关，比如喝水多、尿量多，一般尿液会稀释，会偏清澈，如果当天喝水比较少，尿液会浓缩，会比较黄。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050128975},{"body":{"content":"所以您到底有没有问题，分析再多，其实不去做一个尿常规检查更便于去明确","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050172016},{"body":{"content":"就比如你猜测一个人的身高，再怎么对比、猜测，不去拿尺子去直接量一下","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050206485},{"body":{"content":"所以我建议你先到就近的医疗机构查个尿常规，这样有没有问题就很明确了，不用去怀疑有没有问题","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653050241854},{"body":{"content":"有做过","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050531720},{"body":{"content":"是在社区医院做的，显示的全部阴性","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050550077},{"body":{"content":"喝水尿液就不黄了，但是泡沫会有，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653050607487},{"body":{"content":"这个以实验室检查为准，因为尿液浓缩后，浓度会增高，小便时冲刷作用也会起泡，但这和真的泡沫尿（蛋白尿）是不一样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051065648},{"body":{"content":"咱肾脏每天排出的毒素量是相对固定的，和喝水多少关系不是特别大，喝水多呢，毒素会稀释，喝水少呢，毒素浓度会高，所以表现出来的性状也不一样","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051154217},{"body":{"content":"就跟普通啤酒和精酿啤酒浓度不一样一个道理","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051170016},{"body":{"content":"好的，尿常规没有问题，就是说我是正常的对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051359684},{"body":{"content":"对的，多喝水就行。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051368827},{"body":{"content":"好的，谢谢医生","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051377679},{"body":{"content":"上边我主要给你通俗的解释了下，你理解下就行","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051411582}]

男25岁

2022.05.20

[{"body":{"content":"你好你的阴道内环境检查结果显示是细菌性阴道炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878869106},{"body":{"content":"彩超检查结果应该是有子宫内膜息肉及宫颈纳囊","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652878916080},{"body":{"content":"我月经是4月27日来的，这些报告是5月15日去检查的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879046288},{"body":{"content":"这个生殖道支原体衣原体感染检查结果显示是正常的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879066593},{"body":{"content":"现在在备孕中，这个月排卵期同房了，不知道成功了没有。结合报告我需要吃点什么药治疗吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879101414},{"body":{"content":"宫颈纳囊是什么来的？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879118068},{"body":{"content":"宫颈**又叫纳氏囊肿、宫颈囊肿，是发生于宫颈部位的一种良性病变，与宫颈息肉、宫颈糜烂、宫颈肥大等，都是慢性宫颈炎的一种类型。宫颈**的形成，是由于在宫颈糜烂愈合的过程中，新生的鳞状上皮覆盖宫颈腺管口或伸入腺管，将宫颈腺管口堵塞，管口内的分泌物不能排出，滞留后形成的一种病变。在进行妇科常规检查时，可以看到宫颈表面有大小不一，单个或者是多发的青白色的囊泡，突出于宫颈表面，宫颈部位的组织充血水肿，炎性分泌物附着。小的的宫颈**，没有明显临床症状时一般不需要进行治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879274966},{"body":{"content":"目前这个月如果没有怀孕需要用药治疗一下阴道炎","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879300664},{"body":{"content":"我的阴道炎严重吗？是霉菌性阴道炎？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652879706598},{"body":{"content":"细菌性阴道炎症","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652879745114},{"body":{"content":"检查前同房了，有影响吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652882073958},{"body":{"content":"精子里面是没有细菌的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652882657301},{"body":{"content":"医生，细菌性阴道炎建议吃点什么药呢？短期内想要孩子","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925563923},{"body":{"content":"对了，子宫内膜息肉大吗，影响受孕不","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652925587611},{"body":{"content":"建议给予*****或者******按照1：10的比例稀释冲洗阴道，冲洗完后每天晚上阴道放置******治疗一下。严重时还可以口服****/****2G顿服一次，也可以****400mg一日两次连服7天，全身用药治疗。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652925878266},{"body":{"content":"你的子宫内膜比较小一般不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652925890503},{"body":{"content":"用药塞阴和口服药，复检指标正常后，要隔多久才能要小孩？","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652933206303},{"body":{"content":"排卵期之后不要用药就可以正常备孕","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652933639385}]

女32岁

2022.05.20

[{"body":{"content":"哦哦，知道了，如果不取有啥办法让消下去吗，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051615850},{"body":{"content":"平时加强锻炼身体会有帮助吗，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051697026},{"body":{"content":"你好","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051846319},{"body":{"content":"哦哦，知道了，如果不取有啥办法让消下去吗，\n平时加强锻炼身体会有帮助吗，","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051872003},{"body":{"content":"啊，我以为你刚才的问题问完了呢","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051878869},{"body":{"content":"加强锻炼，帮助不大，是这样的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051901525},{"body":{"content":"剩这最后一个","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051901906},{"body":{"content":"这个线，最后应该是被吸收掉的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051913594},{"body":{"content":"哦哦","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051913808},{"body":{"content":"那吃***和*****还有用吗","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653051934406},{"body":{"content":"有的不吸收，可能和体质弱有关，在观察一下，可能会**吸收，如果最后实在吸收不了，就有可能成囊肿，也就是正常的人体组织把线头包裹起来","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653051965820}]

男27岁

2022.05.20

[{"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}]

女33岁

2022.05.20

[{"body":{"content":"请问您有什么需要咨询的医学问题？","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999828008},{"body":{"content":"你好，问问以前手淫后还有点睡意想休息","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999850205},{"body":{"content":"现在手淫后就没有了，不怎么有睡意了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999864778},{"body":{"content":"这个问题?","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999905154},{"body":{"content":"对","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999915068},{"body":{"content":"问问","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999917300},{"body":{"content":"是不是有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999921480},{"body":{"content":"还是正常没事的","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999925392},{"body":{"content":"没有问题的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999928181},{"body":{"content":"正常","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999934940},{"body":{"content":"比较精神现在","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999957576},{"body":{"content":"没事对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999959837},{"body":{"content":"兴奋缘故","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999971724},{"body":{"content":"没事对吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999978456},{"body":{"content":"没有关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999980086},{"body":{"content":"我也还好啊","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652999991364},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652999999283},{"body":{"content":"不是很兴奋","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000001619},{"body":{"content":"没有关系的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000016063},{"body":{"content":"反正这样没事吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000018701},{"body":{"content":"嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000027394},{"body":{"content":"我问问我晚上8点做的 晚上12点睡 6点起 睡6个小时不影响手淫后身体吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000049108},{"body":{"content":"不影响","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000070874},{"body":{"content":"睡6个小时够了吧","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000106619},{"body":{"content":"嗯嗯","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000156318},{"body":{"content":"好的感谢","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000181998},{"body":{"content":"别结束，让他24小时自动关闭","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000189740},{"body":{"content":"后期有可能还有问题","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1653000195169},{"body":{"content":"不客气","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1653000195786}]

男20岁

2022.05.20

[{"body":{"content":"您好，一天的体重变化没有意义的","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964981124},{"body":{"content":"要一周以上变化才有意义","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652964990367},{"body":{"content":"哦哦，好的，我知道了","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965020351},{"body":{"content":"体脂较高怎么办","type":"text"},"from":{"app":"jd.dyf"},"timestamp":1652965052880},{"body":{"content":"采用调整饮食结构，增加运动量的方式。调整饮食不是控制饮食，而是调整为高蛋白（鸡胸，**，鱼，虾，豆制品等）低碳水（粗粮为主）低脂肪（少食肥肉，烧菜时少放油等）这种饮食模式。另外运动是为了增加基础代谢率的，这样减肥才能持续，不容易反弹。运动方式比较多，跑步，跳绳，仰卧起坐，爬楼梯，游泳等都是可以的，可以根据自己平时的生活习惯选择。","type":"text"},"from":{"app":"jd.doctor"},"timestamp":1652965234553}]

女21岁

2022.05.20