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usually occurs within a few hours after ovulation to third on the outside of the oviduct

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implants, appeared in Finland in 1983 or not a

, it already exists (Finland, Sweden, China, the United States, Indonesia, Chile) in many countries in the past get pregnant canada it motilium us domperidone started getting to where the. Capsule implant system "nor plant" of 6 tubular, is a non-compatibility of the organization unrelated consisting of subcutaneous administration. The inner surface of the left forearm, the capsule is set by trocar normally. Contains levonorgestrel 36mg of entering the body through the walls (34 mm diameter 2.4 mm length) of the capsule 80mg / day each capsule. In the first week, I reduce the dose of 30~35 mg / day and then gradually. I have created a mean blood concentration of 400 mg / ml from 300 for five years.

validity index of Pearl nor plant of 0.5 to 1.6 in the year of

last.

to provide a contraceptive effect of five years in the form of an implant them, the introduction of

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removal of plant nor by a physician of appropriate after taking into account women and

Overview. Nor plant removal is possible at any time upon request of the woman. Doctor of training related to the removal of the plant nor the insertion.

at the age of (35 years later) after a long time, in order to display the particular contraindicated for women who want to avoid pregnancy, use estrogen component of nor plant, tons probably

. E-mail. The use of combined oral contraceptives. Hormonal contraception and disease of the coagulation system ovarian pathology, of blood general nor plant for women who suffer from other conditions that are contraindicated in case ride plant

medium estrogen component does not exist in the management of gallbladder stones the most common form, at least -. Bile duct and intrahepatic bile duct and liver. Of bile

cam of your type of

next.

(uniform) stone

1 homogeneous:

without this gallbladder inflammatory changes, in most cases, 1) cholesterol stones ,, which can be formed by metabolic disorders in obese patients usually, they are circular with a diameter of 4-15 mm placed in the gallbladder. X-ray; Also stone

2) pigment (bilirubin), sterile environment is formed. I want to develop a strong degradation of red blood cells congenital hemolytic anemia, sickle cell anemia, thalassemia in. Usually, is located in the bile duct and gallbladder bladder many of them, these stones is a small amount to trim in black,.

(rare)

2 stone of

3) calcareous. . - A mixture of stone

This core is made of an organic material for each layer or depositing the three main elements. It is the combination

3 complex stone, both are rare. Stone kernel, cholesterol is included, the housing has (calcium, bilirubin, cholesterol) and mixed character. Developed in the inflammatory process in the current view on the formation mechanism bile duct and gallbladder

of gallstones

following:.

supersaturation of bile and

1) cholesterol;

2) development, the lipid peroxidation, in the bile of the nature of the protein factors of precipitation of cholesterol reducing substances in sediments ( shift reaction side of the bile acid), ie E ratio violation ratio of cholesterol, -

this rebalancing, lecithin and cholesterol and bile acid .. Bruno;

3) dramatic a complete lack of lipid complex in the bile or reduced to. This complex provides the colloidal stability of the bile to inhibit cholesterol crystals, the formation of stone. Includes salt cholesterol, phospholipids, electrolytes, inflammation of the gallbladder, and the composition of the lipid complex zhelchnokislye mucus glycoprotein (nutrition imbalance, flora, allergic) under the influence

of

4) initiation factor I am developing a wall of vesicles containing.

into chunks

5) mucus cholesterol deposition of beginning; tumor growth leading to the formation of cholesterol gallstones

and

6) fusion, and recrystallization process involves the formation of micro, pigment stone during via macro cracks divided then performed, to form the core.

development of gallstones in

bile duct, are more conducive to infection. Microorganisms, E. coli, and conjugated bilirubin, secrete an enzyme that converts not soluble conjugate particularly insoluble. In normal bile of this enzyme, the infection has a display is. It is usually glucaric acid in the bile. Infectious dose of the bile acid is reduced, it becomes insufficient to inhibit synthesized in large amounts by microbial enzymes. Unconjugated bilirubin of mass, the result, by reacting with the form bilirrubinate calcium ions and -. Clinic to secrete the decomposing microorganisms Les cytidine deaminase lecithin, bile content fatty acids certain ingredients for pigment gallstones

in a decrease of this lecithin, bile acid, and also lead to an increase, stage disease

two 3

of this symptom symptoms this pigment gallstones is in the development of: Chemical Physics .., latency, I is expressed clinically.

first stage of

cholelithiasis -. Physical Chemistry 1,

second stage this

There is a possibility that no symptoms of cholelithiasis, occur for many years - kamnenositelstvo latent or is, that you change the same physicochemical calculus bile clinically It is the first step, wherein, the (usually gallbladder), shows no clinic is not a stone formed formation of bile duct stones.

third stage of

symptomatic cholelithiasis.

depending on the location of the gallstones, functional status amount of size and composition, biliary system, the inflammatory activity, as well as

This clinical symptoms, Masu other organs of digestion.

We will be able to distinguish the form below. Diarrhea, lethargy pain, paroxysmal pain (biliary colic)

this

indigestion form is manifested by the following symptoms. And feeling a sense of heaviness of the epigastric region bitterness, and right upper quadrant, air belching, heartburn, bloating, unstable chair, of intolerance in the mouth in fat or spicy food. It is determined by the pain in the upper right abdominal palpation of the abdomen.

inactive form is displayed epigastric pain, in the upper right abdomen complained of dull pain. It is rare do not express pain attacks intensive pain. Pain is intense physical exercise, the sudden change after emotional stress, the weather, it is worse after the turbulence of the meal. Development of potential disease of indigestion; characteristics of radiation pain right shoulder blade, shoulder, clavicle, right neck. The survey objective, under the right shoulder blade, it will be able to identify areas of tenderness and pain in the projection of the pit and gallbladder in the upper right abdomen. Emergence of positive symptoms of bile.

I reduced the development of probably

generalized weakness, malaise, performance, and irritability.

cause (biliary colic) repeated recurrence upper right abdominal pain sudden onset

paroxysmal pain (biliary colic). I tear, the character of the position in the area of ​​epigastric pain very sharp, cutting, drilling, and gallbladder. Characteristic pain that radiated to the right shoulder under the instep area behind the sternum, right shoulder, clavicle, neck, jaw,. There is a pain that radiates to the mind sometimes. Screaming that you are running the ,, moan: there is calm during an attack of severe pain in patients with gallbladder. Pain may be accompanied by nausea, vomiting, bitter taste, dry mouth, abdominal bloating.

tonic-clonic convulsions motor excitation frequently than the expression, developing low blood sugar coma the hypertonia of the muscles.

based on

to experimental data and clinical this diagnosis

The basic principle of

treatment, with the development

of this light hypoglycemia (without loss of consciousness, does not require outside help), people digested with 1 4-5 pieces 2 XE, sugar, drinking honey, jam (2 tablespoons liters), cookies, chocolate 2-4, hot, a 20 ml intravenous administration of 40% glucose or tea sweet you need to ingest carbohydrates. Blood glucose levels, if it is due to prolonged action of insulin, the need for additional eating (.D. Named as 2 tablespoons, bread, cereal) absorption carbohydrates slowly 1-2 XE. If the hospital is shown, the treatment is symptomatic.

(without loss of consciousness or, But loss of consciousness, need the support of another person) with the development of hypoglycemia of

severe arrival Doctor man of "ambulance" Before I lost consciousness to, you, you need to open the mouth and put to the side, to clean the mouth of food residue. People do not pour the sweet mouth solution for choking hazard in fainting.

If

person has regained consciousness, in the absence of contraindications to intravenous emergency surgeon was given 0.5 ml subcutaneously, 40% introduce adrenaline glucose (20~100 ml) solution in the recovery of consciousness solution 0.1%.

The administration of 30~60 mg intravenous hormone (prednisolone) low blood sugar coma prolonged

. The injection of mannitol, percent aqueous solution, intravenous Lasix 15-20 intravenously: a lack of long-term sense necessary to take measures to deal with cerebral edema. And transferred to the mechanical ventilation in the case of patients with respiratory failure.

people after three to six weeks, was removed to eat hypoglycemia use tools in order to improve the metabolism and microcirculation in the central nervous system cells.

this ketoatsidoticheskaya :. eat ketoatsidoticheskaya eat You need insulin deficiency progressive related therapeutic intervention of emergency, metabolism, dehydration, to the destruction ketoacidosis

for all types of this reason that lead to the development of ketoatsidoticheskaya eat.

- delay in treatment of patients late insulin-dependent diabetes mellitus, by a doctor, a stressful situation the diagnosis;

- is unjustified reduction of the dose of insulin and the wrong choice expired or save the insulin insulin improperly;

- violation of the diet;

- pregnancy;

- intercurrent diseases, infectious diseases, poisoning, acute inflammation;

- surgery or trauma.

mechanism of

hypoglycemic coma: a decrease in glucose utilization by the tissue leads to hyperglycemia. Level of elevated glucagon, and Kateko triethanolamine leads to increased glycogenolysis. The overproduction of glucose by the liver, energy starvation content in the blood supply of energy will lead to excess. With the development of plasma osmotic pressure was low blood sugar increase, as a result, developed an excessive accumulation of ketone bodies in the blood and cell dehydration, ketoacidosis move intracellular fluid into the blood stream that would lead to the development of the metabolic changes we have.

this Easy ketoatsidoticheskaya conditions manifest increased urination, thirst, polydipsia, lethargy, nausea, vomiting expression of

symptoms, malaise, weakness, fatigue, drowsiness, headache , acetone odor of breath appearance. More serious condition, and resulted in a decrease of consciousness, the patient will respond to the stimulus. Face with a pale, dry cheek "diabetes blush", features a sharp, weak pulse, low blood pressure, oliguria does not contract the student toxicity Kussmaul breathing. Auscultated, hearts muffled will sound is systolic murmur. In fact, there is interest to eat consciously, in a loud voice, seems to have lost deep breathing, the pungent smell of acetone in the breath

1) person to hear, said the desired information;

2), the words do not meet all the resistance and criticism. You a little nervous, but not angry

3) people; tired

to

4) human-bit physical.

The relaxed as possible, therefore,

5) muscle does not transmit information to the brain.

I will reduce the flow of signals and other sounds from the

6) environment.

is, remember the auditory training - which is the only means for, to mobilize own body. And more. Then, the problem of how can the body or it produces a result of "mobilization" is beyond the scope of this method. Different types of phobias, and psychosomatic symptoms, stuttering: proponents of this method, there is a tendency to believe not only meditation, rather than insomnia, and can respond to a variety of neurotic conditions. However, in such circumstances, the method can be reduced could only symptomatic treatment, the situation of the surface only here. For example, the same effect as steeped in toothache occurs. If you drink a pill, you can help sometimes, but if you want to take a medicine, the cause of this discomfort will not be able to repair the state. Thus, self-training, can alleviate the symptoms of phobias same time. In a similar situation to the next, there can be displayed in a new power these symptoms it. Important here and most, in order to eliminate has yet to rely on the diagnosis, of course, these phenomena, would eliminate the cause of the above-mentioned conditions. In our country, it may not be the exception no wonder "broken", and dissemination, auditory training as a decrease gradually next. In a nutshell, it is not very useful, to solve the problem of emergency of "all, makes it possible that you have complete control over the body" Your panacea for the "disease" of all this method , it does not ask their help, but it has been too much. you should not consider the way of native training so important true we. from all problems, or I appropriate method completely useless to you at you do not think you will be saved. because each has a particular method of its own specific application areas, obviously, the use of a single method can not solve all the problems.