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The body begins to age since its foundation: there is constant dynamic change sildenafil without cheap sales canada buy prescription questionnaire india paypal pharmacy uk online citrate.

Some changes happen quickly, others - slowly, they can in a few days, months can be found, years

Throughout his life, the body is in contact close to the outer environment changes around them buying buy to orders sildenafil where citrate tablets uk canada online pharmacy cheap ordering. get citrate buy canada buyers cheapest information about generic drugs from wikipedia uk purchase pharmacy where india to cheap online sildenafil. To address these changes in order to adapt to the body itself is changed buying sildenafil india citrate viagra cheap 4 australia online tablets 100mg generic buy uk. But these changes should not go beyond certain limits "for each person and for each age group" framework "

The constancy of the internal environment of the body, vibrating in a certain viagra sildenafil can uk china to tablets india where buying online 100mg citrate cheap. - His own, and it is called homeostasis citrate uk online tablets prescription buy orders canada buying china sildenafil india without generic cheap. Thank you to the homeostasis custody of their livelihood, but changes move from one age to another, from one phase of development - on the other ordering order viagra uk to online no canada citrate australia sildenafil 100mg where buy purchase prescription. Homeostasis eliminates excessive changes in the body (in fact, all diseases), and warns that this "pathological changes", too uk tablets cheapest 100mg citrate order purchases online cheap viagra where to buy generic medication for best price sildenafil buy.

does not damage the functioning of the body, it is necessary, for example, to keep the body temperature at the same level, an osmotic pressure of the blood and tissue fluid, a level arterial and venous blood pressure, constant concentration of hydrogen ions and a level of metabolism (which provides a certain degree of acidity) 100mg citrate online us price cheap buy cheapest generic india tablets sildenafil discounts 50mg uk.

effects of the external environment can be a boost to the body of the "framework" of homeostasis are released cost tablets much india citrate in does how discount pill per effectiveness canada sildenafil.

The state of the body's resistance emerged and consolidated in the course of evolution, allows the body keeps adapt to the environment tablets price cost sildenafil viagra citrate online for cheapest uk india of sales.

In the process of aging mechanisms weakened regulation citrate sildenafil in tablets australia best price usa india uk philippines prices 100mg. Aging of the body, in contrast to the basic property of a young body homeostasis restore disturbed, characterized by a progressive loss of the constancy of the internal environment, the imbalance of all systems inadequate (high) in response to changes in the environment

Aging - sildenafil ordering 100mg canada mg china 20 order prices citrate buy online price australia. To increase the sensitivity of the organism gradually, a number of factors - internal and external - leading to disturbance of homeostasis and consequently - a decrease in the viability of the individual uk online from canada citrate 100mg sildenafil viagra buying pharmacy where buy to cost generic. The resistance of the body is primarily a mechanism to feedback through the hypothalamus 100mg cheap cost cheapest uk generico 50mg generic canada patent citrate buy where sale sildenafil to price. This is where there is an interaction on the one hand, to the upper parts of the central nervous system, cerebral cortex, on the other side (above the hypophysis) - generic online alternative reviews citrate viagra 50mg generico tablets buy mexico india sildenafil 100mg. Bottoms

In the course of his life (at birth) to the endocrine glands, internal organs a gradual strengthening of the hypothalamus, which initially stimulates the development of organs and systems (including sexual development in girls), and contributes a violation of their activities and threatened with extinction generic canada canadian to pharmacy buy tablets 100mg article sildenafil online review 50mg reviews where citrate. This mechanism is the same and has the outside of the sexual activity of the body (as well as other functions) australia 20 sildenafil 100mg canada 50mg cheap reviews price citrate generic cheapest uk 25 tablets.

Menopause is an increased activity of the hypothalamus and thus promoting their pituitary (gonadotropin) and the pituitary gland stimulates the production of estrogen in the ovaries tablets how citrate does take 25 get much cost 150 troches mg 20 online 100 sildenafil. But all parts of the system (and the hypothalamus and pituitary gland and ovaries) that already. Well on menopause

regressive (t buying 100mg where buy active cheapest online viagra order generic purchase sale super to cheap discount. E sale cheap online 100mg reviews active super canada viagra uk plus generic australia. atrophic) processes in the ovaries of the female are already evident thirty years generic to where 100mg sale cheap purchase discount online buy buying active cheapest super order viagra. These sclerotic changes in the ovaries themselves and put their ships; Ovaries are small (30-40 years of ovarian weight - 9 sale generic australia viagra cheap online reviews 100mg plus canada active super uk. g in 41-50 - 51-60 in 6.6 g - 4.96 g in 61-70 years - 4 g); begin changes in the structure of the ovaries with advancing age decreases the number of follicles (18-25 - 150,000 follicles in 40-44 - follicle 8000-9000); exhausted cortex and narrows the ovarian follicle and contains the largest amount of connective tissue. It reduces the number of hormone receptors. Body at this age begins to damage antibody against the sex hormones in the ovaries and (organ antibodies), which also produce the ovaries and bind (inactivated) by sex hormones.

Therefore, despite the increased stimulation of the hypothalamus by the pituitary gland (pituitary FSH menopause in women increased by 1.5-3 times compared to a younger age) active response with increase in ovarian estrogen power not given, but the ovulation does not occur, and there is no corpus luteum.

Ovarian activity infinitely strengthened, not to slow down in the situation. Finally, the method polycystic ovaries will develop Sclerotinia more or less pronounced (many small cysts on the ovaries - a large number of follicles that mature and burst can) and the uterus grows mucosa (with pathological course of menopause, it grows to an endometrial hyperplasia).

At the young age of the hypothalamus in the negative reaction of the pituitary estrogen inhibits the formation of the second phase of the cycle, but also a growing number of corpus luteum hormone (progesterone) counteracts the effects of estrogen. This prevents excessive proliferation and endometrial hyperplasia and transformation rather than secretion, maturation, followed by rejection at the next menstruation.

disorders (delay and irregularities) of the menstrual cycle and excessive proliferation of immature uterine lining to menopause is not so much not just because of the numbers more or less the increase in estrogen, but because of the length of their exposure

births for narrow basins are of various complications, such as accompanied. Rupture of membranes before the hour, cord prolapse, uterine activity uterine inertia, fetal asphyxia, infection of the birth canal. Long stretch of the fetal head in the same plane dangerous potential development of urogenital fistulas. If the fetal head is not the size of the pool do not match, there may be overstretching then cancel the lower segment of the uterus. Time after birth, it is possible that the development of uterine blood flow, in general, a high voltage according to hypotonic.

So, birth with a narrow pelvis characterized by an increased injury, a high number of infant and child mortality, high risk of postnatal diseases.

Frequently encountered these and other complications can be fatal not only the child but also the mother. Therefore, the diagnosis and prognosis are made with care, and the key to a successful implementation of complex cases - early intervention and appropriate

Before making a decision, the physician must.

1) to assess appropriate to examine the physical and mental condition of the pregnant woman, whether a history of the disease to other organs and blood poisoning, the nature of its course;

2) to specify the size of the pool in order to determine the capacity of the basin to understand the characteristics of their structure; Estimating the size of the fetus, based on the size of the basin;

3) to determine the status of the soft birth canal, the lower uterine segment;

4), suggesting the development of the work to formulate at all stages of delivery, and tactical correction of birth;

5) Save. Bladder of the fetus full dilatation of the cervix To execute this statement, it is necessary to give a comfortable supine pregnant with first fights;

6), it is necessary to check the condition of the bladder. Prolonged head in a position exposure can cause compression of the urinary tract, and it is - a direct threat of urogenital fistulas. To avoid this, it is necessary to conduct a study in the urine work for red blood cells - red blood cells. If urination difficult and impossible, holding bladder catheterization;

7) to define the extent to which the work is sometimes the size of the head of a small pool of mothers with signs Vasta. This diagnostic function more accurately reflects the operation condition of the pool with a satisfactory work, fixed fetal head, empty the bladder.

If Vasta sign is negative, results active birth vaginally cheap labor. Working hours, in this case more than usual.

If you register Vasta "flush" the fetal head for a long time in the same plane, there is a threat of urogenital fistulas. Not exclude abnormalities at birth. If surgery is not planned, predicted favorable vaginal delivery questionable.

If Vasta sign is positive, promoting the head completely blocked, there is a high risk of uterine rupture (hyperextension of the lower segment), the death of the fetus. Inform yourself about urgent surgery.

Then there is the classification of clinically narrow pelvis, depending on the degree of imbalance between the pelvis and the baby's head female. Based on this classification, there are three levels of non-compliance with these values:

I-level - a relative difference :. The configuration of the fetal head is good, there are features of the insertion of the head and working mechanisms for the current form of shrinking pool

specific

II degrees - a significant gap: The configuration of the fetal head delivered, are there is a long distance from the head of the fetus in the same basin plan, a sign Vasta "flush" potential difficulty in urination and hematuria (blood in urine) by compressing the bladder

III degree - absolute deviation, it is by the following features:

1) Insertion including the head, which are characteristic of this form of shrinking pool, but often there is an insertion head mechanism does not conform to the anatomical shape of the tank is reduced;

2) to express the configuration of the head or even the lack of capacity of the head configuration, which is particularly noticeable when perenoshennosti;

3) a positive sign Vasta;

4) The bladder is much compressed;

5) the occurrence of involuntary early attempts that have no effect;

6) the disclosure of the cervix is fully active and works without translational motion of the fetal head ..

7) there is a threat of uterine rupture

prolonged standing of the fetal head in the same plane, and many generations can harm the health of women, and the number of perinatal mortality increased

Job Management with II degree of incompatibility with narrowed, and the age of women at birth for the first time, more than 30 years to better operational performance end anatomic pelvis.

Caesarean section with a narrow pelvis in cases performed, where it:

1) an anatomical narrowing of the pool of grade III-IV - in this case, the operation is performed a planned way and manner;

2) Clinical offset II or III level with a living fetus;

3) the risk of uterine rupture;

4) the risk of fistulas (urinary and gastro-sexual);

5) incorrect insertion of the head

If the fetus is dead, the corresponding operation

Current diagnostic procedures narrows anatomic pelvis .. A detailed history and conventional measures (anthropometry, measurement of diamond Michaelis Soloviev index in the internal and external audit OB)

Other methods :. Ultrasound to determine the actual size of the pelvic organs with an accuracy of 2 mm. To determine the approximate weight of the fetus, using the formula Jordan Lankowitz Johnson

For the true conjugate used in four types :.

1) on the diagonal conjugate;

2) on the outer conjugate;

3) the size of Frank;

4) in the vertical dimension of the diamond Michaelis

Diagnostics closely in the maternity hospital and pelvis. . accurate diagnosis of pregnancy should be put in the hospital for two weeks before the due date

Pathology of the placenta

Every woman wants her baby was born in the good baby instead - health, not the last roller is obtained from the placenta. It is the organ that occurs in the gas exchange between the blood of mother and fetus. With it comes to the fetus with nutrients and metabolic derivative fetus. The placenta acts as the lungs, digestive system, insulation, etc. .. The placenta also produces hormones -. Gonadotropin, estrogen and progesterone, without which there can be a normal pregnancy

The formation of the placenta does not produce

formed the placental membranes of the egg. Chorionic villus strong growth, which in turn multi-branched tree formation, in which the blood vessels. Finally, the capillary loops branches with two layers of the epithelium, which coats the penetration of gases and nutrients to the fetus, and the metabolic products back easier. The hotel is located on the cell surface villi, melted obsolete ships. As a result, the tiny hairs in the intervillous space, which is shed from the maternal side of the placenta the blood vessels. This blood passes freely between the villi does not clot and not to mix with the blood of the fetus. It is here, and there is a constant exchange of substances. Externally see the placenta as a thick, soft cake. In late pregnancy, its diameter reaches 15-18 cm, thickness - 2.3 cm, and weight - 500 grams parents surface of the followers of the placenta from the uterine wall, the surface of the fruit in the face cavity of the amnion (egg). With the growth and maturation of the placenta lobe structure. On fruit surfaces extend radially ships that meet in the middle and through the umbilical cord to the fetus. Sometimes the placenta of two or more parts. Sometimes the placenta may be abnormally thin and wide. Sometimes there is a placenta to additional segments to the main portion of the container between the shells, the connections. Presence of additional lobes can cause bleeding during childbirth. Therefore, a thorough investigation of the presence of placenta is born ends vessels, indicating that the remaining in the attachment tab of the uterus.

The contact area of the intervillous blood stack is about 14 m2. When it is reduced for any reason in this area, there is fetal hypoxia, where severe disease of the placenta, which can lead to death.

Normally, the placenta is connected in the upper uterine segment.

The placenta is formed on the third month of pregnancy, before the gas exchange and nutrient supply to the fetus is done directly by the shell. However, it should be noted that the placenta and can spend a lot of chemicals are arsenic, mercury, phosphorous, copper, iodine, bromine, alcohol, nicotine, morphine, atropine, antibiotics, and other substances. Very many of these substances toxic to the fetus, it promotes the formation of defects, hereditary genetic diseases; . it is a physical and mental disability

Post-partum development - placenta

As the placenta (placenta) is only necessary for the development of the fetus during pregnancy, after birth fetus, it also leaves the uterus during the third stage of labor - the puerperium. This period is divided into :.

1) the separation of the placenta and membranes from the uterine wall;

2) of the placenta from the birth canal

The main condition of the placenta is uterine normal store

After the birth fabric uterine muscle is reduced, and the uterus is rounded shape , the bottom -. at the navel. Then start aftermath - rhythmic contractions of the uterine muscles and abdominal muscles. At this time, there should be no foreign intervention (massage, kneading, extrusion), as it can lead to breakage mechanism normal placenta irregular contraction of the muscles of the uterus cause (eg port inner angle of pipe), the incorrect or late placental abruption uneven already separated placenta. due to spasm of the internal os

Normally, when a reduction in the overall postpartum uterine contractions, including the site of attachment of the placenta (this area is called the placenta). As the placenta, to decrease the capacity, it is offset from the placenta. Increasingly separated in each reduction of the placenta from the wall of the uterus, since these wrinkles uterine cavity, and then completely peeling. . Replacement can be done in two ways: from the center or the

Edge

In the first method, the separation of the placenta begins from the center; a series of blood from the intervillous space - between the breakaway region and the wall of the uterus placenta solution formed. These hematomas with reduction also contributes to the separation of the placenta. Separates Gradually all the placenta bulging into the uterine cavity, and then born with shells. In this case leaves placental surface of the fruit forward, and put the egg shell on its head. External bleeding begins at the end of this process.

In the second method is first separated from the periphery of the placenta. Placental separation does not occur, the blood of broken blood vessels between the walls of the uterus and mussels - there is external bleeding. As we continue to separate new areas of placenta contractions. After complete separation of the placenta, and slides at the lower edge in the genital tract. Cups in this case stored in the form in which they were placed in the uterus. Normally associated with 150-300 ml of blood, which is physiological and does not pose a risk to the woman's life. Then cut the muscle fibers compress the vessel lumen and the bleeding stops.

The puerperium in normal working no longer than two hours and requires no additional action is necessary to check the amount of extravasated blood and monitor the overall status of mothers.

If the placenta is completely separate, to help them out of the womb. In the separation of the placenta of the following:

1) Member Schroeder - fundus above the navel on the palm rises;

2) a symptom of the "hourglass" - the appearance of swelling of the abdominal wall in the groin area;

3) Alfred characters - rises after the separation of the umbilical cord, placenta;

4) an indication of the small - force the output cable from the genital slit, and is not drawn and

5) sign Chukalova - Kyustnera -. under high pressure on the abdominal wall in the groin, the umbilical cord is not in the vagina

There are several ways to withdraw to select the separate placenta. First, raise your head and upper body of a woman and offer fixed. If there is no effect, is a method Abuladze: Empty the bladder, make a gentle massage of the uterus, and then the abdominal wall with both hands in a longitudinal fold and offer fixed. When the last is selected, use a more intense effect - as Lazarevic - they pressed against the underside of the uterus in the direction from top to bottom

Even more powerful (but dangerous) way, the hand - Credit :. After emptying of the bladder to pass a gentle massage to the induction of uterine contractions, then cover the bottom of the uterus so that the thumb on the anterior abdominal wall and the other four - of the rear wall of the uterus, and produce pressure pressing the fundus forward. In this method, the placenta is usually easy.

carefully controlled

The placenta for completeness and mussels. To do this, the placenta is spread over the smooth surface of the chest, looking at each page, the rim of the placenta, it is not torn off blood vessels, the presence of additional segments that could be left in the uterus.

If part of the placenta remained in the uterus, heavy bleeding, the placenta can be opened after the birth, or at a later date it faces. The test may be carried out with a special mat ball lamp inside. Placenta with shells shoot on the surface of the mother, and well lit see the edge of the placenta, blood vessels, with the passage of the placenta in the shell.

Pathology of the placenta

A type of abnormal placental development is the unique location, the so-called placenta previa. It can be of 4 types:

1) central, the placenta is connected when the lower uterine segment and completely covered the area of the internal os of the uterus;

2), when the placenta partially covers the internal cervical area;

a) the limit when the placenta its edge is the inner mouth of the uterus.

r) of the neck, where the placenta is connected directly to the tissues of cervical cancer

Complications Placenta previa is vaginal bleeding, which can occur during pregnancy and during birth.

positive on the skin of essential oils influence, enrich cream for the skin.

They can be used every night for a week. 2-3 times a week - if you want to treat a disease of the skin, the oil is every night for 2-3 weeks and then used. Essential oils can also be done in the morning. Rules of the same, and that the application of the mask: .. On cleansed face, to put the structure in the 20th minute, then remove excess tissue and wash my face with warm water

For normal skin tightening geranium, cedarwood, lavender, neroli, patchouli, sandalwood

Dry: .. geranium, jasmine, sandalwood, nutmeg

For oily skin. Oil of bergamot, eucalyptus, juniper, lavender, lily

For sensitive skin: lavender, jasmine, rose oil

For combination skin. Cedar oil, sage

for aging skin is the following composition: 4 drops of lemon oil, 4 drops of neroli oil and 4 drops of sandalwood.

Home Care Cream for normal skin

1 cream rose petals

Wanted: .. 10 g beeswax, 50 g butter, 4-5 white roses and pink

second Rowan creamy cream

Requires: 1 c. L. butter, 1 egg yolk 1 h. Liter. Honey, 1 tbsp. L. pulp fruit mountain ash.

Preparation and Application. Sleep all ingredients into a smooth paste to the face in the evening before to 20-30 minutes, remove the excess tissue.

3 cream and honey

Wanted :. 50 g butter, 2 tbsp. L. olive oil, 1 part. Liter. Honey, 1 h. Liter. Glycerol, 2 egg yolks, 1/4 cup of chamomile tea, 2 tbsp. L. camphor alcohol.

preparation. Melt the butter in a water bath with constant stirring slowly add the egg yolk, chamomile tea and alcohol camphor.

4 fruit cream

Wanted: 2 c. L. pulp rowan berries or currants (quince, persimmons, strawberries), 1 egg yolk, 1 h. Liter. Honey, 1 h. Liter. Olive oil, 2-3 tbsp. L. bone marrow, 1 c. L. camphor alcohol.

preparation. To melt on a steam bath to the bone marrow, add all ingredients and mix well, then dropped into 1 c. L. camphor alcohol.

5 chamomile cream.

Requires infusion of chamomile flowers, 50 g butter, 2 hours. Liter. Castor oil 1.2 h. Liter. Glycerol, 30 g of camphor spirit.

preparation. 1 c. L. chamomile flowers pour 2.1 cup of boiling water for 2 hours. and elongation. In a water bath to melt the butter and the other ingredients with constant stirring, and at the end -. Camphor alcohol

6 yellow and cream honey

Requires: 1 c. L. olive oil, 1 egg yolk 2 h. Liter. Honey, 1 tbsp. L. glycerol, 1.5 cups of boiling water for 2 hours. Liter. Camphor alcohol.

preparation. Yellow fry with oil, add the remaining ingredients, shake well except the alcohol, pour into the bottle, add alcohol and shake again.

7 cream khaki

Requires: 1 c. L. persimmon pulp, 1 tsp. L. butter, 1 egg yolk 1 h. Liter. Honey.

Preparation and Application. Persimmon rub with butter, egg yolk, honey and mix well. On face before you sleep for 20-30 minutes.

8 Lin cream

Requires: 1 c. L. linseed oil (menthol pharmacy may substitute), 3 egg yolks, 1 cup sour cream, 2 lemon, 1 tsp. L. Honey, 4.3 cup spirit of camphor, 4.1 cup of boiling water.

preparation. Squeeze the juice of lemons, finely chop and pour joy of hot water, leave for 2 hours. Then drain, pour the lemon juice and add honey. In another bowl, rub butter and cream yellow well, then a small amount of lemon-honey mixture, stirring constantly. At the end of the drip in alcohol camphor. Pour composition in a bottle and shake well.

9 moisturizer for normal skin

Wanted :. Cucumber, 3 c. L. cream, 1 tbsp. L. olive oil.

preparation. Sticking cucumber soil. Add cucumber mixture, sour cream and olive oil. All components are mixed until a homogeneous mass. Save the resulting mixture can in an airtight container in the refrigerator for 5-7 days.

application. Cooked on the face and neck apply cream purified on a normal skin with gentle massage. Before applying the cream, it is desirable to make a hot compress.

The Culling of normal skin.

1. Lotion wash

Requires: 1 c. L. Yarrow, 3 c. L. chamomile flowers.

Preparation and Application. In the evening, pour 1 cup boiling water grass in the morning, drain and dry the face.

2 roses lotion

Wanted: .. 2 large handful of rose petals, 200 ml cider vinegar

Preparation and Application. Folded petals in a jar, cover with vinegar and 24 h. Sit in a cool, dark place. The resulting infusion of salt water in a ratio of 1: 8 and wipe his face with

3 .. Lotion grapes.

requires a large grape.

Preparation and Application. Wipe press the grapes through a fine sieve, the pulp, juice for 15-20 minutes to put on your face, then rinse with warm water.

4 Cleaning cucumber lotion.

Requires 2 fresh cucumbers, 200 ml of vodka or 40% alcohol, a glass of boiled water, 1 hour. Liter. Glycerol.

preparation. Cucumbers network. After grinding the resulting pour alcohol or vodka and pull 10-14 days mass. Then the infusion. The resulting mixture was diluted with boiled water and add 3 hours. Liter. Glycerol.