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With a lack of vitamin B1, C, D can amenorrhea or dysfunctional uterine bleeding, which was treated successfully by the development of the administration of the right vitamins buy sale canada discount uk where to buy generic medication for best price information about generic drugs from wikipedia purchase cialis online cheapest where to best tadalafil cheap. On the menstrual cycle influence the work - radiation, vibration, working with some chemicals

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Meals in women

For a pregnant woman it is very important to correct, balanced and nutritious food as a lack of certain vitamins and minerals on the growth and development of the fetus canada prescription tablets fast india 20mg without uk sale cheapest 10 tadalafil online. The child is only one way to get the nutrients they need - is the mother's body discounts online 20mg costa tadalafil generic cheap tablets price cheapest rica cialis forzest uk cost. Through the vessels of the placenta to the fetus from the mother gets what she wants how does uk tadalafil cost online of sale for buy australia 20mg cheap price canada much. Therefore, unbalanced or malnutrition (for example, many lengthy diets) can have a major influence on the formation of the fetus best list canada prices lowest cheapest tadalafil india uk price mg comparison in 20. Without the "building blocks" not properly build a living organism india us tablets mg per prices compare online price cialis pill best 20 tadalafil. Mother should, so that the nutrients are missing not only her to eat the baby, but tadalafil best to buying order where cost uk buy canada cheap generic online price australia. Malnutrition often leads to consequences that similar effects on the use of drugs or alcohol, or exposure to infectious agents online cheap the generic uk 20mg buy to price from cost tadalafil canada buying where. If the woman is fed enough before pregnancy, it is necessary that this gap best cialis generic 20mg cheap tadalafil sale cheapest purchase cost uk online ukraine price. On the other hand, if there is an excess of body weight, it is desirable to normalize the ratio of soft methods, weight and size canada reviews in generics australia tadalafil uk buying online mg cialis 20 cheapest tablets. Pregnant women should think that it is necessary, food energy, the energy value and the ratio of protein, fat and carbohydrate balance vs 20mg 5mg cipla tadalafil from cialis generico india canada review mexico uk online.

violation of the nutritional status during pregnancy may cause various effects during pregnancy and after birth, the children of the first year of life canadian cialis reviews 10mg cipla tadalafil sunrise pharmacy generic forum online paypal user 20mg. There are a number of complications as a result of violation of the receipt of micronutrients in the mother and child rise

Complications mother's body : generic reviews cheapest buy user tadalafil price online 20mg cialis 10mg prescription cheap without.

1), the maternal mortality due to an increased risk of bleeding more

2) hypotonic hemorrhage in the third stage of labor;

3) gestosis and toxicosis occurs when the supply of almost 90% of cases;

4) due to a weakened immune system, there are several purulent septic complications, especially after the birth (endometritis, urinary tract infection)

The most common complications of a child - uk reviews review 10mg price cialis 20mg 40 best tadalafil 5mg discount generic canada. intrauterine growth retardation, congenital fetal malnutrition varying degrees cost 20 professional 40 10 does tablets much tadalafil mg should take how cialis 2.5. For severe eating disorders in the fetus or failure can also occur in utero death at the beginning or at the end of pregnancy get much tadalafil online how. It can create birth defects, and will remain in the neuropsychological development and the process of adaptation to extrauterine life after the birth of the child, if he is more serious experience sale cheap buy where pharmacy to uk online discount tadalafil india forzest cheapest buying.

If a woman in a "position", the need for vitamins and micronutrients increased almost twice buy review generic pharmacy online reviews forzest 20 mg canada india price cialis uk. This follows from the fact that the metabolism speeds up, hormones change and most of the vitamins is the development of the child. After birth, the lost vitamins, with his mother's milk.

The reasons that could lead to a vitamin deficiency, very varied, but the most important are the lack of food, vitamins, poverty, bad habits (different), drugs that inhibit the absorption of certain vitamins and improper storage and handling of food that is to be reduced. and. Exogenously, External causes. Therefore, in any case required a pregnant woman should vitamin supplements, especially for pregnant women, all vitamins and minerals in doses for the proper development of the child and the welfare of the mother

The main necessary are offset vitamin for pregnant women -. It is folic acid, formed to the group of vitamin B. with a deficiency of this vitamin is one of the various neural tube defects in fetuses. Vitamin D is. It is a preventive measure states of hypocalcemia in babies and naturally develop strong bones and teeth strong future.

Vitamin C helps the absorption of iron to provided to each cell sufficient to prevent anemia oxygen. Vitamin C protects against infection and stress, because Mama is anti-stress because of its detoxifying capacity. It also protects the body from damage. By the increase of blood sugar, diabetes, or other conditions, to increase the sugar

Head and I, II, degree of narrowing of the pelvis, and the presence of a fetus and a large prison held POOL pending.

A careful monitoring of their dynamics, the implementation of measures for the prevention and treatment of complications. Premature rupture of membranes to prevent the birth is not allowed to stand, the feasibility of introducing his kolpeyrintera. After pouring of water is necessary to repeatedly excluded. Vaginal examination, the loss of the loop of the umbilical cord, and small parts of the fruit custom control carried out in the labor market and urination. There should be no overflow of the bladder.

In difficult urination should be a soft catheter. It means the contractions of the uterus, be used with caution because of the risk of fracture. Better use of the control of drugs with the fractionated dose of quinine. In the process of managing the operating speed of fetal hypoxia is to take place. If you have changed jobs after showed signs of imbalance between the pelvis and the head, with a C-section. It has to be produced and the continuing weakness of the labor force in women with functional narrow pelvis. Indications for cesarean section often arise anatomical narrowing of the pelvis and a large fetus in the elderly primiparas combined narrow pelvis and malposition of the fetus, the presence of postoperative scar on the uterus, and women who have a history of stillbirths, is a close basin.

Birth stretching positions at the head of the fetus and other countries

according Extender perednegolovnoe head, head and face. Causes of presentations: Extender. Reduce the tone of the uterus, especially of the lower segment, the size mismatch of the pelvis and the head, the presence of obstacles for the flexion of the neck (thyroid tumors, several cable entanglement around the neck of the fetus, etc. ..)

Born to slightly bowed perednegolovnom

the head, wired point of the range of Fontanelle. All flat shoes head goes right size - 12 cm (circumference - 34 cm).

Diagnostics. On the basis of data from vaginal examination, such as the extension of the head, defined by the same level of small and large wells. The first moment of birth is correcting head in the driveway of a small basin moderate. Seam arrow in the plane of the inlet of the basin in the transverse direction. The second special births in the pelvic cavity - WS with the formation of the inner rear view (filmed on the holy small fountain). The third moment of birth in decline after the formation of the vagina under mounting (a region of the nose). First, because the dam is the head born, you go says (second attachment point - occipital), and from the womb of a person is born - the fourth time of delivery. External cephalic version and the birth of the body - for the fifth time - get in the same manner as in the preparation of the spirit. Characteristic of the work in perednegolovnom previa is extended for a period of exile, which carries the risk of fetal hypoxia and intracranial lesions. More often than not in the soul after checking dam trauma. Control the expectations of the job. Shown with the long-term course of the second stage of fetal vacuum extraction or forceps labor or fetal hypoxia symptoms.

When you open an acute process, patients complain of heavy discharge, sometimes dull pain in the abdomen unstable.

If you looked in the mirror of the vaginal portion of the cervix is ​​usually swollen, edematous mucosa of the cervix, rinsed and also bleed easily when touched. Around the external os notices (where erosion), which translates into a drain purulent mucus bright red border. In the chronic phase of the inflammatory reaction disappears or much less pronounced, there is no discomfort or see discharge. The vaginal portion of the cervix often formed pseudo and brush, cervical hypertrophy and compacted. (Cervicitis developing) chronic endocervicitis can be a very long time to go, with periods of remission and acute change.

Tripper is the upper part of the reproductive organs. Tripper upper reproductive system, or increase the gonorrhea, is the most severe manifestation of gonorrhea in women. Spread of the infection occurs in the mucosa by direct transfer or via lymphatic vessels.

menstruation, abortion, childbirth, sexual intercourse and intrauterine intervention, hypothermia, contribute physical stress, the spread of gonococcal infection of the upper genital tract.

According to the clinical manifestations of rising gonorrhea not significantly different from inflammatory diseases of the uterus and the Annex specific etiology, but while typical clinical signs above gonorrhea differentiation of the reproductive organs.

gonorrheal endometritis. Gonorrhea endometritis developed in the spread of the disease of the cervix. The defeat of the endometrium may had seen varying degrees depending on the virulence of the pathogen, the state of immunological reactivity of women and the phases of the menstrual cycle, the introduction of the pathogen. If the infection of the proliferative or secretory phase cycle marked epithelial desquamation in some areas, the concentration in the subepithelial layer of gonococcal and a significant leukocyte infiltration.

inflammation should occur

after menstruation, childbirth or abortion immediately to the basal layer of the endometrium, which may result in conflict with the recovery and subsequent cyclic processes in the endometrium, the secondary infertility.

The next period is 2-3 weeks, sometimes difficult, long and painful delays. When the lesion reached the basal layer of the endometrium is completely regenerated, and high intensity, it has a long time may cause amenorrhea.

If you proceed immediately with the muscle layer of the endometrium. Inflammatory process of infection particularly virulent

The signs of gonorrhea endometritis is almost identical to the non-specific disease pathology. In most patients the infection of the uterus with severe symptoms. In the acute phase of the disease in some patients, the most common is to nullipaar abdominal pain, temperature, white blood cells rises to 38-39 ° C, normal.

Many patients menstrual disorder appear serosuppurative and purulent discharge from the uterus, increased sedimentation. At gynecological examination the uterus enlarged and painful determined softish consistency.

In gonorrheal endometritis chronic clinical symptoms that resemble the acute period, but they are less pronounced. At this stage of endometriosis is often the cause of menstrual disorders, conception, abortion, complications during birth and the postnatal period. Gonorrhea process uterus often goes to the fallopian tubes.

Gonorrhea salpingoovoforit. In contrast salpingooophoritis septic done on both sides. Gonorrhea infection causes several variations of the fallopian tubes of the surface of the method in the mucosa defeat all layers to form formations in the shape of the bag.

In the acute phase of the lining of the fallopian tubes strong blood, swelling, fallopian tubes are thickened and lengthened, the abdominal opening of the fallopian tube is a serous or sero-purulent discharge. Leaves the contents of the tube to the spread of inflammation in the aqueous coating the surface epithelium of the ovaries, pelvic peritoneum, leading to the fusion of the fallopian tube with the adjacent locations.

In the chronic phase of the processes of binding scar development, locomotion tube reduced, often hurt their permeability, leading to infertility. Infection occurs when the ovaries outpouring of secretions from the oviducts. First, inflammation occurs in the epithelium of the peritoneum adjacent surface, and penetrates directly after ovulation the follicle or corpus luteum. The formation of abscesses wrong, and the destruction of the follicle wall, especially in the case of the entry of anaerobic and other infections -. The real tubo-ovarian abscess abscess and

salpingooophoritis gonococcal symptomatic picture is very similar to the inflammation of the uterus caused by uterine pus and other micro-organisms.

Chronic salpingo gonococci often comes in the form oligosymptomatic forms and with frequent relapses.

gonorrheal pelvioperitonit develops as a result of getting gonorrhea infection in the abdominal cavity of the tube with izlivshimsya with pus. However, you can transfer the infection and lymphatic infections (rare). Unlike pelvioperitonita origin septic gonococcal pool peritoneal inflammation by intensive formation of adhesions and adhesions to the inner genitals, bowel and power, the rapid reduction of the process required, and therefore, promotes the spread of the disease, after the jaws are relatively rare.

pelvioperitonitom painting gonorrhea disease that. Due to the occurrence of acute pain in the lower abdomen, nausea, vomiting, constipation and gas Tongue dry, covered with white flowers. Pulse accelerated to 100-120 beats per minute, body temperature - 40 ° C and above. The abdominal muscles are tensed, the symptom Shchetkina - Bloomberg positive. Unlike similar methods from other sources with pain gonorrhea pelvioperitonit much stronger. Typically, the large discrepancy between ESR (60-70 mm / h) and a relatively small leukocytosis. Simultaneously, the general condition of the patient is satisfactory. Gynecological examinations failed because of severe pain almost the vaginal vault. This condition usually lasts for 5-7 days, followed by a dramatic improvement of the process consists in the subacute phase. Despite the treatment, to increase the symptoms in some patients, the image of diffuse peritonitis.

Diagnostics

The diagnosis is based on history, objective research and application laboratories. A number of clinical manifestations with a level of confidence are the Tripper's disease:

1) or urethritis with bilateral Bartholin kanalikulitom;

The combination of increased demand for insulin production limits the cable to a reduction in the control of glucose levels in the blood.

Obesity can cause insulin tolerance, so that people with obesity, diabetes mellitus type II, more insulin than patients with normal weight, they still need.

The symptoms symptoms of the disease

gradual onset, so that no obvious symptoms of carbohydrate metabolism, incidentally discovered, than you. Across the itching, genital itching, boils, fungal infections on your doctor More likely to develop diabetes mellitus type II, after 40 years and obese individuals. Complaints of thirst, increase in the number of urine per day, excessive consumption of food, weight loss, absent or mild. The diabetes type II occurs

The frequency of checks without the tendency to ketoacidosis and hypoglycemia: the therapist - monthly, endocrinologist - a month .. consultation with specialists. Neurologist, dentist, gynecologist - one every 6 months of the study after discharge from the hospital following the instructions

- Rating glyukozuricheskogo determining the profile of the acetone in the urine will be held 1 time per week. The values ​​of blood sugar determined by 1 once a month

In the following -. Definition of fasting blood sugar and profile glyukozurichesky estimated 1 per month. According to the testimony - often. Required complete control when you enter the SARS

How can you decide glycosuria home glyukotestom -. 1-2 times a week. . Self-monitoring of blood glucose 3-4 times per day

Complications of diabetes mellitus and acute complications - see higher insulin-dependent diabetes mellitus

The diagnosis of the disease

On the .. On the basis of clinical and laboratory symptoms of diabetes blood sugar 11,1mmol + / l;

the level of fasting blood glucose 7.0 mmol / l in at least two different days,

plasma levels of glucose in the blood or capillary blood after 2 hours. after the administration of glucose at 75 g 7.8 to 11.1 mmol / l.

In a normal level of glucose in the blood 3.3 5.5 g / l.

Fundamentals of treatment

Diet Therapy

A reduction or elimination of dietary digestible carbohydrates (sweets, honey, chocolate), providing physiological body amounts of protein, fat, carbohydrates, vitamins. On diet - the safest and most effective treatment for most patients with type 2 diabetes More than 90% of patients with diabetes, obesity. In many cases, after a sufficient reduction in body weight in blood sugar drops to normal and diseased symptoms disappear. Foods rich in fiber are recommended to reduce high blood pressure. Salt intake

So, why the majority of people continue to take oral agents? For three reasons: the position of pharmaceutical companies, doctors and patients. In walked oral antidiabetic sales was used as an alternative to insulin for the treatment of type 2 diabetes or to control the disease, to have a diet and insulin. In practice, the tablets were used instead of a diet.

Doctors prescribe pills is easier than ever to ask patients weight loss in question. Some of them show that they do not want to change the eating habits or lose weight. Sometimes older doctors do not even offer the patient to try it for a certain period, and immediately begin treatment with the aim of oral antidiabetic agents. The patients themselves are difficult to weigh products and to obtain the determination of the energy value of a dietitian, a nutrition consultation with a doctor and the instructions are often conclude that it is easier to take a pill than to change entrenched taking habits, take .