середа, 29 грудня 2010 р.

Process

Since the human body intact, something regionarnye pathological changes affect the entire body and pathological changes in the internal organs appear on the surface. In "Teacher's Guide Dan C" says: "To study and analyze the external manifestations of the disease to determine its brand name viagra internal manifestations, the internal organs must have their representation on the body surface. Diagnosis in traditional Chinese medicine is based on the analysis and synthesis of the external manifestations of the disease, based on which set the nature and extent of pathological changes within the body. To do this, there are four main method of diagnosis: inspection, auscultation and olfaction, questioning and palpation (feeling).

Inspection is a process in which a doctor examines the eyes, regional, and systemic manifestations of disease, skin color and appearance of the patient. Auscultation of breath, voice, and bowel sounds, smell odors coming from the patient and his selections to determine the pathological manifestations in the hearing and smell. Questioning the patient or his relatives, the doctor sets the onset of the disease, its course, as well as some of the symptoms and signs of, directly or indirectly associated with the disease. Palpation is a method by which the defined pathological states feeling the pulse, skin lesions and in the passage of channels and points, bellies and other body parts.

These four diagnostic method can not be viagra dose usage and myths shared and applied in isolation. They are essentially complementary. In practice only the use of all four methods of diagnosis can be fully, systematically and truly get an idea about the disease and diagnosis. Ignoring any method or overreliance on one method is totally unacceptable.

понеділок, 27 грудня 2010 р.

I'm not afraid

We begin with the statement of the elementary - any medicinal substance, in order to provide a certain therapeutic effect, should, for starters, to get into the human body. The drug can be applied to the skin, you can drink (optional - to eat), you can put an enema, or enter a candle can, eventually, to prick. "Prick" - this is the way we, as human beings. On medical language specified process called "injection". By and large, by injecting understand any introduction into the body fluid with a syringe.
Injections are different, but most often their three varieties - subcutaneous (sc), intramuscular (IM) and intravenous (IV). The impact of the drug on the body begins only after he (the drug) into the blood stream. Vessels under the skin is much less than directly into the muscle, so the effect of the introduction of PCs will come much later than that of BM and the effect of intravenous injection - an almost instantaneous.
The essence of subcutaneous injections - the needle and, accordingly, a drug injected under the skin (between the skin and muscles). This is necessary in cases where the immediate effect of the medicine is not needed. So, for example, introduced the famous insulin, namely PC does the vast majority of vaccinations. Most convenient to do sc injection in those parts of the body where the skin is easily pulled and taken into the fold - the thigh, the lateral surface of the abdomen, shoulder, under the shoulder blade.
Intramuscular injections - the most common. Thousands of inhabitants of our country, saying: "I stab himself (herself) I can do" - keep in mind i / m administration of drugs. A popular place for these injections - buttocks (butt), although there may be options (shoulder, hip). V / m is introduced, most antibiotics, vitamins, antispasmodics, antipyretics. Because of its simplicity and rapidity, it is in / m administration often used by doctors and paramedics ambulance - relieve pain, "knock down" the temperature, reduce pressure, calm down.
Intravenously - it is always serious. Require rapid therapeutic effect, we brand name viagra introduce active preparations. In the intravenous injection technically quite complicated, but for qualified nurses and thousands of addicts, they do not represent something out of the way. C. the introduction of a temporary aspect may be short (drugs with a syringe slowly injected into a vein - doctors say "jet"), but there are situations where large amount of drug or drug works better at a very slow introduction in a highly diluted form - then put a drip - a Using a special system for infusion (infusion - is, in medical, is precisely the introduction of large volumes of liquid).
Listed three types of injections selection is not limited. For diagnostic purposes, certain substances injected intradermally (w / c) - for example, be put to test for tuberculosis infection - the famous and familiar to all the Mantoux test, so find out whether a heightened sensitivity to antibiotics, binding to and to try to do before the introduction of medical sera, for example, antidiphtheritic. There are other injections - in the joint cavity with some arthritis in the spinal canal with meningitis, directly into the nerve trunks in anesthesia (eg, dentistry).
Somehow so happened that treatment with injections opinion clearly seen as more effective in comparison with potions and pills. Incidentally, it is often associated with injections need to be hospitalized - what kind of treatment at the hospital, if not put a few droppers - pills because you can at home to swallow.
At the same time, with any injections linked a number of risks, complications and trouble. And needles and syringes, and medications, and injections made by people. People can make mistakes. From mistakes no one is immune, but some information may be not excessive.

1.
Injections - an unpleasant, painful, scary.
2.
Treated with injections always more expensive than tablets. This involves not only the direct costs specific drugs, but also dramatically increases the costs of salaries of health workers (in theory, the availability of free public health care makes it a point to a specific person is not relevant).
3.
The risk of importation of infection - if, for example, staph can enter the human body as you like (and through the mouth, and through airborne droplets, and injections), a number of pathogens are transmitted only through blood, and the most famous among them - viral hepatitis B and AIDS. It is clear that a fundamental principle of the disease - the human factor - the breach of sterility during the injections, inadequate screening of donors for the production of drugs, which are made from the blood.
4.
"Technical" complications - have introduced "no go" or "not" (by accident, got distracted, did not happen, it happened).
5.
Local tissue reactions - from redness and soreness at the injection site, to abscesses, which are then opened.
6.
Immediate general reaction to the introduction - may be associated with a particular side effect or a specific medication (eg, "hot injection" of calcium chloride) and can often be very unpleasant. Allergic reaction - not uncommon in the pill, but medication, which was introduced by injection, causes a reaction stronger and faster, until the worst version of allergy - anaphylactic shock.

In view of the six items listed becomes clear incipient worldwide trend to ensure that the maximum limit the number of injections. Top pharmacologists leading companies see their task is to create products quickly and effectively while taking orally. Completely abandon the injection is unlikely, particularly in the treatment of emergency conditions, but to minimize the amount ultimately narrow the evidence - a task quite feasible.
Much to our regret, the main factor that often eliminates the unnecessary injections is the public opinion, given the ordinary way of thinking of our compatriot.
Examples of folk wisdom: "shots better than the pill," a doctor who has not appointed injections can not cure "," ambulance arrived - did not even stung "," Our neurologist is very inconsiderate - went to see him, so he did Vitamins wallop not appointed. "
The doctor wants to be loved, respected and valued. If love and respect should appoint a dropper - the temptation is very difficult.
If the doctor attributed the shots and did not help - so no luck ... If your doctor has prescribed pills and did not help - so it was necessary to prescribe injections. Only in this way, and not otherwise.
Fight for public opinion - it is almost hopeless. Do you have a headache? We will assign magnesia. Believe me, after 5 injections of pain in the buttocks will be so strong that about a headache you forget automatically. You want to vitamins? B1 and B6 a day VM. For God's sake.
Who wants to argue that modern antibiotics allow 90% of lung inflammation to heal without injections, that the B vitamins very well absorbed from the intestine, and chop them to be only when the intestine does not work, that none of the modern foreign reference there is no indication that Calcium gluconate should be administered i / m; that loved by the people gemodez has long been anywhere in the world do not produce.
Particularly acute problem of injection in relation to children. That pricks children afraid of shots and it starts talking to a doctor in cases where the designated inside the medicine does not bring instant relief.
Thanks to the child "do not want to have emerged and appear modern medicine with good taste - in the form of viagra advantages suspensions, drops, syrups, gum, sucking" chocolates - just to agree, but would not cause the child unnecessary pain.
At the same time, the successes of modern pharmacology are not the property of the broad masses of the people and passed down from generation to generation, faith in the miraculous shots are very hard to shake. And crocked writings, intimidated the authorities and tired of everyday problems doctor does not have neither the strength nor the time nor the inclination to conduct educational work, which, moreover, is often ineffective. Therefore, diagnosed with pneumonia, a doctor with a light heart appoint injections.
It must be noted that the belief the patient, his belief in the correctness of treatment, his confidence in the doctor - the most important steps on the road to recovery. And, paradoxically, but the injections often cause not only pain but also to form a favorable psycho-emotional background, contributing to more effective therapy (can not help but envy the Americans, who have for each therapist to therapist).
The result of this paper is to conclude that any injection of drugs have very specific indications:

1.
Requires immediate treatment effect.
2.
The remedy can not be introduced through the mouth, because it is destroyed in the gastro-intestinal tract or not absorbed into the blood.
3.
Medicine you can drink, but it's not - the absence of consciousness, vomiting, or have simply referred us children "do not want to."
4.
Specific therapeutic effect of a particular drug is more pronounced and more prolonged when injected conducting.