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extenders birth positions at the head of the fetus and other countries

Previa expanders under perednegolovnoe head, head and face. Cause presentations extenders :. Reduce the tone of the uterus, the lower segment, in particular, the difference in size of the pelvis and the head, the presence of obstacles to the flexion of the neck (thyroid, cancer, multiple cord entanglement around the neck fetus, etc.)

Birth after perednegolovnom

the head slightly bent, no cable is the domain of the anterior fontanelle. All flat shoes head passes the right size - 12 cm (circumference - 34 cm).

diagnosis. According to the data vaginal examination, such as enlargement of the head, the definition of the same level of small and large fountain. The first moment of birth is headed for a moderate recovery by inserting the edge of a small pond. Arrow mixed in the plane of the mouth of the basin is in the transverse dimension. The second special knowledge in the pelvic cavity - WS (sacrum is rotated fountain) with the formation of the internal rear view. The third period of the birth of bending after the formation of the fixing in the vagina (an area of ​​the nose). First, because the perineum is born head should be explained (according to the point of attack - occipital bone), and the uterus of a person is born - the fourth time of delivery. External cephalic version and the birth of the body - the fifth time - occur in the same way as in the presentation of the mind. Characteristic of the work in perednegolovnom previa is extended for a period of exile, which implies the risk of hypoxia and intracranial lesions of the fetus. Very often the mind after checking perineal trauma. The expectation of work. With the long-term course of the second phase of the symptoms of labor or fetal hypoxia indicated forceps delivery or extraction of the fetus.

To use the skin should be cleaned and dried, and the softness of a finger structure is put in place, without the availability zones.

it chloasma (dark spots, usually occurring in pregnant women) and rosacea (acne rosacea, which usually results in menopause).

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There is universal mask, t. and. mask for all skin types.

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tomb marked loss of complete or nearly complete efficacy against background expressed the symptoms of menopausal syndrome.

The duration of the disease up to 1-2 years for the light and for more than two years - in the worst cases

The treatment usually takes syndrome, severe and moderate treatment .. restoration includes a balanced diet with reduced levels of vitamins, exercise as a workout for the morning session (15-20 min) complexes, group sessions (three times a week for 30-40 minutes), the elements sports games. For the treatment of disorders vegenevrologicheskih with a variety of drugs used for control of the physical therapy of the hypothalamic-pituitary. In addition, the hormones administered. Good effect gives the spa. Medications prescribed antipsychotics, sedatives, antihypertensives. Hormones in nomination should be considered counter-productive to their destination. Against absolute contraindications include severe liver disease, lack of enzymes, porphyria, blood clots, stroke, cancer of the uterus, breast and other organs, uterine fibroids, endometriosis, cardiovascular insufficiency syndrome edema. In the treatment of estrogen periodically review the status of the breast and endometrium. Consideration in the appointment of androgens or defeminizatsii possible - changes in the skin in the form of seborrhea and acne, and changes in voice frequency (especially important for women who have a profession that requires voltage -. -parleurs Alta, actresses, and D. so on).

Measures to prevent complications of menopause should begin at a young age. They respected hygiene, proper treatment of gynecological diseases and the prevention of other chronic diseases.

post-castration syndrome

This syndrome occurs in women after complete removal of the ovaries. While noting the evolution of a neuro-psychological characteristics of vegetative-vascular and metabolic disorders, endocrine in the context of the end of cyclical changes in the body. After surgical removal of the ovaries is determined by a decrease in estrogen in the body, which, in turn, leads to a significant increase in pituitary gonadotropin function according to the law of "feedback" from the production of estrogen and gonadotropins. Examination revealed an increase in the anterior pituitary gland, the image is echoed by similar changes to changes in the development of pituitary tumors. Although, after castration syndrome vary subcortical structures of the brain, the adrenal cortex, thyroid, cardiovascular system.

Exchange endocrine disorders (obesity, pain in the limbs, joints, atherosclerosis, osteoporosis).

The most consistent complaint is hot flashes, mild are up to 10 times a day, so severe - up to 20-30 times a day. Usually, the tides appear 3-4 weeks after removal of the ovaries. This leads to excessive sweating, shortness of breath, palpitations, anxiety, convulsions, dizziness. The tides are often at night, in the warm season, after taking hot drinks. They can range from a few months up to 5-10 years. In addition, frequent headaches and sweating, headache is usually localized in the occipital and temporal regions may be accompanied by nausea and vomiting. Sometimes migraines almost constantly, sometimes cramps, profuse urination as the attacks with high blood pressure in the limbs. Sweating occurs at rest is not associated with an increase in temperature. Almost half of women have pain, palpitations. Vertigo may be associated with fainting. After the attacks the patient often find extreme weakness and fatigue. neuropsychiatric disorders may be expressed in varying degrees. memory disorder is characterized by loss of ability to remember events. Women depression, indifference to others, his favorite hobby, native. It may seem suicidal thoughts. Many patients feel tired all the time, regardless of physical or mental work. Metabolic and endocrine disorders are not usually associated with vegetative-vascular, that is. E. Patients with frequent hot flashes without exchange-endocrine disorders, and vice versa, with an increase in body weight of 8 kg or more are rare and short tide. Consequently, the removal of calcium from the body of the long bones for developing osteoporosis, in which there is a strong pain. Often concerned about the back pain is not associated with the presence of tension in the lumbar spine. For a post-castration syndrome can affect diseases such as tuberculosis, kidney or liver disease, neuropsychiatric disorders.

The diagnosis of the syndrome is usually not difficult. The complete removal of the ovaries, symptoms appear after 1-2 months. While at least one quarter of ovarian and uterine cancer, can be cyclic or acyclic, identifying for 1-1.5 years after the operation. Usually amenorrhea and symptoms of the syndrome postcastration

In postcastration syndrome treatment in young women taking hormones -. The estrogens that are assigned cyclically until the response of the endometrium menstrualnopodobnoe. Everything has to be checked, as these women increases the risk of uterine cancer. Regularly during the hormonal treatment of estrogen is not the first year of all women, to serve 60% of the syndrome post-castration regression on itself after the operation. In addition to hormonal therapy prescribed sedative and restorative treatment. These patients are presented hydrotherapy, physiotherapy, physical therapy, vitamin therapy (vitamin B, C, PP). A severe syndrome during postcastration develops in patients with a weakened system "of the hypothalamic - pituitary - adrenal cortex .." Therefore, surgery should be done only as a last resort, and soon a complex treatment to activate compensatory responses that contribute to postcastration flow more easy to give a name to the syndrome

amenorrhea

Amenorrhea - absence of menstrual period is 6 months or more. To distinguish between physiological and pathological amenorrhea. Distinction physiological amenorrhea occurs in girls at 11-12 years, pregnancy, lactation, menopause and old age.

The physiological amenorrhea in girls associated with the absence of cyclic changes in the ovaries.

during pregnancy has also completed follicular maturation, high progesterone, estrogen, produced by the corpus luteum, placenta inhibits the function of pituitary gonadotropins and prevents the exfoliation of the lining of the uterus.

The relative contraindications often neglected, because the benefits of thrombolysis in myocardial infarction is significantly larger than the possible damage.

thrombolysis should be implemented as soon as possible. Transmural myocardial infarction

Just 30 minutes after the onset of pain cardiac muscle tissue intact. After 30 minutes, the death observed in individual cells subendocardial layers. An hour later, the necrotic changes in the inner third of the myocardium. After 3 hours, subjected to necrosis of the intermediate layer, and after 6 hours of home form transmural necrosis.

E 'advisable to start of thrombolysis in the car "Ambulance", which is practiced in external medicine, widely but have not yet taken in Russia.

against absolute contraindications to thrombolysis in cardiac specialty hospitals can perform percutaneous transluminal angioplasty. About the effectiveness of the corresponding thrombolysis.

acute myocardial infarction 3 also shows the transfer of oxygen, as it provides the supply of oxygen from the supply of blood to the tissues and causes dilation of the coronary arteries.

4 ACE-inhibitors (ACE), angiotensin. This group of drugs should Acute myocardial infarction with low ejection or significant myocardial damage from the first day of illness in the absence of contra-indications fraction

Contra use ACE inhibitors. The systolic blood pressure less than 100 mm Hg. Art., Hypovolaemia, severe renal impairment, unilateral renal artery stenosis, pregnancy, drug intolerance. For proper treatment, you can choose to enalapril, captopril, lisinopril.

Contra: . The heart rate below 50 beats per minute, systolic blood pressure less than 90 mm Hg. Art. Signs of peripheral hypoperfusion, atrioventricular block of grade II and III, bronchial asthma or chronic obstructive pulmonary disease, severe limb ischemia.

For the treatment administered atenolol, metoprolol, propranolol.

The complications of acute myocardial infarction. Early complications

cardiogenic shock. This sudden drop in cardiac output due to the destruction of a large amount of heart muscle. Affected tissue does not work from the heart attack, a significant decrease in the volume of blood ejected from the left ventricle.

25 May, 2016