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Physiological office

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generic division consists of pre-natal, intensive care units, tribal divisions, the operational unit (eg caesarean section), including greater operational preoperative, anesthetic room, storage of donor blood the india 20mg where tablets can omeprazole cheap buy over i buying online to counter.

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the ICU

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in the absence of small obstetric operations

postpartum Camera

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perceptions office

observations compartment (if present in the composition of motherhood, such as the home motherhood, where they only spend physiological birth and if not included pregnant women, various inflammatory and infectious genital diseases ) is basically independent of the maternity clinic cost for cheap generics canada prilosec uk price dosage generic name brand omeprazole otc. It has its own reception and playback, prenatal, postnatal wards, delivery room, operating room and other facilities

At this time, there is a theory that have a significant impact on the overall activities of the fetus hormones - equine prilosec mg drug magnesium price generic name 20 40 horses paste omeprazole for. Or rather, her status -gipofizarno hypothalamic-adrenal system uk generic pharmacy mg otc patient capsules canada online canadian direct omeprazole 20 reviews.

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Melatonin

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Periods and delivery

During childbirth, there are three periods : is much dr mg insurance omeprazole how cost 20 without take day does too can. the timing of the opening - from the beginning of regular contractions to full disclosure of cervical os, the period of exile - from time to full disclosure of the mother before the birth of the fetus throat successive period - separation and isolation of the placenta

There is a tendency to reduce working : magnesium how you it i should too take is in getting omeprazole get can of off high much. nulliparous - 16:12 pm, multiparous - 8:10 pm

When disclosure

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The latent phase

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active phase

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The phase shift

In the third phase - you online get how high can off prilosec. the deceleration phase - begins to descend the fetal head quickly. The origin of this phase can be attributed to the descent of the uterus of the head to the end of the neck opening. Dilatation of the cervix at this stage occurs at a rate of 1 to 1.5 cm per hour.

downslope Triple

In 1960, it finalized the mechanism of the contractions of the uterus during childbirth and focuses on the principle of gradient descending triple.

With the reduction of uterine contraction waves a direction from top to bottom. Uterine contraction begins in one of the corners of the tube, where the pacemaker, then a reduction wave is applied to the other tube angle is located, is the uterus body with decreasing duration and power, and to the lower segment. Distribution of the contractions of the uterus performed at a rate of 3 cm per second, while the entire uterus is covered by the contractile activity during the struggle for 15-20 seconds

The main mechanisms of action of contraceptive implants Onderhuids are :. Suppression of ovulation, the cervical mucus seal violate the transformation of the endometrium and premature luteolysis.

In fact, the same units contraceptive effects typical progestins are long implants remain.

First implants appeared in Finland in 1983, and to date have been in many countries (Finland, Sweden, China, USA, Indonesia, Chile). Implant System "Norplant" six cylindrical capsule consists of the subcutaneous administration are not related tissue incompatibility. Capsules are set by trocar, usually on the inner surface of the left forearm. Each capsule (34 mm long and 2.4 mm diameter) containing 36 mg of levonorgestrel, which is the body through the wall of the capsule is within 80 mg / day. in the first week and then gradually reduce the dose of 30-35 mg / day. with the establishment of the concentration in the blood in an average of 300 to 400 mg / ml for 5 years.

Norplant effectiveness Pearl index of 0.5 to 1.6 in the last few years.

Norplant is a very effective, the introduction thereof in the form of an implant which is a contraceptive effect of 5 years. Resources without the side effects of estrogen. Norplant dims uterine bleeding. In some cases, perhaps extending the appearance of menstrual bleeding or breakthrough bleeding.

Introduction and removal of Norplant by a doctor after the attention of women. Norplant removal is possible at any time at the request of the woman. Doctor in the necessary training for insertion and removal of Norplant.

The use of Norplant for women who want to avoid pregnancy for a long time, perhaps at a later age (after 35 years), particularly those with contraindications to show the estrogenic component, t. e. Use of combined oral contraceptives. The Governing Board of Norplant for women suffering from ovarian cancer pathology, diseases of the coagulation system of the blood and other conditions in which hormonal contraceptive is contraindicated in the absence of estrogen component in the Norplant.

Patients complain of gravity and the pressure in the epigastric region, halitosis, rotten regurgitation, pain and vomiting of food consumed the previous day.

The pain usually starts in the evening and relieved after vomiting. In the acute blood thickening stenosis due to the poor water absorption from the gastrointestinal tract; The amount of hemoglobin and erythrocytes increases, but that really exhausted by fasting patient. Significantly expanded stomach muscles and stomach increases excessively reduced, increases peristalsis.

With the evacuation of the stomach contents remnants of food to be consumed for the day or a few days ago, before the study. Vomit odor of rotten eggs, which can be explained by the absence of free hydrochloric acid in gastric juice, the development processes of degradation and the formation of hydrogen sulphide. In decompensated pyloric stenosis usually develop cramps, mixing zygomatic muscles in your effleurage. Trembling fingers These phenomena are caused by a sharp decline in the amount of calcium salt in the body together with vomiting removed. Pyloric stenosis is specified in the X-ray examination of the gastrointestinal tract. Normally barium allows the stomach after 3 hours at the appropriate Evacuation function barium could be detected in the stomach 4-6 hours or more, depending on the degree of narrowing. If the whole decompensated stenosis barium accumulates in the abdomen, and there are liquid layer on barium; gatekeeper is not filled with barium, the stomach is in the form of broad flattened bowl.

chronic calloused ulcer. The pain is persistent and permanent nature and have little to do with food. Physical stress increases pain. To take. Patients with pain in a horizontal position, Help and thermal processes, light diet, because it reduces the inflammatory changes around the ulcer. Yes more difficult for the healing of stomach ulcers, sometimes there is only a partial reduction in ulcer surface.

probing (penetration) is difficult to treat stomach ulcers. Ulcer himself never fully ruminal only partially reduced, taps and penetrates the deeper layers of the stomach to adjacent organs, hence the name. In some cases, especially if the patient is not a doctor at the right time, the possibility of malignant degeneration of gastric ulcers are.

Patients are hospitalized with complications in the operating room.

The diagnosis of the disease

Curriculum:

1) complete blood count;

2) urinalysis;

3) composition of the blood;

4) study of fecal occult blood;

5) holds fibrogastrocopy biopsy of the lining of the stomach and intestines;

6) X-ray of the stomach;

7) performing immunoassay diagnostic tests to determine Helicobacter pylori, the determination of antibodies in blood, urine, saliva; . smear - press the gastric mucosa;

8) ultrasound of the abdominal cavity;

9) laparoscopy

Basics of treatment

In the complex treatment of peptic ulcer are important questions of a general system of man and his diet treatment

In the treatment of peptic ulcer in the acute phase is necessary.

- exacerbation of colitis recommends compliance process 2-3 -Week strict bed rest;

- make sure you comply with all prescribing doctor;

- every 2-3 hours to eat small portions of food ;.

- to the extent of protecting people against mental and physical fatigue ;.

- use of facilities, such as medication news from Yahoo, for normalization of the central nervous system, autonomic ganglia, and secretory and motor functions of the stomach

during an exacerbation, patients complain of pain in the right top paroxysmal or mandatory nature, worse after a fatty meal, to run run quadrant.

The duration of a few minutes to 1-2 hours. Vomiting, nausea, feeling of bitterness in the mouth may occur. Fever, weakness, irritability, fatigue. . Complications - developing gallstones

The diagnosis of the disease

Survey Program:

1) complete blood count;

2) biochemical analysis of the blood;

3) cal tapeworm eggs;

4) ultrasonic examination of the gallbladder;

5) fractional duodenal intubation;

6) X-ray examination of the gallbladder.

Basics of treatment

Diet Therapy

During an exacerbation of chronic cholecystitis nutrition therapy reduces inflammatory changes in the gallbladder, bile stasis warns biliary and prevention gallstones.

During an exacerbation in the first 1-2 days but drinking hot liquid (juice of fruits and berries, sweet weak tea, mineral water "Borjomi", hips broth) small portions 3-6 glasses per day with some biscuits. Then, as the restoration of well-being and to reduce the pain, designate a limited number of pureed foods: soup and puree viscous (rice, oatmeal, grits), oats (grits, oatmeal, rice), jam, jelly, or foam. Then added to the diet of low-fat cheeses, lean boiled fish, pureed meat, white crackers. Food taken

You can use these fasts 5-6 times per day

:.

1) day kefir quark (recommended 900 g yogurt on six receptions, 300 grams of cottage cheese in 3 doses and 50 to 100 grams of sugar);

2) days of rice compote (stewed recommended 1.5 liters 1.5 kg made of 240 grams of fresh or dried fruit, which is spread over six receptions and rice porridge cooked in water 50 grams of rice, oats divided in 2 doses);

3) watermelon or grapes day (recommended 2kg ripe watermelon or grapes, divided into 6 receptions);

4) of fruit per day (recommended 1.5 to 2 kg of ripe apples on six receptions, especially as the tendency to putrefaction in the intestines).

After the period of illumination exacerbation of chronic cholecystitis prescribed diet No. 5, which will be used as the principal, this disease.

The power supply must be split and small, frequent (5-6 times daily) food, thereby contributing to a better flow of bile. Copious amounts of food taken once, leading to disruption of the rhythm section of bile, causing spasm of the bile ducts and the development of pain

A person with chronic cholecystitis recommended :. Milk, soup, vegetables, fruit; lean meat (beef, chicken, rabbit, turkey) and fish (perch, pike, bream, hake) boiling or steaming; Arts sausage, lean ham, herring soaked; porridge; puddings, cheesecakes, casseroles; vermicelli noodles cooked; various cooked vegetables, raw, fried; salads, cooked and raw vegetables and fruits. Boiled eggs are consumed (one in 1-2 days), tortillas protein 2-3 times a week. Milk can be taken in kind and in the dishes (if tolerated) recommend dairy products, cheese, lazy meatballs, cheese souffle, soft cheese (Russia, Yaroslavl).

25 May, 2016