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Departments placenta remains in the uterus, thus preventing the reduction online mg pharmacy in stromectol price buy uk reviews australia canada generic 12. Without waiting period of 2 hours, the placenta must be removed separately with external devices, but first installing, or have separated the placenta 12 how stromectol mg generic much 3 reviews. To do this, consider the following:

1) for the fundus rises separate placenta and is located above and to the right of the umbilicus. In this case, the lower part of the uterus is through the pubic bone to form a projection from the top of the cavity defined (the uterus an hourglass shape);

2) money clip in the genital opening of the umbilical cord of the fetus, the placenta more section differs from the external genitalia body at a distance of 8-10 cm;

3), if a pressure brush border on the abdominal wall just above the pubic area and in the Department of the placenta from the uterus, the umbilical cord was not found in the vagina, on the contrary, the more parties;

4) provides maternity breathe deeply. When you breathe cable runs in the vagina, where the separated placenta;

5) Maternity offer fixed. If the umbilical cord placenta after trials is not separated in the vagina; if the placenta is not separated, the umbilical cord, after several attempts sucked into the vagina. On the question of the separation of the placenta from the raffle address above 2-3. For removal from the placenta separated the following methods.

method Abuladze

After emptying the bladder and the anterior abdominal wall with both hands in his lap, so that the two rectus abdominis have been seized by the fingers. After this offer maternity closely. The latter one another while easily performed by eliminating differences correction and a significant reduction in the size of the abdominal cavity.

method Gentera

Prior to empty the bladder, so that the bottom of the center line. The doctor is the pregnant woman, for his feet the page. Both hands clenched fist, put the back of the main ankle diagonally on the floor of the fallopian tubes in the corners. The gradual increase in pressure at the bottom of the uterus in the direction downwards and inwards, so that the newest addition to the slow genital opening

Method Credit -. Lazarevic

is used when other methods have failed. To do so in a particular order, the steps of:

1), empty the bladder with a catheter;

2) in the direction of the center line of the uterus;

3) caresses the light of the uterus (no massage), to decrease it!;

4) Enter the fundus with a brush of the hand, that the best obstetrician, so palm of his four fingers placed on the rear wall of the uterus, hand - to him, and the thumb - on the front wall; Front to back with hand - -., From top to bottom) was from the vagina to the pubic bone born until the last

5) simultaneously pressed against the brush assembly of the uterus in two crossing directions (finger This process was . anesthesia without anesthesia need new mothers last spastic uterus neck broke before maternity anesthesia administered 1 ml of 0.1% solution of atropine sulfate under the skin

The following clinical varieties pimples syphiloderm pastuleznogo:.. eel, or akneiformny, ospennovidny or varioliformny, impetigopodobny, ecthyma syphilis, syphilis rupee

shape of the surface of pustular pimples syphiloderm -. eels, and ospennovidny impetigopodobny - and syphilis rupee ecthyma - - often in patients with secondary syphilis fresh and deep . shapes seen mainly observed in recurrent secondary syphilis and give a malignant progression of the disease all varieties of pustular syphiloderm have an important function - basically there is a specific infiltrate. Syphilitic pustular pimples caused by the collapse of infiltrated, so they should be called pustular acne.

syphilitic alopecia. There are three clinical types of alopecia: diffuse mixed small and focal length, the

diffuse alopecia syphilis in a combination of small focal and diffuse type hair loss due to a generally thinner thresholds Acute hair in the absence of changes in the skin is .. hair loss usually starts with the temples and extends to the entire scalp. In some cases, hair loss and other exposed parts of the hair - beard and mustache, eyebrows and eyelashes. Change yourself and getting thinner, dry and dull. Severe diffuse alopecia hair loss varies from barely visible, a little more than the size of a physiological change in a complete loss of all hair, including down.

melkoochagovogo syphilitic alopecia is characterized by the sudden onset of rapid progress on the scalp, especially in the temples and neck, scattered a large number of random, small herd of thinning hair with a diameter of 0, 5-1 cm. pleshiny a rounded shape wrong, do not grow in the periphery and not merge. It's not quite fall into the lesions occurs only their strong dilution.

Syphilis leucoderma or syphiloderm pigment. It is a kind of skin discoloration dubious origin, with secondary syphilis, especially recurrent occurs in patients. Typical location of leucoderma the skin of the back and sides of the neck, at least - the front wall of the armpit, the surface of the joints of the shoulder, chest, back. In the affected areas Airs yellow-brown pigmentation of the skin appears. After 2-3 weeks in the background appear whitish spot diameter hyperpigmented gipopigmentnye 0.5 to 2 cm of the round or oval shapes. All places that have the same size were isolated, are not subject to peripheral growth and mergers

There are three types of clinical pigment syphiloderm: .. blotchy mesh (side) and marble

balanced gipopigmentnye Leucoderma spots are in close contact with each other, but not identical, remain separated by thin layers of skin hyperpigmentation. In these narrow areas of hyperpigmentation forms a lattice.

If leucoderma marble, however, the boundary between the white spots are not clear, and in general seems dirty skin areas of hyper-and hypopigmented negligible.

Nervous System

neurosyphilis can be divided into early and late forms, depending on the nature of the pathological changes in the nervous tissue. Early neurosyphilis - mostly mesenchymal process of the meninges and blood vessels of the brain and spinal cord. Usually develops within the first 5 years after infection. Early neurosyphilis is marked by a predominance of proliferative and exudative inflammation.


Syphilis lesions of the internal organs during early syphilis inflammatory effects and similar morphological model to changes that occur in the skin.

The defeat of the musculoskeletal system

bone lesions removed (especially in the form ossalgiya tibia and rarely osteoperiostitov), ​​especially in the long bones of the lower limbs, at least - in the bones, skull and breast cells.

3 tertiary

The lesions of the skin and mucous membranes with tertiary syphilis show gummy assets and rash papulosis.

syphiloderm papulosis. It can be placed on the skin and mucous membranes, but everywhere in the typical localization of the stretch of the upper limbs, trunk and face. The lesion is in a small area of ​​skin is asymmetric

The main morphological element papulosis syphiloderm located -. Bosse - dense, hemispherical, bespolostnoe the finished program, consistency plotnoelasticheskoy. In the dermis formed shock, much of apparently healthy skin, has a size of 1 mm to 1.5 cm. Dark or yellowish-red nodules first color red, blue or brown red.

at intermediate risk (2), including patients with moderately elevated blood pressure and many risk factors and patients with a significant increase in blood pressure.

The risk of cardiovascular events in the next 10 years is 15-20%.

high-risk group. 3 of this risk is a member of the group. Carried out lesions, regardless of the degree of increase in blood pressure The risk of cardiovascular events in the next 10 years is 20-30%.

A group of very high risk. This risk group includes four patients with associated diseases. Angina pectoris, myocardial infarction or stroke, diabetes, myocardial revascularization surgery, nephropathy and chronic renal failure, peripheral vascular disease, retinopathy of class III-IV

The risk of cardiovascular complications in this group over the next 10 years, more than 30%

The main drugs used to treat high blood pressure

the treatment of high blood pressure, the following drugs :.

1 ACE inhibitors - the most common worldwide and appointed the current group of drugs

The group identified two types of medication news from Yahoo: the active form (captopril, lisinopril), and the precursor , the formation of active metabolites which have a therapeutic effect (enalapril, ramipril, perindopril, fosinopril).

The mechanism of action of ACE inhibitors block the enzyme ACE. A substance in the kidney renin-angiotensin-passing that the blood plasma is converted into angiotensin 1 There are in turn of the angiotensin-converting enzyme affected in angiotensin 2 converted has a strong effect vasospastic (constricts blood vessels) and contributes to high blood pressure. The preparations of ACE inhibitors block this enzyme, while the transformation does not occur, thereby reducing blood pressure



1) high blood pressure, also by simultaneous reference

2) advanced patients (over 60 years) age complicated;

3), left ventricular hypertrophy - under the influence of high blood pressure increases the heart muscle continuously. ACE-inhibitors not only the suspension of the process, but also the regression of the hypertrophy to contribute to the normalization of the heart muscle causes;

4), hypertension and diabetes mellitus, and hyperlipidemia (no drugs to reduce) the rate of these diseases

5) high blood pressure in combination with heart failure. ACE inhibitors increase the life of the patient and to reduce. Symptoms of heart failure


Inhalation individual tolerance, naming, but not in the acute phase.

Inhaled bronchodilators in bronchospastic reactions, regardless of the duration of the disease. With anti-inflammatory and anti-bacterial target now bioparoks the measured aerosol formulation that has a broad range (effective for Gram-positive and Gram-negative plants). Bioparoks reduces hypersecretion in the bronchial tubes, reducing productive cough. The drug is in order. Inhale every 4 hours for 4 breaths used during inhalation also use anti-inflammatory herbal tea (chamomile, St. John's wort). Liquefaction and the use of sputum inhalation acetylcysteine. Recovery from pneumonia based on the standardization of clinical data, Lab values ​​of blood, recovery of the radiological changes determined. After recovery, treatment with vitamins, breathing exercises, advise walking outdoors. Vitamin after bronchopulmonary diseases with Pikovit, gendevit, undevit, Multi Tabs and other added vitamin fortified foods diet -. Vegetables, fruit, juice. All of these methods, the immune system, metabolism, frustrated restore Infectious changes. For patients discharged from hospital are external observation. For rehabilitation, they are sent to the local nursing home. To complete the reconstruction of the functions of the respiratory system recommended physiotherapy treatment.

Spa Treatment and Rehabilitation

for non-severe pneumonia during melkoochagovogo rehabilitation of sick border hospital care and care in the clinic doctor or a pulmonologist. In the rehabilitation of people who were in the acute period of major damage to the severe poisoning sent, the people naturally slow pneumonia who had complications. Rehabilitation measures based on non-pharmacological treatments (breathing exercises, physical therapy, massage, physiotherapy, Air, Aero, hydrotherapy). Those who have had pneumonia recommend the end of treatment, local motels, gas stations, and air hot and dry climate (Yalta, southern Ukraine).

During the clinical monitoring full treatment and preventive measures (daily morning exercise, massage, breathing exercises, physical therapy, use of adaptogens and other drugs, the immune response and general biological reactivity stimulate)

Asthma given

25 May, 2016