26-year-old girl who fell down the stairs and broke her spine, doctors managed to hit the incredible speed of his recovery. She got up and went after 10 days after the complex operation.
Treatment and prevention
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26-year-old girl who fell down the stairs and broke her spine, doctors managed to hit the incredible speed of his recovery. She got up and went after 10 days after the complex operation.
Treatment and prevention
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What if this happened to you or your child?
Expert - otolaryngologist, MD, Ph.D., head of advisory and diagnostic department of the Moscow Institute of Pediatrics and Pediatric Surgery Vladimir Belov .
Consider that the nose on one side can move down only in boxers and fans waved their fists - a big mistake. After this injury is often domestic in nature.
Noses are broken not only in the fist demolition, but also during normal game in which one person to another can accidentally lit in the face with his elbow, the ball or puck. This injury often results in a bad fall, for example, a ladder, roller skates or bike. In winter directly into the child's nose can be "imprinted" sled comrades who could not wait to ride a roller coaster after another. Also, breaking noses and had children who were listening to bad and Safety teacher too close to swinging the swing. Hyperactive kids and careless adults who do not look at his feet are at risk of slipping and hitting the most prominent place on the face of the curb or rock, and at home - on the rim bath or sink. In general, none of the kids and adults are not guaranteed by such troubles.
When your loved one yelling obscenities good, and from his nose bleeding, no need to disassemble, whether it's a bruise or a fracture. But we must seize the victim in his arms and rush to the doctor. The most important thing at this injury - to gain as much as possible. Especially quickly need to do if your nose hurt a child or teenager - the fact that young people tissue healing is very fast, so a week later to collect "puzzle" of the broken bones will be too late - they were by that time had themselves grow together (and Naturally, wrong). In adults, and especially older people, this process takes a long time, but still delay the visit to the doctor anyway should not be.
Many people with broken noses go straight to the emergency room, but would be better if they were immediately sent to the emergency room first aid and hospital. Better - where there lorotdeleniya. It is important to do this as soon as possible - ideally, in the first hours after the injury, because the earlier operation has been made, the faster and better healing will occur. Moreover, if the turn was a deviated septum, then put it in place can be only a few hours after injury. 2-3 days to do it will not succeed. So, if you need to correct the nasal septum, then have to do a special operation called "septoplasty".
On the way to the hospital to keep the broken nose of the victim an ice pack. Chill need to at the fracture site did not develop edema because otherwise carry out the operation (reposition the broken bones of the nose) will be impossible, because the surgeon is not able to carry out a visual inspection of the scene. The patient on the road to keep in reclining position, half-sitting. Stop bleeding from the nose to help sterile cotton swabs, and if not, you can simply tilt the person's head and gently press the nostril to the nasal septum. No other measures taken should not be - to do no harm.
If the face has an open wound, and there is a risk of infection in the hospital the victim may make an injection against tetanus.
The hospital ENT carefully examine and feel the nose of the victim, then under local anesthesia hold him rhino- or endoscopy (instrumental examinations of the nasal cavity). And will make an X-ray of the nasal bones. Based on these studies, it will diagnose and outline a strategy for the operation, if that proves necessary.
If swelling of the nose has not had time to evolve, the operation is best carried out immediately. If there is edema, the victim sent home, and if he has a concussion symptoms (nausea, dizziness) to leave for a few days in the hospital to receive medical treatment. After 5-7 days, when the swelling subsides, you can do the operation.
Reposition the bone fragments can be carried out under local or general anesthesia. The choice of anesthesia is different: depending on the age and the psyche of the patient, as well as the volume of transactions. The fact is that every crisis - is unique and to lay down the stone as it was, the surgeon sometimes just a few minutes, but when comminuted fractures usually have to tinker longer.
Teenagers and adults usually "darn" nose under local anesthesia. Injection anesthesia is not used - or fluid administration will break your nose and make the job a surgeon - so often held applicator anesthesia. During surgery, the surgeon using special tools (elevators, similar to the narrow blade) and own fingers collects the broken nose again. Then fix it from the inside with special tampons and outside - gypsum or contemporary material - thermoplastic, which is first lowered into the hot water, which softens, and then placed on the back of the nose, where tightly freezes.
Tampons are removed after 1-2 days, the plaster is removed in about a week. Within a month after the operation is necessary to protect the nose from re-injury as if there a new fracture, nose to collect a second time will be much harder. Therefore, the first time a person with a newly assembled nose will not be able to play sports and play outdoor games.
It should also be wary of infections, and sleep better, not utykayas pillow. Specific recommendations for the care of victims of the doctor gives in each case individually.
If the injury was more than 10 days to carry out repositioning will be too late. But this does not mean that now a person a lifetime to live with crooked nose. However, in this case the need is much more serious surgery - rhinoplasty. And it is not done under local and general anesthesia. To correct the shape of the nose, at the time of the intervention the doctor gets re-injured patient and only then assembles his new, straight nose. As a rule, the stronger sex rarely go on this operation only for the sake of beauty. Basically, they are pushing for this nasal breathing problems caused as a result of the injury once. Normally breathe through the nose prevents the partition curve. In this case, when rhinoplasty is performed, and an operation to correct the septum - septoplasty.
SourceIndustry News
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American doctors specializing in emergency care, reminiscent of the danger of snow to rub skin with a strong frostbite. Incoming because people play with their lives.
The list of dangerous health misconceptions rubbing frostbitten skin in snow much exactly is included in the top five. For many years, doctors around the world, including Russia, the people assert that the frozen face, ears or limbs in any case can not be rubbed with snow, but people continue to do so, causing very significant damage to their health.
Dr. Melanie Kerenich Medical Center at Loyola University recalls that some severely frostbitten skin on the face, ears, fingers, feet, even hands and feet can lead to gangrene, amputation of limbs and, ultimately, death. With a strong degree frostbite these sites become a characteristic pale, white or gray color and become, as it were numb, motionless, completely losing sensitivity.
"People with strong frostbite In no case can not rub the area with snow, - says Dr. Kerenich. - In this case you only severely damage the fabric. It should be as soon as possible to be in a warm room, wrap the frozen limbs into something warming and seek medical advice. "
At moderate and medium-sized frostbite doctors recommend as soon as possible to get to a warm room and warm the affected areas of the skin with warm water. Water should be used until such time as the zone of frostbite does not return normal sensitivity.
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Western scholars continue to escalate cancerophobia population. Now reported that the risk of cancer increases by going to the pool, taking a shower and bath.
As it became known, too frequent visits to the pool and swim in the home under tap water fraught with increased cancer risk - The formation of tumor diseases. This is due to the impact on our body of water containing bleach, or rather its derivative trihalometan . As is known, the chemical used in tap water as a means of purification.
Frequent sessions in the pool and showers slight increase Cancer Risk , As the organism absorbs a greater amount of trihalometana through the skin. This conclusion was Spanish researchers from the Center for Study of Environmental Epidemiology in Castilla La Mancha. They recommend that we seldom drink tap water , Even if it is passed through special filters. Although it is not so simple.
"Secured and more educated people believe they reduce the risk of exposure to chlorine on the body, completely switching to bottled water - said study author Dr. Gemma Kastaki-Vinyals. - But these same people pay more attention to hygiene and health, often involved in sports and therefore, often take a shower. And this, in turn, increases the absorption trihalometana through the skin. "
These studies are published in the journal BioMed Central. It argues that exposure to chlorinated water in humans, primarily grows Cancer Risk bladder. However, Dr. Kastaki-Vinyals adds that the risk of developing this type of cancer because tap water is relatively small.
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Traumatologists know that the peak of lung frostbite is necessary not to extreme cold below -25 C, and the interval between -10 and -20 C. At such a temperature of the air for a long time people did not feel that the exposed skin or feet in tight shoes have already started to really freeze ...
It turns out that, as a rule, when a person falls into a warm room. The main features of lung frostbite (yet it is called "1 degree frostbite"): a strong reddening of the skin, especially in the joints, numbness tissues, feeling pain or ache when you try to move a limb. At this point, the most important thing - to know how to give help with frostbite .
Just how dangerous this situation and how to restore normal thermoregulation?
First of danger. Even slight frostbite It can lead to serious consequences. First of all, it is necessary to understand the mechanism of frost on our tissues and mucous membranes. Usually when you stay at the 20-degree cold longer than 10 minutes it begins spasm of small blood vessels. Fabrics are beginning to have problems with the supply of oxygen decreases production intertissue enzymes falling local immunity. Then the reduction of metabolic processes can lead to local necrosis. If at this stage does not begin warming event, it is easy frostbite may develop into a more serious and profound.
Big mistake that many victims, trying to put myself help with frostbite - Directly in the cold start to use alcohol or rubbing them supercooled skin. Alas, it only aggravates the situation: Alcohol dilates blood vessels and increases heat loss.
The correct sequence of actions is as follows:
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The more dangerous the strict protein diet and how to relieve the body proteins without harm to health?
Recently, protein diet were the most popular, not only Russians, but also throughout the world. No wonder: to observe they are easy (no restrictions in terms of servings), and weight goes very quickly.
But what happens in the body with a sharp decrease in the carbohydrate component and unlimited consumption of protein? In the early days protein diet the person feels good and comfortable. In the digestion of protein foods body spends significantly more calories than the breakdown of fats and carbohydrates, and in the beginning of the diet consumed in the liver 2-day supply of liver glycogen. There is a significant change in metabolism, which in long-term compliance with the strict protein diet can lead to serious health problems.
First of all, due to the exclusion from the diet of mostly fruits, vegetables and almost all sugar and cereal fiber diet provokes a deficit of many vitamins and minerals.
In addition, after three weeks of strict protein diet can cause problems with the kidneys, which have to operate in emergency mode to remove excess protein is excreted.
And, thirdly, the abundance of animal products can lead to increased blood cholesterol levels. It is especially dangerous if throughout the protein diet a person uses is not pure meat, fish and eggs cooked gentle way (boiled, steamed, baked or steam in the form of foil), and fried in butter or margarine. Even worse, if the "diet diet" used sausages, smoked meats, canned goods and intermediates.
Therefore, the safest way to control weight, and it does not harm your health, doctors consider holding a "fasting days" based on the principles of protein diets. Day - the name of the conditional, it can last from one day to two days and no more repeated 1-3 times a week. Take a basis for a product that you like, and "unloads" on it.
According to nutritionists, it is well established protein fasting days:
Milk (kefir) day: 200-250 grams of milk, yogurt, sour 6 times a day, just one, 2-1, 5 liters.
Curd Day: 70 g of cottage cheese 9% fat or low-fat 5 times a day, in addition, 2 cups of tea, 1 cup of broth hips, 2 cups low-fat yogurt.
Cottage cheese and kefir day: 250-400 grams of cottage cheese and 1 liter of yogurt (milk) during the day.
Meat (fish) day: 70 grams of lean meat, or boiled fish boiled five times a day for a total of 350 gram, 100-150g vegetables (cabbage, carrots, cucumbers, tomatoes) 5 times a day, only 0, 6-0, 9 kg 1 -2 cups of tea without sugar. Do not forget to fill vegetable salads during the fasting days is better with vegetable oil and / or lemon juice instead of fatty sauces.
Do not forget during these days of discharge drink enough water - without it is difficult to maintain normal metabolism and get rid of all the excess!
Pischeblog Yulia Goncharova
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Some people believe that we need only to go to the low-fat whole foods like diet will be much healthier and healthier. But is it really?
Well, some truth in this. Indeed, many fat products help lower cholesterol and body weight. Also, they typically enriched with vitamins and minerals.
But in this case the human physiology proves that of all the calories that we eat with the food of the day for about 30 percent should be extracted from the fat. Yes, I can not give up the fat. After all, they perform an important function in the body: increases elasticity of blood vessels, are involved in the synthesis of hormones, help assimilate vitamins A, E, D and K. Without fat metabolism can be broken, and then low-fat food , Paradoxically, become the cause of excess weight.
How can I gain weight on a low-fat diet? Alas, it is very easy! If the label states a low fat content, it does not mean that the caloric content of the product is less than expected. The fact is that in many foods, such as low-fat fruit yogurt, fat offset the lack of carbohydrates. Their over is known, is converted in the body fat. It must be borne in mind that it is not always stated on the packaging of the "zero" fat makes the product useful. The fact that often the products with reduced fat content, or "low-fat" contain hydrogenated fat. This vegetable fat, which, after treatment with hydrogen from liquid become hard. For example, "light" margarines, spreads, which contain hydrogenated fats can raise blood cholesterol levels more than butter fat content of which a half times higher.
There is one important point. The fat entering the body with food, in time to give us a signal saturation, and low-fat products with the signal "delayed." This time is enough, we had to eat more than the body requires.
For these reasons, it is not necessary to abandon the whole in favor of low-fat products. If you watch your weight or just want to lose some weight, choose foods low in fat. For example, to replace 3 diet yogurt, fat content of 2 percent by 2, 5 percent, 20 percent cream - 10 percent.
And products with "zero" fat good for the fasting days and in order to cope with Nakata hunger pangs, which usually happens in the evening. But to stick to a diet full of lean - more harmful than helpful.
Pischeblog Yulia Goncharova
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