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Bronchopulmonary aspergillosis

July 4, 2011

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 Bronchopulmonary aspergillosis  Bronchopulmonary aspergillosis , Allergic pulmonary disease and bronchial-like symptoms at the beginning of pneumonia. It called microscopic fungi - Aspergillus . Fungus lives and breeds in wet environment - in soil on the street or in a potted house plants, birds in cages and animals lattice conditioners. Fungus spores spread through the air and enter the human respiratory tract. However, the disease develops only in individuals with a predisposition to an allergy on these arguments, generally in patients who already have the disease of respiratory system.

Symptoms of bronchopulmonary aspergillosis

The disease occurs during the wet and cold season, often suddenly. Manifested by a sharp rise in temperature, chills, occurrence of chest pain, cough wet, in clusters may cause lumps and traces of blood - clusters of Aspergillus. Increase the expression of asthma. When running of the disease in the patient's growing weakness, weight loss, there is a musty smell from the mouth, listening reveals crackles, murmurs pleura.

Reproduction of the fungus in the mucosa of the upper respiratory tract of the patient, causes - relapsing allergic inflammation in the lung. The alveoli   - Air bubbles are light - filled eosinophils . In severe cases, inflammation causes bronchiectasis   - Persistent airway large expansion - and ultimately in the lung formed fibrous tissue.

Diagnosis of bronchial aspergillosis

General blood analysis , Sputum. If you suspect symptoms of bronchopulmonary aspergillosis, all patients for evaluation of bronchial and lung tissue, are conducting a study of the respiratory system - X-ray or CT scan.

Treatment of bronchopulmonary aspergillosis

Treatment of bronchopulmonary aspergillosis is to eliminate clinical symptoms, recovery of respiratory function. Since chemotherapy   ineffective to eliminate the infiltration of limited use surgical methods - good effect lobectomy with excision of lesions of the lung. In most cases, the operation proceeds without complications in patients and gives a positive long-term results.


The complex is carried out conservative treatment of bronchopulmonary aspergillosis . Appointed antibiotics   - Preparations Amphotericin B . Nystatin   sodium salt, oxacillin . Erythromycin . Note that the use is contraindicated levomitsetina   and tetracyclines as contributing to the emergence of aspergillosis. Appointed vitamins   and restorative treatment.

Mortality is bronchopulmonary aspergillosis 20-35% And in individuals with immunodeficiencies Not associated with HIV infection, about 50% . When septic form prognosis is even more unfavorable.

Prevention of bronchopulmonary aspergillosis

Prevention is to combat dust and injuries in the workplace, workers are required to wear respirators in the granaries, mills, weaving factories, vegetable stores. In hospitals, clean air with special air filters. Early recognition of the disease, also makes it possible to stop the bronchopulmonary aspergillosis.

Bronchial asthma

May 10, 2011

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 Bronchial asthma  The term bronchial asthma   It denotes respiratory disease of an inflammatory nature, in which there is bronchial obstruction . That is, during inflammation narrows the lumen of the bronchi, resulting in difficulty breathing, each breath is accompanied by a characteristic sound, the lack of air leads to bouts of coughing. On average, the world's disease affects five out of a hundred, that gives the right to speak about its prevalence.

Although bronchial obstruction is reversible, the danger of the disease lies in the fact that the consequences of such obstruction may be irreversible. In the long run in the bronchi morfofunktcionalnye violations occur, changes in microcirculation thickened basement membrane and bronchial wall after passing attack has not returned to normal.

In most cases, asthma is a kind of "response" of the organism to the impact of irritable or, easier to allergen . However, to say that the disease is extremely allergic nature as it is impossible. In medical practice, there are many examples where the inflammation of the bronchi causes damage to the human brain.

Types of asthma

There are several classifications of the disease, each of which is widely used.

By the nature of the reasons why there was bronchial asthma, isolated infectious   and not infectious and allergic   form. The first implies that the disease has developed as a complication of other diseases of the respiratory tract with the infectious nature. Most often, such negative effects could result sore throat , Pneumonia, sharp pharyngitis . Two of the three cases fall into this category.


The second form is highly allergic nature, when asthma is the standard reaction to irritants for allergy: pollen, dust, dandruff , Drugs, and other chemicals. It is noted that although in this form falls less than half of the cases, it is often inherited.

Types of asthma by severity are light . moderate   and heavy   form. That is, to what species the disease in a patient is determined by the attending physician in each case on the basis of multivariate analysis. Thus, the outcome affects the frequency and duration of attacks, what is the severity of the attacks, as the patient feels himself normally between spasms.

Here are the main features of each of the forms:

Mild.   It is characterized by the almost complete lack of strong attacks suffocation Some symptoms of asthma often do not manifest themselves several times a week and very short-lived. Night attacks that are considered characteristic of the disease, the patient's disturbed several times a month. Between attacks the patient leads a normal life.

Moderate form.   It is characterized by the same frequency, but the strong attacks of breathlessness. At night, asthma appears at least several times a month and is also accompanied by strong attacks.

Severe.   In such form, the flow exacerbation of varying severity appear regularly in a patient. Some of them are particularly dangerous in the absence of urgent action may pose a risk to life. Between attacks the patient can lead a normal life, as is short of power, and the symptoms of asthma but to a lesser extent, it is still being felt.

Naturally, the easiest form over time if there is no proper treatment of asthma, can move into a more severe form.

Symptoms of asthma

 Bronchial asthma  As we have seen, asthma is a disease of allergic nature, which may have an infectious or contagious nature. In either case, the symptoms of asthma appear stroke, as in any other allergies.

During these attacks the patient has a wheezing, which, however, only noticeable to others nearby, there is a non-productive cough. The patient may feel shortness of breath   different strength under standard exercise. These symptoms of asthma complementary characteristic symptom of nocturnal asthma attacks.

Some other symptoms are not experts in medicine can be misleading. Because of bronchial obstruction leads to a prolonged retention of air in them, and to breathe a person has cough. This cough can appear suddenly, last for a couple of minutes to several hours, and just as suddenly disappear.

Talking about the types of asthma, we mentioned that the types defined symptoms and their frequency. This classification is detailed in four groups, each of which is characterized by its features, including the results of analyzes.

So, the easiest course of the disease is episodic, when attacks occur day and night on the strength of just a few weeks, or even less. Exacerbations if they appear, last for a relatively short time, and between exacerbations breathing incorrect. This FEV1 and PIC must be at least 80% of the norm, but PIC is in the range of 20% of the norm of the day.

If attacks occur more often than once a week, but the day the patient no two exacerbations, say asthma is already a constant flow in the mild form . Unlike the previous form it is also that the PIC per day ranges from 20 to 30%.

At constant during non-severe asthma may go into a form of moderate severity. Seizures occur in the afternoon every day, and at night at least once every seven days. The patient can no longer do without the β2-agonictov fluctuations PIC ranged from 30% for the day, while FEV1 and PIC ranged from 60% to 80% of normal.

In the latter, the most serious form attacks do not leave a sick day or night, values ​​of FEV1 and POS 40% or more behind the norm. The patient in this state can not maintain normal physical activity.

Diagnosis of asthma

Diagnosis of the disease is carried out in some areas. Firstly, its presence indicates the characteristic symptoms of asthma, which were discussed above. Second, significant and rapid relief of an attack after inhalation drug dilates the bronchi, is another pointer to the correct diagnosis. Third, the analysis of sputum and X-ray of the respiratory system.

It is a special method Study breathing . Diagnosis of asthma, in this case is based on obtaining data on the frequency, power and speed of inhalation. Get your own results and compare them with normal values ​​and can be at home with the device a peak flow meter .

When the diagnosis of asthma was positive, studies are aimed at identifying the allergen. Most often limited skin tests in view of their efficiency and economy, but when necessary, a more complex analysis.

Treatment of asthma

Before we begin to describe the treatment of bronchial asthma, once again recall that the disease is almost inextricably linked with allergies. In other words, this reaction is a response to the body's immunity to outside influence. The essence of this "response" is inflammation of the bronchi . This inflammation leads to all the symptoms described above, and that the fight against it must be sent to the main treatment.

Asthma is one of those illnesses, which can be controlled only under the supervision of an experienced physician. Asthma treatment itself must be stepped, that is, a set of medications and frequency of application will vary depending on which symptoms appear in the patient.

The basis for therapy are most often glucocorticosteroids   in the form of inhalations. Additionally it may be administered tablets or injection means, which are used both for treatment and prevention of disease. Be sure to read the terms of use inhalers before start using them yourself.

Naturally, the anti-symptomatic treatment of asthma is only part of an integrated approach. The second important component - specific allergen that caused such a reaction, and the leveling of its impact.

If the allergen is contagious nature, it shall be required therapy aimed at fighting the infection. If the asthma is caused by non-infectious allergen, then as far as possible to restrict contact of the patient with this substance. In some cases, this approach may require a fundamental change in lifestyle such as changing jobs or moving to another city. When determining the exact allergen should heed the recommendations of the doctor, no matter how difficult to execute as they are.

One of the problems faced by the treatment of bronchial asthma is the abundance of mucus in the bronchi. From it should be mandatory to get rid of. It is recommended to make frequent hiking fresh air, do a regular performance of the special therapeutic exercises. Correctly selected gymnastic exercises allow not only to increase the ventilation of the bronchi, but also teach the patient to control the breath, so signs of asthma but not disappear completely, but are under control.

Depending on the direction in which the volume changes of drugs are two possible approaches to the treatment of disease. The first involves the use of intensive treatment from the outset. In most cases, it allows to gain control of the above symptoms, and then gradually decreasing the intensity of treatment. The second method is in accordance treat diagnosed form of the disease. If the selected rate does not lead to positive results, it gradually increases. Otherwise (if the treatment helped), the intensity is reduced, but not earlier than after 3 months of steady state.

Prevention of asthma

 Bronchial asthma  Under the prevention of disease refers to a set of measures aimed at minimizing the risk of seizures and complications. A basis for the prevention of disease is to get rid of the allergic nature of patient contact with the allergen. It should be understood that while the contact disappears almost any treatment of asthma will have only a short-term, limited effect.

The previous recommendation is required for patients with any degree of severity. If a patient is determined by the mild form, the prevention of asthma is complemented by sporting activities in the open air in the interval between attacks (these intervals must be large enough).

By choosing the sport should be approached with caution. On the one hand, it must allow the maximum amount of time a patient come in the open air, on the other hand should not be exaggerated exercise. Examples of suitable sports is hiking or cycling with frequent stops, tennis, rowing, cross-country skiing.

Even in Soviet times, patients received a spa treatment of asthma. This is indeed an effective method of prevention, but it only works if the climate at a place where there is a health resort, perfect patient. Otherwise, the prevention of asthma in the resort may be unsuccessful.

Allergic conjunctivitis

May 6, 2011

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 Allergic conjunctivitis  The concept "Allergy"   It was first used only in the early 20th century. According to the etymology of the word means "an action" that is, outside the person's immune system reacts to stimuli, quite harmless. Every year the number of inhabitants of our planet with various forms of allergy is increasing and allergic conjunctivitis   - Another proof.

As the disease typical allergic nature, allergic conjunctivitis - inflammation of the mucous membrane, which is caused by the presence of specific impacts on which most people do not react.

Modern medicine has sufficient funds in order to quickly neutralize the main manifestations of the disease in the form of severe itching and redness of the eyes. However, inflammation of the eye may occur in parallel with diseases such as dermatitis   or bronchial asthma . In some cases, the diagnosis is complicated by the weak manifestations of a particular disease, amid pronounced general symptoms. Therefore, consideration will continue to review symptoms.

The main symptoms of allergic conjunctivitis

First, note that depending on the frequency of symptoms, there are two types of the disease: perennial   and season . In the first case, signs of inflammation in one way or another are observed at all times, and in the second case, appear only in a specific time of year, most often in the spring. This fact was the emergence of error, that the main causes of allergic conjunctivitis is pollen and down trees. In fact, the list of allergens is much broader.


Regardless of the type of the disease, only three main symptoms: redness . severe itching   and excessive tearing . All the symptoms of allergic conjunctivitis is very common and it can be present in the patient either together or separately. For young children, most evident sign of the third, that is, tearing, or as it is called, watery eyes.

Different patients the strength of symptoms and the time elapsed from the contact with the allergen until the first signs of the disease, is different. But usually this time is from several hours to several days.

The allergens that cause allergic conjunctivitis

We have already mentioned that the pollen and down trees is only a couple of irritants that cause the symptoms of allergic conjunctivitis. Full list is much broader, and it includes fungal spores And household chemicals And wool   or dandruff   animals.

Apart stands drug allergy . The above described features of the disease may occur after use of certain drugs, for example, eye drops, during use of contact lenses, cosmetics or perfumes.

Such a list of allergens just leads to the fact that the disease can not wear a seasonal and year-round character. Besides, it's kind of difficult diagnosis as to identify the specific allergen is sometimes quite difficult, and this is done using a variety of methods for the determination.

Diagnosis of allergic conjunctivitis

Sometimes the symptoms of allergic conjunctivitis leave no doubt as to the experts diagnosis and allergen. However, unfortunately, this situation is relatively rare, and often have to carry out allergy tests and a history analysis.

Three out of four patients anamnestic analysis gives an exact answer about the diagnosis and allergy caused by the appearance of the disease. In the remaining, the fourth case, it is necessary to carry out An elimination   and Exhibit   sample. They consist in the sequential elimination of the hypothetical allergen (elimination), and short-term renewal of its action as soon as symptoms subside (exposure).

If allergic conjunctivitis occurs not severe, it is possible to use skin tests. For all the simplicity and accessibility, this method has a high diagnostic accuracy. If the disease is in an acute phase, the most appropriate diagnosis of allergic conjunctivitis - laboratory study. It is, in particular, about the blood test for immunoglobulin E   and other tests. They are suitable for any period of occurrence.

Prevention and treatment of allergic conjunctivitis

 Allergic conjunctivitis  Preventive measures with proper approach can significantly reduce the risk of disease. The most important and the general recommendation is to avoid contact with the allergen. Of course, you should know exactly what you do causes a reaction. If symptoms of allergic conjunctivitis occur year-round, you should not blame the pollen, and it is better to conduct a complete analysis to determine the allergens.

The rest of preventive measures aimed at relieving symptoms and prevent amplification of detected displays. So, it is recommended in any case not comb the eyelids, and even better not to touch the face. Prevention of allergic conjunctivitis is also in protecting the eyes. For this purpose, you can use sunglasses that can protect the mucosa, not only from bright light, but also from dust, pollen or other allergens.

With regard to the treatment of the disease, many patients are likely to greatly simplify the process, reducing it to combat symptoms, leading to disastrous consequences until the transition to the chronic form.

Also referred to symptomatic treatment, the correct treatment of allergic conjunctivitis and certainly held with the full elimination of potential allergens in the presence of active immunotherapy.

Separately dwell on immunotherapy and combating symptoms. As the immune therapy is traditionally carried out injection hystoglobulin . Immunotherapy   runs courses, each of which 6 to 10 injections.

Symptomatic treatment of allergic conjunctivitis is performed using antihistamines first and second generation. In most cases drops, which is prescribed in the case of sub-acute and chronic forms of the disease, and which have a positive effect in 10-15 minutes.

The main thing to remember is that the treatment of allergic conjunctivitis in any case should not become a self. With no prior knowledge, you will not be able to prescribe adequate signs. In addition, there is no guarantee that you are properly diagnosed. Therefore, the definition of the disease and ways to combat it, it is better left to professionals.

Nasal allergy

July 3, 2011

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 Nasal allergy  Allergic rhinitis or allergic rhinitis   - An inflammation of the mucous membranes of the nasal cavity occurs when penetration of allergens in the human body during exhalation through the nasal mucosa. Allergen acts pollen, house dust, in large quantities contained in carpets, books and other locations. This disease is one of the most common in the world, for example, in Russia, according to, for rhinitis   allergic origin suffers from 11 to 24% of the population.

Key factors Causing allergic rhinitis - a airborne allergens . They can be divided into three groups:

  • aeroallergens external environment - pollen;
  • aeroallergens dwellings - mites contained in house dust or animal fur, insects, allergens, mold and yeast, some house plants and food;
  • occupational allergens.

Starting torque may include: spicy foods, stress, hypothermia, emotional overload. Often the cause may be a genetic predisposition.
In form   Allergic rhinitis is divided into three classes:

  • Seasonal (intermittent) allergic rhinitis - allergic to pollen in the air the appearance of flowering plants and trees. Since pollen can be spread by wind over long distances, to completely avoid contact with it is not possible, have a chance to reduce the risk.
  • year-round (persistent) allergic rhinitis - can occur throughout the year. The reason is the house dust rather microscopic mites that live in dust and hair of some animals. Manifestations of perennial allergic rhinitis, usually somewhat weaker than seasonal.
  • Professional of allergic rhinitis to stimuli - occurs in people while working in certain circumstances, it may also appear from the dust, but the exact nature of his appearance has not been studied.

According to clinical manifestations   release:

  • mild, which is negligible, and the patient can go without treatment;
  • medium gravity - in this case, the symptoms of allergic rhinitis can significantly impair the quality of life and interfere with the patient;
  • severe - the patient is in serious condition, can not live a normal life and to fully work or study, the disease disrupts sleep.

The symptoms of allergic rhinitis

First of all, mention the symptoms of allergic rhinitis, we shall enumerate signs That can not be ignored and need to see a doctor:

  • often occur during the day itchy nose;
  • sneezing Often paroxysmal character;
  • nasal congestion, runny nose, worse at night;
  • watery discharge from the nose, in the case of accession of infection may take muco-purulent;
  • nasal congestion, loss of smell;
  • paroxysmal cough and sore throat;
  • redness and festering, sometimes there are circles or puffiness under the eyes.

Admission antihistamines usually relieves the patient.


The symptoms of allergic rhinitis are not only unique for a given disease. Similar signs have all rhinitis, each of which requires some treatment, and therefore it is advisable to make an accurate diagnosis by a qualified allergist.

Diagnosis of allergic rhinitis

 Nasal allergy  To confirm the diagnosis of allergic rhinitis should be analyzed in the nasal swab eosinophils . The presence of eosinophils in a smear of more than 5% of all detected cells, indicating the cause of allergic nasal congestion.

In the future, to clarify the diagnosis, it is necessary to identify the substance that causes symptoms and the cause of allergic rhinitis - the cause and significant allergen.

Diagnosis of allergic rhinitis   It has two varieties: the formulation of skin tests and a special blood test.

Statement of skin tests.   Mandatory condition - 5 days canceled taking any antihistamines and the patient's age from 4 to 50 years. On the upper arm to apply several small incisions in the dripping 1-2 drops of a specific allergen. After a while (15-30 minutes) is carried out inspection and measurement of bubbles appear. Skin testing - one of the reliable, widespread and economical types of allergy diagnostics. The test is not conducted in pregnant or lactating.

Blood tests for specific common   IgE-specific immunoglobulins . The level of total IgE at birth man near zero and gradually increases as they grow older. In adults, a reading above 100-150 IU / L is considered high. The method is not very common because of the high cost of the study, the cost of the panel of allergens comes to 16 thousand. Rub. Another negative - the unreliability often gives false positive results.

With those allergens, which gave a positive skin reaction, additional wires intranasal provocation test. Such a diagnosis of allergic rhinitis is provocation body reaction. To this is introduced into one nostril 2-3 drops of distilled water, and then gradually increase the concentration of the test allergen: 1: 100, 1:10, and solid solution. If after 15-20 minutes, there was a reaction - congestion, sneezing, burning, runny nose, the test is considered positive.

Perhaps research radioallergosorbent, radioimmunoassay, enzyme immunoassay or a chemiluminescence method, however, due to high costs, these methods have not been widely used.

Treatment of allergic rhinitis

Treatment involves removal of allergic inflammation of the mucous and holding allergenospetsificheskoy therapy.

In mild and moderate forms of allergic rhinitis antihistamine therapy is used, the preferred drug of the second ( Claritin . tsetrin . zodak ) Or third ( zirtek . telfast . erius ) Generation. Assign inside 1 per day according to the recommended dosages of age. Duration of at least 2 weeks.

If the treatment of allergic rhinitis does not give the desired effect, designate derivatives sodium cromoglycate ( kromogeksal . kromoglin . kromosol ). Preparations are issued in the form of sprays, a tangible effect is visible not earlier than 5-10 days.

In the case of severe illness are appointed nasal corticosteroids ( aldetsin . bekonaze . benarin . Nasonex . Fliksonaze . nazarel   et al.), issued in the form of sprays. The duration of treatment by a doctor.

Patients with contraindications to these drugs, appointed by allergen-specific immunotherapy . Treatment is carried out in a hospital allergist. The point of treatment is administered small doses of the allergen, which gradually increased, it is seeking to develop the body's tolerance to the allergen. At the same time try to relieve the symptoms of allergic rhinitis.

Allergic rhinitis be aware that treatment is necessary to carry out, even in the mild cases, otherwise, the disease may take a new, more severe, such as, for example, bronchial asthma .

Ascariasis

June 14, 2011

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 Ascariasis  Ascariasis   - Worm infestation, parasitism in humans roundworms - ascarid . The most common disease in the temperate and warm climates, in areas where fields and gardens fertilized neobezzarazhennymi human feces. Season infection in temperate climates is the period from April to October in a warm climate all year round.

Ascaris   - Large dioecious worms, parasites in the human small intestine, which is the sole owner of the helminth. The female roundworm lays up to 200 thousand eggs per day. These are not yet mature eggs with human feces into the environment. Precarious latrines and violations of the rules of hygiene contribute to the further penetration of eggs in the soil at a depth of 20 cm. They ripen. At the optimum temperature of 24 C for the maturation of eggs is 14 days. When entering into soil occurred in late autumn, the eggs remain viable until the spring, and when it's optimum temperature, continue maturing.

Infection occurs by eating poorly washed vegetables contaminated eggs matured through unwashed hands, much less drinking water. Ascariasis in children is more common than in adults, due to the fact that children are much less likely to fulfill the requirements of hygiene. When injected into the intestines of the eggs into larvae, which pierce the mucous intestine and enter the bloodstream. At the venous blood of larvae moved to the capillaries of pulmonary alveoli and from there into the bronchi. When coughing, they are transferred into the mouth and swallowed back into the intestine. Where and develop adult roundworm. The whole cycle of the parasite from infection to the appearance in the patient's stool immature eggs takes 2 5-3 months, this period is characterized by common symptoms of ascariasis.

Current ascaridosis

During ascariasis separated into two stages: migration   and intestinal . They are characterized by a variety of symptoms and complications of ascariasis.


Early stage ascaridosis this stage of human infection secondary to getting the larvae in the intestine called migration. The disease in this period may be asymptomatic, but often there is a general malaise, fever, cough. In certain cases it is shown urticaria and other allergic skin rash.

Late stage - E. . In the intestinal phase of the disease occur quite obvious symptoms of ascariasis. In patients experiencing nausea, abdominal pain, which have the character of labor, drooling, loss of appetite. In the process of parasitism worms derive the blood of toxins in connection with what appears headache . dizziness , Fatigue, in some cases, there are night terrors. Ascariasis children is gnashing his teeth at night, frequent bronchitis , Asthmatic suffocation , Anemia. Children become nervous, scattered, declining academic performance in school.

At a later stage roundworm can penetrate into the gallbladder and bile passages, ducts of the pancreas. Complications of ascariasis caused by such penetration purulent cholecystitis . abscess   liver, acute pancreatitis . appendicitis . In some cases, intestinal obstruction may occur due to blockage of the intestinal lumen tangle of Ascaris. Ascariasis significant burden for communicable diseases dysentery . Measles . scarlet fever .

Prevention and treatment of ascariasis

Prevention ascariasis first assumes that all the requirements of hygiene. Fresh vegetables and fruits on a mandatory basis should be washed thoroughly, rinsing with boiling water. Children should, as soon as possible to accustom to wash their hands properly use the potty and the toilet is not biting her nails and do not pull in the mouth a variety of items. Unfortunately, in the regeneration of outdoor toilets in suburban areas, we often forget about hygiene, and therefore the prevention of ascariasis can not be considered a complete and sufficient.

Treatment of ascariasis should be appointed physician after lab tests. Self-traditional methods, such as the reception tsitvarnaya seed laxative, enema, does not bring results. Most of these methods lead to complications. Conventional worming agents provide 80% efficiency. Good results are obtained by treatment of ascariasis bio-resonance therapy has proved to be a positive anti-parasitic device "Liomed Bio» . This device not only killing adults and larvae, and eggs.

Monday, December 31, 2018

Anal itching

September 4, 2013

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 Anal itching  Itching anus   It can be both a symptom indicating the development of a particular disease or disease-specific. With this pathological condition of the person concerned about the severe itching around the anus and in the perianal region. Sometimes women complain that there is also itching in the genital area.

What are the symptoms of anal itching?

In men, this phenomenon occurs more frequently than women. As a rule, itching around the anus worried about the elderly and middle-aged people. Itching of the anus is divided into primary and secondary . Manifestations of the secondary characteristic of anal itching Hemorrhoids . parasitic infestations . anal fissures . chronic constipation . diarrhea . lack of anal sphincter . In addition, itching around the anus sometimes occurs when inflammation genital fungal infection. In some cases this indicates the onset of a symptom of latent diabetes.

True Anal itching is divided into sharp and chronic . In the acute form of the disease begins abruptly manifested intensively and continuously. There are also changes in the skin in places where manifests itching. There are signs of wet eczema with maceration, marked hypertrophy of perianal folds. If the patient develops chronic itching in the anal area, the disease begins slowly, the skin at the site of itching is dry, sometimes it is observed depigmentation . The folds of the skin expressed little.

Why manifested anal itching?

Unless secondary anal itching   always related with diseases, which are its causes, the causes of symptoms Primary pruritus   in the anus is still not fully understood by specialists. Most often, the true anal itching begins to appear for no apparent reason. Sometimes a person reduced ability to retain the liquid in the anus, thereby constantly some part thereof falls on the perianal region, resulting in marked irritation, redness and itching of the anal orifice.


 Anal itching  Causes of anal itching secondary form - is, first of all, anorektovaginalnye disease   - Such a widespread disease as hemorrhoids and fissures and fistula, sphincter dysfunction, genital warts, purulent hidradenitis and others. Causes itching in the anus - this dermatological disease. Itching may disturb the person when psoriasis . atopic eczema . seborrheic dermatitis   et al. Sometimes irritation in the anal area is due to the use of topical medicines, soaps, powders, creams, and others. In this case it is the contact dermatitis .

For women itching in the anal area is shown as a result of gynecological diseases - vulvovaginal . violations of vaginal secretion . Women often complain of pruritus in pregnancy. In this case, a symptom associated with severe hormonal shifts. Such manifestations can be observed when taking certain means of hormonal contraception.

Strong anal itching men and women can be a symptom of sexually transmitted diseases, as well as infection in the urogenital system. Men who suffer prostatitis Often suffer from anal itching.

In addition to these causes itching anal passage may be a consequence of a fungal or bacterial infection, parasitic infection. This symptom sometimes occurs when taking certain antibiotics ( erythromycin . tetracyclines ) And it is a symptom of systemic diseases (liver disease, diabetes ).

Factors causing the emergence of itching in the anus, and can be the wrong approach to hygiene. This is insufficient and excessive hygiene. Manifestations itching often associated with wearing improper clothes - narrow linen sewn from synthetic fabrics. Itching often manifests itself in the warm season, in obese people. Sometimes this phenomenon is related to nutrition. Itching in this area is possible if a person uses a lot spicy and salty food . coffee . alcohol . So manifests an allergic reaction to these products. Also mentioned as causes of psychogenic factors - depression or anxiety, which manifests itself over a long period.

How to get rid of anal itching?

 Anal itching  If the patient is irritation around the anus, itching bothers more intensively, it is necessary first of all to determine the cause of this phenomenon. Diagnosis in this case is not an easy task for the doctor, so it is important to pay attention to some important points. First, you need to determine if the itch to act defecation . If you suspect a lack of anal sphincter function applies a special study - sphincterometry .

The doctor also finds out whether the patient is not exposed to harmful influences - radiation . chemicals . heat   etc. Through close contact with pets increases the chance of infection worms So it is important to find out, and that moment. During diagnostic blood test must be conducted to determine its content of sugars, as well as a stool. Next, the doctor prescribes special studies to confirm or exclude the presence of disease in the patient, which could trigger anal itching. Women should always consult with gynecologist .

Determine what kind of reason has provoked intense itching anus, the doctor prescribes treatment of the disease . If it's the worms, then appointed anthelmintic drugs when a fungal infection in patients undergoing a course of antifungal therapy. If the cause of anal itching became dysbiosis, the practice of medication, which normalizes the intestinal flora.

Regardless of what treat anal itching, it is necessary to adhere to all mandatory hygienic measures . It should refrain from scratching the skin in the anal area, bathing in the shower, eliminating long hot baths. To reduce discomfort treatment of anal itching and should be sure to include the selection of hygiene products that will not irritate the skin affected. The patient should carefully monitor the condition of the skin around the anus: it must always remain dry. If you want to apply pads , Which need to be changed regularly. To reduce the symptoms, a doctor may prescribe topical medications - cream   or ointment for anal itching .

It is equally important to eat right, to ensure regular bowel movements and normal bowel function. Spicy food should be excluded from the diet, since its use can enhance stimulation. It is necessary to abandon the uncomfortable clothing that tightens the body and prevents normal bowel habits. Underwear should be selected only from natural cotton . Another important aspect of prevention in this case - the exclusion of emotional stress and minimize stress.

Aertal

Description overdue on 04/17/2014

  • Latin name: Airtal
  • ATC code: M01AB16
  • Active substance: Atseklofenak
  • Manufacturer: Gedeon Richter of Hungary; Almiral AG, Switzerland
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  • Composition
  • Product form
  • Pharmacological action
  • Pharmacodynamics and pharmacokinetics
  • Indications Aertala
  • Contraindications
  • Side effects
  • Instructions for use Aertala (method and dosage)
  • Overdose
  • Cooperation
  • Terms of sale
  • Storage conditions
  • Shelf life
  • Cautions
  • Analogs
  • During pregnancy (and lactation)
  • Reviews
  • Price, where to buy

 Aertal

Composition

Powder Aertal   It contains 0, 1 g atseklofenaka   in a sachet + adjuvants ( sorbitol, aspartame, titanium dioxide, hypromellose, flavoring ).

Pills 0, 1 g of active substance per tablet auxiliaries + (glycerol distearate, povidone, microcrystalline cellulose, hypromellose, E171, macrogol stearate ).

Ointment Aertal : 1, 5 g of active substance in 100 g of ointment + adjuvants ( liquid paraffin, water, methyl and propyl parahydroxybenzoate, emulsifying wax ).

Product form

The drug release in the form:

  • powder   to prepare a slurry. Sachets of 3 grams per pack - 20 bags;
  • Airtal 100 mg pills   with a film cover, in packs of 20 and 60 units;
  • cream   uniform consistency, white in the white tube weight - 60 grams.

Pharmacological action

The anti-inflammatory agent. Not steroid .

Pharmacodynamics and pharmacokinetics

Active substance atseklofenak It reduces activity and intensity synthesis   prostaglandins   and prostacyclin That give rise to inflammation. This is due to the property to inhibit an enzyme atseklofenaka cyclooxygenase .

The tool reduces inflammation, analgesic, reduces swelling and edema (when rheumatism ). It has antipyretic action.


Ointment has a local analgesic effect . After application slowly distributed throughout the body. For oral use, in the blood is associated with an active albumin We reach a maximum concentration at 2, 5-3 hours after administration. Metabolised   poorly excreted from the body within 4 hours after ex gastrointestinal tract and kidneys.

Indications Aertala

Pills From what they are?

  • toothache at rheumatoid arthritis   and osteoarthritis ;
  • indication for the use of tablets are rheumatic diseases   soft tissue;
  • lumbago ;
  • parasynovitis ;
  • Tablets prescribed to Aertal pain relief   and reduce inflammation in the above diseases.

Medicament in the form of ointment   used for local effects:

  • at   sprains, bruises and sprains ;
  • treatment torticollis   and myositis ;
  • tendonitis, tenosynovitis, and periarthritis ;
  • lumbago .

Contraindications

Tablet form   and powder :

  • gastric ulcer   and sharpened gastritis ;
  • drug allergy   to the active substance;
  • violation blood clotting ;
  • liver and kidney disease in the acute phase;
  • heart failure   and a state after coronary artery bypass grafting ;
  • age 18 years or pregnancy .

To cream   contraindication is:

Violating the integrity of the skin at the site of the skin and allergic ( hives ). In the above cases, a drug in an ointment used with caution.

Side effects

  • nausea, vomiting, ulcerative lesions of the stomach, loss of appetite, liquid or solid stool abnormalities in liver function ;
  • emotional instability, headaches, tremors, excessive irritability, problems with hearing and vision;
  • kidney problems, edema;
  • a malfunction of the heart muscle, arrhythmia, high blood pressure ;
  • from yp on the skin, urticaria, angioedema, anaphylactic shock .

In rare cases, the application of a cream Aertal having photosensitivity reactions on the skin.

Instructions for use Aertala (method and dosage)

Instructions for use tablets :

Orally, during meals. Wash down with copious amounts of fluid. Take 100 mg in the morning and 100 mg in the evening. In renal and liver failure, elderly patients taking the drug is carried out under the supervision of a physician.

Assign 1 for the preparation of the powder suspensions   Two times a day. When receiving the drug in liquid form, the therapeutic effect is faster, easier to adjust the dose. Some patients are more receptive to liquid form preparations and consider it safer than pills and injections.

Ointment   used externally. One pea cream (2 g) in 6 cm2 rubbing surface 3 times a day.

Overdose

In case of overdose there is a significant increase in side effects. Treatment: produce gastric lavage Take Activated carbon   or any other enterosorbent , Remove undesirable symptoms.

Cooperation

With combined with caution aspirin, digoxin, oral contraceptives, drugs lithium and potassium, corticosteroids, methotrexate, cyclosporine and anticoagulation .

The therapeutic effect of diuretics   and antihypertensive agents   decreases.

In the presence of Diabetes , To closely monitor the hypoglycemic index .

Terms of sale

It requires a prescription.

Storage conditions

The cool, dark place (15 to 25 degrees). Keep out of the reach of children.

Shelf life

Aertal tablets and powder - 4 years.

Ointment - 2 years.

Cautions

Due to the side effects of the drug may affect your concentration, so caution should be exercised in the management mechanisms.

Analogs Aertala

Match code ATC 4th level:
  •  Aertal  Naklofen Duo
  •  Aertal  Olfen 100
  •  Aertal  Olfen-75
  •  Aertal  Neurodiclovit
  •  Aertal  Nayzilat
  •  Aertal  Fanigan
  •  Aertal  Indomethacin
  •  Aertal  Ortofen
  •  Aertal  Voltaren
  •  Aertal  Dikloberl
  •  Aertal  Ketanov

Tablet form: aktinak 100 tronak, Asefi, zerodol, diklotol.

Ointments and creams: diclofenac, indomethacin, ketorolac, etodolac .

Price analogues typically slightly lower.

During pregnancy and lactation

Do not appoint.

Reviews Aertale

Feedback in the ointment : Messages on the admission of the drug in the form of a little cream. Ointment cope with the elimination of unpleasant symptoms in rheumatoid arthritis   and various injuries of the joints. However, the drug is not popular.

Reviews of doctors per pill : The preparation is efficient and effective only in the long admission rates (at least 14 days). The large number of side effects (especially on the part of the digestive tract) to reduce forces a single dose. This reduces the efficiency and drug. Recommended parallel supplementation to maintain normal functioning of the stomach, for example, omezosoderzhaschie medication.

Price Aertala where to buy

Price Aertal tablets in Ukraine is about $ 200 USD for 60 pieces of 100 ml. The same amount of the drug in Kharkov will cost 180 UAH.

The powder form of the drug will cost 100 USD for 20 packs of 100 mg. In retail, Aertal sachets sold at 4 USD per share.

The price of the ointment in Ukraine, the average is 52 UAH. Buy Cream in pharmacies Kharkov can be for - 60 UAH.

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