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Cocaine Addiction

September 23, 2011

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 Cocaine Addiction  Coke   - A drug belonging to the powerful stimulants CNS . For the first time the drug has been obtained from the leaves of a South American shrub Erythroxylon Coca . Locals its leaves brewed as a tea, or simply chewed, after which a person lifts the mood. In 1859 a German chemist, A.Nyuman   I obtained from the leaves of the plant clean alkaloid And named it cocaine. Initially, cocaine was used as an effective anesthetic . For example, it in his medical practice for the treatment of neuropsychiatric disorders applied Sigmund Freud . By the end of the XIX century. It is learned about the negative effects of cocaine on the body, and highly addictive to it. In 1914, cocaine, along with morphine   and Heroin   officially equated to drugs and banned. However, this did not prevent the elite continue to use cocaine, in particular, since 1974 the United States was recorded smoking crack   - A preparation manufactured from cocaine hydrochloride. Another way drug use was smoking Coca-paste   - The product obtained in the manufacture of cocaine hydrochloride. The growth of drug use continued, and by the end of the 1980s, in some countries, such as Peru and Colombia, it has become an epidemic.

Cocaine use

There are several routes of administration of cocaine in the body, which have different effects on the clinical picture.

The most used type of drug is cocaine hydrochloride Which is a white powder resembling sugar or snow transparent odorless. It is used by inhaling through the nose, wherein the drug is rapidly absorbed through the mucosa and into the blood to the brain. Cocaine, which is distributed on the black market, comprises 15 to 75% HCl, and among other substances added to heroin, lidocaine, procaine, and other nervous system stimulants - caffeine and amphetamine and phencyclidine, mannitol, lactose. Also, cocaine hydrochloride and can be administered intravenously, but its effect is weakened, even in conjunction with heroin. Therefore, this method is not very common.


The second most common way of drug use is smoking crack   (alkaloid cocaine, "the base") - benzoilmetilengonina Which is produced in the manufacture of cocaine hydrochloride, but at a lower melting temperature, which contributes to its easier evaporation. Crack is smoked in a special tube with a water lock or wrapping as regular cigarettes. During inhalation through the active absorbed through the lung capillaries, blood gets narcotic substance, and then to the brain. Now this method is the most common use of cocaine.

White or gray-brown powder, is an intermediate product in the processing of the leaves of the coca plant in the manufacture of cocaine hydrochloride, known as   Coca-paste . It contains 50 to 90% of the drug in the form of sulfate and cocaine alkaloids, as well as other substances such as methanol, nicotine and other. Typically, coca paste is mixed with tobacco and cannabis, and is used for smoking. This method of drug use is most common among people of South America and the Caribbean.

Another method used cocaine, use is the leaves of the coca plant . They comprise from 0, 5 to 1, 5% cocaine alkaloid, and together with a piece of lime placed in the cheek, whereby a drug through the buccal mucosa of the gastrointestinal tract penetrates slowly into the blood. Since level of active drug substance in the blood is relatively low, the health risks in this case are relatively low.

Cocaine improves mood, vitality, and relieve fatigue. And a strong psychological dependence on the drug comes very quickly. The addict is constantly in search of a new dose of cocaine, and a constant desire to use it. It is estimated that cocaine has a great potential for narcotic and therefore dangerous to even try it once.

Cocaine Addiction

 Cocaine Addiction  The main symptoms of cocaine dependence are changes in physiological and behavioral responses, increasing Blood Pressure , Feel euphoria Which appear within minutes after the administration of intravenous cocaine and smoking crack, and in 10 minutes reach the peak. If inhaled drug, he begins to act 7-10 minutes, and the maximum effect is achieved in 15-20 minutes. Half an hour later the effects gradually disappear.

At cocaine intoxication   (poisoning) observed two opposite states - euphoria   and dysphoria . During continuous use of cocaine euphoria passes in dysphoria, and vice versa, and so the circle. Acute cocaine intoxication   similar in stimulating action on the nervous system poisoning ampheta- mines. During the euphoria of cocaine addict elevated mood, hyperactivity, talkativeness, cheerfulness and a sense of their own abilities. If a person has used a lot of drugs, it feels like a superman, unrealistic grandiose plans, spending money recklessly, repeats some convulsive movements, his judgment incoherent, it becomes irresponsible, experiencing increased sexual desire, his behavior is marked psychomotor agitation. It is in this state, drug addicts go to the crime, murder, theft and victims of accidents. If the addict takes large doses of cocaine for a long time, the euphoria had combined with a state of panic, anxiety, insecurity, fear of dying from overdose.

During acute intoxication by cocaine, a drug addict manifested neurological and somatic disorders, dry mouth, expanded pupils, headache, sweating and shivering man, becomes pale, the body temperature rises, there is a diarrhea , Nausea, irregular heartbeat, insomnia and lack of appetite, increased reflexes. Sometimes seizures can be observed up to epilepsy But also cardiac or paralysis   respiratory center fatal.

Do addicts with experience, which for a long time use large doses of cocaine may experience mental disorders that are accompanied by visual and auditory hallucinations , Panic attacks. Psychosis caused by cocaine-called " paranoid cocaine "," cocaine delirium "And" cocaine oneiric ". Seizures of cocaine psychosis disappear after a dream, and when the drug is no longer valid. However, sometimes they can last up to several days.

Cocaine euphoria gives way to the second phase of cocaine poisoning - cocaine dysphoria , A condition characterized by depression, apathy , Irritability and anxiety, which leads to the fact that a person receives a new dose of the drug. However, if there is no possibility to apply an addict new dose of cocaine or more of his body does not accept ( sense of tolerance When new dose no effect) then compounded dysphoria and develops postkokainovaya dysphoric depression . This type of depression is characterized by a constant desire to sleep, relax, and unwillingness to resolve their problems, sometimes the emergence of suicidal thoughts. In this state, the addict starts drinking alcohol, sedative hypnotics, pills or other drugs, for example, opium . Between long intervals of sleep addict wakes terrible appetite. Such a depression going on, depending on how many days he used the drug. For example, if he smoked crack week, can sleep up to 4 days. After waking up the mood of the addict is improving but elements of depression may persist, especially if he has a long time to use drugs.

If dysphoric depression lasts more than a day, it's a - abstinence symptom Which is characterized by dysphoric and depressive disorders, which are manifested in the form of suicidal thoughts and delusions of persecution, as well as a strong desire to use a new dose of cocaine. The syndrome can last up to a month, and its peak occurs within 3-4 days after the onset. Then comes the period of dysphoric depression, during which a person can not get from anything fun ( anhedonia ). At that time, drug addicts, cocaine, feel inferior, they have a feeling of inner emptiness and despair. Never leave the thought of a new dose of the drug that usually leads to its use. In addicts, cocaine, drug dependence is based on the depression, which can be adynamic, anhedonic and other species. If on the drug refrain from 2 weeks to several months, the symptoms of depression disappear.

Cocaine dependence

American psychiatrists distinguish 4 stages of addiction:

  • stage of social drug use;
  • problem use;
  • critical use;
  • chronic use of the drug.

As with opium addiction, the use of drugs leads to severe cocaine addiction. At the stage of social drug use a person familiar with cocaine and uses it to enhance sexual performance, and as a stimulant during the holidays and highlights. At the stage of problem cocaine use people to buy their own drugs, and can use them for days, resulting in absenteeism and tardiness at work, failure of professional duty, regret about spending money and buying drugs in large quantities, loss of interest in the outside world.

 Cocaine Addiction  At a critical juncture addict continues to use cocaine alone, is not fulfilling its social responsibilities, make new friends from among drug addicts is not fulfilling promises, he breaks his word, his visit manic ideas and improper behavior. The chronic phase of drug use, which is characterized by a constant search for cocaine, coca occur "binges" accompanying overdose and deteriorating physical condition. These episodes gradually become longer. Independently stop drug use is not obtained. It requires long-term treatment of cocaine dependence.

We begin addict problems at work, loss of family, friends, sexual problems and dissatisfaction. At this stage, appear and violations of the mental state, there are visual, auditory and tactile hallucinations, delusions, depression with suicidal tendencies, signs of moral degradation and eccentric behavior.

NARCOLOGY marked complete remission That last several months. During remissions shown attraction to cocaine, which is accompanied by depressive disorders characteristic postkokainovoy dysphoria. These episodes of craving for cocaine may occur even several years after the last drug use.

Cocaine dependence is fraught with complications, which depend on what kind of drug is used and how much time.

The signs of cocaine use include:

  • cocaine psychosis;
  • paranoia ;
  • chronic rhinitis, rhinitis To which leads snorting cocaine. Sometimes it can be observed bleeding   nose and sometimes loss of smell;
  • dilated pupils, eyes shining, sluggish reaction to light;
  • creaking teeth;
  • dysregulation of the body temperature;
  • differences activity from increased activity to the oppressed and depression;
  • gradual loss of memory, confusion of thought;
  • pink-orange bruising at the site of injection of cocaine, which are yellow;
  • incoherence and speed of speech;
  • weight loss due to the fact that cocaine suppresses appetite;
  • insomnia and nightmares.

Cocaine addiction gradually completely kills the body, reduced immunity, resistance to infection, corrupt teeth. Manifest herpes, pimples and boils. Man looks untidy, does not wash, look older than his years, become selfish and callous, irritable and suspicious. They do not see the future and prospects, and cease to strive for something other than getting a new dose.

Regardless of how the cocaine ingested by a person almost immediately feels much like a anesthesia That hides the pain, mental discomfort, bad mood, and creates the illusion that a person is better. It makes a man once tried drugs, wanting him again, cocaine became his "treatment" for depression. Cocaine causes poisoning, which can lead to death. Get used to cocaine quickly after intravenous injection of 4-5 or 2-3 weeks of ingestion. Gradually, the addict receives a day to 3 g of the drug, but it does not lead to death. Over time, Cocaine becoming "superfluous men" to the community, lead a parasitic life, lose their family and friends, and often become criminals go on murder, theft, harassment, betraying his family. By the number of deaths Cocaine is the second after the morphine and heroin.

Treatment of cocaine dependence

Get rid of the cocaine addiction is very difficult to do it on their own only one person out of four. Addicts need skilled care. First you need to remove the discomfort that led man to the top of drug use, but in this case the treatment will be effective. The most effective are rehabilitation centers for drug addicts, where experienced doctors and psychologists to help people find solutions to their problems and learn new attitudes, how to live without drugs. These programs tell patients about drugs, their effects on the body, on the causes of drug use and how to improve their condition. For each patient developed an individual course of treatment and rehabilitation.

Limotherapy

June 5, 2011

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 Limotherapy  Limotherapy   It considered one of the most effective methods of treatment (facilitating treatment) of a number of diseases, including cardiovascular diseases, respiratory diseases, allergic diseases, problems with the gastrointestinal tract and urinary. On fasting often used as health treatments.

Although there are new types of fasting regularly, they all have in common - a complete rejection of the meal, which is the basis of the method. This is a must for hungry drink within a certain range and at a predetermined frequency.

It should be noted that the contraindications to therapeutic fasting are also a long list of health problems, in which the refusal of food can be an aggravating factor and lead to the rapid development of the disease.

However, the question of indications and contraindications is relative. With the advent of new techniques and if fasting is carried out in a specialized clinic under constant supervision of doctors, some contraindications may be referred to the testimony.

Types of fasting

As already noted, the types of fasting has dozens. Their essence consists in forcing the body to use its reserves, which are each of us. Complete lack of food mobilize hidden resources of the human body, which inevitably leads to certain changes in the scheme of operation. These changes and allow healing, or at least, to achieve positive results in the fight against illnesses, which will be discussed below.


Do not confuse fasting with a term such as Therapeutic diets . In the latter case the reception of a food as described in the diet still occurs. Therefore, the principles that give the effect of starvation and medical diets differ significantly.

We must warn that the refusal of food by any method is the most serious stress to the body, so it is necessary to prepare. Do not choose frilly techniques from the very beginning, it is best to start with a simple but proven schemes of water fasting, and only after it has given positive developments, and the body has got used to the new conditions of operation, you can begin experimenting.

It is difficult to identify the most Popular types of fasting So we list the ones that are most often recommended by the experts and enthusiasts use. In the first place it is definitely worth mentioning the standard method of fasting   (also referred to as full or water fasting). The alternative is the so-called dry fasting . Three leaders closes Combination Which combines the standard method and the dry fasting.

There are a number of registered methodologies: fasting for Voitovich GA (another name - fractional method), fasting for YS Nikolaev, starvation Bragg, Shelton by starvation, starvation of Suvorin.

Separately, it is worth noting Urinova starvation Which has a lot of admirers. The most popular author of one of the methods is, perhaps, Gennady Malakhov. There is also a hunger for Urinova Yerofeyev VA Sometimes it is combined with the conventional method, so that a mixed starvation.

Indications for therapeutic fasting

Below we give a list of diseases, successful treatment or reduce the symptoms of which helps fasting. Just to say that the complete list is much broader than what is given, we will also focus our attention on the major health problems in which the temporary and competent refusal of food may be useful.

Let's start with cardiovascular disease. The main indications for therapeutic fasting is atherosclerosis (blockage of the arteries of atherosclerotic plaques), blood pressure problems (such as high or low) angina   Grades 1-3, Varicose veins of the legs . CHD . arrhythmia .

Among the diseases of gastrointestinal indications for therapeutic fasting one of the most extensive: peptic ulcer of the stomach and intestines . diarrhea , Bad Breath   (cause problems with the gastrointestinal tract), chronic gastritis (including atrophic) intestinal dysbiosis   and other diseases.

By the number of readings from gastrointestinal problems are matched only by skin diseases and allergic nature that appear on the skin. These include herpes . ichthyosis . dandruff   and seborrhea . scabies , Acute and chronic hives . alimentary allergy , Drug allergy and others.

Among respiratory diseases especially should allocate adenoids chronic tonsillitis , Bronchial asthma, although the indications for therapeutic fasting also include sore throat, and pharyngitis And laryngitis .

It is believed that fasting has a significant positive effect in the treatment of diseases of the following groups:

  • hearing and vision ( otitis media , Nearsightedness, farsightedness and astigmatism, glaucoma);
  • musculoskeletal system (osteoporosis, osteoarthritis, bursitis, any damage to the muscle and bone as a means of facilitating recovery);
  • urinary system (inflammation of the kidney glomeruli, delay and urinary incontinence . cystitis );
  • abnormalities of the reproductive system (from problems with lack of sexual desire and impotence Ending genital diseases male and female);
  • weight problems (as excessive fullness and lack of weight, but if there are certain contraindications depletion);
  • mental disorders and nervous system;
  • liver disease, gallbladder and pancreas ;
  • Some neoplasms benign nature.

A detailed list of evidence you can ask your specialist on therapeutic fasting, we also note some more indications for therapeutic fasting that are not diseases, but at the same time, the need for them quite often.

Limotherapy   with the right to hold it can be an excellent means of preventing both colds, and oncologic diseases character. In addition, a sound approach to the refusal of food helps relieve fatigue and fatigue .

What a time to hold the body without food, but not necessarily with a regular flow of fluid allows for purification. So after the procedure, your body will be updated, resistant to many diseases and rejuvenated.

Besides physical resources fasting activates and mental activity, including its creative component. For this reason, it is recommended to resort to the procedure for those who are preparing to pass a difficult test, scientific research, literary or musical work. It is noted that the starving people find effective solutions to problems faster and wittier.

Contraindications to therapeutic fasting

 Limotherapy  Before resorting to any method of fasting, you must first go to a specialist, who will be able to watch you during the entire period of the procedure. It is also a professional doctor will tell you what contraindications to therapeutic fasting you there, and will not allow any refusal of food, if it can lead to negative consequences.

All contraindications to therapeutic fasting can be divided into two groups: relative   and absolute . Relative contraindications are those diseases in which fasting may theoretically have a positive effect, but at the same time, a high risk of deterioration of the condition of the patient. In such cases, the best option would be to conduct the procedure in a hospital or specialized clinic sanatorium, where at any time there are occupational therapists, can help. Absolute contraindications - those diseases in which is strictly forbidden to refuse food.

The main relative contraindications to therapeutic fasting:

  • Ischemic heart disease, followed by heart failure (stage of II A), and heart rhythm disturbances;
  • pronounced hypotension;
  • urolithiasis disease ;
  • fever;
  • multiple sclerosis;
  • acute peptic ulcer as the stomach and duodenum;
  • diabetes mellitus (type II);
  • anorexia nervosa;
  • acute poisoning;
  • real condition of the patient;
  • with extreme caution should be used fasting for children and for people in late old age.

As for the absolute contraindications, theoretically fasting can help with any illness, but in some cases the ratio of the positive effect of the risk is too small to take this risk.

Below we list the main Absolute contraindications to therapeutic fasting That is, the disease for which a procedure should be addressed only if the traditional medical methods were powerless, and always under the supervision of a physician:

  • cancer of blood and blood system diseases;
  • any cancer in grade 3 or 4;
  • postinfarction state;
  • sharp appendicitis ;
  • acute form of renal or hepatic impairment;
  • pyo-inflammatory diseases;
  • Pregnancy the second half of the period and at the time of breast-feeding;
  • infectious and parasitic diseases;
  • a period of adjustment after organ transplants or tissues;
  • uncertain diagnosis in a patient.

Once again, what is especially important not to make any decisions about the use of the method of their own: fasting should be done only after a medical examination and a positive decision on the matter.

How does fasting

Our bodies are initially willing to various stressful situations, and hunger is just such a case. We all know that a person can live without food for more than one day, but few think about the processes that occur during this time.

And the process is as follows: fasting is a controlled stress, for an adequate response to which the body is rebuilt. Change biochemical processes in order to use previously untapped resources of the organism. This metabolism is optimal, the organism itself destroys toxins and removes them from the body. As a source of power uses native fats, proteins and carbohydrates. For optimal use of scarce resources all the processes that occur in the tissues and organs of the human body, are as effective as possible.

The result of these changes is a general rejuvenation, cleansing the body, increase immunity and resistance to many diseases. And when the period of fasting ends, the body for a long time, maintains an updated, efficient form. However, this situation is particularly important not only the fasting, but also out of it.

Eating after fasting

 Limotherapy  In no case can not be immediately after the starvation to return to his usual power circuit for you, which you have before the procedure. At best, this will lead to a rapid loss of all that has been achieved, and in the worst case, it could threaten your health.

Similarly, as the type and duration of the fasting volume list and the frequency of the power after fasting, the doctor should be determined based on the readings. Those changes made to the body fasting, meant that for a long time, people will use medical diets.

List of products and shape their use should always specify a specialist, but some general features of medical diets after fasting do have. So, all the food it is necessary to grind, that it is better absorbed, and eat small meals 4-6 times a day (as determined by your doctor). In addition to the patient fasting days appointed to be held the second frequency.

The basis of the diet for the period after fasting make porridge (buckwheat and barley), brown bread, wholemeal, vegetables and vegetable soups, savory fruits, lean meats and fish, dairy products (cottage cheese, cheese - always with a minimum fat content).

Particularly limited use of foods high in cholesterol, fatty dairy products, sugar and foods high in its content (honey, jam, marmalade).

Completely excluded from the diet of strong broth on any basis, hot spices and dishes made with their use, buns, cakes, alcohol of any strength.

Drug abuse

December 22, 2011

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 Drug abuse  That generally means drug abuse ? By definition, it is a physical dependence on various substances, among which are the properties of the high toxicity and rapid evaporation (in most cases), and addictive.

It is believed that substance abuse is a priority, "passion" for many drug users on the grounds that the substances are sold for use in almost any store. That is, as in the alcoholism , A man easily maintain their relationship, just come to the store and buy what they need.

Initially, substance abuse began to show at the end of the 19th century (there was evidence of the poisoning of various substances of chemical origin), but, unlike opiomania Similar to most often are fatal. The status of the disease it has acquired in the mid-20th century, when it was known and identified the main symptoms of substance abuse .

What substances addicts use

As already mentioned, you can buy them at any store where there is stationery. For example, among young drug addicts is very popular and adhesive substances that evaporate quickly. This can be ethyl   and ammonia And detergents, which, in combination with each other can give a very unusual effect. It may begin as a harmless desire to "be like everyone else", and subsequently develop into a more serious stage.


For example, with age, drug abuser can go on to something "stronger" than the glue - for substances that have a detrimental effect on the body. These can be highly toxic substances and preparations, and hard drugs ( heroin . crack cocaine . mescaline   etc.). This is similar to substance abuse cocaine addiction . In the later stages of the disease are used essential oils And other phytochemicals. Naturally, the higher the stage, the stronger the complications and substance abuse.

Signs of abuse

 Drug abuse  As a rule, fairly easy to identify the person who is under the influence of toxic substances. The symptoms of substance abuse may occur at any point in time to determine the most important stage of the disease and the effect of toxic poisoning in a particular case.

A person who is only beginning to consume the toxins after a few breaths dizzy, he goes straight, feet constantly stumbling, besides his speech becomes incoherent, incomprehensible, and sometimes quite difficult to determine what he says, and tells you anything in general, or just grunts.

Also, in the use of toxins people feel a certain sweetness in the mouth, they start nauseated, plus everything they scared thirsty. It should be noted that during the so-called " arrival "A man greatly slows down the reaction, his body filled with ease and that person fills euphoria . In principle, that substance abuse is experienced in the use of materials can be divided into 3 stages.

First step   inhalant inhalation is 1-3 as a rule, they have no effect, except that a person who inhales their body starts to happen a protective reaction. It is fraught with the fact that in mind there is a strong weight, appears dizziness , Nausea, often it all comes to an end and, as people are, in principle, can not breathe anymore. The substance is only just beginning to penetrate into the brain.

Second step   - 4-6 breaths, so-called "golden mean" sniffers have seen a marked improvement in sentiment, there is a slight dizziness, but everything starts to look brighter, man wants to constantly smile, jump, sing, laugh and give joy to everyone around. The head comes inexplicable clarity and thought processes are accelerated. This indicates that the substance has got into the brain, but the amount is not large enough yet to fully take hold of the psyche.

Third step   - 6-8 breaths, one has little control over his body, he begins to lose touch with the outside world. At the close of eyes watched hallucinations And perception of the world as such, gradually comes "out." Tested enchanting feeling and reality are very much distorted in the eyes of a man who is in a state of chemical intoxication.

It is worth noting that these substances cause addictive for those who make them. Dependency may be either physical And Psychological . Over time, substance abuse requires an increasing number of breaths, he may long to spend time outside the home, and gradually increase the dose.

As a rule, the mental health of the person who uses chemicals greatly undermined. A man becomes aggressive, sometimes he had a period melancholia Its behavior is difficult to call adequate. Under the eyes of most bruising Such as those that occur during sleep deprivation. Sami eyes become red, the redness usually lasts even after the eroding effect of the use of inhalants.

It should be noted that the human brain is degraded by exposure to such substances, i.e. the number brain cells   each inhalation becoming smaller. The skin changes color, often pale and begins to give blue. After prolonged use of muscle atrophy, falls sensitivity may exceed the threshold of pain. Determine the company of drug addicts, or understand where they are most likely going quite simple. Companies such an abundance of adolescents tend to profanity in speech, wandering eyes, reddish whites of the eyes, as well as some slowness or naoborot- active in movements as well as in speech.

To muster addicts resistant characteristic chemical smell (in closed rooms, basements) or scattered from the used tubes of glue and cellophane bags. Often, in such places as you can watch the bottles of beer, or a lot of calves from cigarettes.

Treatment for substance abuse

 Drug abuse  Treatment of addiction is carried out as follows. The patient was placed in a hospital in drug treatment clinic Where he restored the mind, it is necessary to return the lost property of the organism. In parallel, drug treatment: to enter a substance that helps to overcome the feeling of addiction to inhalants in the patient.

If the patient gave substance to the hospital in time, success will often be positive. However, one of the major complications of substance abuse is that the human brain, which is subject to long-term chemical resistance is destroyed, resulting in the patient may commit acts completely inappropriate, in terms of a normal person. In this scenario, a patient sent for compulsory treatment in a psychiatric, and then in the drug treatment clinic, in such cases, as a rule, the psyche is not restored and the person gets a life-long disability status.

Diagnosis of substance abuse in itself is a complex process, since it is possible that people just suffer from chronic insomnia, for example, and that, and other inherent factors such as under-eye circles, unkempt appearance, melancholy, and some detachment from what is happening around.

The majority of substance abuse is very common amongst troubled teens from poor families, which, in principle, it is not surprising. Purely for the reason that their peers tend to have consumed these substances, they begin to use them only on the advice of friends, and eventually did become a substance abuse with a strong attachment to the volatile substances, and do not even think about the fact that in this time happens to their body. First suffers mucosa Because through it are toxic fumes. However, the greatest impact falls on the human brain, since, as already mentioned, the substances that fall into it, along with krovyu- cause a general degradation.

While some believe substance abuse "fad" that can always quit, addiction, she is, believe in something similar to dependence on drugs hemp Which has some similar characteristics. It should be noted that any addictive, which is caused by prolonged use of illicit or toxic substances, it is difficult poborot- the longer a person uses them, the more difficult in the future will use to get rid of it.

The situation with the substance is identical to the situation with the use of any desired drug- addiction, harmful effects on the body, to undermine the psyche, and the inability to quit without the help of someone else.

We should also focus on issues such as becoming a man of substance abuse from a normal family. In such cases occur mainly due to the fact that the beloved son fell under the influence of bad company in which it is likely to have persuaded to do a few breaths, just taking "on the weak". To avoid this, parents need to see who communicates their son, and, if possible, to control his circle of communication.

As it would be unfortunate as it may sound, but the phenomenon of substance abuse is gone from the CIS countries, and at the moment it is in Russia every year more and more students start to use inhalants.

 Drug abuse  It should be noted that the highest number of addicts is among minors. Children usually start to get involved in this sort of thing in 11-13 years, although there are cases where substance abuse are children who were just 6-7 years. For substance abuse at such a young age results in the fact that the children were left to themselves, most often come from dysfunctional families or homeless children.

In general, the diagnosis of substance abuse among children is almost the same as in adults, but with one exception. Children easier to overcome the dependence on drugs than adults. Basically, it all depends on the mood and desire of man to overcome addiction, because, as you know, if a person does not want to help yourself, then no one can help him at all.

As already mentioned, in some complications of substance abuse (in the case of a long period of inhalation), the human brain can be destroyed to the extent that the drug abuser goes into a state of indifference to the world around them and their own health. The person will suffer from a mental disorder or to treat everything from melancholy.

If you pay attention to adults and adolescents who are undergoing rehabilitation, the more positive results you can expect it from a teenager, with the right psychological approach it can convince the futility of abuse, as such, and to show life with another rakursa- more positive than the one in to which he was accustomed, in consequence of which he will have ambitions, plans, and dreams, and substance abuse will be forgotten like a bad dream.

You can also add that in its essence, substance abuse as a social phenomenon may testify about very much. For example, in the CIS substance abuse is common, given that the substance involved mostly teenagers, this leads to the conclusion that they come from dysfunctional families, and thus helps to calculate the poverty rate in the selected area, locality or country. And also help to understand what the number of troubled teens.

Substance abuse at school

Among young people with addictions, many of the toxins go into high, medium, and in some cases and lower classes. For these children, to make a few inhalations school is commonplace. For example, if he misses a lesson, he asked to go out, go to the toilet, there will take a few breaths from the package, which is adhesive and will return back to the lesson. Recognize it can be on an uneven gait, lack of facial expression, or simply the characteristic chemical smell. It is likely to be or melancholic and audio would not be able to respond. The symptoms of substance abuse among schoolchildren may be quite the opposite, and manifested extreme excitement.

Nasal bone fracture

June 3, 2012

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 Nasal bone fracture  Nasal bone fracture - This is an injury that occurs relatively often: the whole face injuries among broken nose is 40% of the cases. The main reason due to which there is a fracture, a direct trauma. So, very often broken nose occurs in athletes, and this happens as a result of fighting, serious falls, car accidents.

Causes nose fracture

Fracture of the nose is very common, primarily due to the anatomical structure of the human face. After all, the nose is the most prominent part of the face. Consequently, it is exposed to injury and in the case of situations. The most common fracture of the nose occurs in people who participated in the fight, got certain sports injuries (group sports, boxing, wrestling), was in a car accident. Fracture can also occur as a consequence of a fall or direct attacks against a solid object.

Symptoms of nasal bone fracture

The symptoms and the nature of the fracture of the nose depends on how strong and was a blow directed, as well as what kind of object was the cause of the injury. No less important is the fact, which is the design of the nose of a particular person, if the nose is very large and protruding, he can suffer an injury are much stronger than the flat nose, the bone is usually thicker.

If there was a bruised bone of the nose, the result of a fracture may not always be noticeable deformation. Sometimes such a fracture detected only during the X-ray.


Most often due to trauma nose in humans is its lateral displacement. According to doctors, more frequent nose shifted to the right side, because of the nature get hit in a fight: they are mainly applied to the left side of the nose with his right hand.

At the same time, if the impact was applied from the top down, the nose is protected in this case the frontal bone. Consequently, such a strike affects the bottom, a fragile part of the nose. In this case, it may occur transverse fracture of the nasal bones, and in some cases of frontal appendages.

 Nasal bone fracture  The cartilaginous part of the nose   It is more elastic, so they often can suffer greater injury and serious. However, some injuries occur crack quadrangular cartilage , Often formed hematoma .

Defining symptoms of a fracture of the nose, you should pay attention to the original classification of these fractures, which are used in the medical environment. Fractures are usually subdivided into indoor and outdoor nasal fracture without displacement of bone fragments and deformation of the external nose As well as   indoor and outdoor nasal fracture with displacement of bone fragments and the deformation of the external nose . In addition, due to the injuries may occur damage to the nasal septum.

Very often, the separation takes place at the turn of the nasal bones of the bone joints. If the injury was very strong, the bone department can be completely flattened, and the bones of the nose sink.

The man, a broken nose, immediately after such an injury there are some typical symptoms. Immediately after the event the patient is in shock, in terms of varying degrees. Also, for such a condition characterized by the appearance nosebleeds . Typically, such bleeding is mild, and stopped independently. When the feeling of nasal fracture in the case of a man feels a lot of pain, and the nasal mucus occur.

In the lining of the nose and around the eyelids and malar bone are manifested expressed broad bruising . Often also occur hemorrhage   in the conjunctiva of the eye and eyelids. As a symptom of a fracture of the nose is sometimes formed subcutaneous air emphysema . However, in this case it is the turn of the nasal bone, wherein rupture occurs nasal mucosa. Typically, after a few days emphysema runs independently. At the turn of the nose may also compromise the integrity of the skin, the outer deformed nose.

As a rule, on the second day after the receipt of such injuries appear swelling in the outer covering swells the mucous membrane. Provided that the process of developing the disease are not associated infection, swelling, are themselves a few days later. In this case, it is advisable to apply cold lotions, apply ice to accelerate the process.

At the same time, joining infection in a patient already manifest other symptoms. Pain and redness may occur around the nose, while a person's body temperature rises sharply. Sometimes it manifests itself abscess That is either opened by itself or it has to be opened surgically.

If time were not taken all the measures for the treatment of the injury, the patient subsequently occurs deformation of the external nose . Also, you may receive hematoma of the nasal septum . As a consequence of the deformation of the nose may be a manifestation of nasal breathing disorders, and disorders of smell. Subsequent complications of the condition may be chronic headaches, seizures Asthma . neuralgia Trigeminal .

In the case of a closed fracture of the nose there is no violation of the integrity of the skin. At the same time, open fractures and damaged skin. In this case, the wound can be detected visible particulate bone.

Diagnosis of nasal bone fracture

 Nasal bone fracture  In the process of diagnosing fracture of the nose is considered an important aspect of the patient survey, as the doctor needs to know exactly how the patient was injured. Then a specialist examines and touches his nose. In the process of feeling the crunch can be felt not strong, and the patient always feels pain. During diagnosis is also conducted examination of the nasal cavity, called rhinoscope . To the patient is no strong discomfort, before conducting such a study it, as a rule, do anesthesia . For this often used ten percent solution lidocaine . Another possible method of investigation in this case - is endoscopy. Such a procedure involves the introduction into the nasal cavity of thin flexible tube equipped at the end of the illumination and the video camera.

It is also in the process of diagnosis of a fracture of the nose is sometimes used X-rays: X-ray of the nasal bones are produced in the lateral projection.

Complications of bone fracture of the nose

As a result of the fracture of the nasal bones, a person may later manifest as an unpleasant complication as nasal septum deviation . The consequence of this disease may be respiratory failure nose with one hand. Therefore, a person who has such a breach may result in chronic ache sinusitis   or rhinitis . To get rid of such complications, surgical intervention is necessary.

Very often the consequence of a complex fracture of the nose is the appearance of a small hump on the nose, its asymmetry. In this case, many patients decide to conduct plastic surgical correction.

If a person was a fracture of the nose with an offset, the nose breathing problems can be very serious, up to its complete blockage.

Also as possible complications fracture of the cartilage of the nose What happens if a person during injury hit a solid object, and thus was a direct hit.

In some cases, fracture of the nose can be combined with hematoma of the nasal septum . With this diagnosis occurs accumulation of blood under the mucous membrane. Furthermore, a hematoma adversely affect the nose breathing, closing the nasal passages. This pathology remove surgically.

Treatment of fracture of the nose

 Nasal bone fracture  Immediately upon receipt of the fracture of the nasal bones, one should not lift up his head too high. It is advisable to tilt it slightly to the side and try to stop the bleeding. After an injury when a suspected fracture of the nose must be, without delay, put in the nose cold. Doing so may prevent the occurrence of severe swelling and, in some cases, and help stop the bleeding, always occurs when the nasal bone fracture.

Nasal fracture treatment is carried out in different ways, depending on whether it is the character fracture occurred. It is important that the necessary treatment was carried out as early as possible, so the main rule of the treatment of the fracture of the nose is to provide prompt treatment to the experts. If nasal trauma patient is a strong bleeding, the physician is primarily stops the blood by inserting a tampon that is impregnated with special solutions. If you have carried out primary processing contamination wounds

If the injury that led to the fracture, there was no more than ten days ago, the doctor may use closed reposition   fracture. The essence of this procedure is to manually set the bones in place. For the procedure used mainly local anesthesia and special tools. Anesthesia is performed by irrigation of the nasal mucosa anesthetic, while externally the injected anesthetic drug under the skin. In some cases, doctors can spend reposition with a few finger movements. However, zapadenii bones used tool called an elevator. It is introduced into the nasal cavity and lift with the help of the bone is stuck. After this procedure is inserted into the nose pads, which are pre-impregnated with antibiotic To ensure tight pressing. Such tampons are in the nasal cavity for several days. Sometimes fixing reposition the nose uses a special compressive bandage.

In deciding to reposition the fracture of the nose, the doctor must take into account the patient's age, especially his constitution, the nature of the fracture. However, every person affected by the injury and a fractured nasal bones, should be aware that their own conduct can not be absolutely bone-setting. After all, there is a great risk of further injury.

If the treatment of fracture of the nose is carried out at a later date, then the possible appointment of surgery - Rhinoplasty . This operation is also sometimes assigned in the presence of the aesthetic problems after reduction of the fracture. Sometimes the doctor also conducts parallel restoration of nasal breathing, correcting a deviated septum. If such action is necessary, then we will have to go on carrying out more complex operations - rhinoseptoplasty . To conduct this surgery can and plastic surgeon and an ENT specialist.

After the end of surgery on the nose plaster cast is applied to lock, which must be worn for about two weeks.

Available measures for rehabilitation after spinal surgery

June 28, 2011

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 Available measures for rehabilitation after spinal surgery  Diseases of the spine   in most cases associated with severe pain and exacerbations often require long and expensive treatment. They often lead to the need for surgery, and after surgery a person must abide by certain rules and take measures to prevent the return of disease.

One of the essential rules of behavior in such situations is to avoid stress on the back, coupled with the rise and carry heavy loads. This rule must be in a certain sense, the vital principle for many years, and if the previous work of a man who had undergone spinal surgery has been associated with the movement of heavy loads, the need to change it becomes apparent. These limitations are particularly important for the first two or three years after the surgery, when spine adapting to the new state.

It is also important and moderate dosage exercise stress Which allows the back muscles form a natural corset for the spine, which is like no other, will be able to protect it against overload. There are a set of exercises designed to perform in the postoperative period. It is appropriate Consultation at vracha specialist in physical therapy, which in view of features of the patient will be able to pick up such a complex. In the state of all the resorts that take on the rehabilitation of patients undergoing spinal surgery, these experts are. But even if the advice is not available for some reason, you can manually create for itself a complex, observing certain rules.


Most of the exercises do a better position lying This posture - the most gentle for the back, but it allows the muscles to give the desired load. Efficient movement of your feet on the weight of the type " a bike "Or" scissors "And you need to gradually increase the number of such movements during the course.

Also useful alternating leg movements that mimic the writing in the air numbers and letters fingertips of each leg. The minimum number of digits to be "written" - from 1 to 10.

Another useful exercise, which recommends a well-known healer Valentin Dikul , Is walking on all fours. In the course of this exercise smoothly and moderately loaded almost all the muscles of the back, arms and legs. It is recommended even if the worsening of the disease, since it contributes to improving circulatory tissue surrounding the spine.

Of course, unrivaled preventive effects of exercise on the body is swimming . Regular practice of swimming in the pool or natural water reservoirs during the summer should be an integral part of the measures aimed at the rehabilitation of those who had been operated on for spinal diseases. We can not forget about the immutable rule: only the person is able to maintain and strengthen their health, and only he is responsible for it.

Friday, January 4, 2019

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.