How To Prevent Bed Sores?

How To Prevent Bed Sores? (image 1)

How To Prevent Bed Sores?

Bedridden patients with pressure ulcers or who can't move very much common one of the situations. The head among the people, causing sores known as bed sores occurs, and this can head injuries be prevented? I have prepared for both patients and their relatives both in this article I'm going to tell the details of head injuries.

The particular bone of the body in the location of pressure sores alone reason together with as a result of pressure or friction pressure of the tissue oxygen-free by staying tissue damage and scar formation that occurs due to not being fed.

The Causes Of Pressure Sores;

1)due to causes patient

-Movement/lack of inactivity
-Nov loss of activity
-Inadequate and unbalanced nutrition
-Hair, urine or stools
-Inadequate fluid intake
-Age
-Detection of emotional disorders
-Excess weight or becoming too weak

Lack of movement

Depending on the lack of motion, blood circulation slows down and causes absence of sufficient oxygenation of the tissues. Studies have shown that this increases the risk of pressure sores.
  

How To Prevent Bed Sores? (image 2)

Diseases which may cause limitation of motion, in general you need to specify if a wheelchair due to hip fracture patients paralyzed because he didn't get enough blood and oxygen to the tissues in bedridden patients accelerates the process of development of pressure sores. Severe weakening and also the lack of movement can cause muscles and body aches due to the unavailability of Nov.

Inadequate and unbalanced nutrition

The lack of nutrition in wound healing has a negative impact on the process.Proteins, arginine and glutami, as well as zinc, copper, vitamin A and vitamin C. food items which are effective in wound healing. The album, especially in the absence of protein and the wounds heal much faster and opens late.

Inadequate fluid intake

Adequate fluid intake is of great importance in wound healing. The lack of liquid leads to decrease in blood volume, O2, nutrients and immune cells are transported to the damaged tissue.

2)Causes Due To The Environment

•Pressure
•Friction
•Tear
•Job
•Moisture skin (keep wet)
•Lack of cleaning
•Care and behavioral errors (bed and sitting position is incorrect)
•Auxiliary materials
•Drugs

Causes due to the environment in fact, there are problems that can be alleviated with quality care. Regularly carried out maintenance of the patient's body, the skin of the patient can be left wet on the skin for maintaining the moisture balance of the use of barrier cream or protective care creams regularly to the areas at risk it is recommended to use products. In addition, patients must remain in the same position for a long time for me to change positions regularly.

Raking the bed of the body of the patient in contact regions and in contact with each other the redness of the body such as the knees in patients terms should be checked frequently. It should be noted that the initial stage of pressure ulcers exceeding the rash.

The patient in the supine position or sitting position in the bottom of the legs caused by compression of the heel in order to eliminate necessarily Put a pillow between the knees should be raking in patients.

Deniz Yahci
Wound Care Coordinator

For communication
Website: http://denizyahci.com/
Mail: deniz@denizyahci.com
Facebook: https://www.facebook.com/denizyahci/

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How To Prevent Bed Sores?

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What is test tube baby and what are the stages?

What is test tube baby and what are the stages? (image 1)

 What is test tube baby and what are the stages?

what is test tube baby?
A married couple can't be pregnant even though your infertility was not protected for a period of years you have to start with their appearance.

Spermiyogram if there are 20 million sperm ml, and the sperm is mobile and half of around 10% is normal if there is any problem means there is shaped.

  

What is test tube baby and what are the stages? (image 2)

Stages test tube baby;

Evaluation Of Women

Intra uterine insemination)

Stimulation Of The Ovaries

Egg Collection

Fertilization

Embryo Transfer

Pregnancy Test

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What is test tube baby and what are the stages?

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Recurrent Test tube baby failures and their causes

Recurrent  Test tube baby failures and their causes (image 1)

Recurrent  Test tube baby failures and their causes

Recurrent test tube baby failures
Advanced laboratory techniques of embryology have increased our experience despite ideal Protocol Com recurrent implantation failure (RIF) ART consists in a significant majority of patients and the clinician.

Recurrent IVF failure; the transfer of the embryos into the uterus morphological as well as a result of the inability of normal is a state of successful implantation and pregnancy. Maternal age, poor endometrial receptivity, sub-optimal embryo transfer technique, genetic factors, and can be counted among the causes of coagulation disorders.

Bad endometrial receptivity factor of the uterine cavity, endometrial thickness, Immunology factors, and endometriosis are associated with KOH Protocol.

Endometriosis infertility is one of the most common clinical diagnoses. In that case, -Oocyte/embryo quality, impairing, and affecting the endometrium and the peritoneal environment may affect the results of art. From this perspective, in the case of the RIF, to investigate the effectiveness of the application of laparoscopy.
  

Recurrent  Test tube baby failures and their causes (image 2)

Hysteroscopy, recurrent IVF failure is one of the applications that need to be made.

5.day blast embryo transfer embryo malformations is effective in distinguishing. Chromosomal analysis of parents thrombophilia laboratory panel and one of the tests that need to be made.

Dr. Suat Hazer

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Recurrent Test tube baby failures and their causes

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Thalassemia (Mediterranean Anemia)

Thalassemia (Mediterranean Anemia) (image 1)

Thalassemia (Mediterranean Anemia)

THALASSEMIA (MEDITERRANEAN ANEMIA)
What Is Thalassemia?
Is seen in most Mediterranean countries, but spread all over the world due to migration and the education of a hereditary blood disease is easily preventable with screening tests.
Thalassemia.
Thalassemia occurs as a result of the disorder in the production of hemoglobin. The hemoglobin molecule carries oxygen from lungs to tissues and regulating. In the blood erythrocytes (red blood cells) is located. ‘Both’ and ‘globin’ there are two parts to it. The two chains called Alpha and beta Globin fragment. This chain production is controlled by genes . Thalassemia causes the lack or deficiency of one of the chain of production. Eat deficiency Alpha thalassemia Alpha chain, beta chain causes beta thalassemia deficiency.
The Frequency Of Thalassemia:
Turkish Hematology Association, according to data from a carrier of thalassaemia in our country, 1.3 million, is about 4500 thalassemia patients. The number of the carrier 266 million all over the world. Other Asian countries the most common Alpha-thalassemia. Seen in thalassemia type beta thalassemia in the Mediterranean countries and Turkey. The most common talasemin our country, provinces, Antalya, Adana, Denizli and Izmir.

Clinical beta thalassemia has three forms which differ:
1) thalassemia trait (thalassemia minor)
2) thalassemia intermedia
3) thalassemia major

Healthy except for the symptoms of mild anemia in thalassemia for the person just carries the gene for thalassemia disease. However, two carrier of the child to be born, when she married a 25% probability in patients with a 50% chance carrier, 25% chance there will be. The possibility of two defective genes coming together of consanguineous marriages , thereby increases the probability of their children becoming ill. Community education for prevention with the prevention of consanguineous marriages is required. Hemoglobin analysis by people before they get married again especially in risky areas should have the screening test for thalassemia carrier determine whether it should be. There is an obstacle in the marriage of two individuals who are thalassemia carriers. Just when they got to the children of these couples, a prenatal diagnosis Center for genetic diagnosis and genetic counseling to learn whether the baby will be sick by contacting your should receive.

Cerebral thalassemia in the mother and the Father is the carrier. In patients with moderate anaemia and symptoms in advanced age will occur. In these patients the treatment is much less than in thalassemia major and blood in need of a transplant.
    

Thalassemia (Mediterranean Anemia) (image 2)

Again thalassemia majord father and the mother is a carrier, however, is more than a disorder of globin synthesis. Severe symptoms of the disease begins 6 months after birth. Patients weakness, pallor, loss of appetite, restlessness, abdominal swelling as a result of enlargement of the liver and spleen, is seen in the expansion of bones. We face broad and prominent forehead flattened shapes of the nose is abnormal. The symptoms of anaemia is very severe and need a blood transfusion within 3-4 weeks. Thalassaemia major with severe symptoms, is a progressive disease which leads to various complications in time. These patients are required to seek regular treatment throughout their lives. In patients without regular treatment in the body, malformations, growth retardation, diabetes, heart failure and osteoporosis are seen.
How Is It Diagnosed Thalassemia:
Complete blood count, peripheral smear, hemoglobin electrophoresis, with the degree of anemia, is determined by the type of the disease. By measuring serum Iron levels anemia to rule out the possibility of interference with other. Iron deficiency anemia is low iron in the blood, high in iron talasemide. This distinction is very important because a patient's condition worsens iron deficiency anemia thalassemia treated as such.
Diagnosis is confirmed with molecular diagnostics and DNA analysis methods also.

The Treatment Of Thalassemia:
After a diagnosis of thalassemia patient, the treatment process is an exhausting and costly , a challenging life awaits you. So the treatment, which is much more important to prevent the emergence of diseased individuals.
Inpatient treatment should be performed in centers with the ability to thalassemia. Hemotolog sick, cardiologist, endocrine specialist, psychologist and social worker must be under the supervision.
Treatment is done according to need a blood transfusion within 3-4 weeks. The purpose of blood transfusion is the provision of correction of anemia and the oxygen supply to tissues. Thus, the normal physical appearance, normal growth, sexual development, psychosocial support and quality of life will be given.
However, Frequent blood transfusions can accumulate iron in various organs including the heart and liver as a result of. This accumulation and reduce heart and liver Iron to chelation therapy that binds with drugs would do to prevent the damage is done.
Again, transfusion hepatitis due to hepatitis B vaccination and immune monitoring should be done against the possibility of contamination.
In advanced age the patient's blood are taken from the spleen of the person to reduce the need for transfusion. To prevent infections that may occur after the spleen is removed in patients each year, pneumococcal, meningococcal, and Haemophilus influenza vaccines should be made.
I mean the only final and lasting treatment of the disease a bone marrow transplant is a stem cell transplant. From an early age (especially before age 7) with a bone marrow transplant patient completely recovers. The most appropriate is the brother of the patient transmitter.
The diet of the iron in thalassemia patients-the poor should be rich in calcium. Diabetes diabetes diet for growers is applied.

The Most Effective Methods For Control Of Thalassemia :
1) organization of training to raise community awareness about the disease
2) premarital screening programs for detection of carriers. (Especially in risky areas wedding, pre-screening tests must be constructed. )
3) carrier and prenatal diagnosis genetic counseling to the families of sick new giving by using the methods of prenatal diagnosis amniocentesis or chorionic villus biopsy is the prevention of the birth of a baby.. unborn baby is determined by whether or not carry the diseased gene, and genetic counseling with the baby's fate is decided.
4) the most advanced method to this day before pregnancy occurs with IVF (preimplantation phase ) with the selected cells with the gene intact cells the creation of pregnancy. This is a method of preimplantation genetic diagnosis in thalassemia and hereditary diseases can be detected with this method except.

Reduced the number of cases where such means is under the control of talasemin there are countries where even entirely averted. Diagnosis of thalassemia was established by the Ministry of health and US Center for Applied thalassemia trait screening program by providing support and obedience and we have to contribute to the prevention of disease.

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Thalassemia (Mediterranean Anemia)

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Rectal Prolapse

Rectal Prolapse (image 1)

Rectal Prolapse (Prolapse Symptoms The Anus 

Rectal prolapse (prolapse the anus) what are the symptoms?

Known as a rectal prolapse, rectal prolapse, one of the main symptoms of the disease is constipation. Go to the doctor who 70% of patients this disease usually constipation bowel movements that began with a complaint of rectal prolapse is caused by a doctor actually complaining of other complaints of difficulty to learn. However, among the other symptoms of obstructive defecation also.

Gas and fecal incontinence: patients of 40-80% is available in this situation, gas and fecal incontinence (fecal incontinence) is called. Often seen in patients of more advanced age. SAG connected to bowel dilation, pudendal nerve damage (neuropathy) rektoanal onleyeci (inhibitory) reflex stimulation constantly, causes gas and feces to miss. However, here gas and feces don't miss out on the real gas and stool retention, which causes muscles (anal sphincter) of the intestine is constantly exposed to extreme stress due to prolapse out and as a result damage due.

Rectal prolapse of the rectal resting pressure in the rectum decreases and in the presence of muscle expansion.
  

Rectal Prolapse (image 2)

What causes a rectal prolapse?

Many factors rectal prolapse the formation of flour is more effective. Long-term changes in bowel habits can be seen as a late finding of a process that began even in childhood. Although very rare, a genetic switch. In many patients, the rectum and relaxation of the ligaments allows the pelvis to hang in that subject to weakness of sphincter muscles. Sometimes urinary incontinence is common and is accompanied by a lack of the pelvic floor, rectal prolapse, or other organs in the pelvis can be seen hanging out. It can be seen that results in spinal cord injury and disease. As mentioned above, it has been the reason why many predicted, although the exact cause has not been identified.



General Surgery Specialist  Surgeon Dr Yasir Gözü

www.avrupacerrahimerkezi.com

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Rectal Prolapse

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Intra uterine insemination vaccination

Intra uterine insemination vaccination (image 2)

Intra uterine insemination vaccination
With this method and custom solution with the help of prepared sperm into the woman's womb is given a special catheter is the process.

Mild male infertility, unexplained infertility, stage I-II endometriosis considered in such cases, vaccination should be considered.

In the presence of severe male factor infertility, tubal blockage cases, vaccination won't help any.

Vaccination with the preparation of the sperm;

-increases sperm motility

-increases sperm concentration

-sperm to arrive at the place where I will be ensured as much as possible is ensured.

The timing of ovulation, fertilization can be ensured through an increase in immunization.

Grafting Success Rates

Under the age of 25 and 15-20 %

Between the ages 25-30 %15

Between the ages of 30-35 %10-12

Between the ages of 35-40 5 %

Aged 40-45 years 0.5%-1 shaped.

Reduced ovarian reserve as the woman's age increases the deterioration in oocyte quality, endometrial receptivity because of a decrease in the negative effects on the success of grafting.

The number of sperm also for the success of vaccination has a significant impact. Pregnancy rates remain quite low in cases where the sperm count is under 10 million. More than 10 million Total motile count in the group with average success %12-13 10 million, while less than 3% of patients.
   

Intra uterine insemination vaccination (image 2)

The duration of infertility increases, the success rate of grafting decreases.

In cases of anovulation and unexplained infertility the success rate compared to other groups.

Leading of the follicle increases as the number increases, the success of vaccination, but the risk of multiple pregnancy is also increasing. With 3 or more follicles in cycles, or IVF or cycle must be canceled must be returned.

For Cc or gonadotropins follicle grafting to be done and created with natural cycles compared to a more successful result.

GnRH antagonists can be used early in the patient group that ovulation has occurred.

Egg maturation injection (HCG) from the application should be done 32-36 hours after vaccination.

There was no difference in pregnancy rates between one or two times to vaccinate be made.

3 cycles with male factor in the average inoculation of ~ 15%, unexplained infertility in ~ 20-30% of success rate between uncovered.

Vaccination relative to complications is quite low, only in excess of the number of follicles may be at risk of OHSS. To prevent this, the follicle was to restrict.

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Intra uterine insemination vaccination

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