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Bronchiectasis (image 1)

Bronchiectasis

Chronic lung disease, Bronchiectasis is a serious disease that affects the lives of patients and the quality of life. The detail of the subject, diagnosis and treatment to manage the child's allergy and chest diseases Professor Ahmet Akçay told you to.

What is bronchiectasis?
Infection in the lungs, a blockage in the airways due to dilation of the Airways is called.

Bronchiectasis what can be the reasons?
There are many reasons and most of them comes at the beginning of infection. Also, a substance that escaped the lungs, immune system disorder, cystic fibrosis, can develop for many reasons such as of food from the stomach go into the lungs.

What are the symptoms of bronchiectasis?
The cough, which is outside, especially in the morning, plenty of phlegm, Frequent lung infections, such as problems symptom can give.

Bronchiectasis (image 2)

What is the diagnosis?
Captured special Computed Tomography (hrct) diagnosed. Airlines can also be seen in enlargements.

What is important in treatment?
The reasons should include primarily. After the cause is found, the lungs of the phlegm in your lungs more detrimental to physiotherapy every day and must be vacated by. To make it easier to remove phlegm, phlegm with steam tools recommended by your doctor should be softened. Every month sputum culture is positive for infection should be made and, if antibiotics should be started.

Do I need surgery?
Sometimes you may need. Surgery, which can be in place if you have bronchiectasis, and often must be removed surgically if it is causing infection bronchiectasis developing regions.

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Bronchiectasis

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Vaginal douching (image 1)

Article 5 also during pregnancy vaginal douching

1 ) What is vaginal douching?

Women after sexual intercourse, the vagina and the inside of the washing process called “vaginal douching”. Some ladies, they make them shower after sex to be pregnant for vaginal. However, the protection against pregnancy conducted in vaginal douching effect. Even after the ejaculation of sperm into the vagina approximately 3 minutes has passed after the process is positioned in the mouth of the uterus. In short, after the process of ejaculation, even if you cleaned the inside of the vagina, the sperm through the cervix and advanced into the tube already.

With this method, women who want to be protected, they face the risks of inadequate protection outside of the infections constantly, too, will have had.

2 ) What are the reasons of making women vaginal douching?

The residue left behind in the vagina after menstruation is over, with the aim of cleaning of blood
Or not to be pregnant after sexual intercourse in order to prevent diseases transmitted by sexual routes ( vaginal douching by the way, neither pregnancy nor help you protect yourself from diseases transmitted by sexual routes)
Vaginal cleansing together with themselves, to feel more clean

3 ) bacterial vaginosis in pregnancy should not be cause?

The inner Shroud of the vagina, this area is coated with a special protection feature flora and secretions. However, vaginal douching is done, there is the effect that this natural protective mechanism that automatically wakes up. Infectious agents, moves through the inner tissue of the vagina unprotected and foul-smelling discharge, etc. leads to the emergence of the problem.
Pharmaceutical or cosmetic solutions out of the water several of the vagina with hydrogen peroxide, vinegar, water, plant juices, etc.) washed, and will not make any impact in the same way and can be harmful.

Under normal circumstances, to possess the tendency to creation of dangers such as infection, vaginal douching must be avoided. holds some dangers to be made within the period of pregnancy.

A portion of this danger;

Bacteria and other microbial agents causes the uterus through the vagina to move toward the inside of
Changing the normal pH of the vagina, can make you prone to infection.
This type of infection may be the cause of the risk of premature birth during pregnancy.

Vaginal douching (image 2)

4 ) How the vagina cleans itself?

Mucus secretion of the vagina cleaning itself naturally expressed as a function with itself is an organ. For this reason, after sexual intercourse, after going to the bathroom during the shower to wash inside your vagina and the inability to pay attention to is extremely important. To clean the outer area of the vagina, use warm water and white soap will be enough. Unless recommended by your doctor, to be hygienic soap, spray, powder substances, such as the use of vaginal cleansing is not necessary, and may even be harmful without any benefit products

5 ) General Conditions, which must be discussed with the doctor

If the following situations occur, contact your doctor immediately;

In case of the occurrence of pain and burning sensations in the vagina
If you have itching of the vagina,
Vagina or burning sensation during urination
If bad smell from the vagina
“Normally, the incoming tide in different ways and in different colours from More ( the piece that looks like cheese curds or lime in the form of discharge ) discharge if you have.

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Article 5 also during pregnancy vaginal douching

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The Risks Of Multiple Pregnancy IVF,multiple pregnancy definition,multiple pregnancy symptoms

The Risks Of Multiple Pregnancy IVF (image 1)

The Risks Of Multiple Pregnancy IVF
Depending on the anatomical structure of the human body, is suitable for a single baby pregnancy. Which may occur in the event of a multiple pregnancy is risky for Mothers and babies can experience the process of pregnancy. Who doesn't come to the end of cheap or quadruplets babies especially may create problems. Cheap or quadruplet pregnancy is extremely negative for the health of both mother and baby.

IVF treatment applies in the application of the aforementioned risks. Accordance with the conditions of regulation IVF couples, the multiple pregnancy is not recommended. Couples who can have kids for a long time, especially when faced with the demands of multiple pregnancy. However, doctors at all do not approve the requests of the couple. The rate of miscarriages in multiple pregnancies is higher. The babies and the mother are faced with the risk of premature birth.Multiple pregnancies may lead to retardation of development on one or all of the babies.The situation is even more critical in infants cheap. In the case of a triplet pregnancy is possible, this risk is 5 times the rate of.

In a singleton pregnancy, maternal age, IVF treatment against the importance of the application of

Teenage pregnancy is a very important advantage for the chance to be mothers. Because it is a high amount of reproductive hormones of young mothers between 20 and 30 years and this is another advantage of pregnancy. Also any failure of subsequent conception in the treatment of mothers in front of a pretty long time. For young mothers it is easier to take precautions for fertility treatment in multiple pregnancy.

Advanced maternal age, especially past the age of 35, if not only for the purpose of IVF treatment is to give the boy what mother wants. There are some risks that this age group carries. Declining fertility and the hormone estrogen, depending on the chance of the embryo in the woman's womb the Eclipse is also decreased. A negative factor in front of this woman to conceive. The right afforded to women over the age of 35 two embryos can increase the success ratio of IVF treatment. The right to use only two embryos for women over the age of 35 is known.

The Risks Of Multiple Pregnancy IVF (image 2)

Multiple pregnancy in IVF treatment and restrictions

Due to regulations in order to prevent multiple pregnancies in IVF treatment, single embryo for women under 35 years of age, women over the age of 35 Double embryo transfer is performed. Owing to this restriction, mostly plural, may prevent pregnancy. Multiple pregnancy is also a method to the quality of the embryo. Selected quality embryos and the other embryos in the mother and father used-to-be's request in case of a possible therapy to be used in the next are returned. The freezing process does not cause any damage to the embryo. IVF treatment in couples in case of failure, re-they may want to be treated. Healthy embryos which is rotated in this case can be re-used. Accelerates the process of treating this condition.

Despite all the precautions taken, what happens in the event of multiple pregnancy in IVF treatment?

Chance of multiple pregnancy during treatment, even though there may be a small chance of being seen. In this case they need to wait until 10-11 weeks of the couple. Within this period, usually of one or two of the babies life ends in self. Babies who lost their lives absorbed by the body spontaneously after a period of time. This situation does not harm the other baby or the Mother.

If after 10-12 weeks, and if it is possible to observe a decline in infants traversed plural of the Mother if the pregnancy continues the mother to meet with the doctor and makes a decision. Mom of twin or triplet pregnancy if faced with the situation it could lead to a reduction in the number of the baby

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The Risks Of Multiple Pregnancy IVF

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IVF treatment what has changed? (image 1)

IVF treatment what has changed?

The first successful IVF treatment in 1978, obtained to the present day there have been many changes. Depending on the development of the advancement of Medicine and technology, there were positive developments in IVF treatment. IVF is a form of treatment that is applied to women who can't have a child. The female egg and the male sperm in the laboratory is done by the process of fertilization. Today couples who have infertility problems or women who can not conceive in the usual way for the treatment of IVF treatments there are different levels of developed in a way that gives the best results. IVF treatments for couples who cannot hope mom and dad were the greatest resources.

What has changed from past to present IVF treatment?

Extreme was abandoned when ignelemed

Performed in vitro fertilisation treatment in the early years the maturation of the ovaries of a needle for too many mothers in the MOM would get shot.This situation could provide exposure to the mother's side effects. However, developing test-tube baby technology, a lot more it turns out there's any need for sarcasm now. It was important that the quality, not the sheer number of eggs. The quality of the egg to have paved the way for the success of IVF treatment. Technological and medical facilities are not sufficient, especially in the 1980s and 1990s was extreme sarcasm is used a lot method. However, when ignelemed more facilities within the development was abandoned. Follow up of the eggs after today yumurtalama process is carried out with the help of ultrasound device for 11 days, and the best quality eggs can be selected.

The risk of multiple pregnancy has been eliminated

Performed in vitro fertilisation treatment in the early years was experiencing an excessive number of multiple pregnancies. In this case the Mother of more low and result in failure of the treatment was effective in. Indeed, the risks for multiple pregnancy in IVF treatments and a miscarriage of the baby he was carrying his mother's health was effective in. From then according to the rules of regulation, the use of only one embryo in women under the age of 35 women over the age of 35 it was agreed to use two embryos. Thus, treatment of multiple pregnancy in vitro fertilization was prevented.

Test method ERA

When IVF treatment started to be applied more and more evolving every year from 1978 to the present yielded positive results. Today, couples applying to IVF at a level of 95 percent probability of being successful. From the first day until the present day this process has a great influence on the development of treatment carried out. IVF treatment is one of the test developed in another era. In the test ERA, the womb of the mother that determines the most appropriate time for determining the embryo that will accept an extremely advanced Molecular Biology-based tes method. Thanks to the era of testing the chances of being seen before non-operating on the uterus the uterus and the embryo of 238 different genes to perform analysis on the possibility of whether it is suitable for transplantation is attained. Thus, the IVF treatment, the embryo to the uterus will accept the knowledge of whether or when accessed.

IVF treatment what has changed? (image 2)

The IMSI method

Not being able to be used in the olden days, i.e. the IMSI IVF with sperm magnification high optical quality with healthier and more the method of selecting treatment success rate also increased. Classical microinjection method when selecting sperm cells used in IVF treatment for the first time under a microscope there is a magnification at 400 or 600 times size could have been selected. With this method, the sperm abnormalities in sperm of poor quality may not be selected to the treatment and can't be retrieved. This situation became the source of the failure of many treatments in the past. However, the method of the IMSI that is used today, thanks to the magnification of 8,000 times were increased 10 times more than normal. In this way, and also much more good quality sperm is selected and the treatment success rate has been increased.

Application to the artificial uterus biopsy

A biopsy with the help of the artificial uterus was also one of the techniques previously unavailable to the application. This technique is especially used in recurrent IVF treatment failure is a source of hope for couples to have children and to stay on behalf of the section. Cells are collected via biopsy of the endometrial uterine wall. These stem cells are produced in a highly advanced laboratory environment. Thanks to the help of these cells for the development of IVF treatment and embryos are provided with a natural food-rich environment is created.

Blastocyst transfer

In the process of IVF treatment the vast majority of the fertilized egg in the woman's womb until the third day. The remaining 30% part, however, you can reach the fifth day, and the embryo is called the blastocyst that came. Blastocyst transfer helps in attachment of the embryo implanted in the womb. Thus, a high rate of pregnancy in the mother will be provided.

Bar the latest advanced technology from laboratory environments

The success of IVF treatment in the lab that hosts the impact of the latest technological products is undeniable. Compared with the past technology, the development of both medicine and IVF treatment are made of laboratory conditions where the environment was developed. Developing technical infrastructure and equipment compared to the limited options in the past years, thanks to IVF treatment success rate, which is lower today than it used to be, the success rate up to 95 percent is provided. Laboratory hygiene, technical equipment, specialist staff, and adequate and must be at the proper level most of application conditions. This in vitro fertilization treatment that meets this particular couples to apply what should be their treatment by contacting a center.

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IVF treatment what has changed?

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Dreams what does that tell you? (image 1)

Dreams what does that tell you?

Sometimes when you told your dream to someone “it's been on your superior!”, you may have heard them referred to as. It's unknown if this word have emerged by chance, but scientists are open to catch up on REM sleep in which the sleeper, dreaming of the time they say that you grow due to a temperature drop of.

Istanbul Bilim University, faculty member of Department of Physiology and experimental surgery practice and Research Center Director Asst. Assoc. From a scientific perspective with Dr. Oytun Erbaş we looked into the mysterious world of sleep and dreams.

What is sleep?

Sleep, wasted energy during the day, the re-introduction of a mechanism working for as we can think. Sleep is a state of rest, and every living thing sleeps. This is required for both the brain and all other organs. Creatures sleep needs vary. Babies of the day %80-85% while asleep as they get older, this requirement to 20% goes down.

Which sleep occurs in phases.

Sleep, non - REM and REM consists of two periods. REM (rapid eye movement) rapid eye movement (non - REM eye movements in the absence of these. When you close your eyes first non-REM sleep. Non - REM 1,2,3,4-shaped deepens. As sleep deepens, brain activity slows, brain energy consumption is reduced. Non – REM sleep is seen in a state of very deep 4 in. This deep sleep “coma”, a phrase close to the situation as a sleep. This non - REM 4, the stage of sleep that allows the rest of us. Sleep until the morning non - REM as 4-3-2-1 then 1-2-3-4 again as yuzeysellesir. In the same way the brain's energy needs decreases and increases. Each non - REM after REM. At this stage we dream the “REM” phase. Loop happen 5 times until this morning.

When they say people are awakened during REM sleep, dreaming, NON - dream awakened during REM sleep they said they had not seen. Therefore, here was seen in the REM phase of your dreams we understand that. Still a kind of seizure disorder is inhibited in REM sleep all the muscles so that we can say. If that weren't the case and the situation we used to live dreams physically. For instance, if someone is chasing you in your dream while you sleep you'd get up and start running. Even in his dreams sometimes you want to escape you cannot run away from the event or person yell at you you'll see. The reason to cause this situation that does not work the muscles at that time.

How much sleep are we dreaming?

Preemie sleep and 80% in REM sleep, the dream passes. Normal newborns sleep all the time 50% of adults, 20% with having a dream. From birth to death is reduced as the need to sleep, the dream is also reduced. Older non - REM sleep and in deep sleep we call 4 we start to get more superficial. Non - REM Stage 4, slows the heartbeat, reduces oxygen demand.

Dreams what does that tell you? (image 2)

What's happening in the brain when you dream?

To sleep, so non - REM dalind oxygen to the brain when sugar consumption is reduced. Opposite to REM sleep. Oxygen and sugar consumption is higher in the brain when you dream and brain is active, works as in daily life. But in dreams, the conscious part of the brain that we call prefrontal cortex, which does not work. For this reason, in dreams, morality, reward, punishment, and social situations there are rules that regulate. In dreams, the part of our brain called the amygdala is active. The amygdala, is responsible for the supervision of emotions, including fear.

Can we say that psychotherapy is also a dream?

Yes, we can say that. As a mechanism to face. They appear in your subconscious dreams, the things that you threw. Within days some people not to be affected or events that you think your subconscious can be a pain. Forgotten or are not aware of consciously that you do or like you're not impressed, under these circumstances, in your dream, comes to the surface again.

5-6 are the subject of one dream in the world. The loss of these teeth, fly, take a test unprepared, panic, have an accident, make naked (shy). No matter where you're from in the world how many people sees similar dreams more often. We call it “collective consciousness”.

What would happen if we didn see the dream?

People great difficulties. For instance, the death of a loved one in your dream you see. This actually is faced with the death of your loved one. Think about the death of a loved one is disturbing to you when you're awake, but when you are awake in the prefrontal cortex calms these thoughts immediately. When you enter the dream that night but I keep thinking of that person that is at that time with ease because you see this idea in the prefrontal cortex is disabled. In the prefrontal cortex is not working to you because at that moment “no, my dear, why are you dead, safe and sound guy, is there a problem to say” there is a mechanism.

Sometimes messy and irrelevant dreams, you can see the images. The reason for this is an activity that occurs in the brain. This activity during that time, brain scans, you can see a mix of things, hence uncorrelated. But in general you experienced that day the dream of many belonging to the event, or you need to attend to considerations of face. This solution can be thought of as a mechanism, because, fears, challenges solution.

Someone commiserate with how people relax, the face also relaxes, and allows you to find the solution. A clearer confrontation experienced in the dream because your conscious brain is not working. That you don't really want to work with your colleagues, in your dream, you are likely to see you killed.

The environment we sleep, environmental factors affect our dreams?

Body temperature drops when people dream. For people who dream the dream to prolong the duration of the longer exposure to cold have been observed. When you told your dream among the people said, “it's been on your superior!” and from here can be removed. If you can see if you sleep on the dream for a longer time.

Dreams are a harbinger of the future? Is he really getting out our dreams?

In fact, many of you will see some of them remember the dream you don't remember most of it. But when it experiences an event within days, if you've seen this event in one of those dreams, “that there's my dream” you say. Choose from thousands of images that we see here, you can remember a dream. We call it selective perception.

Are there other effects of dreams?

Dream, hold for 30 seconds, 4 minutes can be seen in the various periods. You may remember the last dream you saw probably in the morning. Also, it was seen that in the course of REM sleep increased sleep after working people. The REM phase of learning provides. If you do the course work, the information will be saved in the memory. Because of this reason it is not recommended to sleep after the traumatic events of a bad situation by providing the REM phase increases the likelihood of recall in future learning. Sleep in the brain amygdala is running on and creates the feeling because it is located right next to saves this data in the hippocampus. Here is the record of emotion improves memory.

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Dreams what does that tell you?

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Polycystic Ovary Syndrome Surgery (image 1)

Polycystic Ovary Syndrome Surgery

Disease occurring with the formation of many benign cysts on the ovaries is called as polycystic ovarian syndrome. Cysts of the ovaries and near the ovaries in the medical literature who had settled many of these organisms, which are called egg cell.

Constitutes a risk for polycystic ovary syndrome in women under the age of 35. Polycystic ovary syndrome in the brain by the pituitary hormones FSH and LH due to being produced in an abnormal manner. This syndrome in women with regular ovulation in women does not happen. Conceiving problems women are faced with in this case not as serious.

Before surgery polycystic ovary syndrome

Primarily, for women who live polycystic ovary syndrome and weight problems with the disease, you will be prompted to be given more weight if it comes to that. The provision of excess weight, as well as the woman's go to lifestyle change is recommended. For example, women are prompted to leave harmful habits. Cigarette smoking and alcohol intake is recommended.

The most important factor in weight control in the treatment of polycystic ovary syndrome. Balanced diet in women with polycystic ovary syndrome is very important and should come into your way of life. Being overweight or weight gain by increasing the severity of the symptoms of polycystic ovary syndrome may be the cause of future health problems. So weight is very important to pay attention to your eating habits. The habit of eating little and often should be acquired. Thus, the risk is reduced to the crisis of hunger and body fat is reduced.

If a person's lifestyle change did not solve the problem of polycystic ovary syndrome, (drug), it can be passed to medical treatment. Medical surgical method in the event that spawning spawning out of the way and tries to get be achieved.

Polycystic Ovary Syndrome Surgery (image 2)

Polycystic ovary syndrome surgery

Polycystic ovary syndrome surgery is carried out using laparoscopic methods. Primarily from a 10 mm incision is applied to the inside of the heart of the patient. Surgery ovarian drilling polycystic ovary syndrome is the name in the language of Medicine. Polycystic ovary syndrome surgical the goal of surgery is to try to make ways tract of the patient lay. Surgical intervention of patients with 6 or 8 small holes are opened in the ovaries. These holes by the back of the egg is opened. The reason for this is after the surgery to eliminate the risk of adhesions that may occur in the egg. These adhesions can cause infertility, which may occur after the operation.

Polycystic ovary syndrome, androgenic elements make the woman lay in the tissues by reducing the aim in surgery to contribute. Also it is checked whether or not the woman's tubes are open surgical intervention. Trokar after the surgery were being completed as the result of internal bleeding and the woman was removed in a controlled manner and whether or not it is checked. Any bleeding or abdominal gas is started to be evacuated.

Polycystic ovary syndrome, surgery, anesthesia, performed under a completely painless method. Studies after surgery, the woman's ovulation ( before) at a rate of that increase shows.