THE CHRONIC BRONCHITIS

THAT IS CHRONIC BRONCHITIS?

The Bronchitis is an inflammation of the weavings of the bronchial pipes.  These pipes, calls brónquios,. they communicate the windpipe with the lungs.  When the brónquios are inflamed and infected, the step of the air to the lungs and out of the lungs is complicated being produced attacks of cough to eliminate the mucus and phlegm that is produced.  Chronic bronchitis is suspected when this has lasted more than three months and their cronicidad is verified if the clinical demonstrations have been observed.

¿WHO CAN ACQUIRE CHRONIC BRONCHITIS?

The Chronic Bronchitis is associated to children and adult, existing a greater incident in people of greater age.  The environmental contamination and the to smoke cigarettes are important factors that cause and they get worse the condition.

¿AS it ATTACKS THE BRONCHITIS?

The main symptom is cough, at the beginning dry then humid and productive, but in children the expectoration passes unnoticed al these to swallow it.  At times there are accesses of cough that several hours last and can induce vomitings.  Generally the cough is more violent by the. tomorrows being accompanying by a yellowish mucus.  Also it can be produced bronchial spasms (as in asthma) and to cause the sensation of fatigue.  Eventually its capacity to be exercised is going to see affected.

THAT CAUSES THE CHRONIC BRONCHITIS?

The Chronic Bronchitis appears like a complication of another wound that have affected the bronchial tree, as chronic bronchial asthma, chronic sinusitis, sharp bronchitis, influenza or another sharp respiratory infection and inhalation of chemical vapors and toxic substances.

In recent years the relation of the Chronic Bronchitis with the smokers has been verified and the areas where contamination exists.  Once the bronchial pipes have been affected for an irritation prolonged a mucus is produced that requires to be eliminated through cough.  The step of the air is complicated and the bronchial pipes become magnificent places own for infection, that at the same time they go aggravating the damage to the bronchial wall.

IF YOU HAVE CHRONIC BRONCHITIS

It should take the following precautions:

1.  Visiting its doctor before any symptom of cold or infection.

2.  Do not smoke cigarettes, never is late to remedy, still with chronic pulmonary illness can prolong its life.

3.  Continue a nutritious diet but avoid the obesity.

4.  Do exercises moderates daily and without being tired.

5.  Ask its doctor on the possible convenience of is vaccinated against the influenza or a reinforcement of the same one if already has received it.

6.  Avoid to be infected with cold and influenza.

7.  Reduce al maximum the contamination of its environment.

8.  Avoid the exposition to areas contaminated.

9.  Prohibit to smoke in its presence.

PROCESSING

The use of the antibiotics has been of enormous importance in the processing of chronic bronchitis.  Generally its efficacy permits a total recovery of the patient after a sharp attack.  The expectorants and good moisturizing continue being pillars in the processing.

Nevertheless, for really cure and to prevent the chronic bronchitis, is necessary to eliminate causes of irritation and infection in the nose, throat, frontal breasts and bronchial pipes.  This signifies that the patient to should stop smoking and to avoid exposition to areas of contamination.

Many times the patient should change of work if the same one is a focus of irritation and in general, the patient should continue good habits of health that cause they enlarge their resistance to colds and infections.

Recently new medicines are offering new hopes to patients with this illness.

Causes of the Depression

Genetic factors

A greater clinical risk to suffer of depression exists when there is a family history of the illness, what indicates that a biological predisposition should have been inherited.  This risk is somewhat greater for the people with bipolar inconvenience.  Nevertheless, not all the people that have a family history will have the illness.  Besides, the serious depression can also occur in people that do not have any family history of the illness.  This suggests that there are additional factors that can cause the depression, already be biochemical, or environmental factors that produce stress, and other factors psicosociales.

Biochemical factors

It has been shown that the biochemist of the brain plays a significant role in the depressive inconveniences.  It is known, for example, that the people with serious depression typically have imbalances of certain chemical substances in the brain, known like neurotransmitters.  Besides, the bosses of dream, that are seen affected by the biochemist of the agency, they are generally different in the people that they have depressive inconveniences.  The depression can be induced or alleviated with certain medicines, and some hormones can alter the states of spirit.  What not yet is known is if the “biochemical imbalance” of the depression they have a genetic origin or is produced by stress, by a trauma, or by a physical illness or another environmental condition.

The environment and other factors of stress

The following they have defined as factors that contribute to the depression: the loss of a to be wanted, problems in a relation, economic problems, or a significant change in the life.  At times the beginning of the depression has been associated with that of a physical sharp or chronic illness.  Besides, approximately a third part of the people with any type of depressive inconvenience also they exhibit of some way an inconvenience of alcoholism or farmacodependencia. 7

Other social and psychological factors

The people with certain characteristics such as pessimism, low self-esteem, control lack sensation on the circumstances of the life and tendency to the excessive worry are more prone to suffer of depression.  These attributes stand out the effect of the situations of stress or to interfere with the capacity to face them or to be replaced of the same.  The breeding and the expectations related to the female sex can contribute al development of these characteristics.  Apparently, the bosses of negative thought typically are established in the childhood or adolescence.  Some experts have suggested that the traditional breeding of the girls can promote these characteristics and possibly is a determinant factor in the high incident of depression in the woman.

Erectile Dysfunction

It is estimated that the erectile dysfunction affects millions of men , is cause of emotional and marital problems.  In studies carried out in the United States it is estimated that among the men from 40 to 70 years this problem occurs even in a 52%.  The degree of dysfunction varies since light to severe.

HISTORY The first description of the erectile dysfunction was found in an Egyptian papyrus of approximately 2000 years before Christ.  Two types of dysfunction were described: natural impotence, in which the man was incapable to culminate the sexual act, and the supernatural impotence, as a consequence of action of the devil and sorcery.

Subsequently, Hippocrates described the male impotence in rich patients of the city and he concluded that the cause was the excess to mount to horse.  To the poor not l is affected, therefore they travelled on foot.  Aristotle said that the nerves of the penis carried spirit and energy for the erection, and that this due to insuflación of air.  Their theory well was accepted until in 1505, Leonardo gives Vinci noted a large quantity of blood in the erect penis of a man hung.  Nevertheless, its writings were maintained in secret to the start of the 20th century.

Disfunsión erectile.  Bases The habit of the cigarette is not causes direct of impotence but if aggravates the problem.  Since the point of view etiológico it more important is the origin vascular, followed by the dysfunction neurogénica.  The medical specialist in this theme is the urologist and subespecialista the andrólogo.  These professionals leave from a thorough knowledge of the anatomy and physiology of the erection and they investigate the mechanisms of the same one.

In a normal erection they influence many aspects.  The penis receives blood through the cavernous arteries and helicinas.  These they supply a good flow vascular necessary to obtain tumescencia or hardening of the male genital organ.  Besides the previous thing, the veins of the penis should be closed completely pair to prevent the exit of the blood carried by the arteries before named.

If there is some problem with the valves of the veins, escapes the blood and is lost, or does not achieve the erection.  Of equal form, if there is some damage in the nerves that supply al penis, can be affected the mechanism that carries the hardening of the same one.

The cause of the erectile dysfunction they are multiple.  Since the point of view etiológico it more important is the origin vascular, followed by the dysfunction neurogénica, that is to say causes of blood irrigation and of the nerves of the member.

Finally, also it can be attributed like cause of the male sexual dysfunction to the hormonal deficiency, by inadequate levels of masculinizing hormones.  Besides the previous, erectile dysfunction by consumption of medicines for the arterial tension can be found and many other conditions.  The habit of the cigarette is not causes direct of impotence, but if aggravates the problem.  It has been found that there is 7 times more possibility of sexual dysfunction in ña smoking population that in those men that do not smoke. the diabetes is also a condition that involves many problems of type vascular and nervous, which results in the sexual dysfunction problems increase in this group of patients.  The diabetes is also a condition that results in the sexual dysfunction problems increase.

Disfunsión erectile.  Management

The most frequent processing is with medicines that help to improve erections.  Inside these there are great variety and with specific indications for each situation.  These they are of oral administration or localities through injections applied directly on the penis.  Also, there are occasions in which is necessary to do surgical management through correction of the glasses that irrigate the penis or to place implants in the penis.

Is clear that the management of these patients has to be conformed by a multidisciplinary team which should be comprising the urologist, endocrinologist, internist and siquiatra.

The sexual dysfunction is a situation extensively distributed in the company.  The prejudices al respect and the lack of tranquility to consult, they do that a reality of recognized management alter the form of life to thousands of citizens that in other circumstances they would be able to live a full, full sexuality of happiness and love.

Heart Failure

The heart failure (heart failure congestive) is the incapacity of the ventricles of the heart to prompt the blood that receives.  It is a serious illness of the very frequent heart, that affects especially the people over 65 years.  It can affect to a side of the heart or to both sides.  Al not to be able to pump the adequate blood the parts of the body that do not receive the adequate blood volume remain damaged.

Can be of two types:

Sharp:  When appears suddenly.

Chronic:  When is the result of the deterioration of the heart.

SYMPTOMS:

Exhaustion in situations of little effort (apnea). This exhaustion goes appearing each time more with smaller effort to the extent that the illness advances, Sensation of I drown al to be fallen (ortopnea), sensation of I drown for the nights (disnea paroxística nocturnal), sensations of vertigos, sicknesses, lack of air, cough, exhaustion, problems of concentration, ankles swollen, abdomen swollen, increase of weight, nocturnal need of urinates (nicturia), diurnal need of urinates ( Oliguria), etc.

Other consequences that can produce this illness we would mention the following: accumulation of liquids in the lung, increase of the size of the heart and of the liver, increase of the heart rhythm, etc.

You CAUSE:

The sharp heart failure is presented generally as a consequence of a wound of the heart, just as occurs in the heart attack of myocardium.

The chronic heart failure can respond to the following causes:

- Heart Illnesses

- Tumors in the heart

- Illnesses of the lung

- Problems of the kidney.

- Hypertension

- Infections that affect heart

PROCESSING:

Before the apparition of symptoms that can indicate a shortage, a fast visit is recommended al specialist so that diagnose his possible existence (arterial Tension, electrocardiograms, electrocardiogram, x-rays, analysis of urine, etc.)

This visit is done particularly urgent if feels strong pain in the chest, respiratory problems, sicknesses, swoons, increase of the cough or inflammations.  Once it carried out the diagnosis, the doctor will judge the most adequate processing to continue.  (Rest in the bed, medications to cause to rest al heart and to eliminate liquids of the body, transplant if was necessary, etc.)

The natural processing of the heart failure supposes the utilization of a series of natural remedies that can help to treat the problem.

Obestity

The world health Organization (WHO) considers al excess and the obesity as illnesses highly prevalentes and a world epidemic.  As it is known, the people with excess or obesity tend to suffer more illnesses and less years than the people live that have an ideal weight. 

There is a without number of illnesses owed al excess or obesity.  We are going to mention the most common: 

Arterial hypertension

Heart attack

Thrombosis

Cerebral hemorrhages

Bad circulation

Várices

Problems of knee

Problems of back

Problems of hip

Problems of ankles

Cholesterol

Diabetes
Is a very important factor in the risk of high cholesterol and diabetes mellitus II.  Also, it is a daily load that should carry to all parts and with this, the possibility to enlarge the frequency of lumbagos and therefore, alterations in the position. 

Also, those people exceeded in weight and with problems of veined circulation, these two wrongs aggravate the inconveniences product of the várices, enlarges the possibility of thrombosis and tromboflebitis, being of course, a factor of risk for the apparition of várices.  
 
It is defined like excess to the existence of an Indicate of Corporal Mass (IMC) over 27 and less than 30, in general population.  Not ranks exist of IMC definite for population less than 18 years. 

Another definition of excess is when signifies too much weight, without the term indicate direct relation with the fatness; can also signify any excess of weight of the recommended as the desirable weight for a person given. 

 Another definition indicates us that the excess is when a person has a maximum one al 10% of excess of her ideal weight. 

 For example:  If the ideal weight is of 60 kilograms, signifies that so that be considered that has excess, owes to weigh maximum 6 kilograms more, that is to say 66 kilograms.  When the person passes from these 66 kilograms, already we would speak of obesity. 
 
The obesity is an illness characterized by the excess of fatty weaving in the agency.  The existence of obesity in adults is determined when exists an Indicate of greater Corporal Mass of 27. 

Also him it can be defined like a state of the agency characterized by a greater accumulation and storage of grease in the body.