The health is a delicate equilibrium between the good organic operation and the harmony in the social and psychic plans of the human being.  Never this affirmation turns out to be more clear that when we attend to the eating customs of each culture and historic moment.  In spite of the fact that the medicine and the biotechnology have reached levels of beating never suspected, ours seems to be a was especially criticism to maintain a healthy equilibrium.

Beauty and consumption The culture of the consumerism imposes al present individual the need to adapt its agency to certain canons of beauty.  The man and the present woman should be small, medium, loosen or extra-loosen.  The immersed variety of physicists to be classed in only four standards?  If thus was, ¿why cost for the health?  The growing incident of eating disorders as the Bulimia and the Anorexia are an answer to that questioning one.

Undoubtedly it is the woman the most affected one by this badly cultural one.  Studies of the York University (Ontario) showed that the women that more adapt to the parameters of present beauty are those that present a more dissatisfied personality.  They are also the ones that greater incident of eating inconveniences accuse.

Beauty and thinness The ideal of female beauty of the posmodernidad is brutally thin.  Tax since the most tender infancy by the most sold wrist of the world (that whose name are you thinking), crystallizes in the image of the super-model that sell for the most powerful organizations of the fashion of the entire world.

But it is clear that to achieve and to maintain that state supposedly ideal does not only cost a terrible effort and economic resources, but can lead to numerous problems of health.  Beginning for the eating disorders, these can result in diverse social and personal plans.

It is known that a woman that loses a high percentage of lipids will have serious difficulties to be embarrassed.  Many of them will incur in difficult hormonal imbalances to re-establish.

Special diets Under the stimulus to descend of weight something can be lost more than grease.  Diets desbalanceadas and a compulsive use of gymnastics extenuantes can endanger the equilibrium between that mass grease and the lean mass (proteins, mineral, etc.)

Though the loss of lipids has shown to be useful to reduce the risk before pathologies as the diabetes, the hypertension, etc., an indiscriminate loss of corporal mass can turn out to be harmful.  The irresponsible publication of states to make thin has placed in the hands of the population, especially the female one, a weapon that can be very dangerous.

If we return al first concept of health, this is achieved with equilibrium.  And that equilibrium includes all the aspects of the human being: the organic one, the psychological one, the social one and the spiritual one.  If the present culture prioritizes the social aspect, imposing a physical image that goes against the health, is a culture of the illness.  This constitutes an authentic paradox in a was of the historic development of the humanity in which the science and the technology put in our hands privileged tools to achieve the welfare.

The bronchial asthma is the most frequent chronic illness in children and very important also in the adults.  It is calculated that between 3% and 5% of the population suffers it, although in children the frequency arrives al 11%.  This leaves to see that many of the patients affected in the infancy to stop suffering the illness after the adolescence.

The costs that generates the illness are vast, represented in expenses of the processing (medicines, hospitalizations, etc) and workdays lost, so much by the patients as by the parents of the children affected.

Without any doubt, the management that the doctor indicate for each patient particularly should be followed al foot of the letter so that the situation can be handled satisfactorily.  Nevertheless, it is not the doctor the only person in whom the responsibility falls that the sick one of asthma can carry a normal life.  In this cause is necessary to compromise parents of family, patient, professors and everyone who live together with the affected.

One after another, scientific studies have verified that the people with greater degree of knowledge of the illness enjoy a quality of a lot greater life that those that do not know the nature of their affection and therefore the reason to be of their processing.  For all this, is necessary that the asthmatic patient and its family know in detail the fundamental aspects of this company.

What is the asthma?  The asthma is a chronic respiratory illness, that its name of the Greek one drifts asthma (difficult respiration).  It is characterized for episodes, of various intensity, duration and frequency, in which the person affected presents difficulty to breathe, accompanied by sounds of high tone, similar to a whistle and that the doctors call “sibilancias”.  These episodes, or attack, they are unchained for an allergic reaction of the respiratory ways that does that diverse agents produce an inflammation in the bronchial tubes, complicating the step of air al lung.

What is an allergy?  An allergy is an inappropriate reaction to the exposition to substances that normally should not produce a harmful effect.  For example, an allergic person al hair of the animals, can present reactions as sneezes, nose covered, bud in the skin or asthma attacks when be in contact with a dog.  Who is not allergic, can caress, to play and even to live together with the animal without this unchain any reaction.

Why the allergies occur?  A genetic predisposition exists to suffer allergies.  The doctors call this condition as “atopia”.  The to be atópico implies that is itself in allergic risk to present reactions, including the bronchial asthma, when has contact with certain environmental factors.  In the case of the asthma, can be told that the atopia is a “factor of risk” to develop the illness.

Then means that the asthma is hereditary?  Not necessarily.  So that an allergy develop, does not suffice with the predisposition to suffer it, but is also indispensable that the person affected be exposed to the substances that unchain it and that medicamente they are known like alergénos.  Of the same form, cases of asthma in subjects can appear that not tien

What is a factor of risk?  They are the conditions that can contribute to that occur a determined event.

In the case of the asthma different risk factors types exist according to if do more prone to the person to suffer the attacks or if directly are the causes that themselves of start to one of these episodes (board 1).

Why age appears the asthma?  The majority of people that suffer bronchial asthma they begin to suffer the illness since the infancy.  Without still it be known with clarity the why, almost the half of these patients no longer they suffer it al to arrive at the adult age and 25% percent of the remainders they present very light symptoms.  When the suffering is detected in an adult one must consider two possibilities: that have had the illness since the infancy but this have not been diagnosed, or that be a matter of a reaction to some element al that be exposed in the work (irritating, chemical substances, gases or particles that float in the air).  This last situation is known like employment asthma.

A person by an asthma attack can die?

He figures 1.  Decrease of the flow of air through the bronchial tubes after the caliber of the same al is diminished to be inflamed the air mail during a crisis of asthma.  To) normal lung B) Lung during crisis of asthma.

Yes, although is very rare that this happen.  Nevertheless, it is an illness that causes serious damages al to interfere with the normal life of a person.  A sick one of asthma can be discriminated, remote and impeded to participate in some activities if does not be a matter of adequate way or if the people around him do not understand the nature of their problem.

¿How begins an asthma attack?  When an asthmatic one is exposed to the presence of an allergen, unchains itself in the in the respiratory ways, specifically in the bronchial tubes, an inflammation that diminishes the caliber of the same (figure 1).  Of that way the step of air is blocked al lung (above all the exit) and this produces also the sibilancias, as well as happens when blows itself for the peak of a bottle.

What is the flu?

The flu, or influenza, is a respiratory infection caused by the type influenza virus TO and type B.  Is more common in the autumn and winter.

The flu is highly contagious; generally, the virus enters the body through the mucous membranes in the mouth, nose or eyes.  When a person with flu coughs or he sneezes, the virus is disseminated for the air and can be inhaled for any person that be found close.

In the majority of the communities, are the children in school age the first in acquiring the flu, that then they carry it to their houses and to other groups.  In a light season of flu, near the 10 al 15% of the population themselves infected.  In a more severe season of flu, 20% or more than the population can contract flu.

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Is dangerous the flu?

A case of strong flu probably send an adult or healthy boy to the bed for 3 to 5 days.  Then, the person will recover completely, but the cough and the exhaustion can persist during days or weeks.

Nevertheless, the flu can be a serious illness.  Each year, until 40 million Americans they contract flu, and near 150.000 they are hospitalized.  During passed epidemics in the United States, the influenza and its complications have caused between 10.000 and 40.000 deaths.

The people above the 65 years and those people of all the ages with chronic illnesses (such as diabetes, heart illness, asthma and HIV) they are more prone to be made ill seriously with flu.  These people are also more prone to develop other serious infections such as pneumonia.  If you are an elder or has a chronic illness, he should call his doctor before the first sign of symptoms of the flu.

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What should do if I have flu?

The rest is important to help to be improved.  Besides, if it remains at home, there is less risk that Ud infect other people.  The flu continues being contagious during 3 or 4 days despúes that the symptoms appear.

Also it should drink great quantity of you flow you.  The hot liquids can alleviate the sensation of congestion.  A soothing one of the pain, as for example acetaminofen, can be taken for the pains and the fever.  Never him of aspirin to children less than 12 years that have flu (or any illness that suspect is caused for a virus) owed al risk of a serious adverse effect known as Syndrome of Reye.

The doctors can prescribe a medicación antiviral, which should be taken inside the 48 hs after the apparition of the first symptoms, to reduce the duration of the fever and other symptoms related.  Nevertheless, this medicación is only assets against the influenza type A.

How do I give me account if I have flu?

Generally, the flu attacks 1 to 3 days after the exposition al virus.  Many times, the beginning of the flu seems to be sudden: the people describes to feel:  “As if it had been struck for a truck”.  The common symptoms of the flu include fever and chills, muscular pain and in the articulations, cough, headache, pain of eyes, exhaustion and weakness.  Some people also experience nasal congestion and pain of throat.

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It can be cured with antibiotics?

Not. As the flu is a viral infection, cannot be treated with antibiotics.  The antibiotics are medicines that kill bacteria and, consequently, they are only useful for the processing of bacterial infections.

If their doctor does not consider that Ud require antibiotics to treat its infection, insist not.  The inappropriate use of antibiotics contributes al resistant bacteria stumps development to antibiotics, which represents a great problem for the public health.

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I should call al medical if I have flu?

If Ud feels seriously sick, should always call its doctor.  Only its doctor will be able to tell him if Ud has a condition that require a processing, or if the rest and the to take you flow you is everything that needs to be improved.

As it was discussed previously, the people above 65 years and those people of any age with problems of chronic health should be put always in contact with their doctor if they are infected flu.

At times, the people with flu can develop other serious infections such as pneumonia, bronchitis, sinusitis, or infection ótica.  It should consult its doctor immediately if:

* Colorless, thick mucus Coughs or sanguinolento.  * Has symptoms such as recurrent fever, pain in the chest, facial swelling, severe pain in the face or front or pain ótico.

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What should I do to avoid to catch the flu?

To prevent the contagion of the flu, or to reduce the severity of the same one, should be applied a vaccine for the flu each autumn — especially if Ud has more than 65 years or has a problem of chronic health.

The vaccine against the flu is its better opportunity of protejerse against the flu.  Nevertheless, the vaccine is not always cash since the stumps of influenza for which it proteje cannot be the same that walk patrolling in its area.  Then, no matter how more Ud have vaccinates itself against the flu, Ud of all forms to be infected.

If Ud is pregnant or if Ud is allergic to the eggs, should ask its doctor about if Ud owes or not to receive the vaccine of the flu.

There are also simple things of common sense that Ud can do to try protejerse of the flu:

* It is Maintained far away, if is possible, of the people that have flu since the virus is disseminated when a person with flu coughs or he sneezes.  * He Wash his hands often to reduce his risk to contract a resfrío or flu.  * He Avoid to smoke cigarettes of other people, and if Ud smokes, try to leave it * Try to maintain a healthy way of life:
continue a good diet, sleep well, maintain low the levels of stress and drink a lot of water.

What is the pneumonia?

The pneumonia is an infection that produces a serious inflammation in the lungs.

How occurs?

• The pneumonia is produced when the lungs are exposed to different germs to the ones that they are found there normally.  A pneumonia can be caused for infection to some of the following:
• The person was exposed to great quantity of virus or bacteria.
• Infection by mushrooms
• after to have been sick for example with flu (influenza, which weakens the immune system and affects the covering of the respiratory ways)
• If you have a permanent chronic illness as diabetes, chronic bronchitis or cancer, that do more sensitive to all kinds of infections.

Which are the symptoms?

• Fevers and chills
• Cough
• Difficulty to breathe
• Pain in the chest, above all al to inhale
• muscular Pains
• Cough with a little phlegm, at times with blood

¿How much time the effects last?

In general, will begin to be felt better after 2 or 3 days after to have begun the antibiotics.  If you are a healthy person, should return to its normal state after approximately a week.  If you have other medical problems, is possible that late more in being felt better.

¿Which is the processing?

The doctor determines the type of medicine according to her age, other how sick, medical conditions is the person and by means of the results of the x-rays and analysis of laboratory.  In most cases herself her antibiotic prescription and rest in the home.  The most common pneumonia nowadays is the viral form that affects especially youths and adults over 50 years.

The excessive exposition to the ultraviolet radiation (UV), whose main source is the sunlight.  The degree of exposition to this radiation depends on the intensity of the light, of the time of exposition, and of if the skin has been protected.  The people that live in areas where are exposed all the year to an intense sunlight they have greater risk.  Being long time to the elements by motives of work or diversion without being protected with adequate clothes and solar protection enlarges the risk.

- The lamps and cabins bronceadoras are other sources of ultraviolet radiation that can cause a greater risk to develop a cancer of the skin not melanoma.

- The exposition to certain chemical products as the arsenic, the industrial tar, the soft coal, the paraffin and certain types of oils.

- The exposition to the radiation as it produced by the radiation therapy.

- The wounds or serious inflammations or prolonged of the skin, as can be the serious burns, the skin that covered the area where was produced a serious bony infection, and the skin damaged certainly inflammatory illnesses.

- The processing of the psoriasis with psoralenos and ultraviolet light administered some patients with psoriasis.

- The xeroderma pigmentoso, a frequent very little hereditary condition, reduces the capacity of the skin to repair the damages that suffers the DNA as a result of the exposition to the sunlight.  The people that have this inconvenience develop a great number of cancerous tumors of the skin, at times since the infancy.

- The syndrome of the nevus of cells you base them is a frequent likewise little congenital condition, that causes multiple cancerous tumors of cells base them.  Most cases, although not all, they are hereditary.

The urinary incontinence (IU) consists of the involuntary loss of urine.  The it affected has a sudden and imperious need of urinates but is incapable to retain the urine.  The escapes can be produced al to sneeze, to laugh, to carry out some effort or physical exercise.  It supposes a psychic, social, and sanitary problem, since influences in the routine activity of the sick one and reduces its quality of life.  The incontinence is not an illness in itself, but the consequence of an alteration in the phase of filled vesical that is presented in numerous illnesses.  It can be declared to any age and in both sexes.  Nevertheless, is more frequent in the women that in the men.

People that suffer it

Any abnormality that cause an obstruction of the flow of urine (stones in the kidney, anomalous structures. ..) can induce to a urinary infection.  A dilated prostate can also brake the flow of urine, for which increases the risk of infection.

The people submitted to exams by means of pipes or catheters or that need you probe can develop more easily infections originating in said instruments.

The greater they are seen affected by this type of infections with greater frequency, as well as the ones that suffer a decrease of the nervous system, that impedes to control the bladder to will.

On the other hand, any disorder that produce a suppression in the immune system increases the risk to suffer a urinary infection, since this system is the responsible for maintaining to line the pathogenic microorganisms responsible for the infections.

Also they are given in born babies with some deformation of the urinary tract, that often they should be corrected by means of surgery.

Symptoms

- Frequent and urgent Need of urinates.

- Stinging feeling or quemazón in the urethra al urinates.

- Reddening of it return and vaginal itch (in the women).

- Pain al urinates and in the sexual relations.

- Milky, murky Color (thick) or abnormal of the urine.

- Apparition of blood in the urine.

- Fever and chills (the fever can signify that the infection has reached the kidneys).

- Vomitings and queasiness.

- Pain in the side or back (indicates infection in the kidneys).

- Often, the women feel a light pressure above the bone púbico and many men feel an enlargement of the straight one.

- To Be more irritable of the normal thing.

The childlike symptoms, in turn, they can be confused with other inconveniences; besides, they are found before the difficulty of know not to express what passes them.  Nevertheless, if a boy presents a urinary infection he can declare the following indications:  – To Be more irritable of the normal thing.

- Not to eat as does it normally.

- To Have fever for no apparent reason that besides does not have just disappeared.

- Not to be able to be endured the urine.

- To Suffer alterations in its development.

Diagnostic

The tests and analysis that will have to be carried out a patient they will depend on the zone where is presumed that situates the infection and of the symptoms that this suffer.  Some of the most general tests are the following:  – Physical Exam:  The doctor palpates the pelvic and abdominal zone of the patient to detect the places in pain or with reddening.

- Analysis of urine:  With a sample of urine of the patient is examined if this contains some infectious agent (harmful germ).

- Cultivations of urine, vaginal or liquid liquid uretral:  A drop is sown of some of these liquids in a plate with nutrients for bacteria and, after elapsed several hours so that these grow, what type of bacteria is determined is the cause of the infection and what antibiotics can result troops (antibiograma).

- Citoscopia:  It consists of introducing for the urethra a pipe provided of lenses and light to observe directly the state of the urethra and the urinary bladder.

- Abdominal Ultrasound:  It is a painless study of the abdomen that is carried out by means of ultrasonidos that form an image in a monitor.

- Urografía:  It is a x-ray of the kidney, for which one must inject previously a substance that will create a contrast and the kidney will be able to be observed with facility.

Processing

The infections of the urinary apparatus treat with antibiotics, if they are caused by bacteria, or with antiviral (as the aciclovir) if they are caused by virus.  To administer efficiently one and another type of medicine, the medical specialist has the possibility to carry out a test of sensibility or antibiograma, that helps to elect the most effective one against the type of microorganism that is producing the infection.

The most they used antibiotics are the trimetoprim, the amoxicilina and the ampicilina.  Also a class of called medicines quinolonas have been approved in recent years for the processing of the infections of the urinary tract, like they are the ofloxacina, ciprofloxacina and trovafloxina.

Before being initiated the processing with antibiotics, the doctor determines if the patient suffers some inconvenience that can aggravate the infection, like an alteration of the nervous activity, a diabetes or a decrease of the defenses of the agency that can reduce the capacity of this last of fighting the infection.

In patients that suffer infections by Chlamydia or Micoplasma necessary a more long processing is done with tetraciclina or a combination of trimetoprim and sulfametoxazol.  A subsequent analysis helps to confirm that the urinary tract is free of germs.  The patients with infections of serious kidney have to be hospitalized until they can take fluids and medicines by their account.

The doctors think that to drink large aid water quantities to clean the urinary tract of bacteria and that is better to stop smoking (the tobacco is the main cause of the cancer of bladder) and to drink coffee, alcohol and foods with spices while the infection be maintained.

If the infection themselves due to a physical obstruction of the urine (to a stone, for example), can be necessary the surgery to eliminate that that produces the obstruction or to correct a possible physical anomaly as they could be a uterus and a bladder fallen.

The litotricia extracorpórea can disintegrate the stone by means of shock waves produced by means of a called apparatus litotritor.  Also it can be eliminated a stone of the kidney by means of the nefrolitotomía percutánea, that consists of a small incision in the back to create a direct tunnel al kidney by where is introduced a called instrument nefroscopio, that serves for locate and to extract the calculation.

To alleviate the symptoms that produce the infections of the urinary tract (urinary urgency, pain al urinates, spasms. ..) are utilized different types of medicines as the atropina and the fenazopiridina.
Prevention

As first preventive measure, is advisable to drink a large quantity of liquids.  In many cases of urinary infection antibiotic processing can be dispenses with only with taking this precaution.

The infections of sexual broadcast are easily avoidable; the use of condoms is used to being sufficient to impede them.

In turn, the vaccine against the urinary infection has an effect estimulador of the production of antibodies, that accumulate to be defended immediately against the microorganisms, in the event that the infection came to be produced.

In the case of the men, a correct and daily personal hygiene is an important measure to avoid the infections of urinary ways.

For the women, the sprays sanitary and deodorants are normally unnecessary; at times, even they turn out to be damaging.  If a spray for the vaginal hygiene is utilized, not one must direct it never toward the interior of the vagina, since can irritate the vaginal weaving.  If, at any rate, the skin of it return begins to be reddened or to be irritated, one must leave to use it because due to an allergic reaction to some component of the product.

The hygiene of the genital zone should be carried out employing water and a smooth soap once al day, to prevent, among others things, the apparition of urinary infections.  The vagina themselves clean by itself: its walls produce a fluid that drags the dead cells and other microorganisms al exterior.

The vaginal showers are generally little advisable, because they drag the “plug” of mucus that protects the entrance of the cervix of infectious microorganisms.  In spite of this, the doctor at times recommends them.  In that case, the recommendable thing is to maintain somewhat far away the mango of the shower to reduce the pressure of the spurt of entrance; otherwise, the vaginal agencies are dragged toward the uterus (headquarters), where they would be able to cause an infection.

The bacteria and germs that cause the vaginal infection tend to be developed in conditions of heat and humidity.  By this reason is recommendable to utilize knickers of adjusted little cotton (those of naylon cause humidity and heat in the genital area).

Finally, the anal hygiene should be done always toward atrá

Infection of urine in the Pregnancy

The changes that occur in the woman by the embarrassment to level of the urinary system, they favor the development of the urinary infection, complication that puts in risk to the mother and al fetus because relates to the threat of premature birth and other risks as a high arterial pressure.

The pregnant woman should perform in her first control prenatal a general exam of obligatory urine, to detect of early form any data of infection and to give adequate processing.

Urinary infections of repetition

When the picture of the infection persists and is repeated in several occasions, the processing for the woman one must undertake it since a triple focus:  – The adequate processing of the first episode is fundamental to avoid the repetition of the urinary infection.

- One must correct the alterations anatomical or functional capable to perpetuate or to favor the bacteriuria as well as the flattering dietary and sanitary habits of this.

- To Present a preventive processing in function of the urinary infections episodes number of repetition.

¿WHAT IS THE IMPOTENCE?

The impotence -whose medical term is that of “erectile dysfunction (DE)” – is the incapacity to achieve or to maintain a sufficient erection for a satisfactory sexual activity.

That of it is a very frequent situation; has been calculated that affects in greater or smaller degree halfway of the men between the 40 and the 70 years.  But is not a theme that treat openly.  Myths and cultural expectations of the male sexuality have impeded many men to seek aid for an inconvenience that is able, in most cases, to be benefited of a medical processing.

Although it can be told with security that every man experiences an erectile dysfunction occasionally, the impotence is defined in medical terms as the incapacity to maintain a sufficient erection for the intercourse in al less 25% of the intents.

HOW A NORMAL ERECTION OCCURS?

When there is not sexual stimulation, the flow of blood inside the penis is very low, what maintains it in flabby or not erect state.  When a man is stimulated sexually, the arteries of the penis relax and they dilate, and the blood flow toward the penis enlarges a lot.  To the extent that the penis is expanded, the veins of the penis -that would have that to return the blood of the penis toward the circulation of return- they are compressed, and the blood cannot leave.  With more blood flow entering and very little leaving, the penis returns each harder and greater time.

You CAUSE DE THE DYSFUNCTION ERECTIL “DE”

Most cases of DE (70-80%) are associates with not psychological and physical alterations.  That of alteration of one can be produces by or several of the three mechanisms responsible for the erection: blockade of the arteries; incapacity of the blood vessels inside the penis to store the blood; or damage in the nerves of the penis or of the area pelviana.  Also they can be responsible for one of other physiological, as low dysfunctions levels of male hormone (testosterone).

Thus, the situations that more often produce impotence are:

* Illnesses that affect to the blood vessels and they restrict the blood flow toward the penis, like the diabetes, the hypertension (high arterial tension), the excess of cholesterol or the heart illnesses.  * “Situations that interrupt the connection between the nervous system and the penis, like the surgery of prostate or wounds traumáticas in the zone.  * “Many medicines (some of them employees to treat the hypertension and the depressions), that produce DE as secondary effect done not desire.  * Nervous Breakdown.  * Habits of risk for DE:  Smoking, alcohol, drugs, stress.

An indicator of the physical impotence, in comparison with the psychological one, is the incapacity to experience or to maintain an erection al to be awoke in the morning.  The impotence that persists more than 3 months and that be not due to an evident stressful event, to drugs, to alcohol or to transitory medical affections that cause DE, indicates the need to receive medical attention by a urologist.

DE and aging:  Many misunderstandings in this theme exist.  As a consequence of the process of aging, is used to there to be a period refractario greater -necessary time for a new erection after an orgasm-.  The age also seems to affect the necessary time to be excited and for the erection and the ejaculation.  All this completely normal changes are considered.  Nevertheless, the sexuality does not have date of expiration.  If that of it is given more in older people, is only because is more probable than they suffering associated illnesses to DE and that use more medicaciones than they altering the erectile function.

DIAGNOSIS DE THE “DE”

1.  Medical history.  It interests to collect present medical problems and prior, medicines that are being taken and antecedents of psychological problems (stress, anxiety, depression).  The doctor will also require sexual antecedents -start of that of, frequency, quality and duration of any erection, etc.- and he will investigate the motivation for the processing and the expectations of the patient.  That of it is logically thing of two, and can be appropriated to interview to the sexual couple

2.  Physical exam.  It includes an exploration of the genital area and a rectal touch (exam of the straight one with a finger put on gloves).  They should be sought evidences of other illnesses -hypertension, diabetes, ateroesclerosis, nervous damage…-

3.  You test of laboratory.  They will be done analysis of blood to measure the levels of testosterone and, if is necessary, those of prolactina for determine if there are problems of the endocrine system.  They can be necessary diverse specific exams to detect that of, like tests of erectile answer after injection of medicines that dilate the blood vessels of the penis, or detection of by means of diverse nocturnal erections devices.

4.  Techniques of radiología diagnostic.  The cavernosometría and cavernosografía of dynamic infusion (DICC) is a test in which an erection with medicines is induced, the capacity of storage of the penis is measured, an ultrasound of the arteries of the penis is done (to measure the arterial pressure of these arteries), and a x-ray of the erect penis is carried out for obtain precise anatomical data.  Only is necessary in some cases of DE.

PROCESSING FOR THE IMPOTENCE

Less than the 10% of the men that suffer from they seek helps medical.  Al to confront that of, is frequent to be demoralized, or to seek miraculous processing.  Innumerable popular remedies exist that should be considered with every caution and skepticism.  At present many very sure and efficient processing exist, although in no magical case.

The modality of the processing comes dictated by the specific problem that causes the impotence.  The first step is to define the cause, if is possible, and then to try the simplest solution and less risked.  In synthesis, the different therapeutic alternatives include an or several of the following.

1) to Change the habits of life that affect to the health of the arteries and veins:  Smoke not, to moderate the consumption of alcohol and of greases, to do something of exercise and to learn to be relaxed.

2) to Change or to reduce the medicines that cause impotence, like some antidepressants, diuretic and betabloqueantes…

3) Psicoterapia and therapy conductual.  Independently of the cause of that of, is recommended for all the psychological therapy form any patients, conductual, sexual or of combination, generally attended by its couple.

4) Therapy transuretral and of injection.  It consists of being injected medicines in the erectile weaving, to relax the smooth muscles of the penis and to permit that can take place the erection.  It is indicated in some cases of DE.  The medicines injected are used to being associations of papaverina-fentolamina, or well alprostadil (prostaglandina E1).  The adverse reactions are generally smaller, but they are able incluír erections prolonged and painful (priapismo).  An alternative to the injections is a device of plastic to apply these medicines through the urethra.  Although surer and less costly than the surgical processing, these therapies have a high rate of abandonments, since the loss of spontaneity causes loses interest in the procedure.

Cancer of the Lip and the Oral Cavity

The cancer of the lip and the oral cavity is an illness in which cancerous cells are found (harmful) in the weavings of the lip or of the mouth.  The oral cavity includes the front two thirds of the tongue, the upper and lower gums, the interior covering of the cheeks and the lips (the oral mucous membrane), the floor of the mouth under the tongue, the bony upper part of the mouth (the hard palate) and the small area situated behind the wisdom toeeh (the trígono retromolar). 

The cancers of the head and the neck are found with greater frequency in people that have more than 45 years.  The cancer of the lip is more common in the men that in the women and has greater probability to be developed in people of clear skin that have been very exposed al sun.  The cancer of the oral cavity is more common in people that chew tobacco or they smoke pipe. 

You should respond a doctor if has some protuberance in the lip, the mouth or the gums, a sore that not healthy in the mouth, or if he bleeds or feels pain in the mouth.  Another sign of cancer of the mouth or of the gums is the one that the dentures to stop sitting down well.  Often the cancer of the oral cavity and of the lip the dentists they find them al to examine the teeth. 

If you have symptoms, the doctor will examine him the mouth employing a mirror and lights.  The doctor can indicate that x-rays of the mouth do him.  If some abnormal weaving is found, the doctor will have to cut a piece and to observe it with the microscope to determine the presence of cancerous cells.  This procedure is known like biopsy.  To him it will be given you a substance that will sleep him that part of the mouth by a while (a local anesthetic) so that does not sit down pain.  The doctor will also palpate the throat in search of protuberances. 

His possibilities of recovery (forecast) will depend on if the cancer is found in the lips or in the mouth, of if is found only in the lips or the mouth or has been disseminated to other weavings (the phase of the cancer), and of its general state of health. 

The hepatitis is an inflammatory process of the liver.  Among their multiple causes the viral agents are found that produce hepatitis:  To, B, C, D, G and AND, although can also be unchained for other virus: citomegalovirus (CMV), Epstein Barr (EB), etc., alcohol, infections, medicines and drugs.

DESCRIPTION

It is an infectious illness that affects al liver causing the destruction of small zones of the liver weaving.  According to the cause of the inflammation, there are various types of hepatitis.  The symptoms vary since a light pain having the flu, that is it more common, to a serious liver deficiency.

CONSIDERATIONS Many cases begin with loss of appetite, queasiness, inconvenience, vomitings and fever.  The smokers can come they feel nausea al tobacco.  At times spots they appear and pains in the articulations.  Al tip from 3 to 10 days the urine returns dark and the jaundice appears (yellow coloring of the skin).  In one or two weeks the
jaundice arrives at its higher point and delays in disappearing between 2 and 4 weeks more, period that hard the recovery.

You CAUSE

In most cases, the hepatitis is caused for a virus, although can also be caused for the abuse of alcohol, medicines (especially anesthetics), poison gases, poisons and certainly infections of bacteria, mushrooms or parasitic.

The virus known as hepatitis TO (VHA) is the most frequent one.  It produces a light picture and cures by itself in some weeks without leaving consequences.  It enters for the mouth, grows in the intestines and is expelled with the wastes.  Generally it contracts al to eat food that have been contaminated through the fecal matter, or prepared by someone that itself have not washed the hands.

Another way of quite frequent infection is the consumption of shellfish that stem from water contaminated with black water.

The hepatitis B (VHB).  The type B can be extremely serious and even fatal if themselves not the adequate measures are taken.  Also hepatitis is called sérica, is transmitted for direct contact with blood contaminated (for example, transfusion and punctures) and secreciones seminal (sexual relations).

The analyses of prior blood to the transfusions have reduced the incident of hepatitis sérica, although now is more frequent by the sexual contact, or among addicts, by the use of needles contaminated.

There is a third type called hepatitis that until does little they were known like not-to not-B due to the lack of know-how on them.  Nowadays four of this group are known:

• Hepatitis C (VHC) :  The 90% of the cases associates to transfusions, are very few them related to sexual relations and perinatal broadcast.  It presents a greater tendency to be returned chronicle.
• Hepatitis D (VHD) :  The producing agent of this process requires of the membrane manufactured by the VHB for which he associates to this, that is to say, it pictures are used to reporting in bearers of the VHB.  It is presented mainly among the addicts.
• Hepatitis AND (VHE) :  It presents a broadcast through the water.  Is the cause of epidemics in the India, Asia, Africa and Mexico.  Its process of healing is spontaneous.
• Hepatitis G (VHG) :  It is very frequent in OR. S. TO. creating pictures of viremia that years last.  Does not it generate important liver illnesses.

SIGNS AND SYMPTOMS The main symptoms appeared in the course of a hepatitis are:

• Loss of appetite
• Nausea and vomitings
• Fever, exhaustion and fatigue
• Pains in the articulations
• Spots in the skin
• Dark Urine
• Jaundice (eyes and yellowish skin).

CALLING AL MEDICAL

If it suspects that suffers hapatitis, go immediately al doctor.

The doctor will examine the size and consistency of its liver and he will observe if the spleen is inflamed or sore.  The tests of laboratory will determine the presence of virus in the blood, urine or wastes of the patient and they will identify the type of virus responsible for the
liver inflammation.

PROCESSING

Not a specific processing set against the hepatitis exists, although the rest in bed to the remission of the symptoms is recommended.  The appetite is used to returning after a few days.  The sick one should not consume alcohol neither drugs that itself metabolicen in the
liver, at least during six months.

CARES

Remain in bed and try to maintain a good nutritious state.  A good hygiene can help to control the contagion.  It be washed the hands each time that use the bath and before preparing or to consume food.  The personal utensils and of pertinent table al sick, they should be separated of the remainder and boiled for 15 minutes.  Nevertheless, the sick one does not need to be isolated.

Counsels For the Care of the Allergic Skin

The great majority of the people with allergic skin they have the very lean skin, above all in certain zones of the body, besides being very sensitive to a great variety of external stimuli ó internal.  By this reason is necessary that are believed the habit to be taken care of the skin all the life.  The following they are some counsels that will help him in its care; the rigorousness of these measures will depend on the severity and the frequency of the problem, and if is found or not in its active phase.

Avoid to Damage the Skin 1.  Avoid the excess of humidity:  Use short baths, it less frequent than they be permitted it their activities (in children, each 2 to 5 days) using the water it more possible cold.  Avoid the baths prolonged in pools, tubs ó sea.  Dry the skin without carving it.  The towels should not have residues of suavizantes.  2.  Avoid the excess of sweat:  Itself not too much in epoch be sheltered of cold ó heat.  If it does exercise use the clothes more light possible.  Is preferably to be bathed with cold water if sweated too much.  3.  Avoid irritants of the skin:  For the bath use the soaps less alkaline possible (“neuter”), and of preference without perfumes.  In case of active wounds, not the figure, less with soap, only rinse with water.  Replacements of the soap exist ó creams “dermo-cleaning” (Cetaphyl, Avecyde, Aquanyl) for those occasions.

Do not use biological detergents to wash the clothes, use preferably soap of player (any) direct ó melted for its washing machine, with the water it more hot possible, and to rinse it perfectly (at least 2 cycles of rinse in its washing machine).  Try not to use suavizantes of fabric, if uses will require them of 3 cycles to rinse.

The shampoos for hair should be used in form separated of the normal bath if exist active wounds, so that the shampoo drain not on the skin injured.  Try to use the less aggressive for the skin, like those of baby (Baby Magic, Johnson, etc.)  Try to use the smoothest clothes al touch and light possible; the interior clothes of preference of cotton, and with covered elastics by the same fabric.  Avoid rough clothes of nylon, Lycra, acrylán ó wool directly on the skin, above all in the skin already injured.

Due to that is a suffering that is characterized for producing prurito intense (“itch” ó “rasquera”), is very important to bring the clean and always short nails, especially the small children.

Food:

Some natural food exist that contain substances that can produce itch ó that cause him allergy directly in its skin, and that therefore is prudent to avoid always.

The food that more produce reactions are: the citrus (orange and lemon); the Chile; the pepper; the pineapple; the tomato; the strawberry; the chocolate; the shellfish; the nut and the peanuts.  Another group they form it the majority of the food industrialized that they contain chemical conservatives of diverse types (benzoatos, sulphite, citrates, nitritos, etc.) some synthetic colorants and some saborizantes artificial.  All they are capable of inducing more wounds or prurito.  Try to avoid them in the possible thing.

If you already noted that some food natural ó industrialized particularly has produced itch ó wounds, ó has increased them, owe to be considered “allergic” to him, and to avoid it always from there on.

Lubrication of the Skin

The Dermatitis Atópica is characterized for a poor production of grease in the skin, above all in certain zones, by which is done almost always necessary to apply creams ó lubricants with a lot of frequency.  Due to that the baths very hot ó prolonged desgrasan more the skin, them do not we recommend.

After the bath and of the removed of the skin, the use of a cream is suggested suavizante, the one that you prefer and that “fall him well”.  We recommend that have not lanolin, of preference the “cold creams” with less products chemical aggregates, above all without perfumes.  Many options exist.  It will be able to use greasier creams in the winter.  The one that choose, owe to be used at least once al day, after the bath, but generally is necessary to use them several times al day, depending on the degree of dryness of their skin, and the cream that you choose, in spite of the fact that not active wounds in that exist moment.

Medicines

When active wounds of dermatitis exist, like reddening, ronchitas, cracks, ó engrosamiento of the skin, they owe to be used creams with anti-inflammatory medicines of type corticosteroid ó cortisones, -always recetadas by a doctor, of preference specialist-, of the ones that exist a great variety of powers and presentations.  At times they will deserve to be accompanied for antiseptic ó antibiotic local in form separated ó mixed.  In most cases they should be taken besides antihistamínicos, which they remove the allergic reaction and they diminish the prurito immediate.  It is necessary to emphasize that the creams with cortisone indicated and applied in form adapted by a specialist, they are the base of a fast improvement in this type of suffering, for which they do not owe to be stop applying if they are indicated.  If still it has doubts on the type, frequency and time of application of these creams, consult us before suspending them.

It should be understood well that the majority of the people with allergy of the skin have it always very sensitive, and in spite of a good initial evolution, they can be presented easily fallen owed al chronic character of the suffering, since other associated factors to the allergy related to the high sensibility of this exist also type of skin.