Medical Training for Health

Archive for the ‘Therapy’ Category

Para clinical REVIEW

You must appreciate the importance of facial injury on the functional level and exploration shall topography.La at three levels:

. Cochleovestibular, is assessing the hearing status, the presence of tinnitus and the notion of imbalance or dizziness.

. Radiology, CT., RML.; Indispensable to assess the state of rock more particularly the three portions of the channel tubes.

. Topographical study of the facial nerve function, numerous test localize the level of facial injury and should be performed early, the more interesting the Schemer test, if this is normal facial nerve injury is below the geniculate ganglion. gustatory test is to determine the taste of two-thirds of the tongue, a problem with the same injury claims at or above the third portion of the channel tubes. antipodean reflex examines the functioning of the muscle of the stirrup, states when an injury is abolished at the third part. functional examination is based on the electrodiagnostic the same should be practiced. electromyography was used early in the needle stimulation. electroneuronografìa currently uses its results more reliable for prognosis are given from fifth to tenth day and especially from fifth to seventh day. A sudden drop in excitability enervation demonstrates rapid and alarming prognosis.

Since 1985 is supported as a reference system for the American Academy of Head and Neck Surgery, HOUSEBRACKMANN classification for evaluation of facial function, the same consisting of six grades:

. Grade 1: normal facial function

. Grade 2: discrete lesion

. Grade 3: moderate injury

. Grade 4: moderately severe injury

. Grade 5: severe injury

. Grade 6: gridlock

TREATMENT

Three are active therapeutic, medical treatment, functional rehabilitation and surgery. They can be used or the circumstances associated clinics facial injury.

MEDICAL TREATMENT

Anti-inflammatory steroid type, dose 1mg/Kg./día, preferably the intravenous route, then the mouth, its use should be early.

Antiviral, acyclovir, can be used by the oral route, its use should be early.

Antiviral, acyclovir, can be used intravenously to obtain high torque and holders serum concentrations of 15 to 30mg / per day which is well absorbed and converted to acyclovir by intestinal and hepatic metabolism.

Vasodilatadores can be used to start the IV and then orally.

B vitamin therapy, it seeks to use its neurotrophic action administering a high dose.

Along with advances in medical treatment of HIV infection, it has become clear the importance of psycho therapeutic aspects central to health care for such patients.

Perhaps it is in this disease, more than any other in recent history, which has seen the close relationship that exists between the physical and psychological symptoms.

In this framework has become an important technique that in the Anglo world has been called “counseling”, a term that refers to psycho educational and psycho therapeutic procedures to be used for handling these cases.

WHO recommends a series of measures to be taken into account when it comes to acting with AIDS patients, although the techniques to follow these patients are generally very simple and standard.

It is recommended that health workers who are dedicated to this task have special training. It is not enough goodwill. You must be prepared to know:

1) The issues to be addressed

2) The approaches to be made to such patients, given the special psychological crossing upon detection of the disease.

3) Trying to change their habits.

Psycho therapeutic interventions are increasingly necessary in the management of HIV-positive patient, even if asymptomatic: In short, about AIDS raises many emotion-laden reactions that need to be controlling, and understanding the complexity of emotional reactions aroused by the AIDS, their consequences and try to go creating a desire for patients to take their disease, is one of the primary tasks of the psychotherapist.

The overall objective of these interventions is to facilitate the adaptive mechanisms to cope. Many of these techniques are specifically aimed at trying to resolve conflicts that are always present in these patients or their relatives.

To reach to take the disease, the patient needs to receive a great family support. If everyone needs love and attention, these people will require more specifically. Also as far as possible, try to instill values that allow them to better cope with their situation and meet the therapeutic requirements. We must also address the new social and family circumstances that may arise. And as far as possible, given the complexity of emotional changes that occur in this disease of AIDS, try to assume values that can give meaning to their lives.

Self-help groups of patients or relatives have also been used successfully in this field of mental health care.

The application of the needle acupunture therapy requires great skill, necessary above all to prevent the patient feels excessive pain, with negative effects on treatment outcome. The placement of the needle can go different directions (perpendicular, at an angle of 45 (nearly horizontal) depending on the point chosen for intervention and the nature of the disease. As far as the depth to which should be introduced Needle, depends on the anatomic region in which acupuncture is performed and the patient’s reactions.

The points in all four limbs, the depth that can be achieved is about 1-3 centimeters, or more, as is the case of section 36 of the stomach channel, situated about a finger (width) of the anterior tibial crest, at which point the depth can vary from 2.5 to 5 centimeters. These same values can be achieved in the lumbosacral region , while the head and face, where the muscle masses are thin, applications must be very superficial.

The effect of excitation or depression at the point of application can be achieved through appropriate manipulations of the needle and applied through the experience of the acupuncturist: lower or raise the needle, twist it, make it vibrate, and so on., Are operations that require huge sensitivity and above all a total security in relation to the result to be achieved, depending on the disease or symptom on which they intend to act.

The application of the needle can be very fast, but can take several minutes or even hours. In modern practice, especially Western, characterized most often by speculative connotations and in any case, forced by the rapid pace of life, preference is given to quick acupuncture, which nevertheless often requires an application depth of the needle.

Acupuncture is generally performed with metallic needles, solid and thin as the size of a hair. Patients report different feelings associated with acupuncture, but most feel minimal pain upon needle insertion. Acupuncture makes some people report feeling energized by the treatment, while others say they feel relaxed.

Place the acupuncture needle incorrectly can cause soreness and pain during treatment. It is therefore important to look for a qualified acupuncturist for treatment.

Instead of needles, other forms of stimulation are sometimes used include the following:
* Heat.
* Pressure (acupressure).
* Friction.
* Suction.
* Pulses of electromagnetic energy.

The acupunture working instruments are needles in size and shape, usually steel, but can be of precious metals, which are attributed to different therapeutic effects: it is said, for example, that gold has a stimulating effect, while silver has power sedative. The needles used in acupuncture today are metal, usually steel, but can also be gold, silver or other metals. It is worth recalling that in ancient times used in acupuncture instruments were made of stone or wood the margins of the metal used, the needles, while presenting different ways, consisting essentially of a thin stick that ends with a pointed end and sharp the other in a reinforcement that facilitates handling. The filiform needles are commonly used in “plum blossom”, etc.. Filiform needles have a length and a diameter varying from 1.2 cm to 12 cm long and ¼-mm half a millimeter in diameter. The needle on “plum blossom” consists of 5-7 needles together in a single medium, which starts a long stick that serves as a handle. Relatively recently been also introduced the use of electroacupuncture, which consists of applying an electric current to the needle, once it has been introduced into the skin.