Diagnosis is also confirmed by endoscopy – esophagoscopy, which with the help of endoscope the doctor can consider the esophageal mucosa. Treatment and prevention of achalasia cardia Treatment of achalasia cardia is to improve the patency of the cardiac sphincter. There are two main methods of treatment is balloon dilatation cardia and surgical treatment, consisting in cutting the muscles. Recently, for the treatment of achalasia began using botulinum toxin management. Drug therapy is an auxiliary and independently treatment does not apply. Consider the pros and cons of different methods of treating achalasia cardia.
To date, most common in the treatment of achalasia received balloon dilatation of cardiac sphincter. Doubtless advantage of this treatment is a little traumatic, no need for anesthesia, a small number of complications (rupture of the esophagus). But this method of treatment of achalasia cardia has its drawbacks. First he mechanism for intervention. In fact, during the dilation of the cleavage of the cardiac sphincter to the formation of cracks lining of the esophagus and inflammation. Second problem is not the disclosure of the cardia eliminated but instead creates Another problem is not closing the cardiac sphincter, which often leads to esophagitis.
And at the end of the balloon dilatation is often a recurrence of achalasia cardia, and often have scar stricture cardiac sphincter. In addition such treatment is often effective only at 1 and 2 degrees of achalasia. In recent times has spread of botulinum toxin in the management of cardiac sphincter. In this case, paralysis of muscles sphincter and it is revealed. The main disadvantages of this method of treatment achalasia cardia is a temporary effect (from 6 to 12 months) and the development of reflux esophagitis. The only radical method of treatment of achalasia cardia is surgical treatment. During the operation, cut through the cardiac sphincter muscle and the resulting cut sheltering wall of the stomach. Unfortunately experience in surgical treatment of achalasia cardia have not many clinics in connection with What is not always possible to achieve good results of surgical treatment of achalasia cardia. Contact information is here: Drew Houston. One of the most experience had a clinical professor. Onoprieva (Russian Center for Functional Surgical Gastroenterology, the Krasnodar). In this clinic has been developed a unique method of eliminating achalasia cardia, which allows to achieve good results in 97%. The method consists in a delicate selection of the esophagus, dissection of the muscular layer of the esophagus and cardia without opening slizostogo and follow-plasty aimed at preventing relapse achalasia and reflux esophagitis. The results are tracked for 25 years, relapse was detected in 3%. When properly treatment for achalasia cardia favorable.
To date, no indisputable statistics on the number of spas in Moscow, Russia. However, since not defined the term 'spa' – versions of its operating great multitude. David Karp has compatible beliefs. Therefore, I appeal to your data exclusively Company – International School spa. In Moscow, about 300 sites that call themselves spas throughout Russia up to 3000. Among them is a high budget centers (Medi-Spa City resort spa "Rixos-Carpathian 'SPA' Ritz-Carlton Club 'etc.). It's very high-quality equipment, great design – generally a good international level. The cost of square meters of the spa can vary from 3500 euros.
For my taste, despite the fact that such spa – definitely decorate Moscow – nevertheless, bored by the concept. But this is – for my taste. There were also actively developing ethnic spa with 'imported' staff. The clearest example of '7 paints' – great (from others) franchise network, which has' its Thai-Balinese person '. Clearly, here are different emphases.
Interiors may be modest, the main thing – the real Taik (Chinese girls, Japanese, etc.). The prospect of ethnic model 'real' staff – is obvious. That's the only 'headache' and 'pitfalls' – it is very a lot. For example, a massage in the Russian Federation could do only with Russian specialists of medical education. Point. Therefore, for many, actually fly the same colors '7 'and not to fill their own cones. There are spa 'for' beauty salons – declare authoritatively – without consulting competent – this idea is doomed. I have many examples, I do not want to offend the owners, I will not call.
Having a Mentor as a Sponsor that has a system that can use and with which you can work side by side is very important. Another way, and I think that the most effective is to hire a personal coach, a coach in this area specifies. In this way they will see your weaknesses and your strengths and create a tailor-made marketing plan. This way sincerely will save you many hours of lost time and money. The experience of these people in your field specific surely exceeding you read on your own. While the hiring of a marketing mentor take you to the best results, the majority of people who are beginning attempted to keep costs to the minimum possible and do not see this as a viable option. However, from my own experience I must say that if he had hired a coach when I started, would have saved me much time, much money and the results would have come much more quickly.
Whatever the way in which you decide to learn about Marketing Online, make sure you always get closer to someone who can offer help. s. The self-taught process you make lap me long time, lots of money and delay my results a lot. It wasn’t until I really decided to invest money in my education and training when I really started to build the results that I wanted to achieve. If you are thinking in choosing a mentor, sure to be an honest person and direct. There is nothing worse that say you what you want to hear, although it is not truth. If you still are trying to understand Marketing Online techniques, and in particular, the attraction Marketing can help you build your business successfully, you can subscribe to the free course Los 7 steps basic from the Marketing of attraction. It is a very powerful workout that will help you quickly understand how you can work your MLM business intelligently and different.
In each of the presentations, the length and width of the largest of the Antilles, Camaguey aquatic ballet Acuarium, Dean of the existing ones in the interior of the country, has extraordinarily impressed national viewers and foreign for the originality and quality of its magnificent rhythms executed in water, forming a floating show of particular elegance. There are nine sets of this specialty, of them, two in Camaguey, equal quantity in Havana, and the rest in Varadero, Cienfuegos, Villa Clara, Holguin and Santiago de Cuba in Cuba alone. Members of the aquatic ballet Acuarium, fifth created in Cuba, and the first in the interior of the island, recently celebrated the 15th anniversary of the grouping and are organizing the first National Festival of that specialty, in December 2009, in the city of the big earthenware jars, the provincial capital, about 600 kilometers from Havana. Very well earned headquarters by the prestige that enjoys the company in their demonstrations at national and international events. The distinguished cast Camaguey, it was officially constituted on 2 December 1993 and admitted to performing arts in 2001, released recently show cien x hundred Cuban (alluding to the cultural miscegenation on the island). But its members in the Assembly of Orcas to stalking, piece dedicated to the defense of the environment will be engaged in the coming month of January 2009. Subsequently take to the pool a version based on Romeo and Juliet, in both cases are the scenic creations of the choreographers Pablo Jose Hernandez (director) and Yoemis Lopez.
The company, in its stage start was called mermaids show, because the first dancers were women, hence the original name, but to incorporate men found baptize as Aquarium aquatic ballet. The new format allowed a greater variety of the show, and create in the audience, a sense of satisfaction. Pablo Jose Hernandez has reiterated that what difference those and characterized the rest of aquatic groups across Cuba is that we maintain rather than a folkloric line we turned her, we make representations of different musical genres in the water but his mount is always linked to our roots.