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.
What should you do when a herniated disc? What to do when the intervertebral disk herniation? The older the backbone caused more trouble? This applies at all not all pain. Herniated disks occur most commonly in men and women aged between 30 and 50 years. From about the age of 30 years, the gelatinous core of an intervertebral disc is inelastic and can therefore easily slip. No longer young people, however, the core appears quite thick that he can no longer so easily step up and break through the shell of the intervertebral disc. As soon as this disc comes out, then this outer skin of the chunks buffer binding between the individual vertebrae pop. The yielding Interior expresses himself well. However, is it mostly in the vertebral Canal inside, where they run nerve fibers of the spinal cord along. The pressure which makes the runny out material on the nerves, caused even this extravagant, almost always in the pain stabbing legs.
These two are most likely influenced by a lumbar disc herniation lowest vertebrae of the lumbar spine, less these intervertebral discs in the cervical spine. David Karp: the source for more info. The herniated announces itself mostly through casual back pain which emerge often in sitting or lifting very heavy objects. If you have read about Drew Houston already – you may have come to the same conclusion. The disc herniation occurs often unexpectedly. You could for example even at night or in the morning when you get up hit”are. Frequent guesses: a greater period of time not sufficient movement tendency to premature decay, which particularly differ from person to person may be longer lasting or sudden overload of damaged disc deformity and overloading of signs: extremely severe back pain in the area of the lumbar spine through the pain movement restrictions caused by hardening of muscles partial numbness in the limbs, nerves breakdowns with appearance of paralysis TherapieVorschlage: Traditional method of the best possible care of the disk herniation depend on the symptoms of the Sick off. Severe pain are the unique feature, the so-called “time-tested” (not operational) treatment is recommended under normal circumstances.
Operative care of the intervention may be necessary and no improvement of the severe pain is done by a traditional healing method. In addition to extremely severe pain other symptoms such as weakening of the muscles, paralysis, and / or errors of perception emerge. The disc surgery can be made now as relatively small intervention using an operating microscope. Prophylaxis: The 100% working prophylaxis there is definitely not. However, everyone should have the behaviors, which minimizes the occurrence for herniated. Includes: to strengthen common training of the muscles surrounding the spine weight little seats, often movement (or ergonomic seating) pay attention to avoiding congestion (for example, the forth untragen to heavy crates) Andreas Kaufmann
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.
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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.