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| The difficulty to evacuate is a quite common problem |
| How to prepare the cold |
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The difficulty to evacuate is a quite common problem and it is defined as a frequency
minor to three depositions per week. Nevertheless, it has an easy solution, since with small changes in the life style it can leave in the past his difficulties. |
Writing / agency
Washington Hispanic
The cold defined as the difficulty of evacuating in a normal way, is a common gastrointestinal problem. The persons who suffer it have problems for his depositions, his garbage is very hard or they suffer to evacuate when they go to the bath. It is necessary to add that the status of the normal thing as for the frequency of the depositions changes. In general, it is probable that a person is feeling stuffy if it goes to the bath less than three times a week and if his garbage is hard and dry.
Fortunately, most of the cases of cold are passing.
Some simple changes in the life style, like doing exercise or eating a high diet in fibre it can help to relieve the symptoms.
This problem also can be treated by laxatives.
Symptoms
Not to evacuate every day not necessary means that it is feeling stuffy. It can have this problem if the frequency of his depositions is minor to three times per week, his garbage is hard, it must force to the maximum his abdominal muscles when it goes to the bath, experiences a sensation of rectal blockade, stays with a sensation of incomplete evacuation after going to the bath or must force his stomach with the hands to achieve it.
When to see the doctor
Although the cold can be annoying, in general it is not serious. Most of the persons who suffer it do not go to the doctor. Nevertheless, to suffer chronic cold can bring complications or be a symptom of a problem of major health.
Go to the doctor if it experiences a seguidilla of episodes of severe cold without explanation and these last more than three weeks. Also go to the doctor if it goes to the bath every three days even if it does more exercise and he added to his diet more fibre, if he suffers from the stomach, it sees blood in his garbage, he suffers from cold along with diarrhea, rectal pain or grows thin.
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When the colon absorbs too much water, or if the muscular contractions are slow; the waste hardens and dries off, being expelled in very slow form. This is the principal cause of cold.
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Prevention
In most cases, simple changes in the life style and in the diet can relieve the symptoms of the cold.
A high diet in fibre (at least 25 grams of fibre every day) can help him to soften the depositions. Between them it can find beans, entire grains, fruits and fresh vegetables. Limit his consumption of meat, cheese and processed meals.
The regular exercise helps to stimulate the intestinal activity. Also take liquids, take his time to go to the bath and do not ignore when his body indicates him that it is time to evacuate. Also it can use laxatives, which are considered to be the last resource to relieve the cold. Eye with these products, because it is easy to abuse them.
In this category they are stimulant like Dulcolax; lubricants, softeners of garbage, supplements of fibre, osmotic and laxativos saline. Causes
Normally, the garbage of the digestion is expelled across the digestive tract by muscular contractions. In the large intestine, most of the minerals and the water of this process are re-absorbed since they are important for the corporal functions.
Nevertheless, when the colon absorbs too much water, or if the muscular contractions are slow; the waste hardens and dries off, being expelled in very slow form. This is the principal cause of cold.
Also it can happen because the muscles are working in form descoordinada. Also other causes are known as the dehydration, few fibre in the diet, not to go to the bath when the body indicates it, little exercise, syndrome of irritable colon, I change in the life style or in the routine, too frequent use of laxatives, illnesses as diabetes or of the thyroid gland, medicines, hormonal problems, absence of salt in the body or injury of the spine.
In other cases it can mean colorrectal cancer, hormonal problems or autoimmune illnesses.
Treatments
It completes a high diet in fibre, limit the meals that have no fibre, take a lot of liquid, limit his caffeine consumption, do exercise in regular form, do not ignore when his body indicates him that it is time to go to the bath, if it is necessary consume fibre supplements and be very careful with the laxatives since these can do that his colon becomes dependent on them to evacuate.
| Experts indicate that often there are errors in the diagnosis of this evil |
| “They deliver new guidelines for brain haemorrhages |
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| The cerebrovascular attacks happen when there is a hemorrhage in the brain. The rapidity for the medical attention is key in the sobrevivencia. |
Writing / agency
Washington Hispanic
“The patients of cerebral hemorrhage have better results when they talk each other with rapidity and in hospitals that handle emergencies for brain haemorrhage, according to the new guidelines updated by American Heart Association.
The hemorrhage subaracnoidea (HSA) happens when a blood glass bursts and bleeds in the space subaracnoideo of the brain, which is the recovering between the surface of the brain and the cerebral textile.
Most of the HSA are caused by the rupture of an aneurisma (a small node in a blood glass). A trauma in the head also can cause HSA.
The hemorrhage subaracnoidea is one of the most mortal neurological emergencies. The valuation of mortality of the HSA is closely a 45 per cent in the first 30 days, and close to half of the survivors they suffer some type of significant disability.
Since the previous guidelines were published in 1994, there have been done many advances, which were taken into consideration by the American Association of the Heart.
The recommendations
Between the most excellent points of the new guidelines the following thing is recommended:
The experts recommend the definitive and early treatment for most of the patients, what can reduce the valuation of mortality and disability.
It is a necessary knowledge that The HSA diagnoses in form mistaken in 12 per cent of the cases. The results of a bad diagnosis increase in four times the risk of death and of disability. The patients who complain about an intense headache of sharp appearance should be examined by HSA.
It is highly beneficial for the HSA patients to receive attention in the hospitals that have surgical experience endovascular and cerebrovascular.
The HSA patients also have significantly better results when they talk each other in hospitals with big experience in the patients' treatment with HSA, compared to the hospitals that have little experience.
The angiografía for catheter keeps on being the excellent standard to detect the aneurismas and to direct the treatment.
The HSA patients need protocols standardized in the emergency department to handle, especially in the first stages.
The treatment endovascular with platinum spirals (the treatment of the aneurisma by means of catheter) can be beneficial in some cases. This method is used often to avoid the cerebral surgery.
The updated guidelines were published in a recent edition of the magazine Stroke.
Symptoms
The symptoms of the brain haemorrhages are clear and they present before themselves suddenly. Call 911 if you or someone around him is suffering any of these symptoms:
Sudden drowsiness or weakness in the face, the arm or the leg (especially in a side of the body).
Sudden confusion, difficulty to speak or to understand.
Make difficult to see with one or with two eyes.
Sudden difficulty for gait, sickness, loss of the balance or of the coordination or a sudden severe headache, without well-known cause.
| He interviews the director of the Center of Inequality of Health of Adventist Healthcare, Marcos Pesquera: |
“In this country it is necessary to take the reins
of the proper health” |
For Felipe Lagos
Washington Hispanic
As the executive director of the Center of Inequality of Health of Adventist Healthcare (group of health with hospitals in the counties of Montgomery, Prince George and Frederick), Marcos Pesquera thinks about how to help to diminish the causes that provoke this problem.
Certainly, it is easier to say it that to do it, and to illustrate the challenge the executive uses an anecdote that happened to him in the epoch that was a manager of a health center.
“ When he was a manager of a medical center, a cardiologist asked me please to help him with a Latin lady who had cardiac flaw but who was saying that it was not going to do anything of what they were recommending to him to treat his condition. I was and I began translating him and at the end of all the recommendations, I asked him if it was going to do all these things. To what he answered that if it was understanding but that was not going to do it. I translated again because I thought that the problem was my accent. The same happened a pair of times more and in the end I asked him if she was understanding that if she was not doing what the doctor was indicating him, she was not going to be a lot of time more in this world. The lady, with a suspicion look, says to me looking at the doctor ‘look at it for her, looks like a kid’. Then the lady added that the doctor did not have white in the hair and finally he says that his doctor of Peru was a man older than 65 years and it prescribed a medicine several years ago and that she was going to take that. In this moment he did not know what to do. Finally it happened me to show him doctors' portraits. The doctor who was attending to it was the director of the program of cardiac flaw. And I said to the lady that all the doctors who were going out in the portraits were not moving hair if it is that the doctor was not approving it. The lady finally gained access to the recommendations. It is a slightly comical history, but it is a serious topic. There are cultural characteristics that prevent from being able to be attended to the patients of the same way, and this is fundamental to establish the confidence relation between the doctor and the patient. For the Latin Americans it is important that the doctors take the time to establish this confidence relation”, he says Fishing.
— But this is a way of two routes, because the patients must be opened for a type of different attention and the doctors to have the time necessary to make understand.
“ This way it is, and the doctor must have the patience to ask the patient: ‘does it understand me?’ and then: ‘is it going to do it?’, that is fundamental. In Adventist we have a training program for personnel who are bilingual where we tell how to offer translation in a medical situation. The important thing is that the persons also could identify situations as those of this lady and that they could build the bridge between patient and medical”.
— What are other causes of inequality in health for the Hispanic population?
“ There is a pair of things. The first thing is culture. The idea exists that one goes to the doctor when it is sick. The prevention concept is not known. This relation does not exist because the numbers are teaching that the Hispanics use very much the emergency room for the treatment of asthma or things that in fact a primary doctor treats. The second reason is non-knowing or non-being familiar with the health system and finally we find the language”.
— How can these problems be solved?
“ In this matter it is necessary to include many persons in the solution. The mass media must collaborate with this, but to be able to list the rest of the persons the training is key. To qualify doctors, nurses, to the team of work of a medical center in the disparities and his causes and how can they have a roll in eliminating them, already is increasing the knowledge and to teach the persons on numbers and how the patients act culturally”.
— What advices would it him give to the readership so that there are no prey of the inequality of health?
“ Number one, seeing is always a doctor with a list of problems. Often the doctors are purified, but if it has a list of what aproblema will be able to extract profit to his medical appointment. In this country it is necessary to take the reins of its own health, and if one goes to a doctor they must speak about all the topics that it has questions. Another thing is that if a person has no insurance, and although it is an impediment of access to the health, there are clinics in the counties in Montgomery there are eleven community clinics for persons without insurances. Of that they are occupied it is like that, but the service is there”.
| Air pollution control delivers health benefits |
| The clean air contributes to a major life expectancy in the country |
For Alice Changs
AP
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| The contamination of the air reduces years the persons, while the clean air increases the life expectation. |
A cleaner air in the last two decades has added that almost five months to the life expectancy I mediate in the United States, says a federal study.
The investigators said that this is the first study in showing that to reduce the contamination of the air lengthens the life.
Between 1978 and 2001, the hope life expectancy in the United States increased almost three years, to 77 years, and up to 4,8 months of it they are attributable to a cleaner air, said scientists of the University Brigham Young and of the faculty of Public Health of the University of Harvard in an article in the magazine New England Journal of Medicine.
Some experts not linked to the study said that the profit is substantial.
“ It shows that our efforts as country to control the contamination of the air have been worth while”, said the doctor Joel Kaufman, student of environmental health for the University of Washington.
The scientists have known for time that the particles in the contaminated air can stay at the deep of the lungs and increase the risk of pulmonary illnesses, heart attacks and apoplexies.
These particles come from factories, plants of electricity and vehicles that use diesel.
A little of history
In 1970, the Congress approved a Law of Clean Air, which the authority gave to the Agency of Environmental Protection (EPA, for his acronym in English) to establish and to make to fulfill national norms to protect the population of pollutant particles, carbon monoxide and other substances.
It is considered that this law has improved the quality of the air in the country, by means of catalytic converters in motorcars and "scrubbers" in new factories.
For the study, the scientists used governmental information to continue the contamination levels during two decades in 51ciudades Americans.
The experts compared then these changes to the life expectancy calculated from the records of death and the information of census.
The study fits the results to bear in mind other factors, like the habit of smoking, the income, the education and the migration.
As I mediate, the levels of harmful particles fell down from 21 micrograms per cubic meter of air to 14 micrograms per cubic meter in the studied cities.
At the same time, the Americans lived 2,72 more years.
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