The great insufflation of parnquima corresponding to the bronchi of the engaged wolf is characteristic. Such insufflation, that in general it reaches only one wolf, bes situated of preference in the superior and average wolves. Beyond already known repercussions morfofuncionais that occur in the pulmes in patients with enfisema pulmonary, some agencies and structures suffer the impact from these alterations, as the diaphragm, the heart and the carotdeo body, among others. CAUSES OF PULMONARY ENFISEMA enfisema acquired it and normally for smokers, more it can yes for some genetic factor, very rare but it can happen yes for a congenital deficiency of a protective enzyme of the pulmes the 1-antitripsina alpha, that and called enfisema genetic with the predisposition to develop enfisema in not smoking exactly. Already in this in case that, the manifest illness if in younger people with a faster evolution. In this case some genetic therapies are being studied for specialists.

It to be also associated to other illnesses as the bronchitis and the chronic bronchitis. TREATMENTS Have some options of treatment that can help patients with enfisema, but enfisema does not have cure however the step most important is to stop to smoke. When stopping to smoke when the blockages of air flow still are light or moderate the development of the incapacitante air lack is delayed. However, to stop to smoke in any point of the illness is beneficial. People with enfisema pulmonary also must prevent exposition to other pollutants in air. options of treatment of enfisema pulmonary include: remedies broncodilatadores, anti-inflammatory corticosterides, therapy with oxygen (supplement of complementary oxygen), surgery of reduction of the pulmes, transplant of lung (had to the risks it is viable only for a small group of patients) and program of physical exercises the measure that enfisema evolves, the person leave to make a series of things, become more sedentary.

The procedure of liposuction is one of most popular as far as plastic surgery clearing the fat surplus in specific areas of the body. If you are considering to use this method it is very important that you know what you will have to do after the intervention. Steps to have proportionate a good body thanks to liposuction? Consultation. During the consultation you must speak on the parts of the body that you wish are put under liposuction. If you are interested in more than three areas to try, can be that the plastic surgeon helps to select two you or three more important and the rest will be able to treat in other sessions. Also you must find out the amount of fat that can be eliminated in a single session.

You must come to the consultation preparation to discuss your medical file. This will include information on any medical condition, medical allergies to medecines, treatments, previous surgeries, etc. Is important that proportions complete and exact the information, since on this it will depend the success of the operation. Also the landlord of gain or loss of weight will ask themselves to you on your style of life and. The routine diagnoses will be examined to evaluate the suitability of the surgery and the type of anesthesia to use. The preoperative evaluation. Once you have decided someterte to the surgery of liposuction, it will be said to you what you must do for prepararte for the operation.

The information of the diagnosis tests will be examined taking into account your measures and the clinical photographies for your clinical file. You will sign the consent forms and detailed preoperative instructions will occur you about the surgery. Surgery. You will have to check that they have your surgery registered in the clinic and the type of anesthesia that will be used. After the surgery. After liposuction, you will have to dress operated articles of compression in the part or parts. You can drink water after 4 hours and to take a few mouthfuls some hours later. You will be able to walk and to have dinner normally that same night. Recovery. Initially something of aid will be needed, but at the end of the month you will feel like normal and list to resume your normal activities.

Brook Saucers, 31 of August of 2010 ' ' In search of esperana' ' When olei that school With different pupils I asked the God of the sky, Why the boys I have arm there not? (2x) That madness, that doidice Nor a pencil has in the hand For lack d' soul I lost the vacant I tired in such a way of hearing (2x) exactly the teacher Did not only have for me Thanks a lot nis compassion Then I I said the teacher is brother (2x) I always walk many lguas With the crutch in hands I wait one day to be able to walk Cell-trunk is the solution (2x) I wait the Pra surgery to pump my heart I assure you to I does not cry not, I saw I will give to the feet and the hands to you Parody created for: Fbio Moraes, Igor Rodrigues, Jefferson Baptist, Vagner Mosque and Vinicius Bueno.

The remodelagem of the body, for parts of the cosmetic applicators and of the plastic surgery, mimetiza constancy of youth. The reality goes in them escaping, in the happened negation of the manipulation of the time that provokes the signals of aging of the body. The action of the time already is passvel of being aplacada by the ingenuity of the virtual technology; we do not obtain to imagine until where we can arrive, packed for the armory of delay of the oldness and, for extension, of the death. 5,2 Experience of the transistion in the biological dimension of the time the objective of departure to think this is the agreement of the time as biological reality of the human body, that if constitutes in the physics-symbolic dualidade, if reproduces and crosses the existence in the axle health? illnesses, until the death. The body, while in alive system, makes the perception of the ticket of the time, in the organicidade of its biological rhythms. Whereas unconscious it does not recognize the ticket of the time and, therefore, it does not recognize the end of an existence, whose only intention is the satisfaction of the desire. Where the professionals, have that to be intent to look at, listening and the action, that is, the observing look catches the reality of the man in the cure of the death, comprehensive listening opens the canals of the auto perception and the action, that if makes shared in the formation of the professional pair? aged. If the death wins on the life, that if prepares to receive it, revealing in the glory of its accomplishments. 5,3 Experience of the transistion in the historical dimension of the time the starting point to think this transistion is the agreement of the time as historical reality of the human being, this being that produces science and the sociocultural system, making an experience of the time that exceeds the borders of the finitude.

In osteomielites of pelve the signals are: lameness, pain in abdome, hip, virilha or thigh and fever. In the diagnosis local pain in the infectado bone is proven intense, preceded of fever, loss of weight, fatigue. Presence of leucocitose. High VHS and PCR. Sanguineous samples (positive in 60%), cultures of inhaled of celulites and inhaled disgnostic of the space periosteal (or, if negative of the bone) must be evaluated before initiating antibioticoterapia.

Attainment of x-rays or TC for periosteais ascertainment of tumefao of soft fabrics, rise and calcificaes and ssea destruction and to consider alternative disgnostic (sseos tumors, leucemias sseos cysts). The RM is useful to delineate the extension of the infection for complex cases, or when the infection is associated with a trauma, surgery or falciforme anemia. The RM obtains to discern osteomielite from discite. (BEHRMAN, KLIEGMAN, 2004). One initiates the treatment with antibioticoterapia, the use of the adequate antibiotic in agreement the parameters of the child (weight, age). The used antibiotic must at least be kept per the 3 4 weeks or until ceasing of the symptoms and sensitivity of the microrganismos.

The monitoramento of hematolgicos systems, renal and heptico is of utmost importance a time that can be affected by the drug. Coadjuvante the antibioticoterapia the child must be kept in rest in the stream bed, immobilization of the affected extremity, with splice or bivalvado plaster, restraining or limiting the dissemination of the infection. Surgical treatment consists of the sequestrectomia (removal of bone dead) and surgical draining to prevent formation of abscesses. During the surgical draining, it puts polyethylene pipes in the wound (one instila antibitica solution in the area infectada for gravity and another on a suction device makes the draining) (WONG, 1999) In the nursing description the acute sprouting of the signals and symptoms is proven (pain, edema, eritema, fever). Evaluation of the patient how much the factors of risk (advanced age, diabetes, therapies with corticosteride) and former history of injury, infection or ortopdica surgery. In cases of acute hematognica osteomielite weakness generalized in sight of the sistmica reaction to the infection occurs. During the physical examination it has the exhibition of inflamed area, edemaciada and painful. It can have purulenta draining.