Sciatica

You are qualified, generically of sciatica, a painful syndrome of the sciatic consecutive ledge to an infection of the same one, of your medullary roots or of the corresponding plexus. The whole syndrome turns around the symptom pain that are of acute, intense character, terebrante and continuing, with frequent increases caused by the mobilization dle trunk or of the extremities or, simply, for the cough, contractions of the abdominal press, etc. Such increases to the effort are characteristic of the sciatica for injury radicular, that is to say, of the root of the ledge. You begin in the lumbar area, the inferior member continues, with longitudinal distribution until reaching the later face of the knee or, more frequently, the ankle or the extraneous edge of the foot. The pnto reached by the pain, as well as the features of the same one, constitute important elements in the diagnostic topographical lesional that rely on the appearance of clinical such signs as the positividad of the tests of Lasègue and other that are expressive of the sensibility of the roots of the sciatic ledge to the bare traction. In all the cases, the pain is not only referred to the member's interior, but also to the skin that cover it.

The syndromes doorosos of the sciatic ledge are consecutive to the aggression of this ledge at level of your roots (radiculitis), of the lumbar (plexitis) plexus or of the proppio trunk of the sciatic one. The ciatalgias is almost always of vertebral origin, and you are exceptional the neuritis of the trunk of the sciatic one.

The vertebral injuries that study preferably with sciatic syndrome are the called hernias of the pulpy core or hernia discal, and the protusions of the fibrous annulus. As you are known, the vertebral bodies are separated to each other by your elasticity, the movements of the bony vertebral segments; you are formed by a fibrous annulus that skirt the extraneous part of the surfaces of the vertebral bodies and you contain, in your center, the call pulpy core. The excessive and not well directed efforts of the spine, associate or not to degenerative states of the fibrous annulus, they can cause the break of this and the prutión or extruding of the disk that, in turn, you injure or you irritate the nerve root that emerge at level of the injured disk. Although this is the mechanical most frequent lawsuit in the citalgias, the nerve roots can be injured by toxic processes and infections. Among the most important lawsuits in sciatica, apart from the hernia discal, we can mention the toxic share of the alcohol, the tobacco plant, the diabetes, syphilis, etc.

The treatment should be guided fundamentally in two addresses: the deletion of the lawsuit that cause the pain and the treatment of this. For you are indispensable to establish an etiologic correct diagnostic. In the hernia discal, the therapeutical objective consists on avoiding the conflict arisen between the disk and the root. You are gotten with preservative methods, such as rest physique, management of relaxants, vertebral tractions, etc., or surgical that decrease to the extirpation of the disk herniado. The surgical treatment is urgent in the sciatic paralyzing calls, in those that the pain goes accompanied by debility or paralysis of the corresponding muscle groups. The treatment against the pain can be put before the antinflamatorio, and you consist on the corticosteroides management, butazolidina, muscular relakantes, termoterapia, vitaminoterapia of the complex B, among other.

Hepatitis

You are named hepatitis to the diffuse inflammation of the hepatic gland, what produce injuries destrictivas of the hepatocitos, associated to an exudative process.

When the inflammation returns, all the hepatic destroyed cells are reabsorbed and they are substituted by new cells regeneradoras, at the time that the exudation and the inflammatory cells disappear little by little.
This box of injuries doesn't have anything of specific, that is to say, the hepatic gland reacts in the same way before aggressive numerous agents, among which should stand out: the toxics (chemical or biologic) that give place to the toxic (industrial, fortuitous, you commit suicide or therapy) hepatitis; the infectious agents not viral that give place to an infectious fortuitous (pneumonia, syphilis, paludism, amoebiasis, recrudescent fever, etc.) hepatitis; and, finally, the viruses (that they produce infectious mononucleosis, fever, yellow, epidemic hepatitis and for homologous serum).

You be which are the lawsuit that cause the hepatitis, the clinical manifestations they are usually always the same ones, although the graveness of the path of the liver damage varies according to the aggressive agent.
The epidemic hepatitis or for homologous serum it is the one that are given in the clinical practice with more frequency.
Most of they have a communio origin, being the responsible one a filterable virus; the viral hepatitis is classified in two big groups: epidemic hepatitis, caused by the one that one comes naming virus TO or YH; and hepatitis for homologous serum, taken place by the compound number B or SH.
In both hepatitis, the clinical box and the histological injuries are identical, although the virus YH is always transmitted for via oral, and the period of incubation hard from two to four weeks, while the virus SH is transmitted by inoculation of blood or products of the same one with syringe, and your period of incubation oscillates between 10 and 20 weeks.

The viral hepatitis is almost always manifested by a box of dummy flu (seudogripal), characterized by a great decline and lassitude, appetite ullage, general breach associated to pains articulares and even headache more or less intense. The fever oscillates, and few times you pass of 39º. A slight pain can be given in the hepatic field, being very strange, on the other hand, the one that show up alive pain of cholic hepatic.
This box flu-like pseudo dura around 8 to 10 days, to the end of which the urination is darkened until acquiring the shade of the brandy.
Next an icterus appears that begin in the eyes to go covering the whole body little by little. During a, two or three weeks, the color of the icterus is intensified to go remitting slowly during an or two weeks later.

Whichever it is the etiology of a hepatitis, the treatment is always the same one. The main base is the absolute rest in bed.
This debit side to last, as minimum, until the lab analyses demonstrate that the bilirubin of the blood has returned to your normality.
Many cases that have evolved secondarily toward the chronic condition or malice, are due to an interrupt of the corporal rest. The second base of a good treatment is mainly the abundant, compound power supply of hydro-carbonados, vegetables and fruits, associating you a protean minimum of around 2 g newspapers for kilogram of body weight.
You should be excluded of the alimentary régime all type of excitant, sauces, mustard and alcoholic drinks. As background processing, the sick person should take a vitamin supplement, mainly of the complex B, associated to vitamin C.