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Assisting with warm soak and sitz bath
Assisting with warm soak and sitz bath
Putting patients to soak with warm water is one way to help improve watershed
Blood, and reduce swelling and inflammation, increase relaxation of the muscles, helping cut meat noisome out. If the parts that are soaked too large to put into, we prepared the fabrics which are heat Lo cover on its patients, where to soak must have seats that can be patient sitting water without wet feet and chest.
Sitz basin is an appliance that features easy to use at home.
For patients who had surgery between the buttocks and genital surgery or buttocks wife, surgery, childbirth, or illness hemorrhoids always get a good soak in a sitz bath.
Each time the water in Basin nurses to remember that heat hot water, which must be soaked enough to avoid exposed skin. It is important to carefully control the water temperature to prevent burns. It also retains heat better solution to effect the wet heat treatment.


Materials

• Basin, or basin, or Sitz bath
• Place the hot solution warm in warm temperatures.
• Towels for the bath
• blanket coverage
• Express sponge
• prescription drugs
• rubber floor, gloves
 
 


 Assessmen
t

Checks issued by the prescribed solution, body parts, which are soaked, and level
Temperature set. Based on medical records to identify the challenges
Risk patients, a decrease of feeling regarding the temperature of the solution.
Determine the bans the use of some solution that affects blood current. Estimate and record blood pressure, the patient's pulse. Estimate and record the patient's skin and soak.
Assessment of the patient's ability to soak them. Estimated and recorded much of
the health of patients by measuring device that can visually estimate and record the patient's perception of treatment and enforcement purposes.

Nursing diagnosis

Create the appropriate nursing diagnosis based on information collected through assessment comprises patients
- lost the feeling of the skin tissue
-  physical decline
- crisis leather
- lack of understanding for hot water
- pain, and face causing injuries

Planning

- Results expected statute
- patient's skin will be pink and moderate heat felt immediately after soaking.
- Can immediately know by experts in risk decreases pain.
- Blood pressure and pulse are normal.
- Patients use heat soak correctly.
- Prepare materials and equipment
- explain the stages of form and purpose for patients.

Implementation

• Sinks
• pour the hot solution warm in the Basin by monitoring temperatures
Correct.
• If the patient needs to soak status must be made easier and rubber asphalt pavement below.
• Patient covered with a blanket or towel after bathing.
• maintain a constant water temperature during the soak for 15-20 min
- Cover or towel soaked blanket around the tank
- The side of the patient from the soak tank to check for sure no skin burns pour a cold solution, instead of the solution of warm and hot soak continued.
• Remove side from the tank to soak for 15-20 minutes and then carefully wipe bath
Caution gloves injury if you have a flow of lymph.
• help prepare them the uncomfortable situation.
• Saul drainage solution soaks tank.
• Soak the cleaning tank and store them properly.

Evaluation


Soak the skin condition to look for signs of skin redness, inflammation, and pain. Asked whether patients feel hot or burning?
Estimated life if you had complained of dizziness or fatigue. Asking patients to implement showing the form and describe the purpose of the soak.
• Unexpected results that may occur include
- Patients skin turns red and sensitive to various stimuli.
- Blood pressure patients weak and complained of dizziness, nausea, and headaches.
- Patients unable to explain the purpose of the form, or water, or bathe properly what we have applied to him.

Records and reporting

• noted the implementation of reforms, including more heat, and water
Notes care nurses.
• depicts soak parts of the patient before and after treatment and response
our technology to patients who applied.
• Record signs of life before and after the implementation of reform.
• describes the instructions that we give and success

Application forms for patients.

• Records of the patient's complaints, and observations for the unusual, such as signs of life, for reporting to the nurse or doctor who will work to continue.

An overview of the hot humid heat

Application of Moist heat
Application of Moist heat

• Brazil is an example for the hot humid heat.
• Express dipped includes salty water that hot.
• Already placed on open wounds or placed on the skin surface.
• Skin breaks or cuts need to use Express stake.
• Clean with wet heat is to facilitate and circulatory systems.
• reduce swelling and lesions dry.
• Clean with damp heat is used solution heat warm.
• When applying heat, wet nurse to remember that heat must touch the skin of the patient.
• It is important to check the water temperature to prevent burns.
• It is good to keep a constant temperature water solution.

Materials

• The water solution containing the appropriate heat.
• Express sauce
• Herbs (if any medical confirmation)
• Towel.
• Gloves, clean bucket (stakes for open sores)
• Gloves stake
• Tape
• Rubber floor sponge
• Blankets

Assessment

• comply with the type of use moist heat compresses to the location and proper heating.
• Assessment skin around where to treat.
• Assessment of pain and temperature affected by gently.
• Check the doctor's account, which does not allow the use of wet heat for patients with myocardial infarction (heart muscle damage), angina (chest pain due to heart disease).
• Assessment blood pressure and pulse.
• Assessment capabilities hold your illness.
• Assessment See more of the patient's pain by measuring starts from No. 0 to No. 10.
• Assessment of patients' awareness of the use of clean damp heat and purpose.

Diagnostic care (Nursing Diagnosis)

• The risk of injury
• The lack of knowledge regarding the hot humid heat
• Impairment of body movements
• Pain
• weakened sense
• The weakened condition of the skin
• Blood cells are not effective.

Maintenance plan (Planning)

• Results expected after the end of the program implementation -
- Where the victim has a pink color and heat after soaking
- After several dips lesions showing signs of recovery (reduces swelling, inflammation, and scar lymph flow
- Patients do not complain about inflammation
- There are fewer pain patients
- Blood pressure, pulse, and will return to normal again.
- Patients treated with safe
• Collect and prepare equipment
• explain the steps of the implementation and the purpose for the sick.
Implementation (Implementation)
• Wash hands
• Use Express stake circumstances
- Patient status and put the asphalt underneath where to treatment.
- Where to simplify treatment and coverage for the sick.
• Brazil circumstances
- Injecting the solution into the container stake
- Heating solution
- Express stake into the solution
• Wear gloves and loose headscarves and wounded into the medical waste containers.
• estimate the condition and the surrounding skin.
• Gloves stake. Capture Express pad dipped in water and wrung out gently placed on avoiding lesions on the skin.
• 2-3 minutes later, the Express revealed lesions redness.
• If the patient stands express freeze the lesions. Be sure Express covers nearly the entire lesion.
Gloves stake.
• Floor heating waterproof towel. Save it as we want.
• If you do not use the floor heating to maintain the temperature change Express heat stake every 5-10 minutes, or according to the requirements.
• Applying prescription ready and gloves carpet cleaner, towels, and Express. Approximated skin lesions and situations change stake.
- Educate patients to take a comfortable.
- Keep polluting materials properly and wash.
• No open water to the skin virus’s yoga
- Wear gloves. Express wrapped lesions. Gloves and put dirty express properly.
- Assess the situation surrounding skin lesions and ulcers.
- Heated solution into the container. Check the temperature.
• Patients soaked lesion into the bucket.
• maintain a constant temperature during the soak 15-20
- Remove the covering of Tanks
- 10 minutes were soak out of the bucket, and then check the inflammation and the like. Pour the old and new flush and soak continued.
• 15-20 minutes to stop soaking and drying the soaked dried.

Evaluation

• examining the lesions treated, whether red scar inflammation or pain?
• Ask patients with severe pain and variations generally to treatment.
• If the patient complained of dizziness.
• Patients showing clinical implementation and explain the purpose of treatment.

Records and reports

• Record the form, type, place, and duration of treatment, as well as implementation solution, and temperature logs nurses.
• Write the physical condition, skin lesions and, before and after treatment and changes to the treatment of patients.
• Write the signs of life before and after the application form.
• Write the instructions for the patient, and the patient's ability to explain and implement reforms.

• Report all complaints of patients and any abnormalities administrators, nurses or doctors.

Is the study of structure and grow and grows out of human teeth.
Dental Anatomy
Dental Anatomy
Analyze the function of the tooth when biting each other and where the other missing teeth in the chewing surfaces. Dental normal fertilization before came out of the womb beginning. Dental anatomy as Taxonomy Scent (Taxonomy from Greek Taxi = managing nomos = law) is classified as science. Regarding the name of the teeth along with the structures that exist. Primary teeth are generally 28 to 32, with teeth Mars (Wisdom teeth) can grow and not grow. Primary teeth found on the Upper Jaw teeth 10 and Lower Jaw 10. The permanent teeth in the Upper Jaw (maxillary) with 16 teeth and Lower jaw (mandible) with 16 teeth. Teeth and can grow more than 32.

Teeth grow very familiar shape eating it starts from the embryonic cell, Grower up and grow in the mouth, although it has different characteristics. Baby teeth begin from 6 to 8 weeks in the womb, and it is not likely at this stage, it will not have any teeth in the mouth when the baby's born out of the womb.

The first major organs of developing teeth Branchial arch.



Her twig’s "Epithelial Root Sheath growth of epithelial sac of the root. Dental papilla cell evolves into an Odontoblast the shape of Dentin forming cells. The title of the papilla and Inner Enamel Epithelium also determine the shape Crown teeth.

Dental papilla cells in up to three substances are Cement oblast, Osteoblast, and Fibroblast.
- Cement oblast creator Cementum
- Osteoblasts form the alveolar bone
- Fibroblast periodontal ligament
that attaches the tooth to the alveolar bone through Cementum.

The teeth were divided into the following phases as follows Bud stage, cap, and Bell Finally maturation. These stages it very interrelated.

II- Identification determining identities

a- Nomenclature
 Teeth were put into position Arch stage. Teeth are divided into 2 phases Baby teeth and permanent teeth. For Succedaneums dental referring to those who grow (Incisor, Canine, and premolar Dent permanent) and means that the maxillary upper Jaw Mandible referred Lower jaw.
Teeth were divided into 4 groups, Incisor, canine, premolar, and molar. Premolar teeth while Incisor is divided into 2 lateral and central Premolar First and Second premolar Molar divided into 1, 2 and 3.
b- Numbering systems
 Numbering systems are very much in determining the dental system to call, but the system which uses 3 simple background

- FDI (World dental federation notation)
- Universal Numbering System
- Palmer notation method
The FDI system used in all the world the universal numbering system used in the United States.
In 1891 he Victor Hade rap Dane mark created using the plus (+) and (-) plus the Upper Jaw and Lower jaw.
For example, +1 -> +5 for the teeth on the right
 1+ -> 5+ for the teeth on the left

III- Anatomic Landmarks anatomical location
Crown is part of the teeth were used in two parts

2. Clinical Crown means is part of visible teeth in your mouth when speaking.
Crown composed of Dentin-pulp and Chamber. Before coming phase eruption tooth, Crown covered by bone, but later Crown was recovering from bone, which we see as an anatomically normal and Clinically Healthy mouth.
3- Anatomic root
 Anatomic root is seen under CEJ armored sheath around the root Cementum Clinical we cannot see directly in the mouth. Dentin is also an organic part in creating the Root of Tooth combination with Pulp Canal. The root of the tooth can be from 1 up to (eg: Incisor, Canine, Premolar usually have 1 or Molar or 2 or 3 ...).
Generally, teeth, jaw, the support structure to combine with Periodontium who is associated or teeth to the bone.
1- Surface
 Surface say that means the surface or parts or regions. Area near Cheek or Lip is called Facial any surface and near the tongue is called Lingual. For Facial Surface divided into 2 parts
1. A section in the back and near the cheek called buccal Surface
2. The section near lip and called Labial Surface
The Lingual Surface also be divided into 2 parts
1. The parts that remain in the tongue called Lingual
2. The parts that remain in the back of the tongue Hard Palate called Palatal Surface
 Surface bites, chew food assistance is called Occlusal Surface teeth called Incisal surface.
Surface near the Junction of the Crown and root called cervical surface
 Surface near the end or be called Apical. Mesial and Distal be called in the same sense Mesial means the nearest surface (Mesial surface) Surface of the adjacent teeth versus Surface Line median and most distant Distal surface.
2- Cups
 Cusp is responsible or bumps that grow on the Occlusal Surface of posterior teeth and canine. It's part of the chewing surfaces of teeth as follows
- Canine Cusped 1,
- Maxillary Premolar cusped 2 (1 on the buccal inside Lingual 1)
- Mandible first premolar, cusped 2 (1 on the buccal inside Lingual 1)
- Mandible second premolar, cusped 3 (1 inside buccal 2 at the Lingual)
- Maxillary Molar have cusped 4 (2 on the buccal 2 at the Lingual can have another small cusped Lingual mesial called Carrabelle cusped)
- Mandible molar Cusped 4 and 5 (2 inside buccal 2 at the Lingual).
3- Cingulum
 Cingulum is a brand which places covered enclosed Line Mesiodistal shaped Encircle and still Lingual Surface, where 1/3 of Cervical of incisor. Generally U-shaped appearance on the Lingual lob that we can see clearly that it is growing well. The Cingulum mandibular incisor is shallow less clear to us that the lack of growth. The canine Cingulum very precise shape and shiny teeth than others.
4- Ridge
 Ridge is a flat line that runs on the teeth
and was named to the place where it is located.
a- buccal ridge line running on the surface Crevice Occlusal the center of the Buccal Premolar.
B-Lingual Ridge: A line running from Cingulum towards the top Cusped part Lingual Surface of canine. Cervical ridges run straight on the sides Mesiodistal 1/3 of Cervical Buccal surface of crown
c- Cusped Ridge: a ridge that divides the top of Cusped (Radiate).
All teeth on Marginal ridge 2 is Mesial and Distal his ridge on the edge of the Mesial and Distal Lingual tooth surface while Marginal ridge on the corner Mesial and Distal occlusion surface.
D-Triangular Ridge: Ridge features a triangle from the top Cusped Premolar and Molar referring to Central Groove
E- Transverse Ridge: Ridge combination of Triangular ridges of a variety of teeth. For example, the combination of the buccal and lingual Triangular ridges into Transverse Ridge.
f- Oblige Ridge: There was still occlusal surface of the maxillary Molar caused by combining distal cusp ridge of Mesiolingual and Triangular Ridge Distobuccally cusp. Usually Oblige Ridge on the border of the central fossa.

5 -Development Groove
Teeth that show us that growing up a notch shallow groove on Mandibular central and lacteal incisor. The canine evolution, it has deep scars groove and makes us realize that there Groove good and very strong growth with the jawbone.
6- Embrasures
 Embrasures gap is shaped like a triangle, which is located between the proximal surfaces of teeth against each other. Corner of Embrasures due Match Interdental papillary gingiva, the adjacent teeth together with a contact point where the teeth touch each other.
The cervical embrasures usually filled with Interdental papillary gingiva. When the degradation or loss of gums and large Embrasures called Black angle or Angular is NIGRA
Embrasures 3 functional parts
1. The spill way a hole to pass
2. For preventing food affects the gums and dental cleaning Mechanic 1
3. To help prevent and treat periodontal injuries after clashes
7- MA melon
 MA melon is still on the face of tiny bumps shaped like teeth of 3 or 4 lobed. When the diameter of reprisals lamps or bite......... MA melon will wear away tooth, especially for the elderly. MA melon clearly saw when teeth have grown out of the oral cavity.
Note: For adults, if there is room MA melon, let us know that he had a problem Malocclusion.
IV- Distinguishing characteristic of teeth characterizing teeth
A- Incisor: 8 teeth for Maxillary 4 and Mandible 4
It contains functions for food and non-cusped but it has a surface area on the teeth for a meal called incisal ridge or incisal edge
1- Maxillary central incisor: the crown of it, we see clearly Crown square shaped and melon it faded away when older people (from war).
2- Maxillary lateral incisor: It is located adjacent distal surface of maxillary central incisor and the mesial surface of maxillary canine.
4- Mandibular lateral incisor: It is located next to the corner and distal of mandibular central incisor and with corner Mesial of mandibular canine.
B canine: It all amounts to 4 molar teeth on the lower jaw 2 and 2 also can call it a corner stone, also because it is near and cusped 1
2- Mandibular canine: It has the same shape and maxillary canine except it grows on the lower jaw.
C- Premolar: it amounted to 8 teeth, jaw on 4 and jaw under 4 and it does not exist in phase it grows in whither broken missing and located next corner distal of canine and the other adjacent corner Mesial of first molar.
1 Maxillary first premolar: it is positioned between the distal of maxillary canine and corner Mesial of maxillary second premolar for functional bites and food and it 2cuspids at the buccal sharp stronger. The Crown bent at a third of the cervical refers to the root. Or 2 and sometimes creek
2- Maxillary second premolar: It is situated between the upper teeth distal maxillary first premolar corner and the other at the Mesial of first molar and function as first Molar. It has 2 cusp on the buccal shaped large and sharp Lingual small fir and functional chewing.
 3- Mandibular first premolar: It is situated between the mandibular canine teeth next corner
and distal side’s mesial mandibular second premolar. It functions like a canine mandibular and 2 cusp cusped and sharp on the buccal or a number.
 4- Mandibular second premolar: It is situated between the first premolar mandibular teeth on the distal side and the side mesial mandibular first molar and function as Molar cusped 3 but cusp larger and sharper on the buccal.
D Molar: It is located next after Premolar functions for grinding and chewing food thoroughly Cusped than 4 and up, depending on the mouth of the primary and permanent molar differ dramatically. They called Molar who later called the Wisdom teeth (Molar from the Latin word meaning mill).


1- Maxillary first molar
It is located between Second premolar teeth second Molar and it Cusped 4 2 2 on the buccal and palatal root and 3.
2- Maxillary second molar
it is situated between the teeth, maxillary first Molar Distal Third Molar mesial. Molar tooth permanent and primary teeth difference Third Molar behind it. And it has Cusped 3, 4 and root.
3- Maxillary third molar
It is located to the Dismal’s second mandible and Primary teeth do not have teeth, it contains Cusped 4, is at the Buccal 2 and above Lingual 2, it has the roots of 3 and the shape change much, they can call it Wisdom teeth.
4- Mandibular first molar
It is situated between the teeth Mandibular second premolar side Distal and second molar side Mesial it functions for milling chewing food mashing and there Cusp 5 2 at inside Buccal 2 other on Lingual and 1 other on the Distal and it Oppose and First molar of Maxillary. 2, or the Mesial and Distal
5- Mandibular second molar
It is situated between the Mandibular first molar teeth and Distal Third Molar Mesial side and the normal tooth Cusp 4 2 2 on the buccal inside Lingual and it has 2 or above Mesial and Distal
6- Mandibular third molar
It's next to side Distal and second molar of mandible for primary teeth do not have teeth, and dental forms and shape vary greatly depending on individual locations.
V- The root canal
 is the study of the anatomy of the eye socket or teeth? Nature in the central part of the tooth, there is a hollow hole, located in the roots, which is a place for storage to him (Block) pulp (a hole in your teeth that it has a hollow hole, a parent, including small holes which are separated from Pulp to other places on the Root.


1- Tooth structure
 In the center of the tooth (the cob, etc. teeth), it was the region Hole, which is a storage location soft tissue Otherwise (connective tissue), such as Nerve, blood vessel and connective tissue loophole are broad at the head, teeth called Pulp chamber. Hole run from wells root-like pencil wells 1. Pulp received husbandry and supply through the blood vessels and small nerve that runs through sending signals to the brain. When dental problems and pain it can recover if treated pulp canal of the root properly.
2- Pulp
 Space in the hole or gap teeth loaded with that nerves and blood vessels. Connective tissue, which is very loosely and talents is a pulp Dental, a subsidiary and other tissues, such as dentin. Dental pulp and who are contributing to creating a local dental germination period of 1 to 2 years after germination present in the oral cavity. Moreover
the teeth also provide support for raising the pulp as well, making teeth there is a strong, tough and not easily broken or brittle fracture when chewing food. The pulp had any function as to what is too hot or cold. Root canal is a word very simple for use in inequality yuan dental portion endodontic therapy is treatment cut piercings and the remove the organ that was in the canal pulp out and then cleaning washing antiseptic and take drugs coming off touches to full chignon hole holes or white.
3- Root canal anatomy
in the anatomy of the root canal is the pulp chamber and root canal. Both organs are in Dental pulp and it has separated longer a small tree called accessory canal that was visible near the apex but also along the body or teeth. root canal, it amounts to more or less depending on the number of roots of the teeth more or less the same Example if dental or 1, the root canal also has 1 well is their team, if available, or 4, it will also have a root canal 4 as well. For teeth that are more or that bringing the issue failed to treat very well. Example Before treatment, we know that first maxillary molar with or 3, and also has roots 3, but sometimes the roots side lingual, it can have roots split into 2 more, so that we're wrong, that's why treatment Levi met defeat.

Axis of the bone



The skull: the bones were joined by 8 skull and facial bones 14.
skull: a box-shaped hollow of the bone 8 which closes around the brain. The bottom of the skull related to the foundations of skeleton skull. 

Those bones comprise

1.front bones form a flat forehead and the roof of the tunnel (eye socket).
It has a hollow 2, above the eyeball each, hole, armored with membrane Munich be and full of air called the Front Sinus and functions of the shield air is: gave birth weight and help maintain a balanced head, giving the loudspeakers to voice it associated with the nasal cavity through the air run through.
2.Parietal puzzle is a flat bone from the side and cover (roof) part of
These skull bone bits associated.
Temporal: abnormal bone at the temple on both sides form a part of the wall and bottom of the skeleton skull.

Occipital: bone spatula, large, creating a wall close behind and a part of the bottom of the skull. The bone sites associated with bone Parietal it had a big hole in the wide shield for spinal cord passes. Chhaoengopoy upper bone is 1 (Atlas) bone of the vertebral column to create a joint that allows the head to move (turning, lift, slumbering ...).
Ethmoid 1: bone abnormalities constitute the bottom section of skull and separates the nose from the brain. Bone is this like sieve filter because it has a hole so much for the nerves smell passes to the brain. Bone has a hollow air with open nostrils.
Sphenoid 1: abnormal bone puzzle bottom of the head skeleton. The pituitary system of Henri Christophe, the central part of the bone Sphenoid.
Fontanel: on the skull infants caused by the progress of the bone is not yet complete. This feature allows for improving the format of the head when the birth and for growth later also .Anterior fontanelle sits straight lineage link between the bone side of either 18 months .Posterior fontanelle situated straight race between charge Consonant bone side on both sides, and it is sealed at the age of 6 to 8 weeks after birth.

Bone:

- Mixed charge 2: Create a nose. It is a small bone, flattened.
- Lacrymal 2: at the inner corner of the eye and tear through the urinary tract.
- Turbinate 2: small bone-shaped bolts and form a part of the side walls of the nose.

- Bone Vomer 1: a flat bone in the back of the nose that separates divided into 2 sides is right nostril and left nostril. They called the nasal valve.
- Palatine 2: abnormal bone form a lid, roof of the mouth.
- Cheek bones, 2: abnormal bone Zygomatic
- Bone Maxilla 2: Abnormal bone, bones, teeth.
- Bone maxillary 1: Load the tooth under the bone is an abnormal bone that can move among the bones of the skull.

- Bone Hyoide: bone, bone apart, and which are not connected to other bones. A small bone-shaped dock neck under the chin. The muscles that move your tongue cling common bone Hyoide.

Bone torso:
- Bones Vertebral column included abnormal bone 9 33 regulatory Nghe bye into the spine can move as follows:
 Vertebrae Cervical vertebrae 7 (C1-C7) or 7C
 Bone spine (dorsal vertebrae) have 12 (12 D)
 Vertebrae (Lumbar vertebrae) contains 5 (5 L)

Amphibians are unable to move:

Vertebrae sacrum have 5 (5 S) fused into bone form the sacrum
Bone (coccyx) 4 fusion to form a bone (coccyx) or residual tail as part of the pelvis
Intervertebral disc buffer is composed of soft cartilage fibres in the range of motion of the spine. Its function is:
For each connected to the body motion of the spine together on the one below.
· To protect the brain and spinal cord from injury by acting as resist earthquakes.
· To determine the motion of the spine.
- The curvature of the spine: for the necessary flexibility for walking, running or jumping.
- The puzzle of Bone Structure disc varies with size, shape and general nature, other, but each group is similar: Body bone or bone fall network shaped like a drum at the front of the part laptop or weight Colone vertébrales its size varies according to location, it has a smaller toward the spine. Disc-shaped chest larger, and amphibians waist larger.


General characteristics of the bones


Overview: musculature system - bones are combined with many puzzles that function together to create a movement to support and protect your body. Puzzle These include the bones and joints of the skeletal system, cardiovascular system, muscles and ligaments band that connect muscle to bone or bone to bone.
1- Function of the skeletal system
- support
- protection
- movement
- Mineral storage
- hemopoiesis
2-Structure of bones

Humans have 206 bones or bone 207 bone fibres that bond them together. All bone is composed of different cells have different forms. Among them are:

Skeletons and bones 22
Amphibians. Amphibians buttocks and spine bone implanted buttocks 33

Santeahtroung bones and ribs 25
Bones (Hyoide) 1
Bone limb 64
Lower limb bones of 62

The formation of bone


8th week of pregnancy in the surface of the bone Embryon was born ready.
Cartilage and fibre membranes are made gradually hardened by calcium deposits
The process of making these bones called Ossification
This process starts all the bones are more than 20 years to grow to be completed
bone growth
All the bones are covered by tissue fibres called the periosteum
Long-term growth of bone possible only when the panel bone Epiphysis
Factors that influence bone growth
    Factors eat: Protein
                 - Calcium and phosphorus
                 - Vitamin D
                 - Vitamin C
Hormonal factors: - Michal Tony
- PA News Simon
Physical factors: exercise
- Rest

Tissues of the bone



A-Bone tissue
- Spongy bone
- Bone Tan

B-tissue fibers
Panel bone tissue fibres
Called the envelope bone.

C transparent membrane of cartilage
It was at the end of the bone joints.

D. fat tissue
- Red marrow
- Bone marrow yellow

   2- Bone morphology

Bone divided according to the shape of the form
     (A) Longs bone Ex: humérus
      b) Short bones: Ex: the carpus
     (C) Ex Dishes bones:
      scapula
Long Bone Shaft Epiphysis "and under" Regional and trunk bones Metaphysics.

3- Ossification
Bone divided into two categories, and became two types of bone:
- Membrane bone "skeletons" and became a bone of membranes
- Chhaoengotn (bones of the limbs)
-Membranous Osteogenesis
- First, there was the Draft conjunctiva
- Then became a bone of Draft conjunctiva becomes bone membrane, it always happens at the moment of the life of the fetus in the womb and some bones ended up having a bone convicted after birth. The skeletons of evolution are not complete at birth and whose bones have not fully soft finish of newborn children.


Skeleton: can be divided into 2 parts

               
Bone Axis
1: Create an axis or straight pole at the centre of the body and it was assembled from the bones and the bones of the body.
 2. The rest of the skeleton plus There bone such as bone in a limb above and below.

Rheumatoid factor (RF)





Generally, the antibodies are produced by the immune system to participate in the destruction of bacteria and viruses that can cause disease.
But RF antibody can attach to normal tissues of the body, which can cause tissue damage
Rheumatoid factor (RF) is an autoantibody (antibody against the organism's own tissues) was first detected in rheumatoid arthritis.
RF and IgG immune complexes that cause disease
But mostly IgM,
RF levels are generally elevated in patients with rheumatoid arthritis (arthritis).
However, positive results can also be caused by other reasons, whereas negative results can not rule out the disease.
Therefore, the diagnosis is made with the patient's clinical symptoms.

RF Test



Are they using the rheumatoid factor test for?
It's a test to diagnose the disease rheumatoid arthritis.
Rheumatoid factors are present, about 80% of adult patients with rheumatoid arthritis
sensitivity: 60-70%
specificity: 78%.

PRINCIPLE

RF reagent is a suspension of polystyrene latex particles sensitised with human IgG.
This test is highly based on the immunological reaction between human IgG attached to the latex particles in the reactor with rheumatoid factors in the specimen.
If present in the serum rheumatoid factors, when mixed with the latex reagent, it will create a visible agglutination.
According to the WHO International Standard, the sensitivity of the reactor RF latex reagent can detect rheumatoid factors in the minimum amount of 8 IU / mL.

Reagents


Latex reagent: 50 or 100 tests per bottle
Positive control
Negative control
Panel test card Each card has 6 dark circles pregnant
Disposable pipette Stirrers

Test Procedure


Remove water reactor in the closet and the samples stored at room temperature analysis
Cocktails reactor more efficiently
Robert dropper RF Suspension droplets onto a circle board
Using a pipette with a certain level suction patient serum and serum control 50μl into RF supplement Suspension
Stir together today and it's full circle board
Hekla board at a speed of 100 ± 2 rpm / 2 min MN
(Check agglutination).

Interpretation?

Positive: Agglutination (> 8mg / dl)
Negative: No agglutination
When the RF level higher, indicating that inflammation or serious destruction of joints
Levels of rheumatoid factor may also increase in cases:
chronic infection
cirrhosis
cryoglobulinemia (abnormal proteins in the blood)
dermatomyositis (an inflammatory muscle disease)
inflammatory lung disease
lupus

cancer....

Dental trauma



Reviews

The examination was made after reasonable demand. Is important to regulate the body
All patients if they met the family dentist, and he was injured elsewhere.


1. Clash broke and note


- Look for injuries at the exterior entrance to touch bone
- Tissue wounds in the mouth or citizenship
- Reassuring hand on the bone pit or hole
- Noam unusual teeth that bite
- Broken teeth came out of the box vessels out to change the colour of teeth
- Knocking teeth alive?
2. The recording radiation (x) and injuries or teeth
Luxation in the primary dentition


Management

- Debris in the immediate disintegration of the tooth must be removed
- If need to use sedatives
- Dismissal row system or if there are remaining because teeth grow out and be able to push it out. We were told to Parents know.

Treatment

- Thmenhoprei colour can be overlaid on or off using the Composite (UV)
treatment system or the tooth out.
- If the teeth grow to different places to get dental treatment bend.

2. shake the teeth

The complexity of broken teeth and tooth roots
- If broken teeth and spread to the bones or the treatment system or by using calcium hydroxide Ca (OH) 2 or Ledermix.
- If the division of the head and teeth or teeth not spread to bones and teeth grow full, the treatment system or to do well. The ruins of this kind can treat close touch by using Composite or GIC.

Advice for emergency

- Watchmen immediate clean teeth
- Wrap a clean cloth and teeth fall and urgent dental treatment
- If the teeth are not clean, wash with milk teeth and catchment
- If not watchmen to keep teeth are not damaged or dead cells around the roots of teeth by putting milk
- Do not use the washing of water

- Need emergency dental treatment.

Surgery to drain pus for tooth abscess



A tooth abscess is a serious symptom of tissue that surrounded the late or who caused untreated broken teeth because of tooth decay. Abscess or tooth or abscess in the variable can spread to soft tissue muscles, lips, cheeks, under the tongue ... etc. nearby.

Characteristics of the disease tooth decay:


Serious tooth decay can have two characteristics
- A throbbing toothache caused by swelling of the lips, gums or cheeks Face
- A throbbing toothache caused by swollen gums, swollen lips or cheeks Face

Broken dental treatment without swelling:

This is the most common type, which is treated with tooth worse off under anaesthetic injection. Most case tooth requires monitoring sufficient protection symptoms.

Broken dental treatment with swelling and pus:
The first treatment:


When there is swelling, patients often have a fever. Teeth that are swollen and pus must be treated carefully, especially swelling and pus all related middle of the back of the mouth and throat. There are two treatments:
- When patients Kampong swelling and pus has not yet been gathering to painkillers and antibiotics to reduce pain and suppress symptoms.
- The pain is often a result of the pressure of tissue. Reducing the pressure from open surgery to drain pus or pus be said up front. Surgery to drain pus was conducted using a surgical knife (11) to drain the pus out. The place to open surgery
Plus out, depending on the place of collection of pus. The point of the surgery to drain pus out is at the bottom of its collection of pus and if surgery inside the mouth is used oral surgery at the exterior to avoid the scars.
If advances are coming out to shallow surgery on the tissue side
Under just a collection of pus, then use a sinus forceps push divided into inner there to
Drain plus. If the pus is still a need to put a soft tube to drain pus.
Normal position for oral surgery exterior is avoided where the main artery
And nerves run through. Let's wait and see until soft push and had surgery.
Surgery anywhere other cooked using a veil antiseptic to keep it clean. If length
Long surgery needed, though.

Then be treated with antibiotics to protect the Baltic symptoms and painkillers
Chronic pain like the circular according to the degree of weight or age of a patient none more.

Treatment:


Once the stage of infection was suppressed and teeth must be removed from the normal mode without the use of anaesthetic.

A Dislocated jaw


A Dislocated jaw is a hidden crush of bone Condyle from osteoarthritis, TMJ, which makes patients unable to shut bone Condyle can not penalise place.
If the patient opens his mouth, then could not hold back, that means: his jaw was dislocated by being frozen or locked in the open position.

Causes of a dislocated jaw


- By shouting or yawning, making one or two of bone Condyle push forward too much beyond the inner joint and it can not be returned to original condition.
- In the tooth under the pressure of the hand or mouth too big when treatment to simplify the work and to make it clear.

Symptoms of a dislocated jaw


- Mouth disease in the Sahara
- Can hatchment his return
- Could not close the lips to have easy
- Lower jaw shaped long and forward
- Spontaneous pain or stress on joints in front of the ear
- Patients unable to speak or not speak clearly

Treatment of a dislocated jaw



The main treatment is to push back lower jaw to the bone Condyle
Into a joint TMJ, then hold it in normal muscle can move more easily.
1. placement encourages patients to sit on the seat with the backing and support, such as walls, pillars, and so on.
2. You are standing in front of the patient (to encourage weight force stressed that in order to encourage
Slow muscles Masticator both thumbs placed in the mouth of the patient on the chewing surfaces of teeth
Jaw with a buffered archive under the thumb prevents encourage hurt the other fingers
From under the lower jaw.

3. Weight force assembled at the end of the thumb, then press down and pull back
Then you can hear the voice "rock" and patients can shut
(Teeth together), then bone Condyle into place joint TMJ
Restored.
In case of patients suffering joint TMJ patients have long
Days (2-3 days) could anaesthetic 1/3 or 2/3 cartridge in just the right place joints so
Pain when I press push bones transformed to its normal
4. Do patients to say too much or mouth. Wrap tie jaw attached to a head scarf or veil: one or two days to rest and jaw muscles.
5. The use of painkillers such as acetaminophen, aspirin ...
6. Explain the problems that may occur later and how to care:
- Eating soft, easy to chew and easy to swallow liquid (%: 2 weeks)
- Jaw joint clean cloth with water, kdaw_aoun_
- Be careful not too big if yawning need help.

A fractured jaw


The reason that led to a fractured jaw Kim trauma such as traffic accidents
(Motorcar) fighting alcoholic boxer bullets .........
They fractured jaw 2 is:
- Broken jaw (Simple fracture)
- Fractured jaw disease: caused tumor), a chronic inflammation of bone, tooth abscess.

Ranking:
1. For the lower jaw (Mandibular Fracture)
Fracture of the horizontal section of the lower jaw:


- The break between teeth 3 3 left to right: less mobility.
- Break the teeth 3 perpendiculars to the jaw: Most acute under and go to the bottom. The bone in the area of ​​mobility by piece down.
B. Fracture on the upper corner of the jaw costly caused by conflicting forces side. Where brushing
Thermal takes place can also be caused by exertion or quarry tooth 4 under.
C. Vertical fracture of the lower jaw
Most are broken bone Condyle.
symptoms:
- Injuries, swelling or bruises on the face and in the mouth
- Patients can not shut his mouth open
- Crooked mouth
- Difficulty speaking, difficulty swallowing
- When biting teeth and lower teeth are not joint
- Patient Pain
The diagnosis of a fractured jaw under conditions based on bone loss of function after jaw fracture dislocation injuries, bleeding or bruising teeth
Arthritis ... ...

2. For jaw 3 main levels are:


- Level 1: Lightweight fractures that occur at the bone pit teeth
Thick tooth movement seems worn teeth that were not right. Lip and bruises on the palate can sometimes bleed and intense pain.
- Level 2: Moderate fractures bone in the range between the upper teeth to the pit under bring eyes.
- Level 3: Serious fractures in the bone bring eyes and the bottom of the skull bone head.

symptoms

- Injuries, swelling or bruises on the face and the eye
- Nasal bone or anchor in Portland
- The movement of bones when we press on
- Patient Pain
- Eyes not clear (see Figure two or blurred)
- Teeth do not have arthritis
The diagnosis of a fractured jaw difficult than lower jaw bone
Bone pieces straight movement and some bones inside hard and to locate a break too.
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