Painless births (birth with epidural)

With no pain, pregnant woman is much more relaxed, more cooperative and birth process is realized in much more favorable conditions for the mother, the baby and also for gynecological staff that leads the birth.

Dr. Ismet Joseph
Master of Anaesthesiology and Intensive Treatment
American Hospital
038 221 661/045 500 910
www.spitaliamerikan.com

For most women in Kosovo is still an unachievable dream idea to have a normal birth and not to experience the pangs, according to their description are strong enough and often unbearable. A large part or we can say that most of them do not even know that it is possible to be born normal and not experience the pain, what makes the delivery process much more pleasant and cheerful.

In Kosovo, there is still a great reluctance for this method because of the stigma and insufficient knowledge about the advantages of this method.But, birth painless as possible, should be offered almost every woman us here.

What is actually the birth without pain with epidural?

This means placing a catheter into the epidural space in the lumbar region, through which administered local anesthetics (bupivacaine or ropivacaine), which is blocked by pain without stop uterine contractions processes that are essential to the delivery process.

Made epidural catheter placement in the epidural space at the L2-L3 or L3-L4, ie about 2 levels below the level where it ends spinal cord, ie the lowest level of the back, which makes it safe for injury spinal cord.

Also today medication used for the epidural birth without pain, it is possible that the patient walk in the birth process (walking epidural) proving that not extend the birth process when placed in the early stage of birth.

Advantages of birth without pain

With no pain, pregnant woman is much more relaxed, more cooperative and birth process is realized in much more favorable conditions for the mother, the baby and also for gynecological staff that leads the birth.

Also through the catheter epidural anesthesia can be accomplished even if the birth process there is a need of surgery (Caesarean), which avoids the risk of general anesthesia with all its possible complications.

What you need to realize a birth without pain?

1. anesthesiologist who has the knowledge and experience needed to administer the epidural catheter and birth without pain management.
2. The gynecologist who has the right experience in the management of birth without pain.
3. Tools needed for epidural catheter placement.
4. Medication necessary for the administration to realize the birth without pain.
5. Necessary monitoring of mother and fetus.

What to do before you realized a birth without pain?

1. It is imperative that a few days before birth to consult anesthesiologist who receives information from pregnant to her health condition, potential problems earlier and an explanation regarding the procedure of placing the epidural catheter.
2. Doing the analysis necessary precautions to eliminate any potential problems that will not allow or will make dangerous epidural catheter placement.
3. Information about each step that accompanies placement of the catheter and subsequent management of the birth without pain.
4. Establishing mutual trust in the patient-doctor.

To which women can be accomplished birth without pain with epidural catheter?

East painless epidural catheter can be done to all women except those that:

1. Have disease coagulation (clotting) of blood.
2. Infection at the catheter.
3. Intracranial hypertension.
4. Placenta previa, hematoma retroplacentare.
5. Unable continuous monitoring of fetal heart rate (RZF)
6. Suffering acute fetal requires urgent intervention.

The technique of placing the epidural catheter

1. Position sitting and rarely lateral
2. Finding the interspinoze L2 / L3 or L3 / L4
3. Skin disinfection Betadin
4. Setting sterile cover the hole
5. Skin infiltration with local anesthetic interspinoze space
6. Finding the epidural space with the loss of resistance method (low-resistance syringe filled with aqua Distillates)
7. After finding space, placement of the catheter 3-4 cm into the epidural space.
8. Fixation of the catheter
9. Aspiration test and giving the Lidokain test dose of adrenalin.
10. Start the administration of anesthetic to achieve a painless birth.

Epidural catheter is removed once the end of the birth process.

Aloe vera preserves your health

It looks like green plants comes from the cactus family, but actually belongs to the lily family. The leaves are a source of gel, which is already a long time used in cosmetics.

Aloe vera has a long history of use in medicine. Grows easily, is resistant and is not demanding plants, so there is no reason not to cultivate household vase of flowers.

To use aloe data exist summer of 2000 BC Ancient Romans have used to relieve skin irritation, rapid healing of wounds and relieve digestive problems.

Arthritis
Research has shown that aloe juice wine or supplements in the form of capsules may ease the symptoms of arthritis.

Asthma
consumption of aloe vera can help people who suffer from asthma, and some research has shown that aloe vera can reduce the need for taking asthma medication.

Solvent system
improves appetite, promotes the work of the digestive system, prevents the creation of constipation, eases nausea, heartburn and frytjen.

Skin Care
Aloe vera is the plant which certainly deserves to be in your home. It is excellent to relieve burns, cuts and abrasions.

It is best shown in postoperative care of patients. With a research has shown that accelerates the healing of cuts, reduces the visibility of signs and helps wounds heal faster.

Aloe vera is effective in easing the symptoms of psoriasis. In a research has shown that the application of aloe gel summer in sensitive places on the skin can reduce the symptoms of psoriasis for even 80 percent.

The nutritional value
of food aloe vera is the only known plant origin that contains vitamin B12, but also many minerals that are essential for proper operation of the organization, reports Koha.net. Research has shown that aloe vera strengthens the immune system and helps to fight against infections.

Some researches have shown that successfully fights against cancer cells.

Before making any additional, including aloe vera supplements should consult a doctor, especially if you are:
• Pregnant or want the remaining were:
• breast-feeding;
• suffer from stomach, while the cause is not known;
• Taste haemorrhoids;
• suffer from kidney disease.

Parents distracted by technology

Children more likely to make risky actions.

Mobile phones and tablet computers are becoming a dangerous distraction for parents who are supposed to care for children.

According to a study children are more likely to take actions that are dangerous when people are distracted monitor, such as writing messages or talking on the phone.

Researchers observed some parents choose at random, who are cared for children in the park. They measured factors such as their level of commitment and how they seemed distracted. They also looked at how often children tried to do dangerous actions like throwing out or throwing lisharëset moving from high places.

Children whose caregivers were more distracted, so behave more dangerous than others. Electronic devices such as mobiles were responsible for 30% of cases of distraction.

Study author Ruth Milanaik the Cohen Children's Medical Center in New York, said that for the safety of children, parents should limit the time spent with technological equipment, especially when caring for them.

Are you stressed? Drink sweet drinks

Sweet drinks reduce stress. This is the recent discovery of American scientists who have concluded that stress can be fought even simpler by soft drinks.

Feeling under pressure due to stress and nervousness? It would be better to maintain order and to help yourself by consuming fluids of healthy delicious.

Researchers provided 11 bottles of sugary drinks and eight sweet drinks with artificial sugar. In the end, after this test, showed that those who consumed sugary drinks had lower levels of salivary hormone, which was secreted during stress, than those who drink sweet drinks artificially.

"This is the first evidence that consumption of sugar can relieve the stress of the people", - said Kevin Laugero, representative of the study and professor at the University of California.

Symptoms of low testosterone level

Testosterone is the hormone that the body produces, the men most of testosterone produced in the testicles, while testosterone is responsible for stimulating sperm production and libido, building muscle mass and bone. With the aging of men, reduced the production of testosterone.

Reduction of testosterone causes the appearance of many symptoms, while it may come to complications. Symptoms of low testosterone levels often misinterpreted as signs of the aging process.

What is the low level of testosterone? - Low levels of testosterone diagnosed when testosterone level is less than 300 nanogram in 1 deciliter.

Andro-pause, reduced testosterone production in some way can be compared to menopause in women. And while women feel the dramatic drop in estrogen level certain age, male testosterone levels decline gradually happening. If the decline in the level of testosterone occurs sooner than it should come to the emergence of a range of symptoms.

Decreased desire for sex. - Testosterone plays a key role in the male libido. Over the years many men felt reduce libido. Men with low testosterone levels, reduced libido occurs suddenly and most commonly observed. During sexual intercourse, a low level of testosterone may hinder the achievement of orgasm.

Difficulties in achieving erection. - Testosterone stimulates sexual desire and erection. Although testosterone is not only responsible for achieving erection, it stimulates the brain receptors to produce molecules that stimulate an erection. Low levels of testosterone can cause different conditions that hinder the achievement of erection, including thickening, diabetes and arterosklerozën.

The low volume of semen . - Testosterone plays an important role in the production of semen, the fluid that helps sperm motility. It's very simple: the higher the degree of testosterone, sperm production is also higher.Men with low testosterone level mainly notice the reduction of the volume of semen during ejaculation.

Baldness. - Testosterone is responsible for a large number of bodily functions, including growth of hair fibers. Hair loss is a natural part of aging for many men. However, men with low testosterone levels may notice hair loss in the area of the face and body, and not just in the head.

Fatigue and lack of energy. - Men with low testosterone levels feel more tired and less energy. If most of the time you're tired, regardless of the amount of sleep, or you noticed that you've harder to move or be motivated to exercise, it is likely that it comes to the lower level of testosterone.

Loss of muscle mass. - Since testosterone plays an important role in building and strengthening muscles, the level of testosterone can cause loss of muscle mass and muscle weakness, particularly in the area of hands, legs and chest, reports Time. net. Men who want to turn their muscle mass will notice that this thing in this period is much harder than before and because of the low level of testosterone.

Increase the percentage of fat in the body. - If the reduction of muscle mass is not the problem should look to increase the percentage of fats in the body. Although scientists have yet to discover the exact reason, it is assumed that also talking about reducing the level of testosterone in the body. Thus, strong muscles burn fats and calories even in a state of relaxation. Therefore, if measures reduced muscle will reduce the burning of fats and calories, which causes the increase of the percentage of fat in the body.

Reduction of bone mass. - Osteoporosis is a condition for which it is deemed that appears only in women. However, men with low testosterone levels may also notice the weakening of bones. Testosterone is important to build and strengthen bone tissue. Men who for years have reduced testosterone levels have a greater risk of bone fractures, especially in the area of the waist, legs and ribs.

Changes in mood. - mainly women observe frequent mood changes during menopause, when their body's estrogen level drops. Men with low testosterone levels feel similar symptoms. Testosterone participates in various bodily functions and maintaining the health of different parts of the body including mental health. Scientists have found that men with low testosterone levels have a higher risk of creating depression and lack of concentration.