วันพฤหัสบดีที่ 2 มิถุนายน พ.ศ. 2554

Full Nursing Care and Focal Nodular Hyperplasia

When Workup by opioid receptors through Gjbelki inhibited adenylate cyclase in connection with this decreased activity of Ca2 + channels. To sell readily the pain is also used local anesthetics. Apply with epilepsy in children in adults more frequently with partial seizures. Morphine - a highly analgesic. Injected subcutaneously, intramuscularly, in severe cases - intravenously. From holinoblokatorov in Parkinson's disease and parkinsonism used trihexyphenidyl (tsiklodol), biperiden, which block Mholinoretseptor neostriatum and inhibit the stimulating effects of cholinergic neurons. To reduce these side effects levodopa used together with inhibitors DOFAdekarboksilazy that do not penetrate into the CNS - carbidopa or benserazide. Appointment of levodopa in higher doses eliminates bradykinesia and rigidity, but causes dyskinesia (Involuntary movement of face, extremities), reminiscent of dyskinesia in Huntington's chorea. Stimulates the release of GABA. Lamotrigine blocks Na + channels in the presynaptic membrane of glutamatergic synapses and reduces the release of glutamic acid. The structure includes more than 20 opium alkaloids. Stimulating postsynaptic opioid receptors, morphine activates K + channels, causing hyperpolarization of the postsynaptic membrane and thus preventing the action of neurotransmitters sell readily . Recommend that patients with predominance of tremor. Increase in activity cholinergic neurons leads to the development of these manifestations of Parkinson's disease. Pain - basic indication for the use of analgesics. Morphine is a little lipo and poorly crosses the blood-brain barrier. To mitigate the syndrome «onoff» try to use long-acting preparations of levodopa, or levodopa combined with other drugs that improve dopaminergic transmission. Thus, for the treatment of disease Parkinson's and Parkinson's disease need to either increase dopaminergic influence, or reduce the effects of cholinergic neurons. Also characterized by postural instability, festination, patients with difficulty changing direction. Amantadine (midantan) promotes the release of dopamine from the dopaminergic fiber endings and inhibits the stimulating effect glutamic acid on cholinergic neurons of the neostriatum (blocks NMDAretseptor). Opium-air-dried milky juice of the cuts on immature boxes soporific poppy (Papaver somniferum). Selegiline increases the efficiency and duration of levodopa. However, in contrast to analgesics, local anesthetics and eliminate other types of sensitivity by blocking the taste, thermal, tactile, and other receptors. Inactivation levodopa in the periphery reduces the entacapone, which inhibits the COMT and thereby prevents Ometilirovaniyu levodopa. Axons of dopaminergic neurons in the substantia nigra terminate in the neostriatum and isolated as inhibitory neurotransmitter dopamine, which, acting on D2-retseptor, exerts inhibitory effects on cholinergic neurons neostriatum 2. However, means for turning off the anesthesia and consciousness and other kinds of sensitivity. Levodopa (levogyrate isomer of DOPA) - one of the most effective antiparkinsonian drugs. Used for the prevention of partial seizures and tonikoklonicheskih. Nalbuphine butorphanol Pentazocine include full agonists’ opioid receptors and produce: phenanthrene derivatives - morphine, codeine, phenylpiperidine derivatives - trimeperidin, fentanyl, derivative fenilgeptilamina - methadone.
 

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