2014, Volume 8, Issue 2

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https://hdl.handle.net/20.500.13044/2264

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Przeglądanie 2014, Volume 8, Issue 2 według Autor "Iłżecka, Joanna"
  • Rekord
    Neurological complications of lumbar spine pain syndromes
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2016-01-13) Wójcik, Gustaw ; Piskorz, Jolanta ; Iłżecka, Joanna
    Back pain is a common health problem. Natural degenerative processes reduce its strength, causing symptoms of sciatica, numbness, paraesthesia with muscle weakness and sensory surface, leading to muscle atrophy, inclusive. Degeneration of the intervertebral disc and hernia formation in the first place causing damage to the spinal cord and nerves and spinal facet joints and ligaments become a source of pain spondylogenic. In the case of advanced degenerative changes of t e axial movement of t e camera conservative treatment is sometimes ineffective, and the chronic nature of the disease and its neurological complications diminish the quality of life and often lead to disability. In order to reduce the time the patient recovers minimally invasive procedures are used, the effectiveness of which can sometimes vary depending on the location of the source of the pain. PURPOSE OF THE WORK is to present the possible neurological complications resulting from chronic spinal pain syndromes. MATERIAL AND METHODS: Data were from the PubMed database of the last 20 years, presented in a descriptive analysis. CONCLUSIONS: lower back pain make a huge therapeutic difficulties.
  • Rekord
    Treatment of adult patients with craniocerebral trauma complicated by venitalory failure
    (Państwowa Szkoła Wyższa im. Papieża Jana Pawła II w Białej Podlaskiej, 2016-01-13) Piskorz, Jolanta ; Iłżecka, Joanna ; Wójcik, Gustaw
    This article contains the current state of knowledge on modern methods of treating patients with severe cranio-cerebral injuries, hospitalized in intensive care clue to respiratory failure. Severe traumatic brain injury [TBI] can be divided into primary and secondary. Primary brain damage takes place in mechanism of direct injury most often due to an impact. Secondary damage is the result of subsequent disorders of physiological conditions such as ischemia and hypoxia ofthe brain areas covered by the primary injury Treatment of patients with severe cranio-cerebral injuries is focused on maintaining proper ventilation, hemodynamic stability and optimal values of intracranial pressure. Maintaining adequate blood flow through brain vessels is necessary to prevent the development of ischemic changes. Respiratory failure develops in these patients by direct injury to the brain in the form of tachypnea, bradypnoea, shortness of breath, sleep apnea, or secondarily to trauma as pneumonia, acute respiratory distress syndrome (ARDS], or pulmonary edema. Mechanical ventilation in patients with TBI seeks to maintain an oxygen partial pressure in the arterial blood of more than 1 1 kPa and the partial pressure of carbon dioxide in the range of 4.5 to 5.0 kPa. The use of appropriate therapy is to prevent the secondary damage to the brain or reduce complications associated with secondary damage.