Tuesday, 29 October 2013

Recovery

Recovery is process, in that functions and normal correlations of the sick organism recommence with the neighbouring environment. A man is social būtne, therefore the main recovery criterion is recommence of abilities to work and return at work. In this sign call recovery for a rehabilitation(lat. prefix here in a sign action restore, habilitas - fitness); man or here returns previous at work, or because of health position begin to work another work.

Before recovery supposed for illness regress, in fact this are not correct. Recoveries are quality another human position, in that new organism correlations appearing with the neighbouring environment. Recovery processes in an organism begin already from the illness beginning, although also the recovery clinical signs show only in an illness completion period. Clinical recovery or rekonvalescence can take place in the kind(lash crisin) of a sharp transition or crisis or gradually(lash lysin).
In an illness development and recovery process a substantial sign is to organism 1) aizsargmehānismiem, 2) adapt(adaptations) mechanisms and 3) indemnification mechanisms.

The Unspecific and specific aizsargmehānismi operate, let, first of all, prevent or weaken influence of the pathogenic agent on an organism and, secondly, diminished organism jutību against the action of the pathogenic agent. Adapt(adaptations) mechanisms function, let save organism homeostāzi and clays of provided opti­circumstances organism action. Functional and the morphological indemnification mechanisms are opposite directed on restore of the already mixed homeostāzes.

Processes, what supports organism homeostāzi, the nervous system and hipofīzesvirsnieru system regulate. Because an organism is more difficult, because completer there are mechanisms of his functional indemnification, but mechanisms of the morphological indemnification - less valuable. In the action of mechanisms of the functional indemnification an important sign is CNS the highest departments. The already existing organ functional reserves are rapid mobilizētas in indemnification intention, as also new functional and strukturālās correlations are formed.

The functional reserve is well-known all organs. If it appears insufficient, a kompensatoriskais of organ functions increase is yet possible on a hypertrophy(heart) or regeneration increase(blood) count up.
In action rapid news divide recovery mechanisms in three groups.

The rapid and unsteady aizsardzībaskompensācijas mechanisms operate seconds or minutes. Mainly them there are protective reflexes(moisten with saliva, vomiting, sneeze, cough, tear, selection of mucuses), with what help an organism is freed from harmful substances. To such reflexes processes belong also, strain support norms in borders the organism homeostāzei important parameters(the arterial pressure, glucose level in bloods u. c.), as also adrenalin and gliko kortikosteroīdu distinguish in stress circumstances.

The middle long(partly steady) aizsardzībaskompensācijas mechanisms operate all illness time. Mobilizēšana(normal the parenchimas of 12-15% livers operate only a man, respiratory of 20-25% lungs surface and glo of buds merulārā vehicle, is used approximate 20% myocardium powers) of reserve of organs capabilities belongs to them; action, in a that result, for example of many regulācijas systems, the amount of leucocytes increases, termoregulācija commutes on a higher level; neutralization of poisons processes(link with plasma olbaltumvielām, in neutralize oksidācijas, reductions, in metilēšanas and in another road); a saistaudu system reagent inflammation(the immunological or allergic reakciju and in another cases).

The belated and steady aizsardzībaskompensācijas mechanisms ploughed operate all illness time and save even after her end. To this mechanisms charge extra an organ or kompensatorisko of extremities hypertrophy, restoration regeneration(livers, parenchima regeneration after partial ekstirpācijas of this organ, blood formelementu regeneration after a blood loss) and the immunological reakcijas(antibody and appear of the sensibilizēto limfocītu sometimes save months and even years long after an infection illness end). Let a neighbouring environment of organism adapt buried by sa­, aizsargkavēšanas processes, that ploughed absolute and condition aizsargrefleksi, pass in the central nervous system.
Recovery mechanisms include also to the organism negative components. For example, the model pathological processes - inflammation, fever, stress, shock - pass neekonomiski(the already described regulācija of functions "accidents"), with the consumption of considerable energy and food substances.

Disconnect a complete and incomplete recovery.

In the clinic of complete recoveries ordinary designate for restitutio ad integrum, that means in a previous position of returns, t. i., health return. In fact in actual fact with it it needs to understand complete recommence of abilities to work only, because, as already accented, an organism after illness never returns in this position, someone was to the disease. Life pro­cesi have gājuši forward, after wounds underlaying scars, in an inflammation nest developing saistaudi, immunity appearing after infection illnesses, the strengthened fagocitārā activity of leucocytes has saved protracted, adult antibody and amount of the sensibilizēto limfocītu utt.
An incomplete recovery(restitutio incompleta) in a sign, that the functional or organic damages, that appearing in illness motion, does not have liquidated fully and that compensate them another organ or system a function is strengthened. Quite often in this cases look after t. s. phenomena of bits and pieces, what can show up gan as an illness transition in a pathological position, and as complications.

Complications(complicatio) exceptionally often develop then, if illness motion is offtype and treatment incomplete. For complication call illness or pathological process, what appears in the result of the violations caused by pamatslimīuus, for example, vidusauss inflammation or nephrite after a scarlatina, perforation or vēzis stomach ulcer slimnieItatn. Unlike complications t. s. the conducting illness gan passes vienlaikus with basicillness, but etiologic with it is not constrained, for example, flu patient with ferrous deficit anaemia.

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