The first patient with hypertension check-up should as far as possible includes the following content: 1, blood pressure. Both high blood pressure, compared to verify the side. If the differential pressure side more than 20 MMHG lower side, there may be more big brachial blood vessels, especially the subclavian artery stenosis, narrow happened is the most common cause of atherosclerosis and obstruction. 2, height, weight and waistline. Obesity, especially to the central obesity is an important risk factor of hypertension, as the saying goes, belts, life is short. Three, use funduscopic observation retinopathy. Retinal arterial hypertension can reflect the variation of peripheral artery disease, peripheral artery atherosclerosis, the heart of the heavier load. 4 and the noise, the jugular enous engorgement or strumous, abdominal vessels murmurs and mass, peripheral artery, etc, in order to eliminate secondary pulsing hypertension. 5, cardiopulmonary check and neurologic examination, know whether the cardiovascular complications caused by hypertension.

Blood pressure measurement

The blood pressure manage within a specific range, although delay the target organs damage, but also can help to eliminate stroke and cardiovascular disease and the incidence of sudden cardiac death. But often, accurately understanding and blood pressure fluctuations, and is an effective control of blood pressure. Due to the obvious characteristics of pressure fluctuation, need to the repeated measurements on to judge whether the blood pressure for sustainability. Use the following 3 kinds of methods to evaluate blood pressure levels.

Psychological balance

Hypertension is the mental tension, irritability, emotional instability, these were the motivation to improve blood pressure level. Patients can change their way through the act of natural environment, cultivate the ability to adapt to society and good, avoid excessive and emotional stress, anxiousness and relaxed, composure, every time when a larger psychological stress should try to release to friends, relatives, or encourage attend pour lighthearted extra-curricular activities, will be devoted to music or spiritual plane, make oneself in flowers in the best state of life, thus maintain stable pressure.

Nowadays on the sell-market there are many different treatements which arouse pain relief. The main among these treatments are considered to be analgesics, reducing pain as a result of pre-emptive action on the nervous system. Distinguish narcotic drugs and non-narcotic analgesics. Narcotic drugs include such drugs as morphine, omnopon and its synthetic substitutes such as promedol, fenadon, fentanyl.

Analgesics reduce different kinds of pain and give pain relief, including or while very severe pain arising from trauma, burns, myocardial infarction. Drugs in this group also have a pronounced effect on the psyche, easing pain associated with negative emotions such as fear, anxiety, depression and creating a sense of physical and psychological, comfort and well-being.

In addition, the repeated usage of analgesics in the same dosage develops addiction, decrease sensitivity to them, with the help of them analgesic effect and a subsequent increase in analgesic doses can lead to addiction – addiction. That is why analgesics are on a strict account and indications for their usage are limited.

Non-narcotic analgesics include a variety of chemical by its structure synthetic drugs, such as analgin, fenatsetsin, paracetamol. Compared with the narcotic drugs analgesics have less analgesic activity and efficient while pain arising from inflammatory lesions in various organs and tissues, such as tooth pain, arthritis, myositis, neuritis.

In comparison to the analgesic actions non-narcotic analgesics cause antipyretic effect and many of them have, in addition, anti-inflammatory effect. Usage of these pain relief drugs without a prescription is forbidden. There have been cases of dangerous blood disorders caused by prolonged without medical supervision independent use of drugs such as analgin, amidopyrine, phenacetin. Systematic uncontrolled supplementation of salicylic acid may cause damage of gastric mucosa, accompanied by bleeding, loss of hearing and worse state of many diseases.

Analgesic effect can also provide a variety of medications that do not belong to a group of analgesics. Thus, the pain associated with spasm of smooth muscles of internal organs, reduced under the influence of spasmolytic means, to be exactly means of relaxing the smooth muscles – atropine, belladonna drugs, papaverine, drotaverine and others, with pain occurring as a result of spasm of the vessels, accompanied by circulatory disturbance of individual organs, are effective vasodilators that can improve blood circulation of the heart, headaches. The main action of these remedies is intended on elimination of pain causes and pain relief.

The Canine Epilepsy happens unexpectedly. This can be found in some dog breeds. For example, Belgian Tervueren is the breed of dog in which this disease is especially suspected. Other dog breeds such as Dachshund and Beagle may also be listed. Much more incidence of seizure disorder can be found in Irish Setters and Boxers Collies . The existence of epilepsy in dogs was estimated at 5 to 5,7%.

In accordance with progress report on epilepsy in American Belgian Tervuren breed of dog found out that 57 of the 268 Tervuren had experienced multiple attack. This epilepsy disease in dog is complicated simply because some experts use to explain regular episodes of any etiology, while other experts use to explain attacks not related to brain conditions.

Types of canine epilepsy are:

1. Primary canine epilepsy it is usually known as idiopathic, hereditary or genetic epilepsy. You don’t see any good diagnostic answers for this episode. The primary epilepsy initial seizure happens in most dogs in an age amongst 28 – 30 weeks to 5 years. Detecting primary epilepsy will not be proof for the hereditary defect. The breed of dog, age and history of the dog could mean the primary epilepsy in dogs.

2. Secondary canine epilepsy this means the episodes that cause may be judged. In one year age-old dogs we are able to find different episodes like degenerative, toxic and developmental. In one to three year-old dogs a hereditary function is more suspected. In four year age-old dogs episodes or seizures are usually present in neoplastic and metabolic.

Types of seizures:

1. Generalized Seizure: this can be known as Clonic or Tonic stage, last ten to half a minute before stage will begin clonical movements such as paddling of the limb and chewing. Another indications of this stage consist of dilation of pupils, urination and salivation.

2. Perit Mal Seizure: this episode can be known as Absence Seizure. Warning signs of this episode contain unconsciousness, lack of muscle tone and upwards rotation of eyes.

3. Partial Seizure: movements are limited to a single part of the body, for example, movement of limbs, muscle jerking and facial twitches. These partial seizures matched to secondary canine epilepsy.

4. Complex partial seizure: these are generally related to complex behaviours. These behaviours are duplicated throughout each episode. Individuals with these behaviours experience distortions of thought, consciousness, olfactory, visual and hearing feelings. These seizures may also be related to secondary canine epilepsy.

5. Cluster seizures: Numerous episodes within just short time with only minimum period of awareness. Seizure tolerance it appears that very low in pets who are suffering from primary epilepsy.

There are actually four phases of seizures:

1. The Prodome often leads the particular seizure by days. It’s recognized by a general change in behaviour.

2. The Aura signals the beginning of the episode, signs of this seizure are outright anger, anxiousness, salivation, buzzing, concealing and hysterical running.

3. The Ictus is definitely the actual episode recognized by sudden improvement in tone of all muscles.

4. The Postictus is most likely the only manifestation of canonical Epilepsy.

The epilepsy, as a rule, is diagnosed on the basis of that a patient is attacked of spasms which are periodically marked. At its identification as nosological unit, by the epilepsy reasons usually mean a certain form of brain damage. However in most cases the reasons of epilepsy remain uncertain.The epilepsy is accompanied by a number of behavioural displays and attacks of involuntary movements.
Convulsive attack is an epilepsy symptom of spasms. Actually a convulsive attack is too general definition far not completely describing a situation. Unfortunately, the term “a convulsive attack” is still often used to avoid apparently, the term “epilepsy”.Not epileptic attacks, the so-called pseudo-spasms aren’t accompanied by abnormal electric activity of brain and can be provoked as psychological problems or stresses. If a person having this kind of attack, then they should be treated under supervision of the psychiatrist.

The provoked spasms are unitary, single convulsive attacks which can be a result of trauma, sharply lowered sugar in blood , for example hypoglycemia, the lowered sodium of blood, such as hyponatremia, high temperature, abusing of alcohol or drugs. Caused by fever spasms can be observed in childhood that usually to five-six years “is outgrown”. After the careful analysis of estimation of relapse risk, patients of whom was observed once spasms, don’t need treatment.

Epilepsy types are depending on prevalence of the center of excitation, and as consequence features of course of the most convulsive attack, allocate some the so-called types of an epilepsy having the features of their own which are reflected in tactics of their treatment.Besides, patients suffering from epilepsy are observed not only of convulsive attacks, and also from one attack to another, differ and a kind of spasms. Therefore it is important, that the neurologist diagnosed epilepsy type, and not just a kind of the convulsive attacks which can be observed.

Exclusively in each case of a convulsive attack it is necessary to address for the help to the doctor for whom also sometimes diagnostics happens it is inconvenient, and at all it is not necessary to rely on hearings and councils of parkway magazines.Sometimes the person with epileptic attack and epilepsy signs is frightened, disoriented, embarrassed. In such cases it is a question about difficult localized epileptic attack. Such attack without cramps is mostly extended among children.

Treatment of brucellosis is very important while this disease. Signs of brucellosis can lead to terrible consequences and even chronic forms of this disease.Ambulatory regime of light brucellosis and stationary while disease is observed in hard cases. Etiotropnaja therapy is effective while sharp brucellosis; smaller effect is observed while activation of the process of patients who suffer of sharp and chronic forms. The optimum and the best treatment are considered to be combination of two antibiotics one of which should get through a cellular membrane. Apply one of following combinations taking into account contra-indications, children till 15 years, pregnancy, a lactation, an epilepsy.

Rifampicin, 600-900 mg/day and doxycycline, 200 mg/day inside a continuous course, lasting not less than 6 weeks. At relapses course of treatment repeat.Doxycycline, 100 mg 2 times a day and a course of 3-6 weeks and streptomycin,on 1 gr intramuscularly 2 times a day during 2 weeks. This combination is more effective than previous, especially while spondilytis, but applied preparations show high toxicity. Oflaksatsin, 200-300 mg 2 times a day inside and rifampicin is in the above-stated doses. Duration of preparations application explains expediency of control over their reception by patients.

In complex therapy of brucellosis are used detoxication means by general principles of their application, methionine, soft immunostimulators. Widely applied non-steroid anti-inflammatory preparations, such as indometacin while any brucellosis symptoms. While pains such as neuralgia, pains of vegetative character, are spent symptomatic therapy in a kind of novocaine blockade of 1 % solution , intravenous introductions of 0,25 % of novocaine in increasing doses. Application of glucocorticoids should be spent carefully,because they attack CNS while expressed inflammatory changes and absence of effect of other resolvents.

Medical brucellosis vaccine for next years must be applie rare because of its ability to cause immunity suppression, increase possibility of relapses, cause autoimmune reactions and reactions to ballast substances containing in it. While remission of the chronic form of brucellosis are prescribed physiotherapy exercises, physiotherapeutic and sanatorium treatment (UV, quartz, paraffin applications, radonic baths).