Seizures occur tetanus always very painful, especially since they are unbearable, the patient remains accompanied by a rise in temperature. In cases of poor prognosis and death of the patient immediately before the temperature rises sharply and may reach 42-43 . The severity and prognosis of the disease are caused by tetanus fast development of clinical symptoms. On this basis, distinguishes the following forms of the disease: 1) fulminant form is characterized by rapid development and severity of symptoms, results in death within 1-3 days, and 2) acute disease, in this form it is possible to recover, and 3) the acute form of tetanus is characterized by slow development of clinical symptoms (for 5-7 days). At the same rigidity of the muscles is less pronounced, seizures occur at fairly long intervals, and their attacks are short, such cases in a timely and proper treatment often result in recovery, and 4) the chronic form of tetanus tend to slow development of symptoms, which reached a maximum, gradually disappear. The disease may last several weeks or months and ends in recovery, 5) local tetanus characterized by the appearance of rigidity of individual muscle groups, which are near the site of tissue injury (atrium), then there is a pulling sensation, sometimes joined by muscle spasms. This form of tetanus occurs most favorably. Complications.
Fairly common complication of aggravating the disease is pneumonia. In the literature breaks recti by convulsions, fractures and dislocations. Diagnosis. Recognition is based on history (for injuries), as well as clinical disease. Differential diagnosis. Must distinguish tetanus from those diseases, which may lockjaw and muscle seizures. Strychnine poisoning may have clinical similarities with tetanus, strychnine poisoning, but there is dilation of pupils, whereas the normal width, they tetanus, convulsions seize mostly the arm muscles, and in the interictal period musculature is relaxed, whereas in tetanus muscles remain in a state of increased tone.
Cervical erosion is one of common gynecological diseases, it is observed in 10-15% of women seeking medical attention. Often the disease is diagnosed in women who consider themselves healthy. Pseudo cervical uterus may be a precancerous condition. There are different types of erosion: an innate, true and pseudo. Congenital erosion rarely turn into cancer. True erosion – acquired the disease process, characterized by damage to the epithelium of the vaginal cervix. Formed an ulcer or wound to the manifestation of the inflammatory response. Such erosion is often bleeding during sexual intercourse, often accompanied by a purulent secretions from the genital tract.
True erosion – the process short, it's been 1-2 weeks and into the next stage – the pseudo, which is usually detected by a doctor. There may be a long pseudo (Months or even years), while not eliminated inflammatory diseases and other pathological processes that served as the reason for its creation and stability. At the same time she supports pseudo chronic inflammation in the cervix. After appropriate treatment the healing process of erosion can be from healthy uninfected cells that surround it. In the long and pseudo- concomitant inflammatory response may have pathological changes – cell hyperactivity manifestations of atypia of cells, which is a sign of precancerous abnormalities. The emergence of pseudo-cervix can help: colpitis (inflammation of the vagina), including Trichomonas, birth injury, trauma of the cervix with the product of abortion, and hormonal disorders. To date, one of the informative methods examination of patients with pathology of the cervix is colposcopy.
Extended colposcopy – is available and very effective. The main essence of colposcopy is to survey the state of the surface epithelium of the cervix and vagina using a special device. The basis of colposcopy on the assessment of various reactions of normal and pathological changes of tissues after treatment specific medication formulations. The method allows identify and specify changes in cervical epithelium, which are difficult or even impossible to identify by visual observation. With colposcopy, the doctor can differentiate between benign and cancerous changes to sighting smears and biopsies. In the case of detection of infection, chlamydia, gardnerella, trichomonas, HPV expedient of appropriate treatment, followed by normalization of the microflora of the vagina, and only after that the recommended treatment of erosion (pseudo). Of the many recommended treatments should be allocated one of the modern – NO-therapy – treatment with vehicle "Plazon." NO-therapy as compared with other therapies (electrocoagulation, kriodistruktsiey, laser therapy and others), accelerates epithelization by an average of 30-40, erasing the risk of side effects in the form of bleeding, formation of rough scars, the exacerbation of inflammatory processes, has a hemostatic antibacterial action. More information on this site: