The feelings generated in aged with amputation of extremities inferior proceeding from diabetic foot. The feelings generated in elderly patients with to lower extremity amputations from diabetic foot. Los sentimientos generados en los ancianos con amputacin of miembros debajo del pie diabetic. Source: Martin O’Malley. Leuda Siqueira Rodrigues Carmen Jansen de 1.Enfermeira Crdenas, After Graduated Health Publishes and UTI, Mestranda of the course of Gerontologia – University Catholic of Braslia/UCB; Head of the Nucleus of Nursing of the CS/SES. Email: 2.Dr in Pedagogia with Full licenciatura in History, Filosfia and Matemtica; Master in Psychology of Education Graduation in Psychology for the University of Gottingem – Alemanha.Doutora in Psychology of the human Development – UNB; Associate professor 3 – UCB.
Email: Summary the advanced age is not enough reason for the comprometimento of the functional capacity. In the reality, what it occurs is the increase of the incidence of agravos chronic-degenerative with the evolution of this phase of the life. The text to look for to disclose feelings, which are reflected by the aged carrier of diabetic foot that evolves for the consequence most drastic? to amputate an inferior member. This surgical intervention makes with that the aged one suffers biopsicosociais modifications, these being able to directly compromise the performance of this individual front its proper perceptions of the life. Practical the related changes ace front the style of life of this aged one, becomes a great problem, when worked not well, therefore the aged one passed for challenges throughout all its life and now it becomes obliged to live deeply plus a challenge. They are these challenges that produce in aged the feelings of losses, exclusion, difficulties, dependence and solitude, all these aggregates the impacts right-handers in its new form to live deeply to its I broke it life then. Words keys: aged, diabetic foot, amputation, life, challenges, feelings. Abstract Advanced acts is not sufficient reason will be the impairment of functional capacity.
If you found that penicillin was the first efficient antibacterial drug to be used He leaves to find and he has the certainty of that he was not, had been the Sulfonamidas. Yes, penicillin was discovered in 1928 for Alexander Fleming, that is, before the sulfonamidas ones being used as medicine, however penicillin alone was ' ' purificada' ' used with effectiveness in the end of the decade of the 30 and for this time sulfonamidas ones already was wide used. Official site: Bernie Sanders. Everything started for 1909 return, when a German chemistry called Paul Ehrlich invented a medicine to cure the sflis, it modified a corante that dyed the bacterium the illness, so that its molecules held back poison (rsenic -). This remedy, until then did not have effect on other illnesses caused for bacteria, but it was evident that other corantes could show this exactly ' ' efeito' ' when modified. Until, in the end of the decade of 20, chemical industry German I.G. Farbenindustrie, that produced some types of synthetic corantes, gave beginning to one program of research with intention to verify the possibility to modify some of its products to give to them potential medicinal. Gerhard Domagk, a young professor of pathology, was enlisted for this project and, in 1932, finally it reached the objective of the research. It showed that ' ' prontosil rubrum' ' (a red corante) it could protect hemolticos rabbits and mice against estafilococos and estreptococos, great villains of the health for causing fatal poisoning of the blood.
However, the corante not yet was presented so efficient in tests made in plate of petri, has until some rumors on the potential of its research. Domagk had a good reason to be satisfied with its persistence with the research, therefore shortly after the discovery its son fell sick with septicemia (serious general infection of the organism) for estreptococos. For seeing that its son was almost dying, Domagk gave a great dose to it of prontosil, cured that it for immediate. Later, on the basis of the success the I.G. Farbenindustrie patented the drug and the fame of the young professor if it spread quickly. Domagk, gained Nobel in 1939. However, Hitler, one more time, confused the triumph and the recognition of science, and forbade that Domagk received its prize up to 1947, when the corresponding impotncia to the prize was not more available. The sulfonamide then became the first efficient antibiotic, tested and approved in human beings and the first antibiotic of the family of the sulfonamidas ones. Its effectiveness if gave, therefore in animals the sulfonamide molecule (of formula 4- (2,4-diaminofenil) azo benzenosulfonamida) is broken and its active component is set free. The medication currently has been used to not only treat septicemia, but also grangrenas, pneumonia and other serious infermidades, being a great one welded in the combat of infections and saving innumerable lives.
Parallel, they presented reduction in peptdeo-C of jejum, increase in the dose of insulina and the HbA1c in relation to those during the first year of diagnosis. Other studies in this felt they had shown a heterogeneidade in the results, perhaps related to the level of the glicmico control of the patients. Therefore all the studies, however, suggest that the glicotoxicidade is responsible for a great parcel of LAUGHS in the DM1. (DINIZ, 2002) Corroborating with this hypothesis, a recent study, using the technique of clamp euglicmico, it showed a significant correlation enters the resistance to the insulina and the degree of hiperglicemia (glicotoxicidade) evaluated by the value of the HbA1c in patients with DM1 of recent diagnosis. In the study of the DCCT (Diabetes Control and Complications Trial), the values of HbA1c, gotten in the adolescents, had been on average 1% superior to the obtained one in the adults, as much in the group in conventional treatment as in intensive, although to be receiving more insulina (units for kilo of weight). The triad high values of HbA1c, necessities of bigger insulina and exaggerated profit of weight in the DM1, suggests that the managed insulina is being little effective in controlling the glicemia (resistance to the insulina). BRAZIL (2002) tells that diabetes mellitus type 1 is a syndrome of multiple etiology, resultant of the relative or absolute deficiency in the production of insulina for the pncreas and/or of the incapacity of this hormone to exert its effect adequately, resulting in chronic hiperglicemia and alteration in the metabolism of the carboidratos of lipdios and proteins, being able, in the long run, to occur disfunes in some agencies. One of the important hormonais factors that lead to the increase of the resistance to the insulina in the DM1 is the growth hormone secretion exaggerated during the puberty. The insulina, managed subcutaneously, exceeds the circulation vestibule, what it provokes a reduction in its intra-heptico effect.
The cranianas injuries that can increase of size, as hematomas and edema can cause cerebral compression that I eat consequncia promotes the increase of the intracraniana pressure (PIC). The PIC can provoke the death of the fabric cerebral for pressure and displacement of encfalo. Therefore the necessity to after control the PIC during the acute period TCE (JUNQU; BRUNA; MATAR, 2001). 2.7TRATAMENTO TCE the basic treatment to the patient victim of TCE consists of the clinical or surgical treatment. It has indication of surgical treatment in the cases where Tomografia Computadorizada (TC) in the sample the presence of hematoma and edema. As the dimension of the problem is necessary a descompressiva craniectomia.
The clinical treatment consists of the basic support of life. In the initial neurological evaluation of a patient with TCE Escala de Coma de Glasgow (ECG) for its easy application must be emphasized. How much lesser the points in the ECG, worse prognostic and greater mortality (CINTRA, 2005). The punctuation together with the neuropsicolgicos results of motor level, memory and constructive capacity, can predict the quality of life of the affected patient. The duration of the state of also eats has preditivo value on the alterations of memory (JUNQU; BRUNA; MATAR, 2001). The respiratory insufficience occurs in about 20% of the patient victims of TCE. The orotraqueal intubao is indicated to keep the prvias aerial ways and is installed the ventilation mechanics (VM) in the cases where the patient to present intracraniana hipertenso or reduction of the conscience level. The ventilatrio support has as main purpose the prevention of the hypoxaemia, keeping the satisfactory levels of oxygen in all the fabrics (CINTRA, 2005). It is of extreme importance to keep the hemodinmica stability in the TCE, being prevented hypoxaemia, keeping levels of arterial pressure, temperature and volemia.