Peritonsiler abscess (PTA / Quinsy) 2

Peritonsiler abscess (PTA) is the infectious disease most often occurs in the head and neck. A combination of aerobic and anaerobic bacteria in the peritonsilar area. Which could potentially place the abscess is a pillar area tonsils anteroposterior, inferior Piriform fossa, and superior palate (Mehta, 2007).
According to Gosselin (2008), peritonsiler abscess (PTA) is a pile of pus that is localized on the peritonsiler network formed as a continuation of supuratif tonsillitis. The alternative explanation that the PTA is an abscess that is formed from a group of salivary gland in supratonsiler fossa, known as the Weber glands. Because composed of loose connective tissue, severe infections in these areas can quickly lead to purulent material.
Peritonsil abscess formed due to the spread of infectious bacterial organisms to one's throat loose aereolar room around the pharynx causing abscess formation, where the infection has penetrated tonsil capsule but remains within the limits of pharyngeal constrictor muscle.

Epidemiology
Peritonsiler abscesses can occur at the age of 10-60 years, but most often occurs at the age of 20-40 years. In children is rare except in those who decreased immun system, but the infection can cause airway obstruction is significant in children (Mehta, 2007). These infections have the same proportion of men and women. Evidence indicates that chronic tonsillitis or multiple experiments using oral antibiotics for acute tonsillitis predispose people to develop peritonsiler abscess. In America sometimes incident -
sometimes approximately 30 cases per 100,000 people per year, are considered almost 45,000 cases each year (Gosselin, 2008).

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Peritonsiler abscess (PTA / Quinsy) 1

Recent years diagnosis and treatment of infection in the neck has been given the challenge to the experts to do more research. The complexity and depth of the location in this region makes difficult the diagnosis and treatment is established.
Neck abscess formed in the potential space between the fascia in the neck as a result of infection spreading from various sources, such as teeth, mouth, throat, paranasal sinuses, middle ear and neck which depends on space involved. Clinical signs and symptoms may include pain and swelling. Peritonsiler abscess (PTA / Quinsy) is one of the neck abscess in which besides the neck abscess abscess can also retrofaring, parafaring abscesses, abscesses and angina submandibula Louis (Ludwig angina) (Fachruddin, 2002).
Peritonsiler abscess is usually a complication of acute tonsillitis cases. The presence of inflammation in the form of edema can be a major cause of complaint difficult in swallowing. Dehydration often appear in advanced stage patients who refused to eat and drink because of the pain he felt. The expansion of these abscesses can cause inflammation that is felt until the entire face and neck, and the possibility it may cause airway obstruction (Gosselin, 2008).

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how to choose baby's sex? conclusions

In the present and future periods is the ideal small family and the good boys and girls alike. But we can still find a husband who left his wife because his wife could not born child of the desired gender, or still often we see a husband and wife will not stop reproducing, despite being the umpteenth child was born, because the gender of the coveted yet come. Eventually will make a great family.

Since ancient times many myths have emerged that indicate the existence of demand for some people to have children with a specific gender. Existing demand and speculation about what gender to be born. That's how myths are formed. Not to mention the myths about ways to get a boy or girl of that sounds reasonable until the no. For example, to get the girl, the mother should eat a lot of sweets. This is certainly contrary to the doctor ordered, since sweet foods may trigger the emergence of diseases such as diabetes and hypertension.

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how to choose baby's sex? CHOOSING BUSINESS AS baby's sex date

Some researchers such as Gordon, M., Bhattacharja, BC and Leiberman, E.J. try to separate the two populations of sperm and andro-sperm-sperm gino genuine. Then this pure seeds inserted into the uterine insemination by wives. Thus the certainty will be obtained by birth desired gender.
A. Electrophoresis methods
The rationale is that andro and gino-sperm have masses, sizes and different shapes. Will therefore contain an electrical load or different poles. So in this way are expected to andro-sperm will be attracted and gathered at one pole while gino-sperm into the other pole (Mochtar, 1998).
B. Centrifugation method (Pemusingan)
Since weight and mass are different, then after the two kinds of sperm sentrifuse each will form a layer in the tube, the layer containing the sperm and andro-containing layer gino-sperm (Mochtar, 1998).
C. Sedimentation methods (Sedimentation)
By the influence of gravity, gino greater sperm more quickly settles to the bottom of the tube deposits, while andro-more sperm live in the top layer (Mochtar, 1998).
D. Diaphragm method (Filter)
This method using a special diaphragm which just missed, such as andro-sperm and sperm contain-gino. The diaphragm is mounted close the cervix uteri of women like the only contraceptive diaphragm (Mochtar, 1998).
E. Pills Men and Women Pill
Researchers predict that within the next 2-3 decades advances in science in the field of biomedicine will produce a pill that can determine the sex. This pill will be swallowed by the husband prior to intercourse. If a woman wants a baby girl swallow pills. This was stated by Brich, CH. Director of Biology University of Sidney (Mochtar, 1998).
F. Reaction Tube Method
By using the tools that complicated and expensive researchers like Gardner, R., Edward, R., and Hafes, ESE. have been able to choose sperm and egg cells are guaranteed good quality. Similarly, through the micro operations, the embryo was able manipulated. Even they can separate the sex-chromatin found only in female cells only (Mochtar, 1998).
From developed countries reported that many are now available ready-made sperm, egg cells (ova), and even embryos stored in a sperm bank, the bank ova, and embryo banks.
The events of the amazing scientific disciplines of biology in humans has been much publicized. Among other things, the progress of science has been able to help many women who are naturally according to science content will not be able to have offspring because of the total damage to both the oviduct (fallopian tubes). How to help this woman popularly called "test-tube babies" which in principle is to perform the technique in vitro fertilization (IVF), fertilization is a technique in the tube containing food (tube nurseries), followed Embryo Transfer (ET), is the result seedbeds that implanted into the womb (Mochtar, 1998).
G. Cloning Method
Gender identification method days to be very amazing. But from a moral standpoint and spiritual will have broad impact.
The way is called cloning, which comes from the Greek word meaning a way / means of propagation without sexual relations. According to experts, not only allow cloning choose sex, but can also produce genetic clone (copy) which is identical to the original (Mochtar, 1998).
H. Method Preimplantation genetic diagnosis (PGD) by Leigh (2005), among others:
Is a technique fertiliasi in vitro (IVF) in which embryos created outside the womb and then tested gender and genetic disorders.
When PGD was introduced in 1989, this technique is only used to help couples or someone with a serious genetic disorder that reduces the risk of having offspring that suffer from the same disorder. PGD is now used for the same reasons but also used in women age 35 years or older and or have a history of abortion habitualis. Only the expert clinicians with this technique that can use this technique to select the sex without a medical reason. This technique has almost 100% effectiveness
During the IVF cycle, egg fertilized with sperm in a petri dish. Single cell or several cells into embryos and then moved 3 to 5 days and tested gender.
In normal IVF cycle, the researchers tried to distinguish between normal embryos by looking under the microscope. But with PGD, embryos are tested thoroughly genetic disorders and gender. By transferring only healthy embryos into the uterus, there would be little possibility of abortion or having children with genetic disorders. Prenatal tests such as amniocentesis or chorionic villus sampling (CVS) was recommended if a woman aged 35 years or more because of genetic abnormalities can be detected in the older age pregnancy.
In normal IVF cycle, doctors usually transfer two or more embryos into the uterus. The amount depends on maternal age, embryo quality, and reproductive history. But with PGD, doctors transfer only no more than two because the embryos implant or may not result in a healthy pregnancy is removed.
I. Microsort method
Dye technique is a technique that tries to separate the sperm women with male sperm. Sperm with the desired gender are inserted directly into the uterus, usually through artificial insemination (AI) (Leigh, 2005).
Based Microsort that female sperm carrying the X chromosome is larger than female sperm carrying Y chromosomes This procedure involves staining sperm samples dipped in fluorescent and then eliminate them with lasers. X chromosome absorbs more dye and shine brighter than the Y chromosomes Sperm are then selected with the desired sex are transferred to the uterus by using artificial insemination. In the same case, in vitro fertilization (IVF) can be used to increase the possibility of pregnancy but very invasive and expensive (Leigh, 2005).
J. Ericsson Method
Is a technique that aims to separate the male sperm with female sperm. Sperm with the desired gender is inserted directly into the uterus through artificial insemination (Leigh, 2005).
Technique Ericsson has the effectiveness of 78-85% for sex selection of men and 73 to 75% for female sex selection (Leigh 2005).
Whole sperm swim, but the male sperm swim faster and reach the bottom. Rapid sperm swimming with the slow and sperm separated by the desired gender inseminased (Leigh, 2005).

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how to choose baby's sex? Procedures and guidelines which Wanting Men Babies

1. Doing intercourse as close as possible to ovulation, or exactly 12 hours before and after ovulation.
2. Shortly before intercourse every time his wife washed his penis with a mixture vagina 1 liter + 2 tablespoons salt soda (sodium bicarbonate-soda)
3. If it can better achieve orgasm wife first, followed by orgasm husband.
4. The recommended position is the knee-chest position (genu-pectoral) where the husband approached her from behind.
5. In the second husband and ogasme achieve ejaculation do penis deep penetration.
6. Fasting or abstinence from intercourse is necessary starting from a dry period until the day of ovulation. It means that the volume and number of sperm per cc will be as much as possible.
Procedures and guidelines on the safe and simple, but the results are not guaranteed 100%. Shettles reported clinical results obtained 80% and if the couple really careful especially if you rinse and ovulation in time, then the success rate will reach 85-90%.

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