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    1. Estacionário de Negócios

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    4. Eventos de Rede

    A rede de negócios face a face têm a possibilidade de ser uma forma incrivelmente valiosa por construir este seu empreendimento, bem como obter suporte e uma boa rede de fornecedores ao mesmo tempo. Contudo, dependendo do formato do evento, você pode não falar usando todas os indíviduos na sala. Se o visitante tiver a chance do fazer 1 discurso do 60 segundos, considere mencionar seu sitio. E, quando apropriado, disponibilizar alguma literatura promocional para as pessoas se quiserem - com este endereço do seu sitio!

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    6. Van Livery

    Em especial para os indíviduos de comércio, seu nome e marca podem se tornar muito bem conhecidos na área terreno, simplesmente em virtude por estar em seu veículo. Certifique-se de que todos os automóveis estejam assinados profissionalmente e dê um endereço proeminente ao site.

    7. Sinais de Emprego

    Isso é particularmente relevante se este seu escritório estiver em 1 local ocupado. Faça usando que os sinais do seu escritório incluam o endereço do seu site, para que as pessoas que passam podem sair e testemunhar mais.

    oito. adesivos alguém?

    Essa ideia veio de ver um adesivo de manutenção que nosso encanador local havia deixado na caldeira. É um lembrete de quando a caldeira precisa do manutenção novamente e, além de um número de telefone, por que não incluir o site? Isso pode ser aplicável a qualquer tipo do empresa que faça negócios recorrentes para clientes - deixe 1 pouco de literatura usando seus dados para que eles permitam encontrá-lo novamente quando precisarem de o visitante.

    9. Quaisquer brindes de que você distribuir

    Este é um caso óbvio, mas se o visitante participar do feiras e eventos onde você distribui qualquer género de brindes - verifique se o endereço do seu site está incluído!

    10. Comunicados de Imprensa / Funcionalidades

    Ótimo! Você apareceu no jornal local, na publicação comercial, na revista do setor... ah, espere 1 minuto. você quer dizer que não há endereço de site lá?! É um erro muito natural. Certifique-se de que todos os comunicados de imprensa incluam o endereço do seu site. Quando entrevistado, solicite que seja incluído. Se possível, dê às vizinhos uma excelente razão para ir e dar uma olhada.

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  • Το βραχιόνο πλέγμα είναι ένα εξαιρετικά πολύπλοκο δίκτυο νεύρων το οποίο δημιουργείται από τις νευρικές ρίζες που εκφύονται από τον νωτιαίο μυελό στο ύψος του αυχένα και είναι υπεύθυνο για την κινητική και αισθητική νεύρωση του άνω άκρου.

    Η παράλυση του βραχιονίου πλέγματος στους ενήλικες προκαλείται κατά κύριο λόγο σαν αποτέλεσμα τραυματισμών υψηλής επιτάχυνσης (τροχαία ατυχήματα, κυρίως πτώση από μηχανή). Συχνά συνυπάρχει με άλλες κακώσεις – κακώσεις αγγείων, κρανιοεγκεφαλικές κακώσεις κατάγματα.

    Αν και η παράλυση του βραχιονίου πλέγματος δεν αποτελεί κάκωση απειλητική για την ζωή, μπορεί όμως να οδηγήσει σε μερική ή ολική απώλεια της κίνησης και της αίσθησης σε ολόκληρο το άνω άκρο.

    Ο ασθενής με κάκωση του βραχιονίου πλέγματος πρέπει να εκτιμηθεί το συντομότερο δυνατό από εξειδικευμένο χειρουργό. Οσο μικρότερο είναι το διάστημα μεταξύ του τραυματισμού και της χειρουργικής θεραπείας τόσο μεγαλύτερες είναι οι πιθανότητες αποκατάστασης της λειτουργίας του άνω άκρου.

    Η Μικροχειρουργική επανόρθωση, συνίσταται στην αποκατάσταση της συνέχειας των νευρικών στελεχών, με χρήση νευρικών μοσχευμάτων ή στην μεταφορά νεύρων, σε αποσπαστικές κακώσεις και σύνδεσή τους με τους περιφερικούς κινητικούς κλάδους.

    Ο ασθενής παραμένει στο Νοσοκομείο για 3 έως 4 ημέρες. Μετά την 3η εβδομάδα από την επέμβαση ακολουθεί πρόγραμμα φυσιοθεραπευτικής αγωγής.

    Η χειρουργική ομάδα μας στο Νοσοκομείο Metropolitan αποτελείται από τους κκ Ν. Δαούτη και Α. Βασιλειάδη, με την συνεργασία του εξειδικευμένου Αναισθησιολόγου κ. Γ. Γλεντή.

    Φωτογραφίες

    neurolization
     

    Video
     

    Παράλυση βραχιονίου πλέγματος πριν & μετά


     

     

     

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    Το σύνδρομο του καρπιαίου σωλήνα είναι η πλέον αναγνωρισμένη ασθένεια που προκαλείται λόγω επαγγελματικής απασχόλησης.

    Υπολογίζεται ότι 3% του πληθυσμού επηρεάζεται από το σύνδρομο, το οποίο είναι συχνότερο μεταξύ των γυναικών.

    Χαρακτηρίζεται από μουδιάσματα, αδυναμία και πόνο στον καρπό και στα 3½ δάκτυλα του χεριού, ιδιαίτερα στον αντίχειρα και στο δείκτη.

    Ο πόνος συχνά αντανακλάται μέχρι το βραχίονα.Τη νύχτα τα συμπτώματα στο χέρι και τα δάκτυλα επιδεινώνονται με αίσθημα καύσου, φαγούρας και μυρμηγκιασμάτων που διαταράσσουν τον ύπνο.

    Στις πολύ σοβαρές περιπτώσεις υπάρχει κίνδυνος απώλειας της αίσθησης ή και μερικής παράλυσης στο χέρι.

    Η πάθηση προκαλείται από τη συμπίεση του μεσαίου νεύρου στον καρπό.

    Η συμπίεση αυτή αποδίδεται σε ανωμαλίες που δημιουργούνται στον καρπιαίο σωλήνα λόγω επαναλαμβανόμενων κινήσεων και καταπόνησης του καρπού.

    Συμπτωματολογία

    Η συμπτωματολογία αρχίζει με αιμωδία (μουδιάσματα) στα τρία πρώτα δάκτυλα του χεριού. Είναι χαρακτηριστικό να παρουσιάζεται κυρίως κατά τις βραδινές ώρες. Αργότερα συνυπάρχει άλγος το οποίο μπορεί να αντανακλάται σε ολόκληρο το άνω άκρο. Σε σοβαρότερες περιπτώσεις παρατηρείται αδυναμία κατά την κάμψη των δακτύλων του χεριού και κυρίως κατά την βραχεία απαγωγή-αντίθεση του αντίχειρα.

    Διαφορική διάγνωση

    Η διαφορική διάγνωση γίνεται κυρίως με βλάβες του μέσου νεύρου σε ύψος διαφορετικό από εκείνο του καρπού. Τέτοιες παθήσεις είναι το σύνδρομο στρογγύλου πρηνιστού, βλάβες του βραχιονίου πλέγματος και οι βλάβες του αυχένα (πιεστική βλάβη των νωτιαίων ριζών).

    Αλλες παθήσεις ή καταστάσεις μπορούν επίσης να προκαλέσουν την εμφάνιση του συνδρόμου όπως ουρική αρθρίτιδα, ρευματοειδής αρθρίτιδα, παχυσαρκία, σακχαρώδης διαβήτης, εγκυμοσύνη.

    Θεραπεία

    Η αντιμετώπιση πρέπει να αρχίσει το συντομότερο δυνατό, σύμφωνα με τις ιατρικές οδηγίες. Η αρχική θεραπεία περιλαμβάνει ανάπαυση του χεριού για διάστημα τουλάχιστον 2 εβδομάδων με την εφαρμογή απλού νάρθηκα ακινητοποίησης του καρπού. Η εφαρμογή κρύων επιθεμάτων μπορεί να μειώσει το οίδημα και την καυσαλγία. Η χορήγηση φαρμάκων όπως τα μη στεροειδή αντιφλεγμονώδη, διουρητικά, ή ακόμη και η τοπική έγχυση κορτιζόνης μπορούν, στα αρχικά στάδια, να ανακουφίσουν από το οίδημα και τον πόνο.

    Η χειρουργική διάνοιξη του καρπιαίου σωλήνα αποτελεί την ριζική λύση του συνδρόμου. Συνιστάται στις περιπτώσεις επιμονής των συμπτωμάτων για διάστημα τουλάχιστον 6 μηνών. Η επέμβαση γίνεται με τοπική ή περιοχική αναισθησία και ουσιαστικά συνίσταται στη διάνοιξη του εγκαρσίου συνδέσμου του καρπού.

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