A tummy tuck involves the removal of excess fat and skin that can accumulate in the middle and lower abdomen, adjusting the abdominal wall muscles, giving a firmer and smoother. Apartial abdominoplasty surgery is similar, but only focuses on the lower abdomen and is therefore less invasive.

This surgery is the perfect solution for women whose abdomen was stretched after pregnancy or due to weight gain because it usually can not stomach returning to its original shape after such circumstances, the same way, abdominal tissue not normally responds to exercise or diets.

What can I expect?

When it comes to making the decision to undergo plastic surgery should be remembered that no treatment can bring the look ‘right’ to our appearance. Note that this operation does not try to achieve “perfection”, but aims to achieve an improvement in the external aspects of the customer. Because of this, it seems the best practices and patient has realistic expectations when considering undergoing any cosmetic treatment, as this will provide greater satisfaction and make you feel incredibly satisfied with their appearance, increasing their self-esteem.

You must remember that a tummy tuck leaves a permanent scar, this will depend on the level and degree of operation and can extend from hip to the other side.

A candidate for a tummy tuck has to be in relatively good physical condition, but shows abdominal skin a little fallen, with large deposits of fat. If you are thinking of lose weight, it is advisable to do so before the operation, as well as women who plan to have children in the future to avoid surgery, because the tense muscles of the abdomen can be separated during pregnancy. At the same time, it is recommended that your weight remains stable for at least six months before treatment.

Planning your surgery

Plastic surgeons know that the tummy tuck is a um highly personalized treatment. Because of this, it is desirable that every surgical option exists at your disposal and there are a wide range, so the choice of a good professional is essential.

Before the start of any procedure, the patient must make an initial consultation with your plastic surgeon. Thus, both can contribute their opinions in the process, thus dramatically increasing levels of customer satisfaction. You should discuss frankly with your doctor about any questions you may have about treatment. All the different aspects of the procedure to be submitted (cost and recovery time) should be extremely clear.

Be sure to ask your doctor about all the details involved in the procedure. For example, you should know if you should stop taking certain medications or the need to avoid foods or liquids for some time before the operation. At the same time, you should report any adverse conditions you have, such as an allergy. Certain conditions, such as clotting problems or scarring can cause problems during and after surgery.

Procedure

This surgery is performed under general anesthesia and its goal is the removal of excess skin and fat accumulated in the middle and lower abdomen. At the same time, adjust the muscles of the abdominal wall to give a firmer appearance. The process can take several hours to complete, depending on the degree and amount of tissue that are believed to extract.

To begin, the surgeon makes an incision through your lower abdomen (on one side of the hip to the other), while another incision is made around the navel. When it comes to a partial abdominoplasty, the incisions are much smaller and the navel is held in position. When the incisions are made, your doctor will continue to separate the fat and skin from the abdominal wall, raising his ribs.

When the excess tissue and fat are removed, the abdominal muscles are reduced and sutured together, adjusted and giving the patient an elegant waist. Another incision creates an opening for the new position of the navel and is placed in its new position by points in the new skin. During this phase, any scars or stretch marks can be removed.

Finally, the incisions are sutured and the belly will be wrapped with gauze. A temporary tube, surgical drainage will be placed to remove any liquid that may accumulate in the affected area and helps minimize swelling.

After surgery

Compared to other procedures, the recovery period of an abdominoplasty is considerable. This will depend on the condition that the patient has. Most people need a recovery of 1 to 3 weeks before they could return to normal activities or work. Immediately after treatment you may not need to spend the night in the hospital, but for many patients should remain under the care of a professional team for another day.

Your abdomen will become swollen and abused in the early days if the pain is too much for you, you can ask your doctor an indication of some medications to relieve your discomfort. Some degree of bleeding is normal, the same way, the skin in the affected area will become numb, especially below the navel.

Depois de três dias, você poderá retomar algumas atividades que exijam pouco esforço e seus curativos serão reforçados por uma faixa elástica, que vai oferecer melhor suporte.

It is recommended that you exercise shortly after the surgery when considered better physically. We suggest you walk a little at a time, stretching your ankles to prevent blood clots in the veins of your calves. Remember to keep your hips partially folded during the first week to minimize stress that may occur in the points.

It is also advisable to avoid showering until surgical drains are removed, thus sponge baths during this time.

Feel that the scars of the surgery will worsen after 3 to 6 months, but remember that it takes about nine months to lighten the color levels. Remember that the scars are permanent but can be easily concealed under clothing.

Risks

As with any plastic surgery, complications are uncommon, however, can happen. While this is true, is usually mild and can be reduced by following the instructions from your doctor, before and after the procedure.

Some patients who underwent abdominoplasty, sometimes unusual, have suffered from excessive bleeding, infection (treated with antibiotics), blood clots, adverse reaction to anesthesia and necrosis (death of skin tissue, especially in smokers and diabetics). After surgery, some fluid may accumulate under the skin and can cause infection, which is why drains are placed, care should be taken during the recovery period to avoid any condition counterproductive.

Make sure you discuss with your surgeon about the risks that may occur during or after the beauty treatment that will be submitted. However, one should bear in mind that plastic surgeons to work to avoid ethical problems with patients’ health.

The information provided on this website should be considered as an introduction to a tummy tuck. Before making a decision about this treatment, we recommend that you contact directly with the doctor so you can respond and clarify your doubts.

Factors that trigger gastrointestinal complaints

_ Stress: at work, in private life, in school;

_ Drinks:
cold drinks, increased consumption of alcohol;

_ circulation:
excessively high temperatures, stress
unusual, too much sun;

_ Drugs, nicotine,
food: too acidic fruits, coffee, tea, cigarettes, among others;

_ Food:
rapid and irregular meals, fatty foods or food sanitation, spicy or
unusual

25% of the population suffer from irritation
stomach

Sometimes there is no organic cause that explains the symptoms, such as:

_ stomach pain, heartburn,
bloating, flatulence, nausea and vomiting.

Therefore, your doctor may
often do not find organic disease of the gastrointestinal tract.

However, complaints are not imaginary, are often recurrent, known as functional dyspepsia. They are called syndrome
irritable stomach. It is estimated that 25% of the population suffers from it.

Now you need not go through all the mood disorders before going to the doctor
. Often, mild symptoms are resolved with rest and diet control. If, however, do not disappear, despite their own efforts or the symptoms worsen, then you should consult a doctor.nbsp;

Stomach problems during pregnancy are
perfectly normal

Almost four fifths of all pregnant women suffer in the last trimester of pregnancy stomach complaints.
The growth of the child presses the stomach as well as hormonal changes.

Here may be useful for an appointment with the doctor, a treatment to attack the causes of heartburn, where it can normalize muscle movement.

Stomach irritation even in infants and children

Upset stomach occurs only in adults?

Far from it, children often complain of stomach problems, sometimes caused by increased consumption of sweets, but also in situations of stress in school among other causes.

The newborn babies, as they can not say how the pain they feel, parents have great difficulty in identifying the causes of their child having convulsions and screaming for hours.
Often, babies have swelling due to swallowing too much air during feeding or when breast.
Often it also happens baby
surprising when it changes from liquid to solid foods.

Often, the cause is a digestive disorder, because the body has not become accustomed to new food ingredients and food weigh in the stomach, this is quite normal, however, if the child after the change from milk to solid food present a lot of diarrhea and pain should be performed a deeper causes.

It should be especially careful with diarrhea in the 1st year of life. The visit to the pediatrician is advisable.

Gastrointestinal complaints

In metallic form has a silvery gray color because of its brightness his name was given in honor of the Greek goddess of the moon Selene, the element was discovered in 1818 by Swedish chemist Berzelius, the discovery of their occurrence in the body occurred in 1975.

Intake

The stock of selenium in the body is about 10-15 mg, and a large part of which is contained in the muscles, in addition, especially in the liver, kidneys and heart. Selenium is absorbed in the upper sections of the small intestine and mostly excreted in the urine.

The recommended daily dose is 50 mcg for women and up to 200 mcg for men.

Good sources of selenium are of animal and vegetable protein. Particularly rich in selenium are meats and fish, grains, fruits, vegetables and mushrooms. In addition, we recommend eating foods high in vitamins A, C and D, because they improve the absorption of selenium in the body.

Selenium is an essential trace element that must be obtained from food.

Selenium is a component of protective enzymes important for detoxification of the body.
Acts as an antioxidant defends the body’s cells from free radicals that arise every day under the influence of environmental toxins, tobacco and stress.

Selenium is used as adjuvant therapy of cancer, enhances immunity and combat acute and chronic infections.

With a blood test can determine the levels of selenium.

Importance

Selenium is a component of important enzymes and help (in the form of the enzyme glutathione peroxidase) – the body’s cells in defense against aggressive metabolic products called free radicals. In this role, he – with supplements of vitamins A, C and E – are called antioxidants. Free radicals are formed in almost all metabolic processes, depends on genetic predisposition (DNA) the accumulation of free radicals can lead to cancer development.

Cancer

It was observed that diets rich in selenium cases of heart attacks and cancer are rare. Therefore, a certain protective effect against cancer and atherosclerosis is attributed to this mineral.

In experimental studies have shown that selenium can help prevent potential cancer development. Selenium protects the body of toxic heavy metals (cadmium, lead, arsenic, mercury) and harmful radiation such as ultraviolet light or radiation treatment cancer.

For cancer patients found that a sufficient amount of selenium helps tolerability of cancer treatments and side effects of radiotherapy. Thus selenium is already used as support in the treatment of many cancers. In addition, international studies have shown that selenium may help inhibit tumor formation and growth of skin, liver, prostate and colon.

Thyroid

Studies show that in inflammatory diseases of the thyroid gland (Hashimoto’s thyroiditis), Graves’ disease, selenium improves the general health and some of the complaints.

Immune system

It also has a positive effect on the immune system. SSelenium strengthens the immune system – especially in conjunction with zinc – the additional administration can help the body recover from a blood infection or disease caused by HIV.

Even in patients with autoimmune diseases of the bowel, in rheumatic diseases, or allergic asthma, the disease can be positively influenced by selenium.

Tip: During the winter the body needs more selenium To meet this growing demand, you can also use a food supplement, (available in pharmacies, for example) in the form of selenium yeast.

Deficiency

The content of selenium in the soil of different crops is very variable. Some soils contain very little of this mineral – among other things, due to fertilizers contaminated with sulfur dioxide, sulfur-containing acid rain (is absorbed by plants, instead of selenium).

Some people have a very low selenium diet, include people who eat only plant protein, ill-fed alcohol abuse, elderly, those with an unbalanced diet, patients with feeding tube and dialysis patients.

Secondly, there may be a lack of selenium when it is excreted in excess, it can happen with prolonged diarrhea, but also in the urine in diabetes mellitus, or severe kidney disease. Gastrointestinal disorders (chronic inflammatory bowel diseases such as ulcerative colitis) can lead to a deficiency of selenium. A greater need for selenium during pregnancy can exist during breastfeeding and during menstrual bleeding due.

The consequences of selenium deficiency, has not yet been explored. In areas with extreme selenium deficiency such as China and central Russia were observed heart disease and diseases of the joints. However, it is unclear whether these diseases are caused by selenium deficiency or contributes to the severity of these diseases.

Tradutor
Recent studies also allow a correlation between low selenium levels and Hypertension, Dyslipidemia and the emergence of arteriosclerosis. In addition, there is evidence that a selenium deficiency can affect fertility: women who suffered miscarriages in the blood showed extremely low levels of this mineral. In men with a deficiency of selenium, maturation and sperm motility may be impaired.

Selenium Overdose

Selenium is toxic in high concentrations. Normally, the body excretes the excess selenium in the urine. But when a long period of time to eat large quantities may occur as undesirable effects: hair loss, liver damage, nervous disorders and heart failure.

Our current way of life does not contribute to the smooth functioning of the stomach and intestine, the rush of work, fast food and lack of exercise lead to typical symptoms such as constipation, nausea, vomiting, abdominal pain, among others.

In this special topic, you will learn how our stomach, which causes disease and what can be done to maintain the proper functioning of the health and well-being.

How is your stomach?

At first glance, the stomach is a muscle. In a deeper analysis, one realizes that it is a complex, interconnected to the body. Even small perturbations cause the imbalance. No wonder so many people suffering from stomach pains and intestinal problems.

Our stomach is a highly interconnected structure forming a complex system of muscles, glands and nerves in conjunction with a protective wall of the gastric mucosa. It is supported by neurotransmitters, enzymes, hormones and digestive substances.
Everything is controlled by a specific part of our autonomic nervous system. So perfect is not clear.

The enteric nervous system – our second brain

The so-called enteric nervous system is often cited as the second brain. With nearly 100 million neurons, has a number of
neurons as large as the number of neurons in the spinal cord

The muscles of the stomach in digestion

The conversion of food begins in the mouth with the grinding of
food. The Quim (when food reaches the intestine) passes through the
the upper esophagus to the stomach. Then, stretch the muscles
background in order to adjust the volume of food in the stomach.

In the stomach glands producing gastric mucosa, juice
gastric and hydrochloric acid to start digestion and bowel decreases the work
important for grinding. Muscle movements of the stomach mix and break down the cellulose.
In small portions reaches the lower stomach
(gastric, antrum) and the pylorus(regulate the passage of digested incomplete)
duodenum.Occurs the action of the bile ducts and pancreas, the digestive juices and
enzymes that “break” the food.

Gastrointestinal complaints

The stomach is an organ very sensitive digestive tract.
He reacts to emotions like anger and foods that are not in good
consumption.

The causes of gastrointestinal symptoms can be so
varied as the resulting symptoms.In the following pages you will learn
what causes stomach irritation and how to recognize symptoms. You can also find many helpful tips and information on how to protect your stomach from malnutrition and unhealthy behavior.

See:

Causes of stomach irritation

Laser hair removal is not final, but the results are lasting.

When it comes to laser hair removal, the first thing that comes to mind is
it is a definitive method. Pure deception. Contrary to what looks and
to popular belief this is not a technique that kills the hair forever.

This eliminates about 30% of the each session and is able to block the growth of up to 80% of them by the end of treatment and the remaining 20% are born thinner and far between.

The last time that this result is relative and varies from one person to another.

The durability of that block growth the hair is very individual, but the results can stay from two to five years.

The laser applications during treatmentare usually made every 30 or
40 days on average. But the time it takes for the hair disappear is also
relative, it depends on the region of the body to be shaved, the type of laser
employee, hormone production, skin color and hair color.

Can range from 5 to 8 sessions, on average, for the hair gone, but can be
need up to 12 sessions.
Areas such as the groin and armpit hair showing more thick and dark, respond better to the method, which can shorten the time duration of treatment for three sessions. Already legs and face, regions where the hair
are clearer, the forecast is for five sessions. But it is noteworthy that this is
one estimate, the results are individual and some people that number
Estimated sessions may be shorter and others longer.
Completed treatment, the maintenance may occur every four to six
months.

How is the action and what are the risks

The mechanism of action of laser hair removal is simple but delicate, and may have consequences such as stains and burns. “When the laser light hits the hair, it generates an energy that destroys heated when the heat reaches the
root cells, the hair does not grow back.

This energy is attracted to the melanin of the hair. In practice this means that the hairs lighter have less melanin and are less responsive to the method, since the darkest absorb more laser light.

So in the dark and thick hair the treatment is more effective

Precisely because of this issue that the laser is attracted by melanin, tanned skin, brown and black should be treated with great criterion because the chance for burns and stains is greater.

In these cases, melanin in the skin to be confused with the hair and that can cause stains darkened. But this is easily controlled with the power of light emission, should be lower, which can increase the number of sessions during a treatment.

The more modern equipment can be used in black fur, with a margin great security for the patient.

There are also some techniques to reduce the risk of burns in dark skins, as the time power is administered and the type of pulse what is done.

This burn can result in blisters, spots, redness, bark, dark spot or light stain.

But a professional can greatly reduce the chance of this happening.

Even the first step to a safe treatment is to make sure the procedure with a dermatologist or a specialist in aesthetic medicine, preferably with expertise in laser. Otherwise, the risk of complications is great.

Physical sensation

At the time of the laser contact with the skin is what it feels like a light burning.

As we increase the laser power is more painful. It is not difficult, is a discomfort, as with waxing with hot wax and cold.
The best equipment for hair removal are the most painful.
To get an effective shave the hair root needs to be heated to a minimum temperature of 60 ° C and this causes pain.
To minimize this discomfort some manufacturers have developed anesthetic solutions as topical anesthetics, ice in the form of rolls, cryogenic spray
and Cryotherapy equipment.

The most widely used is the topical anesthetic should be applied 30 minutes before the session.

In the post-procedure pain usually does not occur, but common skin turns red and in some cases, angry, mainly in sensitive individuals.
But this feeling disappears after a few hours and can be ameliorated with
application of thermal water and corticosteroid creams or calamine in the region treated for calm.

Away from the sun

There are many reasons to avoid the sun when it comes to hair removal
laser.

The most classic is the question of pigmentation – The melanin of the tanned skins attracts the laser light and this can harm the natural process, where the energy reaches the hair root punctually, jeopardizing the success of treatment and causing blemishes.

The ideal is not exposed to the sun two weeks before the session and up to three weeks later because the sun is extremely harmful to the skin healing.
Ideally, patients are not exposed to the sun throughout the treatment, the skin subjected to an assault becomes more vulnerable to sunburn and staining.

Use sunscreen during this period is critical.

The methods used are more intense pulsed light, laser diode, Alexandrite and Nd Yag.

Each technology has particular characteristics that differentiate them. In common, all systems use high-energy light that acts attracted to the melanin.
All are effective if used by qualified professionals. What defines a good professional is the domain that it has on the apparatus used.

INTRODUCTION

The reflux acid material from the stomach into the esophagus does not mean necessarily disease. It is common and occurs several times a day all people, but for short periods of time and this acid is rapidly cleared from the esophagus. The lining of the esophagus is somewhat acid-resistant, but has the capability of supporting such reflux normal.

In some cases, the lining of your esophagus may have impaired resistance or acid reflow or more times longer than the esophageal mucosa may resist. The acid may also flow back into your throat or cause symptoms by simple irritation of the esophagus. In these situations, reflux is no longer considered normal and it is disease gastroesophageal reflux

PHYSIOPATHOGENESIS (how the disease occurs)

There are several factors that keep the gastroesophageal reflux within the levels Physiological:

Several conditions facilitated the occurrence of reflux in pathological levels, leading to disease. One of the best known but more controversial is the hiatus hernia, or hernia Hiatt. Normally, the esophagus ends in the stomach just below the diaphragmatic hiatus. Hernia, the esophagogastric transition is located above the gap, which causes the stomach to be submitted the pressure of the diaphragm, not the esophagus. While this is fine and tends to remain closed by the pressure, the stomach has more walls thick and does not give in to pressure from the diaphragm, leaving free space for the acid refluxing into the esophagus. However, even though more prevalent in people with gastric reflux than in normal, there may be even hernia in people without the disease.

Acid Reflux Surgery – Esophageal Dilation

Conditions that increase intra-abdominal pressure also facilitate reflux of gastric contents to push up, including ascites, obesity, pregnancy and strenuous exercise. Other conditions that lead to a reduction in intra-thoracic pressure, “pull” content from the stomach into the esophagus, especially lung diseases, and otolaryngology, where the patient’s breathing effort leads to the change in pressure.

The influence of Helicobacter pylori in GERD is not yet established. There are studies that suggest a lower frequency of GERD in individuals with H. pylori, ust as there are studies that could indicate an increased incidence of GERD after treatment and eradication of bacteria. The H.pylori produces ammonia, which neutralizes the acid part, and gastritis caused by the bacterium to alter the production of acid. But this relationship still needs a lot of research to be understood. To date, there is no indication or contraindication to eradicate Helicobacter pylori in individuals with GERD.

SYMPTOMS

Symptoms of GERD can be divided into typical(Heartburn and regurgitation) and atypical (Esophageal source such as dysphagia and odynophagia, or extra-esophageal, such as chronic cough and asthma ).

Heartburn (burning) is the burning sensation rising from the epigastrium (where is the stomach, the retrosternal region (behind the central chest bone) and can reach up to the neck. usually related to food and the position (usually worse when lying down). about a third of people have this symptom once a month and 7% of all people have this symptom daily. Only with this symptom, you can make the diagnosis of GERD in 80% of cases (positive predictive value). in However, the absence of heartburn does not rule out GERD as only 80% of patients with reflux have this symptom.

Regurgitation is the reflux of small amounts of material the sour taste to the mouth, usually after meals. It occurs in about one-third of patients with gastroesophageal reflux disease, but can occasionally occur with anyone, especially after meals in large quantities.

Odynophagia is pain after swallowing, when food is through the esophagus. This symptom is relatively rare in gastroesophageal reflux disease because it usually reflects more severe erosions or ulcers, particularly those caused by infection of the esophagus (Candidiasis, cytomegalovirus, herpes and others) or medications.

The intensity and frequency of symptoms are not related to the severity of oesophageal erosions or the appearance of serious complications, with esophageal ulcers, Barrett’s esophagus or cancer. However, some symptoms are considered Alarm signals and require a further investigation:

DIAGNOSIS

Endoscopy is the method of choice for visualization and evaluation of the mucosa, due to ease of implementation and availability in most medical centers in our midst. However, the absence of endoscopic abnormalities does not exclude the diagnosis of GERD, as 25 to 50% of patients with typical symptoms of patients have normal endoscopy, and carriers disease of non-erosive reflux. Although not the ideal method for observe the presence of gastroesophageal reflux, endoscopy remains the initial examination because it allows evaluating the severity of esophagitis and biopsies when necessary.

A 24-hour pH monitoring allows to characterize gastroesophageal reflux, showing the number of episodes and the time that the contents acid remains in contact with the esophagus. If performed with two sensors (two channels), allows the assessment of acid reflux for upper portion of the esophagus, helping diagnose manifestations atypical GERD. Is also indicated for people who have not obtained satisfactory response to treatment and in cases of sickness non-erosive reflux.

Another option widely used is the therapeutic trial. When there are no signs alarm, the patient is young, and are typical symptoms of GERD, you can try the medication and observe the result. a 75% improvement in symptoms in one week is considered diagnostic GERD

Other options, diagnostic methods, but are little used and have limited indications:

TREATMENT

The main concept that should be understood by the holder of GERD is that it is a chronic illness whose symptoms tend to come back right away or shortly after the end of treatment. Thus, behavior changes should be made to decrease or prevent the reflux persists, thus avoiding not only the symptoms, but complications (strictures, ulcers, cancer). In isolation, this measures have little effect, but should be part of treatment:

How to correct Acid Reflux GERD Indegestion naturally for good

Several classes of medications have been used to treat GERD. antacids H2 blockers and prokinetics, although to promote relief of symptoms, are ineffective in treating lead to side effects and / or promote tolerance in the body. The treatment of GERD is universally performed with proton pump inhibitor (omeprazole, lansoprazole, rabeprazole, esomeprazole and rabeprazole) in all phases (acute, chronic, recurrent and maintenance) in varying doses. Treatment should last at least 6 to 12 weeks, during which the dose may be gradually reduced. People who manage to stay off medication for more than six months without symptoms may be treated only when they emerge, but others may require continuous treatment, with the minimum dose needed to continue without symptoms. In some cases, however, surgical treatment may be:

Cristo Redentor – Corcovado

The Christ is one of the most visited places in Rio de Janeiro: a figure imposing located on top of Corcovado about 710 meters in height that can be seen from anywhere in the city and offers a splendid view from the top.

They offer tours to climb up to the Corcovado (Christ Redeemer) by train through the Tijuca Forest, a place of lush beauty. The statue of Christ with outstretched arms is a symbol of Rio de Janeiro, was built between 1926 and 1931. The basis of Christ has a number of platforms of different heights, culminating in the very foot of the monument. Access between platforms is done by stairs from which they allow you to see different views of the city. On different platforms that are in the access to an information center, souvenir shops, toilets and bars.
During the ascent we see in the first place, south of Rio de Janeiro, the beaches of Ipanema and Leblon, the Botanical Gardens and much of the Park of Tijuca. Continuing the tour we see Copacabana, Guanabara Bay and Sugarloaf. The front of the Christ, look at the heart of Rio and unforgettable views.

Pão de Açucar

From the base of the hill in the area of Urca, the ascent by cable car cabins that are fully glazed inside and offering a panoramic view.

The first step of the climb ends at the Morro da Urca 220 meters high. The platform of the Urca is wide, with paths between the vegetation and natural viewpoints at different times, which has a fantastic view of Copacabana beach, the sea, Christ the Redeemer, the center, the Guanabara Bay and Niterói. The second part comes to Sugar Loaf, which has a panoramic view of the entire region.

Tropical Islands

One hour and thirty of Rio de Janeiro to the south, lies the port of Itacuruçáwith coast its warm waters and green, lush vegetation, a small quiet bay of Sepetiba Bay, which houses the amazing tropical islands.

The tour of the Tropical Islands starts at the Rio-Santos highway heading for Itacuruçá aboard a schooner (ship). A tray of tropical fruits will be served on board and a bar will be available. The schooner through the Sepetiba Bay, an area rich in natural beauty, where it is common for passengers to see the dolphins, giant kingfishers, parrots, turtles and stingrays. After stopping for a swim, we continue to the island where a delicious buffet lunch will be served.

After lunch, there will be time to explore the island before returning to Itacuruçá.Uma hours and thirty of Rio de Janeiro to the south, lies the port of Itacuruçá coast with its warm waters and green, lush vegetation, a creek small and quiet of the Sepetiba Bay, which houses the amazing tropical islands. The tour begins at the Tropical Islands of Rio-Santos highway heading for Itacuruçá aboard a schooner (ship).
A tray of tropical fruits will be served on board and a bar will be available. The schooner through the Sepetiba Bay, an area rich in natural beauty, where it is common for passengers to see the dolphins, giant kingfishers, parrots, turtles and stingrays. After stopping for a swim, we continue to the island where a delicious buffet lunch will be served. After lunch, there will be time to explore the island before returning to Itacuruçá.

Samba

The Rio de Janeiro is a city that never sleeps and the night Rio offers the perfect option for those who want a taste of Brazilian culture itself.
This tour will give you a show in the highest style, where artists, musicians and dancers show a colorful spectacle, lights, costumes and rhythms in their dances, bossa nova, capoeira, samba and more. During the show will bring together traditional and tropical rhythms and breathtaking beauty of the costumes of Carnival.

Phone Book

In hospice a nut was flipping through a phone book.

A doctor, who was walking nearby, asked in a tone of

joke:

_ And then, this novel is good!

_ Very annoying! It has long cast and little plot!!!

Fart in the elevator

In the elevator, an old man let out a fart and stinky. The couple, who stood by the elevator,complained:

_ Sir, is not ashamed to do this in front of my wife?

_ Sorry, did not know it was her turn!

Strange desire…
One man who has worked for many years in a canning company, said one day to shame the woman who was seized by a terrible urge: an uncontrolled desire to put the penis into the cutter cucumbers.

Alarmed, the wife suggested that he seek a psychologist, but her husband did not, promised that he would think about it.

It was rolling, rolling and upsetting the woman with that issue until she spoke:

- So place your will, and soon puts this thing in cutting of cucumber, it’s your problem!

In one day he came home sad, deeply discouraged:

- What happened was that, honey?

- Remember my compulsion to put my penis in the cutter of cucumbers?

- Oh, no! – Shouted the woman – You did?!?

- Yes, I did!

- My Father in heaven, what happened?

- I was fired.

- But, e. .. The cutter of cucumbers? Hurt you?

- No, she was fired…

Division of labor

The macho super expensive either hear about the division of labor among modern couples, the woman called and said:

_ Honey, from now we’ll break it down, I get the rights and duties with you!

The sausage

John and Peter, two friends who were inseparable, they wanted a beer or two, or three but they were penniless.

Stirring in the pockets, the only thing they found was an impressive amount of one dollar.

John said ‘Hey, I have an idea. ”

He went to the butcher next and left with a huge sausage in her hands.

Peter said to him ‘You’re crazy, man? Now is that we are without even a penny! ”

John replied, ‘Do not worry, man, come with me. ”

He walked into a bar and immediately ordered a beer and two cups and two glasses of whiskey.

Astonished, Peter warned, ‘Now once you’re crazy.

Have you thought about the mess you put us? We are totally without any money! ”

John calmly replied with a smile:
‘Do not worry, I have a plan … Cheers! And drank their drinks.

The John then said, ‘OK, I’ll put out the sausage through my zipper and you kneel and put in your mouth.

‘ The bartender saw what they were doing, was furious and put them out.

But they continued doing the same thing, bar after bar, getting more drunk, all for free.

When they were in the tenth bar, Peter grumbled:

‘John, I can not I follow you.

I’m drunk and my knees are killing me! ”

John then said, ‘And how do you think I am?

I can not even remember which bar I lost the sausage …’

See: Blonde Jokes

 
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Any abnormality interrupting the transmission of information
from the skin / brain can cause
numbness or paralysis.

In general, it is a transitory phenomenon and without serious consequences. on
However, it is important to recognize benign numbness and differentiate it from
a serious illness, paralysis or
stroke.

What causes numbness, paralysis, stroke

Numbness of benign nature (examples):

Shock at the elbow: dormancy by
few minutes from the elbow, forearm, and sometimes both
the last fingers of the hand after trauma.

Temporary compression of a nerve or
artery: Numbness of a limb, for example, after spending some
time sitting in a bad position or have worked long periods with
arms raised up. 

Hyperventilation (breathing too fast):
Tingling diffuse, but mainly located in the lips and
ends. This phenomenon usually occurs after a long exercise
intense anxiety or a crisis. Some people have recurrent bouts of
Repeated hyperventilation, but not dangerous.

To alleviate benign numbness , in
Overall, the discomfort disappears quickly. In the meantime, you can
rub the area, if necessary, take a paracetamol or
ibuprofen.

Numbness indicating a serious illness

Bad driving habits: Numbness
constant over the last two fingers of one hand, due to the habit of driving
the car with his elbow on the edge of the door: in the long run, this can
lead to paralysis of the hand.

Carpal Tunnel Syndrome: The hand is
dormant and loses its strength, the subject wakes up many times during the
night because of numbness. Repetitive movements of the wrist
(musical instruments, crafts and repetitive keyboards
computer are often responsible, as well as obesity. Occurs
irritation of the median nerve that passes through the carpal tunnel (channel
located in the narrow pulse).

Herniated Disc: Collapse of the disc
intervertebral and compression of nerve roots or spinal cord.
This causes pain and can produce numbness in the legs or arms or
thumb, depending on location of herniated discs along the spine
spine.

Vertebral osteoarthritis: Wear
affects the vertebrae of the spinal cord or nerve roots.

Brain tumor: It affects all ages
and can paralyze the region ahead of the tumor. Numbness is often
accompanied by disturbances of language and vision.

Spinal cord tumor: it
numbness and paralysis of the body located below the tumor. 

Trauma: numbness or paralysis of one
or more limbs caused by lesions in the brain or spinal cord injury
cord following an accident.

Polyneuropathy: It is a toxic injury
of nerve endings in the feet or hands. It may be several causes,
including diabetes and alcoholism. It is characterized by numbness and feet
painful, will progress slowly to the legs with the months and years.

Sclerosis.: Its cause is unknown,
that is present only in industrialized countries. It is the disease
neurological most common among adults with less than 50 years. it affects
one in 500, mostly young women.

Disease Guillain-Barre syndrome:

It is characterized by numbness and
paralysis of the legs back in a few days.

To alleviate / prevent dormancy:

* Get used to maintain good posture;

* Save your back and joints;

* Avoid taking in your back pocket, for example, a
object such as a wallet, can compress the sciatic nerve;

* Taking breaks every 30 to 60 minutes, if you
need to perform repetitive tasks using the very fist;

* Healthy eating and regular exercise,
it protects the heart and the brain;

* Take care of hypertension, diabetes or cholesterol
high;

* Avoiding obesity and all forms of tobacco. The
obesity and nicotine have the effect of narrowing the caliber of
arteries, which is a risk factor.

When to seek medical advice…

The doctor becomes aware of
important information, carry out an examination
physical to determine the causes of
numbness or paralysis .

Family history and risk factors
are of paramount importance, as
duration, frequency and circumstances of
onset of symptoms.

The doctor will try
determine whether the problem is a nerve
spinal cord or brain.

To detect a problem with nerves,
tests may be needed:

* Electromyogram: examination that involves
administering small electric shocks to the fingers or
to assess response;

* Sensory test: are used in
If in doubt to measure the transmission time of pulses
nerve to the brain.

Magnetic resonance imaging can also be requested for a more detailed investigation.

What is the treatment?

* Carpal Tunnel Syndrome:
The doctor may recommend using a splint to
night to keep the hand and alignment
pulse. As a last resort, surgery is
performed on the wrist. Cut the material
fibrous covering the median nerve, relieving
pressure on the nerves and vessels
blood.

* Herniated disc.
Rest and physiotherapy are the first
measures, but in many cases surgery is
required.

* Spinal osteoarthritis:
The pain is relieved by anti-inflammatory and local infiltration of cortisone. You can avoid the distortions to
a good control of inflammation.

* Spinal cord tumor:
If it is diagnosed, surgery should
be done quickly.

* Brain Tumor: t occurs in 20% of cases, tumor biopsy or removal of a portion of it, without causing
serious sequelae for the patient. The
treatment is completed by radiotherapy and
chemotherapy, sometimes.

* Trauma: If the case is operable, it must
occur within eight hours after the accident, they are
the greater the chances of restoration of nerve impulse and
reversal of paralysis.

* Polyneuropathy: It dominates the cause by diabetes and alcoholism. In fact, if nerve damage is very
is advanced and gangrenous extremities,
sometimes need amputation.

* Sclerosis: There is no specific treatment, but there are new drugs that allow better control of
symptoms and disease progression.

* Disease Guillain-Barre syndrome: Patients
are hospitalized. It can be done plasmapheresis (treatment where
the blood is filtered through a machine to remove the body
antibodies that cause disease) or administration of
intravenous immunoglobulin.

Very important this group is the blueberry
it helps to reverse the decline of brain function and increases
release of dopamine, whose function is energizing and stimulating.







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When the blonde … talk …..

- Wow, you look great! So thin! and I love your haircut, so
Short, very fashion! What have you done?

- Chemotherapy …

- Good! What college?

BLONDE IN A ZOO!

As it neared the lion’s cage, she saw a sign:

BEWARE OF THE LION!

Later on, another cage, another board:

BEWARE THE TIGER!

Next:

BEWARE THE BEAR!

Then comes a cage that is empty and reads:

BEWARE: FRESH PAINT!

Desperate, the blonde ran screaming:

- The fresh paint away! The fresh paint away!!

The thermos

A blonde walks into a store and sees a shiny thing.

What is this? – She asks.

- A thermos – the seller responds.

- And what does she do? – She asks.

The seller explains:

It keeps cold things cold and hot things hot. The blonde

buying the thermos.

The next day she takes her work.
His boss, who this strange

bright object, asks:

- What is it?

- A thermos – she says.

- And what does? – Asks the boss.

Keep hot things hot and cold things cold – answers

blonde.

The chief question:

- And what’s inside?

The blonde, satisfied, says:

- Two cups of hot coffee and a cold juice.

THE EXTRACTION OF KIDNEY

The blonde was walking through the mall when suddenly, he finds an old

friend:

- Oh, wonderful! As you lost weight!

- Well … I lost fifteen pounds! I had to extract a kidney!

- Heavens! I did not know that weighed as much a kidney …

I hear voices

The psychiatrist asks the blonde:

- Do you usually hear voices without knowing who is speaking or where they come from?

- Yes .. I often!

- And when does that happen?

- When talking on the phone!

THE BETRAYAL

A blonde is worried because you think your husband has a lover.

Go to a gun store and buys a handgun.

The next day she returns home and finds her husband in bed with

a redhead spectacular.

She points the gun at his head. The husband jumps out of bed, begging and

pleads for her not to kill.

Screaming, the blonde replies:

- Shut up, asshole … You’re next!

The FANS

The blonde was trying to take cover and Coca-Cola could not.

- What the hell!

The bar owner explained:

You have to rotate the lid of the bottle.

And the blonde, clapping:

Opens!!opens!!!opens!!!opens!!!opens!!!

ACROSS

The blonde is at the bar. She called the waiter and when he approaches, she

up and whispers in his ear:

- Where’s the bathroom?

The waiter replies:

- On the other side.

The blonde is close to the other ear of the bartender and says:

- Where’s the bathroom?

COUNTER HAND

The police say to a blonde:

-Driving the wrong hand! You do not see where you’re going?

-No. But there must be very bad, everybody is coming back.

EVE WAS BLONDE

They discovered that Eve was a blonde.

It is she, a beautiful afternoon in paradise, Adam came up behind and covered her

eyes and asked:

Guess who?

The funeral of the father of blonde

The blonde’s father died. The blonde’s friend, was called to help make the arrangements.

- Beth, his father can not be buried with this outfit. Go buy a suit for him.

- Friend, I have no money!

- It does not matter. I paid.

And there was the blonde in a suit seeking to bury his parent.

This done, after the burial, she went to the friend:

- I need money to pay for the suit.

- How much?

- Two hundred U.S. dollars

She gave the money as promised.

After one month the blonde turned to her friend again.

- I need money to pay for the suit.

- How much?

- Two hundred U.S. dollars.

Because he promised, did not question her friend and gave the money. Another month has gone blonde and turned to look for her friend.

- I need money to pay for the suit.

- Beth, how many services you bought this suit?

- Heloooouuuuu. No … is that the suit was very expensive, so rather than buy, I rented …

Funny Video

Blonde at Work

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