Guillermo
Staff
Say NO to putapathy
Posts: 117
|
Post by Guillermo on Nov 10, 2019 3:17:12 GMT 1
From: bit.ly/32z0W2L“ I use homeopathy... ... because it gives me lasting quality of life, without side effect, resource-saving and for the benefit of all. I developed severe scarring and internal adhesions after emergency surgery on the intestine. It has gradually formed, year by year it was a little worse. Pain tormented me after each meal and I had to stop many beloved activities - it just could not be more. And I was just 25 years old.
A doctors' odyssey was very sobering: There was nothing against adhesions, I should come to terms with the pain, I should eat only rice, I should go into psychotherapy - so the statement of many doctors. I looked outside the box and tried homeopathy. A very dear experienced homeopath has taken me seriously and prescribed me a suitable remedy. I am grateful that conventional medicine has saved my life during the abdominal operation. I wish, however, more individual accompanying homeopathic therapy. Hand in hand ♥ for the benefit of the patient. Today I can go biking again.
Helen Jenz”
What rubric do you find corresponding to both scarring ailments and internal adhesions in the TPB?
|
|
|
Post by davira on Nov 10, 2019 7:17:41 GMT 1
Adhesion, inner parts sensation of?
|
|
Guillermo
Staff
Say NO to putapathy
Posts: 117
|
Post by Guillermo on Nov 13, 2019 0:39:16 GMT 1
Dear Davira: Thank you for your suggestion. It really sounds like the most appropriate. However, all the rubrics "Sensation of" have, from my point of view, a subjective connotation, that is, they must be symptoms referred by the patient in that way. Although there are some rubrics in which it is difficult to determine whether they refer to a sensation or an objectivity. Regardless of whether it (Severe scarring and internal adhesions) is an internal symptom, this still is objective. And it can be deduced from causation (surgery itself), symptoms and radiological studies. While the other colleagues are encouraged to give us more suggestions, I leave the following excerpt: “Bands, Adhesions or Synechia? Germán Mateu Calabuig Servicio de Cirugía, Espitau Val d’Aran, Viella, Lérida, Spain The terms band and adhesion, used interchangeably in the surgical field, create confusion. The precise use of language is fundamental for teaching and the development of our profession and science. The purpose of this paper is to discuss their correct usage. The Spanish word for band is brida (band) is taken from the French bride, and in turn from the Germanism bridel (“brit’l” or “brîtil”). In contrast, adhesion comes from the late Latin “adhaerentia” [ad “next to”+haerē (re) “adhere”+-ntiam “action of”]. Synechia has its exclusive origin in ancient Greek [sýn σύν gr. “with”, “union”+ekh- Ḕχω gr. “to have”, “to be in touch”+-e-ia]: synekheia (συνὲχɛια). The latter is, therefore, the most archaic term of the 3.1–3 A band is a vascularized fibrous tissue that joins serous organic surfaces covered by epithelia (peritoneum). Its formation is a consequence of fibrin organized in the form of fibrous connective tissue. It facilitates the adhesion between the structures covered by a serous membrane that, under normal conditions, are not adhered.1 An adhesion is the physical union or sticking; the quality of being adherent. It is the abnormal or pathological union between two anatomical structures that are normally separated. It is a more generic term.1Synechia is the existence of continuity between two structures, and the adherence between their proximal parts.1 It is, therefore, even more generic and would encompass the previous 2 terms. The Spanish term for band, brida (bridle), is borrowed from equitation. It refers to the set of leather bands and straps that hold the bit, whose aim is to control and stop the horse. In medical usage, the term appeared in the translations of the book Aphorisms of Hippocrates. In Spanish, was first used in 12934,5 to refer to the membranous filaments that form in wounds and abscesses, hence the term to debride: “undo the bridles”.3 Special mention should be made of the angiomesenteric or Harris band: it is a peritoneal fold extending from the gallbladder and the cystic duct, crossing the anterior side of the duodenum.2 The term adhesion refers to the adherence, fixation or physical and pathological union between 2 elements.1,2 The term adherencia appears used in Spanish for the first time in 1340.3,5 Its use is therefore more generic and later, although we can see it in very specific terms such as: adherencia ática which is the adhesion around the gallbladder and pyloric region; or adherencia epitelial between the gums and teeth.2,3,5Synechia is a term borrowed from the railroad as synonymous with the splice bar or fishplate, which is the link between the rail sections. In plumbing, it is the connecting element between pipes. It was widely introduced in the medical language by contributions with the French synéchie in 1808. Currently, its use is applied to synechiae of the iris, either between the iris and the cornea (anterior) or the iris and lens (posterior). The terms vulval synechia, uterine synechia or balanopreputial synechia are also used. There is also nasal synechia, referring to the adhesion between the walls of the nasal fossa.2 In short, although the 3 are complementary terms and synonyms in their daily use, we can conclude by saying that bands are the denomination for peritoneal adhesions, the latter being an anomalous type of synechia. The surgical act of dividing the bands is called band ablation/lysis. This is because the most frequently used term for them is bands. However, if we call them adhesions, the appropriate terms are adhesiotomy, adhesiolis or enterolysis. On the other hand, if we call them synechiae, the appropriate term would be synechotomy.2,3 From a linguistic and normative standpoint, we should use the term band to designate an adhesion that causes bowel obstruction, reserving the term adhesion to describe the phenomenon of abnormal union between peritoneal surfaces. The term synechia would be equivalent, although it has fallen into disuse in surgery. ACKNOWLEDGEMENTS Thanks to Dr. J.A. Pereira Rodriguez and Dr. Silvia Valverde for reviewing this manuscript and sharing a love for the language. REFERENCES [1] Diccionario Terminológico de Ciencias Médicas. 13.ª edición. Barcelona: Ed. Panamericana. [2] Diccionario de Términos Médicos de la Real Academia Nacional de Medicina. Barcelona: Ed. Panamericana. [3] Diccionario Panhispánico de Términos Médicos de la Real Academia Nacional de Medicina. [accessed May 2018]. Available from: dptm.ranm.es. [4] Diccionario de la Real Academia de la Lengua Española. [accessed 29 May 2018]. Available from: www.rae.es. [5] Fondo bibliográfico de la Biblioteca Académica de la Real Academia de la Lengua Española. [accessed 29 May 2018]. Available from: www.rae.es/biblioteca-y-archivo/biblioteca/biblioteca-academica.”
|
|
Guillermo
Staff
Say NO to putapathy
Posts: 117
|
Post by Guillermo on Nov 27, 2019 1:31:24 GMT 1
Cicatrization
“Produced a tissue injury (with or without continuity solution), a complex process is triggered by chemical and physical stimuli initiated in the cells and the surrounding environment and whose end result is the repair of tissue damage. Surgical procedures on the one hand treat (already produced) tissue lesions and also produce tissue injury to a greater or lesser extent (section, dieresis and tissue resection) to achieve its goal. So the role of the doctor is to know the factors involved in the different stages of healing to take measures so that the repair is carried out correctly and in the shortest possible time.
Connective or supportive tissue (CT): Throughout the whole body, all healing is supported by the connective tissue, which provides all the necessary nutrients and metabolic substances. The Repair will be carried out with the participation of all the elements contained or constitutive of it.”
|
|
Guillermo
Staff
Say NO to putapathy
Posts: 117
|
Post by Guillermo on Nov 28, 2019 1:58:37 GMT 1
Stages of cicatrization
“*Preparation, cleaning: It is characterized by exudation, autolysis and cytolysis. FIBRINA solidifies peripherally blocking the area. It is a catabolic phase.
*Fibroblastic phase: the fibroblast: a) multiplies and b) manufactures collagen fiber. Ac. Ascorbic, Fe, Zinc and Cu are facilitators of the production of collagen f. The granulation tissue also appears: from: capillary formation → vascular axis with fibrin that takes the form of a very vascularized fleshy bud = granulation tissue that, when developed and proliferated, generates the bed for the next phase
*Epithelialization phase: it is generated from the epithelium supported by the concentric granulation tissue. As the lack of substance is covered with connective tissue, the epithelial lining grows from and produced by the same surrounding epithelium, concentrically (from the edges to the center).
*Maturation phase of collagen fibers Increases collagen and decreases cells. From the 2nd week to months after the process began. Fibrogenesis (collagen) is what gives resistance to the healing of a traction wound (ability to separate the edges and time to remove or remove the stitches of a suture). The concentration of hydroxyproline in the connective tissue is proportional to the amount of existing collagen fiber and the resistance of a wound in healing.”
|
|
Guillermo
Staff
Say NO to putapathy
Posts: 117
|
Post by Guillermo on Nov 29, 2019 20:38:13 GMT 1
Although healing can occur in the first intention (a sutured wound) and in the second intention (a non-sutured wound), the alterations in the course of that healing have the same cellular basis on which the different pathological and structural characteristics that are observed macroscopically.
Once the different stages of healing have been mentioned we can see that post-surgical adhesions take place at earlier stages, specifically in the fibroblastic phase, while other healing alterations such as keloid inflammation are consolidated at later stages, specifically It begins after the 2nd week of the beginning of the scar process and consolidates weeks later. We would say roughly that Bands or Adhesions are early healing alterations, while keloid inflammations are late.
In that sense I have a SUGGESTION. I would consider that we have 2 rubrics for each case: 1695 for early healing alterations, and 1486, which has no problem defining the (late) pathology in question.
My proposal is that the first rubric (1695), although observed in skin and outer parts (granulation), be transferred in its meaning to be used in early healing alterations, such as bands or adhesions, even if they are formed in the inner (part) torso.
From the own footnotes of the rubric provided by Polony & Weaver we can observe the description of a deBRIDEment in order to facilitate healing:
From the German:
“In some narrower and special meanings. Wild meat in the wounds, callous, unruly meat, which prevents healing, and must therefore be taken away. Wild fire, S. Hitzblatter.”
“[1] Proud flesh is an occurance of flesh-like substane in wounds, ulcers (etc.) that is false (has no sensation when touched, etc.) and hinders the healing of it. It has to be usually removed in order to speed up the healing.”
1695 Geschwüre, mit wildfleisch darin=Wild flesh, Proud Flesh, Wild meat
"When the problem is less severe, remedies such as Graphites or Thiosinaminum can be very effective in removing adhesions and tissue scars." Remedios homeopáticos Por Trevor Smith, page 22
CD Hahnemann: Graph
Intro: “…the skin does not heal easily…”
1001: “- The limb on which the ulcer had healed entirely, begins to pain occasionally, with drawing and tearing, particularly in the open air.”
1006: “- Burning pain in the cicatrix of an old ulcer.”
1009: “- Proud flesh in the ulcers.”
[1010] On the cicatrix of a wart, frequent shooting itching, like fleabites, only transiently going off by rubbing.
Others renowned homeopaths like Ramakrishnan and Banerji suggest Staphysagria 200c for adhesions or bands.
Lippe: Injuries form sharp instruments-Staph
Guernsey: Incised wounds, with great pain (Dr Gary would say “if touched”)-Staph
P&W CODE ID: 1695;2684;2218;
According to our experience Silicea and Carb.an have been more persistent while repertorizing for breaking up of scars. Silicea absorbs them amazingly. It will depend on other symptoms.
|
|