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A fejfájások osztályozása, az önálló fejfájásbetegségek és kezelésük Classification of headaches, primary headaches and their treatment Dr. Bozsik György, Prof. Dr. Jelencsik Ilona Abstract Only
severe, recurrent, frequent headaches require medical
consultation. Nevertheless,
headache is one of the most common complaints of patients
visiting outpatient services. 2 % of
population need help of
the general practitioner every year because of
headaches. If there is no underlying structural brain damage,
nor disease of organs of the head, the patient should have
"primary headache".
According to the International Headache Society (IHS)
classification this group includes migraine, tension type
headache and cluster headache.
The diagnosis of a primary headache disorder is based
on the criteria of the IHS and requires detailed history
taking, physical examination and exclusion of possible
secondary (symptomatic) headaches. The
trigeminovascular system seems to be the final common pathway
for expression of neurovascular head pain. Brainstem aminergic
nuclei probably start migraine and modulate afferent
nociceptive information. The fundamental driving process in
cluster headache possibly arises in the diencephalic
pacemakers. The vascular nociceptor may be hypersensitive in
migraine while in tension type headache the hypersensitivity
of myofascial nociceptor should be more prominent. All
primary headache patients need effective acute medication and
the trigeminovascular system provides a therapeutic target for
specific attack treatment. Frequent
primary headaches that produce disability may require
preventive treatment The goals and possibilities of treatment in primary and selected secondary headache disorders are discussed.
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Fej-
és arcfájdalmak
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XXX Gyermekkori
malignus daganatos betegségek a háziorvosi gyakorlatban Summary: Care
of the children with malignant tumor is summerized in the
practice of family doctors from the aspects of diagnostic
procedure, chemotherapy, irradiation, palliative treatment and
rehabilitation.
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Az alvás alatti obstruktív apnoe vizsgálata és kezelése Investigation and treatment of sleep apnoe Dr. Juhász János
Summary Sleep disordered breathing (SDB) is
characterized by pathological breathing pattern during sleep
resulting in a complex disorder of the autonomic vegetative
control. Obstructive sleep apnea (OSA) represents the most
common SDB. The OSA is characterized by recurrent pharyngeal
occlusions, hypoxemia and arousals during sleep associated
with reveral clinical symptoms and complains including the
most frequent snoring and excessive daytime sleepiness. The
SDB and its consequtive effects on the heart, circulation and
central nervous system can be assessed by polysomnography
(PSG) through recording the breathing, heart function as well
as brain- and muscle activity
during sleep. Beyond PSG, screening and ambulatory diagnostic
also gain on significance in the daily praxis. The therapy of
OSA includes trachostomy, weight reduction, intranasal- and
pharyngeal surgery, oral appliances and nasal continuous
positive airway pressure (nCPAP) which represents the most
effective method by keeping upper airway patent through a
pneumatic splint. OSA is associated with several functional
disorders as well as increased morbidity and mortality in the
long term. Untreated OSA results in increased risk for
myocardial infarction, stroke, heart failuire and
cardiomyopathy. Beyond the individual health risk OSA is also
associated with major impact on society and economy.
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