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007 Книга "Вкусные идеи для стомированных пациентов"

Поговорим о книге, которую написала и выпустила Назарова Дарья Александровна, стоматерапевт, вице президент Асссоциации стомированных пациентов АСТОМ совместно с врачом гастроэнтерологом института питания РАН - Пилипенко Владимиром Ивановичем - за сотрудничество еще раз ему огромное спасибо. Это книга "Вкусные идеи для стомированных пациентов" - книга для всех, но прежде всего для стомированных пациентов и членов их семей. В послеоперационном периоде всегда есть четкие и правомерные ограничения, но вот пациент возвращается домой - и встает вопрос - что готовить, что можно, что нельзя. В нашей книге есть традиционные рекомендации о диете в ранний послеоперационный период, есть рекомендации о применении энтерального питания, много интересных рецептов с указанием каллорий и соотношением белков-жиров-углеводов. Есть отдельные рецепты для пациентов с уростомами, с колостомами, с илеостомами. 

Книга сформирована таким образом, что учитывает сезонность продуктов, приведено недельное меню, например, осени: это несколько вариантов блюд на завтрак, далее на обед, на полдник и на ужин. Рецепты составлены таким образом, что указаны необходимые продукты, далее способ приготовления, и полностью произведен анализ каллорийности, а также белков, жиров и углеводов на 100 грамм готового блюда.

Это очень удобно, когда необходимо контролировать вес, ведь его потеря или резкий набор может очень пагубно сказаться на состоянии организма в целом и на нюансах, связанных с уходом за стомой.

Также отдельно в книге есть полезные странички, где приведены примеры как вести пищевой дневник в послеоперационном периоде, представлена таблица калорийности продуктов питания, даны рекомендации про предпочтительному выбору продуктов.

Книга выполнена в очень эффектном формате 20 на 20 сантиметров, 255 страниц, при ее издании использовались специальные полиграфические приемы, которые позволили украсить ее не только качественными фотографиями, но и оригинальным фоновым решением - каждый сезон года в ней выделен своим цветом.

Это яркий и достойный помощник на кухне! Уникальная книга по питанию для стомированных пациентов.

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Several experimental studies centered on the mechanisms concerned in neuropsychiatric results of AASs.<br> <br> The pathways and the molecular processes are still unclear and need to be clarified [121,122,123,124].<br> <br> <br> <br> In this regard, further research are needed to evaluate the epidemiology of antisocial behavior related to AAS assumption and the connection with different drug consumption. <br> <br> As it isn't legal for athletic functions, there isn't any legal control over the quality or use of medicine offered for this function.<br> <br> As I mentioned, Dianabol is ideally used alongside different <br> <br> compounds, so your dosage can vary greatly <br> <br> depending on your targets and what different steroids <br> <br> are in the cycle. To stability benefits and unwanted effects nicely, <br> <br> 15 or 20mg daily will not disappoint, particularly if it’s your first time.<br> <br> This interval is perfect as a outcome of it permits you to <br> <br> make features Protein sources for athletes - https://pedselite.com/protein-synthesis-how-to-grow-muscle/42634/ the longest time till you attain the point the place <br> <br> gaining muscle begins to diminish, plateau, <br> <br> and probably stop altogether.<br> <br> Anabolic-androgenic steroids (AAS) are an artificial type of testosterone, which is the primary male intercourse hormone (1).<br> <br> However, they report a putting lack of reality testing, as exemplified by Mr.<br> <br> A’s failure to recognize, till his second watching television, that he could be <br> <br> the focus of a national manhunt, or Mr. B shopping with the bank card of a person that he had simply murdered.<br> <br> To cite two other examples, another man whose case we offered in earlier paper ("Mr. C" in reference 57) asked the police if he might go out to the gym and carry weights while he was within the <br> <br> midst of being arrested for an tried homicide.<br> <br> One Other man was arrested for murder on a day when he and <br> <br> his girlfriend were planning to attend a local bodybuilding competitors <br> <br> that evening. He reported that because the police <br> <br> were reserving and interrogating him, he grew involved that <br> <br> he would not be able to reach the performance in time <br> <br> – seemingly failing to comprehend that he would probably by no means see the outside <br> <br> world again. Later on, all of these individuals had been easily <br> <br> able to acknowledge, retrospectively, that their considering had been irrational.<br> <br> Though the weight of this evidence strongly suggests an affiliation between AAS use and aggressive or <br> <br> violent habits, one might nonetheless question whether or not this may be a causal affiliation.<br> <br> In all clinical instances, excluding most cancers, AASs have shown efficacy in weight achieve.<br> <br> The speed of restoration of endogenous testosterone production relies upon totally on the kind and dose of <br> <br> the anabolic steroids used in the last phase of the cycle.<br> <br> Relying on the sort of fatty acid chain connected <br> <br> to the steroid, the plasma half-life after injection may be weeks or months (6).<br> <br> <br> <br> For hormone substitute remedy, testosterone preparations are utilized in male hypogonadism and male hormonal contraception (where progestogens <br> <br> are administered to inhibit gonadotropin secretion).<br> <br> Mesterolone can be obtainable for the therapy of male hypogonadism but it's seldom used, if in any respect.<br> <br> Anabolic steroids also stimulate erythrocyte synthesis, <br> <br> which may be useful in the therapy of hypoplastic anaemias but their use in rich international locations is more <br> <br> probably to be limited with the relative current availability of recombinant human erythropoietin and its analogues.<br> <br> <br> <br> Many AAS users return to normal gonadal function after discontinuation of AAS, however some may benefit from <br> <br> medical remedy. Thanks to drug designers, so far, greater than one hundred AAS compounds were synthesized.<br> <br> Analyzing their chemical construction, metabolic half-life, <br> <br> and physiological results, three classes of AAS can be <br> <br> identified. The first class was obtained by the esterification of the 17β-hydroxyl <br> <br> group of testosterone and contains testosterone propionate <br> <br> and testosterone cypionate. The second class was composed by AASs esterified,<br> <br> related with the lengthy side chain moieties, with a substitution of a hydrogen for the methyl group at C19.<br> <br> <br> <br> The third class of AAS includes those compounds that are alkylated at C17, <br> <br> corresponding to 17α-methyltestosterone and stanozolol [22].<br> <br> <br> <br> These factors, coupled with decreased medical surveillance,<br> <br> place the AAS abuser at high threat for critical complications.<br> <br> The endocrine system has a remarkable array of checks <br> <br> and balances that make certain the human physique is <br> <br> at or near homeostasis at any time limit. Interruption of 1 feedback system has been proven to <br> <br> produce modifications in other hormone feedback techniques <br> <br> through direct receptor changes, as nicely as via competition for common enzymes <br> <br> and metabolic pathways. Research have shown that AASs bind to glucocorticoid, progesterone, and estrogen receptors and exert a <br> <br> number of effects.<br> <br> The nature of erectile dysfunction may be categorised as psychogenic, organic or combined psychogenic and natural (193).<br> <br> <br> <br> As A End Result Of of the intimate position of testosterone in erectile <br> <br> function, erectile dysfunction can develop as a post-cycle facet impact of AAS use.<br> <br> Nevertheless, it must be kept in thoughts that erectile dysfunction in an AAS person is not essentially the <br> <br> outcomes of AAS use per se and may be a symptom of an underlying psychiatric dysfunction. The <br> <br> presence of inflexible morning or night erections, sudden onset, <br> <br> intermittent course and short duration are a great indication of a psychogenic trigger.<br> <br> <br> <br> Withdrawal signs can embrace fatigue, restlessness, lack of urge for food, insomnia, decreased sex drive, and steroid cravings <br> <br> forty four. The most harmful of the anabolic steroid withdrawal signs is melancholy,<br> <br> as a result of it sometimes results in suicide attempts 45.<br> <br> Anabolic-androgenic steroids (AAS) are a synthetic type of testosterone used to extend muscle mass and energy.<br> <br> They could also be dangerous and trigger side effects, and <br> <br> the risks usually outweigh any advantages.
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