Month: September 2023

متلازمة المبيض المتعدد الكيسات هو اضطراب شائع لدى النساء يمكن أن يؤثر من سن المراهقة حتى انقطاع الطمث. ويحدث في المرحلة الإنجابية من حياة المرأة مما يؤدي إلى عدم انتظام الدورة الشهرية من بين أعراض أخرى. يمكن أن تختلف العلامات والأعراض من امرأة إلى أخرى في شدتها وشدتها. ترتبط السمنة والسكري ومقاومة الأنسولين ارتباطًا وثيقًا بحالة متلازمة تكيس المبايض.

مصطلح متعدد الكيسات يعني كثرة الأكياس ويسمى بذلك لأن هذه الحالة تؤدي إلى نمو الأكياس على المبيض عند النساء. المبيض غير قادر على إطلاق البويضات وبالتالي لا يمكن تخصيب البويضات. لن تتمكن المرأة من الإباضة، وبالتالي تعاني من عدم انتظام الدورة الشهرية وتصاب بالعقم. أعراض متلازمة تكيس المبايض هي ما يلي:

1. العقم: غياب الدورة الشهرية أو عدم انتظامها يعني قلة الإباضة. مما يؤدي إلى انخفاض الخصوبة وانخفاض فرص الحمل لدى المرأة.

2. نمو الشعر: يلاحظ عند العديد من النساء نمو زائد للشعر في الجسم والوجه. يحدث هذا بسبب زيادة هرمون الاندروجين لدى الأنثى. وعادة ما يتواجد هذا الهرمون بكميات صغيرة عند الإناث. وإذا حدث اضطراب في مستوى هذا الهرمون فإنه يرتفع ويسبب نمواً زائداً للشعر.

3. حب الشباب: حب الشباب هو عرض آخر من أعراض متلازمة المبيض المتعدد الكيسات.

4. الإجهاض: عدم التوازن الهرموني يمكن أن يسبب ارتفاع مستوى هرمون LH مما يؤدي إلى الإجهاض.

5. السمنة: معظم النساء اللاتي يعانين من متلازمة تكيس المبايض يعانين من السمنة المفرطة.

6. مقاومة الأنسولين: معظم النساء المصابات بهذه الحالة لديهن مقاومة للأنسولين مما يؤدي إلى ارتفاع مستويات السكر في الدم. وهذا يمكن أن يؤدي أيضا إلى مرض السكري.

سبب متلازمة المبيض المتعدد الكيسات هو في الأساس خلل في الهرمونات في الجسم الأنثوي. يمكن أن تكون مشكلة وراثية، فمن المحتمل أنه إذا كانت والدتك أو أختك مصابة بهذه الحالة، فقد تعاني من هذه الحالة أيضًا. بعض العوامل البيئية قد تسبب ذلك بشكل غير مباشر عن طريق خلق خلل في المستويات الهرمونية. يرتبط خلل في نظام التحكم في نسبة السكر في الدم بمتلازمة تكيس المبايض. يرتبط أيضًا ارتفاع مستوى هرمون الذكورة المسمى الأندروجين بهذه الحالة. يمكن أيضًا ربط انخفاض مستوى الالتهاب المزمن في الجسم أو تعرض الجنين للهرمونات الذكرية بأسباب الإصابة بمتلازمة المبيض المتعدد الكيسات.

لعلاج متلازمة المبيض المتعدد الكيسات (PCOS)، تتوفر الأدوية لتقليل الأعراض. تساعد هذه الأدوية على التقليل من عدم انتظام الدورة الشهرية؛ تعمل السمنة وهرمون الذكورة الأندروجين والشعرانية وبعض الأدوية على تحفيز بصيلات المبيض على النمو. الجيلاتين لم تنجح الأدوية معك، فإن الجراحة المعروفة باسم حفر المبيض بالمنظار هي خيار. الهدف من هذه الجراحة هو تقليل مستويات الأندروجين في الجسم لتحفيز الإباضة. بخلاف هذا يمكن للمرء أن يذهب للعلاج الهرموني الذي يستخدم للسيطرة على الهرمونات. يمكن استخدام حبوب منع الحمل والحلقات المهبلية واللصقات في هذا العلاج. يمكن لبعض التغييرات في نمط الحياة في نظامك الغذائي أن تساعد في الوقاية من متلازمة تكيس المبايض وعلاجها. كما تساعد ممارسة التمارين الرياضية بانتظام والإقلاع عن التدخين في التغلب على هذه المشكلة.

Free of charge football bets are a single of the main kinds of totally free bets that are at present released by bookmakers as a means of boosting interest and awareness of the support they give.

Betting is a substantial industry and bookmakers are capable to release totally free soccer bets as a way of acquiring prospective consumers to indicator up and try out a services ahead of committing big volumes of their possess cash.

There are numerous ways to locate totally free soccer bets. The most well-liked way is to go online and lookup through a free on the internet betting web site. There are a variety of soccer totally free bets that are supplied by the a lot of different on-line bookmakers, and some of these gives are only legitimate to customers who indicator up to a site online.

An additional way of fining free soccer bets is by seeking by means of the sports part of a newspaper or heading into bookmaking outlets in get to discover gives. Nonetheless this would naturally take a lot more time and not numerous individuals have the time to do this on a standard basis. For that reason for most people, employing a free bets website is most likely to be the best choice.

Free of charge soccer bets will perform in two distinct methods. First of all, there will be the matched bets. These delivers will perform on the basis that the bookmaker will match the first bet that you spot on any football related betting market.

The second alternative is a certain quantity of cash that will be launched by bookmakers as a completely free guess. These offers will work on the foundation that no deposit is needed but a exclusive reward code is needed. Buyers can enter this code into their on-line account and the money will be unveiled for them to do with as they remember to.

Football is 1 of the greatest athletics in the United Kingdom and document quantities of folks are nevertheless heading to watch matches despite the existing point out of the United kingdom economic system. Betting is also far more common now than it ever has been and cost-free football bets are a very good way for soccer fans to enjoy their favourite sport just a small bit much more.

The major explanation why there are a lot more free of charge football bets than any other sort of bet is because there is a increased amount of matches to wager on than in any other sport. Premier League sides have 38 games to engage in every year in the league, and Football League sides play 46 game titles. There are also sbobet and international matches. This indicates sufficient opportunity to use diverse bookmaker reward provides to make a revenue on football.

There are particular principles and restrictions that bookmakers have to abide by when it comes to providing bonuses and incentives. These laws are place in spot merely for the safety of the consumer, because gambling is a single of the most critical addictions that any person can have.

Cost-free soccer bets are unique in the regard that they can be employed throughout dozens or even hundreds of various markets in the activity. Some other varieties of free of charge bets could often be limited in the respect that they can only be utilised in a certain market place.

This makes free of charge soccer bets far more interesting to a buyer due to the fact they are more adaptable and give much more prospect to perhaps make a threat free of charge revenue.

The most expansive medical marijuana program in the nation takes place to be situated in the good state of California, a single of the largest and most populace states in the nation and also the most proactive when it comes to medicinal Cannabis In California. As 100s upon 100s of cannabis clinics in California and dispensaries open about the state, and in light of newer laws that amended the old ones, enabling for more than one hundred distinctive ailments to qualify people for medicinal cannabis in California, numerous individuals are left asking yourself if it may possibly be the correct alternative medicine for them. Let’s assessment some of the significant elements of this program so you can figure out if cannabis is the ideal resolution for your predicament.

Rewards of a Health-related Cannabis Card California

When you size up the healthcare marijuana laws in this state, they have been passed in order to guard sufferers who are lawfully employing this medicine. If you do not have a card, you can be arrested for working with an illegal drug. If you do hold a state issued card, you won’t be prosecuted for possessing, transporting, applying and developing healthcare cannabis in California. Moreover, a valid card can be supplied to a law enforcement agent to prove that you are part of the program and to keep away from arrest.

Why get weed on vacation in rhodes greece -related Cannabis Cards

The primary explanation there are these cards is to each identify and protect patients who are encouraged this medicine. Feel of these cards like you would any other ID they serve to enable you to prove you are a member of the program. Furthermore, they permit you access dispensaries so you can obtain the medicine that you need, and they present you complete legal protection from the harsh marijuana laws in this state.

Do You Qualify for Medicinal Cannabis in California?

A lot of people wonder if they qualify for these cards. The very good news is that you may possibly, as there are over 150 illnesses that are state authorized. The only way to definitely know for confident is by making an appointment at cannabis clinics in California so you can see a physician these days and obtain out if you do.

Best Four Signs of a Scam at Cannabis Clinics in California

Sadly, there are some scams that you really should be conscious of so that you can keep away from getting scammed out of your really hard earned income, or being issued a fake card that could topic you to criminal penalties.

1. You are given a card by the doctor you saw (only the wellness department can problem cards).
2. The medical professional you saw didn’t sign off on your recommendation kind.
3. You are referred to distinctive marijuana dispensaries by a physician or clinic.
four. You are not given a patient’s rights pamphlet at the time of your appointment.

Author Bio:

Cannabis Doctors Network is an organization that is committed to aiding sufferers in discovering the licensed, caring and qualified medical doctors that they will need to see in order to get approved for a medical marijuana card in their state. We pride ourselves on delivering great customer service for our customers and stand behind our 100% satisfaction assure.

In ancient occasions the totem pole was a symbolic expression of previous generations. It provided details about a tribe’s identity–a variety of linear -understanding of generations that came ahead of them and the leaders who showed them the way. https://hakimlaw.com/dog-bites/ enforced group solidarity and provided a needed relational context to their lives.
The totem pole was worshiped and ritualized. The history of a entire tribe could be understood by this a single linear expression. Symbolic communication, as a group organizing approach, is also found in law firms. Law firms proudly list their partners’ names on letterhead and post them on doorways. Frequently some of the names are symbols of the previous–a lasting recognition of these who came ahead of as nicely as those who are presently carrying the torch of the firm’s traditions into the future. This symbolic communication portrays the history of a firm’s leader-ship and is an indicator of predicted performance. But what happens when the firm’s previous is forced to yield to the firm’s future? When it becomes required for the firm to reinvent itself and set out new organizing principles that match its vision–when the old belief method is no longer in sync with the needs and demands of changing markets and clients? Most firms are facing this challenge appropriate now, and some are not even aware of it. The partners I spoke with clearly recognized the will need to re-invent themselves or threat sacrificing growth and prosperity.

Are You the Leader?

Who amongst you will lead the charge? This is a really personal selection that need to not be taken lightly. It will rely not only on your personal willingness to take on the challenge, but also on the willingness of the essential partners who make up most of the energy base at your firm.

If you are up for the challenge, accept this knowledge and get on with top. If not, locate the person in your firm who is ready and in a position to lead and offer that person all the assistance you can. You will soon understand that the excellent and commitment of your assistance for this particular person will be recognized as an vital type of leader-ship in its personal appropriate.

The Genetics of Leadership

It’s been said that some persons are born leaders. That may possibly be accurate, but for most of us, leadership is an acquired talent that comes from our mind-set and our wish to effect optimistic transform. Similarly, individuals are not born extraordinary. Rather, they decide on to accomplish extraordinary factors.
As lately as 2003, scientists discovered that our organic traits are not “set in stone.” (See Matt Ridley’s Genome and Nature via Nurture.) Rather, our genetic code–specially the code accountable for our brain function–is neither unchanging nor unchangeable. As we respond to the challenges and stimuli in the planet, so do our genes. Depending upon our needs and the degree of our determination, unique formulations of our genetic code are activated. This final results in the emergence of a new pattern of genetic directions. Contrary to what scientists formerly believed, our genes remain active, malleable and fluid all through our lives.

Until these discoveries were created, the received wisdom was that the traits that allow us to consider like lawyers or strive for excellence or come across the courage and charisma to lead were handed out to us–or not–at birth. It was taken as fact that our neural makeup was mostly dictated by the genetic code we inherited from our parents. If we were fortunate sufficient to have inherited “intelligent” genes, it was anticipated that we had been destined for greatness if the opposite occurred, we were destined to be the village idiot.

In reality, the cause so few of us break out of the mold is not due to genetics at all. It really is due to the fact of the truth that, strange as it may possibly sound, most of us surrender to our strengths rather than engage our weaknesses. If we tend to be naturally gifted in mathematics, we gravitate toward mathematics. If we show an early talent in the arts, we gravitate in that direction. It really is just less difficult to rely on our existing strengths than it is to create new strengths from scratch.

Psychologist and theorist Carl Jung described this irony in his book Psychological Forms:

“Encounter shows that it is hardly possible for any-1 to bring all his psychological functions to simultaneous development. The really circumstances of society enforce a man to apply himself initial and foremost to the differentiation of that function with which he is either most gifted by nature, or which offers his most efficient signifies for social results. Really regularly, indeed as a common rule, a man identifies himself more or significantly less entirely with the most favored, hence the most created function.”

Considering that Jung’s time, nevertheless, neuroscientists have discovered that the human tendency to follow the path of least resistance is not merely ironic but counter-productive. We now know that the brain grows stronger, establishing at a significantly greater level, when we force ourselves to consider in new and various approaches.

Till now, you may well not have thought of yourself as a leader. But that is no explanation to believe you cannot come to be 1 if your motivation is robust sufficient. The initially query to ask oneself is this: What does it imply to be a leader?

Huge weight loss is a enormous choice, most of you reading have either gone by means of a substantial weight reduction or are contemplating going by way of a big weight loss. 1 of the most widespread hesitations in losing weight may be the resulting loose skin that occurs when your physique has gone by implies of a critical weight loss. It is well known understanding that losing weight = loose skin. Loose skin not merely happens with a enormous weight loss but also with all-natural physique occurrences such as pregnancy. This is simply for the reason that when your physique stretches by suggests of weight achieve or by implies of pregnancy your skin layer loses its elasticity. Very first sufferers come in to talk about weight-loss and bariatric surgery, how it functions and your benefits. A lot of sufferers, nevertheless, determine they would like to go the less high priced and all-natural way by strict eating plan regime and working out but are concerned about the loose skin. Our physicians constantly inform individuals to be realistic, becoming healthful is far more crucial than possessing loose skin. Even though you have loose skin following weight loss there are approaches to eliminate it such as post-bariatric surgery which includes tummy tucks, breast augmentations, and thigh lifts. The loose skin, even even though it may well possibly not seem like it, is a proud reminder of how far you’ve come and when you take that further step to take away the loose skin, your body will be an entire trophy devoted to oneself. In this post, we will see why and exactly where that added skin came from and how to reduced or remove it.

How We Burn Fat

As we all know, matter can not be created nor destroyed, when you workout and eating plan regime fat is not essentially “disappearing” off your physique. What takes place is a sort modify, just like water and steam. The glucose and sugar that is harnessed from carbohydrates are the 1st fuel sources. When the glucose runs out, fat takes a lot more than. Your physique is a continuous interconnected conveyor belt that removes critical nutrients from the fat and delivers them to specific physique elements. Hormones that regulate our blood sugar levels activate an enzyme in fat tissue referred to as lipase. Lipase ignites fat cells release a triglycerides, which is what tends to make fat cells fat. When they obtain a sign from lipase to exit the fat cells, the triglycerides break-up into glycerol and essential fatty acids and enter the bloodstream for used in your physique. The method of breaking down triglycerides into reusable power is identified as lipolysis which is shuffled and reshuffled to create heat, water, carbon dioxide, and ATP. Thinking about that the fat tissue has lost a few of its components, the cells shrink.

Why the Further Skin?

When fat tissue is worked and the cells shrink, would not it make sense that your skin would shrink as efficiently? Yes and no. In the cases of moderate weight reduction, skin can unquestionably shrink back to fit the body’s new size merely due to the fact of its elasticity due to collagen in the skin. Nevertheless, collagen does have its limits. Collagen fibers weaken with age and benefits in wrinkles. Fast improvement or weight obtain also outpaces collagen production in the skin causing places to over-stretch, major to stretch marks typically observed in pregnancy and adolescents going by means of puberty. In circumstances of huge weight-loss, the skin that is stretched has lost its collagen strength developing it incredibly challenging if not impossible for the added skin to shrink back to its former shape. These undergoing gastric bypass surgery or bariatric surgery really feel this pain. As the quantity of men and women going by way of weight reduction surgery increases, so do corrective surgeries for the undesirable and uncomfortable skin. This further skin can seriously be a really significant trouble and can actually bring about infections, rashes and also back troubles.

Post-Bariatric Surgery and Therapy Possibilities

The most essential determinant of how much loose skin an person will have following weight reduction is their age. Younger patients have a tendency to have much much less loose skin than these who are older for the reason that of the strength of collagen in your skin. The subsequent most crucial element is the quantity of weight loss. An person who loses 200 lbs. is more probably to have excess skin than someone who has lost 80 lbs. There are other aspects of who is far more probably to have loose skin such as smoking, sun damage and skin colour.

– Exercise: Physical physical exercise that consists of escalating muscle town can tighten connective tissue. For men and women who have undergone bariatric surgery are advisable to add a common exercise regimen that is useful to maintain ones weight and may also serve to tighten loose skin to some extent.

– Physique Contouring Procedures: For those which are losing 80 lbs. to more than 100 lbs. surgical procedures, identified as post-bariatric surgery, are presented to tighten skin and take away the additional pockets of skin that inhibit your body from becoming as toned and tight because the person would like. Beneath are the most frequent procedures for massive weight loss patients.

Abdomen, Thighs and Buttocks- The abdomen is ordinarily a single of the greatest issues for people following massive weight loss. In every single males and ladies, excess fat is stored each in the abdomen and beneath the skin of the abdominal wall. Consequently following weight loss in these locations, further skin appears. Huge amounts of hanging skin can result in the collection of moisture amongst the skin folds producing a predicament named intertriginous dermatitis, that leads to irritation, redness and pain. Sometimes, the skin could possibly even breakdown, bleed and create into infected. With appropriate documentation, quite a few insurance coverage providers recognize this challenge and offer you total coverage from surgical removal by indicates of a tummy tuck or abdominoplasty. The abdominoplasty will solely get rid of the excess skin from your own stomach which is ideal for females following pregnancy. However, for these who have undergone weight loss surgery or a enormous weight loss, excess skin is not restricted to the stomach but additionally rewards in the buttocks and thighs. Due to the truth of this, surgeons will execute a process specially for weight-loss sufferers identified as a body lift. This needs an abdominoplasty, thigh and buttock lift all at 1 time. This addresses and removes loose skin and cellulite across the thighs and buttocks as effectively as the abdomen. Even though the resulting scar is lengthy, it is confined to the waistline and is hidden by underwear, panties, or a bikini.

Breasts- Following a terrific weight loss, breast decoration generally alter substantially in each males and ladies. Completely every person worries about sagging breasts once we age but handful of know that massive weight loss tremendously accelerates the approach. As ladies advance from girls to teens to twenties and to their later years, the glandular part of breasts is replaced by fat. The initial glandular tissue is drastically far more firm than fat and consequently the skin becomes struggling to retract completely and produces severely ptotic or sagging breasts. That is referred to as breast involution. There are a number of remedy possibilities for females following weight loss. If a lady desires significantly less sagging and wants to be larger, a breast lift or mastopexy is expected. Once more, surgeons will inform you your selections and also remind you to be realistic with or breast augmentation may possibly possibly be satisfactory. The issues in males are similar even so remedy is slightly various. Guys have a tendency to have bigger breasts when more than-weight. Based on a man’s age, degree of weight loss, and a couple of other factors he could outcome in large breasts, considerable and/or sagging breasts, or satisfactory breasts following weight loss. Huge and/or sagging breasts in males is named gynecomastia. Proper here liposuction alone could be satisfactory, nonetheless this is not prevalent. KETO GUMMIES with every sagging and huge breasts go by means of a two-staged procedure. The extremely 1st stage is liposuction and is conducted to remove excess fat plus some glandular tissue. Over the subsequent couple of months, the breast skin will retract slightly. 3 to six months later, the individual will return to evaluate the scenario and identify if the outcome is satisfactory. Delaying the second stage enables for considerable skin retraction and if a skin tightening approach is desired it is probably to will need smaller sized sized incisions.

The Bottom Line?

Obtaining wholesome has far higher significance than excess skin. Even though, obtaining excess skin can cause some significant concerns there are non-surgical solutions of stopping infections such as maintaining your excess skin dry. For those who are in a position and want to take away the excess skin, post-bariatric surgery is for you. It is important to attempt to don’t forget that these procedures really should only be deemed just after ones weight has stabilized particularly quickly just after weight loss surgery. This may range from 7-18 months straight away following weight loss. The most important element in obtaining a plastic surgeon who can carry out these procedures is they require to be board certified. If your plastic surgeon’s web page or workplace does not advertise that they are board certified you have to RUN! For absolutely every person who has heard horror plastic surgery stories, this is in all probability exactly where it started, having a surgical procedure achieved without having obtaining a board certified surgeon. Use ASPS (The American Society of COSMETIC SURGERY) to come across a board certified surgeon close to you.