Where There Is No Doctor 2010

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INFECTED EYES IN NEWBORN BABIES (NEONATAL CONJUNCTIVITIS) Where There Is No Doctor 2010 221 If a mother has chlamydia or gonorrhea (see p. 236), she may pass these infections to her baby at birth. The infection gets into the baby’s eyes and can cause blindness and other health problems. If the baby’s eyes get red, swell, and have a lot of pus in them within the first month, she may have one or both of these infections. It is important to provide treatment immediately. Treatment for gonorrhea: ♦ Inject 125 mg. ceftriaxone in the thigh muscle, 1 time only (see p. 359). Treatment for chlamydia: ♦ Give 30 mg. erythromycin syrup by mouth, 4 times a day for 14 days (see p. 359). If you cannot test to find out which disease is causing the infection, give medicines for both. The baby’s eyes should also be cleaned and treated with the medicines listed below. Prevention: Many women have chlamydia or gonorrhea and do not know they are infected. Unless the mother has a test to show that she does not have these infections, give every baby medicine in the eyes to prevent blindness (see p. 378). To prevent blindness: • put a line of erythromycin 0.5% to 1% ointment in each of the baby’s eyes within the first 2 hours after birth. or • put a line of tetracycline 1% eye ointment in each of the baby’s eyes within the first 2 hours after birth. or • put 1 drop of 2.5% solution of povidone-iodine in each of the baby’s eyes within the first 2 hours after birth. In some places, people use a 1% solution of silver nitrate (or other silver eye medicines) in the baby’s eyes. These medicines stop gonorrhea blindness, but they do not stop the blindness that comes from chlamydia. Silver nitrate also irritates the baby’s eyes for several days. If you can get erythromycin or tetracycline eye medicine, use one of them. But use silver nitrate if that is all you have. If a baby develops gonorrhea or chlamydia of the eyes, both parents should be treated for these infections (p. 237 and 359). IRITIS (INFLAMMATION OF THE IRIS) NORMAL EYE EYE WITH IRITIS Signs : pupil small often irregular redness around iris severe pain Iritis usually happens in one eye only. Pain may begin suddenly or gradually. The eye waters a lot. It hurts more in bright light. The eyeball hurts when you touch it. There is no pus as with conjunctivitis. Vision is usually blurred. This is an emergency. Antibiotic ointments do not help. Get medical help.
222 Where There Is No Doctor 2010 GLAUCOMA This dangerous disease is the result of too much pressure in the eye. It usually begins after the age of 40 and is a common cause of blindness. To prevent blindness, it is important to recognize the signs of glaucoma and get medical help fast. There are 2 forms of glaucoma. ACUTE GLAUCOMA: This starts suddenly with a headache or severe pain in the eye. The eye becomes red, the vision blurred. The eyeball feels hard to the touch, like a marble. There may be vomiting. The pupil of the bad eye is bigger than that of the good eye. normal glaucoma If not treated very soon, acute glaucoma will cause blindness within a few days. Surgery is often needed. Get medical help fast. CHRONIC GLAUCOMA: The pressure in the eye rises slowly. Usually there is no pain. Vision is lost slowly, starting from the side, and often the person does not notice the loss. Testing the side vision may help detect the disease. TEST FOR GLAUCOMA Have the person cover one eye, and with the other look at an object straight ahead of him. Note when he can first see moving fingers coming from behind on each side of the head. Normally fingers are first seen here. In glaucoma, finger movement is first seen more toward the front. If discovered early, treatment with special eyedrops (pilocarpine) may prevent blindness. Dosage should be determined by a doctor or health worker who can measure the eye pressure periodically. Drops must be used for the rest of one’s life. When possible, eye surgery is usually the surest form of treatment. Prevention: Persons who are over 40 years old or have relatives with glaucoma should try to have their eye pressure checked once a year.
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Where There Is No Doctor 2010
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Thanks to the work and dedication o
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Contents A list of what is discusse
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Chapter 10 FIRST AID . . . . . . .
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Chapter 16 THE EYES . . . . . . . .
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Chapter 22 HEALTH AND SICKNESSES OF
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The first English edition was the r
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If you have suggestions for improvi
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Where There Is No Doctor 2010 USING
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Where There Is No Doctor 2010 WORKI
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Where There Is No Doctor 2010 FINDI
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Where There Is No Doctor 2010 Tools
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Where There Is No Doctor 2010 MAKIN
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NOTICE This book is to help people
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2 Where There Is No Doctor 2010 Old
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4 Where There Is No Doctor 2010 BEL
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29 How To Examine a Sick Person CHA
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How to Use a Thermometer Where Ther
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THE BELLY (ABDOMEN) Where There Is
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MUSCLES AND NERVES Where There Is N
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39 How to Take Care of a Sick Perso
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2. Food If the person is too sick t
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Where There Is No Doctor 2010 WHEN
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45 Healing Without Medicines CHAPTE
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49 Right and Wrong Uses of Modern M
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Antibiotics: What They Are and How
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59 How to Measure and Give Medicine
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65 Instructions and Precautions for
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75 First Aid BASIC CLEANLINESS AND
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Treatment for poisonous snakebite:
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Nutrition: What to Eat to Be Health
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WHY IT IS IMPORTANT TO EAT RIGHT Wh
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EATING RIGHT TO STAY HEALTHY Where
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WET MALNUTRITION—OR KWASHIORKOR W
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WAYS OF EATING BETTER WHEN YOU DO N
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4. Beans, peas, lentils, and other
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THINGS TO AVOID IN OUR DIET Where T
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HARMFUL IDEAS ABOUT DIET Where Ther
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♦ Drink a lot of water. Try to dr
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CLEANLINESS IN EATING AND DRINKING
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Typical amebic dysentery consists o
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151 Some Very Common Sicknesses DEH
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Treatment of diarrhea: Where There
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Special treatment in different case
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ASTHMA A person with asthma has fit
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Feeding Where There Is No Doctor 20
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MISCARRIAGE (SPONTANEOUS ABORTION)
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283 Family Planning — Having the
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Side effects: Where There Is No Doc
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INJECTIONS. In this family planning
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295 Health and Sicknesses of Childr
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WATCH THE DIRECTION OF THE LINE SHO
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Seizures (Fits, Convulsions) (see p
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HEALTH PROBLEMS OF CHILDREN NOT DIS
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INFECTIOUS DISEASES OF CHILDHOOD Ch
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Whooping Cough Where There Is No Do
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A child who has been paralyzed by p
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Umbilical Hernia (Belly Button that
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Slow Development in the First Month
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323 Health and Sicknesses of Older
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331 The Medicine Kit CHAPTER 23 Eve
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BUYING SUPPLIES FOR THE MEDICINE KI
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MEDICINES Where There Is No Doctor
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Green Pages Where There Is No Docto
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PENICILLIN BY MOUTH Green Pages Whe
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Signs: Where There Is No Doctor 201
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Other books from Hesperian A Health
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