Archive for July, 2010

Urinary tract infection (cystitis, cystitis)

Saturday, July 31st, 2010

Urinary tract infection which is limited to the bladder is called cystitis. It is common to feel when pee more often than otherwise. You may have pain in my stomach, it can sting when you urinate or you can easily become sick. Sexually transmitted infections can produce similar symptoms, so you should contact the clinic if you have trouble.

Urinary tract infection caused by bacteria. Often do you yourself are already on them. The bacteria which have penetrated into the bladder through the urethra. The infection is not contagious between people.

Most common is coliform bacteria, normally present in the gut and around the anus and that which is completely harmless. Although other bacteria may cause an infection if they come to the bladder, where it usually is not bacteria. Some people have bacteria in the urine without having the inconvenience of this, which is called asymptomatic bakterieuri, and are not usually treated.

If bacteria from the bladder will continue even higher up in the body, through the ureter to the kidney, it can lead to a more severe form of urinary tract infection, renal pelvis inflammation.

For women, cystitis is a common and in most cases, harmless condition. Men are affected more often, because the man’s urethra length provides better protection against bacteria than short women. When women suffer from urinary tract infections are often also infected prostate gland.

Symptoms

Cystitis can come on suddenly with distinct symptoms. More common is that you have mild symptoms, which sometimes grows later. Some common signs:

  • Urgency, you know you pee more often than otherwise.
  • Pain when you urinate.
  • Feeling of not being able to empty the bladder completely.
  • Urine has been cloudy, smelly or blood mixed.
  • Hard to hold urine.
  • Mild nausea or pain in the lower abdomen.

Mature

Older people can also become suddenly confused.

Prevention

Drink enough so that you urinate on a regular basis. When the bladder is flushed properly. When you urinate, it is important that your bladder is emptied completely, otherwise it increases the risk of infection. One trick is to walk around a few steps when you are peeing. You can then try to empty your bladder again.

Some women may often cystitis after intercourse. A tip is when to pee every time.

Do not wash the genital area more frequently than once a day. If you wash up more often may increase the symptoms. Remember that washing and drying should always be done from front to rear to reduce the risk of bacteria from the tail reaches the urethra.

Find Care

Contact your GP for symptoms if you:

  • are a woman and have pronounced or prolonged symptoms
  • it is
  • have children with disorders of the urinary tract or unclear fever
  • is pregnant
  • have diabetes or another illness that makes you more susceptible to infection.
    also have chills or fever over 38 degrees
  • suspect that you have a sexually transmitted disease chlamydia or gonorrhea
  • has blood in urine
  • are older and suddenly become confused or feel generally impaired with no other apparent cause

Treatment

Occasional mild symptoms in women need not always be treated. Make sure to drink a lot and urinate frequently. Drinking acidic beverages such as juices, can help.

Sexually transmitted diseases chlamydia may cause similar symptoms, so it is important to examine themselves.

Pharmaceuticals

A short course of treatment is usually adequate antibiotic therapy for urinary tract infection.

For recurring infections, it is good to switch between different kinds of antibiotics. For older women with fragile mucosa, treatment with estrogens have a good effect. In rare cases, prolonged treatment with antibiotics may be needed.

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Urinary tract infection in children

Saturday, July 31st, 2010

Urinary tract infection in children is quite common. Among very young children, it is mostly boys who are affected. After six months of age, urinary tract infection is more common in girls. It can be difficult to detect infection in young children. Sometimes the child just a high fever. If your baby has high fever and / or are affected public should contact the hospital.

Urinary tract infection is usually due to so-called coliform bacteria have spread from the intestine up through the urethra to the bladder. A urinary tract infection without fever is usually limited to the bladder (cystitis) and need to be treated to alleviate discomfort. The infection generally provides no complications.

For the younger children often spread the bacteria further up into the kidney and renal pelvis inflammation provides. This gives the child a high fever. When small children are renal pelvis inflammation may be a sign that the child has a malformation of the urinary tract, such as a stricture. Therefore it is important that young children receive a proper investigation.

Symptoms

In small children it is sometimes difficult to detect urinary tract infection. The only sign may be that the child is not gaining weight. Older children often complain that it hurts when they urinate and the need to urinate often. Sometimes they urinate on themselves too easily.

High fever without other symptoms, like intermittent fever spikes, may be due to a renal pelvic inflammation. Some children with renal pelvic inflammation was also hurt in the stomach or side and vomit.

Prevention

Urinary tract infections may come back and it is important that parents are alert to the signs. When you suspect your child has the infection, ensure that the child may submit urine samples. A little older girls (preschool age and early school age) may sometimes recurrent urinary tract infections. These girls often have problems passing urine and may urinate on themselves during the day. First, you must then ensure that the girl regularly go to the toilet. If it does not help, you should contact a pediatrician for further assistance.

Urinary tract infection is not due to a lack of hygiene. Excessive washing is more harm than good because the mucous membranes may be irritated. Girls with urinary tract infections should wash as usual. It is important to wash and wipe themselves from front to rear.

When a child had a urinary tract infection may often different parents advice on preventive measures, to avoid swimming, keep warm and to drink a lot. Some children might be helped by this, but it has never been shown that it can do no good.

Contagion

Urinary tract infection is not contagious.

Self-care

Children with fever should stay home until the fever went down. When the baby are doing well, it can go back to preschool or school, even if antibiotic treatment is continued for a few days.

Investigation

If a child shows signs of urinary tract infection urine samples taken. Young children find it difficult to urinate on command, and therefore is often a so-called påsprov. A plastic bag taped around the penis or snippan to collect urine.

Treatment

Young children with renal pelvic inflammation should be managed by pediatricians. The youngest children are often hospitalized for a few days in order to ensure that the treatment works.

Pharmaceuticals

If the urine test indicates that the child has a urinary tract infection are given antibiotics for about ten days.

Operation

In small children with urinary tract infection usually x-ray of the urinary tract to see if there is narrowing and / or other abnormalities of the urethra or ureter. In some cases, such a change need to be addressed.

Aftercare

Children who had renal pelvic inflammation should be followed up with renal imaging after a time that you should ensure that they do not have scars on the kidney.

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Renal failure (uremia)

Saturday, July 31st, 2010

Renal failure, which can be acute or chronic, meaning that the kidneys are not working properly. Symptoms may include swelling, shortness of breath and high blood pressure. In particular, the state has come quickly, please go back to the emergency room. If symptoms have been more insidious and you are not heavily affected, you should contact your GP.

Renal failure leading to symptoms is called uremia. The permit can be fatal if untreated. In kidney failure, you can get short of breath, convulsions, become confused, dazed and lose consciousness. Renal failure can be either chronic or acute.

In severe renal failure, water can accumulate in the body so as to become swollen and may have difficulty breathing. Blood pressure may rise and you may feel bad because the waste products accumulate and poison the body.

Kidneys job is mainly to maintain the body’s water and salt balance and excrete waste products. In addition, the kidney produces important hormones that regulate blood pressure and the formation of red blood cells.

Chronic renal failure

Chronic renal failure caused by chronic kidney inflammation, and hereditary renal diseases. Although diabetes, hypertension, atherosclerosis and other systemic diseases can lead to chronic renal failure. Chronic renal failure may affect and damage all tissues and organs in the body, such as heart and blood vessels, bone, nerves and muscles.

Symptoms

In chronic renal failure developed progressive disease and symptoms come only after a long illness. A common symptom is that you accumulate fluid, may become swollen and may be high blood pressure.

You may also feel unusually tired and decrepit, have poor appetite and difficulty concentrating. You may look pale due to anemia which is common in chronic renal failure. The whole general condition deteriorates.

Acute renal failure

Acute renal failure caused by various diseases such as kidney inflammation, and conditions where there is an obstacle to urinavflödet, such as prostate enlargement, kidney stones and so on. Acute kidney failure can also occur when too little blood comes to the kidneys, which in dehydration or heart failure. Although certain drugs, which some painkillers, and mushroom poisoning may cause acute renal failure.

Symptoms

The process is much faster in acute renal failure. A sign may be to reduce sharply the amount of urine and in some cases cut off. It happens, however, not always – you can produce as much urine as before even if you get acute renal failure. Other symptoms include poor appetite, nausea, vomiting and malaise.

Without treatment, kidney disease, a difficult person will eventually get short of breath, convulsions, become confused and dazed and finally become unconscious.

Advice for renal failure

It is important to be frugal with salt. Once kidney function has dropped to about one fifth of the normal, there may also be wise to also eat less protein (meat, fish, dairy products). You should never reduce your protein intake without talking to your doctor and a dietician.

Because some drugs can damage the kidneys, you should not take medications without your doctor’s advice. Smoking and high and prolonged use of painkillers increases the risk of renal failure.

Find Care
Hospital emergency rooms

If you suspect you or someone else has fallen ill with severe kidney failure, you should contact the emergency ward in hospital.
Medical Center

For less severe symptoms, believed to be kidney failure, consult your health care center. Some simple tests provide rapid clearance.

The address and telephone number of a kind reception you can find by clicking on Find Health Care.

You can also contact some receptions and order a time via e-Care Guide service My health care contacts.

Investigation of renal failure

Kidney disease can be easily detected by blood tests and urine tests. High levels of toxins in the blood and protein in urine suggest kidney disease. More accurate diagnosis of renal failure determined by ultrasonography of the kidneys and possibly a kidney biopsy. This means that a sample of kidney tissue taken for microscopic examination.

Have you suffered from chronic kidney failure, you need to regularly give blood and urine tests to check the amount of toxins in the blood and the presence of protein in urine. Blood pressure, which rise with kidney disease, should also be carefully controlled.

Treatment of renal failure
Pharmaceuticals

The first attempts to treat kidney disease with drugs. With drugs and changing dietary habits can be the body’s fluid and mineral balance normalized.

Dialysis

Becomes severe kidney weight, you must be treated with dialysis or kidney transplantation. Dialysis is a treatment in which the blood is cleansed of waste products artificially. It can be done either in hospital or at home.

Transplantation

At transplantation, the patient is a new kidney from either a relative or a deceased donor. After a kidney transplant requires lifelong treatment with cortisone and chemotherapy for the body not to alienate the foreign body.

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Kidney stones

Saturday, July 31st, 2010

Kidney stones consist of salt crystals that form in the kidneys . Stones that do not pass out with urine can be either trapped in the kidneys or ureters and cause a kidney stone attack . It will thoroughly evil and you must seek emergency care . Infection and blood in urine may be another sign of kidney stones . Contact your GP if you suspect kidney stones .

Kidney stones can be painful even when the stone is not blocking the outflow from the kidney or ureter . If the stone stops the flow leads to a kidney stone attack that needs emergency treatment .

Patients in Sweden often have kidney stones of calcium salt . Both your eating habits , metabolism and intestinal function influence the formation of crystals . The crystals remain in the kidney may be due to poorly draining urine from the kidney to the bladder .

Men suffer more from kidney stones than women . The risk of getting kidney stones is greatest between the ages of 20-50 years for both men and women .

Symptoms of kidney stones

The most common symptoms of stone in the kidney is prolonged or repeated periods of pain , blood in the urine and sometimes even infection of the urinary tract. Although bacteria may be constantly present in the urine .

The stones may cause superficial damage the lining of the renal pelvis or ureters and blood in the urine from these injuries .

Kidney stones

If the stone blocks the flow from the kidney or ureter , it leads to a kidney stone attack . The pain often comes suddenly . As a rule , they start in one part of the back and radiates up into the abdomen , down to the groin or bladder . You may also feel pain or shiver down toward the vagina . You may also feel sick and vomit .

Preventing kidney stones

If you have had kidney stones should drink at least three liters of fluid per day to dilute the urine and thus reduce the risk of new stone formation . The goal is a urine output of at least two liters per day .

Treatment

If you receive a kidney stone attack , you need medical help to relieve pain . Are kidney stone five to six millimeters or smaller stone can usually pee out . But the stone may get stuck much longer than that before it comes out . When the stone is lost out through the urethra , it does not feel at all. It may also seem like a shiver when you pee .

If kidney stone is so large that it can not pass out yourself , or if the pain does not go over , you get a referral to the hospital . An X-ray can show where the stone is and how big it is . The size of the stone and the state determines how you choose to remove it.

Of all kidney stones that are discovered must be between 20 and 30 percent is removed by some form of intervention . Relapse is very common . About half of those who suffered from kidney stones suffer again within ten years .

Stone in kidney

More than 80 percent of all stones in the kidney treated with stötvågsteknik . The method is called ESWL , extracorporeal shock wave lithotripsy , and requires that the stones are crushed using a blaster . What remains of the stone leaves the body as gravel when you urinate .

Larger stones can be picked out using a tube that is inserted through the skin into the kidney . The method is called percutaneous stenextraktion and can also be combined with ESWL .

Large kidney stones , so -called coral stones , in very rare cases require open surgery .

Stone in ureter

Stones in the ureter can be removed with stötvågsbehandling well as so -called uretäroskopi . Uretäroskopi means that an instrument is inserted through the urethra . The stones can then be decomposed and removed .

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Renal Pelvic inflammatory disease

Saturday, July 31st, 2010

Renal Pelvic inflammatory disease is an infection caused by bacteria that affects the kidney . The infection is more serious than the more common lower urinary tract infection because the bacteria do not remain in the bladder but spreads to the kidneys and sometimes the blood . In adults, the state gives typical symptoms as trouble urinating , high fever and pains in the back or along the sides . Quick Search care if you suspect renal pelvis inflammation .

Renal pelvic inflammatory infection usually begins in the bladder , but the bacteria do not stop there but spread to one or both kidneys and can then also reach the blood. This is a much more serious disease than cystitis. Cystitis affects only the bladder and is therefore called the lower urinary tract infection .

The disease is often painful and without treatment can lead to your kidneys are damaged or you may hypertension.

Symptoms of renal pelvis inflammation

The symptoms may be prominent , but is sometimes less obvious , especially in young children and very old . In typical cases, onset begins as a cystitis Having difficulty to urinate , then you often high fever , chills , a feeling of being really sick and have pain or soreness in the back or along the sides .

In young children, fever may be the only symptom . In elderly people the infection can prove to a deteriorated general condition, or with confusion .
Preventing renal pelvis inflammation

If you’re prone to urinary tract infection may reduce the risk of recurrence if you drink a lot and urinating frequently . It is important that your bladder is emptied completely , otherwise it increases the risk of infection .

Women should wash the genital area with movements from the urethra and back so that no bacteria in the field out there.

Do you often have trouble with urinary tract infection , you may want to make a supplementary investigation . Contact your GP and listen .

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Develop a method to inoculate vaccine without needle

Saturday, July 31st, 2010

Researchers at the George Institute of Technology in Atlanta (United States ) could have found a way to inoculate a vaccine without a needle , through a patch placed on the skin , according to a study published in the journal Nature Medicine. If the formula is successful, there is no need to go to a medical facility to protect against disease.

This method could revolutionize the way of administering vaccines “so easy and safe it is, ” said Professor Mark Prausnitz , director of the team. The patch contains about one hundred microscopic needle – length is 650 microns , six times the thickness of a human hair , made of biodegradable plastic and slightly penetrating painlessly into the skin surface . Then dissolve without a trace. This method “can help immunization programs by eliminating the need for specialized personnel and allow self-vaccination , “said Prausnitz .

The use of dressings , instead of syringes, ” transformed the battle against future pandemics, because patients are inoculated vaccines that may be sent by mail and may be administered at home without medical help , ” the researcher said. The use of patches and eliminate the costs of expensive infrastructure that carry mass vaccination campaigns . In addition, avoid the risk of using contaminated needles.

The researchers said that tests show that the patch is just as valid and secure than conventional injections . Experiments conducted with laboratory mice show that the pads work better than injectable vaccines to prevent influenza infections , as it penetrates into the body through the skin surface , which plays an important role in the immune system. Another advantage is that it facilitates the protection of people with a fear of needles , have a phobia that almost 10 % of the population.

In addition , the patch – vaccine formulation is presented as a dry (frozen) , which reinforces its stability during distribution and storage. Despite these benefits , you still need further testing on animals before being tested in human volunteers. In any case , the polymer plastic microneedles that are manufactured and used in medicine without side effects in the patient.

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If you use any sexually

Thursday, July 1st, 2010

It is never okay to take someone on or related to your body in an embarrassing or uncomfortable way . Not friends , strangers , staff , parents or siblings or any other. If something happens , there’s help at hand.

Adults and young people who are much older than you should never move your body in any ” sexual ” way . If someone does that , it is not your fault . Anyone who is an adult or older responsible always for what he or she does . It has nothing to do with you . Other children may not do so unless you want to . You and your body has the right to be left alone .

What is sexual abuse ?

Gender or sex organs are the same as the penis or Snippe . Maybe you’re unsure of what is a sexual assault . Sexual abuse may include :

  • When someone wants to do something with your body that makes you feel uneasy and scared .
  • When someone touches your body in a way that does not feel good , or related to your genitals , or want you to touch the other’s genitals .
  • When someone rubs , rub or press their genitals against your gender in any way .
  • When someone wants you to use your mouth and suck , for example, or lick their body .
  • When an adult or more want to see your genitals , or want to show his own .
  • When someone is talking in a sexual manner .
  • When someone wants to see or shoot you without clothes .

These things are always counted as a sexual assault even if you want to do what an adult says or asks you to do . Adults should not ask you to do something sexual . It is only the adult’s fault in such cases . Not yours.

There is help!

Talk to an adult

For most , it is very difficult to tell what has happened . Maybe you feel guilty or hesitant . It might take several years before you dare to tell . It is never too late to tell

Talk to an adult you trust. You should not need to be afraid . You should also not be afraid of you gossip . Talking about what has happened is not to gossip . It has done this against you need help . You can not help him or her and you can not wait for it to stop . It is enough that it happened once that person has done wrong . Talk to your mom , dad , teacher , school nurse , a neighbor , your grandmother , grandfather , grandmother or grandfather or your friend’s mom or dad . The important thing is that you ‘re talking to someone and it ends .

It tells you it can then go to someone who is good at taking care of things here . It may include social services , or any group working to help those who have experienced sexual abuse . Your parents have no right to be angry at you for seeking help .

Places that can help you and your family

If you do not know who to talk to , there are several places you can call or e-mail . You can choose which one you feel good . Maybe you’ve heard of any of them before. In several of them , you can choose to remain anonymous to begin with . Maybe you first want to hear only what they can to help you with . Call from a friend or telephone if you do not want your parents to see on your phone bill where you called.

Talk to a nurse

You can also call Health Guide on the telephone on 08-320 100th Here are nurses and picks up the phone seven days a week around the clock . They can help you get help . It costs as a regular phone call .

BUP

You can also contact BUP , Child and adolescent psychiatry directly . Call first BUP where you live . Click on the links to the right address and telephone number . BUP Vaasa working specifically with children who have experienced sexual abuse .

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Depression in older

Thursday, July 1st, 2010

Depression is more common in older than in younger so the risk of illness increases with age . Depression is a disease that affects five percent of the population . Several factors contribute to the onset of depression , such as altered sensitivity of the brain . This can include the gene and also external factors may be relevant . For those who suffer from other diseases , the risk is greater . Depression can manifest itself as anxiety, sleep problems , depressed mood and life lead . There are effective treatments , including drugs .

Depression in the elderly is related to certain factors that have particular relevance :

  • As we age reduces the levels of neurotransmitters in the brain . These substances regulate, among other things, sorrow , joy , anxiety , sleep and appetite .
  • Changes in the brain after stroke .
  • External pressures , such as when a relative dies , loneliness , financial problems or abuse .
  • Disease .
  • Lack of nutrients essential for brain function, such as fatty acids , vitamin B12 and folic acid .
  • Some medications can help trigger depression .

The risk of other diseases may increase for those who are depressed . Physical illness can also increase the risk of depression .

Symptoms

There is effective treatment for depression , but many older people without help . Therefore it is important that relatives and carers are alert to signs of depression .

Many of the symptoms in the elderly who are depressed is the same as in younger . Typical psychological characters can be :

  • Lowered mood . Nothing feels funny or engaging. Things that previously gave pleasure sensations , for example, in the outdoors, music or literature loses its meaning.
  • Anxiety and worry that often feels particularly strong on the night or early morning .
  • Insomnia .
  • Loss of appetite .
  • It is difficult to deal with everyday chores , everything is slow and it was hard to do even simple chores .
  • When the depression could become deep emotions of life to lead .

Older people suffer more frequently from more somatic symptoms of depression . Physical symptoms that may occur are :

  • strong fatigue
  • headache
  • dizziness
  • breathlessness
  • palpitations
  • pain in muscles, joints , back , stomach , intestines and heart .

Depression and dementia may be more symptoms to be equal . Those who suffer from dementia often have disruptions in short-term memory , difficulty with speech or motor skills problems and to orient themselves in space and time .

Investigation

There are tests that can determine whether a person suffering from depression or dementia . Assessment and tests carried out in psychiatry may also be supplemented by various studies of the brain and other samples .

Treatment

Pharmaceuticals

The elderly suffer from depression are treated in much the same way as younger . Treatment is often with medicines that improve the neurotransmitters in the brain , combined with social assistance and call or psychotherapy .

If the depression is severe can sometimes be used electrotherapy .

Depression in the elderly may be due to several different things and therefore need treatment often contain several different elements .

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Depression in young

Thursday, July 1st, 2010

Depression in young people is fairly common . You can feel sad , dejected and depressed without knowing why , be more difficult to concentrate, experience more anxiety and concern and know that you are worth less than others . The outpatient child and adolescent psychiatry , BUP , offers talks with a psychologist . A deep depression can lead to preoccupation about death and suicide. It is therefore important that you or your child receives professional help as soon as possible .

Illness or just depressed ?

All feel depressed or sad at some point in life . When you are young children or suffer setbacks and crises in life , it is natural to react to feel depressed and sad . It is a natural part of life . These feelings usually pass after a time , often with the help and support from parents and friends .

Depression however is a condition that does not move by itself , within a reasonable time , and that affects all areas of life . It is rare that young children become depressed , but teenagers and adults suffer approximately the same frequency . Depression is more common in girls and women .

Why are you depressed?

The causes of depression can be many . Often, the person becomes depressed, a vulnerability in the context of adversity and stress . It can be congenital , caused by traumatic experiences early in life or because you had a hard time with , for example, much trouble and conflict in your family or with your mates .

The environment , ie where you grew up , school, family and people who are around you also have impact on how well you can take setbacks . A safe and stable family can do to a person , despite an innate vulnerability , more rarely , a depression .

Purely physical things , such as disruption of thyroid hormone production , can in rare cases, also trigger a depression .

Symptoms of depression in young

How do you know if you have a depression ? If you have any of these characters for more than a couple of weeks you may be depressed :

  • You feel sad and depressed and find it easy to cry for the slightest adversity .
  • You feel severe anxiety and concern .
  • You find it hard to feel happy or be interested in things that usually are fun .
  • You feel irritated by everything and everyone .
  • You find it hard to concentrate so that schoolwork is affected .
  • Self-confidence is declining and you often find yourself as worthless .
  • Appetite changes . You may find it difficult to eat at all or do you feel hungry for something all the time . In children who are depressed is inadequate weight loss or weight gain usual.
  • You sleep weird and disturbed easily . Some have trouble falling asleep , sleep more and more during the day and could eventually turn the clock. Sleep disorders are serious, that you feel anxiety .
  • In teenagers , it is common practice to sleep a lot , but still feels tired . Minimum document can feel exhausting to carry .
  • The risk is great for both girls and boys to start using alcohol or drugs .
  • Guys , especially , can become aggressive and disruptive .
  • You may be preoccupied with thoughts of death and suicidal thoughts and maybe even try to harm you or take your life .

Relapse

Have you ever had a depression , it may come again . It is important to be alert to signals of a new depression .

Self-care

For those of you who are young and feel dejected and depressed , it is important to talk to an adult , your parents , a teacher , a friend’s parent or someone else you can trust. It often helps to talk about their feelings and it can be a means for early detection and possibly prevent a deep depression . In addition, support will be available from care .

Your parents always have a responsibility to make you feel good and get help if needed . A method for early detection and possible prevention of depression is to talk to them about what is difficult . To be able to put words to their feelings is the best method to process the setbacks and crises .

Sleep is important for all people but especially if you are getting depressed . Try to prioritize your sleep and if it does not work you need to seek help to get good advice and treatment .

If you are a parent

Anyone who is a parent should seek professional help from outpatient child and adolescent psychiatry , BUP , or clinic if the child seems depressed and have difficulty talking about their feelings .

The following contacts are confidential and can provide further assistance : National Helpline , priest , telephone counselor and friend on duty . See links on the right.

Treatment of depression in young

Psychotherapy

Do you have a mild depression , you can get going at intervals along the so-called psychotherapeutic conversation . It may be sufficient . Often it is useful to combine so that you both individually and together with your parents may be able to get help to deal with your situation .

It is also important to treatment, knowledge about depression so that both you and your parents can see the early signs of a possible deterioration or if you would become depressed again .

Social support

In addition to psychotherapy , it is important to adapt the activities and requirements of the person who is depressed . For example, it could be considered to reduce the number of lessons in school so that it is a reasonable load for homework and school day length .

Physical activity

Regular physical activity has proven useful for many different conditions and diseases . It may be that cycling, walking , swimming and more. In adults, regular exercise, prevention of anxiety and depression new periods . One can expect that it also applies to young people . Physical activity during the day also makes it easier to sleep at night .

Pharmaceuticals

If you have a moderate or severe depression , you may need both psychotherapy and drugs ( antidepressants ) .

Evaluation in the treatment of children and young people is limited . Treatment must be done in close cooperation with you and your parents and with frequent return visits . Sometimes anxiety and concern increase at the beginning of the treatment period . There is then a risk of side effects means that you have more suicidal thoughts and possibly try to harm himself , but this tends to reduce after a few weeks . The dose escalation slowly . It may take four to six weeks before we know for sure if the medicine has any effect . It continues to be in contact throughout the treatment period . When it’s time to close so it is in agreement with a gradual tapering of the medication .

Advice for relatives

If you are a family may also need support . There you can get from a support organization . They can give you information and help you make contact with others in a similar situation . If your relative has had contact with health care , you can also get support from the staff responsible for your relative’s care .

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