Metrorrhagia is uterine bleeding that worries women not only at a young age, but also at an old age. This is the so-called acyclic bleeding, which is not associated with the normal menstrual cycle. Metrorrhagia has different causes, which depends not only on age, but also on lifestyle and concomitant diseases. Metrorrhagia symptoms will vary depending on the type of bleeding and the individual characteristics of the body. What treatment is used for this diagnosis, and what prognosis is expected for the future, we will discuss in this article.
Cervicitis is a fairly common infectious disease that involves damage to the cervix, namely the lower part of the uterus, protruding into the vagina. There are acute and chronic cervicitis, each of which has its own causes and symptoms. The problem presented is very relevant not only among women, but also among young girls. Any inflammation in the genitals can negatively affect future pregnancy. Treatment of cervicitis is a very complex topic, which we will discuss in this article. We will also look at all the main types of cervicitis and what to do in a given situation.
Salpingitis is a serious gynecological disease that is caused by inflammation of one or both fallopian tubes in the uterus. Salpingitis symptoms are very acute, so you should not prolong the disease and endure the pain, but you should contact a gynecologist immediately. Very rarely, this disease occurs unilaterally, which is why very often a woman is diagnosed with bilateral salpingitis. Chronic salpingitis is very insidious, the treatment of which can require a lot of money. The presented disease plays a very important role, since it can negatively affect both the mother and the child. What treatment is most often used for the diagnosis of salpingitis, and what forms of this disease there are, we will discuss in this article.
Metritis, or the so-called inflammation of the vaginal muscle ball, is a very important gynecological problem in our time. This disease can occur at any age. It is very important to immediately consult a doctor at the first symptoms, since the acute stage can easily turn into chronic metritis, and this will entail more than one month, and even more than one year of treatment and long-term recovery. That is why, if a woman is diagnosed with acute metritis, treatment should begin immediately to avoid further problems. There are many reasons for the development of this pathology. What are the symptoms of chronic metritis, and how to avoid it, we will talk in detail in this article.
Menorrhagia is heavy menstruation, which is characterized by significant (exceeding the physiological norm) blood loss. Menorrhagia symptoms are obvious - general weakness, accompanied by heavy bleeding. Anything outside the normal range can be dangerous, so you should consult a doctor in any case. Idiopathic menorrhagia requires careful diagnosis, after which appropriate treatment can be prescribed. The diagnosis of menorrhagia and treatment may involve surgical and therapeutic methods. The entire treatment process is controlled by a gynecologist.
When uterine bleeding is diagnosed, a wide variety of treatments are used, and it depends on the type and complexity of the bleeding itself. Hemostatic drugs for uterine bleeding are prescribed by the doctor after a complete examination of the patient. Very often, dicinone or vikasol are used for uterine bleeding, since they are most effective. In any case, you should urgently consult a doctor for advice, because this can be dangerous to your health. In this article we will look at the causes of uterine bleeding, treatment, and also turn to traditional medicine, which has many herbs for the successful complex treatment of uterine bleeding.
Uterine bleeding not only sounds horrifying, but it can actually not end well for a woman. Any bleeding, if it is not associated with the menstrual cycle or certain periods of pregnancy, conceals a great danger. Uterine bleeding has different causes, and at each age it has its own character. There are different types of this pathology. I would especially like to highlight dysfunctional uterine bleeding, which occurs most often in older women. Why uterine bleeding after childbirth is dangerous, and what other types of this disease exist, we will discuss in this article.
Dysmenorrhea is presented as a menstrual disorder. That is why it is advisable to call painful menstruation algomenorrhea. Dysmenorrhea has causes depending on the type of disease - primary or secondary dysmenorrhea. The course of this physiological condition may differ, but in most cases it proceeds the same. Pain appears in the abdominal area on the first day of menstruation, 10-12 hours before its immediate onset. Treatment of dysmenorrhea has its own specific characteristics and also depends on the form of the disease itself. We will talk in more detail in this article.
If you have ever seen women whose hair grows like a man’s, then know that this is not the norm, but a disease. This disease is called hirsutism in women. Hirsutism has different causes, but often these are various disorders of the internal organs. Hirsutism occurs in approximately 2-10% of all women, and can be so severe that it forces a woman to use various methods, such as mechanical and cosmetic hair removal. There are severe and mild forms of hirsutism. Accordingly, hirsutism in women will be treated in various ways, from taking medications to cosmetic methods. We will discuss in this article how compatible the concepts of hirsutism and pregnancy are, and how to deal with it.
Hydrosalpinx is a disease of the fallopian tubes, which is characterized by a violation of their patency and the accumulation of fluid in the lumens of the tube. This is a fairly common disease in the female genital area. Hydrosalpinx happens on the left and right, and can be bilateral, which depends on the type of the disease itself. Nowadays, many methods have already been invented to combat this disease, but this has not solved the problem of the prevalence of this disease. What treatment is prescribed for the diagnosis of hydrosalpinx, and what first symptoms may appear, we will discuss in this article.
Many patients are interested in the question: “How to restore a leg after an ankle fracture? What exercises should you do after a broken leg? What should I do if my leg hurts and swells after the cast is removed? We will try to answer these and other questions in our article.
The human ankle joint has very powerful ligaments and muscles, because it plays a very important role in the human skeleton. It is the ankle that is able to support the weight of the entire body and with its help a person has the ability to move .
The ankle joint is formed by the talus, fibula and tibia, which are connected to each other by strong ligaments.
An ankle fracture is a violation of the anatomical integrity of one or more bones that make up the ankle joint.
When making a diagnosis, a traumatologist should not be based only on medical history (presence of injury), patient complaints and objective examination data. It is necessary to carry out a differential diagnosis between a bruise, a sprain and an ankle fracture. A final diagnosis can only be made using radiation diagnostic methods: X-ray, CT, NMR.
If a patient has an ankle injury, he should not stand on the injured leg, much less walk. The doctor or paramedic should apply an immobilizing bandage to the ankle, which can consist of two ordinary wooden boards. The splint can be secured using bandages. Very often, when an injury occurs, the victim experiences severe pain in the ankle area . In this case, the emergency physician must anesthetize the patient with intramuscular injection of non-narcotic analgesics or non-steroidal anti-inflammatory drugs.
If the patient has received an open fracture of the ankle with a violation of the integrity of the skin, then before applying a fixation splint, the doctor must treat the wound surface with iodine and apply an aseptic bandage, as well as administer hemostatic drugs (1% vikasol solution or 12.5% etamsylate solution). If a large blood vessel is damaged due to injury and severe bleeding is observed from the wound, in this case it is necessary to apply a tourniquet above the wound surface, but not longer than 2 hours.
The victim must be taken by ambulance to the trauma department of the hospital.
The choice of treatment method directly depends on which bones are damaged and whether there is displacement of fragments.
If bone fragments are displaced as a result of an injury, then before applying a plaster cast, the patient undergoes reposition of the bone fragments. The average period of wearing a plaster cast for an ankle fracture is about 2 months.
More complex ankle fractures require surgical treatment and wearing a plaster cast for up to 5-6 months.
If a patient has a helical fracture of the lower third of the tibia, he needs to lie in traction for about 10 days and only then, after a consultative examination and the results of an X-ray examination, a traumatologist-surgeon will perform an operation and fasten the fragments of the tibia bones with a plate.
The rehabilitation period for a tibia fracture is very long and its success largely depends on the professionalism of the rehabilitation doctor and on the desires and efforts of the patient.
During the rehabilitation period, it is advisable for the patient to wear a special soft bandage on the ankle joint, which is equipped with additional straps. It protects the ankle joint from damage and provides support to the ligamentous apparatus.
Benefits of wearing an ankle brace during the rehabilitation period:
To relieve swelling in the foot and ankle area, the patient is prescribed a massage. It is recommended to make warm baths at home with sea salt or medicinal herbs. To prepare such a bath you need 100 g. dissolve salts in 1 liter of water.
Thermal procedures using wax or ozokerite have a good effect on improving local blood circulation and lymphatic drainage.
The patient should do self-massage, and it is good to use cedar oil. Gentle stroking movements from the fingertips to the ankle will help relieve swelling of the soft tissues . The patient should wear comfortable shoes with flat soles using a special orthopedic insole.
For many patients, after removing the cast, massage brings painful sensations, so at the beginning of the recovery period it is best to use ointments with an analgesic effect (for example, those containing ketorol).
There are several exercises that a patient needs to do to develop his leg after an ankle fracture. In the initial period of rehabilitation, exercises to develop the ankle should be done under the guidance of an experienced instructor, who should correct the correct execution of the complex of therapeutic exercises.
This exercise is aimed at training the coordinated work of the healthy and sore leg. The doctor takes the free ends of a two-meter elastic tape and ties them to the crossbar of the wall bars about 20 cm above the floor, creating a loop about 1 m long. The patient stands at a distance of 70 cm from the wall and puts one of the loops on the ankle of the healthy leg.
The patient's knees are bent, the body is straightened, and the shoulders are straightened. He swings his healthy leg (on which the loop is located) to the side, while trying to maintain balance. When performing swings, the muscles of both legs are trained;
Everyone knows that for the normal restoration of damaged bones, joints and muscles, the human body requires an increased supply of protein, calcium, silicon, and vitamins.
In order for calcium to be supplied in the required amount, the patient must add cow's milk, cheese, kefir, and eggs to his daily diet. In addition, you need to eat sea fish, greens, spinach, fruits and vegetables. To form good callus, the body requires not only calcium and silicon, but also large amounts of vitamin C and D.
The patient should walk more in the fresh air, eat strawberries, raspberries, black currants, apples, and pears.
Some elderly patients are prescribed calcium tablets, chondroprotectors and multivitamin complexes to improve bone fusion.
A fracture of the tibia is usually understood as a fracture of its body (diaphysis) in the upper, middle or lower part. The anatomical structure of the lower leg and the high-energy mechanism of injury determine that in most cases, the fibula breaks along with the tibia. When to start and how to develop a leg after a fracture of the tibia?
Professional athletes ask such questions extremely rarely, because after injury they end up in the hands of sports doctors, but people who have suffered fractures of the tibia due to road accidents, accidents or during sports entertainment are less fortunate. It is not yet possible to use the services of certified physical therapy methodologists and rehabilitation specialists everywhere.
We are sure that the photos and videos in this article will help them and their relatives better understand how to develop a leg after a fracture of the tibia. After all, it is on the implementation of competent and complete treatment “from” to “to” that not only its success depends, but also the prevention of possible consequences - nonunion, formation of false joints, shortening and/or curvature of the tibia.
The time when active development begins after a fracture of the tibia or its functional rehabilitation directly depends on the degree of complexity of the injury, and therefore on the method of immobilization of the broken leg used:
On a note. When both tibia bones are fractured, the doctor first monitors the fusion of the tibia. Despite the fact that muscles are attached to the fibula, the functional restoration of the leg primarily depends on the successful fusion and restoration of the anatomical configuration of the tibia.
The time it takes to functionally recover from a broken tibia depends on the following factors:
The average time for rehabilitation of fractures of the tibia and fibula are as follows:
Additional note. The average statistical time required for fracture healing is 2, 2.5-3 and 3-4 months, respectively.
So how to develop a leg after a fracture of the tibia, when the active recovery period comes?
As an example, here is a plan of rehabilitation exercise therapy measures.
Gymnastics, swimming and work on exercise machines are best done in the evening, before dinner, but so that there is a gap of at least 30 minutes between the end of the workout and the start of the meal. The time for measured walking is early in the morning (after a shower, before breakfast), or before lunch, or just after dinner, but 70-80 minutes should pass between the end of the walk and going to bed.
If it is not possible to visit the gym and/or swimming pool, then the set of gymnastic exercises should be strengthened with additional exercises with a leg expander or rubber band, and the number of workouts at home should be increased from 3 to 5-6 times a week.
Important! The given rehabilitation plan can be followed, but only if, in previous periods of immobilization and post-immobilization, treatment with exercise therapy was carried out regularly, with proper loads on the muscles and range of motion in all joints of the affected leg.
After fractures of the tibia, you should start every morning with exercises, which should be done in two steps:
After charging, drink a glass of water again and go take a shower. During the day you will need to drink 2-2.4 pure water without gas, and this does not take into account other liquids - soups, tea, coffee, juices, sweet soda or compotes. The price of such “aqua medicine” is affordable for everyone.
It should be understood that for the normal process of bone tissue restoration, the body needs not only microelements and vitamins, but also ordinary water, because 56% of the bone consists of it. Moreover, practice shows that fractures heal better in those patients who immediately after an injury bring their daily drinking balance back to normal and stick to it until the end of treatment.
This form of exercise therapy is accessible to absolutely everyone and has no contraindications. You need to walk every day. You should choose a route away from roads and highways.
Ideally, during a walk you will need to overcome several descents and ascents. Be sure to also include a visit to a building where you can walk up and down the stairs.
Here's how to increase the load:
Advice. When going on a sports walk, you should wear seasonal sports shoes, and if necessary, for example, summer sneakers, they should be further improved with modern special orthopedic insoles.
During the rehabilitation period, those patients whose work activity is not associated with a load on the affected leg begin to go to work. As a rule, these are people who work while sitting. For neither, there are instructions familiar to everyone.
The simplest exercises are suitable for this:
The gymnastic complex should include exercises that must be performed in the following order:
Let us give as an example a photo gallery of a block of squat exercises, which should be gradually mastered during the rehabilitation period.
Muscles are a part of the musculoskeletal system that constantly needs to be trained. When muscles work, blood flow to them increases, and with it the amount of nutrients and oxygen. As soon as the load is reduced or stopped altogether, as when wearing a cast, the muscle cells atrophy.
Restoring the function of the injured limb is one of the main components of fracture treatment. This task is very labor-intensive, but if all recommendations are followed, the mobility of the leg or arm is completely restored.
During the rehabilitation of an injured leg, the following tasks are set:
The entire rehabilitation complex after removing the cast from the lower limb consists of three stages:
The first part of the rehabilitation program
Keeping a cast on the leg for a long time disrupts normal blood and lymph flow. In order to stimulate blood circulation in the muscle tissues of the leg, eliminate swelling, improve the restoration of cartilage tissue of the joints, restore the previous muscle activity and motor activity of the leg joints, increase vascular tone, eliminate congestion, rubbing with cedar oil and massage are used. Touching, stroking and kneading movements increase muscle tone, improve their nutrition and speed up the recovery process.
Taking baths with the addition of herbal decoctions and sea salt have a beneficial effect on recovery. To prepare a sea salt bath, you need to take 100 grams of sea salt per 1 liter of water.
Warming procedures using ozokerite or wax also contribute to a speedy recovery. Many patients benefit from magnetic therapy sessions.
The second stage of restoration of lower limb function
Physical exercises performed after warming up the muscles with baths and massage have the best effect in treating muscle atrophy after a fracture. The exercises listed below do not require special equipment and can be performed at home. An important point is the dosage of the load; the patient should under no circumstances feel pain when performing these exercises. It is not necessary to follow all the points listed. One day you can do the first half of the exercises, the next - the second.
To develop the lower limb after removing the cast, the following tasks are recommended:
First, you need to walk more, without sparing, fully rely on the injured limb.
The second is to perform rotational movements with the foot while sitting or standing, but this exercise should be performed only a week after the cast is removed.
Third, swing your leg. Stand next to a chair and hold on to its back. Raise your leg forward and hold it in the air a little. Repeat this exercise 10 times for each leg. Do the same, only moving your leg to the side. We must not forget that performing these exercises should not lead to pain.
Fourth - holding onto the back of the chair, rise onto your toes and proceed to resting on your heels. To make the task somewhat more difficult, you should try to do it standing on one leg.
Fifth exercise - lie on the floor and make cross swings with your legs. This will strengthen your inner thighs.
After about a month, you can add exercises on simulators to your main classes.
Third stage of rehabilitation
Nutrition during recovery from a fracture plays an important role, and it is not recommended to neglect this point. Indeed, in order for injured bone and muscle tissue to regenerate more quickly, an increased supply of nutrients, vitamins and minerals is necessary.
A patient who is restoring the function of an injured limb needs to consume foods that contain a lot of calcium and silicon.
To satisfy the body's increased need for calcium, it is worth including cottage cheese, cow's milk, fish, hazelnuts, sesame seeds, soybeans, and bran bread in your diet. Green vegetables, persimmons, green beans, and cauliflower also contain a lot of this compound.
Silicon promotes better absorption of calcium from foods. Its compounds are present in pears, turnips, currants, raspberries, radishes, and cauliflower.
When choosing vitamins, preference should be given to the group of vitamins D, E, C. Vitamin D is especially useful, as it promotes the process of restoration of injured tissue due to its ability to influence calcium metabolism in the body.
The hand consists of 4 anatomical regions: the shoulder girdle (clavicle and scapula), shoulder (humerus), forearm (ulna and radius) and hand (8 carpal bones, 5 metacarpal bones and fingers). Typically, a fracture of the arm means a violation of the integrity of the humerus, forearm and hand, and fractures of the radius are most often addressed to traumatologists. If you recognize yours among the above diagnoses, read how to develop your arm after a fracture and achieve its full recovery.
Therapeutic exercise after a fracture of the radius in a typical location is aimed at restoring mobility of the wrist joint and fine motor skills of the sore hand. Before starting the lesson, you need to massage your hand with a massage ball in a circular motion on the inside and outside. Then, using a su jok massage ring (price - 10-20 hryvnia), you need to treat each finger. This will help restore blood circulation and stimulate the functioning of nerve endings.
After a fracture of the wrist joint, it is necessary to restore flexion and extension of the hand. Place your palms together with your fingers up and alternately tilt them left/right and forward/backward, pressing gently but firmly. Please note that this exercise can only be done in the absence of titanium plates.
Basic exercises for developing the arm after a fracture of the radius:
If your fingers are injured as a result of an injury, after removing the plaster, you need to work them out very carefully, bending and unbending each phalanx. Otherwise, there is a risk of contracture—limitation of passive movements when the fingers cannot fully bend or straighten.
Important: After a fracture, the arm can be developed with tolerable dull pain. If the pain becomes acute, the exercise should be stopped.
During the rehabilitation period, it is useful to touch small objects with your fingertips. It’s ideal if you get yourself a simulator: puzzles, rosaries, beads or pocket chess.
After a fracture of the radius, the following exercises will be useful (perform 6-12 times until mild pain appears):
More exercises for developing the joints of the fingers and hand after a fracture are in the video.
After a fracture of the elbow joint, the patient first needs to restore blood circulation, sensitivity and mobility of the arm. For this, doctors recommend physical therapy, physiotherapy and massage.
elbow flexion and extension exercises . It is ideal to have a therapist, relative or friend help you with this. The arm is carefully supported under the elbow, bending and unbending 5-10 times. Exercises can be done 3-4 times a day. It is optimal if you perform them in warm water: it will relieve pain and improve joint recovery.
To develop rotational movements after a fracture, it is necessary to pronate and supinate the forearm (rotate the arm around its axis 90 degrees).
When the mobility of the elbow joint improves slightly, the range of movements performed is increased. The patient is allowed to develop his arm using gymnastics equipment - sticks, exercise machines, weights. During this period, it is necessary to fully restore strength and coordination of movements with the help of simple but effective exercises:
Useful exercises for developing your arm after an elbow fracture:
Developing the arm after a fracture of the humerus begins even before the bandage is removed. Exercises are performed up to 8 times a day for 30 minutes, repeating each 6-10 times.
When the fracture heals, the previous range of motion is restored. To do this, block exercise machines are used: arms are raised, lowered and spread to the sides, overcoming resistance. It is necessary to swing your arms, move them behind your back and bring your shoulder blades together.
Other exercises to restore shoulder mobility:
When the functionality of the shoulder is restored, you can move on to more intense training and strengthen the muscles of the shoulder joint : hang on a bar or wall bars, do push-ups, exercise with light dumbbells, swim in the pool. Exercises are combined with massage and physiotherapy.
The knee joint is one of the largest and most powerful joints of the human musculoskeletal system.
In clinical practice, the following types of knee joint fractures are distinguished:
The main diagnostic method is plain radiography of the knee joint in two projections. Additionally, CT and NMR can be performed.
When choosing treatment tactics, the type of fracture and the presence of evidence of displacement of bone fragments should be taken into account.
If the patient has a fracture of the knee joint without displacement of the fragments, conservative treatment is prescribed. The patient must wear an orthosis or cast for 4-6 weeks. After a control x-ray, the doctor decides whether to remove the plaster cast.
If the victim has a fracture with displacement of bone fragments, surgical intervention with fixation of bone fragments and the patella is indicated.
The patient should begin active rehabilitation only after permission from the attending physician. At the earliest stages of rehabilitation, it is best to use mechanotherapy using special devices.
Regular physical exercise plays a big role in this type of injury. Physical activity is very important for knee joints , so exercise therapy should be aimed at cyclic movements in the joints and strengthening the muscles and ligaments of the lower extremities.
Timely initiation of rehabilitation after a knee fracture allows the physiological function of the lower limb to be restored in the shortest possible time.
The rehabilitation period includes the following activities:
SRM therapy is a modern method of rehabilitation for a fracture of the knee joint. It is based on performing passive exercises using a special apparatus. Patients do not feel pain or fatigue when performing procedures. At this time, all leg muscles are relaxed.
The main advantage of this rehabilitation method is that it can be used the next day after knee surgery and it serves as a good prevention of postoperative complications.
This article presents a set of exercises that is prescribed to the patient during the period of his inpatient treatment for a knee fracture. These exercises can also be performed with formed contractures of the knee joint. The complex itself is simple, and any patient can perform these exercises without outside help .
This set of exercises can be performed when the doctor allows the patient to walk or stand on crutches.
A set of exercises in the third period:
A hip fracture is considered a severe limb injury. Sometimes the patient has to be on bed rest, which does not allow him to move. The limbs will atrophy and special exercises will be required. After a hip fracture, special treatment is required for the leg, including the knee. For a specific case, an individual complex is selected. Exercises have been developed that are suitable for recovery for any person. It is necessary to develop a leg after a fracture, starting with simple exercises, then moving on to complex complexes.
The main thing is to tune in to positive dynamics and a speedy recovery process. First of all, it is recommended to follow the doctor’s instructions, do physical exercises and therapeutic exercises.
There are various methods of performing exercises to develop a leg after a hip fracture. This includes shaping, aerobics, the Dikul method, yoga, and the Bubnovsky method.
According to Dikul’s method, there are two complexes, the emphasis is on muscle development when performing the first of them. The exercises make the knees flexible and mobile when performing the second set of exercises.
Using Olga Yanchuk’s technique, you will be able to improve the mobility and flexibility of joints and get rid of pain.
The complex can be done 2-3 times daily. Repeat a separate exercise 4-6 times. Charging takes no less than 30 minutes.
During recovery, doctors advise visiting the pool. They perform leg swings in the water. Without straining, the legs are bent and extended at the knee.
Start gymnastics with simple exercises:
To recover your knee faster after a hip fracture, you will need patience and a positive mindset. If you can’t do the exercises you’ve chosen on your own, ask your loved ones for help.
The new complex includes more complex exercises.
Ligament strengthening exercise:
If it is difficult to bend your knee:
We develop the knee joint:
When carried out, blood flow to the damaged limb increases, immunity increases, which leads to a speedy recovery. During training, they use walking, exercise on exercise machines, do stretching exercises, and combine physical therapy and massage. The process is labor-intensive, but is considered good prevention.
With the help of massage it will be possible to restore many organs in the human body. Correct implementation will restore blood circulation, improve oxygen access and the regeneration process, and muscle tone.
The massage is carried out in a number of stages. First, the tissues are heated and prepared for further procedures. Manipulations are carried out with the surface of the palm. Then the movements are made with an edge. At the last stage, use your fingertips.
Sometimes during the rehabilitation process the knee bends poorly. It is recommended to focus on exercises, the purpose of which is to quickly develop the leg after a hip fracture.
A small complex has been developed that shows similarities with yoga classes. Exercises are effective in developing the knee after a hip fracture.
Each exercise of the complex is performed for 3 minutes. If possible, do gymnastics 2-3 times a day.
A special complex will help to quickly develop the knee after a hip fracture. The exercises are performed for a week.
Exercise will help strengthen your knee joints and tidy up your body. Swimming is considered the best activity. The load is determined by the doctor, taking into account the degree of the disease. All muscle groups take part.
Riding a bicycle or stationary bike will help develop your knee, especially if the joint does not bend. A person has the right to choose the duration and speed of classes independently. It is recommended to consult a doctor. With the help of cardio exercises, the recovery process will go much faster.
To restore muscle tone, you need to follow the recommendations and do the exercises gradually, without loading the sore leg. Exercise and stress on the legs should not be provided immediately after the first relief. To choose the right time for exercise, consult your doctor. Restorations are carried out only with the permission of a doctor, no earlier than a week. You should start with simple exercises and massage, then move on to complex complexes. Massage and therapeutic exercises will help you recover quickly. It is useful to adhere to the right diet. And for the entire period of rehabilitation.