Mortality

The pulmonary tuberculosis is an illness infectious and contagious with progressions that reach in general, first the pulmes, consequentemente other agencies or symptoms, as treated to correct and efficient way. The nurse as educator has a paper important and main in the cares and orientaes with the tuberculosis carrier, helping to prevent it or to attenuate greaters damages that can come to happen and the familiar ones the same, stimulating the importance and adhesion to the treatment. The tuberculosis continues being a world-wide problem of public health, increasing each time more the mortality taxes and morbidade infectando approximately one tero of the population of the world, remaining as main cause of death, enters the HIV carriers? positives (SMELTZER and BARE 2006). The general objective of this work is to analyze and to understand the pulmonary tuberculosis as a transmissible, infectious illness, that it needs cares having as main person who orientates the nurse. Having as objective specific, to identify to the essential cares to the tuberculosis carrier, showing the importance of the treatment and its complications, thus it can provide one better quality of life. The importance of if choosing this subject involve the tuberculosis as an eminently social and important illness for public health so that if it can obtain its control, diminishing the risk factors, therefore the knowledge of the same one facilitates one better Prophylaxis. According to Health department 2003, ‘ ‘ Brazil declared the control of the tuberculosis as a national priority surrounds 65 infectados million approximately 80 a thousand people adoecem to each year, incidence of 39 cases for 100 a thousand inhabitants and about five a thousand deaths per year. The research methodology is of quantitative nature, being made through identification and collection of books and authors, searching positioning for better recital of the carried through bibliographical research, that argues the thematic pulmonary tuberculosis and the importance of the nurse while educator..

CONCI Alcoholic

According to studies of the secretariat of health of So Paulo, in last the three years it increased in 78% the number of women who look treatment in the health centers. It has other surveys that strengthen the alert one: the young is early initiating the routine of excessive alcoholic consumption, what it can favor hepticas the illnesses alcoholic. The alcoholic heptica cirrhosis generally is of the type to micronodular, however into the abstinentes patients who take much time, it can be become into macronodular, when predominating the regenerative phenomena and having ceased the consumption alcohol, that is an inhibitor of cellular regeneration (BERTELLI, CONCI, 2001). In many cirrhotic patients the granule deposit is observed of hemossiderina in the hepatcitos, that can easily be placed in evidence by means of the coloration of Perls. In some the deposit is only so massive that it can induce to the diagnosis of hemocromatose (RUBIN, FARBER, 2008). In some fgados of patients with alcoholic cirrhosis intra-hepatocitrios globular inclusions of alpha-1-antitripsina are identified and if they must to fentipo Z, but to the excretor defect of the normal alpha-1-antitripsina as consequence of the proper cirrhosis.

In about 15% of the alcoholics, the necrosis to hepatocelular, fibrose and regeneration finish taking the formation of fibrosos septos that surround nodules hepatocelulares, constituting the two characteristics that define the cirrhosis (ROBBINS et al., 2005). Other injuries of the alcoholic hepatopatia, esteatose heptica and acute or persistent alcoholic hepatitis frequently are observed in conjunction with the cirrhosis. Not yet it was established if the typical alcoholic hepatitis that is, inflammatory heptica injury and acute necrosis represent a necessary precursor of the cirrhosis. However, some form of persistent necrosis causes clearly to the development of cirrhosis (RUBIN; FARBER, 2008). In accordance with Diepenbrock (2005), in the cases of established alcoholic cirrhosis, the prognostic it is, in its bigger part, considerably better for that they do not abuse the alcohol. However, many patients evolve for the hepatopatia in terminal period of training, and the alcoholic hepatopatia constitutes the only more common cause for liver transplant. 2,3 CLASSIFICATIONS OF CIRRHOSIS HEPTICA Due the inherent difficulties to any type of classification, we will present three distinct boardings, in the attempt to classify the cirrhosis, which are: morphologic, etiolgica and clinical (RUBIN; FARBER, 2008). In accordance with Brazilian Son (2006), this classification is