Ich Hole

Ich Hole

Figure
2. Clot aspiration through a catheter to reduce the mass effect and pressure in the brain.

Figure 3. CT scan of a large ICH before and after
clot removal. A catheter remains in the space
to continue draining for several days.

Intracerebral hemorrhage (ICH)
is caused by bleeding within
the brain tissue itself — a life-threatening
type of stroke. A stroke occurs when the brain is
deprived of oxygen and blood supply. ICH is most commonly caused
by hypertension, arteriovenous malformations,
or head trauma. Treatment focuses on stopping
the bleeding, removing the blood clot (hematoma),
and relieving the pressure on the brain.
Tiny arteries bring blood to areas
deep inside the brain (see Anatomy of the Brain ).
High blood pressure (hypertension) can cause
these thin-walled arteries to rupture, releasing
blood into the brain tissue. Enclosed within the rigid skull, clotted blood and fluid buildup increases pressure that can crush the brain against the bone or cause it to shift and herniate
(Fig. 1). As blood
spills into the brain, the area that artery
supplied is now deprived of oxygen-rich blood
– called a stroke .
As blood cells within the clot die, toxins are
released that further damage brain cells in
the area surrounding the hematoma.
An ICH can occur close to the
surface or in deep areas of the brain. Sometimes
deep hemorrhages can expand into the ventricles
– the fluid filled spaces in the center
of the brain. Blockage of the normal cerebrospinal (CSF) circulation can enlarge the ventricles (hydrocephalus) causing confusion, lethargy, and loss of consciousness.
If you experience the symptoms
of an ICH, call 911 immediately! Symptoms usually
come on suddenly and can vary depending on the
location of the bleed. Common symptoms include:
Ten percent of strokes are caused
by ICH. ICH is twice as common as subarachnoid
hemorrhage (SAH) and has a 40% risk of death.
ICH occurs slightly more frequently among men
than women and is more common among young and
middle-aged African Americans and Japanese.
Advancing age and hypertension are the most
important risk factors for ICH. Approximately
70% of patients experience long-term deficits
after an ICH.
When a person is brought
to the emergency room with a suspected brain hemorrhage, doctors
will learn as much about his or her symptoms, current
and previous medical problems, medications,
and family history.
The person's condition is assessed quickly. Diagnostic tests will help determine the source of the bleeding.
Computed Tomography (CT) scan is a noninvasive X-ray to review the
anatomical structures within the brain and to detect any bleeding.
CT angiography involves
the injection of contrast into the blood stream
to view arteries of the brain.
Angiogram is an invasive procedure,
where a catheter is inserted into an artery
and passed through the blood vessels to the
brain. Once the catheter is in place, contrast
dye is injected into the bloodstream and X-rays are taken.
Magnetic resonance imaging (MRI) scan is a noninvasive test, which uses
a magnetic field and radio-frequency waves to
give a detailed view of the soft tissues of
your brain. An MRA (Magnetic Resonance Angiogram)
involves the injection of contrast into the bloodstream to examine the
blood vessels as well as the structures of the
brain.
Treatment may include lifesaving measures, symptom relief, and complication prevention. Once the cause and location of
the bleeding is identified, medical or surgical
treatment is performed to stop the bleeding,
remove the clot, and relieve the pressure on
the brain. If left alone the brain will eventually
absorb the clot within a couple of weeks –
however the damage to the brain caused by ICP
and blood toxins may be irreversible.
Generally, patients with small
hemorrhages (<10 cm3) and minimal deficits
are treated medically. Patients with cerebellar
hemorrhages (>3 cm3) who are deteriorating
or who have brainstem compression and hydrocephalus
are treated surgically to remove the hematoma
as soon as possible. Patients with large lobar
hemorrhages (50 cm3) who are deteriorating usually
undergo surgical removal of the hematoma.
Medical treatment
The patient will stay in the stroke unit or intensive care unit (ICU) for close monitoring and care.
Surgical treatment
The goal of surgery is to remove as much of
the blood clot as possible and stop the source
of bleeding if it is from an identifiable cause
such as an AVM or tumor. Depending on the location
of the clot either a craniotomy or a stereotactic
aspiration may be performed.
Immediately after an ICH, the
patient will stay in the intensive care unit
(ICU) for several weeks where doctors and nurses
watch them closely for signs of rebleeding,
hydrocephalus, and other complications. Once
their condition is stable, the patient is transferred
to a regular room.
ICH patients may suffer short-term
and/or long-term deficits as a result of the
bleed or the treatment. Some of these deficits
may disappear over time with healing and therapy.
The recovery process may take weeks, months,
or years to understand the level of deficits
incurred and regain function.
Clinical trials are research studies in which new treatments—drugs, diagnostics, procedures, and other therapies—are tested in people to see if they are safe and effective. Research is always being conducted to improve the standard of medical care. Information about current clinical trials, including eligibility, protocol, and locations, are found on the Web. Studies can be sponsored by the National Institutes of Health (see Clinicaltrials.gov ) as well as private industry and pharmaceutical companies (see Centerwatch.com ).
If you have more questions, please
contact Mayfield Brain & Spine at 800-325-7787
or 513-221-1100.
craniotomy : surgical opening
of a portion of the skull to gain access to
intracranial structures and replacement of the
bone flap.
hydrocephalus : swelling
in the brain due to a blockage of cerebrospinal
fluid.
intracranial pressure (ICP) :
pressure within the skull.
ICP monitor : a device used
to measure intracranial pressure inside the
brain.

stereotactic : a precise
method for locating deep brain structures by
the use of 3-dimensional coordinates.
ventricles : hollow areas
in the center of the brain containing cerebrospinal
fluid.
ventriculoperitoneal (VP) shunt :
a catheter placed in the ventricle of the brain to drain excess cerebrospinal fluid.
updated > 4.2018
reviewed by > Andrew Ringer, MD , Mayfield Clinic, Cincinnati, Ohio

Mayfield Certified Health Info materials are written and developed by the Mayfield Clinic. We comply with the HONcode standard for trustworthy health information. This information is not intended to replace the medical advice of your health care provider.

Mayfield Brain & Spine treats more than 230 people with life-threatening brain hemorrhages each year.
Through our affiliation with premier hospital systems in the Greater Cincinnati-Northern Kentucky region, Mayfield doctors care for people who have brain aneurysms, brain hemorrhages, blocked carotid arteries, moyamoya, vasospasm, and related diseases.
We work collaboratively with neurologists, neuroradiologists, and neurointensivists to bring you the very best care available.
To make an appointment call 513-221-1100.
Dr. Andrew Ringer , a neurovascular specialist at Mayfield Brain & Spine, gives us 7 steps you can take to reduce your risk of stroke. He concludes by telling us how we can recognize the signs of stroke F-A-S-T.
The Tri-State Brain Aneurysm Support Group meets once a month, visit tsbasg.org
Mayfield Brain & Spine
3825 Edwards Road - Suite 300
Cincinnati, Ohio 45209
Send a Text Mon-Fri. | 9am–5pm
Appointments: 513-221-1100
Billing: 513-569-5300
Toll free: 800-325-7787

Ich hol e dich.

Er hol t Kaffee.

Er hol te den Ball.

Ich werde Milch hol en .

Hast du den Schinken vom Flohmarkt ge hol t ?

Ich soll Wasser hol en .

Er hol t Kaffee.

He is getting some coffee.

Ich hol e dich.

I'll get you.

Geh und hol dein Auto.

Go get your car.

Tom hol t mir gerade ein Glas Wasser.

Tom is getting a glass of water for me.

Hast du den Schinken vom Flohmarkt ge hol t ?

Did you get the ham from the flea market?

Ich hol e schnell Geld.

I'm gonna get money fast.

Kannst du mir zwei Pakete Zucker aus dem Schrank hol en ?

Can you get two packages of sugar out of the cupboard for me?

Examples

etwas, jemanden herbeischaffen; beibringen; heranholen; nehmen; organisieren; heranschaffen
einatmen; atmen; einatmen
sich eine Unpässlichkeit einfangen; einfangen; zuziehen
entführt werden
...

holen in openthesaurus.de

Meanings

Synonyms

jmd./etw. hol t aus etw.
jmd./etw. hol t etw. aus etw.
jmd./etw. hol t jmdn. aus etw.
jmd./etw. hol t jmdn. zu sich
jmd./etw. hol t jmdn./etw. aus etw.

Usages

Prepositions

The conjugation of the verb holen (get, fetch) is regular. Basic forms are holt, holte and hat geholt. The auxiliary verb of holen is haben.
Verb holen can be used reflexivly . The flection is in Active and the use as Main. For a better understanding, countless examples of the verb holen are available. For practicing and consolidating, there are also free worksheets for holen . You can not just holen conjugate , but all German verbs . The verb is part of the thesaurus of Zertifikat Deutsch respectivly Level A1.

1Comment
☆3

get,
fetch,
take a breath,
breathe in,
catch,
kidnap,
scoop,
call,
nab,
take in

etwas, jemanden herbeischaffen; einatmen; beibringen; heranholen; atmen; einfangen

acc. , ( sich +A , sich +D , dat. , aus +D , zu +D )

» Muss ich den Direktor hol en ? Do I have to call the director?
The simple conjugated verbs in the present, past tense, imperative and subjunctive of holen
The verb holen conjugated in the indicative Active in the present, past, and future tenses
The conjugation in the subjunctive I and II and in the present tense, past tense, perfect, pluperfect and future tense for the verb holen
Forms of the subjunctive II conjugated with "würde"
The forms of conjugation in the imperative Active present for the verb holen
The infinite forms participle and infinitive (with 'zu') in Active for holen

holen in dict.cc
holen in Beolingus

Become a hero yourself by adding new translations and rating existing ones.
Tell us your name. Then we can worship you here as a hero
Summary of all verb tenses for holen

Clear online presentation of the verb 'holen' including all verb forms. Therfore, the flection of the verb holen can be useful for homework, tests, exams, German lessons in school, learning German, during studies and adult education. Especially for people learning German it is essential to know the correct flection of a verb (holt - holte - hat geholt).

2019/03 ·
Reply

★★★ ★★
joy says: it is not bad it s good

* Definitions come partly from Wiktionary (de.wiktionary.org)> and may have been changed afterwards. They are freely available under the CC-BY-SA 3.0 (creativecommons.org/licenses/by-sa/3.0) license: 17561 , 17561 , 17561 , 17561 , 17561

* Synonyms come partly from OpenThesaurus (openthesaurus.de) and may have been changed afterwards. They are freely available under the CC-BY-SA 4.0 (creativecommons.org/licenses/by-sa/4.0) license: holen

* Sentences from the Wiktionary (de.wiktionary.org) are freely available under the license CC BY-SA 3.0 (creativecommons.org/licenses/by-sa/3.0/deed.de). Some of them were changed. The authors of the sentences can be looked up via: 45272 , 27024

* Sentences by Tatoeba (taboeba.org) are freely available under the CC BY 2.0 FR (creativecommons.org/licenses/by/2.0/fr/). Some of them were changed. The authors of the sentences can be looked up via: 3931961 , 6644300 , 2610658 , 783662 , 9808693 , 6644925 , 6964744 , 4916788 , 810460
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Home · Freshwater Aquarium Blog · How to Treat Ich or White Spot Disease on Freshwater Fish

How to Treat Ich or White Spot Disease on Freshwater Fish

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Ich is one of the most common diseases that your aquarium fish can encounter. Many different approaches exist for combating this illness, but based on more than a decade of experience running 100 to 200 tanks in a fish store and importing wild-caught species, this is our go-to method for treating ich.
Also known as ick or white spot disease, the Ichthyophthirius multifiliis protozoan is an external parasite that attaches to your fish’s fins, body, and gills by forming a tiny white capsule (usually less than 1 mm in diameter). After feeding off the fish and growing to maturity, it falls off the fish, encapsulates itself on the ground or other aquarium surface, and rapidly replicates itself. Once the replication is complete, the cyst breaks open and hundreds of new ich protozoa are released into the water, c
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