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#21 liuchunkai

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Elküldve: 08 June 2018 - 09:32 AM

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#22 liuchunkai

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Elküldve: 31 May 2018 - 04:18 AM

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#23 liuchunkai

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#24 chanyuan

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#27 jonykeen

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#30 ahmedadham

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Elküldve: 31 March 2018 - 12:45 PM

نقل اثاث

في بعض الاحيان تحتاج الى نقل الاثاث الخاص بك ولكن نقل الاثاث يحتاج الى تقنيات و اساليب متطوره لنقلة دون احداث اى مشكلة بالاثاث او حدوث اى تخريب او تكثير بقطع الاثاث المختلفة و القطع الديكورية ايضا
فان استخدام بعض الاساليب الحديثة قد تساعدك على التخلص من المشكلات التى قد تتعرض لها قطع الاثاث مع مرور الوقت لذلك فانة من الضرورى الاهتمام بتلك الطرق و العمل على نقل الاثاث بامان دون تعرضة لاى مشكلة اثناء النقل

و من مراحل نقل الاثاث هو تخزين الاثاث بمستودعات التخزين و التى لابد ايضا من ان تحتوى على الكثير من الشروط و المواصفات و التى تساعد على الحفاظ على قطع الاثاث لفترات اطول و الحفاظ عليها من الاتربة و الغبار الذي قد يصيب الاثاث اثناء تخزينة

اختيار شركة نقل الاثاث المناسبة هو من اكثر الخيارات الصعبة و ذلك نظرا لانه من الصعب السيطرة على عوامل نقل الاثاث بشكل امن فان للخبرة عامل كبير فى نقل الاثاث بشكل امن و دون احداث اى تخريب

مراحل نقل الاثاث :
يمر نقل الاثاث بعدة مراحل مختلفة و التى تعتمد كل واحدة على الاخرى و لابد ايضا من الاهتمام بتطبيقها بافضل الطرق المتطورة و التى تساعد على الوصول لافضل النتائج المطلوبة و تلك المراحل هى :
مرحلة التغليف :
يعد مرحله تغليف الاثاث من اهم المراحل التي يمربها نقل الاثاث وذلك نظرا لان التغليف يحافظ على الاساس بشكل كبير وخاصه طن التحف والانتيكات و الاشياء الثمينة التي لابد من الحفاظ عليها من التكسير و التلف
كانت تشمل تلك المرحله وضع الاشياء ومستلزمات داخل الصناديق الخاصه بالتخزين و التي تعد من اكثر الطرق التي تحافظ على تلك المستلزمات من الضياع او التكسير

مرحلة نقل الاثاث :
تعد تلك المرحله من اهم المراحل التي تحتاج الى خبره كبيره لنقل الاثاث وذلك لانها من المراحل التي يتم فيها نقل الاثاث الى الشاحنات لنقل الاثاث ولا التي لابد ان تكون مجهزه بحيث لا تظهر بالاثاث عند نقله كما انهاتعتمد اعتماد اساسي على سائقي تلك الشاحنات و الذي لابد من اختيار كل منهم بعناية لضمان سلامة الاثاث اثناء نقلة الى المستودعات
لابد ايضا من توفير الرافعات الخاصة بنقل الاثاث من اعلى الادوار و الذي يجعل من نقل الاثاث امن قدر المستطاع

مرحلة التخزين داخل المستودعات :
لابد من توافربعض الشروط فى المستودعات الخاصة بتخزين الاثاث من توافر البيئة المناسبة و التى تحافظ على الاثاث بداخلها بشكل سليم كالبعد عن مسببات الرطوبة و عدم التهوية او تواجد الحشرات و التى قد تؤثر على الاثاث او تاثرة من تولجد فئران او غيرها و الذي يعرض الاثاث للتلف
كما انه لابد من مراعاه عوامل الامان من تاميم مداخل و مخارج تلك المستودعات من التعرض الى السرقات المختلفة فيوجد اكثر من عامل و التى تسلعد على الحفاظ على الاثاث مثل العمل على توفير كاميرات المراقبة و عمال الامن المجهزين على اعلى مستوى

يمر نقل الاثاث بعدة مراحل لابد من توفير افضل السبل لتخطى تلك الخطوات و العمل على نقل الاثاث بامان و بشكل ملائم للحصول على درجات عالية من الامان و العمل على الحفاظ على انواع الاثاث المختلفة ضد السرقة او التكسير او التلف او الضياع و هي من العوامل التى يكثر حدوثها غالبا عند عدم الدقه فى اختيار الشركة المناسبة لتنفيذ تلك المهمة

المصدر

شركة نقل اثاث بالرياض
شركة تخزين اثاث بالرياض

#31 tolikkk

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#34 liuchunkai

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#35 Dr. BuBo

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Elküldve: 07 April 2005 - 07:06 AM

Idézet (Guest @ 2005-3-28, 21:20)
"...a latasommal van problemam, voltam szemorvosnal, de azt mondta, hogy nem a szememmel van baj."
"...ugy vettem eszre, hogy a fenyek es kepek ugymond "beleegnek" a szemembe, ha van ilyen. A fenypontok pl ha elmozditom a fejem hosszu csikot huznak. A mozgo targyak bemozdulnak mint egy elcsuszott foton, es sotetben vagy szurkuletben sokkal kevesbe latok mint korabban, olyan mintha suru fust lenne a teremben."
"Elmentem orvoshoz, elkuldott koponya MR-re. A felvetel elkeszult, azota azonban meg nem mentem vissza."
"Valoszibuleg tenyleg lehet, hogy idegi problemarol van szo?"
"Esetleg lehet az emlitett SM?  Ha igen, akkor semmifele gyogymod nincs ra, esetleg valami szer amivel lassithatjak a folyamatot?"

Kedves Lola!

Panaszai nagyon sok mindenre utalhatnak, úgyhogy távolról, látatlanban nagyon nehéz kielégítő választ adni aggodalmaira.
1.) Az mindenesetre helyes, hogy a -- remélhetőleg alapos -- szemészeti kivizsgálás megtörtént.
2.) Az is korrekt, hogy elküldték MR-re. Azt tanácsolom, hogy ha még mindig nem mert visszamenni az orvoshoz, szedje össze a bátorságát! Hiszen tényleg fontos lenne ismernünk a vizsgálat eredményét. Például az Ön által említett SM gyanúja is elég jó közelítésben kizárható vagy megerősíthető ezzel a vizsgáló-eljárással.
3.) Ezzel együtt a panaszok leírása alapján kevéssé tartom valószínűnek, hogy SM-ről (=sclerosis multiplex; az idegrendszer többgócú elvelőtlenedési betegsége) lenne szó.
4.) Szóba jöhetnek ezzel szemben inkább az idegrendszer túlingerlékenységével kapcsolatos zavarok, speciális migrén-típusok. Érdekes lenne tudni azt is, hogy nem szedett-e a közelmúltban valamilyen gyógyszert, pl. depresszió elleni tablettát. Ezeknek a viszonylag hirtelen abbahagyása ugyanis  előidézhet egy "abrupt diszkontinuációs szindrómának" nevezett zavart, amely gyakran pont ilyen panaszokkal jár. Nagy az esélye ugyanakkor annak is, hogy éppen a fordítottjával állunk szemben: tehát hogy Önnél valamilyen nem kórismézett szorongásos és/vagy hangulati zavara miatt lépnek fel a szubjektív látási panaszok. Ez esetben éppenséggel pontosan arra lenne szükség, hogy orvosa beállítson valamilyen úgynevezett antidepresszáns gyógyszert. S persze még számos ritkább lehetőséget is számba kell venni, amikor a panaszok eredetét kutatjuk.
4.) Mint említettem, nem tartom túl valószínűnek, hogy SM-ről lenne szó. Nem akarom azonban megkerülni az SM gyógyítására vonatkozó kérdését sem: jelenleg ez a betegség teljes biztonsággal nem gyógyítható, azonban az időszakosan romló állapot "feljavítására", a betegség rosszabbodásának késleltetésére vagy megállítására egyre jobb módszereink, gyógyszereink vannak. Valóban léteznek olyan -- évente több millió forint költségű -- injekciós kúrák, amelyekkel bizonyos esetekben (fiataloknál, korán felismert SM, és az MR-vizsgálaton is látható elvelőtlenedéses gócok tényleges fennállása esetén) lelassítható vagy megállítható a betegség kifejlődése. Ezekhez a gyógyszerekhez indokolt esetben (!) ingyenesen, a társadalombiztosítás támogatásával is hozzájuthat az, akinek bizonyítottan SM-je van, és bizonyos szigorú szakmai kritériumoknak megfelel. Jelenleg újabb, ugyancsak ígéretes gyógykezelési módok bevezetése is folyamatban van a világon.
5.) Összefoglalva azt tanácsolnám, hogy ezt a bonyolult kérdéskört -- tekintettel arra, hogy részletes személyes vizsgálat, megbeszélés, stb. nélkül nem lehet megalapozott véleményt mondani -- bízza nyugodtan az Önt kezelő ideggyógyászra. Ő majd -- az MR és az esetleg szükségessé váló további vizsgálatok eredményeinek tükrében -- el tudja dönteni, hogy miről van szó, s kezelését is a megfelelő mederbe tudja terelni!

Helyzetének gyors rendeződését kívánva barátsággal köszöntöm:

Dr. BuBo
ideggyogyaszat@dpg.hu

#36 Guest_Lola_*

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Elküldve: 28 March 2005 - 09:20 PM

Kedves Doktor Ur!

Amikor vegigolvastam ezt a topicot nagyon megremultem. Nekem is a latasommal van problemam, voltam szemorvosnal, de azt mondta, hogy nem a szememmel van baj.
En nem kettot latok, hanem ugy vettem eszre, hogy a fenyek es kepek ugymond "beleegnek" a szemembe, ha van ilyen. A fenypontok pl ha elmozditom a fejem hosszu csikot huznak. A mozgo targyak bemozdulnak mint egy elcsuszott foton, es sotetben vagy szurkuletben sokkal kevesbe latok mint korabban, olyan mintha suru fust lenne a teremben. KEzdetben azt sem tudtam megallapitani, hogy tenyleg maskepp latok, mert csak nagyon gyengen jelentkezett mindez. (Az orvos csak kinevetett) Most azonban mar sajnos biztos vagyok benne, hogy nem normalis, mert mar zavar a latasban. Hallott ilyen tunetekrol korabban?

Elmentem orvoshoz, elkuldott koponya MR-re. A felvetel elkeszult, azota azonban meg nem mentem vissza. Valoszibuleg tenyleg lehet, hogy idegi problemarol van szo? Esetleg lehet az emlitett SM? (lassabban vezeti az ideg az ingert, es ezert latom ugy mintha meg ott lenne a feny) Ha igen, akkor semmifele gyogymod nincs ra, esetleg valami szer amivel lassithatjak a folyamatot?
Az egyik rokonom Sm-szeru betegsegben szenved, de neki emlitettek valami tobbmillio forintos gyogyszert, letezik ilyen?

Valaszat elore is koszonom.

#37 Guest_Gyula_*

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Elküldve: 06 August 2004 - 11:21 AM

Tisztelt Dr.Bubó

Köszönöm válaszát .

                     Gyula

#38 Dr. BuBo

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Elküldve: 04 August 2004 - 10:30 PM

Idézet (Guest @ 2004-8-04, 19:17)
"15 évvel ezelőtt egy egész nyarat töltöttem a korházban... mindenből kettőt láttam ."
"A zárójelentésben a "Multiplex demyelinisatios megbetegedés"
diagnózis állt ."
"...mégis milyen betegség lehetett ez .Elég sötét kép tárult elém.
Az érdekelne, hogy mi okozhatja ezt a megbetegedést ?
Bár évek óta panaszmentes vagyok mégis tartózkodjak néhány dologtól ?"

Kedves Gyula!

Ilyen kevés információból nehéz az Ön konkrét esetével kapcsolatban megalapozott véleményt mondani..., mégis megpróbálom összefoglalni, hogy mi az, amit tudunk, és mi az, amit nem.
A "multiplex demyelinisatiós megbetegedés" kifejezést olyankor használjuk, amikor a közismertebb nevén sclerosis multiplexnek hívott megbetegedésre gondolunk..., de nem szeretnénk, hogy erre a beteg is rádöbbenjen.  
Ha tehát a diagnózisból indulok ki, akkor Önnél sclerosis multiplexet (=SM) véleményeztek 15 évvel ezelőtt. A sclerosis multiplex egy olyan betegség, melynek során a központi idegrendszer (tehát az agyvelő és a gerincvelő)  különböző helyein /innen a "multiplex" kifejezés/ -- leggyakrabban a nagyagy-féltekék úgynevezett fehérállományában, illetőleg az oldalkamrák felső-oldalsó részéhez közeli fehérállományban különböző nagyságú és alakú gócokban elpusztul az idegsejtek központi tengelyfonalát körülvevő szigetelő réteg, az úgynevezett velőshüvely. Később a gócok vagy maradéktalanul gyógyulnak -- sajna persze a további életévek folyamán máshol bármikor újra megjelenhetnek!! --, vagy helyükön úgynevett glia-heg képződik (innen a sclerosis kifejezés).
A betegséget nagyon régóta ismerjük, azonban az Ön által feltett "Mi okozza?" című kérdésre sajnos ma sem tudunk még egyértelmű választ adni;  egyetlen, egyértelmű kiváltó okot mind a mai napig nem sikerült találni. Az elmúlt évtizedek során sok adat szólt amellett, hogy a szervezet immunrendszerének egy sajátos ön-megtámadó reakciója állhat a háttérben, de felmerültek olyan lehetőségek is, hogy esetleg prion-betegségről (úgynevezett "lassú-vírus" fertőzésről) van szó. Számos egyéb teória ismert még. Úgy tűnik, hogy közülük több is közel jár az igazsághoz, mégsem tudjuk még pontosan megmondani, hogy egyeseknél miért lép fel a betegség, másoknál miért nem.
Az Ön szeméyes története kapcsán persze több kérdés is felmerül. A legfontosabb az, hogy vajon tényleg
igazoltan sclerosis multiplexe volt-e. A dolog nem olyan egyszerű, mint első látásra tűnik. Uyanis a kórisme több lábon áll, több fajta vizsgálat eredményén (no és persze -- nagyon fontos! -- a betegség lefolyásának sajátosságain) alapul. Meg szoktuk vizsgálni speciális módszerekkel az agyvizet, szoktunk úgynevezett "kiváltottválasz-vizsgálatokat végezni (ez 15 évvel ezelőtt Magyarországon még gyerekcipőben járt, úgyhogy kérdés, történt-e egyáltalán Önnél). Legfőképpen pedig úgynevezett MR-vizsgálattal (az atommag-mágneses rezonancia elvén nyugvó korszerű vizsgálómódszerrel) "lefényképezzük" az agyat, hogy saját szemünkkel láthassuk az elvelőtlenedett gócokat. 15 évvel ezelőtt azonban ez a vizsgálat is gyerekcipőben járt még Magyarországon: az országban talán egy vagy két helyen volt akkor még csak erre alkalmas berendezés emlékezetem szerint. Mai szemmel nézve azok is kőkorszaki, fél Teslás berencezések voltak, melyekkel sokszor még kellő szakértelem birtokában is csak durván lehetett megítélni az elvelőtlenedett gócok létét.
No már most biztosra (biztos persze csak ahalál...) csak akkor mondhatjuk, hogy SM-ről van szó, hogy ha a kórlefolyás + ezen vizsgálatok többsége sclerosis multiplexre utal.
Az Ön esetében egyetlen egyszer fordult elő a kettőslátás, s azóta sem jelentkezett újra. Ez nem sclerosis multiplexre jellemző, típusos kórlefolyás. Ha már most ezen túlmenően esetleg a szükséges egyéb vizsgálatok közül is hiányzott egy-kettő 15 évvel ezelőtt (vagy netán megvolt, de a korszerűtlen gépek miatt értékelhetősége utólag megkérdőjelezhető), akkor már egyáltalán lehetünk benne annyira biztosak, hogy Önnek tényleg SM-je volt/van.
Mindenesetre ha abból indulunk ki, hogy igen, elképzelhető, hogy helytálló a diagnózis, akkor bizony célszerű bizonyos óvatossági rendszabályokat betartani. Elsősorban a túlzott, extrém mértékű fizikai, szellemi, lelki igénybevételtől célszerű tartózkodni, mert ez -- hogy villamossági hasonlattal éljek -- hozzájárulhat a "vezetékek szigetelésének az átégéséhez" (=az idegsejteket körülvevő velőshüvely újbóli pusztulásához).
Az E-vitamin szedése -- esetleg ligetszépe gyógynövény-kivonatot tartalmazó gyógyhatású szerek fogyasztása -- hasznos lehet a megelőzésben.
A csernobili katasztrófa utóhatásaként -- orvosi gondolkodásmóddal -- nehezen tudom értékelni a problémáját. Roppant valószínűtlennek tartom.., de persze semmi sem lehetetlen...

Azt mondom, ha 15 évig nem izgult a dolog miatt, most már semmiképp ne pánikoljon be! 1.) Elképzelhető, hogy nem is slerosis multiplexe volt/van. 2.) Ha mégis, akkor igen jóindulatú kórlefolyási formába tartozhat, ha másfél évtizedig nem jelentkezett újabb úgynevezett "schub", rosszabbodás. 3.) Tenni pedig a jelenlegi helyzetben -- a szélsőséges túlhajtás elkerülésén és némi vitamifogyasztáson kívül -- úgysem lehetne sokkal többet a megelőzés érdekében.

Remélem, némileg sikerült segítenem -- bár nehéz így messziről, pláne egy régi esemény kapcsán véleményt mondani. További hosszú, jó egészséget kívánva köszöntöm:

Dr. BuBo
ideggogyaszat@dpg.hu

#39 Guest_Gyula_*

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Elküldve: 04 August 2004 - 07:17 PM

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Tudom hogy az általam felvetett témának vannak "szakosított" fórumai is, de mikor olvastam hogy ön ideggyógyász úgy döntöttem önnek teszem fel a kérdésemet .
15 évvel ezelőtt egy egész nyarat töltöttem a korházban egy számomra nem túl súlyos viszont sokkal zavaróbbnak ítélt betegség miatt. Úgy kezdődött hogy egy reggel felébredtem és mindenből kettőt láttam .Néhány nap múlva el is mentem az orvoshoz aki azt mondta hogy jöjjek vissza egy hét múlva ha még mindig tart a panaszom .Én ebbe nem nyugodtam bele és el mentem egy másik orvoshoz is aki azonnal kórházba irányított .Hónapok múlva a panaszom megszünt .A zárójelentésben a "Multiplex demyelinisatios megbetegedés"
diagnózis állt .A kórházban semmi tájékoztatást nem kaptam a betegségemet illetően, persze mivel elég fiatal voltam nem is érdeklődtem különösebben .Mivel panaszaim megszüntek gyógyultnak tekintettem magamat .
Néhány hete azonban kezembe került ez a zárójelentés és az internetről próbáltam ismereteket szerezni , hogy mégis milyen betegség lehetett ez .Elég sötét kép tárult elém.
Az érdekelne, hogy mi okozhatja ezt a megbetegedést ?
Bár évek óta panaszmentes vagyok mégis tartózkodjak néhány dologtól ?
Érdemes-e "E" vitamint szednem ?
Még a Csernobil-i katasztrófa utóhatásának lehetősége is felmerült bennem .


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