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" All the information mentioned here is compiled from the knowledge of scholars and doctors,etc."
Results for HEALTH
Best way for Healthy life
Best 10 tips for Healthy Life .

1. Follow a balanced diet plan: What you eat is important. Avoid foods high in calories and refined carbs (white bread, polished rice, sweets) and foods high in saturated fat. Make sure you get enough fiber from fruits, vegetables, whole grains, and legumes. Consume bakery sweets and soft drinks sparingly. Get used to nature's sweetness instead.

2. Maintain a healthy body weight: NAF In the early stages of LD, before liver inflammation or scarring begins, rapid weight loss (a low-fat diet, regular exercise) can control the disease.

3. Regular exercise: Regular exercise can burn triglycerides. It can also help reduce fatty liver.An exercise program that includes aerobic exercises (walking, cycling, jogging, swimming) and weight training is good for liver health.

4. Control alcohol consumption: Excessive alcohol consumption can adversely affect liver cells. Fatty liver due to liver disorders; Inflammation and scarring (cirrhosis) will occur. Even small amounts of alcohol can worsen health in people with liver cirrhosis

5. Avoid unscientific nutritional supplements and herbal therapies. Do not use herbal products without doctor's advice.

6. Do screening tests: Tests can help detect liver disease before it progresses.

7. Liver Health Projects in Schools: Inculcate in children the value of good health care, good diet and exercise. Training on the nutritional value of each food item we eat can be effective. Children can be trained to read nutrition content labels on food packets.

8. No drugs. Children may become addicted to drug use. Children can be made aware of the dangers of drug use. Also understand that hepatitis B and C can be transmitted through needle sharing during drug use.

9. Things to watch out for while getting tattooed: Get tattooed safely only from licensed salons and beauty parlours.

10. Practice sexual discipline: Create awareness about sexually transmitted viral hepatitis.


Anger can reduce health

Diet and exercise often feature prominently in discussions of lifestyle disease management. Changes in the body due to uncontrolled anger should also be taken seriously. Health can be defined in many ways. Those definitions go from a state of being free from disease, to vigorous activity, to immunity, to an abundance of energy to sustain life and strength.

Laboratory tests and advanced technology-based devices are now available as benchmarks for measuring health. But health can also be seen as a state of being experienced beyond these dimensions.

Health is maintaining the balance of life. Achieving this requires understanding life as a grand phenomenon in which body, mind and spirit are united.

The functioning of the body is subject to many conditions. But the mind is different. This is poetically pointed out in Mullanezhi's lines, "The mind runs like a magical horse, on paths unseen by man".

It is about lifestyle diseases. The prevention, modification and treatment of lifestyle diseases cannot all be confined to measurable physical dimensions. The sensory system, which includes the mind, intellect and senses, also has an equal share in this.

Food, medicine, mental practices and physical activities that lead to longevity are all Rasayanas in a sense. Ayurvedacharyas summarizing this subject say, "Satyavadinamakrodham adhyatmapravanendriyam Shantam sadvrttaniratam vidyannityarasayanam" from which only one element is confined to the framework of this article.-'Akrodham, the state without anger.

It is indicated that only if you remain akrodhana, you will be healthy and your life will be long. It is noteworthy that none of the emotions such as anxiety, fear, grief, and depression are included in this category and it is noteworthy that at the emotional level, anger reduces vitality and life expectancy.

Anger affects natural bodily functions in many ways. Increases the production of chemicals like adrenaline and cortisol. This can result in high blood pressure. It can cause damage to organs like the heart, brain, kidneys and even lead to death. It has been proven that a person who is excessively angry can have a disordered bowel function (Cut). Therefore, anger causes negative reactions in the metabolic processes. In short, anger destroys health and shortens life for many reasons.


Ayurveda says that unhealthy reactions caused by anger can lead to pithakopa. Bile refers to Jevagni (Bio enzymatic complex). Every cell has suranas of bioagni. Death is the extinguishing of the vital fire—be it of the individual or of the cell.

The symptoms of ill-health manifested in the body due to anger are fatigue, intolerance, closing of the eyes, tremors, impotence, smoking, lack of vitality, digestive disorders fermentation, indigestion, dry mouth, diarrhoea, etc.

Uncontrollable anger has become very common in modern living conditions. In the search for the causes of lifestyle diseases, the physical and mental reactions caused by anger should also be considered. While accepting the fact that anger is a natural emotion, it is important to learn to control it. Ayurveda's advice in this regard is to learn, practice and acquire the sattvic quality of grace.

Kripa means Daya and Paraklesavivekam Karunyam Anuthapam (empathy). This is a quality that can only be acquired through practice. It is suggested to start from childhood. It's not over, there are still more ways to calm Copagni. Make it a habit to enjoy the beauty of nature. Fun with toddlers can cool down anger. If the condition permits, exquisite and delicious food becomes an antidote. At the same time, it is also advised not to use intoxicating substances like alcohol.

There are medicines in medicine that can be used for those who suffer from grief due to anger. Medicines should be used only as per expert advice.


Ayurveda is a health oriented science. Pathological thoughts and discussions are a natural sequel. Ayurveda's approach to health is almost holistic. This integrity is derived from nature. Ayurveda teaches how to make the life events from dawn to dusk creative. Creativity here is health related.

Even those who are sick are healthy. By maintaining such health conditions, the severity of diseases can be reduced. For example, if a diabetic is otherwise healthy, the health problems caused by diabetes will not be severe.

Health means strength. If you protect your strength, strength will protect you.' This is the main health message of Ayurveda. "Strengthening health is the science of healthy action.

The following notes are a glimpse into the methods recommended by Ayurveda to achieve the above goals.

Food is balanced

Let's take the matter of food. Food is not just food, but everything that enters the body through the five senses (mouth, eyes, nose, tongue and skin). Good sights, tastes, smells, sounds and touches become food. A closer look reveals that there are foods that nature cooks itself and that we cook. Foods ripened by nature will increase in quality.

Food should be balanced. This balance is achieved by properly combining all the six types of rasam (sweet, sour, salty, spicy, bitter and pungent). People who love sweets eat too much of sweet foods and because of their liking for spicy foods, too much of sambar, pickles etc. leads to unhealthiness. A traditional diet in Kerala is part of a balanced diet. Papaya, kale etc. There was the addition of chicken curry, which is an example of an exemplary combination of vegetarian and non-vegetarian foods.

The mind must be attuned

Mind is another important factor. Only food that suits the mind suits the body. In relation to the mind, food is classified into three categories: sattvik, rajasm and tamasam. Food should bring peace and tranquility to the mind. Don't eat automatically, like refueling a vehicle. Enjoy it.

Chemotherapy called sleep

Sleep is nature's chemical therapy. Vinobaji's advice is to experience sleep as death. Each day should be seen as rebirth. In order for the body to be awake during the day, it must be asleep at night. Spontaneous sleep affects the energy vibrations within the body.

Exercise for body and mind

Exercise is enough to keep the health clock ticking. Everyone should exercise according to their body strength. Exercise is essential to prevent lifestyle diseases and manage chronic diseases with less drugs. In short, exercise is medicine. Exercise is not only physical exercise but also includes yoga practice etc. to keep the mind, intellect and senses clear. Exercise is also games that stimulate the mind and refresh the body. Remember also that the lungs, heart and other organs are internally exercised to prolong life.

Satisfying relationships

Satisfying marital and family relationships are another cornerstone of long-term health. Sexual satisfaction is necessary to celebrate life. Sex is not only a means of consummation, but also of sharing love.

Drunkenness takes away the vitality

One factor that shortens the length of health and life and makes life miserable is addiction. Drunkenness kills vitality. Vigor is the new righteousness that comes from embracing life. The heart energy of Ayurvedic healing.

Above mentioned are some general things that are necessary for long health. Whenever one slips out of these knowingly or unknowingly the physician is appointed to revive the life.






" All the information mentioned here is compiled from the knowledge of scholars, doctors, etc."
JI-WORDS August 17, 2023
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Diabetes has become a very common medical condition today. Diabetes occurs for many reasons. Therefore, the general diet of each person should be planned on the basis of the amount of medicine taken and the duration of sleep. Diabetes and many of its complications can be controlled to a large extent through proper diet and exercise.

                                   
How to control diabetes

            Diabetes can be controlled through diet

Do not avoid rice completely

Most of the people who hear about diabetes think that they should give up rice. But you don't have to give up rice completely. Excessive use of greens should be controlled. Prepare dishes with coriander instead. It is better to make bread with broken wheat flour, oatmeal, etc. Eating whole grains can also help control blood sugar levels. Along with this, the availability of vitamin B etc. will also increase.

Reduce salt

Another medical condition that affects diabetes is hypertension. Controlling sugar intake and reducing salt intake can also help control blood pressure. It also reduces the risk of developing diabetic nephropathy. Bakery products, processed and preserved foods,Be sure to include fruits like apples and pears and vegetables like cucumbers that are low in sodium.

Fruits are necessary. Care should be taken to include fruits in the diet.

Apples, oranges, guavas and sweet lemon with low glycemic index are all fruits that do not increase blood sugar levels. As they contain a lot of fiber, they control the absorption of sugar and also control the blood sugar level.

Finger millet (Ragi) to reduce oxidative stress.

Including finger millet and blackberry in the diet can help reduce oxidative stress. Stroke, retinopathy, neuropathy etc. are all problems caused by oxidative stress.

Food combination should be taken care of

It is very important to make protein rich foods a part of your daily routine. Combinations like banana sugar and pan cake sugar have negative effects in diabetics and non-diabetics alike, while combinations lentil and pan cake  egg can help control blood glucose levels. You can increase the amount of protein by eating chicken and fish curry with lunch and dinner.

Do not eat fry 

Avoid fried and fried snacks and include snacks made with oats etc. Instead of eating oats by cooking them, it is better to heat them a little so as not to lose the amount of fiber in them and make salt flour, etc.
Get used to a low carb diet. Eating salad made with vegetables, tea/coffee without milk and sugar, lemon water, soup, buttermilk etc. in between will help control hunger.

Don't forget the leafy greens

Spinach and drumstick tree leaves are rich in fiber and vitamins and play a major role in controlling diabetes. Eat these at least 2-3 times a week.

Fenugreek and garlic

Drinking fenugreek milk mixed with water, drinking water boiled with fenugreek leaves are all helpful in controlling diabetes. Garlic has been found to help control blood sugar levels in a short period of time as well as lowering cholesterol levels in the body.

Can jaggery be used instead of sugar?

Sugar or refined sugar is included in the diet in large quantities today. Sugar is one of the essential ingredients to make many food products like sweets, juices, cakes, biscuits etc. Some people substitute jaggery for sugar. But since jaggery also increases blood glucose levels, it is advisable for diabetics to avoid jaggery.

Alcohol should be controlled

People using insulin or other medications should limit their alcohol intake. Too much alcohol in the blood can interfere with the action of injected insulin and oral medications and not lower blood sugar levels.

Time must be arranged

Food must be eaten within an hour of waking up in the morning. It is also important to follow the right time and eat at regular intervals.

How many time eat ?

As the amount of food increases, the amount of glucose absorbed into the blood increases. A diabetic person's pancreas cannot produce enough insulin to balance this glucose. As a result, the blood sugar level is high. But if the meal is divided into two meals instead of three meals, the level of glucose in the blood will decrease too much and may reach a condition called hypoglycemia. This is more dangerous than the rise in blood glucose levels. Increasing the amount of food a few times helps to reduce the amount of calories in the body and control the blood sugar level. Care should be taken to eat the right amount of food at regular intervals.

                  Diabetes and the mind

Lifestyle adjustments, constant medications, injections, and frequent blood tests can leave diabetics feeling stressed. They need support to cope with this situation

There are many people suffering from diabetes in the society who are facing similar difficulties. Diagnosed with diabetes, the lifestyle changes, medications, injections, and frequent blood tests that are required for them are not the least difficult for them. So some people have a lot of mental tension. diabetes should have a clear understanding of how to deal with such situations mentally.

If it is difficult to adapt

Some people find it difficult to come to terms with the fact that they have diabetes. Call it diabetes distress. Studies indicate that this condition occurs in 25 percent of people with type 1 diabetes and 20 percent of people with type 2 diabetes. The main symptoms of this condition are: 

1. Feeling very angry and frustrated because he has diabetes. Feel uncomfortable about the lifestyle adjustments that diabetes care requires.

2. Feeling guilty that he is not doing what is necessary to control his diabetes. At the same time, lack of motivation to make necessary changes.

3. Reluctance to get regular blood tests and doctor visits.

4. Adopt unhealthy eating habits. Eating too much sugary and fatty foods especially when feeling stressed.

5. Feel left out. The thought that no one is ready to understand.


Avoid Anxiety 

People with diabetes are prone to hypoglycemia due to low blood glucose levels from time to time. Especially in individuals taking insulin. Body sweats excessively due to low blood glucose levels. There may be symptoms such as heart palpitations, dark eyes, and dizziness. This will change as blood glucose levels adjust. But individuals who have experienced this once can continue to experience it without the blood glucose levels dropping. Blood test and physical examination do not show any problem in them. This condition is known as a panic attack.

At least some people who have this problem may hesitate to go out and travel because they are worried that they will have this problem again. For some, however, relaxation training and psychological therapies may be needed to prevent recurrence of the condition by making lifestyle adjustments to prevent sudden low blood glucose levels. People with severe epilepsy may also need medication to help regulate brain chemicals.


Don't hide sexual problems

Some people have sexual problems due to uncontrolled diabetes. Erectile dysfunction is mainly seen in men. Uncontrolled diabetes can also cause problems in women including lack of sexual interest. Problems like vaginal contractions are also seen in women. This is likely to cause severe frustration and psychological distress in many people. If you have such problems, don't hesitate to talk to your doctor. They will benefit greatly from vasodilating medications and psychological treatments and training to improve sexual enjoyment.

Don't get drunk

Substance abuse is a known cause of worsening diabetes. But many people suffering from diabetes are found to indulge in alcohol and smoking when they have insomnia or lack of sleep. But such habits worsen diabetes. At the same time, it breaks the mental state of the person. For this reason, people with diabetes should seek the help of a mental health professional if they are addicted to drugs.

Diabetes and depression

Any long-term physical health problem can also lead to depression. Estimates suggest that one-third of people with long-term diabetes are at risk of developing depression. If at least five of the following nine symptoms persist for two consecutive weeks, the person may be suspected of having depression.

1. Sadness lasting continuously from morning till evening. It is not sadness associated with any one event or person. Rather, it is unexplained unexplained unexplained sadness.

2. Disinclination to do things that were enjoyed before. Read the newspaper or watch TV. Lack of interest in seeing, listening to music, going out, or even having sex.

3. The state of being engrossed in thought for a long time. They are not reacting to what is happening around them and are often seen worrying about their own situation. They will exhibit a pessimism and a lack of optimism and belief that nothing will ever go right. Because of this, they are more likely to stop taking treatment.

4. A person who used to have many friends and social connections suddenly loses interest in talking to anyone. They try to be alone and do not show their face even when guests come to the house.

5. Occasionally a fearful facial expression is evident. Worries about illness will haunt them. Sometimes it can be seen that the eyes are full of water.

6. The state of not being able to enjoy whatever you see. Even if they see their children or grandchildren playing, they will have an emotionless expression.

7. Speed ​​of thoughts and actions will decrease. If someone asks something, it takes a long time to reply. Even when asked to do something, he does it very slowly

8. Despondent attitude that life will not be saved. No one can help him. Thoughts that he was alone. They are often haunted by an unreasonable sense of guilt. When the depression is severe, thoughts like that one is useless or that one is difficult for the relatives take root in the mind.

9. When depression is at its most intense, death wishes and suicidal tendencies manifest. It has also been found to weaken the immune system, aggravate diabetes and lead to depression. Diabetics with depression often go into a state where they abandon diet and exercise and become completely uncooperative with treatment.


With the diagnosis of diabetes, certain changes occur in a person's life. It is the responsibility of the relatives to understand this correctly and provide the necessary psychological support. It is preferable to convince them that this is just a problem that needs a little lifestyle adjustment and lovingly guide them to the necessary lifestyle adjustments. Both those with and without diabetes should practice a healthy diet and lifestyle. In this way, it is possible to look without the unnecessary thought that the diabetic has special control.

Relatives should take the initiative to clearly convince the sufferers why lifestyle adjustments are necessary for diabetes. With the help of the treating doctor, proper health education can be provided to the diabetic patient to make the necessary lifestyle adjustments. Along with this, it is essential to provide training to control mental stress. Increased stress is an important factor in the worsening of diabetes. It is for this reason that regular exercise to manage stress can be very beneficial for people with diabetes. Progressive muscle relaxation, deep breathing exercises, mindfulness meditation, mindfulness physical exercise, and mindfulness-based eating habits can help ease stress and prevent diabetes complications.


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" All the information mentioned here is compiled from the knowledge of scholars, doctors,etc."
JI-WORDS August 16, 2023
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Everything you need to know about Masturbation
                                    Masturbation and Health
When we hear the word masturbation, it comes to our mind as very bad. And we understand that this is a wrong thing and so on. We have many misconceptions about masturbation. Pimples, swelling of the body, sunken eyes, as well as many drops of blood are called semen. If you commit masturbation , you will not have children, you will lose blood, so many myths exist in the society today. There are pros and cons to masturbation. Let's see about what is masturbation scientifically.

What is masturbation?
The first thing we need to understand is that masturbation is a part of our physical activity. Avoid thinking that this is a bad thing. We have these feelings when the hormones in our body begin to function properly. Understand that our body needs all this.

As soon as a child is born and begins to grow, we see touching their genitals. The reason for this is that the sexual organ can be known by increasing the touch. This is why young children do this and feel an good when they touch it. This is how a person starts their sex life. Interest in opposite sex will also increase.masturbation is the act of stimulating one's own sexual organs and leading to ejaculation to achieve happiness without the help of another person to suppress such interests.

From teenagers to old people masturbate. It doesn't matter if it's women or men. All married and unmarried are committing masturbation. According to the survey, 80% of men and 68% of women masturbate.


Let's see what are the Benefits of masturbation?

 It has been found that enzymes such as serotonin, endorphins, oxytocin, dopamine, which are the happy hormones that bring happiness, peace and relaxation to our mind, are produced in our brain during masturbation . It also reduces stress. Studies have found that masturbation makes both men and women happier and more peaceful.

We ourselves begin to understand our bodies. Masturbation is useful to understand that this is how sexual things happen in our body and so on

Helps us find a partner with confidence.

Similarly, when someone interacts with us, we can understand good touch and bad touch. It helps to understand the bad behavior and avoid it.

Masturbation is a good way to get good sleep.

Masturbation has often been found to be a solution to stress and psychological distress.

Masturbation also helps in satisfying excessive sexual desires.

It has been found that ejaculating at least one or two days a week is good for overcoming prostate inflammation in men after the age of 50.

After the age of 50-55, men have less sex with their wives. Women's health problems are also the reason for this. Self-indulgence helps to overcome this condition.


What should be considered while masturbating?

❤ The first thing we need for this is that we should feel a sexual interest both physically and mentally. This is when masturbation should be done. It is better not to try to create a desire on purpose.

❤ We must have privacy.
❤ We should keep our private parts clean before and after masturbation

❤ If you use something other than your own body part during masturbation, you should see if it suits your body. It should also be clean.

❤ Masturbation is something that should be done happily and peacefully, not something that should be rushed and scared. Take your time and enjoy it slowly.



Let's see what are the Disadvantages of masturbation?

Problems with masturbation are more of a psychological problem than a physical problem.
There are many misconceptions that there are many physical problems.
 
Masturbation has two main negative aspects

 Masturbate excessively. As well as guilt.

 Guilt can cause children to lose focus on learning everything.

 Prefers to be alone. Because if they are over-doers, they may end up doing it over and over again.

❤ It is difficult to face the parents if there are children who have a sense of guilt. Or something like blushing is seen. Depression is also seen.

❤ This is dangerous if you are married and find masturbation more satisfying than having sex with a partner. Perhaps this can lead to sexual aversion.

 If you are always thinking about self-indulgence in such a way that you cannot do daily and other work. Or masturbates more than 4 - 5 times a day, because of which you can't go out, feel like masturbating when you see the opposite sex while going out, this is also dangerous.

 Masturbating until bleeding within a day is also dangerous

❤ Masturbating in public is also a very dangerous situation.

 It is dangerous to masturbate in such a way that the genitals are injured or broken.

 Guilt of doing something wrong can lead to psychological problems.

 If they are not married, they are afraid that they will have sexual problems if they get married.


When you have such a mental condition, you should immediately consult a doctor for a solution.
Apart from some of these problems, masturbation in moderation does not cause any health problems.
Whatever it is, if it is consumed in excess, it can cause health problems. The same is true of masturbation. As it is a pleasurable activity, it is good for enjoyment as well as health benefits if done in moderation without overdoing it.



" All the information mentioned here is compiled from the knowledge of scholars, doctors,etc"
JI-WORDS August 15, 2023
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Cancer and lifestyle

CANCER AND LIFESTYLE

Cancer prevention should be viewed in a very broad way. It is the formation of awareness to prevent all diseases beyond cancer

Are changes in lifestyle to increasing cancer?

Statistics show that cancer is increasing. There are many reasons for that. One reason is the increased chances of diagnosis and treatment. Earlier, the disease was not detected in many people. Now it can be found in most of them. Beyond that, the disease is increasing. Improper lifestyle is one of the main causes of cancer. Among them, the main changes in food are of two types. One is the way of eating, that is, the food itself has changed. Another is changes in the components of the food consumed. The amount of fruits, vegetables etc. has decreased significantly and today's diet is full of fats, colors, sweets and artificial flavors. These are factors that increase the risk of cancer.

Exercise is just as important as diet. Problems such as obesity have been found to increase the risk of cancer. Eating a diet rich in fruits, vegetables, and fiber and getting enough exercise are also important in cancer prevention.

What are the main challenges in cancer prevention?

There are two main aspects of cancer prevention. First comprehensive defense. Two early detection of disease. A major challenge in cancer treatment is the late detection of the disease. We do not have a plan for cancer prevention or early detection.

Cancer prevention should be viewed in a very broad way. It is the formation of awareness to prevent all diseases beyond cancer. We need to be able to impart scientific awareness about proper diet and proper lifestyle right from school level.

Official systems should be able to ensure quality in terms of food and cooked foods. It doesn't matter if there are rules or regulations, they should be implemented effectively. After showing that smoking is harmful to health and showing the advertisement, which comes to the fore when the hero smokes solemn scenes in the film. Such is the general character of our laws and doctrines.

What changes are needed in cancer prevention?

When it comes to cancer, prevention has two components. One is to prevent disease. Another is to detect the disease at the earliest and start the treatment in order to prevent the disease, which is not only cancer prevention but also prevention from all kinds of diseases. In the case of cancer, the most important thing to do is to make cancer screening more widespread. Cancer screening should be available everywhere. It should be normal. After age 40, make annual mammograms universal. All categories of people should have regular primary cancer screenings.

How fake treatments are jeopardizing cancer treatment.

Counterfeit treatments are a big deal. Not only that, many of the officially approved treatments do not have proper plans for cancer treatment. But they are being treated. Fake doctors are promoting the benefits of a particular type of treatment. How many people were treated? How is the treatment and how does the drug work? There is no systematic information on how many people have benefited. There will only be open propagation. In any case, the attempt is to convince people about the treatment. All they need is faith.

 Doctors are supposed to treat, that's right. But not only that, it is also the responsibility of doctors to impart knowledge about health science matters to the general public. For example, treatment of leukemia. Until 135 years ago, leukemia was the most deadly disease and it seemed like there was no cure. However, a large proportion of patients suffering from this disease can be completely cured by treatment. Doctors should be prepared to educate the public about advances in treatment and scams by fakers. It is also a social service.There is also a need for greater mutual understanding between those working in the various officially recognized medical disciplines. What are the remedies for a disease in their medicine? They should know each other about the benefits of switching to another treatment plan. Ayurveda for example has a few things it can do. Doctors of modern medicine should also know how much potential Ayurveda has in terms of treatment. Ayurvedic doctors should also understand how much they can treat a cancer patient. Clinicians should be able to guide a patient to the right treatment plan at the right time. Our medical education itself needs to be adjusted to enable clinicians to do so.

While some cancers are decreasing, some are increasing. Why these changes?

Breast cancer, thyroid cancer, colon cancer, liver cancer, prostate cancer etc. have increased significantly. Some cancers, such as cervical cancer, are significantly reduced.

As mentioned earlier, changes in lifestyle and dietary habits are the reason for the increase in many types of cancer. Certain infections, such as the human papillomavirus, have been of great benefit, at least in cases of cervical cancer. The reasons for this are better hygiene, women's health conditions are significantly better and sexual habits are healthier


Dietary habits and cancer

 There are a few things you need to watch out for in your diet to prevent cancer. Some changes are required not only in food choices but also in cooking methods

Can eating fruits and vegetables help prevent cancer?

The fiber, phytonutrients, and antioxidants found in fruits and vegetables can help fight lifestyle diseases, including cancer. Studies show that the prebiotics they contain help prevent gastrointestinal (stomach and colon) cancers.

ICMR recommends that a person eat 40 grams of fiber a day. Suggesting Fruits and vegetables are the natural source of this requirement of the body. Fiber also helps the growth of good bacteria in the gut. Good bacteria help the body destroy pathogenic bacteria from food. Thus H. Cancer causing bacteria like pylori can be prevented.

What are the things to keep in mind in cooking to reduce the risk of cancer?

Studies have shown that cooking methods that require extra heat (BBQ grilling) increase the risk of cancer.

Non-lossy cooking methods (boiling, steaming) that help prevent cancer indirectly reduce the risk of cancer. This method of cooking prevents loss of nutrients such as water-soluble and temperature-sensitive vitamin C. The goal of healthy cooking is to digest easily without losing nutrients. Smoked and broiled methods use high, dry heat and the flavor is the only cooking method that is aimed at. It will never be healthy.

Do Illusions Disrupt Diets?

 Choosing the right diet can help a patient survive cancer. Legumes such as chickpea, soya, broad bean, pea, mutira, fish, eggs and meat should be included in the diet. Include vegetables, leafy greens, and fruits that are rich in vitamins and minerals to counteract treatment-related side effects. Drinking at least eight to ten glasses of boiled water helps prevent dehydration.

What should be the diet of cancer patients? 

The diet of cancer patients should be adjusted according to three main factors. The most important of which is patient information. Age, gender and preferences of the individual. Second, consider where the disease is. The third is treatment (Surgery/Chemotherapy/Radiation Therapy. The disease can be overcome only if these three are properly understood and diet is followed.

Cancer sufferers should practice a balanced diet with emphasis on proteins. Nutrition is food in which meat, starch, fat and other minerals are available in certain amounts. Cancer patients require 1.5-2 g/kg of protein in excess of normal individuals.

What Diets Should Cancer Survivors Follow?

Include in the diet the food resources available in each region. Choose foods that are suitable for the weather. For example, use whatever fruit is available in that climate. But avoid those from other countries that are not suitable for the climate.

Be careful to eat according to each person's exercise. Adjust your body weight accordingly. Include fiber (leafy vegetables), omega-3 fatty acids (fish), antioxidants (fruits), and probiotics (yogurt) in the diet.

What are the general dietary considerations for cancer prevention?

Avoid processed meats, fatty, sweet and salty foods. Avoid meats prepared through smoked and baked cooking methods.Include whole grains, legumes, vegetables and fruits in your diet.Enforce breastfeeding for mothers up to six months.

(Make exercise a habit, Control your weight,  Avoid smoking and drinking alcohol, Avoid stress, Avoid junk food/fast food culture, Avoid the use of unnecessary food supplements.)


Is the same type of cancer different for everyone?

 The 'stage' of the cancer is said to be important. But deciding which gene is wrong and which genetic mutation is expressed in the cancer cells will determine the treatment.

If the same cancer is different in each person, should the treatment be changed accordingly?

The same cancer is different for everyone. For example, more than 90 percent of stage I breast cancer is curable. It is said that surgery, chemotherapy and radiation can cure it. But suppose the same person gets cancer again after a year. Naturally they will ask. Why did this happen after saying that it will be completely cured? There is another woman near the house. She had been ill for over ten years. It was found in the fourth stage. Lungs and bones were affected. They said nothing could be done and only gave hormone pills. Stage 1 breast cancer returns for those who thought it would go away. Those who have reached the fourth stage live their lives without any problems for more than 10 years. Why is this? The search for this led to the method of personalized medicine or precision medicine. Cancer is different at the molecular level. So it doesn't matter whether the cancer is stage 1 or stage 4. Sometimes a stage 1 cancer is stronger than a stage 4 cancer. This can be understood through gene studies.

They are hormone receptor positive at stage 4 in the above example. So cancer grows through hormones. Tumor cells can be controlled by removing the hormone they need to grow. In addition to the stage of the disease, which gene is at fault and which genetic mutation has occurred? This cancer can be controlled if we decide what kind of treatment is needed by assessing what kind of behavior the genetic mutation is expressed in the cancer cells.

The first one is triple negative. That means none of them are receptor positive. Genetic mutations may be caused by inherited gene defects. Such Cancers are more powerful. Even if it is detected early, the risk of recurrence is high. However, if hormone receptors are positive and its proliferative index is less than 15 percent, it can be controlled with hormone pills.

Cancer can be treated effectively if we know the cause of cancer and decide the treatment accordingly.

Shouldn't cervical cancer be made part of universal vaccination? When should I get this vaccine?

HPV to prevent cervical cancer The vaccine should be made part of universal vaccination. The government has taken a decision in that regard. Currently, the vaccine is given to children between the ages of nine and 14, but giving it to those between the ages of nine and 28 will definitely help prevent cervical cancer. 70 to 80 percent of cervical cancers are caused by HPV. (It has been discovered that human papilloma virus. So if this virus is prevented, cervical cancer can be prevented to a large extent. This was the most common cancer in the past. Now cervical cancer has reduced a lot.Two doses of the vaccine are recommended for girls between the ages of nine and 14, and three doses for those between the ages of 14 and 28. Making it part of universal vaccination is a good decision.

Is there a link between gut bacteria composition and cancer?

There is a close relationship between the composition of gut bacteria and cancer. There are good bacteria and bad bacteria in the body. It has a large population of good bacteria in the gut. Call it the gut microbiome. Mainly there is a special group of bacteria in the large intestine. A change in the composition of these bacteria can lead to cancer. These bacteria are closely related to the body's immune system. Depending on the changes in the bacteria, the immunity will change. It is an ecosystem. This will change due to many reasons. The risk of cancer may increase or decrease as the composition of gut bacteria changes. Fiber-rich foods can help nourish the gut microbiome.

Can human papillomavirus cause cancer in men?

Human papillomavirus causes cancer in men. HPV Infection can occur through physical contact. So engaging in oral sex and indulging in pornography can lead to cancer of the penis, anus and mouth. However, it rarely causes cancer in men. Therefore, HPV is universal in men. Vaccination is not recommended.

What are the general signals given by the body?

Indications also vary depending on the area affected by the cancer. A chronic headache, especially a severe headache upon waking in the morning, or a headache that wakes you up at night can sometimes be a symptom. Seizures and bleeding can also be symptoms. But all these are common symptoms of other diseases as well. So tests are needed to make sure it's not cancer.

Both painful and painless lumps can be cancerous. Some tumors may grow quickly. Any type of lump should be checked to make sure it is not cancerous. Another clue is a difference in body weight. Sudden weight gain or loss. Chronic fever, cough, difference in bowel movements, obstruction of urination. Do not ignore the urge to urinate. Post-menstrual bleeding should be checked. The test should be performed even if there is a difference in voice and hoarseness. If the mole is enlarged or bleeding on the skin, the test should be done. Any sores in the mouth that do not heal should be checked to make sure they are not problematic.

If any of the symptoms do not improve within the usual time frame, a test should be done to confirm that it is not cancer.

Are there any tests that can help detect cancer early? 

Screening is a method of testing in the asymptomatic state. Screening is generally recommended for cancers that are likely to be curable if detected early. Breast cancer can be detected early in this way. It is advisable for women over the age of 40 to have a mammogram once a year. Changes can be assessed by self-examination of the breast. Self-examination can be done six to seven days after menstruation.

Papier test can be done to detect cervical cancer. Colon cancer can be detected through a blood test. Blood in the stool should be tested. People over 50 should get tested once a year.

Oral cancer is easy to detect. If there are sores in the mouth that do not dry, they can be detected quickly. Lung cancer is most common in men. It is not easily seen. However, low dose CT Can be assessed with a scan. This test can be done if you are a smoker or a former smoker.

PSA to detect prostate cancer. Testable. Those above 50 years of age can do it once a year. This can be detected through a blood test.


The role of viruses in cancer

In-depth knowledge of cancer screening and major advances in cancer treatment such as chemotherapy, targeted therapy, immunotherapy and CAR T-cell therapy

What is the role of oncogenic viruses in causing cancer?

Viruses cause 12 percent to 20 percent of cancers in humans worldwide. When a person's immune system is weakened, viruses can multiply and hijack cells and cause cancer. Compared to other viruses, human tumor viruses are different. Human tumor viruses do not completely destroy their host cells or cause persistent infections. For example, Epstein Barr virus infection is associated with lymphoma nasopharyngeal cancer. Human papillomavirus (HPV) is the most common sexually transmitted virus in the world. It can cause cervical cancer, rectal cancer, oropharyngeal cancer and penile cancer. Hepatitis B and Hepatitis C viruses can cause liver cancer. HTLV-1. Some other rare viruses, such as Her plus virus 8, cause some types of leukemia. Therefore, it is very important to get vaccinated against these viruses to prevent cancer. Vaccines can prevent HPV and hepatitis B infections. These vaccines are currently available at all health centers.

How much progress has been made in controlling stage IV cancer?

By the time the cancer enters stage IV, it may have spread to different parts of the body. Treatment of such cancers mainly focuses on keeping the cancer under control. Survival rates for stage IV cancers vary greatly from one type of cancer to another. For example, stage IV pancreatic cancer has a five-year survival rate of one percent. But in stage 4 prostate cancer it is 35 percent. This means that the nature and severity of each type of cancer will vary. So don't feel hopeless just because cancer is in stage IV, and many people are able to live for years with a variety of advanced treatment options. These treatment options include new types of chemotherapy, radiation, immunotherapy, and targeted therapy. The identification of different subtypes of lung cancer that respond to these therapies has been of great benefit. This has resulted in a survival improvement of more than 11 percent over ten years. These include liver cancer (hepatocellular cancer) and kidney-related cancer that do not respond to conventional chemotherapy. There are now specific targeted and immunotherapy treatments. It gives better results in patients with stage IV cancer.

USA, UK In developed countries, screening tests for some cancers have been made mandatory as part of national health programs. It helps detect early-stage cancers before they show symptoms. Therefore, appropriate treatment can be started before the disease progresses further. However, there is currently no such mandatory screening program in India. But screening for some types of cancer can be chosen if needed. Breast cancer, cervical cancer, colon cancer. Lung cancer is the most commonly screened cancer, and women over 40 can have a mammogram annually. The Paspier test is recommended every three years from age 30 to age 59 to check for cervical cancer. Colonoscopy screening is recommended starting at age 50 to rule out colon cancer. To assess lung cancer risk, a low-dose CT scan is recommended annually from age 50 and up for former smokers.

How does immunotherapy work against cancer cells? 

Immunotherapy is a cancer treatment that uses the body's immune system to find and destroy cancer cells. Immunotherapy works by training the immune system and increasing its capacity. So it can detect and destroy cancer cells more actively. It also helps the body produce cancer-fighting immune cells that effectively find and destroy cancer cells. In some cases the immune cells are developed in labs. They are then injected into the body and used to find and destroy cancer cells.

Is immunotherapy effective against all cancers?

 Immunotherapy is effective against some types of cancer. Immunotherapy is used against such cancers. But in other cancers, immunotherapy is often used along with other treatments. Then it is seen that better results are obtained.

Immunotherapy is mostly used in the treatment of stage IV cancers. But new studies show that immunotherapy is also effective in early-stage cancers. Immunotherapy works best in cancers such as lung cancer, kidney cancer, and melanoma. But it is ineffective in other cancers such as head, neck, bone and soft tissue sarcoma. And not everyone who receives immunotherapy gets the same results. It can also cause some side effects. In some cases, immunotherapy can help slow down the spread of cancer and shrink tumor cells.

What are the advantages of immunotherapy over chemotherapy?

Chemotherapy kills the fastest growing cells in the body. But this includes both cancerous and non-cancerous cells. However, immunotherapy helps the immune system identify cancer cells and destroy them. Immunotherapy helps the immune system to do its job better. It can attack and destroy cancer cells. Chemotherapy kills not only cancer cells, but all rapidly dividing cells. Rapidly growing hair, skin, blood, and intestinal cells may also be destroyed. This is why hair loss, anemia and nausea are common side effects of chemotherapy treatment. However, immunotherapy does not cause these side effects because it does not destroy normal cells. Immunotherapy may be beneficial in elderly patients who find it difficult to use chemotherapy. Some cancers, such as skin cancer, do not respond well to radiation or chemotherapy. However, immunotherapy often gives better results.

Immunotherapy provides an immune memory that gives the immune system the ability to recognize and destroy cancer if it ever returns. It helps ensure long-term cancer freedom in cancer survivors.

How does targeted therapy differ from chemotherapy?

There are specific proteins that help cancer tumors grow and spread. Targeted therapy controls cancer by identifying and interfering with these. Targeted therapy works against cancer through a variety of mechanisms, including interfering with signals that cause cancer cells to grow and divide, stopping signals that help them form blood vessels, delivering cell-killing substances to cancer cells, and removing hormones that help cancer cells grow. Targeted therapy is different from chemotherapy. Chemotherapy destroys all cells in the body that grow and divide rapidly. So chemotherapy often causes side effects. Due to these side effects, it is sometimes not possible to take chemotherapy in the dose needed to fight the disease. Targeted therapy does not have these difficulties. Targeted therapy targets only the abnormal proteins. So only cancer cells are destroyed. However, targeted therapy has a downside. It inhibits any factor that promotes cancer cell growth. So it can slow down the growth of cancer cells. However, it is often not enough to kill cancer cells completely.

How to treat cancer in children

 Cancers seen in children are very different from those seen in adults. There are specifics in the treatment methods as well

How much progress has there been in making cancer treatment successful in children?

Most childhood cancers are curable through scientific treatment. Many cancers that were previously incurable are now treatable and curable thanks to new discoveries and research. Cancers such as childhood leukemia, nephroblastoma affecting the kidney, Hodgkin's Lymphoma affecting the kidneys, etc. have a success rate of over 90 percent. The main reason for this is the ongoing research and findings in this field worldwide. Skilled in ancillary/intensive care services have also played a major role in improving survival. Cancer death rates among children and adolescents have been reduced by more than 50 percent since the 1980s. The success achieved in childhood cancer treatment, however, varies widely around the world. 75% of children are in developing countries. But half of these children die before the disease is diagnosed. There is still a long way to go to achieve high success in cancer treatment in our country. Better diagnostic facilities, awareness of cancer among the public, financial support from the government, participation of NGOs, better research facilities. etc. will help ensure success in the battle against cancer.

Can children receiving cancer treatment receive other routine immunizations?

There is no dispute that immunizations play an important role in reducing mortality from infectious diseases in children. (Treatment with chemotherapy drugs for cancer treatment) The child's immune system is very limited. While the body's immune system is essential for vaccinations to be effective, they may not be of sufficient benefit if administered during treatment. Therefore, most childhood vaccines (eg, IPV, DPT, Hib) cannot be administered. Moreover, some vaccines should not be taken (eg: OPV, MR, MMR, Varicella, BCG. On the other hand, some vaccines (eg: Anti-Rabies Vaccine) should be given by rubella. Therefore, no vaccination should be taken during chemotherapy, unless prescribed by the treating doctor.


Is there a cancer that only occurs in children? Is cancer in children different from that in adults?

Cancers seen in children are very different from those seen in adults. Cancer in children is not as common a disease as it is in adults. Leukemia is more common in children, while in adults it is organ-related (eg, lung, prostate, liver, ovarian, uterine, etc.) cancers. Although lifestyle and environmental factors may contribute to cancer in adults, their role in childhood cancer, except in rare circumstances, is unclear. With vaccinations. It is possible to reduce the risk of some cancers in adults (eg HPV vaccine to prevent cervical cancer, hepatitis B vaccine to prevent hepatocellular carcinoma), but there are currently no vaccines for childhood cancers. Drug side effects are more common in adults than in children. With scientific treatment, the chances of success in treating cancer in children are much higher than in adults. Parents often ask. Children should be given the same dose as adults, never the same dose as adults. Giving medicine to children. The dose of medicine to be given to each child is calculated according to the weight and height of the child.

Some cancers that occur in children, such as retinoblastoma, which affects the eye, hepatoblastoma, which affects the liver, and roblastoma, which affects the nerves, rarely occur in adults. Meanwhile, skin cancer and gastrointestinal cancer, which are common in adults, are not seen in children.

Is bone marrow transplant an expensive treatment? 

Bone marrow transplant therapy is an important weapon in the human fight against cancer. Although it is not usually used as a primary treatment, it is used to treat relapsed or advanced cancers. Although it is commonly referred to as bone marrow transplant surgery, it is more appropriate to refer to bone marrow transplant as 'treatment'. Because it is not a surgery. In this treatment, after pre-collection of stem cells/stem cells from a suitable donor or the patient himself (in the absence of disease in the bone marrow), the patient is given strong drugs and the stem cells are given intravenously during bone marrow failure. If suitable stem cells are not available from siblings, they can be obtained from stem cell banks/registries around the world. Marrow Transplant Treatment Expensive. It can cost around Rs 5 to 25 lakhs in our country (cost depends on the type of transplant and many factors). If suitable stem cells are obtained from stem cell banks/registries it may cost more than Rs 10-15 lakhs in indian rupee. Financial assistance is provided for treatment, and financial assistance from voluntary organizations and other philanthropists is often helpful.

Are there any early signs of cancer in children that are different from adults?

There are some tests that can help in early detection of cancer in adults, eg pap smear test for early detection of cervical cancer. But there are currently no such tests in children. Or it can be said that it has not been invented. But although some of the following signs may be seen in other diseases, these are considered as warning signs of cancer.

Unusual weakness, bleeding or bone pain, Lumps or swellings that increase in size quickly. Especially if there is no fever, pain or other signs of infection, Unexpected weight loss, chronic fever, persistent cough or shortness of breath, Pupils that look white, sudden conjunctivitis, sudden vision loss, discoloration or swelling around the eyes. Chronic abdominal pain or inflammation, Chronic headache, especially in the morning. Especially bone pain/swelling without signs of infection.

All of the above symptoms are not unique to one type of cancer. Abnormal weakness, bleeding, bone pain, and sudden enlargement of the eye (painless). Chronic fever, all of which are seen in cancers like leukemia/lymphoma. Eye changes are symptoms of cancers like retinoblastoma, neuroblastoma, myeloid sarcoma, etc. that affect the eye and its surrounding areas. Any unusual symptom should be taken seriously. Parents and siblings of a child with retinoba stoma (eye cancer in children) should have an eye examination and genetic testing.

It can help determine if they are at risk for retinoblastoma. If diagnosed early, treatment can be completed without loss of vision.

Special care for children after cancer treatment?

The treatment is over, will my child have any problem after the doctor completes the cancer treatment OP. When it comes to This question is heard from most of the parents. As part of the progress made in survival, the unique challenges that arise as a consequence of the disease state or the interventions used for treatment have to be known and addressed. OP during the specified period. It is necessary to visit the doctor and undergo the prescribed tests. In some cases, this is to detect relapse early and to understand if there are any long-term side effects as part of the treatment. Vaccinations are also required six months after chemotherapy. As part of the treatment, it is necessary for teachers to pay special attention to children who have stopped schooling. Care should be taken to identify the physical, psychological and social challenges children face as a result of treatment and to suggest appropriate solutions.

As a part of this, a special OP for survivors in cancer hospitals. Services are being conducted. The services of psychologists, nutritionists, occupational therapists etc. are available there.

Every one of us has the duty not only to fight cancer and raise these children to the forefront of life tomorrow.


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All the information mentioned here is compiled from the knowledge of scholars, doctors, etc."



JI-WORDS August 01, 2023
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    HEART BLOCK AND ANGIOPLASTY

heart block and  Angioplasty


If there are blockages in the heart blood vessels

Don't ignore chest pains that occur when your work  and get better at rest. Seek immediate treatment

Coronary arteries are blood vessels that supply blood to the muscles of the heart. A heart attack occurs when any of these become blocked and blood flow to the heart muscle stops. Fat deposits and blood clots can cause blockages.

Pain only during exertion

Coronary heart diseases present in many ways. Some people may not experience any particular symptoms when they have a block. Others may experience symptoms only during labor. Chest pain or shortness of breath may occur. However, it does not feel difficult when not working. This is because, even if there is a block, the blood flow to the heart muscle may not be completely blocked. The blood that passes through that block when it is not working is enough for the heart to function. That is why there are no symptoms. However, when more blood flow is needed, the blood passing through the block becomes insufficient for the heart to function and symptoms appear.

Acute coronary syndrome

Some people experience chest pain (angina) even with mild exertion. Often this is a precursor to a heart attack. There are now blood tests to see if this can lead to a heart attack. It is evaluated by measuring the presence of troponin in the blood. High blood levels of cardiac troponin-T and troponin-I, chemicals released from damaged heart muscle, should be taken seriously. About 10 percent of such people are at risk of heart attack. Troponin-negative people have a less than 1 percent chance of having a heart attack in the next month.

Heart attack

A heart attack occurs when a blood vessel that carries blood to the heart is blocked and blood flow to the heart muscle suddenly stops. Some people experience it as chest pain. However, other times the symptoms may not be noticeable. ST segment elevation myocardial infarction (STEM) is a complete stoppage of blood flow to the heart muscle. ECG It is decided by assessment. In such a situation, damage to the heart muscle occurs quickly. However, the condition in which the blood flow does not stop completely and the function of the heart is interrupted is called NSTEMI (Non ST segment Elevation Myocardial Infarction). It should be understood that this is a precursor of a heart attack and should be treated immediately. N-semi can cause permanent muscle damage.

A silent heart attack

A silent heart attack is when a heart attack occurs without chest pain or other symptoms. However, early signs of a heart attack can be seen on an ECG or echocardiogram. Often these heart attacks are not completely silent. The patient may not recognize the symptoms. But it is important to understand that some people may not have any symptoms at all. In people with uncontrolled diabetes, the pain following a heart attack may not be recognized if the nerve damage occurs.

Indications for coronary heart disease

Pain or heaviness in the middle of the chest. Common symptoms include a sore throat, discomfort in the lower jaw, chest pain and pain spreading to the left arm. In a few, the pain spreads to the right arm. Symptoms like these are likely to be coronary heart disease. In particular, do not ignore pain that comes on with physical activity and improves with rest. Although heartburn is not a symptom of coronary heart disease, few people have symptoms that feel like heartburn. However, sudden stabbing pains and pain only when breathing are not symptoms of coronary heart disease.

possibilities

People who are prone to coronary heart disease should understand this and take necessary precautions. Elderly people, people with uncontrolled diabetes, smokers, people with hereditary risk of heart disease and especially those with close relatives with heart disease should take necessary precautions. Elevated cholesterol levels also increase the risk. In particular, the bad cholesterol, LDL. HDL is the good cholesterol. Being too low also increases the risk.

Men under the age of 55 and women under the age of 65 have a hereditary risk of heart disease. People with one or more risk factors should take precautions.

To detect cardiovascular diseases

 If you have chest pain or other suspicious symptoms, seek medical attention immediately. By understanding the pattern of chest pain and when it occurs, it is possible to arrive at a preliminary conclusion. ECG is important in heart attack tests. ECG changes in cardiac activity. It can be understood by analyzing the report. However, in all patients, ECG changes may not be evident. However, ECG abnormalities are evident in patients with complete cardiac arrest. Moreover, ECG changes are also seen in people who have had a previous heart attack. Sometimes, the ECG is repeated more than once. It is also necessary to take.

Now, ECG can be done with smart devices. Systems are being developed to pick it up and send it to the hospital. By this, arrangements can be made before the patient reaches the hospital. ECG It can be helpful for initial assessment even if the device is not technically proficient.

Echo cardiogram

An echo cardiogram helps to understand how the heart's pumping action is and whether any part of it is dysfunctional. Those who have had a previous heart attack may not have proper contractions in some parts of the heart wall. All this will be clear in this test.

Angiogram to look for blockages

If coronary heart disease is diagnosed, an angiogram test is often ordered. An angiogram test can accurately diagnose blockages in blood vessels to the heart. An angiogram is used to determine whether a blockage in a heart blood vessel can be treated with medication, an angioplasty, or bypass surgery. Angioplasty is decided based on the symptoms, the severity of the blockage, whether the blockage is in a major blood vessel, and whether the blockage is present in the vessel, and whether the blood supply from that vessel has already been completely destroyed. If the blood vessel is completely occluded and the part that needs to be pumped through has been completely destroyed, then there is not much benefit in pumping more blood to that part. Even removing such blocks may not be beneficial.

In some people, when blood vessels become blocked and the heart pumps less, the heart may experience irregular heartbeats. Arrhythmias such as dangerous atrial fibrillation and ventricular tachycardia can also occur in people with poor pumping of the heart. In such case it will also provide curative treatment.

Do not delay treatment

 In the event of a heart attack, the most important thing is to get the right treatment right away. If you have any kind of symptoms, you should go to the hospital immediately. Don't delay treatment thinking that the chest pain will go away. The first hour is the most dangerous. That is why it is said that treatment should be given as soon as possible. The first hour after a heart attack is called the golden hour. If the occluded vessel can be unblocked and blood flow restored at this stage, damage to the heart muscle can be minimized. Over time, damage to the heart muscle increases. By the time twelve hours have passed, it is more likely that the heart muscle will have been completely destroyed.

If a heart attack is confirmed, there are three types of treatment. Perform angioplasty without delay and primary angioplasty to remove the obstruction. Thrombocytic therapy, which dissolves the blood clot, is given where this is not available. Next is pharmaco-invasive therapy. That is, give thrombolytic therapy if angioplasty is delayed and angioplasty if ineffective.

Don't waste time to give first aid to those with heart attack symptoms. Moreover, it is not possible to confirm whether this symptom is the same as a heart attack. All this can be ensured only by reaching the hospital. Sit until there is chest pain or shortness of breath. Then, if there is darkness in the eyes and blurred vision, it should be laid down and immediately transferred to the hospital.

A heart attack can be followed by cardiac arrest or cardiac arrest. There is a difference between a heart attack and a heart attack. CPR for those who have collapsed and have no pulse. May have to pay. However, none of this should be the reason for delaying hospitalization.

On arrival at the hospital

Patients with suspected or confirmed cardiac arrest are transferred to the intensive care unit. Health status should be closely monitored and major physical examinations should be performed. Blood pressure increases or decreases, chest swelling will be checked. Medicines to help reduce platelet activity may also be needed. It helps prevent new blood clots from forming.

Thrombolytic therapy

Thrombolytic therapy is a treatment that dissolves blood clots that cause blockages in blood vessels with drugs. Among thrombolytic drugs, Tissue Plasminogen Activator drugs are more preferred. This is because they are known as clot-specific drugs. Thrombolytic therapy is given first if the initial visit is to a hospital that is not equipped to perform primary angioplasty, or if it takes time to get to such a hospital. Those who fail thrombolytic therapy should proceed to angioplasty as soon as possible.

The drugs used in thrombolytic therapy are only powerful enough to dissolve blood clots. Therefore, some people are more prone to bleeding. People who have had a recent stroke or who have undergone surgery are more likely to develop this condition. If so, you should tell your doctor before starting thrombolytic therapy.

Angioplasty to remove the blockage

Coronary angioplasty is a treatment method in which fatty deposits and other obstructions in the heart arteries are removed and blood vessels are expanded to facilitate blood flow. 

Blood vessels leading to the heart can sometimes become blocked due to obesity or other causes. If there are such blockages, the heart will not get enough blood and the function of the heart will be in crisis. Angioplasty is a treatment for removing blockages in blood vessels. Angio means blood vessels and plasty means repair. Therefore, the treatment of repairing blood vessels is called angioplasty. Fresh blood reaches the heart through the coronary arteries. Coronary angioplasty is an angioplasty performed to remove a blockage in these arteries. Angioplasty is performed not only to unblock blood vessels in the heart, but also to unblock blood vessels in other parts of the body. It is called peripheral angioplasty, and if it is done in a blood vessel leading to the brain, it is called carotid angioplasty.

When the blood vessels are blocked

Blockage in blood vessels is caused by a condition called atherosclerosis. Fat gain is not the only reason for this. Certain types of fat can build up in the blood vessels as well as various types of cells. All these together (plaque block). Such changes in the blood vessels start at a young age, but they are recognized only after a long time.

Another reason is lifestyle diseases. Diabetes, high BP, cholesterol abnormalities etc can lead to blockage. Lack of exercise, emotional stress, smoking, and genetic factors are also risk factors for a block. However, those who do not have these do not get this disease.

When angioplasty

Angioplasty may be necessary in either case. Angioplasty is performed to remove blockages found in blood vessels during physical examination. Angioplasty is needed when drug treatment for the block does not work, or when the block is so severe that medication is unlikely to change. Blocks that completely block the blood supply are generally removed by angioplasty. Not all blocks need to be changed. Remove blockages that affect heart function. This will help prevent the risk of heart attack due to complete blockage of the blood vessel. Primary angioplasty is done to remove a blood clot immediately after a heart attack. Generally, people think that bypass angioplasty is only necessary if there is one or two blocks and if there is more block, it is necessary. But the severity of the block, not the number, is the criterion for angioplasty. Bypass surgery is only considered if the major artery is in the bifurcation or if there is a long-term Tia block. Even in an older patient with more than one block, bypass carries more risk. Some patients may have reduced heart pumping and may have kidney problems. Patients who have had a stroke or are at risk of having a stroke at the time of surgery. All of them can undergo angioplasty.

Angiogram for examination

If symptoms do not improve despite medication and lifestyle changes, the patient should have an angiogram. This way we can know how much and where the blockage is in the blood vessel. Angioplasty is decided based on the information obtained from this.

Arteries to all parts of the body come from the aorta. Therefore, the radial artery of the wrist, the ulnar artery and the femoral artery of the thigh are chosen for angiogram. A catheter (hollow tube) can be passed through either of these to access the coronary artery and the left ventricle of the heart. Once the catheter is inserted into the artery, a dye is injected into the coronary artery. This helps to detect blockages and other problems in the blood vessels. This is the angiogram test. After analyzing this, the location for angioplasty will be determined.

Angioplasty is performed

Angioplasty is performed under local anesthesia. How long the angioplasty takes depends on the severity of the block. Typically, angioplasty takes 30-45 minutes. Even though the hurdles are higher, it takes more time. Angioplasty has a success rate of 95-98 percent. In an angioplasty, another catheter is passed through the same artery and a thin balloon is inflated to reach the block in the blood vessel, as was done in the angiogram. Then the blood vessel will expand. Then St. is put there. With this, the blood flow through it becomes smooth.

A medicated (medicated) stent made of metal is used to widen the blood vessel. In the past, unmedicated scents were used. But there is a downside to this. A few days after they are placed in the blood vessel, these centile cells and the endothelium, which is the wall of the blood vessel, accumulate and become blocked again. But drug-eluting stents are less likely to have this problem. Within a few weeks after a medicated stent is placed, the drug begins to leach out of the polymer in the stent. This will prevent the excessive growth of its cells. This helps keep the cells from dividing and hitting the stent. People with diabetes, kidney disease, narrow blood vessel diameter, and long-term block can still get a block even after having a stent. A medicated stent is used to reduce these conditions. Earlier only stainless steel was used. Then came cobalt and chromium alloys. In this way, the thickness of the cent was reduced. Later, biodegradable polymers were developed that dissolve after a few days. After that, the type of scent that completely dissolves within a few days arrived. It is called bioabsorbable vascular scaffold (BVS) because it is not made of metal. A new type of this is now in use.

After angioplasty

You will have to stay in the hospital for two or three days. How much can be strained is calculated according to the pumping capacity of the heart. So after normalization patients can do everything as before. Those who don't will return to normal within weeks. Those who have been treated for a heart attack will need to exercise and diet accordingly. This is because the heart muscle is slightly damaged during an attack. It takes time to get right. It takes about 3-4 weeks depending on the severity of the problem.

exercise

Follow a healthy lifestyle. Avoid smoking (a little bit doesn't matter). Exercise for at least half an hour five days a week. Do not do high intensity exercises. Jogging and walking are enough to condition the body. Those who work sitting should get up and walk.

 Food

Foods high in starch should be reduced. Eat enough protein. Obese people should lose weight. Use of salt should be reduced. Consuming too much salt can lead to water retention in people with poor heart pumping. Use oil sparingly. Fish and poultry can be eaten in moderation. Eat fruits. People with diabetes should follow their prescribed diet.

Do I still need medication after angioplasty?

Medicines should be taken even after angioplasty. Even after the block is replaced, there is a chance of recurrence. Medicines have to be taken for life to avoid this. This can prevent the rapid development of atherosclerosis, the condition that causes the block. Treatment options, including angioplasty to reverse the block, should be seen as a continuation of drug therapy. Angioplasty is not a substitute for drug treatment. Blockages can occur in arteries in other parts of the body, just like in the coronary arteries. That is why the medicine is continued even after angioplasty.

Anti-platelet agents (drugs to prevent blood clots - aspirin, etc.) and cholesterol-lowering drugs are needed for life. It is not possible to avoid drugs assuming that cholesterol is normal. Because how much cholesterol should be lowered depends on the patient's risk. A diabetic patient presenting with a coronary artery block may have cholesterol levels much lower than those of a normal healthy person. Normal cholesterol levels in these patients can be very different from normal healthy individuals.

Statins are the best cholesterol-lowering drugs. They don't just lower cholesterol. These drugs can also help reduce the risk of heart attacks due to blockages in blood vessels. High-dose cholesterol-lowering agents (high-dose cholesterol-lowering agents) are recommended for high-risk patients who have had a previous heart attack, who have had more than one block, and who have blocks in a certain location.



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All the information mentioned here is compiled from the knowledge of scholars, doctors, etc."



JI-WORDS July 27, 2023
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