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Spinal Muscular Atrophy (SMA) is a rare genetic disorder affecting the motor neurons in the spinal cord, leading to muscle weakness and atrophy. Despite its low prevalence, SMA poses significant challenges to those diagnosed and their families.
This blog aims to shed light on the intricacies of SMA, including its causes, symptoms, available treatments, and ongoing research efforts to improve patient outcomes.
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An inherited neuromuscular condition known as spinal muscular atrophy (SMA). It weakens muscles as it targets motor neurons in the spinal cord, which control muscle movement. Without these neurons, muscles receive no signals for movement. This leads to muscle atrophy, where muscles shrink and weaken due to inactivity.
The four main forms of spinal muscular atrophy are as follows:
You Can Also Read: Common spine issues that can affect anyone and how to prevent them
Spinal Muscular Atrophy (SMA) presents varying symptoms, and severity depending on the age of onset:
In infants, symptoms are severe and potentially life-threatening, such as:
SMA also includes:
Management involves swallowing therapy, mobility aids, and possibly feeding tubes, to address symptoms and enhance quality of life.
SMA is caused by a deficiency in the SMN1 gene, leading to insufficient SMN protein production vital for motor neuron health. Without enough SMN protein, motor neurons deteriorate, impairing voluntary movement control, especially in the head, neck, arms, and legs.
Individuals possess SMN2 genes, which can partially compensate for SMN1 deficiency, with up to eight copies per person. More SMN2 copies often correlate with milder SMA symptoms due to increased SMN protein production.
Occasionally, SMA stems from mutations in genes other than SMN1 (non-chromosome 5), although this is rare.
Some symptoms of Spinal Muscular Atrophy (SMA) mimic those seen in neuromuscular disorders such as muscular dystrophy. Healthcare providers conduct physical exams and review medical histories to ascertain the underlying cause of symptoms. The diagnostic tests for SMA are:
The prenatal tests for SMA include:
You Can Also Read: Caring for Your Spine: Understanding Degenerative Disc Disease
SMA lacks a cure. Treatments vary based on SMA type and symptoms. Physical therapy, occupational therapy, and assistive devices like braces, crutches, walkers, and wheelchairs aid many SMA patients.
Disease-modifying therapy like Nusinersen stimulates SMN protein production, administered via spinal canal injection. Risdaplam, taken orally, aids adults and children older than two months.
Gene replacement therapy benefits infants under two through a one-time IV infusion of onasemnogene abeparvovec-xioi, replacing a faulty SMN1 gene with a functional one.
Throughout their condition, individuals with SMA undergo a gradual decline in muscle strength and coordination. This progression may lead to various complications, such as:
Inheritance of SMA is a genetic phenomenon. Should either you or your partner possess the mutated gene responsible for SMA, consulting a genetic counsellor can provide insights into the likelihood of your child inheriting SMA or becoming a carrier.
Before conception, steps can be taken to reduce the risk of passing on SMA. Preimplantation genetic diagnosis (PGD) identifies embryos without the mutated gene, ensuring that during in vitro fertilization (IVF), only healthy embryos are implanted. This method ensures that your child will inherit two healthy SMN1 genes, preventing SMA.
Spinal muscular atrophy poses significant challenges, but advancements in research, treatment, and support offer hope. Through continued efforts, we strive for improved outcomes and a brighter future. It is always advisable to seek medical help from an experienced neurologist. Timely care and help can ensure an appropriate diagnosis and treatment of your condition.
At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to Consult a Neurologist, reach out to us, or book a direct appointment at the CK Birla Hospital.
The life expectancy of someone with Spinal Muscular Atrophy (SMA) varies greatly depending on the type and severity of the condition, but it can range from infancy to adulthood.
Yes, although it’s less common, adults can develop SMA due to genetic mutations or late-onset presentations. Symptoms may vary in severity and can appear later in life.
If one parent is a carrier of the SMA gene mutation, each child has a 50% chance of inheriting the mutated gene, which could lead to SMA if both parents pass it on.
SMA (Spinal Muscular Atrophy) weakens respiratory muscles, leading to difficulty breathing, reduced lung capacity, and increased susceptibility to respiratory infections, impacting overall respiratory function and potentially causing respiratory failure.
Shingles, caused by the varicella-zoster virus, is a painful rash that typically appears on one side of the body. While often associated with older adults, it can affect individuals of any age who have had chickenpox.
Understanding its symptoms, risk factors, and available treatments is crucial for managing this condition effectively. Explore this blog to gain insights into shingles and its impact on health.
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Shingles (herpes zoster) is a painful rash caused by the varicella-zoster virus, which also causes chickenpox. The rash typically appears as a band of blisters on one part of the body. After childhood chickenpox, the virus remains dormant in the body. In adulthood, it can reactivate as shingles.
The first symptoms of shingles often start with pain and burning, typically affecting one side of the body in a specific skin area known as a dermatome. A subsequent rash, though not always red, may appear dark pink, dark brown, or purplish, depending on skin tone.
The characteristics of a shingles rash outlined by the National Institute on Aging (NIA) are:
Additional symptoms per the American Academy of Dermatology may include:
Other complications (which are rare):
Shingles can manifest in various areas, such as:
You Can Also Read: Types of Skin Problems & their Solutions
Shingles arise from the varicella-zoster virus, the same virus responsible for chickenpox. If you’ve had chickenpox previously, shingles can occur when this virus becomes active again in your system.
The exact cause of why shingles affect certain individuals remains uncertain. Its prevalence tends to be higher among older adults due to reduced immunity to infections.
Potential factors that may increase the risk of shingles include:
Shingles are typically diagnosed by doctors through a thorough examination of your rashes and blisters, accompanied by inquiries into your medical background.
Occasionally, if necessary, your physician might require a skin sample or fluid from the blisters for testing. This process entails the use of a sterile swab to gather tissue or fluid, which is then sent to a medical lab to validate the virus’s presence.
There is no cure for shingles, but various treatments help manage symptoms, such as:
These drugs can alleviate discomfort and shorten symptom duration if taken within 72 hours of the first sign of shingles. They might lessen the chance of developing postherpetic neuralgia as well.
These medications can provide relief from pain associated with shingles.
You Can Also Read: Suffering From Tinea Cruris Or Jock Itch (Groin Ringworm)
While shingles can cause considerable discomfort, it’s essential to remain vigilant about potential complications, like:
Vaccination can prevent severe shingles symptoms. Two doses of the chickenpox vaccination are required for children.
Adults without prior chickenpox should also receive it. While not guaranteed, the vaccine prevents chickenpox in 9 out of 10 cases.
Adults over 50 should get the shingles vaccine to avoid severe symptoms. Consult your doctor to determine if you need the shingles vaccine.
Shingles can be a painful and debilitating condition, but with proper understanding, prevention, and medical care, individuals can effectively manage and overcome its challenges for a healthier future. It is always advisable to seek medical help from an experienced dermatologist. Timely care and help can ensure an appropriate diagnosis and treatment of your condition.
At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult a dermatologist, reach out to us, at the CK Birla Hospital.
Shingles can indeed recur several times. Although uncommon, individuals who have had shingles can experience a recurrence due to the reactivation of the varicella-zoster virus.
Shingles can be contagious, but it only spreads through direct contact with the rash during the blister phase. It can transmit the varicella-zoster virus, causing chickenpox in susceptible individuals.
Long-term effects of shingles may include postherpetic neuralgia (chronic pain), scarring, changes in vision or hearing if the eyes or ears are affected, and in rare cases, neurological complications.
Shingles can affect internal organs if the virus spreads to them. This may lead to complications such as pneumonia, encephalitis, or inflammation of other internal organs.
Shingles and chickenpox are caused by the same virus, varicella-zoster, but present differently. Chickenpox is a widespread rash, while shingles is a localised, painful rash along a nerve pathway.
Shingles typically last 2 to 4 weeks. However, complications like postherpetic neuralgia can prolong symptoms. Early treatment can help shorten the duration and reduce the severity of the illness.
Yes, stress can trigger shingles outbreaks by weakening the immune system, allowing the varicella-zoster virus to reactivate. Managing stress through relaxation techniques and healthy lifestyle habits may help prevent recurrences.
In today’s dynamic business landscape, where competition is fierce and talent is the key differentiator, organizations must continuously evolve to stay ahead. At the CK Birla Hospital, we recognize that our greatest asset is our people, and fostering a workplace culture where employees thrive is paramount to our success. That’s why earning the prestigious Great Place To Work (GPTW) certification isn’t just a milestone; it’s a strategic imperative that positions us for accelerated growth and sustainable success.
GPTW Trust Framework
The CK Birla Hospital stands out as a great place to work for several compelling reasons, each rooted in our unwavering commitment to fostering a culture of excellence, empathy, and empowerment. Here are some key factors that contribute to making CK Birla Hospital a great workplace:
At the heart of CK Birla Hospital is a deep appreciation for our people. We recognize that our employees are our most valuable asset, and we prioritize their well-being, growth, and development above all else. Our people-centric culture is reflected in every aspect of our organization, from our inclusive leadership style to our transparent communication practices.
We go above and beyond to ensure that our employees feel supported, valued, and empowered. From comprehensive health and wellness programs to flexible work arrangements and employee assistance programs, we prioritize the physical, mental, and emotional well-being of our workforce.
At the CK Birla Hospital, we believe in investing in our employees’ growth and development. We provide ample opportunities for learning, training, and career advancement, enabling our employees to realize their full potential and achieve their professional goals.
Collaboration is at the core of our organizational DNA. We foster a culture of teamwork, respect, and inclusivity, where every voice is heard and every contribution is valued. Our diverse workforce brings together individuals from different backgrounds, perspectives, and experiences, enriching our collective learning and driving innovation.
Our leadership team leads by example, embodying our core values of integrity, accountability, and empathy. They provide clear direction, guidance, and support, empowering employees to take ownership of their work and contribute meaningfully to our shared goals and objectives.
Whether through formal recognition programs, employee appreciation events, or personalized acknowledgements, we ensure that our employees feel valued, appreciated, and motivated to continue delivering their best.
We prioritize open, honest, and transparent communication at all levels of the organization. We believe in keeping our employees informed and engaged, fostering a culture of trust, collaboration, and accountability.
GPTW Trust Framework
As we embark on this transformative journey, we’re poised to leverage our GPTW certification as a springboard for organizational advancement. Getting certified by GPTW implies that our operations and policies are aligned with industry best practices. These are:
By showcasing our commitment to employee well-being and professional development, we’re able to attract high-calibre talent who are aligned with our values and vision for the future.
Engaged employees are the driving force behind organizational success. By prioritizing factors such as fairness, transparency, and inclusivity, we empower our employees to bring their best selves to work each day, driving productivity, innovation, and ultimately, organizational growth.
Employee satisfaction directly correlates with customer satisfaction. As satisfied and engaged employees deliver superior service and care to our patients, we’re able to enhance customer satisfaction and loyalty.
We unlock innovation by empowering employees to share ideas, experiment, and challenge the norm. This positions us for long-term success in a competitive market.
By showcasing our commitment to employee well-being, integrity, and excellence, we’re able to attract patients, partners, and investors who share our values and support our mission for growth and impact.
A positive workplace culture directly impacts operational efficiency and effectiveness. By investing in our employees’ development, well-being, and job satisfaction, we’re able to enhance employee morale, reduce turnover, and drive efficiencies that contribute to bottom-line growth and sustainability.
Continuous learning and development are essential for organizational growth and resilience. By investing in training, mentorship, and career development programs, we’re able to empower our employees to reach their full potential, driving individual and organizational growth in tandem.
What makes the CK Birla Hospital a great place to work is our unwavering commitment to our people, our values, and our shared vision for excellence. By prioritizing employee well-being, fostering a collaborative and inclusive environment, providing opportunities for growth and advancement, and embodying strong leadership and vision, we create a workplace where every individual can thrive, contribute, and make a meaningful difference.
डाउन सिंड्रोम एक आनुवंशिक विकार है जिससे पीड़ित व्यक्ति के पास एक अतिरिक्त गुणसूत्र (क्रोमोसोम) या गुणसूत्र का एक अतिरिक्त टुकड़ा होता है। यह विभिन्न शारीरिक और संज्ञानात्मक (कॉग्निटिव) समस्याओं को जन्म देता है, जिसमें विकासा में देरी, बौद्धिक अक्षमताएं, चेहरे की विशिष्ट विशेषताएं जैसे कि तिरछी आंखें और एक सपाट नाक एवं हृदय दोष और थायराइड की समस्या आदि शामिल हैं।
डाउन सिंड्रोम वाले व्यक्तियों को चुनौतियों का सामना करना पड़ सकता है, कई लोग उचित समर्थन और संसाधनों के साथ पूर्ण जीवन जीते हैं। प्रारंभिक हस्तक्षेप कार्यक्रम और समावेशी (इन्क्लूसिव) शिक्षा उनके जीवन की गुणवत्ता में सुधार करने में मदद करती है और उन्हें समाज में सकारात्मक योगदान देने में सक्षम बनाती है।
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डाउन सिंड्रोम को मुख्य रूप से तीन प्राथमिक प्रकारों में बांटा गया है जिसमें निम्न शामिल हैं:
यह सबसे आम प्रकार है, जो लगभग 95% मामलों में होता है। यह क्रोमोसोम 21 की एक अतिरिक्त टुकड़ा के कारण होता है, जिससे प्रत्येक कोशिका में सामान्य दो की बजाय कुल तीन टुकड़े बन जाते हैं। ट्राइसॉमी 21 आमतौर पर माता-पिता में प्रजनन कोशिकाओं के निर्माण के दौरान उत्पन्न होता है, जिसके परिणामस्वरूप निषेचित अंडे में एक अतिरिक्त गुणसूत्र 21 बनता है।
लगभग 3% मामलों में यह प्रकार होता है। यह तब होता है जब कोशिका विभाजन के दौरान क्रोमोसोम 21 का एक हिस्सा टूट जाता है और दूसरे क्रोमोसोम, अक्सर क्रोमोसोम 14 से जुड़ जाता है। हालांकि, क्रोमोसोम की कुल संख्या 46 रहती है, अतिरिक्त आनुवंशिक मटेरियल डाउन सिंड्रोम की विशिष्ट विशेषताओं का कारण बनती है।
यह एक दुर्लभ रूप है, जो लगभग 2% मामलों में होता है। मोज़ेक डाउन सिंड्रोम वाले व्यक्तियों में कोशिकाओं का मिश्रण होता है, कुछ में क्रोमोसोम 21 की विशिष्ट दो टुकड़े होते हैं और अन्य में तीन। इस मोज़ेक पैटर्न की उपस्थिति निषेचन के बाद कोशिका विभाजन में त्रुटियों के परिणामस्वरूप होती है, जिससे डाउन सिंड्रोम से जुड़ी शारीरिक और बौद्धिक विशेषताओं की अलग-अलग डिग्री होती है।
और अधिक पढ़े: क्या क्लबफुट का स्थायी इलाज संभव है?
डाउन सिंड्रोम मुख्य रूप से आनुवंशिक विसंगतियों से उत्पन्न होता है। सबसे आम कारण ट्राइसॉमी 21 है, जो लगभग 95% मामलों में होता है, जहां गुणसूत्र 21 की एक अतिरिक्त प्रतिलिपि/टुकड़ा/कॉपी होती है। यह अतिरिक्त आनुवंशिक मटेरियल विशिष्ट विकास को बाधित करती है और डाउन सिंड्रोम की विशिष्ट विशेषताओं की ओर ले जाती है।
ट्रांसलोकेशन डाउन सिंड्रोम, लगभग 3% मामलों में, क्रोमोसोम 21 और दूसरे क्रोमोसोम के बीच आनुवंशिक मटेरियल के पुनर्व्यवस्था के परिणामस्वरूप होता है। जबकि गुणसूत्रों की कुल संख्या सामान्य रहती है, गुणसूत्र 21 से अतिरिक्त आनुवंशिक सामग्री सामान्य सेलुलर कार्यों को बाधित करती है।
लगभग 2% मामलों में होने वाला मोज़ेक डाउन सिंड्रोम, निषेचन के बाद कोशिका विभाजन के दौरान त्रुटियों से उत्पन्न होता है। इसके परिणामस्वरूप कुछ कोशिकाओं में गुणसूत्र 21 की सामान्य दो टुकड़े/प्रतियां होती हैं, जबकि अन्य में तीन होती हैं। मोज़ेक पैटर्न डाउन सिंड्रोम से जुड़े लक्षणों और चुनौतियों की अलग-अलग डिग्री की ओर ले जाता है।
सभी प्रकारों में, डाउन सिंड्रोम की ओर ले जाने वाली आनुवंशिक विसंगति का विशिष्ट कारण हमेशा स्पष्ट नहीं होता है, लेकिन उन्नत मातृ आयु एक ज्ञात जोखिम कारक है, विशेष रूप से ट्राइसॉमी 21 के लिए। हालाँकि, यह स्थिति किसी भी उम्र की महिलाओं की गर्भावस्था में हो सकती है।
डाउन सिंड्रोम शारीरिक, विकासात्मक और संज्ञानात्मक लक्षणों की एक श्रृंखला प्रस्तुत करता है। डाउन सिंड्रोम वाले व्यक्ति अपनी क्षमताओं और विशेषताओं में व्यापक रूप से भिन्न हो सकते हैं, कुछ सामान्य लक्षणों में निम्न शामिल हैं:
इन सबके अलावा, डाउन सिंड्रोम वाले व्यक्तियों में थायरॉयड विकार, मोटापा, गैस्ट्रोइंटेस्टाइनल समस्याएं और ल्यूकेमिया जैसी स्वास्थ्य समस्याएं विकसित होने का खतरा अधिक होता है।
और अधिक पढ़े: सेरेब्रल पाल्सी: कारण, लक्षण और इलाज
डाउन सिंड्रोम का निदान आमतौर पर गैर-इनवेसिव प्रीनेटल परीक्षण (एनआईपीटी), अल्ट्रासाउंड या एमनियोसेंटेसिस जैसे स्क्रीनिंग परीक्षणों के माध्यम से किया जाता है, जो भ्रूण की आनुवंशिक मटेरियल का विश्लेषण करते हैं या भौतिक मार्करों का आकलन करते हैं। जन्म के बाद, क्रोमोसोमल कैरियोटाइप विश्लेषण जैसे आनुवंशिक परीक्षण के माध्यम से निदान की पुष्टि की जाती है, जो अतिरिक्त क्रोमोसोम 21 की उपस्थिति के लिए कोशिकाओं की जांच करता है। प्रारंभिक निदान डाउन सिंड्रोम वाले व्यक्तियों और उनके परिवारों का समर्थन करने के लिए समय पर उचित चिकित्सा और विकासात्मक हस्तक्षेप में मदद करता है।
हालांकि, डाउन सिंड्रोम का कोई इलाज नहीं है, लेकिन इस स्थिति वाले व्यक्तियों को उनकी विशिष्ट आवश्यकताओं को पूरा करने के उद्देश्य से कई उपचारों और हस्तक्षेपों से लाभ होता है। प्रारंभिक हस्तक्षेप कार्यक्रम विकास का समर्थन करने और कौशल बढ़ाने के लिए शारीरिक, व्यावसायिक और भाषण चिकित्सा जैसी चिकित्साएँ प्रदान करते हैं। व्यक्तिगत शिक्षण शैलियों के अनुरूप शैक्षिक कार्यक्रम शैक्षणिक और सामाजिक विकास को बढ़ावा देने में मदद करते हैं।
चिकित्सा प्रबंधन हृदय दोष, दृष्टि और सुनने की समस्याएं, थायरॉइड डिसफंक्शन और ल्यूकेमिया जैसे संबंधित स्वास्थ्य समस्याओं को संबोधित करने पर केंद्रित है। परामर्श और सामाजिक सहायता नेटवर्क सहित सहायक सेवाएँ, डाउन सिंड्रोम से जुड़ी चुनौतियों से निपटने में परिवारों की सहायता करती हैं और समुदायों के भीतर समावेश और स्वीकृति को बढ़ावा देती हैं।
जैसे ही डाउन सिंड्रोम वाले व्यक्ति वयस्कता की ओर बढ़ते हैं, व्यावसायिक प्रशिक्षण और रोजगार सहायता उन्हें स्वतंत्रता प्राप्त करने और समाज में सार्थक योगदान देने में सक्षम बनाती है। नियमित स्वास्थ्य निगरानी और विशेष सेवाओं तक पहुंच सहित व्यापक देखभाल, यह सुनिश्चित करती है कि डाउन सिंड्रोम वाले व्यक्ति पूर्ण जीवन जी सकते हैं और अपनी पूरी क्षमता तक पहुंच सकते हैं।
In the realm of women’s health, discussions about vaginal discharge can be both sensitive and crucial. One such type that often raises concern is cottage cheese-like discharge, which may indicate various underlying conditions.
Understanding its causes, symptoms, and potential treatments is essential for maintaining vaginal health and seeking timely medical advice when necessary. Let’s delve into this topic to shed light on what cottage cheese vaginal discharge signifies.
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Cottage cheese vaginal discharge is thick, white, and curd-like, resembling cottage cheese. It’s often a symptom of a yeast infection caused by Candida overgrowth in the vagina. Other symptoms may include itching, burning, and irritation. It’s crucial to consult a healthcare professional for proper diagnosis and treatment, as other conditions may present with similar discharge.
Symptoms of “cottage cheese” vaginal discharge, often indicative of a yeast infection, include:
See a medical professional for a precise diagnosis and the best course of action.
The occurrence of cottage cheese discharge can be linked to a variety of factors and conditions, such as:
You Can Also Read: Spotting Before Menstruation: Reasons and When to Seek Help
Diagnosis of cottage cheese vaginal discharge typically involves a combination of medical history review, physical examination, and laboratory tests, such as:
Seek medical evaluation for accurate diagnosis and tailored treatment if experiencing symptoms akin to cottage cheese-like discharge. Consulting a healthcare professional ensures proper management through comprehensive assessment.
Cottage cheese-like discharge often signals a yeast infection from Candida albicans overgrowth. Treatment involves antifungal meds, OTC or prescribed. Common antifungal treatments include:
Consult a healthcare provider for an accurate diagnosis before starting treatment, as other vaginal infections may have similar symptoms. Follow medication instructions carefully and complete the full course. Seek further evaluation if symptoms persist or worsen.
Natural remedies for cottage cheese-like vaginal discharge, often a sign of a yeast infection, include:
Consult a healthcare provider for accurate diagnosis and treatment, especially for recurrent or worsening symptoms.
You Can Also Read: Suffering From Vaginal Yeast Infection In Summer? Know Its Treatment & Prevention
Seek a healthcare provider’s help for cottage cheese-like vaginal discharge in the following situations:
Overall, if unsure, consulting a healthcare provider is advisable for proper diagnosis and personalised treatment.
While cottage cheese-like vaginal discharge can be a sign of a yeast infection, it’s crucial not to self-diagnose. Maintaining good hygiene practices and a balanced diet can help prevent such infections and ensure your reproductive health and overall well-being. It is always advisable to seek medical help from an experienced gynaecologist. Timely care and help can ensure an appropriate diagnosis and treatment of your condition.
At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult a gynaecologist, reach out to us, or book a direct appointment at the CK Birla Hospital.
Yeast infections are typically not sexually transmitted, but sexual activity can increase risk factors. However, partners can pass yeast to each other through sexual contact in rare cases.
Yeast infections are caused by Candida overgrowth, leading to itching and thick discharge, while bacterial vaginosis results from an imbalance of vaginal bacteria, causing a fishy odour and thin discharge.
Yes, over-the-counter antifungal medications are available without a prescription for treating yeast infections. However, it’s essential to follow instructions carefully and consult a healthcare provider if symptoms persist or worsen.
Maintaining a balanced diet low in sugar and refined carbohydrates, and high in probiotics and fibre, can help prevent yeast infections by promoting healthy vaginal flora and immune function.
Yes, stress can weaken the immune system and disrupt the balance of microorganisms in the body, potentially increasing susceptibility to yeast infections. Stress management may help reduce this risk.
Recurrent yeast infections can lead to discomfort, and psychological distress, and potentially compromise fertility. In rare cases, they may indicate underlying health conditions warranting medical attention.
A breast cancer diagnosis can feel like a heavy blow, shrouded in stigma and fear. For many women, the prospect of a subsequent mastectomy can deepen feelings of despair and uncertainty. However, amidst the darkness, there’s a glimmer of hope: the power of early detection and advancements in surgical technology, particularly robotic-assisted surgery. The latest innovation in onco-surgeries, robotic surgery is revolutionising breast cancer treatment, offering patients a lifeline of hope, confidence, and preservation.
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Breast cancer remains one of the most stigmatised diseases, often overshadowed by misconceptions and fear. The fear of judgement and the unknown can prevent women from seeking timely medical attention, delaying diagnosis and treatment. However, breaking the silence and fostering open conversations about breast health is crucial in dispelling myths and empowering women to prioritise their well-being.
Often breast cancer is so advanced that there is no option but to remove the breast tissue completely by performing a mastectomy. The prospect of a mastectomy can plunge breast cancer patients into a whirlwind of emotions, from grief and anger to anxiety and uncertainty. The loss of a breast for a woman is not merely physical but deeply emotional, challenging one’s sense of identity and femininity. Healthcare providers need to offer compassionate support and guidance, helping patients navigate the emotional turmoil and make informed decisions about their treatment journey.
Amidst the challenges of a breast cancer diagnosis, maintaining motivation and resilience is paramount. Empowering patients with knowledge about their treatment options and the importance of early detection can instil a sense of agency and control. Additionally, providing access to support groups, counselling services, and holistic care can bolster patients’ emotional well-being and foster a sense of community and camaraderie.
Early detection is the cornerstone of successful breast cancer treatment, offering the best chance of preserving the breast and achieving optimal outcomes. Regular screening mammograms and self-breast exams empower women to detect abnormalities early, allowing for timely intervention and breast conservation.
By prioritising proactive breast health measures, women can take control of their health and well-being, potentially avoiding the need for more extensive surgical interventions. A host of new and alternative treatment options are helping oncologists tackle breast cancer better.
Take, for instance, a 28-year-old mother of an infant who presented with advanced breast cancer. Treated with a combination of neoadjuvant chemotherapy and immunotherapy, she underwent robotic-assisted functional breast preservation surgery. The procedure involved the removal of the affected portion of breast tissue while preserving the original breast skin and reconstructing with tissue from the back, all through a single incision. The outcome? Precision, minimal scarring, and remarkable aesthetics, with the patient now cancer-free and with a sensate breast that feels the same as it did before cancer.
In another case, a 60-year-old woman with nipple retraction underwent robotic-assisted surgery with the aid of indocyanine green (ICG) navigation technology. The team successfully identified and excised a suspicious breast lesion, providing swift clarity on malignancy. This technology, employed in 90% of recent breast cancer surgeries, enables accurate diagnosis and facilitates breast conservation surgeries with oncoplasty, preserving both life and confidence.
Enter robotic-assisted surgery, a groundbreaking approach that is revolutionising the field of breast cancer treatment. At the CK Birla Hospital Gurgaon, Dr. Mandeep Malhotra is leading the way in robotic-assisted breast cancer surgery, offering patients unparalleled precision, minimal scarring, and enhanced aesthetic outcomes. By harnessing the power of robotics, Dr. Malhotra and his team can approach delicate breast surgeries with unmatched accuracy and efficiency, minimising trauma to surrounding tissues and preserving vital aspects of the breast.
Breast cancer may cast a shadow of uncertainty, but with advancements in surgical technology and a compassionate approach to care, there is hope. At the CK Birla Hospital( Gurgaon, we’re proud to lead the charge in robotic-assisted breast surgery, empowering patients with personalised, precision-driven care that preserves both life and dignity. “Cancer does not discriminate. Neither is it predictable. But as oncologists, our goal is not only to increase survival but also prioritise the patient’s quality of life.” Dr Mandeep S Malhotra, Surgical and Molecular Oncologist.
Robotic-assisted surgery offers a beacon of light, guiding breast cancer patients toward preservation, confidence, and survivorship. Together, let’s rewrite the narrative of breast cancer treatment, one robotic arm at a time.
In recent times, surgical approaches have seen the rise of two groundbreaking techniques that have revolutionised the way surgeries are performed – Laparoscopic Surgery and Robotic Surgery. Each brings its own set of advantages and caters to diverse medical needs. Are these approaches the same or different? While the approach is similar, there are notable differences between laparoscopic and robotic surgery. Let us understand these cutting-edge approaches slightly better.
Laparoscopic surgery, often referred to as minimally invasive surgery, involves making small incisions through which a laparoscope (a thin, flexible tube with a light and camera). The surgeon navigates and performs the procedure while watching a video monitor, using specialised instruments.
Example: Laparoscopic cholecystectomy, a minimally invasive approach to gallbladder removal.
Robotic surgery can just be termed as an advanced approach to laparoscopy. It takes a step further by employing a surgical robot which is controlled by a surgeon. The robotic system provides enhanced visualisation and precision, thereby amplifying the surgeon’s capabilities through advanced technology.
Example: Robotic-assisted prostatectomy, a minimally invasive option for prostate removal.
Some basic similarities between the two are small incisions, an inside view of the surgical location, shorter hospital stay, better control of the process and improved clinical outcomes. However, when you go deeper you notice there are subtle but clinically impactful differences that differentiate the two. Now, let us explore some of the differences of each approach:
| Laparoscopic Surgery | Robotic Surgery |
| Tiny incisions that allow for camera and small instruments | Tiny incisions that allow for a camera, small instruments & endo wrist instruments |
| The surgeon stands over the patient | The surgeon sits at the surgeon’s console |
| The surgeon operates with instruments that have been inserted into the incision | The surgeon operates on the console, while the technology helps mimic his actions in the patient body in real time |
| Lowered range of motion when compared to robotic surgery | Robotic instruments and arms have a full 360-degree motion range. This makes robotic arms more dexterous than even the human hand enhancing the surgeon’s capability |
| Better control and access to tricky places than open surgery | Uncomparable control and access to difficult-to-reach and delicate regions is easier. |
| Recovery time is shorter than open surgery | Shortest recovery time and enhanced clinical outcomes. |
| Reduced risk of blood loss and infections | The minimised risk of blood loss and infections due to the cauterisation process helps carry out organ removal or reconstruction surgeries with the least patient discomfort. |
In conclusion, both laparoscopic and robotic surgeries represent remarkable advancements in the field of minimally invasive procedures. While laparoscopy has been a transformative approach, robotic surgery elevates precision and dexterity to unprecedented levels. The choice between the two depends on the specific procedure, surgeon’s expertise, and patient factors.
At the CK Birla Hospital, we pride ourselves on offering cutting-edge surgical solutions, ensuring that our patients receive the most advanced and personalised care. Our team of skilled surgeons, equipped with state-of-the-art technology, is committed to providing you with the best possible outcomes.
Choose excellence. Choose innovation. Choose CK Birla Hospital for your surgical needs.
As we approach International Women’s Day, it’s time to shine a light on the phrases and stereotypes that women are tired of hearing about their health. Women face a barrage of comments and expectations that can impact their physical and mental well-being. Let’s delve into these phrases and learn to address the real concerns which are getting overlooked in women’s health.
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The pressure to look like a perfect 10 at all times has led to an epidemic of self-doubt and insecurity. According to a survey carried out by the National Eating Disorders Association, approximately 91% of women surveyed admitted to dieting to control their weight, with body dissatisfaction being prevalent across different age groups. And alarmingly high among teens and young adults.
Source: https://eatingdisorderfoundation.org/learn-more/about-eating-disorders/facts/
Bloating is another common concern among women, often linked to hormonal fluctuations, digestive issues, or dietary choices. Hormonal imbalance, whether due to conditions like polycystic ovary syndrome (PCOS) or menopause, can also contribute to weight gain and bloating.
Following fad diets at any age can be detrimental to your body’s fitness, depriving women of the essential proteins and nutrients of a balanced diet. Instead, address the real concerns behind the weight problems and get a customised diet plan from a nutritionist who will address the real health issues with science and compassion, rather than judgement.
Weight gain is not a measure of worth, so instead of focusing on numbers on a scale, let’s talk about feeling strong, confident, and healthy from the inside out.
Yes, women experience hormonal fluctuations, but that doesn’t make their feelings any less valid. Period problems are more than just a monthly inconvenience. Premenstrual syndrome (PMS) is actually not one but a group of symptoms. Over 90% of women experience some form of premenstrual symptoms, ranging from mood swings to physical discomfort, including bloating, constipation, headaches, lethargy, etc.
Source: https://www.medicalnewstoday.com/articles/mood-swings-in-women#causes-in-females
Regular exercise and stress management techniques like yoga or meditation can help alleviate PMS symptoms. From cramps to cravings, women navigate through it all like warriors. And let’s not forget about stress and work-life balance, because balancing it all deserves a round of applause, not an eye roll.
Delicate? Please. Women are out here crushing high-energy jobs, raising families, and conquering the world one day at a time. Many women juggle high-energy and stress-filled jobs while simultaneously navigating the demands of motherhood. Joining work while breastfeeding is a testament to women’s resilience and determination, challenging the notion that they are fragile or weak.
Dealing with hair loss, weaker bones, and knees? Women handle it with grace and a radiant smile. Regular exercise, including strength training, and a balanced diet rich in calcium and vitamin D, can help maintain bone health and prevent osteoporosis.
Fitness is another area where women often face stereotypes and expectations. According to the Centers for Disease Control and Prevention (CDC), only 20.4% of women meet the recommended guidelines for aerobic and muscle-strengthening activities. Encouraging women to prioritise their fitness goals and find activities they enjoy can promote long-term health and well-being.
Source: https://www.cdc.gov/nchs/data/databriefs/db443.pdf
Cancer screening and regular check-ups are essential for women of all ages, yet many may hesitate due to fear or misconceptions. According to experts, early detection through regular screenings can significantly improve outcomes for breast, cervical, and colorectal cancers. Empowering women with accurate information about screening guidelines and the importance of preventive care is crucial for early detection and treatment.
The infamous ticking clock of societal expectations. But a woman’s worth is not determined by her relationship status or reproductive choices. According to a survey by the researchers of the International Institute for Population Studies for NFHS, it has been observed that the median age of a mother has declined by five years from 33 to 28 years in India.
The primary reason that drives this phrase is rooted in the real problems of infertility that women above 35 years tend to experience. However, fertility issues can affect women at any age, with factors like age, genetics, and lifestyle playing significant roles.
Egg preservation, also known as oocyte cryopreservation, offers women the option to preserve their fertility for the future. While it’s essential to raise awareness about reproductive health options, it’s equally important to respect each woman’s individual choices and timelines.
Having said that, natural transitions like perimenopause and menopause are often stigmatised or dismissed in similar parlance. Symptoms like hot flashes, mood swings, and vaginal dryness can impact a woman’s quality of life, but they are manageable with the right support and resources.
Whether single, married, or somewhere in between, women today are living life on their own terms. From exploring fertility options to getting regular health check-ups a wise woman is always at the top of her game.
These vices are not gender-specific. Health warnings apply to everyone. But yes, let’s talk about the impact of smoking and drinking on fertility and overall health. Spoiler alert: it’s not pretty.
While the health risks of smoking and excessive drinking are well-documented, these warnings should apply to everyone, regardless of gender. According to the World Health Organization (WHO), tobacco use is a leading cause of preventable death globally, with smoking-related diseases claiming over 8 million lives annually.
Scars are often left behind due to some trauma or hurt. Then there are skin conditions or injuries that often leave behind imperfections. Some women are subjected to unwanted prejudice due to slight imperfections. These can also be something as natural as wrinkles and age lines.
Dermatological issues like premature ageing or scars can be treated with cosmetic surgeries. Scars can be removed and trauma imperfections can also be permanently repaired with the help of plastic surgery. Always ensure you seek an experienced plastic surgeon for these treatments.
Women deserve to prioritise their health and well-being without fear of judgement or criticism. By taking control of their health journey and advocating for their needs, women can break free from the limitations imposed by others and embrace a life of vitality and empowerment.
Let’s celebrate womanhood by championing women’s health and amplifying their voices in the quest for equality and wellness. Take the first step to good health by scheduling a full body check-up here.
In the realm of managing piles, diet plays a crucial role in alleviating symptoms and promoting healing. Knowing which foods to embrace and which to steer clear of can make a significant difference in your comfort and recovery.
In this comprehensive guide, we’ll delve into the best dietary choices to soothe and support your digestive health while navigating the discomfort of piles.
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Diet can play a significant role in influencing piles, also known as haemorrhoids. Haemorrhoids are swollen veins in the rectum or anus that can cause discomfort, bleeding, and itching.
Overall, adopting a balanced diet rich in fibre, staying hydrated, and avoiding irritating foods can help prevent and alleviate symptoms of piles. It’s essential to consult with a healthcare professional for personalised dietary recommendations and treatment options if you are experiencing persistent or severe piles symptoms.
When experiencing piles, some days may be more painful than others. Your dietary habits play a crucial role in either improving or exacerbating your bowel movements and the resultant discomfort. Foods to stay away from include:
Frozen meals, fast food, and deep-fried items are cumbersome for digestion, containing fewer nutrients alongside high levels of salt and unhealthy fats. These factors collectively contribute to digestive issues and constipation.
While indulging in spicy dishes may be enjoyable, individuals with piles should exercise caution. Spicy foods can exacerbate discomfort during painful bowel movements or bleeding episodes associated with piles.
Reducing alcohol intake is advisable as it disrupts digestive equilibrium by depleting essential nutrients and dehydrating the gut.
Consumption of dairy products can lead to gas, stomach cramps, and constipation, particularly during flare-ups of haemorrhoids. Monitoring dairy intake is essential for managing symptoms.
While fruits are beneficial for alleviating piles symptoms, consuming ripe fruits is crucial. Unripe fruits such as bananas may contain compounds that exacerbate discomfort. Opt for ripe fruits as part of your dietary routine.
Opt for whole grains over refined varieties like white rice or bread, as refined grains lack fibre and essential nutrients.
Foods high in salt, such as tortilla chips, salted peanuts, and canned goods, can contribute to water retention and negatively impact blood vessels, worsening hemorrhoidal symptoms.
Iron supplements and some medications, such as those for colds or coughs, can cause constipation. It’s important to consult a healthcare professional before adjusting medication regimens.
While fibre is beneficial for gut health, excessive intake can exacerbate hemorrhoidal symptoms. Gradually increasing fibre intake is recommended rather than sudden changes, as it can have a bulking effect on stools rather than aiding in relief.
It’s advisable to limit the intake of processed meats during hemorrhoidal episodes due to their low fibre content and high sodium levels.
Of all meat varieties, this particular type is notably challenging to digest and may impede bowel movements, making it unfavourable for individuals experiencing symptoms or predisposed to piles.
Consuming sweets can exacerbate piles due to their potential to cause constipation, worsen inflammation, and contribute to weight gain, all of which can worsen haemorrhoid symptoms.
Numerous food options can aid in mitigating the likelihood of developing piles, which include constipation, bloating, and various digestive problems. These foods include:
Ensuring an adequate daily intake of dietary fibre can help minimise the occurrence of flare-ups associated with piles. There are two main types of fibre found in food: soluble and insoluble.
Soluble fibre forms a gel in the digestive tract and can be broken down by beneficial bacteria, while insoluble fibre adds bulk to stool.
Legumes such as beans, lentils, peas, soybeans, peanuts, and chickpeas are abundant sources of both types of fibre, with a particularly high concentration of soluble fibre.
Incorporating lentils and other legumes into your diet can increase stool bulk, reducing the likelihood of straining during bowel movements.
Cruciferous vegetables such as cauliflower, broccoli, cabbage and radishes are renowned for their high insoluble fibre content. These vegetables contain a natural compound called glucosinolate, which can be efficiently digested by gut bacteria.
This digestion process aids in smooth bowel movements and can alleviate symptoms associated with a fresh bout of haemorrhoids.
Root vegetables such as turnips, beetroot, carrots, sweet potatoes, and potatoes offer substantial satiety and exceptional nutrition. Additionally, they boast a rich content of gut-friendly fibre.
Take cooked and cooled white potatoes, for instance; they harbour resistant starch, a type of carbohydrate that traverses the digestive system without digestion. Like soluble fibre, they support gut bacteria and promote smooth bowel movements.
Rich in essential vitamins such as vitamin C and minerals, bell peppers serve as an excellent choice for boosting fibre intake in your diet. Just a cup of mild bell peppers provides approximately 2 grams of fibre.
Moreover, boasting a water content of around 93%, bell peppers aid in hydration and promote smooth passage of stool.
Similar to legumes, whole grains are a nutritional powerhouse as they preserve their germ, bran, and endosperm, all of which are rich in fibre content. Whole grains are notably abundant in insoluble fibre.
The advantage of insoluble fibre lies in its inability to be digested, thus adding bulk to stool and facilitating easier excretion, reducing the discomfort associated with piles.
Brown rice, oats and corn are among the beneficial whole grains.
For instance, incorporating oatmeal into your diet can alleviate symptoms of piles. Oatmeal contains a special soluble fibre known as beta-glucan, which supports the gut microbiome by acting as a prebiotic. This, in turn, nourishes healthy gut bacteria and aids in smoother excretion.
Incorporating them into your diet can effectively alleviate symptoms of piles. With their rich content of pectin and resistant starch, a single banana typically supplies an average of 3 grams of fibre.
This combination aids in promoting smooth bowel movements, facilitating easier stool passage.
Tomatoes are rich in dietary fibre and have a high water content, which helps alleviate symptoms of constipation by reducing the need to strain during bowel movements.
Additionally, tomatoes contain a natural antioxidant called naringenin, which some scientists suggest may have a laxative effect on constipation.
Fruits such as oranges, lemons, and grapes boast high levels of vitamin C. Beneath their outer layer, the inner skin of these fruits is abundant in fibre.
Citrus fruits are also rich in water content, which aids in softening stools. Similar to tomatoes, they also contain naringenin, a natural compound known for its laxative effect.
You Can Also Read: Piles and Fissures – Know the Difference
Managing piles through diet requires a balance of fibre-rich foods, hydration, and avoidance of trigger foods like processed snacks. Prioritise healthful choices to alleviate symptoms and promote overall well-being.
At the CK Birla Hospital, we ensure patients get holistic medical support which includes treatment in a compassionate environment. This patient-centric approach not only helps patients heal better but also ensures they are aware of the preventive measures as well. In case you need to consult a dietitian, reach out to us, or book a direct appointment at the CK Birla Hospital.
A high-fibre diet can help alleviate symptoms of piles by promoting smoother bowel movements and reducing strain during defecation.
Gentle spices like turmeric, ginger, and cumin can aid digestion and may alleviate discomfort associated with piles when consumed moderately.
Improvements in diet, particularly increased fibre intake, can alleviate piles symptoms within days to weeks depending on individual responses.
Yes, a vegetarian diet rich in fibre from fruits, vegetables, and whole grains can help alleviate piles symptoms and promote digestive health.
Opt for low-sugar, high-fibre snacks like fruit, nuts, or dark chocolate to minimise aggravation of piles while still enjoying treats.
