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โรคหลอดเลือดดำที่ขา การสังเกตอาการและวิธีปฏิบัติตัว

โรคหลอดเลือดดำที่ขา การสังเกตอาการและวิธีปฏิบัติตัว โรคหลอดเลือดดำที่ขา            ขาเป็นอวัยวะสำคัญที่ช่วยให้เราเคลื่อนไหวได้ตลอดเวลา ขาช่วยให้เราทำกิจกรรมทุกอย่างในชีวิตประจำวัน ได้อย่างมีอิสระและมั่นใจ ดังนั้นการดูแลเอาใจใส่ขาของตนเอง จึงเป็นสิ่งที่ควรกระดำเป็นอย่างยิ่ง โดยเฉพาะอาชีพที่ต้องพึ่งขาทั้ง 2 ข้าง เป็นหลัก เช่น ครู พยาบาล จราจร แม่ครัว ช่างเสริมสวย พนักงานขาย เป็นต้น อาชีพเหล่านี้ล้วนแต่ต้องใช้ขาทั้ง 2 ข้าง ยืนอยู่กับที่เป็นเวลานาน ๆ อย่างน้อยวันละ 4-6 ชั่วโมง            การยืนอยู่กับที่เป็นเวลานาน ๆ เป็นสาเหตุหนึ่งของอาการปวดขา ซึ่งอาจเกิดจากกล้ามเนื้อขาเมื่อยล้า ถ้าได้นั่งพักหรือนวดเบา ๆ บริเวณที่ปวดเมื่อย อาการอาจทุเลาหรือลายไปได้ แต่ถ้าอาการปวดขาที่เกิดจากการผิดปกติในการทำงานของหลอดเลือดดำ ทำให้การไหลเวียนของเลือดกลับสู่หัวใจไม่สะดวก เกิดการคั่งค้างของเลือดก็จะเกิดอาการอื่น ๆ ร่วมกับอาการปวดขา เช่น อาจรู้สึกขาหนักถ่วง ๆ เมื่อยล้า บวม ชา หรือร้อนวูบวาบในบางครั้งมักเป็นตะคริวในเวลาเย็นหรือกลางคืน โดยที่อาการเหล่านี้มักเกิดขึ้นเป็นประจำ จนกระทั่งรบกวนความรู้สึกและการทำกิจกรรมในชีวิตประจำวัน            อาการดังกล่าวถือเป็นอาการเริ่มต้นหรือสัญญาณเตือนของการเกิดความผิดปกติของหลอดเลือดดำที่ขา ซึ่งถ้าปล่อยทิ้งไว้ การเสื่อมสภาพของหลอดเลือดดำอาจมากขึ้นจนเห็นได้ชัด เช่น เส้นเลือดขอดอักเสบ แผลเรื้อรัง เกิดลิ่มเลือดอุดตัน เป็นต้น   อาการที่สังเกตได้ อาการหรือสัญญาณเตือน เมื่อหลอดเลือดดำที่ขาเริ่มหย่อนสมรรถภาพ จะทำให้เกิดการไหลย้อนกลับและการคั่งค้างของเลือดภายในหลอดเลือดดำ คุณอาจรู้สึกถึงอาการต่าง ๆ เช่น ปวดขา ขาหนัก เมื่อยขา ชา ร้อน บวม เป็นตะคริวในเวลากลางคืน โดยอาการเหล่านี้ มักเกิดขึ้นบ่อย จนทำให้รู้สึกหงุดหงิดและประสิทธิภาพของการทำงานของขาลดลง ซึ่งอาการเหล่านี้จะส่งผลรบกวนคุณภาพชีวิตโดยรวม ปล่อยทิ้งไว้ ไม่สนใจดูแลขา...เส้นเลือดขอด....มาเยือน เมื่อเกิดการคั่งค้างของเลือดเป็นเวลานาน ๆ ผนังของหลอดเลือดจะถูกดันจนโป่งพองและสามารถเห็นได้จากผิวนอก ซึ่งเรียกว่า “เส้นเลือดขอด” เส้นเลือดขอด มักก่อความกังวลใจโดยเฉพาะผู้หญิงที่ต้องใส่กระโปรง และยังมีโอกาสลุกลามไปสู่ระยะที่รุนแรงขึ้น ดังนั้นวิธีที่ดีที่สุด คือการป้องกันเสียแต่เนิ่น ๆ  อาการที่รุนแรงในภายหลัง เมื่อหลอดเลือดดำของขนาดใหญ่เสื่อมสภาพไป จะส่งผลกระทบถึงระบบหลอดเลือดฝอย และระบบน้ำเหลืองซึ่งอยู่ต่อเนื่องกัน ทำให้การหมุนเวียนเลือด และน้ำเหลืองผิดปกติ เกิดการคั่งค้างทำให้เกิดอาการบวมอักเสบ และลุกลามจนเป็นแผลเรื้อรังหรือเกิดภาวะลิ่มเลือดอุดตัน   การรักษา  เมื่อเริ่มต้นมีอาการหรือสัญญาณเตือน ควรเริ่มต้นปรับพฤติกรรมบางอย่าง ในชีวิตประจำวัน โดยปฏิบัติตามข้อแนะนำอย่างเคร่งครัดเพื่อป้องกันไม่ให้อาการของโรครุนแรงขึ้น แต่ในกรณีที่อาการดังกล่าวรบกวนการใช้ชีวิตประจำวัน อาจจะได้รับการพิจารณาให้รับประทานยาที่ช่วยรักษาความผิดปกติของหลอดเลือดดำ และช่วยบรรเทาอาการต่าง ๆ ร่วมด้วย ในระยะที่มีเส้นเลือดขอด บวม แผลเรื้อรัง การรับประทานยาจะช่วยบรรเทาอาการต่าง ๆ ให้ดีขึ้น แต่ควรปรึกษาแพทย์หรือเภสัชกรเพิ่มเติมเพื่อพิจารณาถึงแนวทางการรักษาด้วยวิธีทางศัลยกรรม หรือฉีดยาร่วมด้วย    ข้อแนะนำในการปฏิบัติตัว ไม่ควรยืนนิ่งอยู่กับที่เป็นเวลานาน ๆ ถ้าจำเป็นควรเปลี่ยนอริยาบทบ่อย ๆ  หลีกเลี่ยงไม่ให้ขาสัมผัสกับความร้อน เช่น อาบน้ำที่ร้อนเกินไป ยืนบนพื้นร้อน ๆ อาบแดดนาน ๆ  สวมรองเท้าสูงไม่เกิน 5 ซม. ในกรณีที่ต้องยืนนาน ๆ ควรสวมถุงน่องที่ช่วยพยุง และกระชับกล้ามเนื้อขา ซึ่งมีแรงบีบรีดไม่น้อยกว่า 30 มิลลิเมตรปรอท และควรสวมตั้งแต่เท้าจนถึงเหนือเข่า ออกกำลังกายที่ช่วยให้กล้ามเนื้อ และหลอดเลือดแข็งแรง เช่น ว่ายน้ำ วิ่ง ขี่จักรยาน แต่ควรหลีกเลี่ยงกีฬาที่รุนแรงเกินไป เช่น กระโดดสูง กระแทกเท้า ยกเท้าสูงประมาณ 45 องศา ขณะนอนพัก จนกระทั่งรู้สึก สบายขึ้น จึงนอนต่อในท่าปกติ ไม่ควรปล่อยให้น้ำหนักตัวมากเกินไป

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10 steps to treat ADHD children

During the last semester break, some caregivers have encountered serious problems in many children about their behavior. Besides of typical development at their ages like naughty, difficult to being still, some of them begin to expose the symptoms of "hyperactivity disorder". In most cases, boys are more likely to be ADHD than girls. However, we wish all parents not to be worried. Here are 8 methods of treatment for ADHD children:   1. Turn down the TV volume, keep your home environment calm and safe without chaos or violence. 2. Prepare your children a quiet place to help them focus and concentrate easily on their activities. 3. Guide them to practice on self-discipline, create a regulatory framework with a clear schedule and do not neglect or indulge until the child is addicted to the game. 4. Short, concise, and clear communication. Try to ask the children to repeat and give us their review what they have been taught. 5. Truly understand your children behavior. 6. Keep your home environment well-organized, tidy, and clean. 7. Do not insult the children and avoid every activity that may cause inferiority complex. 8. Avoid putting children with ADHD or similar problem together because it will make the child unruly and aggressive. 9. Recognize and compliment their good and strength to make them feel good and a sense of self-esteem. 10. Arrange creative activities for them to spend their time for goodness and usefulness. These include self-meditation practice, such as exercising or playing music based on their interests. Children’s "mental health" is important to a child's emotional and mental development. Parents should stay be with them to ensure that they are able to grow brightly both physicality and mentality.”  

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Herbal drink for hot relief

Many people say that the summer this year is very hot. Wherever I go, I see only the sun and the heat even staying in the house. Many people say that they don’t want to eat anything at this rate other than water and ice to reduce body temperature. Many people will think of a variety of beverages that can refresh us. Herbal drink is another thing that will help quench thirst and cool down along with some benefits for our body.   1. Roselle juice - In addition to relieving thirst and refreshment, it also helps to urinate, cure gallstones, digestion. and is a mild laxative which helps reduce fever and cough as well. 2. Chrysanthemum juice - relieve heat, thirsty, and refresh us with also reduction of anxiety due to the impact from hot weather. 3. Aloe Vera Juice – it helps in body nourishment, refreshing and aids in excretory system and the stomach constipation. This herbal drink is highly recommended for people who stay up late and are tired. 4. Lotus root juice – the juice, obtained from boiled lotus roots with water is drink to quench thirst. It also helps in curing of diarrhea, heat in the stomach, expel phlegm and tonic. 5. “Aloe vera leaves” juice - helps to relieve heat, thirst, and to cure internal bruises. 6. Centella asiatica drink – it is a well-known drink which obtained from fresh centella asiatica leaves. It can help in curing of sore throat, thirst, relieve bruises, refresh, and reduce high blood pressure. 7. Pandan water - adding freshness, heart nourishing, and quench thirst.   Lastly, keep yourself calm and relax your mind.

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7 ways to save your drive during rainy season

Currently, we spend most of the time on the road, not only driving but got stuck due to heavy traffic more than ever before. Beside traffic jam, heavy rain fall cause it to become even worse of time wasting and fuel consumption, especially during this seasonal period, the rainy season. The price of fuel is quite expensive in which we inevitably bear the impact of it every day. With these 7 methods, they will help you save fuel during the rainy season.   1. Avoid traveling right after the raining stop – contact others by phone, e-mail or public transportation such as BTS and subway instead. This could possibly be more convenient, fuel saving, and helps reduce traffic problems. 2. Engine check - To get your vehicle ready before traveling, it is necessary to check engine as you need to travel during this season. The traffic congestion and wasting time can be encountered when your vehicle is broken while traveling. 3. Traveling rout check - by choosing a traffic route Nearest or checking the route from the radio show Sor Por 91, JS 100 or call 1197 to reach the destination without lost of direction helps to save fuel. Preparation for the service agency such as phone contact (community radio station) is necessary in case of your vehicle is broken down during traveling. 4. Tire check – the tire condition should always be at its standard condition. By checking the tire pressure at least once a week will allow you to realize that how it would possibly impact your trip. For example, as the pressure is below the standard, it will cause about 2 percent of total fuel consumption more, surplus with decrease in efficiency of braking which may result in danger event to life and property. 5. Brake pads check - During the rainy season, the road is more slippery than usual, causing you to apply the brakes more often. The driver should notice the sound and distance while applying brake. This could consume about 400 cc of oil per day. So, the brake pads should be replaced in case of malfunction has be spotted to save fuel consumption, your life and property. 6. Speed check - While driving, your vehicle consume about 10-25 percent of fuel as your vehicle speed exceeds 90 km / h . So maintaining at a speed of 80-90 km/h helps to reduce accidents and fuel consumption. 7. Temperature check – As the outside temperature is a bit cold due to the raining, we can setting the air conditioner in the car to a bit warmer (not too cold) and turn off the air conditioner 2-3 minutes before reaching the destination. This will help save 30 cc of fuel or maximum saving at 300 cc of fuel could be done by leaving the air conditioner off throughout the 20-30 minutes journey.     Reference: Ministry of Energy

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Taking care of shoes during the rainy season

Taking care of shoes during the rainy season           If your shoes are wet and smelly until they become moldy because of rain, then you should try to take care of the shoes as follow. For wet shoes           Clean water should be used for external part. You do not use soap or detergent. Then, you dry with a clean towel. Shoes should be dry by wind but not the sunlight. Shoes should be tilted 45 degrees to the floor, with the heel on the floor. You should always pour the water out until the shoes are completely dry. Then, you can apply the polishing cream and put them under the light sun for 2 hours. For foundation parts inside, if it is detachable, you can use the same way to wash and dry them. Importantly, wet shoes should not be used until completely dry because it will cause the leather to stretch and lose its shape. For moldy shoes           You can use a cotton to wipe it clean. After that, you apply the polishing cream and leave it under the sun for a while. Then, you do the second round of polishing cream, dry and polish again. For moldy shoes, it must be kept under the sun for at least 2 weeks at a time, especially in the rainy season. Humid weather requires extra caution because the shoes that used to be moldy will be able to have it again.   Thank you mcot.net

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Spine examination room, Vibhavadi Hospital

Have you ever heard that if the structure is not good, it can ruin your life. It can be said that backbone is the pillar of our body. Therefore, Vibhavadi Hospital is always ready to take care in every aspect of the backbone with a variety of technologies If the following danger signs are found, you should not ignore. Neck pain, back pain, shoulder pain (sudden or chronic) Neck pain with headache and refer to the arms or legs Pain around the shoulder or elbow, especially when sleeping Numbness of the muscles in the arms, legs, or trunk Difficulty walking, walking short distances, calf pain, leg pain Deformity of cervical or thoracic vertebrae back Back stiffness with neck pain, back pain, coccyx pain (sudden or chronic) Back pain with refer pain to the thighs, legs, and feet Spine examination room, Vibhavadi Hospital provides consulting and treatment services. For those who have neck, back, and waist symptoms both known and unknown causes. It can be treated by a team of specialists, such as orthopedic surgeons, neurosurgeon, rehabilitation medicine physician, which provide care and diagnosis, including medical treatment, physical therapy, alternative medicine, or surgery. For more information, please contact Department of Orthopedic Surgery, Vibhavadi Hospital Tel. 0-2561-1111 ext. 4142-3

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Paralysis- are you scared?

   In our spine, each bone is arranged in a long line down the body, which are connected by joints and intervertebral discs. There is a gap in the middle of the bone, which is the location of the spinal cord. Therefore, when abnormalities occur in bones, joints, or intervertebral discs, there is a chance that such nerves will be harmed and damaged, resulting in paralysis. Symptoms indicating that nerves have been affected are as follows: Neck – pain at neck, shoulders, arms and head, weakness or numbness of the arms, hands, fingers. If it is very severe, it can cause complete or half paralysis. Thoracic - pain in the middle of the back or between the shoulder blades, numbness and weakness from chest down to the feet, loss of control of bowel movements, stools, and urination. Waist – pain at back, leg referred to the toes, partial muscle weakness. You may stumble and your shoes can come off. Buttocks – pain at the buttocks, numbness around the buttocks and genitals, inability to hold stool.   Causes Age-related deterioration of bones, joints, and intervertebral discs Certain diseases, such as rheumatoid arthritis, autoimmune diseases affecting the bones, osteoporosis Infectious conditions, such as tuberculosis of the spine, bacterial spine infection Spinal tumor or metastasis cancer to the spine Congenital spine deformity Spinal injuries from accidents   Treatment           Treatment options, such as taking medications (painkillers, nerve tonics) and physiotherapy, are suitable for patients with mild symptoms. For patients with severe symptoms or with ineffective drug treatment, surgical treatment may be considered.   Surgical treatment Surgical treatment is aimed at Remove any pinched nerves to prevent further disability. Strengthen the spine to be in the most normal condition. Recover the body and nervous system faster. Prevent following complications, such as pressure sores, lung infections, muscle atrophy, and weakness, etc.   There are several methods of surgery depending on the type and characteristic of that disease, however, present surgery can be divided into 2 major types: General spinal surgery Spinal surgery with a small wound about 2.5 cm in size by inserting a tube for the less pain, quick recovery, and returning to work in a short time.  

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Tonsillitis: what kind of symptoms that tonsil should be removed?

The term tonsils refer to the lymph nodes located on the sides of the neck wall. When we fully open the mouth, the tonsils are visible on the left and right sides of the neck wall.   It is generally believed that the tonsils are beneficial to the body. It serves to detain and destroy germs in the mouth.   Cause Major causes of tonsillitis are bacterial infection, namely Streptococcus, and may be caused by some other types of bacteria as well.   Symptom Patients with tonsillitis will have symptoms as follow:   Sore throat, fever, difficulty swallowing, headache, tiredness, and muscle fatigue. In the case of a child, there may be vomiting as well. It will be found that the tonsils are swollen and red. If it is properly treated at this stage, the disease will disappear within 4-5 days.   But if it is untreated, there will be severe inflammation and spread to the soft muscles around the tonsils. There will be an abscess around the tonsils, which has more severe symptoms than normal inflammation. Patients unable to open mouth, eat, have high fever, and dehydration.   It needs to be treated by surgical removal of pus and patient may need to be admitted to the hospital for intravenous medication.   People with frequent tonsillitis will show the big size of the tonsil glands. It leads to a chronic inflammation. The efficiency in destroying pathogens is reduced. The best treatment is tonsillectomy.   Don't let it be often. It can spread out. In addition, when inflammation occurs frequently, pathogens will spread to other organs of the body causing inflammation of the middle ear (leading to otitis media), nephritis, heart valve leakage, which can be life-threatening.   Therefore, when you have sore throat caused by tonsillitis, you should see a doctor to get the right treatment and it should be considered case-by-case.   Tonsillectomy is nowadays easy to do, which only takes 1-2 days in the hospital.   People who should do the tonsillectomy are: The tonsils were found as chronic inflammation. It may lead to difficulty of breathing through the nose, difficulty of swallowing, and frequent ear infections, which is caused by a throat infection. People who have frequent tonsillitis, for example, in adults can have tonsillitis 3-4 times of a year, even if the tonsil size is not large. People who had an abscess around the tonsils. People who have difficulty breathing, loud snoring (OBSTRUCTIVE SLEEP APNEA), which is detected due to tonsil enlargement that blocks the airways. It was found that there was diphtheria in the throat all the time. It is an inflammation of other organs, which is suspected to be caused by inflammation of the tonsils, such as arthritis, nephritis, or heart valve leakage.   Advice for people who want to have tonsillectomy People who want to have tonsillectomy will need to be examined by a doctor and cure an inflammation first. The doctor will make a decision about the tonsillectomy.   Otolaryngology and Larynx medical team at Vibhavadi Hospital

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Adjust your eating habit

How much nutrients do you get from your daily diet? If you choose to eat good food, it will affect to your own good health. For the one who needs to control weight, it will be better if you eat healthy food. Healthy eating habit is simple:   Have breakfast every day and make your lunch as the biggest meal of the day. However, that doesn't mean you can eat whatever you want. Start eating each meal with low fat diet and avoid fried foods or coconut milk. Choose to drink fruit juices that are naturally sweet, skimmed milk, or water instead of soft drinks. You should not drink alcoholic beverages. Eat fruits, such as guava and apple instead of sweets. Choose to eat vegetables and fruits as many as possible in each meal. Chew slowly and thoroughly.   Food intake should not be consumed more than the body needs. You try to adjust your eating habit. We ensure that you will not only have healthy body but also have a good body shape.   Nutrition Department, Vibhavadi Hospital

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Unstable core can ruin your life

Unstable core can ruin your life. Pairat Boonlue, a 33-year-old office worker, underwent surgery for herniated disc at the Spine Clinic of Vibhavadi Hospital. What are the symptoms of herniated disc? How dangerous is it? Mr. Phairat will tell us about it.   I'm an officer. My job involves sitting in front of a computer screen all the time. I had a lot of intermittent pain at the lumbar area and back all the time. One day I had pain in the lumbar area, and it refers to the coccyx, which disturbs my daily life. Such pain is more severe and refers down to the thighs. I was in so much pain that I couldn't stand it and I had to see a doctor at Vibhavadi Hospital. The symptoms at that time were numbness from my knees to my ankles and toes. Dr. Kanlaya Damrongsak, a neurologist at Vibhavadi Hospital, examined and advised me to do an MRI (Magnetic Resonance Imaging, which is an examination of various organs of the body by using strong magnetic fields and radio frequencies together with computers. The resulting image will have clear details like a real photo.). The results of the MRI showed the herniated discs. Dr. Kanlaya then forwarded my case to Dr. Methee Wongsirisuwan, neurosurgeon at Vibhavadi Hospital. Dr. Methee explained to me that the extrusion of the internal contents of the intervertebral discs that looks like jelly to the the cavity of the spinal cord squeeze over the nerves that serve for sensory and motor function. Because of this, I was numb from my knees to toes. The doctor advised me to have surgery because if I didn't have surgery, I might be paralysis.   I decided to have surgery even though I still felt very scared. However, I have heard of Dr. Methee's reputation that he is very professional in surgery, and I was confidence in the equipment, as well as the medical technology of Vibhavadi Hospital. Thus, I decided to undergo surgery. After surgery, Dr. Methee told me the results of the surgery that it was good. I had to stay in the hospital for further treatment. I was told that my surgical scar is small. This is probably because of the medical technology of Vibhavadi Hospital. Now, I have no pain or numbness in the legs as before. However, there is still some pain in the surgical wound. Dr. Methee advised me about exercise and physical therapy, including suggestion on how to sit and work properly. I should change some behavior as the doctor suggested. Until today, my symptoms are getting better and better and I can return to work as before.   Because diseases related to the spine is not only found the elderly, but young people are also suffering from cervical disease more and more, especially young officers. If you are one who regularly has back pain, you should not be ignore about it. The Spine Clinic, Vibhavadi Hospital is ready to serve you.

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