Interview on Happy & Healthy program, during the Health Talk on FM.102 every Saturday from 09.00-10.00 a.m.: Child Development

Child Development It must be acknowledged that nowadays, child development is an important aspect that parents need to pay attention to. Research confirms that children today have the fastest and most efficient brain development during their primary school years. This means that children under the age of 6 can learn and develop their brain function faster than any other age group, especially during the first 3 years of life, which is the period where children have the greatest potential for brain development. Therefore, promoting child development during this critical period is necessary and important. For example, a 1 and a half-year-old child should practice toilet training, a 2-year-old child should practice self-feeding, and a 3-year-old child should learn how to dress themselves. If we don't train our children in these skills at the appropriate time, it can become more difficult to correct later on after the age of 6. Nurses play an important role in promoting the development of children by providing knowledge and advice to families. This care starts during pregnancy by promoting the baby's ability to hear the mother's heartbeat and encouraging fathers to talk to the baby through the mother's womb in order to build a good relationship. Sometimes, nurses may ask the mother to move gently to practice the baby's movement skills and development. Around 7-8 months of pregnancy, nurses may use a flashlight to shine on the mother's belly to promote the baby's curiosity and visual development. After the baby is born, nurses have the responsibility of training and teaching mothers to observe and assess the child's development. If a nurse notices that a child's development is lagging, they will recommend that the mother continue to practice skills. If there is no improvement after a month, the nurse will refer the child to a physician for further examination and diagnosis. Typically, this process starts at 9 months, 18 months, 30 months, and 42 months of age.   Observing developmental abnormalities in children involves looking at 5 aspects of their development: Physical Development: This refers to the body's ability to maintain posture, move, and perform physical activities such as holding the head up, sitting, standing, and crawling, etc. It also includes the development of large muscle groups. Fine Motor and Cognitive Development: This involves the use of touch and fine motor skills, such as the ability to use hands to perform activities such as grasping, manipulating objects, drawing, etc. It also includes cognitive abilities such as problem-solving, memory, and attention. Development in language comprehensive: This is related to the child's ability to understand and use language. Children's language development can vary in terms of pace, depending on their age and stage of development.   Language development and usage: Some children may have slower language development than normal if they take longer to learn basic skills such as crawling, walking, or eating. This can affect their ability to speak, but if a child can understand what their parents are saying and can follow instructions, such as pointing to indicate their needs, it indicates that they may still have the potential for complete language development as they grow older. On the other hand, if a child cannot respond to what their parents are asking them to do, cannot imitate or remember different sounds, and is not startled by loud noises, the mother should take the child to get their hearing and listening skills checked. Hearing problems are also a crucial issue in language development. Many children should be able to understand conversations with strangers by the age of 3-4. If a child has problems with this, it is important to consult a doctor or specialist for speech and listening development to help them improve over time. Development of self-help and social skills: This is the ability to perceive and understand one's own and others' emotions, as well as to control emotions in expressing oneself appropriately, in order to maintain appropriate relationships with others. This development starts from infancy, where if an infant receives appropriate responses, they will develop trust in their caregivers, which is the foundation for important social development. As children grow older, their development becomes more complex. They begin to want to play with friends, have close groups of friends, play, express their feelings, and learn the rules and norms of society according to their age group.   Reasons for delayed development are usually related to premature birth, genetic abnormalities such as Down syndrome, painful conditions, accidents, and disabilities in hearing, throat, nose, and common causes nowadays are related to child-rearing practices. In this era, modern media and technology are easily accessible. We can observe that parents give their children mobile phones to play with since they are young. Children can have short attention spans, easily become irritable, impatient, and some may become stubborn, resistive, and disturb their sleep. Another case is when children are given time to play alone. Many people often think that they spend time with their children while the children are playing with their toys, while the parents work or do their own activities. However, quality time actually means that parents are playing with their children and making their children laugh. Playing is a natural activity for all children and it is important for them as it leads to learning and understanding nature and the environment. For parents, their children are everything in life and they are everything to their children as well. Even when it comes to playing, there is no toy that can provide the warmth and trust that parents can offer.   By Wilawan Boonjung Head of the Pediatric Clinic and Behavioral Development Department, specializing in children's development and behavior issues.

See More

The benefits of traditional Thai massage?

The benefits of traditional Thai massage   Massage is one of the processes for health care that involves the use of touch with principles. Proper massage can improve blood circulation, relieve muscle tension, alleviate body pain, reduce stress, and promote relaxation of the body and mind.   Thai massage Thai massage involves pressing points to alleviate specific body pains or joints, and to release tension and loosen up the body.   Oil massage for muscle relaxation Oil massage is a type of massage that uses natural oils with fragrances to relax the body. The natural oils help to refresh the body and reduce stress, especially when used for treating specific body pains, such as insomnia or stress. Moreover, pure oils can help nourish and tighten the skin, prevent muscles from being loose, prevent fat accumulation in different parts of the body. Additionally, the heat generated from the massage oil penetrates deep into the skin and muscles, helping to relieve discomfort and provide a comfortable and relaxed feeling.   Foot Massage/Reflexology Foot massage and reflexology are techniques used to balance the body because there are reflex points of internal organs in the feet. By massaging the feet and applying pressure to certain points, it helps improve blood circulation to various organs in the body. This results in the elimination of waste products from cells and helps to balance the body's overall health.   Herbal Compress Massage Herbal compress massage involves the use of heat and herbs to help relax muscles, stimulate blood circulation, reduce muscle inflammation, and improve muscle flexibility.   With good intentions, Vibhavadi Hospital Rehabilitation Center.  

See More

Hysterosalpingography (HSG)

Hysterosalpingography (HSG)   Hysterosalpingography (HSG) is a radiological procedure used to examine the uterus and fallopian tubes. It involves the injection of a radiopaque substance containing iodine through the cervix into the uterine cavity and fallopian tubes before taking X-ray images. The purpose of this procedure is to visualize the shape and patency of the uterus and fallopian tubes and detect any abnormalities that may cause infertility or tubal obstruction, such as tubal blockages or uterine abnormalities.   How to prepare for the procedure? Since there may be some discomfort or cramping during the injection of the dye due to the pressure within the uterus, it is recommended to take a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (Brufen) 400-600 milligrams one hour before the procedure.   When is the best time to have the procedure? The ideal time for HSG is 7-12 days after the last menstrual cycle, counting the first day of menstruation as day one. It is important to ensure that you are not pregnant at the time of the procedure.   It is also advised to avoid sexual intercourse from the last day of menstruation until the day of the procedure.   The examination process: The doctor will have us lie down like a regular check-up and insert a tool to open the birth canal, then clean the cervix with medication. After that, the doctor will insert a small tube into the cervix and take an X-ray to examine the flow of color. If the test results are normal, it will only take about 10 minutes to complete.   Side effects: Spotting or light bleeding which usually stops on its own within 24 hours. Infection may occur, causing fever and foul-smelling discharge 2-4 days after the test. However, the risk is low because all tools are sterilized. Mild cramping may occur in patients with a history of ovarian tubes. It is usually brief and not severe. Allergic reactions to the radiation exposure are rare.   How many types of radiopaque substances are there? There are two types of radiopaque substances used in HSG: water-soluble and oil-based. Several studies have compared the pregnancy rates during HSG using water-soluble and oil-based radiopaque substances and found that oil-based substances can increase the chance of pregnancy by up to 10%.   There are several reasons why oil-based radiopaque substances may improve pregnancy rates:   Oil-based substances can help flush out debris and small blockages in the fallopian tubes and create a better environment for sperm and eggs to meet.   Oil-based substances can reduce the number of immune cells (macrophages) that may attack and destroy sperm and eggs, increasing the chance of successful fertilization. The properties of oil-based radiopaque substances can reduce the number of immune cells, which may protect the body from foreign invaders.   Oil-based substances can increase the number of uterine natural killer cells, which are important for preparing the uterus for pregnancy.   Best wishes from the Obstetrics and Gynecology Department, Vibhavadi Hospital

See More

Hidden food allergy (food intolerance)

Hidden food allergy (food intolerance) What is the difference between Food Intolerance and typical Food Allergies? In typical food allergies, when the body receives an allergen, an immediate, severe reaction occurs. This may include symptoms such as hives all over the body or even anaphylactic shock and difficulty breathing. In food intolerance, the patient may not show symptoms immediately, but rather will experience symptoms when they repeatedly consume that type of food until their body can no longer eliminate the excessive amount of independent antibodies. This triggers a cascade of inflammation in various organs in the body, resulting in chronic symptoms that can be difficult to detect, such as headaches, diarrhea, bloating, chronic cough, hives, and edema.   The cause of food intolerance The causes of hidden food allergies are primarily related to a condition called "leaky gut." This is when the gut lining is damaged by food that is not beneficial or contains contaminants, as well as other factors such as stress, infections, poor liver function, malnutrition, and poorly chewed food. This causes gaps in the gut wall, allowing molecules that are not fully digested or foreign substances to seep through into the bloodstream.   Symptoms of hidden food allergies include: Muscular and skeletal problems such as joint pain, muscle weakness, cramps, and rheumatoid arthritis. Skin problems such as chronic sores, hardening of the skin, itching rash, and blisters. Respiratory problems such as allergies, asthma, chronic cough, and sinusitis. Neurological problems such as ADHD, migraines, lack of concentration, depression, and insomnia.   What are the benefits of testing for hidden food allergies? Everyone has food allergies in their body, but some people may show symptoms while others may not. Those who do not show symptoms have a much higher risk because we cannot know what type of hidden food allergy we have. Therefore, we should prioritize our health by getting tested for hidden food allergies. Testing for "hidden food allergies" can help you know in advance what type of allergy or risk you have for food allergies. This will help you avoid and plan your nutrition intake to be as complete and comprehensive as possible while preventing serious diseases that may occur.   With good intentions, the Department of Geriatric Medicine

See More

2 groups of vitamins + minerals, which one is necessary and when should we consume them for a strong body?

2 groups of vitamins + minerals, which one is necessary and when should we consume them for a strong body?   What are vitamins? Vitamins are organic substances that the body needs in small amounts each day, but cannot produce on its own. They are essential for controlling the functioning of every cell in the body.   Vitamins are therefore very important, but the body cannot produce them on its own, so they must be obtained through food and supplements.   Which time is best to consume the 2 groups of vitamins for maximum benefit? Before discussing when to consume vitamins for maximum benefit, it is important to note that vitamins are divided into 2 groups: Water-soluble vitamins Fat-soluble vitamins   1. Water-soluble vitamins Water-soluble vitamins are vitamins that dissolve in water and are not stored in the body. The remaining amount is excreted in the urine. They include:   B-complex vitamins or various B-complex vitamins (B1, B2, B3, B5, B6, B9, and B12) are vitamins that play a role in the process of energy production, and metabolizing various nutrients such as carbohydrates, proteins, and fats. They should be taken after breakfast or during the day. Taking them before bedtime may cause difficulty sleeping.   Vitamin C should be taken after breakfast or during the day and drink plenty of water because vitamin C dissolves well in water but has limited absorption. Therefore, it should be divided into doses, such as 500 mg twice a day.   Vitamin B12 should be taken on an empty stomach for better absorption and taken with folic acid to benefit in maintaining blood cells, energy production, and reducing homocysteine levels (high levels may increase the risk of heart and blood vessel diseases).   Iron should be taken on an empty stomach for best absorption. If there are symptoms of nausea and vomiting, it can be taken after meals, and it should not be taken together with calcium and zinc because it may interfere with the absorption of iron. Eating foods that contain vitamin C along with iron will improve iron absorption.   Zinc is best absorbed on an empty stomach (1 hour before meals or 2 hours after meals). If you experience nausea or vomiting, it may be taken after a meal and should not be taken together with calcium and iron.   Calcium: First, you need to check what type of calcium it is.   Calcium carbonate: should be taken immediately after a meal because it requires stomach acid to break down, but it is poorly absorbed and may cause stomach discomfort or bloating. Calcium citrate: can be taken on an empty stomach and is better absorbed (although it contains less calcium than calcium carbonate), but it is more expensive and should be avoided if taking other medications as it may reduce their effectiveness.   Avoid taking calcium after consuming large amounts of vegetables, and it is recommended to take them together with vitamin D, as it helps with absorption and utilization of calcium. However, it is important to always check your vitamin D levels before taking it (if it is not low, then it is not necessary to take it, but most Thai people have low levels of vitamin D).   2. Fat-soluble vitamins These vitamins are stored in the liver and fatty tissues throughout the body. They should be consumed in moderate amounts, including vitamins A, D, E, and K. This group also includes various oils such as fish oil, evening primrose oil (EPO), co-enzyme Q10, and may also include multivitamins.   It is recommended to take these vitamins after meals, as the fat in the food we consume helps increase the absorption of these vitamins and other nutrients (usually taking around 20-30 minutes after meals).   However, before taking any vitamins or supplements, it is important to research thoroughly or consult with a medical expert in anti-aging medicine.   With best wishes from the Department of Anti-Aging Medicine, Vibhavadi Hospital.

See More

Maintaining good health with these 6 principles

Maintaining good health with these 6 principles   Good health can be achieved easily by following the 6 principles of holistic health care based on the science of aging. These principles can help to promote and maintain good health.   Food: Good food equals good health. The simple key to success is to eat three full meals a day, with a heavy breakfast, a light lunch, and avoid carbohydrates for dinner. Eat all 5 food groups and increase vegetable intake. Do not remove fats from your meals, instead choose good fats. Use Caloric restriction principle and take appropriate dietary supplements.   Healthy lifestyle: Nowadays, the fast-paced lifestyle we lead causes us to skip breakfast, work too much, take too little rest, and sleep late, leading to a distorted bodily function in every system. To correct this, we should return to natural ways of living, discipline ourselves, change bad habits and live according to our biological clock.   Regular exercise: Exercise regularly, at least 2-3 times a week for 30-60 minutes per session. This should include cardio, strength training, and balance exercises. Finish with stretching for muscle relaxation.   Sleep: Sleep is a crucial part of delaying aging. Let's skip breakfast, avoid stress, relax adequately, and sleep well. Go to bed earlier, starting from 9 PM, turn off the lights and curtains to create a dark and silent environment to ensure a deep sleep. This is important during the period of Growth Hormone secretion, which occurs from 12 AM to 1 AM. These hormones will repair damaged cells and rejuvenate the body.   Exercise: Shed the excess weight. Overweight people have a higher risk of chronic diseases than those with normal weight. Effective and sustainable weight loss requires changing eating behaviors and regular exercise.   Balance hormones: Stay youthful with balanced hormones. Hormones play a significant role in the body's different systems, such as Growth Hormone, which stimulates rejuvenation and delays aging. To delay aging and maintain youthfulness, it is necessary to maintain a good balance of hormones in the body.   By following all six principles, we can delay aging, maintain youthfulness, and have good health, reducing healthcare costs in the short and long term.   Best regards, Department of Anti-aging Medicine  

See More

Bad breath

Bad breath   Bad breath can be caused by two main factors, which are causes from within the mouth and causes from outside the mouth.   Causes from within the mouth Causes from within the mouth include having mouth ulcers, having decayed teeth, gum inflammation, and groups of people who use oral tools such as braces and dentures. If oral hygiene is not maintained, bad breath can occur. Additionally, if saliva, which helps to clean out debris from the mouth, is not produced enough, it can cause debris to accumulate and result in bad breath. Furthermore, if debris is left to accumulate for too long, it can decay and produce bad breath.   Causes from out the mouth Causes from outside the mouth are mainly related to lifestyle habits, such as smoking, regular alcohol consumption, and consuming certain types of strong-smelling foods like garlic and spices. Respiratory system diseases can also be a cause of bad breath, such as sinusitis, tonsillitis, bone cancer, acid reflux, chronic obstructive pulmonary disease (COPD), tuberculosis, lung cancer, and poorly controlled diabetes.   Therefore, if one notices that they have bad breath or an unusual smell in their mouth for an extended period of time, it is recommended to see a doctor or dentist to identify the cause and find a solution. Approximately 90% of the time, the primary cause of bad breath is from within the mouth.   Treatment To treat bad breath, it is important to maintain good oral hygiene and eliminate or treat any problems that may exist in the mouth such as tooth decay or gum inflammation. This includes drinking enough water and taking care of overall physical health, avoiding stress and getting enough rest.

See More

Temporomandibular Joint Disorder (TMJD)

  Temporomandibular Joint Disorder (TMJD)   Temporomandibular Joint Disorder (TMJD) is a condition where the joint between the upper and lower jaw is unable to function properly, affecting the movement of the lower jaw in different directions such as forwards, backwards or to the sides.   The causes may include: A displaced or dislocated cushioning disc between the joint bones Damage to the soft tissue of the joint due to arthritis External trauma or an unknown cause Common symptoms include: Headaches, earaches, and pain behind the eyes Clicking sounds when opening or closing the mouth Pain when yawning, wide-mouthed opening, or chewing Lockjaw Soreness of the jaw muscles   Treatment Treatment methods for TMJD are not yet definitive, but there are several ways to alleviate symptoms, such as: Taking pain relief, muscle relaxant, or anti-inflammatory medication to reduce muscle pain Wearing a protective dental appliance to prevent tooth grinding between the upper and lower jaws Relaxation techniques to manage muscle tension, such as avoiding teeth grinding habits If conservative treatment is ineffective, other methods may be used, such as injecting medication into the joint or muscles, using Botulinum toxin, or performing small-scale endoscopic joint surgery or open joint surgery.

See More

โรคเบาหวาน

"เบาหวาน" โรคที่พบได้ในทุกกลุ่มช่วงอายุ มาสังเกตตัวเองกันดีกว่าว่าเรานั้นจะมีอาการของโรคเบาหวานหรือไม่?     โรคเบาหวาน   -โรคเบาหวานเป็นโรคที่เกิดขึ้นเมื่อปริมาณอินซูลินในเลือดไม่เพียงพอต่อการลดระดับน้ำตาลในเลือดให้ลงไปอยู่ในระดับปกติ  -อาการจะรวมถึงความเหนื่อยล้า กระหายน้ำและหิวเพิ่มขึ้นและการปัสสาวะบ่อยขึ้น -การจัดการโรคเบาหวานถือเป็นเรื่องสำคัญอย่างยิ่งในการป้องกันความเสียหายถาวรที่อาจเกิดกับอวัยวะของคุณเนื่องจากระดับน้ำตาลในเลือดสูง   การทดสอบเบาหวาน   -การตรวจระดับน้ำตาลในเลือดขณะอดอาหาร (FPG) ≥126 มิลลิกรัม/เดซิลิตร -การตรวจระดับน้ำตาลในเลือด 2 ชั่วโมงหลังอาหาร (OGTT) ≥200 มิลลิกรัม/เดซิลิตร -การตรวจระดับน้ำตาลในเลือดเฉลี่ยสะสมในเลือด (HbA1c ≥ 6.5%   อาการของโรคเบาหวาน   -ถ่ายปัสสาวะบ่อย -กระหายน้ำมาก -หิวมากแม้ระหว่างกำลังรับประทาน -ตาพร่ามัว -อ่อนเพลียมาก -มีแผลหายช้า -รู้สึกคล้ายเข็มทิ่ม ปวด หรือชาที่มือหรือเท้า   เมื่อไรที่คุณต้องเริ่มการใช้ยาในการป้องกันการเกิดเบาหวาน  หากคุณมีอย่างน้อย 1 ใน 3 ข้อด้านล่าง คุณควรปรึกษาแพทย์เรื่องแผนการรักษาด้วยยาต่อไป   1.ระดับน้ำตาลยังคงสูงขึ้นเมื่อเทียบกับคราวที่แล้ว และ/หรือน้ำหนักไม่ลดลงมากกว่า 5-7% 2.ไม่สามารถออกกำลังกายได้อย่างน้อย 150 นาทีต่อสัปดาห์ เช่น วันละ 30 นาที 5 วันต่อสัปดาห์ 3.มีข้อห้ามในการออกกำลังกาย         ด้วยความปรารถนาดี จาก แผนกเบาหวานระบบต่อมไร้ท่อ   อ้างอิง: American Diabetes Association (ADA)2019

See More

Fibro Scan: A Liver Examination Without Pain

Fibro Scan: A Liver Examination Without Pain   What is Fibro Scan? Fibro Scan is the latest technology used to detect liver fibrosis and measure the amount of fat accumulation in the liver, without causing any pain to the body. It reduces the risk of complications compared to liver biopsy.   Who should receive a Fibro Scan examination? Those with abnormal liver function test results Those experiencing persistent indigestion Those with a history of regular alcohol consumption Those with a family history of liver cancer Those at risk of hepatitis B or C virus infection Those with fatty liver disease Those with diabetes or obesity   Benefits of Fibro Scan examination: It does not cause any pain or complications. Results are immediate and available quickly. Preparation for the examination is easy, with a fasting time of only three hours.   For further information, please contact: Phone: 096-964 6465 Line: @vprecision

See More