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Lower Blood Pressure with Diet

Lower Blood Pressure with Diet According to the Dietary Approaches to Stop Hypertension (DASH) Diet  Type of Food Amount One serving of a high-fiber type of rice or noodles, such as brown rice or rice noodles, is preferable. 2 scoops per meal, 3 meals a day Vegetables: Chinese cabbage, morning glory, kale, cucumbers, tomatoes One dish per meal Medium-sized fruit; 1 orange, 1 guava, half a mango, 6 pieces of pineapples Fruit per meal Meat Fish would be best. The skin must be removed if chicken or duck. Pork must be red meat pork. 4-5 pieces per meal Milk Low fat or yoghurt 2 boxes per day Nuts: Peanuts, cashews, almonds, sunflower seeds, melon seeds, green peas, edamame, mung beans One serving per day Oil: use olive oil soybean oil sunflower oil corn oil instead of palm oil. Refrain from fried, stir-fried, use baked, boiled or grilled foods. Sugar: Refrain from all sweets   

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Get Glowing Skin This Summer with These Simple Tips

Get Glowing Skin This Summer with These Simple Tips   MD. Thanyathos Sojayaya, Dermatologist and Laser Treatment Specialist Dermatology Center, Vibhavadi Hospital   Many individuals are concerned, though they might not admit it, that each summer their skin will suffer from the harshness of the sun. Ultraviolet rays, dust, smoke, and scorching winds can lead to skin that looks dry, dull, and wrinkled, adding years to your appearance. But fear not, these tips will help you take care of your skin: It is essential to cleanse your skin as part of a daily routine. We are constantly exposed to car exhaust, cigarette smoke, and other pollutants, so it is very important to keep our skin clean. For the face, use a product specifically designed for cleansing. This will help dissolve any cosmetic residue. When taking a shower, use soap with a mild acidity to maintain moisture. Avoid using hot water as the heat can damage the skin's natural coating and strip away moisture. Be gentle when washing your face and body - do not scrub the skin vigorously. To help fight aging, it is essential to nourish the skin daily. Apply a moisturizer or nourishing cream gently to the skin in the morning after bathing and before bedtime. It does not need to be an expensive brand of cream; any nourishing cream will do. At night, the skin is best able to absorb the nutrients from the cream. Protecting your skin from the sun is essential to keep it healthy and nourished. However, daily exposure to ultraviolet light increases the risk of developing skin cancer and reduces the blood flow and oxygen supply to the skin, leading to dryness, wrinkles, blemishes, freckles, and dark spots. To prevent these effects, sunscreen with an SPF of at least 15 should be applied each day. If you don't want to apply too many creams, you can opt for a foundation or moisturizer that contains SPF. Take a break from your daily fatigue by taking a walk and breathing in some fresh air! Not only will it make you feel more relaxed, but it also gives your skin more oxygen. Did you know that if you've been feeling anxious from work, it causes the protein levels to fight the free radicals that damage your skin's health? The result is that your skin will start to dry and dull from a lack of moisture, eventually leading to a pale yellow complexion. In order to ensure optimal health and beauty, the Australian Dietetic Association recommends including a daily serving of fruits and vegetables in your diet. This should consist of five types of vegetables and two pieces of fresh fruit. If you are not a fan of eating fresh fruits and vegetables, blending them into smoothies is a great way to get the same benefits. Eating fruits and vegetables regularly will help to better excrete toxins from your body and provide the necessary vitamins and minerals for healthy and glowing skin. Give it a try and you may even find yourself addicted to this healthy habit! Drinking pure water is beneficial for the skin as it provides moisture to the skin cells, transports good nutrition to the skin, and helps the digestive system and kidneys to flush out waste. When we don't drink enough water, dirt accumulates in our body. Alcohol and caffeine are diuretics, meaning they act like a water thief from the skin, so if you do consume them, make sure to drink plenty of water to restore moisture. It is important to drink as much water as possible for optimum skin health. To reduce skin damage, it is important to abstain from smoking, drinking alcohol, managing stress levels, and getting enough rest. This is because these activities can further damage the skin by either increasing the number of free radicals or reducing antioxidant levels. Let's exercise! Jogging every morning helps the body to sweat, which improves waste excretion and overall health. Additionally, it is the simplest way of making the skin look better. This is due to the fact that exercise promotes the circulation of blood and enhances the body's ability to absorb oxygen and deliver nutrients to the skin cells.

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8 Strategies to Maintain Your Wellbeing During the Summer Heat

8 Strategies to Maintain Your Wellbeing During the Summer Heat When the weather is warm and the temperature rises, it can lead to headaches, stomachaches and even diarrhea. But how can we make sure we stay healthy during the summer? You don't have to worry about getting a headache, because we have 8 great tips to help you take care of your health during the summer months. To help beat the heat in the summertime, it is best to avoid eating ice and drinking very cold water. Instead, it is important to keep the body cool by finding ways to prevent heat from hitting it too directly. It is essential to drink a lot of water because the high temperatures of summer will cause the body to lose lots of sweat. Drinking cooked water or water supplemented with sugar, mineral salt, or other herbs can provide hydration to the body. Sleeping in the wind or the cold during the summer can be damaging to the body. The sun's heat causes sweating, which can lead to a loss of energy when sleeping with closed eyes. When the outside temperature is still high and sweat is unable to be drained out, heat will accumulate inside the body, leading to dizziness, exhaustion, and even colds. It is also important to get enough sleep. In the morning, it is best to eat soft foods like boiled rice, and to avoid fried, oily, and dry foods. Eating a lot of fruits and vegetables is a good idea. To ensure the health of children, it is important to pay attention to their clothing, food, housing, and lifestyle. For pregnant women, it is advised to wear clothing that covers the whole body in the summer to avoid cold temperatures. Additionally, it is important to consume clean food and avoid lying on cold ground. Furthermore, always keep the body covered and be cautious of catching the flu. Lastly, one should avoid taking baths that are too hot or too cold. People who need to be especially careful are the elderly, those with weak digestive systems, and those with spleen deficiency. These individuals are prone to heat exhaustion, diarrhea, fungal infection, cold shivering, body pain, and body heat if they are exposed to the sun or if they drink cold water and accumulate too much joy in the body.   If you take care of your health, then summer will be a joyous season.

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Cystitis

Cystitis Cystitis is caused by the same bacteria that inhabit the human gastrointestinal tract. This type of infection typically enters through the urethra, which is why women are much more likely to develop this condition than men.   Urinary tract infection or Cystitis Cystitis is caused by the same bacteria that live in the human intestines. This type of infection enters through the urethra, making it more likely for women to get it than men. This is due to women having a shorter and closer-to-the-anus urethra, which is where many pathogens come from. Almost all women, regardless of age, are at risk of developing cystitis, especially pregnant women in the first two or three months of pregnancy, women who hold their urine for long periods of time, and newly married women, as sexual activity can introduce bacteria into the bladder. People with diabetes, bladder stones, and enlarged prostates may also experience complications from cystitis. Symptoms of cystitis include frequent urination, burning and stinging sensations when urinating, not much urine being released at one time, and an urgent need to urinate with sudden pain. In some cases, blood may also be present in the urine.   Cause You should not hold your urine unless absolutely necessary, as this will cause bacteria in the bladder to reproduce more quickly. Additionally, the bladder will become stretched, which weakens the bladder epithelium's capacity to get rid of pathogens, making it more likely to become inflamed. Furthermore, abnormalities of the bladder, urethra, and stones may occur more often.   Treatment The doctor will provide you with pain medication and antibiotics to fight the infection. However, you must also take steps to take care of yourself. Drinking lots of water will help speed up healing, so make sure you drink enough to keep your urine clear. Additionally, try to avoid eating foods that may irritate the bladder, such as coffee or alcohol, as these can cause increased urination and contractions of the bladder.   In some cases, further diagnostics might be necessary to detect any abnormalities, such as X-ray scans or an endoscopy (Cystoscope).

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Constipation

Constipation   Constipation is a common issue among the general population. Generally, the excretion of most people ranges from 3 bowel movements per day to 3 per week. If a person has fewer than 3 bowel movements per week, it is assumed that they are suffering from constipation. This can cause stools to become hard, making them difficult to pass, requiring a lot of effort, and taking a long time to evacuate. However, if the person is still able to have a bowel movement every day or more than 3 times per week, it would not be considered constipation.   Constipation Constipation is a common issue among the general population. Generally, the excretion of most people ranges from 3 bowel movements per day to 3 per week. If a person has fewer than 3 bowel movements per week, it is assumed that they are suffering from constipation. This can cause stools to become hard, making them difficult to pass, requiring a lot of effort, and taking a long time to evacuate. However, if the person is still able to have a bowel movement every day or more than 3 times per week, it would not be considered constipation. The Association of Gastroenterologists of Thailand's Thai Motility Club found that 2.5% of the population has this condition.   Causes of Constipation            Known Symptoms   1. Obstruction of the gastrointestinal tract, including colon cancer The skin around the anus bulges into the nearby organs, causing a rectocele. narrowing of the rectum (anal stenosis) The nearby organs compress the large intestine.   2. Diseases of the endocrine system or abnormalities of mineral salts in the body, including   Diabetes Hypothyroidism Hypokalemia in the blood Tumors of the adrenal glands (Pheochromocytoma) Underactive pituitary gland (Panhypopituitarism) Porphyia Poisoning from heavy metals such as lead, mercury, arsenic. 3. Medications include: Anti-diarrheal drugs such as loperamide Painkillers such as morphine, fentanyl Anticholinergic drugs such as intestinal spasms Psychiatric drugs Some anticonvulsants Gastrointestinal pill Antihypertensive drugs, calcium channel blockers Tonic infused with iron Diuretics Some cancer drugs 4. Neuromuscular diseases Parkinson's disease Spinal cord injury Autonomic neuropathy   Constipation of unknown cause: Slower-than-normal colon function Problems with the muscles of the pelvic floor   Finding the Cause of Constipation If a patient presents with alarm symptoms such as a family history of colorectal cancer or inflammatory bowel disease, pale color, hidden blood in the stool, or unexplained weight loss, a colonoscopy should be performed to rule out the cause of colon cancer. This could be supplemented with additional tests such as a blood test, fecal examination, radiographic examination, endoscopy, or a colonic function test, including a colonic transit study and an assessment for defecatory disorder, particularly in patients over 50 years of age.     Treatment   To avoid using drugs, it is recommended to adjust diet, behavior, and practice good excretion habits, such as: Eat high-fiber foods such as fruits and vegetables. Drinking at least 1.5L of water per day Daily exercise Going to the toilet when you feel the urge to defecate avoiding medications that cause constipation avoiding long-term use of laxatives allowing enough time for defecation without rushing The treatment of constipation may involve the use of oral medications, suppositories, or enemas, depending on the underlying cause or mechanism. Botulinum toxin injections have been shown to be beneficial in patients with excessive tension in the outer sphincter. In cases where treatment does not provide relief, surgery may be an option for treating slower-than-normal bowel function caused by an overly tight outer sphincter and abnormal anatomy of the rectum and rectum.

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Getting Ready for Your Health Check-up

Getting Ready for Your Health Check-up   Nowadays, people are more aware of the importance of health check-ups. In some cases, there are laws that provide welfare benefits for employees to have health check-ups on various occasions. These include check-ups before starting a job, annual check-ups, and other promotions that can be seen by the public, such as ads and PR campaigns.   The health inspector's primary goal is to ensure that people have the best possible chance of leading a healthy and long life. To achieve this, they conduct examinations that check for any potential health issues, even if a person appears healthy. Some people may be afraid of the results of these tests, but it is important to remember that early diagnosis and treatment of any disease can help to improve one's quality of life. Ultimately, the health inspector's role is to promote good health and well-being.   Many people wrongly believe that health checkups only require blood tests and X-ray examinations. However, it is important to cover all aspects of one's health in a checkup. This includes not only blood and X-ray results, but also a history of any risks, such as family history of any diseases, illnesses, drugs, vaccines, diet and exercise. All of this information should be shared with a doctor so it can be taken into account in combination with other results.   Regular health check-ups are necessary to detect silent threats such as diabetes, high blood pressure, and early stage cancer, which show no symptoms in their early stages. By getting regular check-ups, these risks can be identified and treated before they worsen, ultimately leading to a better quality of life.   In addition to the health check, there are many diseases that are easily contagious and life threatening that are not related to the health check. Consequently, vaccinations are necessary to prevent these illnesses, such as the flu vaccine, hepatitis, etc.   Getting ready for your health check-up Ø No food 8-10 hours prior to the examination. Ø Water and personal medication can eat before health check Ø If you suspect you are pregnant, please inform the nurse before the test. Ø Do not smoke before receiving a health check because your blood pressure will be higher than normal Ø Get enough rest. before receiving a health check Ø Abstain from alcoholic beverages. 24-48 hours before the health check-up Ø If one is taking any form of medication or dietary supplement on a regular basis, it is important to inform the doctor before undergoing any health check. This is because certain medications and supplements can interfere with the results of blood tests, urine tests, or stool tests. Ø It is important to refrain from feasting prior to a check-up. Make sure to have a substantial meal within 2-3 days before the appointment. Ø If a hearing test is scheduled, it is important to avoid any loud noises such as machines, discotheques, or any other noise sources that exceed 80 decibels for at least 14 hours prior to the hearing test. Ø If you need to have a lung function test: § You should refrain from large meals at least 2 hours before the examination. § Do not exercise for at least 30 minutes prior to the examination. § Always wear loose and comfortable clothing when undergoing pulmonary function testing, and discontinue using any Bronchodilators given to you prior to the test. Remember to bring your own personal medication to use after the examination is finished. Bronchodilator, refrain from 6-8 hours. Bronchodilators, abstain for 12 hours. Long-acting bronchodilators, refrain from 24 hours. For a gastric examination, refrain from eating and drinking for at least 6 hours prior to seeing the doctor. Make sure to get adequate rest; it can have an effect on one's blood pressure. Women should avoid checking their health during menstruation, as this can affect urinalysis results. Consult with a doctor before the examination in order to provide any relevant health information, understand any checklists or packages, and to ensure a cost-effective health check-up.     Finally, everyone gets the test results and follows the doctor's instructions, such as looking after their health, exercising, and eating a balanced diet. Health checks are pointless if you aren't taking care of your health. So let's make sure you're taking steps to stay healthy.

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ความเชื่อที่ผิด 4 ประเด็นหลัก กับ โรคมะเร็ง

ความเชื่อที่ผิด 4 ประเด็นหลัก กับ โรคมะเร็ง รู้ทันมะเร็ง : 4 กุมภาพันธ์ วันมะเร็งโลก  โดย นพ.วีรวุฒิ อิ่มสำราญ ผู้อำนวยการสถาบันมะเร็งแห่งชาติ สำหรับปี 2557 ได้กำหนดหัวข้อการรณรงค์เรื่องการทำลายความเชื่อที่ผิด 4 ประเด็นหลัก  ความเชื่อที่ผิดประเด็นที่ 1           เราไม่ควรพูดคุยกันเรื่องโรคมะเร็ง เพราะเป็นเรื่องที่น่าเศร้าหรือเป็นเรื่องที่น่าอาย ที่ต้องการปกปิดไว้ไม่ให้ใครรู้ แต่ความจริงคือการที่ได้พูดคุยกันเรื่องโรคมะเร็ง รวมไปถึงการให้ความรู้ที่ถูกต้องเกี่ยวกับโรคมะเร็งในสังคม จะช่วยให้ประชาชนเกิดความเข้าใจในการดูแลตนเองตั้งแต่การป้องกัน การตรวจคัดกรองค้นหามะเร็งตั้งแต่ระยะเริ่มต้น การเข้าสู่กระบวนการรักษาที่ถูกต้องและได้ผลการรักษาที่ดี และการที่ผู้ป่วยมีโอกาสพูดคุย จะสามารถระบายและสามารถปรึกษาผู้อื่นรวมถึงญาติพี่น้อง ซึ่งจะช่วยให้ความวิตกกังวลลดลง รวมถึงผู้ที่ดูแลผู้ป่วยก็จะมีความรู้ความเข้าใจในการดูแลและให้คำแนะนำการปฏิบัติตัวแก่ผู้ป่วยได้อย่างถูกต้อง ความเชื่อที่ผิดประเด็นที่ 2            มะเร็งเป็นโรคที่ไม่มีสัญญาณเตือนใดๆ ซึ่งความจริงก็คือมะเร็งหลายชนิดมีอาการและอาการแสดงนำมาก่อน ที่ทั่วโลกต่างรณรงค์กันเรื่อง 7 สัญญาณอันตรายของโรคมะเร็งอันประกอบด้วย ระบบขับถ่ายเปลี่ยนแปร แผลที่ไม่รู้จักหาย ร่างกายมีก้อนตุ่ม กลุ้มใจเรื่องกลืนกินอาหาร ทวารทั้งหลายมีเลือดไหล ไฝหูดที่เปลี่ยนไป ไอและเสียงแหบเรื้อรัง ซึ่งอาการเหล่านี้อาจจะเป็นหรือไม่เป็นมะเร็งก็ได้ แต่ถ้าเป็นมะเร็งที่พึ่งเริ่มมีอาการ โอกาสที่จะรักษาหายขาดก็มีมาก ความเชื่อที่ผิดประเด็นที่ 3             เราไม่สามารถทำอะไรได้กับมะเร็ง เรียกว่ามะเร็งเป็นสิ่งที่เราจัดการอะไรไม่ได้เลย เป็นมะเร็งเพราะโชคชะตาฟ้าลิขิตเป็นเรื่องของเวรกรรม แต่แท้จริงแล้วเราสามารถป้องกันไม่ให้ตนเองเป็นมะเร็งหลายชนิดได้ ด้วยการรณรงค์ให้ความรู้เรื่องปัจจัยเสี่ยงที่ทำให้เกิดมะเร็ง การปฏิบัติตัวให้ห่างไกลจากโรคมะเร็ง โดยต้องร่วมมือกันในทุกภาคส่วน ตั้งแต่ในระดับบุคคล ระดับสังคมและนโยบายระดับประเทศ รวมถึงการออกกฎหมายควบคุมและดำเนินการอย่างจริงจัง ก็จะสามารถลดการเกิดมะเร็งในภาพรวมได้ถึง 40 เปอร์เซ็นต์ ความเชื่อที่ผิดประเด็นที่ 4            เราไม่มีสิทธิ์ได้รับการรักษาโรคมะเร็ง ซึ่งปัจจุบันผู้ป่วยทุกสิทธิ์การรักษาสามารถได้รับการรักษาโรคมะเร็งได้ทุกคนทั้ง 3 กองทุนคือ สิทธิ์ตามหลักประกันสุขภาพแห่งชาติหรือ 30 บาทรักษาทุกโรค สิทธิ์ประกันสังคม สิทธิ์กรมบัญชีกลาง เพราะฉะนั้นไม่ต้องไปเสียเงินรักษาเอง หรือไปรักษาในแนวทางที่ยังไม่เป็นที่ยอมรับ ซึ่งหลายรายเสียโอกาสที่สำคัญที่จะหายขาดจากโรคเลยล่ะครับ...เชื่อผมสิ

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What does Cerebral Hemorrhage mean?

What does Cerebral Hemorrhage mean?   Ischemic stroke paresis, or paralysis, is a symptom that causes much fear in people, particularly the elderly. This symptom is characterized by weakness of one limb that may not completely disappear or recover, often requiring long-term rehabilitation and causing residual disabilities to varying degrees. The most common cause of this symptom, accounting for 80-90%, is cerebrovascular disease, whereas the remaining 10-20% are due to other causes such as brain tumor or brain abscess. What does Cerebral Hemorrhage mean? Cerebral artery stenosis is a type of Cerebrovascular disease, which is a group of three major diseases: ischemic stroke, rupture, and blockage. Of these three, Cerebral stenosis is the most common, accounting for 80-85% of cases.   The thickening of the artery walls causes constricted blood vessels. This thickening can lead to platelets and other components of the blood collecting along the artery walls, reducing blood flow. If the obstruction is severe, it can cause a lack of blood supply to the brain, resulting in damage to the brain cells in the affected area.   What symptoms would you have? The symptoms of narrowed blood vessels in the brain may vary depending on the area of the brain affected, as each part of the brain has different functions. Possible symptoms include: Weakness of limbs or numbness on one side (In some cases, it may be both halves) Stiff tongue, slurred speech or choking Unable to speak or unable to hear (problems with language understanding) Excessive dizziness, staggering like never before. Lost of vision on either eye.   The main traits of the symptoms are that they manifest rapidly, unexpectedly, in a matter of minutes, or even upon waking up when the individual had been feeling normal before going to sleep.   Who has the opportunity to reduce the risk of this disease?   Age is an unavoidable factor, but there are many other risk factors that can be managed. If these are managed well, then the likelihood of the disease can be decreased.   What are the symptoms?   Due to the fact that the brain is composed of multiple parts, each of which has distinct functions, the particular symptoms displayed by a patient experiencing narrowed blood vessels depends on the region of the brain affected. Symptoms may include: Weakness of limbs or numbness on one side (In some cases, it may be both halves) Stiff tongue, slurred speech or choking Unable to speak or unable to hear (problems with language understanding) Excessive dizziness, staggering like never before. Lost of vision on either eye. The main characteristics of the symptoms are that they can come on quickly, in a matter of minutes, or shortly after waking up when the person was previously normal. As people age, their risk of developing this disease increases and this cannot be prevented. However, there are many risk factors that can be controlled, such as poor diet, lack of physical activity, smoking, and high stress levels. If these risk factors are managed properly, the chance of developing paralysis can be reduced, though not eliminated entirely. High blood pressure Diabetes Hyperlipidemia Smoking Certain heart diseases.   How is it diagnosed? Based on a patient's history, general physical examination, and neurological examination, a doctor may opt to perform a Magnetic Resonance Imaging (MRI) scan of the brain instead of a Computed Tomography (CT) scan. A CT scan of the brain can help distinguish a narrowed or ruptured blood vessel, as the treatment for these conditions can vary significantly.   Can it be cured?   Currently, there is no drug that directly treats the symptoms, but each patient has the opportunity to recover on their own through physical therapy. The extent of improvement will vary from person to person, but it is possible to roughly estimate the trend 2-4 weeks after the onset of symptoms. This is just a general trend, for example, if the patient is significantly better after two weeks, there is a good chance of full recovery. Some people may need to do physical therapy for 3-6 months, but not see the desired results. In these cases, recovery may take longer or may not reach full potential.   What are the medications used for treatment?   Drugs used to prevent recurrence of this disease are important, as there is a risk of recurrence if it has occurred before. An anticoagulant drug is usually prescribed by a doctor on a case-by-case basis, and people should not buy and take it themselves as it may have side effects. Another important group of drugs are those used to control risk factors such as diabetes, high blood pressure, high blood fat, and so on, including taking the right actions, especially controlling diet. If these diseases are well managed, the risk of having a stroke is much lower. Smoking should also be stopped as it is a major risk factor, and quitting depends only on the individual's determination and willpower, not on medication. Physical therapy is essential to increase the chances of recovering from weakness. With the help of physical therapy, patients can regain their strength. As for the medicines taken, they focus on preventing the recurrence of ischemic strokes, so even after taking them, physical therapy is still needed to improve symptoms as much as possible.   Can brain tonics help? People often discuss brain tonics, ginkgo, nutritional supplements, and other treatments, such as expensive injectable drugs, as potential solutions for paralysis. However, there is no reliable medical evidence that these treatments are effective. Furthermore, some treatments may have unintended negative effects on patients, so caution should be exercised before consuming or injecting anything. Ya Mor is an extremely well-known medication, especially in rural areas. Unfortunately, it not only fails to benefit the user, but can also cause severe harm. People continue to take it, however, because they believe that the substances in it can make them feel better and cure any illness, although this is merely a temporary sensation without any long-term effects. Symptoms like high blood sugar, gastritis, weak immunity, frequent infections, and swollen face can all be caused by taking this drug for an extended period of time. When users quit taking it, they may experience various forms of discomfort. Therefore, it is essential to avoid taking Ya Mor as a medication.   Why are some people seek monk or take medicine able to walk again?   As mentioned at the beginning, this disease is difficult to predict in the early stages. How can each person get better? It varies from person to person; some may get better on their own without taking any medication, while others may need to take medications and undergo complete physical therapy. Even with these treatments, the person may not get much better or even get worse. Therefore, it is usually better to try alternative treatments such as herbal medicine, before considering more invasive treatments. Herbal medicine has become popular due to people talking about their experiences with it, but if it does not improve symptoms or causes side effects, people generally don't talk about it. The worsening of symptoms is usually caused by the disease itself, not the treatment.   What causes doctors to be biased against or block treatments that are not currently planned? Doctors are not closed-minded or biased because they understand that the current medical plan cannot cure all cases. Therefore, when patients and their families suggest trying alternative treatments, most doctors are willing to explore these options, so long as the treatments are safe and pose no risk of harm to the patient. However, some alternative treatments, such as herbal medicine, massage therapy, sleeping in black sand, etc., may be dangerous and it is the doctor's responsibility to make sure that these treatments are properly evaluated before being used. There is also another group of people who need to be addressed. Although their activities may not be harmful, they seek to benefit from the struggles of patients and their families by selling overpriced supplements, magnetic beds, vitamins, and injectables from overseas, among other items. Such exaggerated claims are now being increasingly outlawed.   Is it possible to prevent ischemic stroke? Preventing ischemic heart disease is extremely important, as it can lead to disabilities even if it is not completely healed. Those with risk factors, such as age 30-35 or older and a family history of diseases, should take extra care to control the disease by taking prescribed drugs, eating a healthy diet, exercising regularly, getting enough rest, and avoiding intoxicants. Blood tests should also be done annually to check for risk factors. Taking these steps can greatly reduce the chance of paralysis due to ischemic heart disease.   When caring for patients with this disease, it is important to adhere to the following principles: 1. Strictly control any risk factors, take prescribed medications as directed, and attend regular doctor's appointments. 2. Continue physical therapy, which may be done at home after leaving the hospital. 3. Encourage the patient, as this disease is associated with depression and stress. 4. Before sending the patient home, those who are unable to walk should be taught proper care, such as turning over and sitting up often, to prevent complications such as pneumonia, pressure sores, urinary tract infections, and tube feeding (if necessary).   Best wishes from Vibhavadi Hospital

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Healthy Vegetarian Diet

Three principles recommended by Ministry of Health for a healthy vegetarian diet are to eat clean, nutritious, and safe food. Consumers should eat all 5 food groups, choosing a variety of fruits and vegetables or 5 colors, as well as give the importance of cleanliness: washing fruits and vegetables before eating in order to prevent chemical residues that are at risk of cancer. On October 4th, 2013, at Samyan Market Pathumwan District, Bangkok, the Department of Health organized a campaign of “Good health starts here…Confidence in vegetarian food by eating organic vegetables, safe and healthy food.”  It is believed that abstinence from meat and other negative stimulants during vegetarian festival will lead to good health and peace of mind but the consumers need to be mindful in selecting safe food in order to get complete nutrition. Even having to refrain from meat, which provides the necessary protein for the body by replacing with plant-based protein such as dried bean tofu and soy protein and replacing plain rice with brown rice which is rich in vitamins, minerals and dietary fiber.   Dr.Pornthep Siriwanarangsan, M.D. Director-General of the Department of Health revealed that for the safe vegetarianism with no risk of any diseases, the public and entrepreneurs are requested to adhere to 3 principles : Cleanliness : by taking care of cleanliness from the raw material preparation process in particular, fruits and vegetables proper washing to prevent chemical and pesticide residues by removing the outer shell. Washing under running tap water for 2 minutes or soaking in salt water or water mixed with vinegar, leave for 10 – 15 minutes or soak in water mixed with 1 tablespoon of sodium bicarbonate per 1 basic or about 4 liters of water. Then washed with clean water 2 – 3 times in order to remove all remaining toxins, reducing the risk of cancer especially breast cancer. For entrepreneurs to cook food properly and do not share chopping boards or knives between fresh and raw food. Do not bring food or items to be frozen together with ice for consumption. Wear gloves, put on an apron and a shower cap or use equipment when handling food each time including washing hands before preparing food and after going to the toilet.   Eating according to nutritional principles means cooking food by boiling, steaming, or simmering and reducing the consumption of fried, sweet, and salty foods. Choose to eat a variety of colorful vegetables and fruits, or make sure to consume 5 colors including white, such as ginger, mushrooms, cauliflower, white radish, bananas, and pears, which help reduce cholesterol levels, prevent heart disease and cancer, and benefit the circulatory system in the body. Purple-blue colors from lavender, purple cabbage, purple mangosteen, roselle, grapes, raspberries, blueberries help eliminate cancer-causing substances. Green and yellow-green colors from water spinach, Chinese kale, broccoli, chayote, lotus stem, kale, bitter gourd, winged bean, asparagus, Brussels sprouts, and green avocado and apple are high in vitamin A, help nourish the eyes, eliminate body odor, strengthen bones and teeth, nourish the liver, and stimulate the body's waste disposal system. Yellow-orange colors from corn, mango, orange, cantaloupe, papaya, carrot, pumpkin, and squash help nourish the eyes, heart, and reduce cholesterol levels or fat in the blood. They also help make the skin radiant, increase immunity, and the red color from watermelon, red apple, red grapes, tomatoes, pomegranate, red chili peppers, beetroot, and cranberries help prevent free radicals, reduce levels of bad cholesterol in the blood, and inhibit or prevent the occurrence of various types of cancer, especially testicular cancer. It is recommended to avoid consuming 5 types of pungent-smelling vegetables, including onions, garlic, shallots, leeks, and tobacco leaves. Food safety means choosing ingredients from certified sources, such as the fresh market of the Department of Health, restaurants with the Clean Food Good Taste sign, and seasonings with symbols such as FDA and GMP, all of which are regulated every time. Sources : - Thansetthakit newspaper               - Sor Sor Sor  

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Stroke Fast Track: Ischemic Stroke

Stroke Fast Track: Ischemic Stroke   Dr. Ittikorn Saelao, a Neurologist at Vibhavadi Hospital, stated that an ischemic stroke is caused by constricted cerebral blood vessels which leads to a lack of blood supply to the brain. This will cause the brain tissue to begin to die, starting in the middle cerebral hemisphere and expanding out to other parts of the brain, resulting in paresis or paralysis.   Stroke Fast Track Dr. Ittikorn Saelao, a neurology physician at Vibhavadi Hospital, stated that an ischemic stroke is caused by constricted cerebral blood vessels, resulting in a lack of blood supply to the brain. As a result, the brain tissue will start to die in the middle cerebral hemisphere first, before gradually spreading to other areas of the brain, potentially causing paresis or paralysis. It was discovered that after 4 and a half hours (270 minutes) of the patient exhibiting symptoms, a medical breakthrough was made regarding the treatment of Cerebral Infarction (Ischemic Stroke) with thrombolytic drugs, known as Thrombolytic Therapy. This is an important period for physicians to use when planning for treatment. Four and a half hours, or 270 minutes, is the amount of time between the moment a patient experiences their first symptom of a stroke and when a doctor injects them with fibrinolytic medication. If the patient arrives at the hospital later than this often they are unable to receive such treatment, as brain tissue can only endure ischemia for 270 minutes before it dies. This stroke treatment plan is known in medicine as the "Stroke Fast Track," "Stroke Expressway," or "270 Minutes of Life." Symptoms that are abnormal and are warning signs that there is a chance of ischemic stroke are:   1.             Symptoms and signs -               Hemispherical First Limb hemiparesis -               Numbness of the limbs (hemisensory loss) -               Weakness in both limbs -               Slurred speech oret -               Blurred vision (double vision or dij) -               Can't speak, can't hear (aphasia) -               Blurred vision (hemianopia , mor) -               Staggering without balance (ataxin) -               Dizzy, spinning house 2.             Time Course (one or the other) -               Quickly or instantly -               After waking up Risk factors of ischemic heart disease is -               Gender: Men have a higher chance than women. -               Age: As age increases, starting at 45, the likelihood of having a stroke increases, indicating that the older you get, the more chances you have of developing the condition. -               Family history: People with a family history of this disease, such as a parent, sibling, or other direct relative, may have a higher chance of developing it themselves.     -               Congenital disease: People with congenital disease especially diabetes hypertension Hyperlipidemia, heart disease -               People who smoke -               People who are overweight Cause 1.             Adhesion of fat on artery walls (atherosclerosis) 2.             Blood clots dislodged from the heart (Cardiac emboli) 3.             Torn artery wall (arterial dissection) 4.             Others such as -               Inflamed blood vessels (Vasculitis) -               Blood viscosity (Hyperviscosity) -               Abnormal blood clotting (Hypercoagulability) Risk factors can be divided into Factors that cannot be prevented include:   -               Older age, especially from 45 years old, there is a greater chance of having an ischemic stroke. -               Gender: People with a family history of the disease, such as a father, mother, or siblings, are more likely to develop it than those without such a family history. Additionally, men are slightly more likely than women to get the disease.   Preventable factors include:   -               Congenital diseases such as high blood pressure, diabetes, hyperlipidemia certain heart diseases heart disease (arrhythmias, valvular heart disease) -               Smoking -               Those who are overweight -               Lack of exercise   If you have any unusual symptoms that could be indicative of an ischemic stroke, it is important to seek medical attention immediately. Taking steps to manage the risk factors associated with stroke can help to reduce the chances of experiencing a stroke. However, if a stroke occurs, it is important to get to the hospital as soon as possible. With the Stroke Fast Track program, you can get from the stroke expressway to the hospital within 270 minutes, dramatically increasing the chances of a positive outcome.   Ischemic Stroke Treatment   At Vibhavadi Hospital, there is a team of doctors, nurses, and multidisciplinary professionals ready to provide quick screening and treatment of any abnormal symptoms related to ischemic stroke. The Stroke Fast Track treatment plan involves a 60 minute procedure, including neurological examination, blood tests, and a CT brain scan if the patient has symptoms within 4.5 hours and has no contraindications to drug administration. The standard treatment for ischemic stroke today is the intravenous administration of a blood-thinning drug called Recombinant Tissue Plasminogen Activator (rtpa). The Neurology Center would like to clarify the benefits and complications that may occur from intravenous fibrinolytic injection of this drug.   Benefits The study revealed that patients who were given the drug experienced an improvement in their symptoms. Additionally, those who did not receive the drug but had either a mild level of residual disability or a full recovery after three months were 30% more likely than those who did not receive the drug.   Potential Complications The study revealed that 6.4% of patients who took the drug were more likely to experience complications such as brain hemorrhage, compared to the 0.6% of those who did not. Nevertheless, by carefully selecting patients and checking for drug allergies, the chances of further complications can be minimized.   Other Treatments   If the patient is not able to receive intravenous fibrinolytic drugs, the doctor may opt to give anticoagulant drugs instead to prevent stroke complications. The patient will need to be admitted to a stroke unit to ensure their neurological health, as well as regulate their cardiovascular system, respiratory system, body temperature, blood pressure, and blood chemistry. Furthermore, physical therapy may also be used to further rehabilitate the patient.   Ischemic stroke can be managed to reduce the risk of death through careful monitoring and control. Risk factors that can be controlled, such as managing underlying conditions to stay within healthy range, adjusting lifestyle habits to fit, such as eating a balanced diet of all five food groups, exercising regularly, keeping weight within the suggested range, abstaining from smoking, and avoiding alcohol consumption, and seeing a doctor immediately if any abnormal symptoms appear, are critical components of the 270 minutes of Life Stroke Fast Track. At Vibhavadi Hospital, our team of doctors and nurses are ready to quickly assess any abnormal symptoms that a patient may be experiencing, such as paralysis or stroke. We have a Stroke Fast Track Treatment Plan that follows all service procedures to ensure that treatment is provided as soon as possible upon arrival at our hospital. Generally, it takes about 60-90 minutes from arrival until treatment begins. Accident and Emergency Department Vibhavadi Hospital 0-2561-1111 press 1

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