लंदन- कोरोना के ऐसे मरीज जिन्हें इस बीमारी से ठीक हुए एक वर्ष हो चुका है लेकिन अधिक शारीरिक गतिविधियों के दौरान सांस लेने संबंधी दिक्क्तें इस बात का संकेत हो सकती है कि इस बीमारी ने उनके दिल को नुकसान पहुंचाया है। एक शोध में इस बात की जानकारी दी गई है। बेल्जियम में यूनीवर्सिटी हॉस्पिटल ब्रुसेल्स की शोधकर्ता डा. मारिया- लुइजा लुचियान की अगुवाई में किए गए शोध में इस बात का खुलासा किया गया है कि कोविड़-19 की वजह से लोगों में दिल की बीमारियों में बढ़ोत्तरी देखी जा रही है और इसकी वजह से उन्हें लंबी अवधि तक सांस लेने में दिक्कतें हो सकती है जिन्हें लांग कोविड कहा जाता है। इस दल ने पता लगाने की कोशिश की कि क्या ऐसे मरीजों में दिल की कोई असामान्यता अधिक देखी जा रही है।
उन्होंने कहा हमारे अध्ययन से पता चला है कि कोविड के एक तिहाई से अधिक ऐसे मरीज जिन्हें इस बीमारी से पहले दिल या फेंफड़ों की कोई बीमारी नहीं थी लेकिन कोविड से ठीक होने के एक वर्ष बाद उनमें सांस लेने में दिक्कतें देखने को मिली और इससे यह पता चल सकता है कि आखिर उनमें सांस लेने में दिक्कतों का क्या कारण हो सकता है। इसका संबंध कहीं न कहीं दिल के स्वास्थ्य से जुड़ा हो सकता है।
इस शोध में ऐसे 66 मरीजों को शामिल किया गया जिनमें पहले दिल या फेंफड़ों की कोई बीमारी नहीं थीं लेकिन जिन्हें मार्च और अप्रैल 2020 के दौरान कोविड की बीमारी की वजह से अस्पताल में भर्ती कराया गया था ।
इन्हें अस्पताल से छुट्टी दिए जाने के एक वर्ष बाद उनके स्पाइरोमीटर टेस्ट तथा सीटी स्कैन के अलावा दिल का अल्ट्रासाउंड किया गया और इसमें नयी इमेजिंग तकनीक को इस्तेमाल किया गया था। इसका मकसद यह पता लगाना था कि उनके दिल की कार्यप्रणाली में कोई असामान्यता तो नहीं आ गई है। इसमें जिन मरीजों को शामिल किया गया था उनकी औसत आयु 50 वर्ष थी तथा इनमें से 67 प्रतिशत पुरूष थे। एक वर्ष बाद लगभग 23 मरीजों को सांस लेने में दिक्कतें देखीं गई थी।
इस शोध को यूरोपीयन सोसायटी ऑफ कार्डियोलॉजी के वैज्ञानिक सम्मेलन यूरोईको 2021 में प्रस्तुत किया गया था।
यह भी पढ़े► ओमिक्रॉन से संक्रमित अधिकांश रोगियों में हल्के लक्षण मिले: दक्षिण अफ्रीकी डॉक्टर
Winters in India have always beckoned for that hot, steaming bowl of tomato and pepper rasam or the mellow, millet based Raab. Certain dishes like Sarson ka saag, undhiyu, nimona pulao are winter specialites in the country.
Seasonal food has always been an Indian speciality we switch our choice in fruits, vegetables, sometimes even grains with the onset of a different season. The preference of using specific ingredients during certain climates is visible in our sweets as well. It's common to find local and traditional delicacies made of jaggery, instead of sugar during the winters. Case in point the Nolen Gur Rasgulla, a speciality made in Odisha and West Bengal between November to February.
Celebrity chef, Sanjeev Kapoor, strongly advocates this need of eating seasonal produce. He says, "The beauty of our food is in our seasonal usage of fruits and vegetables. If you realise, Gajar ka halwa is made aplenty during winters as this is the season when beautiful red carrots hit the market or mango pickle is made during summer, thanks to its availability. Despite people and sometimes, even me, suggesting that we should eat fresh as well as seasonal fruits and vegetables, we do not know what chemicals are sprayed on them to keep them safe while they are growing.
When this produce hits the market, there isn't a certifying agency like the FSSAI that will help people understand what vegetables and fruits are free of pesticides and germs and which ones don't. Hence, the onus lies on us to make them safe for consumption. ITC's Nimwash is a good solution."
When it comes to winters, the Chef recommends eating these fruit and vegetables:
Purple Mogri- Mogri or Radish pods are not a common sight throughout the country. But you can spot them during the winters in local markets in northern India where women pick them up to make raitas, curries and stir fries. Rich in magnesium, calcium and copper, the vegetable is known to aid people from digestive problems.
Sweet Potato- A re-discovered favourite, Sweet potatoes have created a space for itself in the millennial kitchen. With its diverse addition in burgers, chips and even chat, the root vegetable is filled with nutrients such as fibres and vitamins.
Avarekalu- Called Hyacinth beans in English, Avarekalu is a winter speciality in the south that is added to sambhar, saagu, rotis, etc. Bangalore is famed for its Averakalu mela during the winter months, where you can find these beans in dosas, Pani puri and even Jalebis! Thronged by crowds from all over the city, the food fest is a gourmand's delight.
Amla- The Indian gooseberry is a common winter fruit found through the country. High in Vitamin C, it is known to be immunity building and extremely beneficial for the skin and hair. There are multiple ways to eat Amla - it is pickled, made into a fruit preserve called Murraba or even eaten by sprinkling salt over it.
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While wearing double masks, which helps create a strong barrier against Covid-19 infection spread via airborne viral particles, has become the new normal, prolonged wearing of masks can develop hydration issues or other nagging breathing troubles, health experts said on Wednesday.
There has been enough evidence through the pandemic to show the importance of masks for effective pandemic control. At the start of the pandemic, it was seen that countries (primarily Asian nations) which enforced early masking had lesser mortality rates as compared to countries in the West where compulsory mask wearing was introduced quite late.
"Prolonged mask wearing can be associated with certain problems the most common being headaches, dehydration, acne and difficulty in breathing," Radhika Banka, Consultant Pulmonologist at P.D. Hinduja Hospital & MRC, Mumbai, told IANS.
Breathing issues are "usually seen in mouth breathers and in people with underlying respiratory problems such as COPD (Chronic Obstructive Pulmonary Disease)", she added.
According to Ravi Shekhar Jha, Additional Director and HOD, Pulmonology, at Fortis Escorts Hospital, Faridabad, wearing double mask for long hours can also lead to dryness.
"It is because natural humidification of nasal mucosa gets impaired," Jha said.
There are various masks available in the market, including cloth masks, surgical masks and respirators such as N-95s.
The cloth mask has the least protection and the US Centre of Disease Control and Prevention (CDC) recommends wearing a disposable surgical mask along with a cloth mask for additional protection. For surgical masks, the knotted technique (that is knotting the ear loops to provide better fit and prevent leakage from the sides) is recommended.
But with full vaccination rolled out in most countries, are double masks still required?
"Even after double dose vaccination, people can get breakthrough infections and can still be asymptomatic carriers and spread the infection. Hence masking is important even after double vaccination," Banka said.
The health experts stated that for people living in India, double masks become more important as vaccination of children has not yet begun in the country, and asymptomatic transmission is the highest from children. Added to this is a high population density, where social distancing is not practically possible in many cases.
Most of the countries which have made masks voluntary are those in the West with low population density, where social distancing is feasible. These countries have managed to vaccinate more than 80 per cent of their population with two doses. Also, masks in these countries are still recommended in enclosed spaces, public transports, healthcare facilities etc.
"With only 48 per cent of our population being vaccinated with one dose and 25 per cent being vaccinated with two doses, I do not think India can yet take the risk of removing the mandatory use of masks," Banka said.
However, according to Jha, "A single mask, if worn properly, is sufficient."
"People who wear double masks, have this tendency of adjusting their masks repeatedly due to breathing issues, and that way the whole purpose of wearing a mask is defeated," he said.
Jha added that for someone like a healthcare worker, who is in an area with high concentration of Covid viral droplets, an N-95 mask should be worn all the time. For other situations, a normal surgical mask (single) is sufficient.
"We need to ensure that masks are worn properly, with proper seal at nose. Improperly worn masks are more dangerous. It is also important to keep in mind that a mask alone may not protect. One needs to follow hand hygiene as well as maintain social distancing," Jha advised.
Although several countries have loosened mask restrictions citing vaccine efficacy, various studies and health experts have stressed on the need for continuing wearing masks, even after being fully vaccinated, including booster shots; and following other protective measures such as physical distancing and handwashing.
A recent study led by researchers from the Monash University and the University of Edinburgh analysed more than 30 studies from around the world and found a statistically significant 53 per cent reduction in the incidence of Covid with mask wearing, and 25 per cent reduction with physical distancing. Handwashing also indicated a substantial 53 per cent reduction in Covid incidence.
Most people are able to wear masks fairly well for a few hours, but if your job requires you to wear masks for a prolonged period, it is essential to take adequate breaks to hydrate oneself and prevent any skin problems, Banka suggested. (Agency)
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Menstrual health comprises the physical, social and mental aspects related to menstruation or periods. In India, women's health has been given secondary importance due to a male dominant society, illiteracy, low socio-economic conditions and ignorance.
The most common causes of menstrual problems are PCOS (Polycystic Ovarian Syndrome), and abnormal or heavy menstrual bleeding. Menstruation or monthly periods have been associated with a lot of social and cultural taboos in India.
Many young girls and women do not have facilities to manage their menses hygienically, maintaining their privacy, dignity and gender equality at home, schools and workplaces.
So, what are normal periods? A normal menstrual period lasts from 2-7 days and comes at an interval of 21-35 days. It is difficult to quantify the actual menstrual flow. In general, use of three to four XL or regular size sanitary pads per day (since they need to be changed every six to eight hours) can be considered normal on an average, but it may vary depending on the individual.
Common Menstrual Problems
1. Menstrual hygiene
2. Menstrual flow
3. Menstrual cycle
4. Menstrual hormones
Menstrual Hygiene Related Problems: Use of unclean sanitary pads or clothes can give rise to genital tract infections, anaemia and urinary tract Infection. This can be prevented by social awareness and easy availability of affordable sanitary products. It is also important to have the right knowledge about menstrual hygiene to avoid such issues from taking place.
Menstrual Flow Related Problems: One can experience excess or scanty flow during periods. Usually heavy menstrual flow can be for 1-2 days but if it continues for more than 5-7 days, it can lead to low haemoglobin and anaemia. This definitely needs to be investigated and treated along with oral iron replacement therapy. The less flow or change in flow over years can be due to hormonal imbalance. This can occur mostly after completion of family in perimenopausal age.
Menstrual Cycle Related Problems: Irregular periods, skipping or not getting periods for more than six months (also known as secondary amenorrhoea) and bleeding in between periods (called inter menstrual bleeding) are a few problems under this type of problem. The most common cause for this is Polycystic Ovarian Syndrome (PCOS), stress, anxiety and depression. Investigations in the form of pelvic sonography and hormonal investigations are necessary to make a diagnosis. Regular exercise, a balanced diet and healthy lifestyle changes are important.
Menstrual Hormone Related Problems: This usually gives rise to psychomotor issues. They can be symptoms of Premenstrual Syndrome (PMS) at any age group or peri/postmenopausal vasomotor symptoms after the age of 45. Bloating, breast tenderness, irritability and depression which occur premenstrually and disappear with onset of periods are classical symptoms of PMS. If they are affecting day to day family life, then it needs to be treated.
Every woman experiences menopausal symptoms in varying severity, starting usually 4-5 years before menopause. The night sweats, hot flushes, low moods, anxiety, irritability, joint and muscle pain, loss of interest in having sex, and weight gain are typical menopausal symptoms due to deficiency of oestorgen hormones.
No matter which type of menstrual problem you're facing, it is always advisable to visit a gynaecologist who will be able to identify all your queries after making the right diagnosis.
Nua, a new-age brand transforming the women's wellness space in India with holistic and personalised solutions that addresses real problems faced by women in managing their menstrual health and personal hygiene, provides an innovative range of products and services, including India's first customizable pack of sanitary pads and self-heating menstrual cramp patches, also available on a subscription basis. (Vaishali Joshi, #NuaExpert on Gynaecology, is an Obstetrician and Gynaecologist at Kokilaben Dhirubhai Ambani Hospital, Mumbai)
Read More► Post Diwali, Delhi hospital sees 10% more respiratory problem patients
Delhi's Lok Nayak Jai Prakash Hospital has seen a growth of 8 to 10 per cent in patients suffering with respiratory problems due to pollution after Diwali, its Medical Director Dr Suresh Kumar said on Sunday.
Talking to IANS, Dr Suresh Kumar said that they everyday have 10-12 patients visiting the hospital with breathing problems.
"Air pollution has become a major issues post Diwali. Elderly people and chlidren are the main victim of the pollution," he said, adding that long-term exposure to chronically high PM 2.5 levels weakens the lungs' ability to function.
The air quality in Delhi improved marginally on Sunday from Saturday's "severe" to "very poor category". According to the forecast from the Air Quality Early Warning System, the AQI will continue to remain in the "very poor" category till at least Tuesday.
About the pollution caused respiratory and other problems, Dr Kumar said that they have capacity for 120 patients but due to the outbreak in pollution-related diseases post Diwali, they are getting around 140 patients every day in the hospital.
He said the emergency and OPD wards are getting average 140 patients in total, with all types of problems, but most of them are suffering with respiratory and dipping levels of oxygen. It also includes the rising number of asthma cases in children.
About the preventive measures, he said that only two things - use of masks and avoiding stepping outside - can protect people from such rising level of pollution.
He added that the high level of PM 2.5 particles at this time can lead to lung infections, irritation in eyes, and respiratory problems.
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Skin problems like itchiness, dryness and flakiness can occur anytime if you're not moisturising your body enough. It is commonly observed that while many people take their skincare routine seriously, a majority of them neglect to moisturise the body. It is important to keep in mind that timing matters a lot when it comes to applying moisturisers. Therefore, knowing the appropriate time to apply body lotion is essential. Take a look at the ideal times to moisturise your body.
Moisturising the body in the morning sets your skin up to face countless irritants and environmental factors during the day. The skin is constantly exposed to harsh chemicals and pollutants when you're outside which is why using a protective and soothing moisturiser while going out is necessary. Kimirica's Five Elements Body Lotion comes with natural Aloe Vera extracts that act as a rich source of antioxidants and vitamins that helps protect your skin and provides a deep nourishing effect.
After Shower, Shaving and Washing Hands
After you take a shower, your skin has the maximum moisture and moisturisers work effectively on hydrated skin. That is why dermatologists always recommend applying moisturiser right after getting out of the shower. When applied early, moisturisers are able to trap some water that's still in the body and hydrate the body.
Shaving not only helps you to get rid of unwanted body hair but also removes the surface skin cells. To soothe any skin irritation and protect the exposed skin from dryness, apply any hydrating moisturiser that gives your skin a natural glow.
The increasing use of antibacterial soaps and hand wash takes a toll on your hand disrupting the natural skin barrier. To protect your hands from cracking and dryness, you can use the brand's Bouquet Hand Lotion that comes with a rich combination of sweet almond oil, Shea butter, grape seed extracts, Olive Oil and Jojoba Oil.
During and After Your Flights
Travelling makes your skin dryer, the reason being the low humidity and the recycled air inside. As body lotions are available in small sizes, it is advisable that you should carry your body lotion and apply it during your flight and once you land as this will help in combating the skin drying issue.
Research has shown that the skin effectively repairs itself from 10 p.m. to 11 p.m. That's why you should always make sure to moisturise your skin on or before this time. Also, it has been observed that the skin's transeepidermal water loss increases during sleep which takes away plenty of moisture from the skin. So, all these reasons make it quite clear as to why you should always moisturise your body before going to sleep.
Exfoliation is an important step in any skincare routine but applying body lotion post exfoliating is equally required. Exfoliating results in the removal of dead skin cells which makes space for a new layer of skin. Applying body lotion will help to soothe the top layer of skin and also strengthen the moisture barrier.
Workout sessions are often sweaty and tiring but preparing your skin before stepping out is very important as exercising outside often leads to dryness. Applying light-weight body lotion before your session is recommended.
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