Dr.deep Naryan Pandey

About 60 per cent of people suffering stroke in India face various degrees of disability, some lifelong, said experts here. A stroke occurs when the blood supply to part of the brain is interrupted or reduced, preventing brain tissue from getting oxygen and nutrients. As brain cells begin to die in minutes, prompt treatment is crucial and early action can reduce brain damage, other complications and death. "While the numbers of stroke patients continue to rise exponentially, like many other brain diseases, there is still a remarkable lack of awareness regarding this condition. Timely treatment in stroke will go a long way in improving a patient's quality of life, and reducing lifelong morbidity and mortality," said Pankaj Agarwal, Senior Consultant -Neurology, Head, Movement Disorders Clinic & In-Charge, Deep Brain Stimulation (DBS) Programme, Global Hospital Mumbai. "Stroke patients who get help from paramedics are more likely to reach hospital for care -- in India, that number is only 1.8 per cent. We need uniform emergency medical services (EMS) system and certification of stroke ready hospitals across the country so that people know where to go when they recognise the signs of stroke," added Dr P.N Sylaja, Professor and HoD, Neurology, In-Charge, Comprehensive Stroke Care Programme, Sree Chitra Tirunal Institute for Medical Sciences and Technology (SCTIMST). While traditionally stroke affects older age groups, a large number of ischemic strokes are now known to also affect young people - in their 30s or 40s. Sometimes even adolescents in their teenagers or early 20s are affected. "Stroke affects as many as 18 lakh Indians every year, which means one Indian suffers stroke every 40 seconds. One-fourth of these people are aged less than 50 and increasingly, a large proportion of stroke patients are found in the age group of 19 to 30 years. The burden of stroke on the most productive sections of society not only affects the person and their family but leaves a cascading effect on the countrya¿s socio-economic condition," said Kamal Narayan, CEO, Integrated Health and Wellbeing (IHW) Council. Covid has also increased the risk of stroke, particularly among the young patients between 20 and 30,as the virus triggers abnormal and severe clotting in blood. While the risk is around 1 per cent (higher if other risk factors for stroke are present), it is still life-threatening or leads to severe disability. "In India, about 30 per cent of people suffering stroke die and a whopping 60-70 per cent people suffer various degrees of disability. The number of disabled people is more as we move into the interiors where hospitals do not even have a CT scan machine. We need to ensure they get treatment," said Prof M.V. Padma Srivastava, Head, Neurosciences Centre, All India Institute of Medical Sciences (AIIMS), New Delhi. Eating a well-balanced diet, avoiding processed foods and sugary drinks, limiting salt, alcohol, smoking, and exercising daily can lower the risk of stroke, the doctors said. Read More► Fibre-Rich Diet Cuts Indians' Risk of Crohn's Disease, Colitis: IISER Bhopal

While Covid-19 cases continue to surge, we need to be even more vigilant, while staying at home and keeping ourselves healthy and fit. While eating right and exercising ensures our bodies and minds stay fit, it is also important to strengthen our respiratory system as that is also severely affected by the virus. Breathing exercises are a great way to develop the lungs as they improve lung muscles, clear out any secretion and increase the capacity by supplying an adequate amount of oxygen. There are several other benefits to these exercises as well! It also helps us stay calmer, and de-stress especially in these unprecedented times we are living in. To get started, here are five breathing exercises you can do at any time of the day and in any comfortable space. Also, Read► How to Choose a Workout That Fits Your Needs Deep breathing with increasing counts: breath-in and breath-out This is one of the easiest and most important exercises. It helps in strengthening our lungs and improving blood flow, immunity and eliminating stress and anxiety. Steps: * Sit down in a relaxed position, take a deep breath and count your inhalation and exhalation. Ideally, your inhalation and exhalation counts should be the same. * With each breath increase the count to inhale and exhale for as long as comfortable. Practise from 2 to 5 minutes duration. Diaphragmatic Breathing Also known as belly breathing, or abdominal breathing, this particular exercise has various benefits such as managing irritable bowel syndrome, depression, anxiety and insomnia. Normally people get in the habit of breathing without fully utilising the lower part of their lungs. With this breathing technique, you consciously practise filling in lungs to their maximum capacity and increasing oxygen uptake. Steps: * Lie flat on the floor or sit in a comfortable position and relax your shoulders * Put one hand below your chest and just above your stomach (this is where your diaphragm sits) * Take a deep breath in by expanding your diaphragm or stomach and exhale slowly. Cardiovascular Exercise The benefit of any cardiovascular exercises is that it increases your heart rate which forces the respiratory system to become more efficient and eventually increases the amount of oxygen you take with each breath. This allows for your lungs to improve capacity and function better. Here are some of the most common cardiovascular exercises that you can do from the comfort of your home: are brisk walking, spot jogging, jumping rope, jumping jacks and climbing staircase. Also, Read► 6 Best Fitness Apps So You Can Exercise Anywhere Anulom-Vilom More commonly known as alternate nostril breathing, it is a prevalent Pranayama and has been spoken about in the Hatha Yoga literature. This exercise helps clear out the nasal passage and improves respiratory muscle strength. It is advised that Anulom-vilom should be practiced on an empty stomach ideally in the morning or in the evening after a long meal gap. Steps: * Sit on a chair or on the ground cross legged, in a meditation position * With your right thumb, close your right nostril and inhale through the left nostril. Release your right nostril and with your middle and ring finger, close your left nostril exhaling through the right nostril * Inhale through the right nostril, then release the fingers, closing the right nostril and exhaling through the left nostril * Continue the slow breathing through alternate nostrils and focus on the breath * Practise this for 10 minutes for benefits to start accruing Bhramari Derived from Sanskrit, brahmari literally means a bee. It is a humming exercise, which increases nitric oxide in the body and acts as vasodilators; helps with easier blood flow through the vessels and prevents muscles from tightening. Steps: * Sit on a chair or on the ground cross legged, in a meditation position. * Close your ears using your thumb and place your middle and ring fingers lightly at the inner corner of your eyes. * Rest your index finger above your eyebrows and little finger where it rests on your cheeks. * Take a deep breathe in and while exhaling make a soft humming sound similar to 'hmmmmm', throughout the entire exhalation. Inhale again and while exhaling make the humming sound. * Practise for 10 minutes for benefits to start accruing. These exercises won't help prevent Covid, however, if performed daily, they will help in developing a stronger respiratory system which can help our body to fight any possible infection. Having said that, if you or your family members have any pre-existing health conditions or are feeling any discomfort, please do consult with your doctor. Reference * Saoji AA, et al. Effects of yogic breath regulation: A narrative review of scientific evidence. Journal of Ayurveda and Integrative Medicine. Volume 10, Issue 1, (2019): 50-58 * Martel, J., et al (2020). Could nasal nitric oxide help to mitigate the severity of Covid-19?. Microbes and infection, 22(4-5), 168--171 * Sivakumar G, et al. Acute effects of deep breathing for a short duration (2-10mins) on pulmonary functions in healthy young volunteers. Indian J Physio Pharmacol 2011; 55 (2) : 154--159 * https://www.healthline.com/health/diaphragmatic-breathing * Hakked CS, et al. Yogic breathing practices improve lung functions of competitive young swimmers. Journal of Ayurveda and Integrative Medicine. Volume 8, Issue 2 (2017): 99-104 (Jyoti Dabas, Founder & CEO, Institute of Nutrition and Fitness Sciences (INFS)) Read More► 12 Yoga Poses That Do Wonders to Your Skin Naturally

यदि सफ़ेद दाग या ल्यूकोडर्मा से आप पीड़ित हैं तो अब घबड़ाने की कोई बात नहीं क्योंकि इसकी हर्बल दवा बन चुकी है और तकरीबन डेढ़ लाख से अधिक लोगों का इसके जरिये उपचार भी हो चुका है. इस हर्बल दवा को वरिष्ठ वैज्ञानिक डॉ. हेमन्त कुमार ने बनाया है जिसके लिए उन्हें ईयर आफ द साइंटिस्ट अवार्ड से सम्मानित किया गया. रक्षा अनुसंधान एवं विकास संगठन (डीआरडीओ) की तरफ से उन्हें यह सम्मान डीआरडीओ भवन में हुए कार्यक्रम में रक्षा मंत्री राजनाथ सिंह की तरफ से दिया गया. उन्हें पुरस्कार स्वरूप दो लाख रुपये की राशि और प्रशस्ति पत्र भी दिया गया.    ( यह भी पढ़े - ल्यूकोडर्मा के कारण, लक्षण और आयुर्वेदिक उपाय )   सफेद दाग यानी ल्यूकोडर्मा की इस दवा का नाम ल्यूकोस्किन है जिसे एक बड़ी खोज माना जा रहा है. ल्यूकोस्किन को हिमालय क्षेत्र में दस हजार फुट की ऊंचाई पर पाए जाने वाले औषधीय पौधे विषनाग से तैयार किया गया है. यह खाने और लगाने दोंनों स्वरूप में उपलब्ध है. इस दवा का उत्पादन अब एमिल फार्मास्युटिकल करती है और एक प्रभावी दवा के रूप में इसकी अच्छी पहचान बन चुकी है.    डॉ. हेमन्त कुमार वर्तमान में डीआरडीओ की प्रयोगशाला रक्षा जैव ऊर्जा अनुसंधान संस्थान (डीआईबीईआर) में वरिष्ठ वैज्ञानिक के पद पर कार्यरत हैं. उन्होंने पूर्व में भी 6 दवाओं और हर्बल उत्पादों की खोज की थी.   सफ़ेद दाग की दवा खरीदने के लिए लिंक -  Lukoskin Ointment Lukoskin Oral Liquid Lukoskin Set

One such case was reported in Indraprastha Apollo Hospital where the patient suffered this disease after contracting the Covid-19. A 55-year-old man, with co-morbidities, had contracted Covid-19 with mild symptoms and isolated himself at his home in Jammu. "Being a diabetic and patient of hypertension, his condition started deteriorating within days. Blood oxygen saturation levels plummeted and he was admitted in a local hospital where doctors found his lungs infected with pneumonia. The patient was put on a ventilator. However, when his health did not improve, he was flown to Apollo via air ambulance," said Dr Rajesh Chawla, Senior Consultant, Pulmonology & Respiratory Disease at Apollo told IANS. The doctors here continued to keep him on the ventilator. Meanwhile, they administered him sedatives and muscle relaxants for appropriate ventilation. Chawla said that the condition of the patient's lungs improved within a few days after which, he was removed from anaesthetic drugs. However, the patient did not respond even after hours of removal from the sedatives, and was later discovered to have gone into a deep state of coma. The later investigation revealed that he had developed AHL in his brain, Dr Vinit Suri, Senior Consultant, Neurosciences at Apollo told IANS. "Generally, patients wake up within a few hours after removing sedatives. However, when this patient did not move his limbs even after several hours, it alarmed us. The MRI scan of the patient's brain showed a lot of swelling into the brain and an unusually large number of small bleeding spots called microhaemorrhages," he said. "Usually, when patients with a chest condition are removed from sedation and muscle relaxants (after being on a ventilator), they come back to consciousness within hours, but that was not the case with this patient. His MRI revealed that there were multiple swellings in the brain along with over 400 micro blood clots (haemorrhagic spots)," Suri added. However, with a treatment through immunotherapy and steroids, the patient regained consciousness within 7 days. "He started opening his eyes and moving his limbs. Initially he was quite delirious and in a confused state but with time, his brain achieved full consciousness. Fortunately we were able to diagnose this condition on time. While he still has slight weakness in his limbs, his post treatment MRI shows more than 50 per cent recovery," he said. The patient was discharged on Saturday. Encephalitis causes inflammation in the brain and is manifested by epileptic seizures, fever and headache. Suri said that the association of Covid-19 with encephalitis is rare and only few cases have been reported worldwide. It is not the virus that hits the brain but it is the immune response towards the virus that causes inflammation in the brain. Dr Manjari Tripathi, Head, Department of Neurology, All India Institute of Medical Sciences (AIIMS) Delhi said that the autoimmune response of the body in Covid-19 has found to be precarious for the nervous system of the body. "The brain is involved in Covid and patients are found suffering from hypoxia and encephalitis. There are cases where patients who were on ventilators, went into coma and never regained consciousness. The cytokine storm is manifesting several complications in the body and the neurological disorders are one of them," she said. Tripathi said that people need to be more cautious and wear masks all the time. "It's a relief that cases are on the downwards trend but we must know that we should not become a threat to others. Mask is a must till we achieve zero cases," she added. (IANS)