लखनऊ (21 नवंबर, 2021) सदी के सबसे बड़े संकट कोरोनावायरस ने जब पूरे दुनिया में कहर बरपाया तब भारत में इस संकट से निपटने में आयुर्वेद उम्मीद की किरण बनकर उभरा। भारत के स्वास्थ्य सेवा में इस अंतर को विश्व ने भी महसूस किया।
लखनऊ में रविवार को निरोगस्ट्रीट द्वारा आयोजित चिकित्सकों की परिचर्चा में ये बात उभर कर सामने आयी। इसमें 'भविष्य के हेल्थकेयर सिस्टम में आयुर्वेद की भूमिका' विषय पर देश के जाने-माने चिकित्सकों ने अपनी राय रखी।
इस मौके पर उत्तरप्रदेश आयुष विभाग के सेवानिवृत वरिष्ठ चिकित्सा अधिकारी (आयुर्वेद पंचकर्म, योग और सेल्फ डेवलप रिलैक्सेशन थेरेपी के विशेषज्ञ) डॉ. देवेश कुमार श्रीवास्तव ने ग्लोबल हेल्थकेयर प्लेटफॉर्म में आयुर्वेद हेल्थकेयर की उपयोगिता पर अपनी बात रखी।
डॉ. देवेश कुमार श्रीवास्तव ने अपने वक्तव्य में कहा कि आयुर्वेद में वैश्विक स्वास्थ्य चुनौतियों से निपटने की जबरदस्त क्षमता है और इसी कारण भविष्य में यह विश्व की स्वास्थ्य सेवाओं में अग्रणी भूमिका निभा सकता है। कोरोनावायरस की वैश्विक आपदा के समय आयुर्वेद ने अपनी इसी क्षमता को प्रमाणित किया और वैश्विक स्तर पर इसे स्वीकार भी किया गया। भविष्य की किसी भी स्वास्थ्य चुनौतियों का सामना करने में आयुर्वेद पूरी तरह से सक्षम है। योग्य आयुर्वेद चिकित्सकों और आयुर्वेदाचार्यों के निर्देशन में साक्ष्य आधारित उपचार और थेरेपी व प्रमाणिक आयुर्वेद की दवाइयों के माध्यम से असाध्य से असाध्य रोगों का बेहतर इलाज करने में आयुर्वेद सक्षम है।
कार्यक्रम में शहर के 50 से अधिक चिकित्सकों और आयुर्वेद चिकित्सा से जुड़े लोगों ने भाग लिया जो इस कार्यक्रम की सफलता की कहानी खुद-ब-खुद बयान करती है। देश के सबसे बड़े आयुर्वेद चिकित्सकों के प्लेटफॉर्म 'निरोगस्ट्रीट' द्वारा इस कार्यक्रम का आयोजन किया गया था। गौरतलब है कि आयुर्वेद के विविध विषयों को लेकर निरोगस्ट्रीट द्वारा इस तरह के कार्यक्रम अलग-अलग शहरों में लगातार आयोजित किये जा रहे हैं।
यह भी पढ़े► आयुष मंत्रालय द्वारा एएसयू एंड एच दवाओं के नियामकों और निर्माताओं के लिए प्रशिक्षण सत्र
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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COPD also known as chronic obstructive pulmonary disorders is a group of lung diseases that blocks airflow and makes it difficult to breathe. The most common of these diseases are emphysema and chronic bronchitis. Many people with COPD have both of these conditions. Emphysema slowly destroys air sacs in your lungs, which interferes with outward airflow. Bronchitis causes inflammation of the bronchi. COPD is a condition in which the disease worsens over time and it makes it difficult even to breathe. Asthma or Bronchitis is a very dangerous condition during pregnancy which causes fatigue, resulting in energy being diverted from the growing foetus.
Asthma can be hard to diagnose. To find out if you have asthma, your doctor takes your health history, does a physical exam and listens to your breathing.. You also may get a lung function test called spirometry. This is a test that checks how well your lungs work. During the test, you take a deep breath and exhale (blow) into a machine called a spirometer. This machine measures the amount of air you breathe in and out. It also measures how fast you can breathe. When you're pregnant, normal changes in your body can make you short of breath. This test can help your doctor know if shortness of breath is a common complication of pregnancy or if it's caused by asthma.
Treatment: Breathing Exercises with COPD
Pursed lip breathing
Pursed Lip Breathing
Pursed lip breathing has a range of benefits:
It's been shown to reduce how hard you have to work to breathe.
It helps release the air trapped in the lungs.
It promotes relaxation.
It reduces shortness of breath.
Practising this technique 4 to 5 times daily can help. Here's how to practice pursed-lip breathing:
While keeping your mouth closed, take a deep breath in through your nose, count to 2. Follow this pattern by repeating in your head "inhale, 1, 2." The breath doesn't have to be deep. A typical inhale will do. Put your lips together as if you're starting to whistle or blow out candles on a birthday cake. This is known as "pursing" your lips. While continuing to keep your lips pursed, slowly breathe out by counting to 4. Don't try to force the air out, but instead breathe out slowly through your mouth.
Tip: Pursed lip breathing is best for performing strenuous activities, such as climbing stairs.
Feeling short of breath can cause anxiety that makes you hold your breath. To prevent this from occurring, you can practice coordinated breathing using these two steps:
Inhale through your nose before beginning an exercise.
While pursuing your lips, breathe out through your mouth during the most strenuous part of the exercise. An example could be when curling upward on a bicep curl.
Tip: Coordinated breathing can be performed when you're exercising or feeling anxious.
Deep breathing prevents air from getting trapped in your lungs, which can cause you to feel short of breath. As a result, you can breathe in the more fresh air.
Here's how to practice deep breathing:
Sit or stand with your elbows slightly back. This allows your chest to expand more fully.
Inhale deeply through your nose.
Hold your breath as you count to 5.
Release the air via a slow, deep exhale, through your nose, until you feel your inhaled air has been released.
Exercise tip: It's best to do this exercise with other daily breathing exercises that can be performed for 10 minutes at a time, 3 to 4 times per day.
When you have COPD, mucus can build up more easily in your lungs. The huffing is a breathing exercise designed to help you cough up mucus effectively without making you feel too tired.
Here's how to practice the huffing:
Place yourself in a comfortable seated position. Inhale through your mouth, slightly deeper than you would when taking a normal breath.
Activate your stomach muscles to blow the air out in three even breaths while making the sounds "ha, ha, ha." Imagine you're blowing onto a mirror to cause it to steam.
Exercise tip: A huff should be less tiring than a traditional cough, and it can keep you from feeling worn out when coughing up mucus.
The diaphragm is an important muscle involved in the work of breathing.
People with COPD tend to rely more on the accessory muscles of the neck, shoulders, and back to breathe, rather than on the diaphragm. Diaphragmatic or abdominal breathing helps to retrain this muscle to work more effectively. Here's how to do it:
While sitting or lying down with your shoulders relaxed, put a hand on your chest and place the other hand on your stomach.
Take a breath in through your nose for 2 seconds, feeling your stomach move outward. You're doing the activity correctly if your stomach moves more than your chest.
Purse your lips and breathe out slowly through your mouth, pressing lightly on your stomach. This will enhance your diaphragm's ability to release air.
Repeat the exercise as you are able to.
Protect Your Lungs during Pregnancy
Since you're essentially breathing for two, take these steps to protect your lung health and your infant's health:
Tell Your Doctor About Any Shortness of Breath- There can be many reasons for shortness of breath in pregnancy. Pregnant women are no strangers to shortness of breath. Early pregnancy hormone surges and, later, the weight and bulk of your expanding womb restrict your breathing. If you're feeling short of breath, and you're worried about it for any reason, let your doctor know.
Ask for A Lung Function Test- While the parameters for the test might change as your pregnancy progresses, the simple, noninvasive lung test called spirometry can help your doctor check on your breathing.
Manage Asthma- Uncontrolled asthma during pregnancy puts both babies and you at risk. If you've been lax about your asthma medications, it's time to update your routine for pregnancy and then stick to it.
Avoid Cigarette Smoke- Don't smoke, ban smoking at home, and avoid all environments where you are exposed to cigarette smoke.(Suryalakshmi Paleri, Executive Physiotherapist, Cloudnine Group Of Hospitals, Bengaluru (Malleshwaram))
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Recent medical advances have made breast cancer a highly manageable disease, especially when detected early, as in the case of stages 0-to-II cancers.
Timely treatment also minimises disruptions to the patient's daily routine and quality of life. Advancements in digitalisation have also greatly benefited women, as they can easily access information through YouTube on how to self-examine themselves and learn about breast anatomy or changes in breast structure that should be brought to the notice of specialists immediately.
Women above the age group of 20 -25 years should examine themselves monthly, and those above 40 years of age should go for mammography at regular intervals. With earlier breast cancer detection, the survival rate increases to 80 per cent (Stage 1 and stage 2), as compared to 56 per cent in Stage 3 and stage 4.
In India, however, early treatment is the exception rather than the norm. By the time most patients are diagnosed, they are already in stage III or IV of the disease, where treatment modalities are more complex. Additionally, the stigma of living with breast cancer can hamper the patients' quality of life in physical, psychological, and social terms.
Mental health counselling, family and institutional support, and new drugs and modalities can help women at all stages of breast cancer to improve life expectancy, health, and overall happiness, thus ticking all the boxes for improved life quality.
Stigma And Suffering
One in 28 Indian women is at risk of developing breast cancer during her lifetime. As per a CII report, the median age for diagnosis is 46 years, and nearly half of all diagnosed women are premenopausal, i.e., relatively young compared to breast cancer patients in Western nations.
The concern, though, is that at the time of diagnosis, around 70 per cent of Indian women are already in stage III or stage IV (known as metastatic breast cancer, or cancer that has spread to other parts of the body). While getting screened early may seem like an evident solution, however, low awareness and culturally ingrained stigmas still prevent many women from getting the timely help they need.
Due to cultural factors and social taboos, women do not get checked for breast cancer or share their symptoms with others, thereby leading to delayed diagnosis. Unfortunately, the pandemic has only amplified the burden of our healthcare system, magnifying these delays.
A QOL-Itative Approach
Focusing on patients' QOL means helping them thrive on the physical, emotional and social parameters by improving their all-around experience of the disease. New hope has also come in the form of targeted therapies that shrink or remove tumours by disabling specific proteins on cancerous cells to block their growth.
These therapies, which can often be taken orally, allow patients to bypass chemotherapy and related harsh side effects. Targeted therapies are proving more effective than chemotherapy in extending the survival rates of patients with stage III or IV cancers up to 5-8 years even if a patient is diagnosed at a metastatic stage.
The rise of non-invasive, chemo-free targeted therapies is opening a new front in the battle against advanced and metastatic breast cancer. By reducing or eliminating frequent hospital visits and the side-effects they earlier took for granted, it is possible to enhance patients' physical and psychological well-being and to help them live longer with dignity and independence.
Breast cancer doesn't mean the end of life. Today, treatment options for breast cancer have advanced, giving hope to patients even in advanced stages. Nowadays, due to government policies (Ayushman Bharat), every woman, regardless of her social strata, can avail of world-class cancer treatment in medical facilities across the country.
Even in advanced stages, families should not lose hope, as newer drugs such as molecular therapy treatment have proven effective for patients suffering from hormone-positive breast cancer, which is the most common form of cancer among Indian women. As many as 60 to 90 per cent of patients respond to these advanced treatments positively, enabling them to lead an enhanced quality of life. With such innovations, cancer can be viewed as a chronic disease that needs management.
Awareness-building and sensitisation are key. Educating women and girls in urban and rural contexts about breast cancer, the importance of regular self-monitoring, and de-stigmatising medical examinations and advanced treatment options, so that they can maximise their chances of identifying and beating the disease.
It would also help address psychosocial impacts like anxiety, depression, or fear by making therapy or psychiatry facilities accessible, affordable, and un-stigmatised for patients. This would also include teaching families and communities to support patients by accompanying them for treatments, helping with chores, spending time with them, and not letting them feel like a "burden".
The late American writer John Diamond said that cancer is "a word and not a sentence". However, for lakhs of women, breast cancer is a life-changing reality. While conventional treatments for breast cancer are constantly evolving and their efficacy is undeniable, life after a breast cancer diagnosis is about more than survival (extending the patient's life) or pain management (alleviating physical discomfort). What's required is a holistic approach towards improving the quality of the patient's life and this is being understood today. (Padma Shri Pankaj Shah, Medical Oncology Haematology, Zydus Hospital, Ahmedabad)
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Budget of Rs. 260 crores given for expanding the infrastructure of NIA’s satellite centre of Panchkula, Himachal Pradesh. The National Institute of Ayurveda, Jaipur commemorated 6th National Ayurveda Day by hosting a two-day event to encourage the Ayurvedic principles of wellness and healing in alignment with the theme, ‘Ayurveda for Poshan’. The event started with Dhanwantri Poojan. India is striving to become the global centre for traditional medicine and there is increasing collaboration between states and central government to make advancements in field of AYUSH.
Speaking as the chief guest of the programme, Union Minister of AYUSH, Shri Sarbanand Sonowal announced release of Rs. 260 crores for expanding the infrastructure of NIA’s satellite centre of Panchkula, Himachal Pradesh.
Shri Sarbanand Sonowal, Union Minister of Ayush, Ports, Shipping & Waterways said on the occasion, “Ayurveda can play an important role in raising awareness among the general public about the necessity and importance of leading a disease-free, healthy and long life, both physical and mental. The potential of Ayurveda in maintaining a healthy lifestyle and how it can contribute significantly to lower the burden of non-communicable diseases in India is immense. There is an urgent need to raise awareness about the strength of Ayurveda treatment as India has a rich resource for plant-based medicines along with an ancient glorious history of practicing Ayurveda Shashtra. Considering the tremendous achievements of NIA, Ministry of Ayush has decided to expand the infrastructure of NIA at Panchkula and Rs. 260 crore have been released to NIA and it is hoped that NIA will glorify the practice of Ayurveda globally.”
Dr. Munjpara Mahendrabhai Kalubhai, Union Minister of State for Ayush, Women & Child Welfare said, “The Covid pandemic has amply emphasized on the importance of wellness and preventive care in order to live a healthy life. We need to focus showcasing the tremendous potential of Ayurveda to the world. Today, many first world countries are also looking up to Ayurveda for treatment and cure. The current generation should uphold the Ayurveda principle of diet to lead a disease-free, healthy lifestyle.”
Dr. Raghu Sharma, Rajasthan’s Minister for Medical Education, Health and Indian Systems of Medicine said, “Ayurveda is integral to Rajasthan and it's culture. We have been practicing it for ages. This year's theme, Ayurveda for Poshan couldn't be more relevant to address the issue of malnutrition and sedentary lifestyle induced NCDs. The theme should resonate across the country to bring about a change in people's lives and for this we should strengthen the research in this field.” minster also reassured that the state government of Rajasthan will extend all help to National Institute of Ayurveda to build and strengthen capacities and resources and continue on the path to make Rajasthan a global attraction in the field of Ayurveda.
Shri Ramcharan Bohra, Member of Parliament from Jaipur City, said “Rajasthan needs a special recognition in practicing Ayurveda under Ayushman Bharat and National Institute of Ayurveda will lead the field of Ayurveda research”.
Vaidya Rajesh Kotecha, Secretary, Ministry of Ayush said, “Centre of Excellences under AYUSH has been doing path breaking work. The importance of same has been reflected across the country with inclusion of Ayurveda as part of Biology subject in JNU also. We also witnessed the release of important documents and films. It is hoped that this event will benefit the general public in maintaining their health and well-being. We are committed to our mission in establishing Ayurveda as one of the most reliable and effective form of treatments in the area of treating non-communicable diseases as well."
Prof. Sanjeev Sharma, Director and Vice-Chancellor of National Institute of Ayurveda said, “We are really happy and proud to be able to successfully organize the events celebrating the 6th National Ayurveda Day. National Institute of Ayurveda, Jaipur organized this two-day event with gaiety and enthusiasm and the series of insightful initiatives were attended and well appreciated by the Ministers, Policy Makers, Administrators, Scholars not only from Ayurveda but from other fields as well.”
The event saw the release of Ayurveda Swasthya Samiksha, a handbook containing daily routines, Ayurveda for Poshan, a booklet, NIA Nutri Cookies suitable for children and adults, digitized versions of three rare publications: the Charaka Samhita with Charaka-Nyasa commentary of Acharya Bhattar Harichandra & Charak-Panjika of Acharya Swamikumar,, Charaka Samhita with Charaka Pradipika commentary written in the early 20th Century by Acharya Jyotish Chandra Saraswati and Chakradutta with Ratnaprabha of Nishchala Kar and Tattvachadrika. In addition, a special manuscript website portal was launched along with short videos, CCRAS publications and films on the occasion. A Memorandum of Understanding was signed between Mahavir Jaipuriya Hospital and National Institute of Ayurveda for research in patient care. The event was also attended by students of Ayurveda from 15 countries.
The other guests present at the event were Advisor to AYUSH, Vaidya Shri Manoj Nesari, Special Secretary Pramod Kumar Pathak along with DGs and head of institutes of AYUSH ministry.
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London- Researchers have identified an anti-viral gene that impacts the risk of both Alzheimer's disease and severe Covid-19.
A team from the University College London (UCL) estimated that one genetic variant of the OAS1 gene increases the risk of Alzheimer's disease by about 3-6 per cent in the population as a whole, while related variants on the same gene increase the likelihood of severe Covid-19 outcomes.
"While Alzheimer's is primarily characterised by harmful build-up of amyloid protein and tangles in the brain, there is also extensive inflammation in the brain that highlights the importance of the immune system in Alzheimer's. We have found that some of the same immune system changes can occur in both Alzheimer's disease and Covid-19," said lead author Dr Dervis Salih, from UCL's Queen Square Institute of Neurology and UK Dementia Research Institute.
"In patients with severe Covid-19 infection, there can also be inflammatory changes in the brain. Here we have identified a gene that can contribute to an exaggerated immune response to increase risks of both Alzheimer's and Covid-19," Salih added, in the paper published in the journal Brain.
To understand the gene's link to Alzheimer's, the team sequenced genetic data from 2,547 people, half of whom had the brain disorder.
They found that people with a particular variation, called rs1131454, of the OAS1 gene were more likely to have Alzheimer's disease, increasing carriers' baseline risk of Alzheimer's by an estimated 11-22 per cent.
The new variant identified is common, and it has a bigger impact on Alzheimer's risk than several known risk genes, the researchers said.
Further, the researchers investigated four variants on the OAS1 gene, all of which dampen its expression (activity).
They found that the variants increasing the risk of Alzheimer's are linked (inherited together) with OAS1 variants recently found to increase the baseline risk of needing intensive care for Covid-19 by as much as 20 per cent.
That is, the microglia cells where OAS1 gene was expressed more weakly had an exaggerated response to tissue damage, unleashing what they call a 'cytokine storm,' which leads to an autoimmune state where the body attacks itself, the team said.
OAS1 activity changes with age, so further research into the genetic network could help to understand why older people are more vulnerable to Alzheimer's, Covid-19, and other related diseases, they added.
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