भारत जैसे देश में मधुमेह के रोगियों की संख्या तेजी से बढ़ती जा रही है। यदि समय पर इसका इलाज न किया जाए तो शरीर पर इसका बुरा प्रभाव पड़ता है।
आयुर्वेद के शास्त्रों में मधुमेह के उपचार के लिए विस्तार से बताया गया है जिसके माध्यम से इस बीमारी को नियंत्रित किया जा सकता है। लेकिन सवाल उठता है कि क्लीनिकल प्रैक्टिस में आयुर्वेद के इन सिद्धांतों को अपनाकर मधुमेह रोगियों का सफल उपचार कैसे किया जाए? क्योंकि हरेक रोगी की प्रकृति और परिस्थितियाँ अलग-अलग होती है।
इसी को ध्यान में रखते हुए निरोगस्ट्रीट एप के वेबिनारों की शृंखला में आज मधुमेह पर परिचर्चा होगी। इसमें मुख्य वक्ता के रूप में डॉ. हिमांशु मिश्र अपनी बात विस्तार से रखेंगे जो अंतर्राष्ट्रीय स्तर के वक्ता हैं।
आयुर्वेद के प्रचार - प्रसार के लिए अबतक वे 15 से अधिक देशों का दौरा कर चुके हैं। वे प्रांजल आयुर्वेद (PRANJAL AYURVEDA) के निदेशक (Director) हैं और लगभग 20 वर्षों का क्लीनिकल प्रैक्टिस (Clinical Practice) का उनका अनुभव है।
आयुर्वेद के द्वारा मधुमेह के इलाज में उन्होंने विशिष्टता हासिल की है और अबतक हजारों मधुमेह रोगियों का सफलतापूर्वक उपचार कर चुके हैं। आज अपने इसी ज्ञान को वे निरोगस्ट्रीट के इस वेबिनार के माध्यम से साझा करेंगे।
आज के व्याख्यान की जानकारी -
विषय - मधुमेह
वक्ता - वैद्य हिमांशु मिश्र
दिन - 25 जनवरी, 2022
समय - शाम 2 से 3 बजे
मंच - निरोगस्ट्रीट एप
लिंक - निरोगस्ट्रीट एप का लिंक : NirogStreet App Link
यह भी पढ़े► लाइफस्टायल डिसॉर्डर और आयुर्वेद पर व्याख्यान
Did you know that over 40-year-olds might lose up to 8 per cent of their muscle mass every decade? After the age of 70, the pace of decrease may double.
Sarcopenia, or advanced muscle loss, affects roughly one-third of persons over the age of 50. Muscles are crucial for organ function, skin health, immunity and metabolism, as well as for common physical acts like picking things up, reaching for something, opening a jar or getting out of a chair. To put it another way, keeping muscle mass as you become older is critical to living a happy and healthy life.
"Muscle loss is an ageing factor that is rarely discussed, and people accept its signs, such as a loss of strength and energy, as a natural part of ageing," says Ganesh Kadhe, Associate Director Medical and Scientific Affairs at Abbott Nutrition.
"However, muscle fitness can often predict how we will age and remain active and independent."
The good news is that you may assist, prevent or delay muscle loss by taking the appropriate precautions. While muscle loss is unavoidable as we age, it does not have to be.
To stay strong as you age, start following the tips below to fuel and keep muscles fit for years to come!
1. Engage in regular exercise, including resistance training, to maintain muscles and strength.
2. Eat good source of protein from lean meats, eggs and beans; aim for 25-30 grams of protein at every meal.
3. Choose a balanced diet full of veggies, fruits, whole grains, proteins, healthy fats and key vitamins and minerals like calcium and vitamin D.
4. Consider taking other muscle health ingredients, like HMB.
5. Talk to your healthcare provider about nutrition, especially if you are ill, hospitalised or recovering from surgery, to manage illness-related muscle loss.
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With a whopping 77 million people in India living with diabetes, a simultaneous and sharp rise has been observed in the prevalence of diabetes-related preventable vision loss, particularly among the young people, say experts.
Diabetic retinopathy is a chronic, progressive retinal disease that is a leading cause of vision impairment in today's young adults, working population. It's of major concern among children suffering from juvenile diabetes (Type-1 diabetes) and especially if they have had diabetes for over 10 years.
It is estimated that approximately 1.1-crore people are suffering from retinal disorders in India and more alarmingly, about one in every three people living with diabetes have some degree of diabetic retinopathy, a diabetes complication that affects eyes.
"With the growing incidence of diabetes, it has been estimated that diabetic retinopathy affects one in three people with diabetes and remains the leading cause of blindness in young working-aged adults," Dr Mahipal Sachdev, Medical Director and Chairman, Centre for Sight Group of Eye Hospital, told IANS.
"Approximately 7-10 per cent of young diabetics will go on to develop diabetic retinopathy, of which 2-4 per cent will have vision threatening sequelae if not taken proper treatment." added Dr. Aditya Sudhalkar, M.S. Ophthalmology, Consultant Vitreoretinal Surgeon.
The most common form of diabetic retinopathy is Diabetic Macular Edema (DME) which arises when the damaged blood vessels swell and flow into the macula of the retina causing visibility issues in the normal vision.
According to Dr. Chaitra Jayadev, senior vitreo-retinal consultant, Narayana Nethralaya Eye Institute Karnataka, studies have shown that the prevalence of DME and diabetic retinopathy is higher and more severe in young diabetics with a longer duration of diabetes.
"Diabetes in the younger is a distinct pathological entity characterised by a more aggressive presentation and manifestation. An earlier onset of diabetes leads to a longer exposure to insulin resistance and hyperglycemia. This gives rise to a greater propensity for developing long-term microvascular and macrovascular complications," Dr. Jayadev said.
Thus, screening for diabetes is of utmost importance, even if one is "young" and has no symptoms. It becomes more crucial if one has risk factors such as family history, obesity, sedentary lifestyle, or on long term steroid medications.
Dr. Sudhalkar said that in India, there is a general reluctance towards attending clinics and nearly 25 per cent of young patients with DME come late for diagnosis.
"It's important to know, only 11 per cent of diabetic retinopathy patients can actually reverse vision threatening sequelae once they set in. The rest continue to progress even with strict glycemic control," he noted.
"Retinopathy, unfortunately, is the most neglected complication of diabetes. We see so many patients come to OPD where eyes have not been checked for. So the screening, also known as Funduscopy, should be done at the time of diagnosis of Type-2 diabetes, in adults, and in children, five years after the onset of diabetes, and thereafter annually," Dr Dheeraj Kapoor, HOD, Endocrinology at Artemis, Gurugram, told IANS.
If diabetes occurs near puberty, then funduscopy should be checked for potential retinopathy.
"It is important because the condition poses no symptoms in the initial days. And once symptoms set in, such as bleeding in the eye, red vision, sudden loss of vision, it's too late," Kapoor said.
The doctors advised to adhere to the treatment and maintain a healthy lifestyle to effectively manage diabetes and to prevent the onset or progression of eye diseases.
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Chronic inflammation caused by obesity may trigger the development of cells that break down bone tissue, including the bone that holds teeth in place, finds a new research.
The study, completed in an animal model, found that excessive inflammation resulting from obesity raises the number of myeloid-derived suppressor cells (MDSC), a group of immune cells that increase during illness to regulate immune function.
MDSCs, which originate in the bone marrow, develop into a range of different cell types, including osteoclasts (a cell that breaks down bone tissue).
"This research promotes the concept that MDSC expansion during obesity to become osteoclasts during periodontitis is tied to increased alveolar bone destruction," said researcher K.H. Kwack from the University at Buffalo.
"Taken together, this data supports the view that obesity raises the risk of periodontal bone loss," Kwack added.
Bone loss is a major symptom of gum disease and may ultimately lead to tooth loss.
Also known as periodontal disease, gum disease affects more than 47 per cent of adults 30 years and older, according to the Centers for Disease Control and Prevention.
For the study, published in the Journal of Dental Research, the team examined two groups of mice fed vastly different diets over 16 weeks -- one group, a low-fat diet that derived 10 per cent of energy from fat, the other group a high-fat diet that drew 45 per cent of energy from fat.
The investigation found that the high-fat diet group experienced obesity, more inflammation and a greater increase of MDSCs in the bone marrow and spleen compared to the low-fat diet group.
The high-fat diet group also developed a significantly larger number of osteoclasts and lost more alveolar bone (the bone that holds teeth in place).
Also, the expression of 27 genes tied to osteoclast formation were significantly elevated in the group fed a high-fat diet.
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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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In many households, including in India, it is a ritual to step out for a walk after dinner before hitting the sheets. Many also take a quick walk after lunch. The goal? To improve digestion.
But, is walking after eating really beneficial for digestion? Turns out it is, and here's why:
After you finish your meals, your body gets to work, it breaks down and absorbs the nutrients. A significant portion of the food breakdown or digestion takes place in the small intestine. Research suggests that walking after a meal can help in the faster transit of food from the stomach and into the small intestine.
How does this help? "The faster the food transits from your stomach into the small intestine, the lesser is you the likelihood of common complaints like bloating, gas, and acid reflux. Evidence also indicates that a post-meal 30-minute walk, coupled with routine exercise, can improve bowel function and lower the chances of constipation.
Postprandial walks not only ease digestive symptoms but can be quite beneficial for individuals with type-2 diabetes. Research from the New Zealand's University of Otago indicates that for people with type-2 diabetes, walking after meals is better at reducing blood sugar levels, especially following carb-rich meals. How does that happen? The body converts food into glucose, which is a major source of energy for the body. After consuming a meal, the blood glucose levels start rising.
In order to deal with this spike, the body secretes insulin, which helps drive the glucose into the cells. However, for diabetic individuals, the action of insulin is impaired, preventing the process of managing blood sugar levels. This can lead to high levels of glucose in the blood, increasing the risk of health problems. During a post-meal walk, glucose is utilized by the body to produce energy for the activity, aiding in lowering the level of glucose in the blood.
Now to address a key question - how long should you wait after a meal before you set off on your walk? Walking immediately following a meal may cause acid reflux and upset your stomach. "It is advisable to walk after a gap of 30-45 minutes after your lunch or dinner to experience the most benefits," says Singh.
It is also recommended to walk at an easy to moderate pace after your meals as increased intensity workouts may cause more blood to be drawn towards the working muscles and away from the gastrointestinal tract. This may cause your digestion to slow down and may also lead to indigestion.
Along with health benefits, a post-meal walk will also bring you closer to your goal of hitting 10,000 steps (a popular aspirational fitness goal) a day. Any sort of physical activity also triggers the release of endorphins, or ï¿½feel-good hormones', thereby relaxing the body. A post-meal walk is a positive step in that direction.
Now that you know the many benefits of a quick post-meal walk, it is time to make this small lifestyle change for better health and overall fitness.(By Vikas Singh)
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