Thursday, 8 December 2016

Living with and Managing Multiple Sclerosis

Multiple Sclerosis was first diagnosed in the year 1868 and even though a cure is yet to be found, there are treatment options to help slow down the progression of the disease. 2.1 million People, world-wide have been diagnosed, with Multiple Sclerosis (MS).
Image Courtesy - medicinenet.com

Multiple Sclerosis is a disease that attacks the central nervous system (CNS), in the human body. The CNS comprises, the brain and the spinal cord with the network of nerves that convey messages to and from the brain, to the rest of the body. These nerves are sheathed in a protective covering called the myelin. MS for some, yet to be known reason, damages the myelin and consequently slows down or blocks the communication between the brain and the rest of the body or parts thereof. 

Women are more affected by this disease and it commonly affects people in the age group between 20 and 40. Even, in its mild form it can affect the writing, speaking and walking ability of those afflicted with MS.

Early Symptoms of MS

Even though the cause of MS is a mystery, it is known that MS causes inflammation of the nerves. Some early symptoms to be aware of, are:

  • Optic Neuritis or Vision Disorder- the inflammation of the optic nerve, in the eye(s), can lead to disruption of central vision, in one or both eyes. MS also causes blurred or double vision or prevents recognition of contrast and vivid colors. Looking up or down can cause pain together with loss of vision
  • Tingling and Numbing Sensations – caused by inflamed nerves send conflicting messages between the brain and the spinal cord, and sometimes there is no communication. The lack of communication causes numbness. Sites where these sensations occur are in the legs, arms, fingers, toes and face
  • Weakness of Muscles – the uncontrollable and painful wrenching movement of the limbs and stiffness of the muscles or joints are also a common symptom. Generally the legs are the most affected, but back pain is also typical
  • Coordination and Balance – lack of stability and coordination, will cause gait problems. Vertigo with a feeling of light-headedness, will be experienced
  • Cognitive Issues – MS also causes memory issues, depression, organizational disorders, language difficulties, short spans of attention, emotional disturbances such as mood swings, irritability and bouts of uncontrolled laughing and crying (in medical parlance - pseudobulbar affect)

Treatment

Depending on the type of MS a patient is afflicted with, treatment options will vary. There are several treatment options, such as oral pills, injections and infusions, available.

7 Lifestyle Changes

For those who have been diagnosed in the early stages of MS, coping with everyday life may seem a gargantuan task, but not impossible, if certain lifestyle changes are made. Lifestyle changes or choices can help slow down the progressive deterioration of MS and provide a boost to a patient’s health.

Diet: 
Consume a diet rich in Omega-3 and Omega-6 fatty acids, such as:



Exercise: Moderately paced physical activity such as swimming or walking, two days in the week helps diminish depression and fatigue. Aerobics 5 days a week or resistance training with a physiotherapist also will help living with MS more bearable

Sun and Vitamin D: Soak in the sun for about 15 minutes a day and take a vitamin-D pill a day


Smoking: Stop smoking or else the prognosis of MS can be accelerated


Stress Management: Several stress management techniques exist today. Techniques like Yoga or meditation, taking simple measures as asking for help when needed, effectively managing time, learning how to prioritize, doing deep breathing exercises


Sleep: Getting adequate sleep at night, is important


Pay Attention to Health in General: With lifestyle changes, managing MS along with other illnesses such as high blood pressure, diabetes or other diseases, will be easier


Thursday, 1 December 2016

Liver Transplant at Kauvery Hospital

A boon for patients with end stage liver disease. Kauvery Liver Transplant Centre offers affordable liver transplant surgeries.

Check out this video by Dr. Ilango, Lead Surgeon Transplant and Liver Surgery talking about how liver transplants are a boon for patients with end stage liver disease.


Monday, 21 November 2016

Thursday, 17 November 2016

Liver Transplant


The liver is an important organ In the human body; it is wedge-shaped with 4 unequal lobes. It is the heaviest organ in our body and also is the largest gland. It is reddish in color and is situated on the right side of the abdomen. 


Functions of the Liver

1. Detoxifies chemicals and metabolizes medications.
2. Manufactures proteins which is important for clotting of blood, as well as for other functions.

3. Filters blood en route from the digestive tract, before it flows to the rest of the body.


4. The liver works in conjunction with parts of the pancreas, and the small intestines to digest, absorb and process food. 


Unique Quality of the Liver

The only organ in the body that can regenerate injured or lost tissue is the Liver. Therefore, when a piece of liver has been taken from a healthy, live donor, the liver in both the donor and the recipient will grow back to its normal size and both the live donor and the recipient will be able to lead a normal and healthy life. 

A donor can be healthy and living or the liver could come from a person who is brain dead because of a fatal accident or other reasons. 

With this foreknowledge in mind, let us examine why a liver transplant is necessary. 

No one can live without a liver that does not function properly. A transplantation would be recommended when a patient has liver failure or end-stage liver disease. 
When an organ in the body fails to function, it is always a life-threatening situation and liver failure can be caused by quite a few conditions:

  • Cirrhosis of the liver is a chronic, end-stage disease that occurs when healthy tissue is replace by scarred tissue
  • Acute Hepatic Necrosis occurs when the tissue in the liver, dies, possibly due to an acute infection, medications or due to toxins
  • Biliary Atresia is a rare disease that affects newborns, when the liver and bile ducts are affected
  • Viral Hepatitis is a very common cause in the form of Hepatitis B or C
  • Metabolic Diseases a disorder that changes the chemical activity of the cells that are affected by the liver
  • Primary Liver Cancers, where tumors originated in the liver
  • Autoimmune Hepatitis occurs when the body’s auto immune system attacks the liver, and a swelling or redness develops

Procedure

The transplant surgery to replace the non-functioning liver takes between 6 to 12 hours. During the surgery the patient will have several tubes in their body. These tubes help the body to continue certain functions during and after the surgery, which could be for a few days, post-surgery. 

Post-Surgery

After the surgery, the stay in the hospital will be (for most patients) around 2 to 3 weeks, but some could be discharged earlier or retained, depending on their progress. On discharge the patient will have follow up visits so that the doctor can check on the functioning of the liver and it may take up until 6 months for a patient to feel fully healed. Normal activities and work may be resumed after a few months. 

Monday, 14 November 2016

Heart Transplantation: Questions you always wanted to ask

Image Courtesy - static.dnaindia.com

Heart Transplant is replacing a damaged or diseased heart with a healthy donor heart. It is not easy to find a donor heart. The donor should be brain dead but still on life support and the donor’s heart must match closely with the recipient’s tissue type or the body will reject it.


Why Heart Transplantation?

The following conditions of the heart may call for transplantation.
• Massive heart attack causing severe damage to the heart.
• Heart failure where medicines, alternate treatments and surgery is of no help.
• Abnormal heartbeats or rhythms that could be life threatening.

The Procedure:

The recipient is put into a deep sleep with general anesthesia and the breast bone is cut open for the procedure to be carried out.

• While the surgeon works on the heart, the blood is directed through a heart-lung bypass machine, which carries out the work of the heart and the lungs supplying the body with blood and oxygen.

• The diseased heart is replaced with the donor heart. The heart-lung machine is removed and the transplanted heart takes over its normal functioning of pumping the blood.

• Air, fluids and blood are drained out of the chest for several days, through tubes which are inserted in the chest allowing the lungs to re-expand fully.  

Who cannot take a Heart Transplant Surgery?

People who are malnourished, older than 65-70 years of age, HIV infected, stroke or Dementia patients, people with active infections such as Hepatitis, Insulin dependent Diabetes, malfunctioning of kidneys, lung, liver, nerves, pulmonary hypertension, smoking, alcohol or drug abuse are not eligible to take up this procedure.

Evaluation before the procedure:

Once it is decided to go for heart transplantation, the evaluation team will assess the candidate many times over several weeks or month which may involve blood tests and x-rays, skin check for infections, tests for kidney and liver, evaluation of heart such as EKG, echocardiogram and cardiac catheterization, tests for cancer, tissue and blood typing, ultrasound of neck and legs.

Follow up after the procedure:

The candidate should stay in the hospital for about 7 to 21 days after the surgical procedures. The first 48 hours will be spent in the ICU to monitor stability of the newly functional heart. The recovery period may last up to more than 3 months during which regular check-ups will be done.

The immune system in the body may consider the transplanted organ as a foreign body and may fight against the organ trying to reject it. Drugs to suppress body’s immune response are administered during this period. One can resume normal activities after 3 months. However rigorous physical activities should be avoided. Cardiac catheterization is done every year to ensure that no coronary disease develops later.

Prognosis:

It has been found that heart transplant prolongs life of people who would otherwise suffer premature death. The main concern of transplant is rejection, which if controlled can increase survival to more than 10 years.

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