Posts

Coronary Artery Disease on Nepalese society

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Dr. Rajan Poudel  MBBS(BS/MD) Health Care Team Leader at UN CAMMAY Volunteer 2020 Today I want to discuss with you about the changes in the treatment of coronary artery disease. For over a decade we have been fighting with this disease. So what is our current position? where we are standing? Are we winning or losing?  If we see that almost 60% of Nepalese are suffering from Coronary Artery Disease.40-50% of people can't even reach till hospital after heart stroke. It is very necessary to have complete knowledge about the disease with which we are fighting. As I told you heart disease is increasing among the young population in Nepal. The main reason is genetic. From parents, kids get this disease by genetic. So this is the genetic reason, there is an agent called lipoprotein which is more in the blood in Nepali. This is the main reason why in Nepalese we are seeing heart disease. More compared to western people. Now if we talk about urban vs rural ratio of the occurrence of th...

Fatty Liver. Causes, Symptoms and Treatment of Fatty Liver.

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  Dr. Rajan Poudel  MBBS(BS/MD) Health Care Team Leader at UN CAMMAY Volunteer 2020 Today I am writing about a very important topic which is very common and many people don’t know at all about this ailment, they have a lack of knowledge about it. So today’s topic is about fatty liver. Fatty liver is a medical care condition in which gradually fats build up in the liver. Many people feel if they have fatty liver then all the stomach complaints related to indigestion or gastric are caused by the ailment, but it is not correct at all. CAUSES: One of the main reasons for fatty liver is the consumption of alcohol apart from that, there are few medicines which can cause the fat to build up in liver. Apart from that , viral infections such as Hepatitis B, C can cause problems in liver, which can also lead to build up fats in the liver. In today’s age one new reason has come up which is related to our life style. Ailments related to lifestyle such as hypertension, Diabetes, obesity an...

What is Osteoarthritis? Things to know about Osteoarthritis.

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Dr. Rajan Poudel  MBBS(BS/MD) Health Care Team Leader at UN CAMMAY Volunteer 2020   Most common joint disease cause of disability in the elderly. Commonly affected joints are the cervical and lumbosacral spine, hip, knee and first MTP. –In the hands, the distal and proximal ITP’s and base of the thumb are often involved. –Wrist, elbow and ankles are usually spared. Risk factors include genetic disposition, age, injury, weight, stress on the joint, and previous surgery involving the joint. •Prevalence increases sharply for women after age 40 years and after age 50 for men. •Joint pain is activity-related, starting as episodic and progressing continuously with accompanying brief morning stiffness (<30 min) that gradually resolves. Diagnosis: –No blood tests are routinely indicated –Synovial fluid analysis reveals a non-inflammatory pattern –Joint imaging correlates poorly with presence and severity of pain: •May be normal in early stages. •Advanced stages may show joint space...

COVID19 - How does this coronavirus, SARS-CoV-2, kill people? Why does it kill some people and not others?

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Dr. Rajan Poudel  MBBS(BS/MD) Health Care Team Leader at UN CAMMAY Volunteer 2020 This virus, we know, is mainly transmitted by respiratory droplets, and through contact, by getting into our mucosa, like our mouth, nose, and eyes. Although less common, it also can be transmitted through aerosol, meaning airborne. Most likely when you have people in an enclosed space, such as an elevator, and someone sneezes or coughs without covering their mouth, and someone else can inhale it in.  This virus attaches to cells in our body by this ACE2 receptor. This ACE2 receptor is only located on certain cells in our body. Its on our tongue, in our nose, back of the throat, and in our lungs. Specifically, within the lungs, its only located on our type II alveolar cells. We know that ARDS develops in about 4 to 5% of COVID-19 patients. And of all the people who get COVID19, the mortality rate is around 1 to 2%. So why do some COVID patients get ARDS, and why do some die? There are diffe...

Is pulse Oximeter reliable for COVID-19 patients and other cardiopulmonary patients?

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If someone has a reliable pulse oximeter at home, and they know how to adequately use it, it can be beneficial for some people at this Coronavirus Pandemic. Having normal oxygen levels can be reassuring, although there is no guarantee that someone won't have a fast decline with their breathing status. Its quite possible that someone has normal oxygen levels, and can quickly progress to very low oxygen levels, sometimes that are life-threatening. And there are so many factors that come into play.  One is the quality of the pulse oximeter itself.  Two, how well the person is using it.  Three, various factors that artificially raise or lower the reading of the pulse oximeter, and Most Importantly, the different factors that have to do with the person, such as what underlying medical conditions do they have, do they have a sudden worsening of their illness, do they have a new infection that is changing things. Another factor to consider is what is their oxygen level at baseli...

Symptoms, Cause, Treatment and Cure of Breast Cancer

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स्तन क्यान्सर बारे जानकारी   १० कारण, ७ लक्षण , परीक्षण र उपचार स्तनमा भएका कोष–कोषिकामा असामान्य परिवर्तन आई तिनीहरूको अनियन्त्रित तथा अनावश्यक वृद्धिबाट बन्ने गिर्खा, गाँठागुँठी र निको नहुने घाउलाई स्तन क्यान्सर भनिन्छ । त्यो प्रक्रिया क्यान्सर नहुने वा हुने दुवै प्रकृतिको हुन सक्छ।  स्तन क्यान्सरका  ल क्षण —नदुख्ने गाँठो आएमा,  —स्तनको मुन्टाबाट रगत बगेमा, —स्तनको मुन्टा भित्र जान थालेमा, —छालामा निको नहुने घाउ आएमा, —काखीमा गाँठागुँठी आएमा, —स्तनको रङ परिवर्तन हुन थालेमा ।  —अन्ने आदि । स्तन क्यान्सरका कारण स्तन क्यान्सरको ठोस कारण पत्ता नलागे पनि निम्न कारणहरूलाई जोखिम मानिएको छः —वंशाणुगत (रगतको नातामध्ये आमा, दिदी, बहिनी, छोरी कसै एकमा भएमा) कारण स्नत क्यान्सर हुन सक्छ । करिब १० प्रतिशतमा वशांणुगत कारणले स्तन क्यान्सर हुन्छ । —हर्मोनहरुमा गडबडी हुनाले पनि स्तन क्यान्सर हुन सक्छ ।  —नियमित मदिरा सेवन गर्ने महिलामा । —परिवार नियोजनका साधान पिल्सहरु प्रयोग गर्ने महिलामा क्यान्सर हुन सक्ने सम्भावना बढी हुन्छ । —जिनमा खराबी आएमा पनि क्यान्सर हुन सक्छ...