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Home Medicana Healthpoint (Page 8)

Author: Medicana Healthpoint

medicana healthpoint
22Apr

Obesity is seen as the most important public health problem by the world health authorities. Obesity, as a serious health problem that also disrupts the health and working principle of the body, can hit individuals at any age. The world of science is closely interested in childhood obesity, which is becoming increasingly common in the world.

What is obesity, which is seen as a disease of the age in recent years? Obesity is a health problem that invites various diseases by disrupting the health and body functions of the individual due to the fat in the body. Treatment methods of obesity, especially diet and exercise, and extending to surgical interventions, are quite developed today.

Obesity is a health problem that must be treated due to various diseases caused by it. High blood pressure and heart diseases rank first among obesity-related diseases.

In addition, obesity;

  • Infertility in men,
  • Metabolic diseases,
  • Gall bladder diseases,
  • Pregnancy complications,
  • Excessive hair growth,
  • Fatty liver,/li>
  • Coronary artery disease,
  • It is also known to cause psychological problems.

How do you know if you are obese?

Obesity is diagnosed by calculating the body mass index. The body mass index of the person is found by dividing the total body weight in square meters by the height of the person. Body mass index over 30 is seen as obesity.

Obesity patients generally show the following symptoms:

  • Irritation in the body,
  • Being out of breath in the simplest exercises,
  • Sleep apnea,
  • Joint pain,
  • Snore,
  • Irregular period,
  • Darkening of the skin and skin diseases,
  • Fungal growth due to moisture retention,
  • Excessive sweating problem.

What causes obesity? Obesity risk factors

Obesity can develop due to various reasons. Although it is thought that the imbalances in the diet are the cause of obesity, hereditary and chronic diseases may lie under obesity. Obesity treatment should be continued together with the treatment of chronic diseases. The low sociocultural level, which is among the indirect risk factors for obesity, creates nutritional problems and invites obesity.

Major causes of obesity:

  • Excessive and unbalanced nutrition is the first risk factor that comes to mind when it comes to obesity. Imbalances in the diet, excessive food consumption, eating more than the body’s energy needs are the main causes of obesity.
  • Insulin resistance is a very common cause of obesity. In addition to environmental factors, genetic factors can also create insulin resistance.
  • Lack of physical activity and lack of movement also invite obesity. Lack of the habit of doing sports, working constantly at desk jobs, closing too much at home slows down the metabolism and opens the door to obesity.
  • Hormone disorders are also among the causes of obesity. When hunger hormone and satiety hormone are released unbalanced in the body, it invites obesity. Therefore, hormone controls should be done before obesity treatment. Pituitary gland diseases are also a serious risk factor in hormonal imbalances.
  • Thyroid gland diseases are common factors among obesity risk factors.
  • In addition to insulin resistance, which is one of the endocrine pancreatic diseases, Type 2 diabetes is also among the causes of obesity.
  • Medicines such as antidepressants can also cause obesity.
  • Frequent smoking, alcohol addiction, psychological problems and shock diets are also among the risk factors for obesity.
Genel Cerrahi - Obezite Cerrahisi - Medica Healthpoint
19Apr

In parallel with the developments in the field of general surgery, the most common questions today come from obesity surgery. Obesity is a health problem in which the body mass index is above the correct level. It is known that obesity, which manifests itself as excess fat accumulation in the body, causes various health problems, especially cardiovascular diseases and high blood pressure.

Advanced technologies are used in the treatment of obesity, which is among the most important diseases of today. Obesity treatment is first tried to be done through balanced and conscious nutrition-oriented diet programs and exercises. Those who cannot lose weight despite all weight loss methods and those who lose weight and gain weight very quickly may need to be treated with obesity surgery.

Body mass index is an important diagnostic criterion in obesity. In cases where the body mass index is 30 to 40, obesity is mentioned in cases over 40, and morbid obesity is mentioned. Surgical treatment methods can be used for obese patients with a body mass index above 40 and those with obesity-related diseases between 30 and 40.

Obesity surgery requires an extremely sensitive and meticulous procedure. Obesity surgery should be done carefully by experts. Obesity surgeries are known as metabolic surgeries as well.

Types of Obesity Surgery

Obesity surgery is an obesity treatment performed by surgical intervention in the digestive system. There are various types of obesity surgery. The biochemical values ​​of the patient and the appropriate treatment method for his condition are determined by the doctor.

  • Stomach band or stomach band: In this operation, a silicone band is attached around the stomach. Thus, food intake is limited.
  • Gastric Sleeve Surgery: In sleeve gastrectomy surgery, part of the stomach is removed by preserving its connection with the stomach tube and digestive tracts. Thus, it is aimed to limit food intake.
  • Gastrointestinal bypass / gastric bypass surgery: The purpose of this operation is to limit food intake into the stomach, as well as reduce intestinal absorption with an intervention in the intestine.

To whom the obesity surgery performed?

Those who want to apply for a surgical operation for obesity treatment may wonder whether they are suitable for obesity treatment. At this point, questions can be asked to whom is obesity treatment applied? For obesity treatment;

  • The body mass index should be above 40,
  • The patient should not have any psychiatric health problems,
  • The patient who will undergo surgical treatment should not have alcohol and drug addiction problems.
  • The patient should not have a higher risk of surgery than acceptable limits.
  • The age limit in obesity surgery is generally accepted between 20 and 60. However, in some cases, with the completion of the adolescence period, that is, from the age of 14 to 15, surgical treatment is possible.
  • Surgery can also be decided for those with a body mass index between 30-40 and Type 2 diabetes or metabolic disorders.
  • Before deciding on bariatric surgery, it should be learned how the patient copes with obesity. The history of the patient regarding obesity treatment is important. The patient’s failure to lose weight with diet programs at least twice and for 6 months brings surgery to the fore. Surgery may be the only solution for obesity cases that cannot lose weight with diet programs.
medicana healthpoint
16Apr

Coronavirus Disease 2019 or COVID-19 has become one of the most important epidemics in the world.  As a global health problem, it has been on the world agenda for more than 1 year.  The disease agent is the virus named Sars-Cov2, which comes from the coronavirus family.  COVID-19 disease, which affects the whole world in a short time with its fast transmission feature, is an infection that creates respiratory problems.  It has also been found that the disease, which is characterized by fever and shortness of breath, causes loss of smell and taste.

COVID-19 is a disease that the medical world does not fully recognize yet.  Research into the virus and disease continues.  Every day, new findings are revealed by researchers in various parts of the world.  COVID-19, which causes serious health problems in advanced cases and can be severe in case of a chronic disease underlying it, and even causes the patient to die, may worry pregnant women.

Fear and anxiety of contracting coronavirus by pregnant individuals is increasing.  Questions such as whether pregnant women overcome the coronavirus difficult, and whether the coronavirus is treated in pregnant women can be asked.

Is pregnancy a risk factor for coronavirus?

Coronavirus is known to be risky in elderly and people with chronic diseases.  Therefore, pregnancy is not a direct risk factor for coronavirus.  However, pregnancy is a sensitive period and it is a critical period in terms of mother and baby health.  For this reason, COVID-19 should be protected as much as possible during pregnancy and the disease should be seen as a risk.

Healthy and young pregnant women who do not have any chronic diseases can overcome the coronavirus.  It is not yet known whether the coronavirus is transmitted to the unborn baby or whether it affects the baby.  There is currently no comprehensive data available on these issues.

Pregnancy is a sensitive period for mother and baby health.  The mother is expected to protect herself as much from coronavirus.  Unless it is compulsory, they should not leave the house, accept guests, or enter crowded environments.  The expectant mother should pay maximum attention to mask, distance and hygiene rules.

What should pregnant women with coronavirus symptoms do?

Those who show symptoms, especially fever, dry cough, joint and muscle pain among the symptoms of coronavirus, should wear a mask and give a sample for the PCR test at the nearest health institution.  This is important for both early diagnosis of the disease in the body and prevention of contamination to the environment.

How is coronavirus treated in pregnant women?

Coronavirus treatment is different during pregnancy.  The main principle in treatment is that antivital therapy should not be administered unless it is complicated.  Therefore, coronavirus should be overcome by resting the mother isolated at home in pregnant women who do not have respiratory distress, have no problems with nutrition, and whose disease is not severe.  If the mother-to-be has a mild illness, she should pay attention to her nutrition, and balance her immune system by eating a balanced diet with food supplements such as fruit.

Coronavirus treatment in pregnant women is a sensitive issue.  Hydroxychloroquine, one of the coronavirus drugs, should be used by the doctor if deemed appropriate according to the patient’s condition.  Hospitalization of pregnant women with severe disease is appropriate.  Low-dose paracetamol can be given as a pain reliever.

Coronavirus cases during pregnancy should be treated with the knowledge of the doctor.  If there is, disease information such as chronic blood pressure of pregnant women should be given to the doctor.  In these cases, hospitalization may be required.

pcr-testi
15Apr

PCR test, which is called Polymerase Chain Reaction in medical language, is a concept that most individuals meet during the epidemic days.  Therefore, what is the PCR test and are the PCR test results safe;  questions are frequently asked.  Polymerase Chain Reaction or PRC test is a method used in scientific research.  With the PCR test, the presence of the virus in the person’s body is sought.  In addition, in these tests, the body’s response to the virus present in the body is also investigated.  PCR can detect not only viruses but also all pathogenic factors such as bacteria and microbes in the body.

In the PCR test, a small genetic sample taken from the person is taken for DNA analysis.  The medical sample taken is decomposed by heat and the gene part of the virus is searched.  The process is used in genetics research and detection of infection in the body.  The branch of science that deals with PCR test research is Infectious Diseases and Clinical Microbiology.

PCR is basically a diagnostic test.  It is mainly used for diagnostic purposes in coronavirus days.  The test investigates whether there is RNA belonging to the virus in the body.  Antibodies are also detected in PCR as a molecular diagnostic test.

Why and how is the PCR test done?

Why is the PCR test done? It has been among the frequently asked questions recently.  PCR;

  • Detecting viruses, bacteria and microbes in the body,
  • In paternity tests,
  • Understanding genetic problems,
  • It is used for diagnosing diseases.

The most important function of the PCR test on coronavirus pandemic days is to detect carriers who carry the disease virus but do not show symptoms.  Thus, ghost carriers are isolated from the society and the spread rate of the disease is reduced.  It is important for public health in the detection of asymptomatic cases.

The PCR test is performed by taking a swab sample.  The swab is taken from the throat and nasal passages under sterile conditions.  In advanced cases, the wastes must be taken from the airlines.  In the sample taken, PCR agents are mixed with virus DNA.  The results are evaluated by performing the identification and multiplication process in the reaction tube.  PCR test results can be up to 24 hours in 1 hour.

Is the PCR test safe?

In PCR tests, the presence of the virus in the body can be detected without showing symptoms.  PRC tests, which are on the agenda during the coronavirus pandemic process, are used in the diagnosis of Covid-19 disease.  If the test results are positive, it indicates the presence of Sars-Cov2 virus in the body.

In the coronavirus days, the role of PCR tests in the diagnosis has brought up the issue of whether the PCR test results are 100 percent accurate.  It cannot be said that the PCR test gives 100% accurate results.  A positive PCR test indicates the presence of the disease, but PCR may not be positive in everyone with coronavirus.  Therefore, a negative result in the test does not mean that the person is not sick.

As it is known, the Covid-19 disease agent is the Sars-Cov2 virus.  PCR test is considered to be the most reliable diagnostic method in Covid-19 scans.  The presence of Sars-Cov2 gene fragments in the sample is a positive result.  Therefore, a positive test indicates that you have been infected with coronavirus.  It is proven by research that PCR tests give safer results than rapid diagnostic kits.

Rhinoplasty
8Apr

The nose aesthetics, known as rhinoplasty in medical language, is a surgical operation applied to change the shape of the nose. The nose, one of the respiratory system organs, can lose its structural shape due to traumas. Or there may be congenital defects in the nose structure, and the nose structure may be found in a way that the person does not like.

In some cases, people feel aesthetically uncomfortable with the bone structure, shape and size of the nose. In this case, nasal aesthetics, which has gained popularity in recent years, comes to the fore. It is natural for people who are considering a rhinoplasty to have anxiety about the operation and to look for the answer to the question of whether nasal aesthetics is difficult.

Rhinoplasty is generally a very common operation in adults who have completed their physical development. It is natural for the patient to experience anxiety before deciding on the operation. The person may want to learn about the difficulty level of rhinoplasty. In these cases, the most reliable information is obtained from specialist doctors.

How is Rhinoplasty done?

In rhinoplasty operations, the structure of the nose is repaired or changed over the nasal bone, cartilage tissue and skin layer. Sometimes a single point of intervention is sufficient, in some cases the nose is operated from all three regions. Before the rhinoplasty, information about the medical history of the individual is obtained and it is understood whether there is a health problem such as hemophilia that prevents the aesthetic operation. Detailed information about the patient’s wishes is also obtained during the preliminary examination, in which blood tests and facial shape and physical structure of the nose are examined.

In nose aesthetic operations;

  • The nose can be enlarged and reduced,
  • The tip of the nose is corrected,
  • The shape of the nose belt can be changed,
  • The angle between the nose and the lip can be changed.

It is necessary to get expert support in the process of deciding on nasal aesthetics. It is also important to choose a specialist doctor for rhinoplasty. However, in terms of personal health, under the stairs applications carried out by people who are not authorized by the Ministry of Health with commercial concerns should not be sought.

Is the rhinoplasty a difficult operation?

Patients may have concerns about the difficulty of rhinoplasty surgery. Rhinoplasty operation is not seen as a difficult operation. The important thing is the success of the surgery. It is desired that the nose shape is formed in accordance with the patient’s expectations after the operation.

To the question of whether the rhinoplasty surgery is difficult, experts generally answer as “it is not difficult”. People may feel uneasy psychologically due to structural defects in the nose and defects due to traumatic injuries. In these cases, they may decide to have a nose surgery and aesthetics. It is natural that this decision process is a period of concern for people.

Medicine is very advanced in nose aesthetics. The aesthetic surgery process has been made easier with advanced technologies. In addition, the postoperative recovery process is now much more easily overcome. It is much easier in the safe hands of specialists in the field of surgeries, and there is no scar left with closed nose surgeries.

Risk factors can be another concern in nasal surgery. Nowadays, the risk in nose surgery is considerably reduced. Advanced technologies, 3D modeling and safe surgery facilitate rhinoplasty surgeries. Operations are carried out meticulously in the hands of experienced operators, focusing on the desired results.

sma-hastaligi-tedavisi
5Apr

SMA is a rare genetic disease. It can result in death in babies. It is a problem that negatively affects the respiratory tract and walking and eating functions in the person’s body. It is a neuron disease, also known as loose baby syndrome by the public.

SMA causes involuntary loss of function in the muscles and considerably reduces the comfort of life of the person. It causes serious trauma in babies among the genetic diseases that are brought from birth. The factor causing the disease; It is because the SMN gene cannot produce protein as in healthy people. The inability of the SMN gene to produce protein cannot feed the motor nerve cells, and this situation manifests itself as a loss of function in the body.

SMA in human;

  • muscle wasting
  • reflex disorder,
  • disorders in behaviors such as sitting, eating, walking,
  • loss of balance
  • hoarseness,
  • It is characterized by symptoms such as shaking hands.

SMA disease has come to the fore and spread research on the treatment of the disease. The question of how to treat SMA disease is a matter of curiosity.

What are the SMA types?

SMA is divided into types according to the age of the patient:
  • SMA Type 1: It is the type that is seen in babies younger than 6 months and gives symptoms such as lack of head control and restricted movements in the baby.
  • SMA Type2: In this type of SMA, the baby shows normal development until the 6th month. SMA starting at 6 to 12 months is called Type 2.
  • SMA Type 3: It is the SMA type that occurs from the 18th month to the adolescence period.
  • SMA Type 4: It is the type of SMA that rarely occurs in adulthood. The disease progresses very slowly in adults.

How Is SMA Treated?

SMA is a genetic disorder that has no cure. However, progress and developments in the medical world are promising in the treatment of the disease. The lack of protein secretion that stimulates nerve cells lies in the background of SMA disease. Therefore, research in therapeutic ways is focused on increasing the protein secretion that controls the movements of motor nerve cells. SMA therapy is based on increasing the motor nerve cell protein. SMN gene enhancement treatments are also tried on mutated genes.

Important research is ongoing on SMA therapy. The most recently developed Zolgensma is the world’s most expensive drug. The SMA drug nusinersan, which was approved by the FDA in 2016, has been approved for use in our country since 2017. Used in SMA Type 1 cases, this drug helps the SMN gene to secrete protein. Spinraza, which is one of the drugs produced for SMA disease, is injected directly into the cerebrospinal fluid in 4 doses for the first 63 days in babies. Evrysdi, which is used in SMA patients over two months, is given to the patient as a daily dose of syrup.

Among the treatments of SMA disease, the Zolgensma drug, developed in the United States in 2019, is the world’s most expensive drug. The drug regenerates the SMA-1 gene once the patient uses it. Zolgensma is also known as the definitive treatment of SMA disease today. The price of Zolgensma, which consists of a whole treatment, is more than 2 million dollars.

It seems that current treatments in SMA disease are aimed at reducing the effects of the disease. In the treatment of SMA disease, what is desired with today’s treatments is to increase the life comfort of the person by reducing the illness.

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