Laser Hair Removal

March 27th, 2010 healthwiki Beauty 0

Laser hair removal is a technique that uses beams of highly concentrated light to penetrate the hair follicles. The light is absorbed by pigment in the hair follicles and destroys the hair within the follicle. Removing unwanted hair thus leaves you with bumps, burns, or the hassles of repeated shaving, tweezing, or waxing. Hence, laser hair removal may be an option worth considering.

Although Lasers are useful for removing unwanted hair from different parts of the body, you must consider the following things before undergoing this procedure.

* Prior to having laser hair removal, you should thoroughly check the credentials of the doctor performing the procedure and the hospital where you are planning to avail the service.

* Once you have planned laser hair removal, you should limit plucking, waxing and electrolysis for six weeks before treatment. That is because the laser targets the hairs’ roots, which are temporarily removed by waxing or plucking.

* You should also avoid sun exposure for six weeks before and after treatment. Sun exposure decreases the effectiveness of laser hair removal and increases the risk of complications following treatment.

* Laser hair removal works better on some people than others. No one knows for sure what the regrowth rates are. Some people notice regrowth after several months or years, while others find they never have to shave again.

* Costs of Laser hair removal vary widely depending on a number of factors like size of the area being treated and time required for treatment and number of sessions required. Because each person’s pattern of hair growth is unique, it is difficult to predict exactly how many treatments will be needed to completely get rid of unwanted hair or the exact cost of doing so. For a better idea of the cost for your particular hair problem, you should schedule a consultation with a doctor, who must be an expert dermatologist with skill and experience in laser skin treatment.

Protect Your Kidneys and Control Diabetes

March 14th, 2010 healthwiki Diabetes 0

World Kidney day was observed on 11 March in more than 100 countries of the world. The slogan of World Kidney Day this year was “Protect your kidneys, control Diabetes”. World Kidney Days aims to raise awareness about the heavy burden of chronic kidney disease (CKD) on human lives.

The mission of World Kidney Day is to raise awareness of the importance of our kidneys to overall health and to reduce the frequency and impact of kidney diseases and its associated health problems worldwide. The objectives of the World Kidney Day 2010 were the followings:

* Raise awareness about our “amazing kidneys”

* Highlight that diabetes and high blood pressure are key risk factors for chronic kidney disease (CKD)

* Encourage systematic screening of all patients with diabetes and hypertension for CKD

* Encourage preventive behaviours

* Educate medical professionals about their key role in detecting and reducing the risk of CKD, particularly in high risk population

* Stress the important role of local and national health authorities in controlling CKD epidemics. Health authorities worldwide will have to deal with high and escalating costs if no action is taken to treat the growing number of people with CKD. On World Kidney Day all governments are encouraged to take action and invest in further kidney screening

* If detected early, CKD can be treated by reducing other complications and dramatically reduced the growing burden of deaths and cardiovascular disease worldwide

Kidney diseases are silent killers which largely affect the quality of life. There are, however, several easy ways to reduce the risk of developing this kidney disease.

Seven golden rules:
i) Keep fit and active
ii) Keep regular control of your blood sugar level
iii) Monitor your blood pressure
iv) Eat healthy and keep your weight in check
v) Do not smoke
vi) Do not take over the counter pills on regular basis
vii) Check your kidney function if you have one or more of the high risk factors

Diagnosis of CKD with Diabetes:
People with diabetes should be screened regularly for kidney diseases. The two key markers of kidney diseases are eGFR and urine albumin. Kidney diseases are present when eGFR is less than 60 ml/min.

The Americal Diabetic Association (ADA) and National Institute of Health (NIH) recommend that eGFR can be calculated from serum creatinine at least once a year in all people with diabetes.

Urine albumin is measured by comparing amount of albumin to the amount of creatinine in a single urine sample. When the kidneys are healthy, the urine will contain large amount of creatinine but almost no albumin. Even small increase in ratio of albumin to creatinine is a sign of kidney diseases. Kidney diseases is present when urine contain more than 30 mg of albumin per gram of creatinine, with or without decrease eGFR. The ADA and NIH recommend annual assessment of urine albumin excretion to assess kidney damage in all people with type 2 diabetes and people who have type 1 diabetes for 5 years or more.

Good care makes a differencePeople with diabetes should:
* Measure their HbA1C level at least twice a year which should be kept less than 7%

* Regular insulin injection, intake of other medicines, meal planning, physical activity and blood sugar monitoring

* Blood pressure should be checked several times a year which should be kept <130/80 mmHg

* Regular intake ACEI or ARB medicine for controlling high blood pressure

* To measure effective eGFR yearly

* To estimate urine albumin atleast once a year to check kidney damage

* To take reduce amount of protein in the died at to seek health from the dietitian regarding meal planning

In conclusion early detection and treatment of kidney diseases are the best way to prevent CKD in order to reduced substantial burden of health budget.

Move Together To Promote Mental Health

March 1st, 2010 healthwiki Mental Health 0

Although mental health is crucial to the overall well-being of individuals, societies and the country, it is largely neglected and often overlooked in Bangladesh. World Health Organisation (WHO) has given utmost importance to promote mental health services and has been campaigning for the full incorporation of mental health in public health. But it is matter of great regret that many people including some of health professionals are very reluctant to give mental health a priority.

About 16.01 per cent adult and 18.35 per cent children are suffering from mental illness in Bangladesh. With this enormous disease burden, a very few number of mental health professionals are struggling to cope with mental disorders. There are only 120 psychiatrists in our country. Other mental health professionals (psychologists, psychiatric nurses etc) are also very limited in number.

WHO published an assessment instrument for mental health system in Bangladesh in 2007. It revealed — there are 0.073 psychiatrist and 0.00071 psychologist per 100000 populations. Total indoor beds for mental patients are only 813 against the whole population (0.58 bed/100000 people). With the lack of resources, we have many negative attitudes to the mental health issues.

WHO stated that mental health is more than the absence of mental illness, and it is vital to individuals, families and societies. Mental health is determined by socioeconomic factors, linked to behaviour. There are lots of impact on mental health from the global warming and climate change, but little crying we hear from the environmentalist on this issue.

Beside the individual disease burden, there is huge impact of mental health on social capital. The level of well being, physical health, knowledge and skill, productivity, quality of relationship, sexual satisfaction, trust, social cohesion all are integrated to mental health and ultimately linked with social capital. Good mental health is also an important resource for families, communities and nations. Mental health is a useful tool in the human rights framework.

Among the global disease burden, mental illnesses pose a bigger place than many of overemphasised physical illnesses. Our attitude towards mental health is running on the wrong track. It is time to change our attitude and false belief. Mental health concerns everyone as it is generated in our everyday lives at homes, schools and workplace. Positive mental health contributes to the social, human and economic capital of societies. To promote mental health, we all should move together.

Save lives Donate Blood

March 1st, 2010 healthwiki Health Resources 0

Everyday, thousands of people undergoing major surgeries need blood transfusion. Many people suffering from various conditions like haemophilia (genetic disease that impair the body’s ability to control blood clotting), dengue, severe anaemia, blood cancer, thalaessemia need blood transfusion.

On an average, 3 to 3.5 lakh bags of blood are needed in our country every year. There is always strict advice to transfuse safe blood. But from where these amount of blood will come? Blood is not produced in a factory and yet there is no alternative source for blood. The only source of blood is human body.

Usually, blood from relative is encouraged for transfusion. But if a healthy relative of the same blood group is not available, blood from any healthy voluntary donor of that group may be transfused. In our country, people usually depend on the organisations like Sandhani, Redcresent, Badhon, Quantam etc. for safe and fresh blood. We should remember that these organisations or institutions do not manufacture blood. They are only the media to collect blood from healthy voluntary donors to provide it to the needy people. The more the voluntary donor, the more these organisations will make blood available.

Here the question comes — who can donate blood? Any person within the age group of 18-60 years with a body weight as minimum 45 kg for female and 48 kg for male and having a general well-health is an eligible blood donor. Healthy means that you feel well and can perform normal activities; your blood pressure, pulse, body temperature are normal; and you are free from any blood boarn diseases such as malaria, syphilis, gonorrhoea, hepatitis B, C, AIDS, haemophilia etc.

You may have chronic conditions like diabetes or high blood pressure; but in these cases, healthy means — you are being treated and the condition is under control. Such healthy people can donate one bag (350-450 ml) blood safely every 4 months.

After donating blood, the donor should take rest for 15-20 minutes. Routine work is absolutely fine after the initial rest. Rigorous physical work should be avoided for few hours. After resting for a while a donor should be given some liquid (fluid) to drink, such as water, ORS, milk or fruit juice. The donor needs no special diet other than a routine balanced diet. The body replaces blood volume or plasma within 24 hours.

It is very unfortunate that voluntary blood donation is still not so popular in our country. This is due to the lack of proper awareness, social movement, irrational fear and superstitions about donating blood. Some organisations are working in this field but still the number of voluntary blood donor is not keeping pace with the yearly requirement of blood.

In a study conducted by Sandhani, Dhaka Medical College Unit, it was seen that 62 percent of the population were unaware of the blood-transmitted diseases, 53 percent of people did not even know what their blood group was; 66 percent admitted that their knowledge about blood donation was not sufficient.

For the lack of adequate voluntary donors, many patients are being compelled to buy blood from professional blood donors. Such donors are more likely to carry dangerous infections and their blood is more likely to be of lower standard, as they tend to donate, better to say, trade more frequently.

In Bangladesh, mostly drug addicts sell their blood to get money to buy drugs for addiction. Usually they are under-nourished, having less haemoglobin in their blood. They also suffer from various blood transmissible diseases. So, the patient who is getting that blood, though initially may be benefited, is in risk of having many diseases.

In a research conducted in our country, 22 percent of the professional donor was found having Syphilis and 29 percent having Hepatitis-B. A study conducted in BSMMU showed that 60.1 percent of the patients suffered from hepatitis, who got transmitted unscreened blood from professional donors.

Again, many patients fail to get any kind of blood, not from voluntary donors, not from professional donors even. Voluntary donors’ safe blood and professionals’ unsafe blood collectively fail to fulfill the yearly requirements of Bangladesh.

If only 1% of the population donate blood once a year (though a healthy donor can donate blood 3 times a year safely), the yearly collection stands a satisfactory number which may fulfil the requirement smoothly.

Mathematically it is an easy task but it does not happen in reality. We all need come forward to save thousands of lives dying due to the shortage of blood.