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Mar09
HIV /AIDS :CAUSTIONS BEFORE AND AFTER TREATMENT:MEDICINES SHORT & LONG TERM SIDE EFFECTS & MANAGEMENT
HIV /AIDS :CAUSTIONS BEFORE AND AFTER TREATMENT

PROF.DRRAM ,HIV/AIDS,SEX DIS.,SEX WEAK.& ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033,DELHI ЦNCR,IND
HIV/ AIDS,CANCER LATEST MEDICINES AVAILABLE AT CHEAP RATE.
FOLLOW ON FACE BOOK:www.facebook.com/drramkumar
FOLLOW ON TWITTER:www.twitter.com/profdrram

HIV /AIDS only methos to control it is by medicines ARV ,mostly a combination of recently investigated and discovered 3-4 medicines WHICH CURES VIRUS BUT PRODUCE MANY SIDE EFFECTS,SO SHOULD BE TAKEN AFTER PRECRIBED BY A GOOD EXPERT DOCTOR,self or over the table or counter medicines may produce many lethal side effects and complications.
doctors write thesr medicines specifically needed for one person or individually as his way of exposure,duration of symptos,presence of any oopurtunistic infections,his blood tests like CD$,Viral Load,CBC,LFT,KFT, LIPIDPROFILE, HBSag,HCV,VDRL,urine R/E,urine C/S,Stool for R/E ,CXR,ECG,USG of Abdomen etc are main tests needed to be done before starting therapy as presence of ny TB,STDs,Pneumonia,Diarrhoea or skin rash may produce unlike effects and complications and so medicines will change from one person to other considering his /her food habit,any addiction history,physical built,personal history of excercise and mental status and attitude.
Short-Term Side Effects of HIV Treatment:
HIV treatment can cause side effects for a brief period while it is controlling the virus in your body. Common short-term side effects include:
Fatigue
Anemia, a problem with red blood cells that may also cause fatigue
Diarrhea, nausea, or vomiting
Dizziness or headaches
Insomnia
Pain and nerve problems
A skin rash
Injection site reactions
Dry mouth
Weight loss
Vivid dreams
Although these side effects may bother you for a while, they frequently get better with time -- often within a few weeks.If side effects do not lessen, or if they are severe or unusual, then Doctor will decide whether to continue medicines or not as Heapatitis leading to high jaundice or severy skin rashes as Stevns Jhonson syndrome or severe depression or loss of sleep or night mares,so severe anaemia or lipidostrophy may bound him to stop some medicines and start new mediicines..

Doctor examines that CD$ rises and Viral load decreases if not then he suspects Viral Resistant with medicines so if affordable drug sensitivity test or otherwise randomly he stars new medicine out of one group.During this one has to take medicines regularly without any fail,good diet,excecise,and no addiction of alcohol,nicotine,drugs and good sexual habit with safe sex and no contamination with infected blood or semen.
Coping With Long-Term Side Effects of HIV Treatment:
Some of the most common long-term side effects and coping strategies include:
Fat redistribution. Known as lipodystrophy, this can occur when the body changes the way it produces, uses, and stores fat. You might lose fat in your face and legs and gain fat in your abdomen and back of your neck. Switching medications may keep symptoms from getting worse. But there are few other options for treating this long-term side effect.
Increases in cholesterol or triglycerides. This can increase the risk for problems such as heart disease. Diet and other lifestyle changes are a first step. Medications such as statins and fibrates may also be recommended by your doctor.
Elevated blood sugar levels. Exercise, weight management, and other lifestyle changes may help. Your doctor may also recommend other medications to control blood sugar levels.
Decreases in bone density. This can increase the risk of bone fractures, especially as you get older. Try weight-bearing exercises like walking or weight lifting. Your doctor may recommend calcium and vitamin D supplements, or medications to treat or prevent osteoporosis.
A buildup of a cellular waste product. Known as lactic acidosis, this uncommon issue can cause a wide range of problems, from muscle aches to liver failure. You may need to switch drugs.kidney stones can also occur so one has to take more water intake,side by side if any oppurtunistic infection then Cotraimaxazole for Pneumonia,Dirrhoea,toxoplasma ,cytomegal onfection,anti fungal for fungal infection and treatment for TB etc has to be taken.During start of such treatment "IRIS" or a special reaction may develop but subsides with steroid and regular treatment .


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Mar04
PILES
मूळव्याध
डॉ.साधनादेव,जनरलसर्जन,शुभमक्लिनिक,टायटनशॊरुमवर,सिन्हगडरोड,वेळ-सन्ध्या.७ते९ [९८९०७५८०२६] with appointment कन्सल्टन्ट- SANJEEVAN HOSPITAL,KARVE ROAD
SAHYADRI MAIN, KARVE ROAD
GALAXY CARE HOSPITAL
DEENDAYAL HOSPITAL
स्त्री व पुरुषांच्या सर्व प्रकारच्या शस्त्रक्रिया कमी खर्चात करण्य़ासाठी दिवसा व सन्ध्या.सम्पर्क ९८९०७५८०२६
टॉयलेट मधील अवान्छीत रक्तदान थांबवा !!!!!!
मूळव्याध म्हणजे शौचमार्गाकडील रक्तवाहिन्या फ़ुगून बाहेर येणॆ व रक्तस्त्राव होणॆ
कारणॆ-मलावरोध,बध्द्कोष्ठता,सन्डासला जोर करणॆ,कुन्थणॆ,तन्तुमय जेवण न घेणॆ,व्यायामाचा अभाव, पाणी कमी पिणॆ, धुम्रपान,जाडीवाढणे ,मद्यपान,मांसाहार,जड वजन उचलणॆ इत्यादी.तसेच गर्भवती स्त्रिया व प्रसुती नंतर हा त्रास वाढतो.
लक्षणॆ- कोम्ब बाहेर येणॆ,शौचास कडक होणॆ,शौचासदूखणॆ,पोटदूखणॆ,रक्तस्त्रावहोणॆ,खाजणॆ,जडपणा वाटणे,एनिमिया,अशक्तपणा येणे
ह्यामधील कोणत्याही लक्षणास दुर्लक्षू नये व माझा सल्ला घ्यावा.कारण मूळव्याध व कर्करोग एकाचवेळी असु शकतात.
निदान-सर्जनकडील योग्य तपासणी,प्रोक्टॊस्कोपी व सोनोग्राफी करणॆ,तपासताना भूलेची गरज नसते.
उपाय- शस्त्रक्रिया हाच एकमेव उपाय "एक टाका पुढचे नऊ टाकॆ वाचवतो".
वेळेत शस्त्रक्रिया हेच एकमेव उत्तर आहे.
होमिओपॅथि अथवा आयुर्वेदाने पुर्ण बरा न होणारा आजार आहे.
आहारातबदल,सॅलड,कोन्डा,तन्तुमयजेवणघेणॆ,पाणी
भरपूर पिणॆ,मेडीकल/औषधे,क्रिम्स,लॅक्जेटीव्ज घेणॆ
बॅन्डीन्ग,कोयाग्युलेशन,हेहि ओप्शन आहेत.
मूळव्याधिचे कोम्ब हा फ़िशरचा प्रकार असुन त्याचि शस्त्रक्रिया करावि कारण ते दुखतात,पु होतो ,फ़िस्तुला होतो.कोम्ब व पाइल्स बरे करनारि औषधे अस्तित्वत नाहीत.
पारम्पारीक मूळव्याध शस्त्रक्रिया हि गोल्ड स्टॅन्डर्ड शस्त्रक्रिया मानली जाते,कमी खर्चात होते, व आत्यधुनिक औषधे असल्यामुळॆ वेदनारहित होते,टॊईलेटवरिल ताबा कधीच जात नाही,पण बरे हॊण्य़ास २ दिवस लागतात. आता हार्मोनिक /कॉटरी वापरून लवकर बरी होते.हा आजार शस्त्रक्रिया करुन घेतल्यास पूर्ण बरा होतो कारण औषधे फ़क्त तात्पुरता आराम देतात.
स्टॆपलर वापरुन केलेली- २१व्या शतकातील नवी शस्त्रक्रिया,२ दिवसात घरी जाता येते, कमी दुखते,पुन्हा होत नाही,रक्तस्त्राव होत नाही, पण महाग आहे.
मेडिकल/औषधे घेउन आजार वाढवण्य़ापेक्षा सर्जन कडून तपासणॆ व पूर्ण बरे होणॆ महत्वाचे.
स्वउपचार व मेडीकल मधून स्वतःची स्वतः औषधे घेणे टाळा.
स्त्रीपेशंटची स्त्रीसर्जन कडून तपासणी केली जाते त्यामुळे त्यांना न संकोचता दाखवता येते.
तसेच स्त्री व पुरुषांच्या कमी खर्चात शस्त्रक्रिया होतात त्यामुळे पेशंटचा फायदा होतो.
मूळव्याध न होण्यासाठी काय कराल?
वजन कमी करणे,पाणी भरपूर पिणॆ, तन्तुमय जेवण घेणॆ,मलावरोध व बध्द्कोष्ठता टाळणॆ,ब्येथे काम तालने
व्यायाम करणे, न कुन्थणॆ, सर्जनचा सल्ला घेणे सर्वात महत्वाचे.
मोफत तपासणी शिबिर- ६ ते ९ औगस्त २०१३ वेळ- ७ ते ८.३० with appointment


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Mar04
HERNIA
हर्निया
डॉ.साधनादेव,जनरलसर्जन,शुभमक्लिनिक,टायटनशॊरुमवर,सिन्हगडरोड,वेळ-सन्ध्या.७ते९ [९८९०७५८०२६]with appointment
कन्सल्टन्ट - SANJEEVAN HOSPITAL,KARVE ROAD
SAHYADRI MAIN, KARVE ROAD
CHAITANYA HOSPITAL
DEENDAYAL HOSPITAL
स्त्री व पुरुषांच्या सर्व प्रकारच्या शस्त्रक्रिया कमी खर्चात करण्य़ासाठी दिवसा व सन्ध्या. सम्पर्क ९८९०७५८०२६
हर्निया/अन्तर्गळ-पोटाच्या आवरणातील स्वाभाविक व अस्वाभाविक भोकांमधुन आतडी व पोटामधील इतर अवयव खाली घसरणॆ.

त्याचे प्रकार- अ]बहीर्गत-
जान्घेतील-डाय़रेक्ट आणि इनडाय़रेक्ट /इन्ग्वायनल/ Inguinal
बेंबीजवळील/अम्बिलिकल/Umbilical
औपरेशन नंतरचा/ईन्सिसिजनल / Incisional
बेंबीच्या वरील भागातील/एपिगॅसट्रिक
फ़िमोरल
लम्बर
ब]अन्तर्गत-
हायाटल/प्य़ाराइसोफॆज़ीऎअल-अन्ननलिकेज़वळील
डायफ़्रामॅटीक

कारणॆ- कोणत्याही वयात होतो,बन्धन नाही. पुरुषांत स्त्रियापेक्षा जास्त आढळणारा आजार.
पोटातीलपिशवीपासुनहोणारा/पोटाचेस्नायुविरल्यामुळॆ होतो.[जन्मापासुन,तरुणवयात,चाळिशिनंतर सत्तरीपर्यंत होतो.]स्त्रियांमधे सिझरनंतरकिंवा गर्भाशय काढल्यावर औपरेशन नंतरचा/ईन्सिसिजनल हर्निया होतो.
धुम्रपान,जाडीवाढणे,मद्यपान,मधुमेह,मांसाहार,जडवजनउचलणॆ,
मलावरोध, लघवीलाजोरकरणॆ,खोकला इत्यादि
लक्षणॆ- न दुखणारा जांघेतील फूगा ,जो झॊपल्यावर आपोआप आतबाहेर जातो,अडकलेला फूगा, पोट फ़ुगणे,आतडी अडकणॆ, पोटदुखी, ऊलट्य़ा,संडास बंद होणॆ, सिरियस होणे,
व आतडी काळी पडणॆ,
निदान-सर्जन कडील योग्य तपासणी व सोनोग्राफी करणॆ
उपाय- शस्त्रक्रिया हाच एकमेव उपाय "एक टाका पुढचे नऊ टाकॆ वाचवतो".
वेळेत शस्त्रक्रिया केल्यास एकच शस्त्रक्रिया लागते.व तॆच शेवटचे उत्तर आहे.
होमिओपॅथि अथवा आयुर्वेदाने बरा न होणारा आजार
कारण हा मेकनिकल आजार असून जाळी बसवून स्नाय़ू बळकट करणे व हर्नियाची पिशवी
बांधणे हाच उपाय आहे.जाळी न बसविल्यास हर्निया परत होतो. [५०%पेशण्ट] .

हिच शस्त्रक्रिया सिरियस पेशण्ट मध्ये दोनदा म्हणजे एकदा आतडी जोडणॆ व नंतर हर्नियासाठी जाळी बसविणॆ अशी लागते.
शस्त्रक्रियेचे प्रकार-
अ]-ओपन-टाक्याची-पारंपारीक- जाळी /प्रोलिन मेश बसविणॆ पण नविन प्रकारचे भारी मेश उपलब्ध-
अल्ट्राप्रो,सुगीप्रो,परिएटिन प्रोग्रिप,डुअल,प्रोसीड,प्रोलिन हर्निया सिस्टीम,-टॆन्शन फ़्रि शस्त्रक्रिया
ब]-दुर्बिणितुन केलेलि-टीऎपिपि,टिईपि याचा खर्च जास्त येतो ,पण दोन्ही बाजू एकदम बघता येतात.
हर्निया टाळण्य़ासाठी-वजन मापात राखणॆ
जड वजन न उचलणॆ
तन्तुमय अन्न खाणॆ,व्यसने बन्द करणॆ, धुम्रपान बंद करणॆ
लंगोट ऊपाय म्हणून दीर्घकाळ न वापरणॆ
सर्जन कडे योग्य तपासणी वारंवार करणॆ
आजार झाल्यावर दुर्लक्ष न करणॆ व ताबडतोब वरील पध्दतीने शस्त्रक्रिया करुन घॆणे
शस्त्रक्रियेनंतर काळजी घेणे


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Mar01
how to get beautiful n glowing skin
HOW TO GET BEAUTIFUL AND GLOWING SKIN
How Water Benefits Your Skin

Few things are as good as water for keeping your skin in shape.

Water keeps skin hydrated, reducing the look of fine lines and wrinkles. It helps cells take up nutrients and purge toxins. And water improves circulation and blood flow, keeping your skin glowing.

Selenium for Your Skin

Selenium is a trace mineral that may help protect skin cells from free radical damage. It may also play a role in skin cancer prevention.

Excellent sources of selenium include Brazil nuts, button mushrooms and whole-wheat pasta

CoQ10: Coenzyme Q10

CoQ10 is a powerful antioxidant made naturally in your body. However, its production decreases with aging. CoQ10 protects skin and other body cells from the damage caused by free radicals. It's also involved in energy production and basic functioning of cells. Low levels of this antioxidant are found in many age-related illnesses. When used topically, it is reported to improve the appearance of wrinkles and the signs of aging.
Rich sources of CoQ10 include fish (such as salmon and tuna), poultry, organ meats (such as liver), and whole grains.

Antioxidants for Healthy Cells

Antioxidants prevent or slow the damage done to cells by free radicals. This damage contributes to signs of aging, such as wrinkles and dry skin.
Antioxidants can be found in all kinds of foods, especially colorful fruits and vegetables such as berries, tomatoes, apricots, beets, squash, spinach, sweet potato, tangerines, peppers, and beans

Vitamin A for Skin Repair

Want to steer clear of dry, flaky skin? Grab an orange, a carrot,and papaya. These fruits and vegetables are loaded with vitamin A. Applying vitamin A to the skin appears to improve signs of aging, such as wrinkles. Topical and oral forms of vitamin A are common prescription treatments for acne and other skin conditions, including wrinkles. Other sources of vitamin A include leafy greens, eggs, and low-fat dairy

Vitamin C: Power Over the sun

Vitamin C helps protect skin from the sun. It also helps undo damage done by free radicals, which destroy skin-firming fibers such as collagen and elastin.

Excellent sources of vitamin C include red bell peppers,guava, indian gooseberry(amla) citrus fruits, papaya, kiwi, broccoli, greens, and brussels sprouts.

Vitamin E is another antioxidant that may help shield your skin from damage done by the sun. Vitamin E is also an anti-inflammatory and immunity enhancer.

Vitamin E is found in vegetable oils, nuts, seeds, olives, spinach, asparagus, olives, and leafy greens in small amounts.

Essential Fatty Acids for Your Skin

Essential fatty acids such as omega-3s and omega-6s help produce your skin's natural oil barrier, keeping dry skin and blemishes at bay. EFAs are necessary fats that help leave skin smoother and younger-looking.

Good sources of essential fatty acids include olive and canola oils, flax, walnuts, and coldwater fish such as salmon, sardines, and mackerel

Healthy Oils for Healthy Skin

Some oils pack more than essential fatty acids. Good-quality oils like extra virgin olive oil and cold- or expeller-pressed oil are more simply processed than many commercial oils, and so they may help retain more skin-boosting nutrients.
These oils may also help lubricate skin and keep it looking and feeling healthy

Green Tea: Antioxidant Powerhouse

Green tea may be the closest thing to a magic elixir that nature can offer for your skin. Green tea helps to stop inflammation, slow DNA damage, and can help prevent the sun from burning your skin.


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