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Mar21
AYURVEDIC DRUG SHWAS KASA CHINTAMANI RASA PROVED TO BE USEFUL IN ASTHMA
Asthma is the most common chronic childhood disease in nearly all industrialised countries. An attack is experienced when the asthmatic child's chronically inflamed bronchial airways, having become sensitised to certain environmental allergens (e.g., dust, smoke) and conditions (e.g., exercise, cold weather, stressful emotions), begin to overproduce mucus in their presence.

This leads to the swelling and muscle contraction that obstructs air flow and restricts breathing. Although asthma has been known for millennia, but even after century a root cure of asthma is not yet available. The modern medicines of asthma can control the acute asthma symptoms, but did not cure this disease significantly.

In a recent research study conducted in Banaras Hindu University Varanasi; The children with age group of 2-12 years having symptoms of cough, fever, breathlessness, running nose, restlessness, wheezing, etc., were selected and divided into subgroup 'A' having positive history of taking bronchodilator and corticosteroid and subgroup 'B' having positive history of taking bronchodilator only whereas subgroup 'C' patients having no history of taking steroid or bronchodilator prior to the registration.

Patients were advised to take SKCR drug in a dose of 4 mg/kg/dose × 12 hrly (in powdered form) mixed in Garlic: Ginger: Honey (GGH) [in 1:2:4 ratio] to the patient and given for the 45 days.

The drug SKCR was given for a total of 45 days in a dose of 12 hourly with garlic, ginger and honey in ratio of 1:2:4. In most of the cases findings were suggestive of significant clinical improvement during the follow-ups.

In present study, analysis of incidence of common features in group 'A' all the signs and symptoms were subsided except the cough and wheeze in one case (10%) on third follow-up while on second follow-up approximately 40% cases relapsed after getting fresh exposure to the trigger factors during the management. In group 'B' and group 'C', incidence of most common features were subsided and all the patients had became asymptomatic on third follow-up.

This study suggested that the drug
SHWAS KASA CHINTAMANI RASA IS MORE EFFECTIVE IN THOSE CASES WHO ARE NOT RECEIVING CORTICOSTEROID WITH BRONCHODILATOR IN COMPARISON TO CHILDREN RECEIVING CORTICOSTEROIDS WITH/WITHOUT BRONCHODILATOR.

IT IS ALSO EFFECTIVE IN CHILDHOOD BRONCHIAL ASTHMA THAT HAS THE HISTORY OF STEROID AND BRONCHODILATORS. NO SPECIFIC ADVERSE EFFECT OF DRUG SKCR WAS OBSERVED.

(This research was conducted by researchers of Department of Kaumarbhritya, Faculty of Ayurveda, Banaras Hindu University, Varanasi,)

(ये सूचना आयुर्वेद विज्ञान के बारे में आपके ज्ञान वर्धन व इसके वैज्ञानिक दृष्टिकोण को समझाने हेतु है. किसी भी रोग से पीड़ित होने पर चिकित्सक के परामर्श से ही कोई दवा लें.)


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Mar21
AYURVEDIC HERB FALSA (फालसा) PROVED HAVING POTENTIAL ANALGESIC AND ANTI-INFLAMMATORY ACTIVITY
A large number of plants are being increasingly used in the treatment of pain and inflammatory conditions. The preference to the herbal agents is more compared to conventional non-steroidal anti-inflammatory drugs (NSAIDs) because NSAIDs administration is associated with the risk of producing adverse effects such as gastric ulceration, thrombocytopenia, skin rashes. Plant based medicines are widely used in Ayurvedic system of medicine as Vedana śāmaka or śothahara.

Grewia asiatica Linn. (Family: Tiliaceae), Phalsa (फालसा) in Hindi is cultivated on a commercial scale mainly in the Northern and Western states of India used for a variety of therapeutic and nutritional uses. It is known for its medicinal properties and the fruit possesses astringent, cooling and stomachic properties.

It is reported that unripe Phalsa fruit alleviates inflammation and is administered in respiratory, cardiac and blood disorders. The fruits are also documented to have antimalarial and anti-ulcer effect. The leaves are applied on pustular skin eruptions and they are known to have antibiotic action. The root bark of the plant is traditionally used in rheumatism (painful chronic inflammatory condition). The infusion of the bark is given as a demulcent, febrifuge and is also used in the treatment of diarrhoea.

This study demonstrated the analgesic and anti-inflammatory activity of root bark of Falsa (फालसा) in rodents.The methanolic and aqueous extract of the bark of Falsa (फालसा) were prepared and subjected to phytochemical tests and pharmacological screening for analgesic and anti-inflammatory effect in rodents. Analgesic effect was studied using acetic acid-induced writhing in mice and hot plate analgesia in rats while anti-inflammatory activity was investigated using carrageenan-induced paw oedema in rats.

Dose of Falsa was administered orally in doses of 200 and 400 mg/kg/day of body weight.

The extracts showed a significant inhibition of writhing response and increase in hot plate reaction time and also caused a decrease in paw oedema. The effects were comparable with the standard drugs used. The present study indicated that root bark of FALSA (फालसा) exhibits peripheral and central analgesic effect and anti-inflammatory activity, which may be attributed to the various phytochemicals present in root bark of Falsa (फालसा).This study substantiates the traditional use of bark of Falsa (फालसा) in rheumatism.

THIS STUDY CONCLUDED THAT THE ROOT BARK OF FALSA (फालसा) HAS POTENTIAL ANALGESIC AND ANTI-INFLAMMATORY ACTIVITY.

This research was conducted by researchers of Vinayaka Mission's College of Pharmacy, Salem, Tamil Nadu & National Research Institute for Ayurveda-Siddha Human Resource Development, Gwalior, Madhya Pradesh, India.

(ये सूचना आयुर्वेद विज्ञान के बारे में आपके ज्ञान वर्धन व इसके वैज्ञानिक दृष्टिकोण को समझाने हेतु है.

किसी भी रोग से पीड़ित होने पर चिकित्सक के परामर्श से ही कोई दवा लें.)


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Mar11
HIV vaccine development necessary for a durable end to AIDS / HIV
HIV vaccine development necessary for a durable end to AIDS / HIV

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Broader global access to lifesaving antiretroviral therapies and wider implementation of proven HIV prevention strategies could potentially control and perhaps end the HIV/AIDS pandemic. However, a safe and at least moderately effective HIV vaccine is needed to reach this goal more expeditiously and in a more sustainable way, according to a new commentary from Anthony S. Fauci, M.D., director of the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health, and colleague Hilary D. Marston, M.D., M.P.H.

In the piece, the authors note that behavioral, cultural and legal factors have hindered HIV prevention and treatment efforts and explain why those factors necessitate the development of an HIV vaccine. Although attempts to develop a vaccine have so far proven disappointing, recent advances offer encouraging areas for HIV vaccine researchers to pursue, according to the authors. Notably, the discovery of naturally occurring broadly neutralizing antibodies against HIV and studies of their stimulation in infected individuals have opened new avenues in vaccine development. Using improved understanding of those antibodies and the specific sites on HIV to which they bind, the natural process of antibody evolution could be replicated and greatly expedited allowing protection against initial infection. Significant advances also have been made in understanding T-cell responses that may be important to vaccine-induced immunity against HIV.

The authors conclude that "the HIV prevention community should hold fast to its commitment to vaccine science. Ultimately, we believe, the only guarantee of a sustained end of the AIDS pandemic lies in a combination of nonvaccine prevention methods and the development and deployment of a safe and sufficiently effective HIV vaccine."


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Mar11
AIDS / HIV & HEPATITIS C INFECTION: RECENT TREATMENT MODULE OF TREATING HIV AND HEPATITIS TOGETHER WITH SOFOSBUVIR
AIDS / HIV & HEPATITIS C INFECTION: RECENT TREATMENT MODULE OF TREATING HIV AND HEPATITIS TOGETHER WITH SOFOSBUVIR

PROF.DRRAM ,HIV/AIDS,SEX DIS.,SEX WEAK.& ABORTION SPECIALIST
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Hepatitic C is a silent infection like HIv and is common with many patients of hHiv particualrly those are IV DRUG USER OR BLOOD CONTAMINATED.WITH HEPATITIS C HIV MUST BE TREATED FIRST AS START ANTI HIV TREATMENT OR ARV MEDICINES FIRST KEEP VIRAL LOAD OF HIV LOW AND CD4 COUNT MORE FOR BETTER RESULTFOR HCV CURE.
Hepatitis c produce cirrhosis of liver and liver cancer if not treated,we decide to treat it when we see that Liver function of patient deteriorates,Features of cirrhosis like Pedal Oedema,Black spots,Dilated abdominal Veins,Piles or oesophageal varices with Ascites or fluid in abdome with splenomegaly starts and cirrhosis confirmed by either Biopsy or Fibroscan or Usg or we see features of cancer then we resect this liver and transplant new one and with it we treat hepatitis c too.
so,if liver enzymes alters or fetures of cirrhosis starts of if HCV viral load IU/ML OR COPIES/ML(1IU/ML=7COPIES/ML) seen in good concentration and patient opt for therapy as if treatment taken completed than unlike HIV,HCV is curable after 12-24 wks now with sobosfuvir and previously 48 wks without sofosbuvir SVR (SUSTAINED VIRAL RESPONSE) OR VIRAL LOAD ZERO OF HCV IS POSSIBLE
we see that what type of HCV it is as Genotype 1 or 1A or 1B or type 2,Type 3 or type 4 .Genotype HCV 1A and type 4 are hard to treat they need peglyated Interferon with Ribvarin for 24-48 wks with Bocprevir and telaprevir either if alone or with HIV but with Sofosbuvir now it is found that interferon-free regimen of sofosbuvir plus ribavirin for 24 weeks led to sustained response in three-quarters of previously untreated people with genotype 1 hepatitis C and HIV co-infection in the PHOTON-1 study,and 12 wks therapy for type 2 but for type 3 also a course of 24 wks needed like type 1A not shorter 12 wks as for type 2 as we think type 2 and type 3 are easy responders.according to a report at the 21st Conference on Retroviruses and Opportunistic Infections (CROI 2014) this week in Boston.

People with HIV/HCV co-infection experience more rapid liver disease progression and do not respond as well to interferon-based therapy as people with hepatitis C alone. Direct-acting antivirals like sofosfuvir or SOVALIDI or PREVIOUS KNOWN GS-7977 that target different steps of the HCV lifecycle offer the prospect of shorter treatment, fewer side-effects and higher cure rates for both HCV mono-infected and HIV/HCV co-infected patients.In less advanced case or type 2 or type 3 simprenavir can also be tried.Previous to this costly Sofosbuvir (ruprees 50000 dollars for one month )but pegylated Interferon is very toxic and cannot be easily tolerated by every pateient previously we were using INTERFERON ALPHA 2a OR ALPHA 2b which dose was twice a week but now pegylated once a week injection,Ribarin in dose 0f 1000-1200 mg as per body weight and Sofosbuvir 400 mg once a day only.


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Mar11
AIDS/ HIV HIGH PREVALENCE IN INDIA :UN DECLARATION ZERO HIV / ZERO DISCRIMINATION BY 2015
AIDS:UN DECLARATION ZERO HIV / ZERO DISCRIMINATION BY 2015

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There are 22 priority countries; they have the highest number of pregnant women living with HIV, as recognised in the ‘Global Plan towards the elimination of new HIV infections among children by 2015 and keeping their mothers alive’.Global plan was formulated by 110 countries of World in UN HQ by formulating 10 TARGETS ,THE GOAL TO BE COMPLETED BY 2015 WITH YEARLY SURVEILLANCE AND MONITORING OF PROGRAMME AND ITS SUCCESS AND HINDRANCE to combat hiv/aids spread,contamination and new cases to promote zero tolernce for hiv/aids,no new cases or ZERO HIV NEW INFECTION AND DEATH DUE TO AIDS by good funding of screening every person for HIV/AIDS and providing primary and secondary treatment for every infected person in countries like india,and other sian countries and countries of AFRICA AND LATIN AMERICA and to extend insurance sector to HIV /AIDS IN USA BY PRESIDENT PROFAR PROGRAMME,ZERO DISCRIMINATION OR STIGMA for HIV LIKE A BILL IN UPPER HOUSE IN INDIA to punish those who discriminate HIV /AIDS.
These 22 countries are: Angola, Botswana, Burundi, Cameroon, Chad, Côte d’Ivoire, Democratic Republic of the Congo, Ethiopia, Ghana, India, Kenya, Lesotho, Malawi, Mozambique, Namibia, Nigeria, South Africa, Swaziland, Uganda, United Republic of Tanzania, Zambia, and Zimbabwe. India is the only country not in Africa.
10 TARGETS SETS UNIVERSALLY TO COMBAT HIV/AIDS WITH SPECIAL FOCUS ON ABOVE 22 COUNTRIES ARE AS FOLLOWS:-----.

1.Reduce sexual transmission of HIV by 50% by 2015
2.Halve the transmission of HIV among people who inject drugs by 2015
3.Eliminate HIV infections among children and reduce maternal deaths
4.Reach 15 million people living with HIV with lifesaving antiretroviral treatment by 2015
5.Halve tuberculosis deaths among people living with HIV by 2015
6.Close the global AIDS resource gap
7.Eliminate gender inequalities and gender-based abuse and violence and increase the capacity of women and girls to protect themselves from HIV
8.Eliminate HIV-related stigma, discrimination, punitive laws and practices
9..Eliminate HIV-related restrictions on entry, stay and residence
10.Strengthen HIV integration — with Sikkim Aids Empl Assocn and 15 others. (4 photos)


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Mar10
HIV / AIDS: CONTRACEPTIVE & HIV PREVENTING VAGINAL RING DISCOVERED,BEING USED TO PREVENT PREGNANCY & HIV
HIV / AIDS: CONTRACEPTIVE & HIV PREVENTING VAGINAL RING DISCOVERED,BEING USED TO PREVENT PREGNANCY & HIV

PROF.DRRAM ,HIV/AIDS,SEX DIS.,SEX WEAK.& ABORTION SPECIALIST
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AN INTRAVAINAL RING HAVING LOADED MEDICINES TENOFOVIR (AN HIV ARV NRIT MEDICINE) AND LEVONORGESTREL (A CONTRACEPTIVE) has been developed by Northwestern University biomedical engineer Patrick Kiser .This is first-of-its-kind intravaginal ring 'reliably delivers' an antiretroviral drug and a contraceptive for months.
The device is designed to protect against HIV and herpes as well as unwanted pregnancy. It will be the first device with the potential to offer this protection to be tested in women.

According to the World Health Organization, 35 million people around the world live with HIV, and 222 million women would like to delay or stop childbearing but are not using any method of contraception.“I suspect women will use the ring primarily for contraception, but they also will benefit from protection against sexually transmitted diseases,” said Kiser, an expert in intravaginal drug delivery. “And for women in the developing world in particular, unwanted pregnancy can have significant health, economic and cultural consequences. We want to motivate women to use this ring.”

The ring, 5.5 centimetres in diameter, is simple yet complex. Kiser and his colleagues worked painstakingly for five years, engineering the three materials that make up the ring and optimizing the device to reliably deliver fixed and efficacious doses of two medicines over a long period of time.the ring is easily inserted in the vagina and stays in place for three months. And because the tenofovir is delivered at the site of transmission, the ring – known as the tenofovir levonorgestrel IVR – utilizes a smaller dose than pills. The levonorgestrel released by the ring is the same drug as that used in certain contraceptive pills and in an intrauterine device.

Tenofovir is taken orally by 3.5 million HIV-infected people worldwide, and it also has been studied as a gel. The drug inhibits HIV and HSV-2 (herpes simplex virus-2) replication in susceptible cells.

Previous studies have demonstrated that antiretroviral drugs can prevent HIV infection, but existing methods for delivering the drug fall short. Pills must be taken daily and require high doses; some women may prefer a longer-lasting method, such as the ring, versus methods used at the time of sex, such as a gel.
The antiretroviral drug section of the ring is made of one kind of polyurethane, and the contraceptive section of the ring is made of another polyurethane. Each material needed to be engineered with the correct diffusion rates, so the encapsulated drug is released into the body at the desired rate, providing the correct dose.

A third polyurethane material between the two sections keeps the drugs separate. All the parts are welded together to complete the ring.


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Mar10
HIV /AIDS: ARV MEDICINES : SOME TRUTHS & MYTHS OF TREATMENT FOR HIV /AIDS PATIENTS FOR BETTER ADHERANCE & CURE
HIV /AIDS: ARV MEDICINES : SOME TRUTHS & MYTHS OF TREATMENT FOR HIV /AIDS PATIENTS FOR BETTER ADHERANCE & CURE

PROF.DRRAM ,HIV/AIDS,SEX DIS.,SEX WEAK.& ABORTION SPECIALIST
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Antiretroviral therapy -- or ART -- A COMBINATION OF 3-4 DRUGS COMPRISING OF EITHER NRIT OR NNRITS WITH PROTESE INHIBITOR WITH FUSION OR INTEGRASE INHIBITOR OR RECEPTOR BLOCKE revolutionized HIV treatment in the past few decades. And newer improvements, like one-pill-a-day drugs,or injections once a quarter as i wrote in my last article,are making life with HIV easier and safer.
Like chronic disease as hypertension,Diabetes,thyroid or Kidney or cancer we have to take this medicines regularly without any fail and if we do so we shall get Viral load or quantity of virus in our body decreses and our defense cell cd4 population rises and we live a normal life and no opputunistic infections like tb,diarrhoea,skin rashes,ulcers or mouth lesion or fungal infection attacks us.decision to which drug to be used is a complcated one and only an experienced doctor keeping details of type of patients,exposures and presence of infections and general condition of patients and personal history of pt and economical conditions all gives input to DOCTOR TO SELECT DRUG ON EXPERIENCE and DOCTORCHANGES IT IF RESPONSE IS NOT COMING OR ADD SOME MORE IF OPPUTUNISTIC OR OTHER SYMPTOS DEVELOP.
SO SELF MEDICATION OR MEDICATION ONSIMPLE NET OR TELEPHONIC ADVICE ARE DANGEROUS AND SHOULD BE NEVER TAKEN.TILL NOW ALTERNATIVE HERBAL MEDICINES EFFICACY IS NOT PROOVED SO NEVER TRUST THEM AND AVOID THEM EXCEPT SOME VITMINS,FOOD SUPPLEMENTS AND EXCERCISES.

5 Things to Know About HIV Medications;--
There are lots of myths and stale, outdated information about HIV treatment. Here are five things you should know about ART.
It's easier to take than it used to be. A lot of people with HIV just take one pill once a day. That's it. That one combination pill -- Atripla, Complera, or Stribild -- packs in all the different active ingredients you need. Most people don't need the "cocktails" with complicated dosing schedules anymore.
You have lots of options. Some people need drug combinations. There are six classes of antiretroviral drugs for HIV and more than 30 drugs. If one doesn't work or causes side effects, the doctor has many other choices.
Medications work for a long time. People used to worry that their drugs would stop working after a while and that they'd have to keep switching to new ones. That's not really a risk now. "As long as you keep taking your medications, the same treatment can work for decades," Hare says.
Drugs have fewer side effects. While specific side effects depend on the drug, HIV treatment is much safer and easier to tolerate than it used to be. For most people, side effects -- like upset stomach and diarrhea -- are minor and often go away. Long-term risks include cholesterol problems and weakened bones. But even so, the risks of treatment are much lower than the risks of not getting it, Hare says.
You may start taking medication as soon as you're diagnosed. Many experts believe that the sooner you start treatment, the better. However, some doctors prefer to wait until your CD4 count, a measure of some immune cells, drops to a certain point before starting treatment. See what your doctor recommends.


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Mar09
HIV AIDS: LONG ACTIVE ONCE IN A QUARTER MEDICINE IS ON WAY: BETTER COMPLIANCE AND ADHERANCE LESS SIDE EFFECTS
HIV AIDS: LONG ACTIVE ONCE INA QUARTER MEDICINE IS ON WAY :

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A long-acting, injectable HIV drug could potentially protect people from infection with the AIDS virus for up to three months, new animal studies suggest.The experimental drug, called GSK744, protected macaque monkeys from repeated attempts to infect the animals with a hybrid simian/human AIDS virus called SHIV, scientists said.

GSK744 is a reformulated, long-acting version of an HIV drug known as dolutegravir (Tivicay), which has been approved by the U.S. Food and Drug Administration for treatment in people who have already been infected with HIV and is now used in many combination as primary or secondry drug in USA AND UK but not IN OUR ART CENTRES .these are less toxic and having less side effects and reisitant to virus is almost unknown.

While GSK744 hasn't been tested on humans, doctors hope that it will lead to a medication that could effectively protect people against HIV infection, mostly because it would only need to be administered on a quarterly basis. However, findings from animal studies often don't hold up in human trials.

Such a long-lasting drug would help overcome one of the major problems with current medications that attempt to protect against HIV infection -- the ability of people to take their medication on a daily basis.

"Some of the really good pre-exposure prophylaxis treatments have not been effective, mainly because people don't take the drug," said Dr. Anthony Fauci, director of the U.S. National Institute of Allergy and Infectious Diseases. "The major stumbling block the field has experienced has been the lack of adherence. It's not because the drugs don't work. It's because people don't take them as directed."

Researchers expect to launch human trials for GSK744 within a matter of months, said study author Chasity Andrews, a scientist with the Aaron Diamond AIDS Research Center at Rockefeller University in New York City.

GSK744 is in a class of antiretroviral drugs called integrase inhibitors. These medications block HIV from inserting its genetic material into the body's immune cells.

GSK744 is different in that it crystallizes in the bloodstream, allowing a slow, steady release of the medicine over time, the Rockefeller researchers explained.

Their findings are published online March 6 in the journal Science. The Rockefeller study, and similar results from a study conducted by researchers at the U.S. Centers for Disease Control and Prevention, were presented Tuesday at the annual Conference on Retroviruses and Opportunistic Infections in Boston, according to published reports.

The medication levels that protected the monkeys translate to doses that could sustain human protection for 12 weeks to 16 weeks, Andrews said.

Effective protection against HIV is necessary to fight the spread of AIDS. There were 2.3 million new HIV infections globally in 2012, the researchers noted in background material, with more than 35.3 million people already infected. — with AidsControl Empl India and 19 others.


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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

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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
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मूळव्याध
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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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