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#Gangrene treatment in delhi
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Dr Nikhil Chaudhari best Vascular Surgeon in Delhi
For more information click here -
https://goo.gl/maps/obhY3W42jgGpfSiP6
Or call - 7709921406
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hbot-india · 2 years
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HBOT-India Launches One of the First Medical Grade Hyperbaric Oxygen Therapy in Gurugram, Delhi NCR, India
In 2020, according to the International Diabetes Federation (IDF), 463 million people have diabetes in the world, 88 million people in the South Asia region, of this 88 million people, 77 million belong to India. Approximately 25% develop Diabetic Foot Ulcers (DFU), of which 50% become infected, requiring hospitalization while 20% need amputation. Adding Hyperbaric oxygen therapy to Standard of care reduces the risk of major amputation by approx. 20–30% and increases wound healing rate by 9–10 times. Further benefits of Hyperbaric Oxygen are not just limited to Diabetic Foot Ulcer treatment but stretch wider into many diseases and conditions.
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HBOT (Hyperbaric Oxygen Therapy) Hyperbaric Oxygen Therapy, or many times known by its acronym HBOT involves breathing oxygen at pressure higher than atmospheric pressure. It is administered in specially designed chambers which helps create ambient pressure 2–3 times higher than that found at sea level to help dissolve oxygen into blood. According to Henry’s law, with rise in pressure the amount of gas dissolved in liquid increases. Henceforth inhaling oxygen in pressurized chamber increases the amount of oxygen dissolved in blood plasma apart from the oxygen bound to Hemoglobin. This substantial increase in plasma oxygen concentration increases oxygen delivery to tissues by 10 to 15 times as compared to the amount received through normal breathing and as a result, this increased oxygen into the system provides many benefits.
Dr. Mandeep Singh Malhotra, Surgical Oncologist (Clinical Lead & Mentor — Art of Healing Cancer- AOHC) suggests as per research that in a single hour of HBOT treatment, the body takes in approximately about 2.4 pounds of oxygen into the tissue and this increased oxygen benefits by
Increase oxygen delivery to tissues with compromised blood flow such as diabetic foot ulcers, stroke, trauma, flaps, necrotic tissue in cancer, etc.
Decreases swelling and inflammation by deactivation of toxins; Increases the ability of body’s immune cells to fight off infections.
Stimulates new blood vessels and capillary growth that aid in wound healing and also removal of toxins and waste products.
Increases the active firing of nerve cells thus help in neural recovery.
Thus, Hyperbaric Oxygen Therapy has documented benefits in many diseases like:
Diabetic Foot Ulcers
Wound Healing
Severe Anaemia
Delayed Radiation Injury or Radiation Necrosis
Traumatic Brain Injury
Gangrene
Compromised Grafts & Flaps
Vision loss or sudden hearing loss
Brain Abscess
There are certain other conditions in which HBOT is likely to benefit:
Brain Stroke
Brain Related Disorders like Alzheimer, Paralysis, Parkinson’s, Brain Fog, etc
Refractory Cancers which do not respond to chemotherapy
“We are pleased to share that, through the initiative of HBOT India (www.hbot-india.com), the first 3 ATA Medical Grade Hyperbaric Oxygen Machine is installed in Gurgaon, Delhi-NCR, in collaboration with HCAH (Health Care at Home, www.hcah.in), Guru Harikrishn Foundation (A Non-Profit Charitable Institution, www.harikrishn.org) & Art of Healing Cancer (an Advanced Stage Cancer Institution, www.artofhealingcancer.com),” says Arpan Talwar, Co-Founder HBOT India.
“As Hyperbaric oxygen therapy is supportive in various medical conditions and is the first of its kind in the city, we believe that this infrastructure can help patients not just reaching out directly to HBOT India but also to patients of various hospitals in the vicinity in the city. We plan to become a Nodal Centre of hyperbaric in Delhi-NCR,” says Mr. Manjit Singh, Founding Director at Guru Harikrishn Foundation.
About HBOT India
For more information, please visit: www.HBOT-India.com
Press Release:https://www.businesswireindia.com/hbot-india-launches-one-of-the-first-medical-grade-hyperbaric-oxygen-therapy-in-gurugram-delhi-ncr-india-80264.html?fbclid=IwAR3gu2KleHx06zW5si-lKjyML8fIFz6kuv0xGyFXNU5Y13fnyr7IemRPWHM
For further assistance, reach out to us at:
Website - www.hbot-india.com
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dranshumali · 1 year
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Diabetic Foot Treatment in Greater Kailash | Dr.Anshumali Misra
Diabetic foot is a common complication of diabetes, but people tend to diet and drug therapy during the time blood sugar, while ignoring the maintenance and care of the foot, which would occur ulcers, gangrene diabetic doctor in cr park, a serious need for amputation. Treatment of diabetic foot mainly for the repair of the foot microcirculation vascular treatment of diabetic foot ulcers and secondary infection in the pathogenesis is very complex diabetic foot in delhi, consists of three interacting processes: vascular disease, neuropathy, and immune disease. Studies have shown that ischemia is an important factor in causing lower limb amputation.
Diabetic Foot Treatment in Greater Kailash
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drjatinderjuneja · 4 years
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Systemic Sclerosis: Symptoms, Diagnosis, and Treatment
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The systemic sclerosis also known as scleroderma, is a chronic autoimmune disease that primarily affects the skin.
Systemic sclerosis or scleroderma, in addition to affecting the skin, can affect the internal organs (lungs, intestines, kidney or heart). Skin changes are caused by the increase and accumulation of collagen fibers and other proteins. The skin is sclerous (it becomes hard and rigid).
At first, the injuries consist of an inflammation, which later turns into a hardening.
Systemic sclerosis also hinders blood supply by occluding the small arteries and capillaries that carry blood to the tissues, explains the best rheumatologist in Delhi.
What are the usual symptoms?
The most visible effects are skin lesions. It usually begins with a slight swelling of the skin of the hands and feet, sometimes also of the face, which is spreading. Subsequently, the skin becomes stiff and hard, becomes difficult to pinch, and sometimes limits joint movements. 
However, in those with whole-body involvement, scars and thickening extend to the underlying structures (fat, muscle, and rarely bone). There are usually changes in the color of the hands that, when exposed to the cold, become excessively pale and later purplish, sometimes accompanied by pain or tingling. These symptoms are called Raynaud's phenomenon. Poor circulation can cause serious damage, such as ulcers on the fingers or gangrene.
There may be dilated blood vessels on the face, hands, nail folds, and other places. Some patients develop calcium deposits (calcinosis) on the skin and other organs such as the lungs, muscles, and kidneys.
Systemic sclerosis can also lead to joint pain, fatigue, digestive problems, such as difficulty swallowing, heartburn, constipation or diarrhea, and cardiorespiratory problems such as respiratory distress, hypertension, or chest pain, states the top rheumatologist in Delhi.
The most common symptoms are:
Morphea.
Rigid and hard skin.
Joint pain
Raynaud's phenomenon.
How is it diagnosed?
The diagnosis is made through a specialized medical examination by the rheumatologist in Delhi, which will include a report of the symptoms, a skin examination and a general examination.
Complementary examinations are always performed such as analysis and a chest x-ray, and only in some cases other digestive or cardiorespiratory tests.
The purpose of these tests is to better classify the type of disease and assess its severity and extent.
How do we treat it?
No drug has been shown to be effective in 100% of patients with systemic sclerosis, although there are partial responses to immunosuppressants in cases of systemic involvement.
Treatment of the inflammatory stage of the skin lesion usually requires the administration of corticosteroids. 
Pulmonary interstitial involvement may improve, initially, with oral cyclophosphamide / mycophenolate mofetil and steroids.
In the case of pulmonary hypertension, calcium blockers, prostacyclin, or the like can be used.
Gastrointestinal involvement improves with anti-reflux postural measures, H2 blockers, prokinetics, and erythromycin. Broad spectrum antibiotics can be used for malabsorption.
Calcium blockers together with antiplatelet agents are effective in Raynaud's phenomenon.
Regular monitoring of blood pressure is essential in patients with diffuse sclerosis. Treatment should be started when blood pressure is above 140/90 mmHg. Cases of marked calcinosis may require microsurgery.
For the treatment of muscle involvement, the use of corticosteroids is recommended in vigorous guidelines.
The treatment of arthralgias, arthritis or tenosynovitis requires the use of non-steroidal anti-inflammatory drugs (NSAIDs) and rest. The use of local infiltrations can be very useful.
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Getting Acquainted With Diabetes And Foot Care
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One of the most harrowing thoughts for a diabetic is that of losing a foot or leg due to diabetes. It is an all too common complication of diabetes that an infection begins in a foot and amputation becomes the only solution. There are some timely strategies diabetics can choose to improve their odds of keeping their feet healthy and avoiding this complication. Diabetics soon learn that a prime focus must be to monitor the level of glucose in their blood and to act quickly to remedy abnormal levels. By using diabetic testing supplies regularly then adjusting food and water intake and a range of other natural solutions, people with diabetes must strive to keep their blood sugars from staying in the high range too often and too long. Avoiding Hyperglycemia or high blood sugar levels is to avoid the most severe diabetes complications including those that can lead to the loss of a limb.
Problems Diabetics Have With Their Feet
Diabetes causes many changes to a patient's feet. High blood sugar can damage the nerves in the feet, a disease called neuropathy, and that prevents them from feeling when there is an injury to a foot. Infections can fester out of control. The skin of a diabetic's foot changes too over time and becomes much drier. This results in often cracking and breaking of the skin that can lead to an open sore that is unable to heal. Calluses are another cause for concern because they can thicken and break, causing an ulcer. Ulcers on the feet are open sores. Due to the effects of diabetes, high blood sugar keeps the blood from flowing effectively to the tissue in the feet. This means that wounds and ulcers on the foot are simply unable to heal and, untreated, they turn gangrenous. Diabetics must take special care of their skin and their feet.
Foot Care Best Practice
The first step toward healthy feet is to wash them in warm water every day. Soaking is out- this can lead to soft skin and breakage. Wear clean, dry socks every new day. People with diabetes should never go barefoot to avoid stepping on something that could cause a cut or sore. Daily foot inspections should be performed to look for punctures, red spots, open wounds, lesions, cuts, scrapes, lacerations, and bruises. Patients should use a mirror to get a better look at the underside of their feet and the bottom of the heels. There are six, some of the major locations that all diabetics should check for problems: the tip of the big toe, the base of the little toes, the base of the middle toes, the heel, the outer edge of the foot, and the ball of the foot. Diabetics should not try to remove calluses or trim their toenails themselves, instead they should seek the services of a podiatrist. All diabetics should have their doctor inspect their feet routinely at appointments to prevent problems and any cut, wound or lesion should be reported to a doctor immediately.
Reference
Dr. Mudit Sabharwal is the best diabolist in Delhi-NCR. He is highly recommended for the best care and treatment of diabetic foot.
Content Source : https://dharmadiabetesclinics.blogspot.com/2019/11/getting-acquainted-with-diabetes-and.html
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Ayurvedic Tea Online
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A minor cut was present on his feet. It had been two weeks and it wasn’t healing at all. Never did it happen before with him; not even in his childhood. He went to his doctor and went through various tests. In one of his blood tests; he was diagnosed with diabetes. He had never imagined in his dreams that something internally happening in his body could affect the healing of a minor wound present on his body externally. And hence, delayed wound healing is one of the factors that lead to diabetes being called ‘a silent killer’.
Persistent raised blood sugar level which occurs due to a group of diseases in body in which either pancreas produces low insulin or the cells of the body are not able to utilize the produced insulin. Low production of insulin from pancreas and low receptivity of cells of body towards insulin can occur at the same time and result in development of diabetes. Apart from raising the risk for other health problems such as heart disease; diabetes can lead to increase in time taken by injuries and wounds to heal. The only way a diabetic person can improve the rate at which wounds heal and reduce the chances of developing a severe infection is by keeping his diabetes in control.
One cannot avoid minor wounds, cuts and burns are unfortunate and unavoidable in life. For diabetics, these minor injuries can be highly deleterious to their health. When a wound is slow to heal; there is an increased risk of developing an infection in it. Such an infection can spread to adjacent tissues and bone to the wound. In severe cases; infection may progress to sites distant from the wound. In cases of emergency; infection can be life-threatening or may be fatal. In the absence of infection in the wound, the wound heals slowly and slow healing adversely affects a person’s over- all health and quality of life is affected. Also, cuts, injuries on feet and legs can make even routine works such as walking difficult and painful. There are chances that 1 in 4 people suffering from diabetes can develop foot ulcers. These are painful sores that may progress to a condition which demands foot amputation.
It has been observed that people who undergo surgery for wounds of chronic nature in diabetes are more likely to heal fully if they control their blood glucose well at the time of surgery. Disruption in insulin production and management makes it highly difficult to manage blood glucose levels. Due to persistently high blood glucose level, the functions of white blood cells are impaired. Role of white blood cells is central to the immune system. When white blood cells are unable to work properly, the body’s ability to fight bacteria and close wounds decreases.
Uncontrolled diabetes also slows down blood circulation and makes the blood flow poor. This is another contributing factor which makes it more difficult to deliver nutrients to the wounds. This further contributes to slow healing of wounds. In such cases, the wounds may not heal at all.
Diabetes also affects nerves and related sensation and cause neuropathy. Uncontrolled glucose damages nerves, numbs sensations in the given area. This indicates that if sensation in feet is not proper, then the person might not be aware of his injury. Such a person will not be able to receive treatment of his wound and this would worsen his existing situation. Slow healing and reduced sensation in the concerned area together can increase the risk of infection. The major risk is of developing bacterial infection in people with type 1 and type2 diabetes. Impaired sweating, dry and cracked skin, toenail infections, foot abnormalities can increase the risk of developing infections. There is reduced production of growth and healing hormones, decreased production and less repairing of new blood vessels, weakened skin barrier, and reduced collagen production.
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The other complications related to poor wound healing in diabetes include heart disease, kidney disease, and eye problems. Osteomyelitis occurs when untreated wounds become infected and infection spreads locally to muscles and bones. The infection can progress to a stage of gangrene which is a common cause of amputation of in people who lose limbs due to diabetes.  Uncontrolled infection can lead to development of sepsis, which occurs when an infection spreads into the bloodstream. Therefore, it is important to keep blood sugar in control. To prevent infection from developing in a wound, care of wound as well as
regulation of blood sugar level in highly important. The first step to prevent the wound from infection is cleaning the wound and covering it with a clean bandage. With diabetes, one should wear clean shoes and socks when walking around, especially if a wound is present. Walking barefoot increases the risk of infection. Regulating the
blood sugar is possible by including best Ayurvedic products online in Delhi for diabetes. These best ayurvedic products online in delhi and world include Diabewell Juice and Diabewell Tablets. Diabewell Juice is made of aloevera, noni, gooseberry, banaba, Indian blackberry, harad and curcumin. Each of the ingredients works to improve the production of insulin from pancreas and the sensitivity of cells of body to utilize insulin.  This juice also maintains healthy cholesterol and decreases the amount of bad cholesterol associated with diabetes. It reduces muscular fatigue and decreases oxidative stress. By helping in increasing the pace of wound healing and preventing the damage to blood vessels and nerves due to diabetes, this juice prevents complications associated with untreated wounds. Diabewell Tablets have curcumin, green tea, medhashingi, dalchini, amla, kutki, bitter melon, giloy and manjistha. These tablets improve the way the insulin in body neutralizes blood sugar and keep diabetes in control. They also prevent the bad effects of diabetes on other organs as well as of conventional medicines of diabetes on your body, especially liver and kidney. By promoting healing of blood vessels and side effects of diabetes on nerves, these tablets promote wound healing. Adding
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an ayurvedic tea online in your daily routine can also improve the healing of your wound. Stress is also one of the factors which aggravate diabetes and inhibit wound healing in diabetes. You can calm your brain and reduce stress with an Ayurvedic tea for stress known as Daily Calm tea. This ayurvedic tea for stress has wonderful effects on your mental and physical health as it controls all kinds of stress. Daily Calm Tea is also available as an Ayurvedic tea online. Save a disaster to your health by controlling your diabetes and in improving healing of wounds and injuries!
GET IN TOUCH WITH PRESERVA WELLNESS AYURVEDIC PRODUCTS
Contact us @+91-8373994904 or buy best ayurvedic products online in india.
VISIT: https://www.preservawellness.com
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letsmanyavermablr · 5 years
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8 Complications That Diabetic Neuropathy Can Throw Up
Diabetic neuropathy is a unique type of damage caused to nerves in case you suffer from diabetes. As stated by a neurologist in Gurgaon, the existence of high blood sugar can bring about injury to nerves all through your body. In diabetic neuropathy, it’s often the nerves in your feet or legs which get affected.
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Complications
·         The condition of diabetic neuropathy can result in several, severe complications which include the following.
1.        Damage to the joints
o    When your nerves are damaged, they can lead to a gradual decay of a joint, a condition known as Charcot's joint.
o    Such deterioration, according to a top neurologist in India, normally happens in the tiny joints of your feet.
o    The condition is characterized by symptoms of swelling, numbness, instability, and deformity in the joint.
o    You can significantly benefit from a prompt treatment which helps in fast healing and averting more damage to the joint.
2.        Harm to a toe, foot or leg
o    Extensive nerve damage can engender loss of sensation in your feet.
o    You may expect minor cuts or sores on your feet becoming infected or turning into ulcers all in silence.
o    In extreme scenarios, you may find the infection spreading to the bone, or the formation of ulcers causing tissue death or gangrene.
o    Under such a circumstance, amputation of a toe, foot, or the entire lower portion of the leg may be needed as said by a renowned neurosurgeon in Gurgaon.
3.        Urinary tract infections and urinary incontinence
o    In case you come up against damage done to the nerves that offer control to your urinary bladder, you may not be able to fully clear out your bladder while urinating.
o    According to an urologist from the best neurosurgery hospital in Delhi, this may cause a buildup of bacteria in the urinary bladder and kidneys thereby setting off urinary tract infections.
o    Besides, nerve injury can impinge on your ability to feel the need to urinate or be in charge of the muscles that help release urine thereby leading to leakage or urinary incontinence.
4.        Lack of awareness about hypoglycemia
o    When you suffer from low blood sugar, the condition is often associated with sweating, rapid heartbeat, and wobbliness.
o    However, these symptoms may not be obvious when you have the medical condition of autonomic neuropathy.
5.        Sharp falls in blood pressure
o    Noted neurologist doctors vouch for the fact that with the perpetration of damage brought to the nerves responsible for controlling blood flow, your body’s ability in adjusting blood pressure may be highly affected.
o    As a consequence, you may experience a drastic fall in blood pressure often compounded with dizziness and fainting, especially when you stand up after sitting for a while (orthostatic hypotension).
6.        Digestive problems
o    You may suffer from diarrhea or constipation or stints of both when nerve damage fall upon your digestive tract.
o    Diabetes neuropathy can give rise to gastroparesis, a condition marked by symptoms where your stomach empties either very sluggishly or doesn’t empty at all.
o    This can get in the way of your normal digestion process and have an impact on nutrition and blood sugar levels.
o    Warning signs of gastroparesis, according to experts from hospitals offering neurologist treatment, consist of vomiting, nausea, and a feeling of being bloated.
7.        Sexual dysfunction
o    Time and again, diabetic neuropathy also inflicts damage to the nerves that regulate the proper functioning of your sex organs.
o    While men may be forced to contend with erectile dysfunction, women may experience trouble with arousal and lubrication.
8.        Increased or decreased sweating
o    Harm to the nerves can lead to disruption in the normal functioning of sweat glands.
o    As a result, your body finds it difficult to properly control its innate temperature.
o    A few people who suffer from diabetic neuropathy run into excessive sweating, especially while eating or at night.
o    At the same time, little or no sweating happens to others, a life-threatening condition identified as anhydrosis.
A neurologist doctor at Paras hospital can, in general, detect diabetic neuropathy through the performance of a physical examination and after meticulously evaluating your symptoms and medical history. Also, with every visit that you pay, your doctor will look for sores, blisters, cracked skin on your feet and bone joint problems. Experts recommend that every patient suffering from diabetes should carry out an all-inclusive foot examination at least once every year.
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drklifecareayurveda · 5 years
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Indian Ayurveda The Science of Medicine
All we know that Ayurveda is the gift of India to the world of medicine.  Ayurveda means "science of medicine". The origin of Ayurveda traces back to ancient India in 4000 B.C. Indian Ayurveda is a treasure of abundant medicines and medical treatments. Ayurveda thrives to ensure the most natural form of cure that can eliminate the root cause of the disease or the ailment and ascertain you the benefits of 100 percent cure. The focus of Indian Ayurveda delves into the establishment of proper balance in the body. This balance can be achieved only by devoting oneself to the consumption of proper diet, living a healthy lifestyle and discarding addiction of any sort.
Maintaining a healthy routine is very important for a healthy balance. Ayurveda believes that this balance can be achieved by adhering to proper exercise and diet regime. Cleansing mind and body, making them free from "Defect(dosha)" is the core focus of Ayurvedic Treatment. Ayurveda guides a strong and healthy routine for your body.
Take a simple walk each morning, consume healthy supplements in your diet, make yourself free from addictions and unhealthy habits is what Ayurveda has to say in order to ensure you a healthy living. Ayurveda is a holistic approach which helps people to live long and a well-balanced life.
According to Ayurveda, each person has a distinct pattern of energy and a combination of physical, mental and emotional characteristics. Addressing these energy combinations or "doshas" in order to attain balance is what is focused by Ayurveda. Ayurvedic treatments like Ayurvedic Panchakarma has become hugely popular across the different countries of the world since it offers one of the most natural ways to detoxify and purify your energies; thereby giving you relief from your ailment, pain and even stress. Life care ayureveda offers best ayurvedic treatment is slip disc, back-knee pain, psoriasis, fistula without surgery treatment and many more.
Drk life care ayurveda  uses this ancient science of medicine to cure the long drawn ailments and diseases of its patients. The treatment procedure followed by drk life care ayuveda encourage their patients towards following a very healthy regime of lifestyle and diet so that the patients could gather the strength and immunity power required to fight the alien germs from entering the body.
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brajeshupadhyay · 4 years
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Unregulated use of plasma therapy for COVID-19 can be harmful, writes expert; can expose patients to serious transfusion-related risks
Since the beginning of the COVID-19 crisis, the global scientific community is struggling to find solutions to stop the spread of the contagion and to effectively treat the infection caused by it. As this is a new and evolving crisis and it has taken the world by storm, abundant theories and remedies are floating around, but no definitely proven therapy has emerged.
While the disease spread is currently being countered with WHO advocated strategies of containment with lockdown, patient identification by testing for infection and quarantine of patients and suspected patients, these strategies will only slow down the spread of the disease but the world will still need treatment and a vaccine for the prevention of infection.
Some vaccines are under development and will need months before they hit the market, if at all. In the meantime, the global spread of the infection is killing thousands of people daily and there is a severe need to treat the patients with specific medications and other therapy directed at the virus in addition to standard care.
There are a few contender medicines including the malaria drug hydroxychloroquine, an antiviral Remdesivir, and Ivermectin, a drug used for worms and other parasites, but the results are not hugely encouraging and at times conflicting. In this backdrop, plasma therapy is being seen with interest as a cure for COVID-19 patients.
What is plasma?
Human blood is composed of cells like the red cells that carry oxygen, white cells that fight infection and platelets that stop bleeding from cuts. The watery part contains minerals and many proteins like albumin, factors that make the blood clot, and antibodies which are special proteins produced by the body against infective agents. The serum is the plasma from which the clotting factors have been removed.
What is plasma therapy?
Plasma transfusion is a very common process done during major surgeries and in patients with bleeding, mainly to provide clotting factors.
The main component of interest in plasma therapy and serum therapy for infectious diseases like COVID-19 is the antibodies. The principle applied is that a person who has recovered from the infection would have antibodies directed against the infective agent, in this case, the COVID-19 virus.
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It is assumed that if injected to a person currently having the disease the antibodies would neutralise the virus, helping in achieving an early cure. Injecting the plasma or serum from patients who have recovered from the disease, called convalescent plasma, may achieve this.
Plasma therapy has been used earlier with some success in other infections like in two previous corona viral epidemics SARS-CoV1 and MERS, and also in H1N1 of 2009-10 and Ebola epidemic. Likewise, the animal serum is widely used in the treatment of diseases like tetanus, diphtheria, gas gangrene, botulism, snake and spider bite.
How is plasma therapy done for COVID-19?
Convalescent plasma transfusion is a relatively easy process. It involves collecting plasma by a process called apheresis or whole blood collection as for blood transfusion followed by separation of the plasma in the laboratory from patients who have recovered from the infection.
The donor is tested as for any blood donor and the plasma is then subjected to standard testing as for blood transfusion. In addition, a few more criteria are to be fulfilled which include a positive diagnostic or serological test in the donor and sufficient time has passed since recovery to render the plasma non-infective.
If the donor is female then a special class of antibody called HLA antibody should be absent in the plasma. The donated plasma must have sufficient antibodies against COVID-19 to offer treatment value.
Which COVID-19 patients can have plasma therapy
Currently, India has not framed any guideline for mass use of plasma therapy in COVID-19 patients. The Indian Council of Medical Research (ICMR), the apex medical body in India, is still conducting a trial on the effectiveness of the therapy.
A few centres in India have used it but the number of patients treated is few. The USFDA, the apex body in the US regulating food and drugs and medical equipment and therapies, has on its 13 April 2020 recommendations suggested that plasma therapy be used:
In registered clinical trials for investigational use
expanded access for use in seriously ill patients who are not eligible or are unable to participate in a clinical trial
single patient use of an investigational drug in case of a life-threatening situation on the advice of a licensed physician under FDA authorisation. This is like using the medicine on compassionate ground. Random use of the therapy for COVID-19 patients in the absence of patient selection and treatment guidelines formulated by scientific bodies has not been approved in any country. Significantly, the Union health ministry advised against considering plasma therapy as regular therapy for COVID-19 patients and added that it should only be used for research and trials at present.
Why caution is being exercised on using plasma therapy
At present plasma therapy for COVID-19 is still under investigation and concrete data on its usefulness is not available. All medical devices and drugs pass through stringent evaluation for safety before allowed to be used as a regular therapy.
Plasma transfusion carries a number of risks, some of which are very serious. These include transfusion-related acute lung injury (TRALI) which can cause breathing difficulty/respiratory failure, transfusion-associated circulatory overload (TACO) which can cause heart failure symptoms, allergic reactions or life-threatening anaphylactic shock, risk of infection from other pathogens in the donor's plasma or acquired during processing, fever, graft vs host disease, hemolysis or breakdown of red blood cells in the recipient etc.
Also, we still don’t know exactly at what stage of the illness the patient should be treated, what should exclude a patient from getting this treatment, how much antibody should be present in the plasma to provide the benefit of treatment.
Since every medical therapy has to be decided on risk versus benefit ratio, till the time a clear benefit from the therapy against the disease is established and the benefit clearly outscore the risk it can be harmful to the community if allowed for use beyond controlled settings.
What the available evidence is for its use
Previous studies, though with some flaws in study design, on the use of plasma therapy on H1N1 (Spanish flu), swine flu, SARS-CoV1 has documented positive results. A 2014 Meta-analysis of studies on the use of plasma therapy in influenza and corona viral infections showed a consistent reduction in mortality.
Incidence of severe adverse effects has been quite low. This evidence forms the basis of trying plasma therapy in the current pandemic. However, the pool of evidence on the use of plasma on the COVID-19 is quite small, given the time frame of the disease. We will still need to wait for results from investigational trials to know the answer.
Is there a chance for plasma in COVID-19?
Like many of the options already explored for COVID-19, this is one of the options. It may show modest success, good success or no success. Plasma therapy has always been used in the past and in a variety of conditions but almost always the advent of a vaccine or an antibiotic has pushed plasma therapy to the background.
If it proves to be of some success it will be approved for use in regular clinical settings by regulatory and scientific bodies. If approved for use it will definitely buy some time and save a few lives till a vaccine is available or herd immunity is developed.
It is a promising solution at the present gloomy situation, but till we have reliable evidence on utility unregulated use is to be avoided, as random use does not contribute meaningfully to the database from which a useful conclusion can be drawn. A lot of studies are going on the world over on its use, and hopefully, we will soon know the answer.
The author is a consultant anesthesiologist in a private hospital in Delhi-NCR.
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blogconfession · 4 years
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Menstrual Cramps
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Dr. Nikhil Chaudhari-Endovascular Surgeon, Varicose Veins, Diabetic foot, DVT, Gangrene Specialist, Vascular Surgeon in Delhi
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Dr. Kaushal Kumar Yadav is a Consultant Panchkarma Specialist in Paharganj. He is currently practicing at Ayurvedic Clinic & Panchkarma Centre in Paharganj, Central Delhi.
The doctor has more than 18 years of experience. Dr. Kaushal Kumar Yadav is a qualified Panchkarma Specialist in Paharganj.
As a Sexologist & Panchkarma Specialist, his area of expertise includes Prostate Cancer, Lung cancer, Breast Cancer, Kidney failure, Gangrene, Slip disk, Back-knee pain, PCOD, Psoriasis, Fistula, Sexual Problem, Impotency, Rejuvenation Therapy and all chronic diseases.
Patients from all around Paharganj and entire Central Delhi come to Dr. Kaushal Kumar Yadav with lots of hopes and the doctor ensures that the patients are satisfied with the treatments, with his experience and the techniques he uses as a Sexologist & Panchkarma Specialist.
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dranshumali · 1 year
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Wound Doctor in Greater Kailash | Dr.Anshumali Misra
Diabetic foot is a common complication of diabetes, but people tend to diet and drug therapy during the time blood sugar, while ignoring the maintenance and care of the foot, which would occur ulcers, gangrene diabetic doctor in cr park, a serious need for amputation. Treatment of diabetic foot mainly for the repair of the foot microcirculation vascular treatment of diabetic foot ulcers and secondary infection in the pathogenesis is very complex diabetic foot in delhi, consists of three interacting processes: vascular disease, neuropathy, and immune disease. Studies have shown that ischemia is an important factor in causing lower limb amputation.
Wound Doctor in Greater Kailash
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shanujey82-blog · 6 years
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IVF Hospitals in Delhi | Sharma Hospital | ElaWoman
What is in vitro treatment (IVF)?
In vitro treatment (IVF) is where sperm prepares the eggs in the research center (as opposed to in the lady's fallopian tube). This includes:
Setting the egg from the lady together with a huge number of sperm (regularly 100,000).
The prepared fetuses develop in the lab more than two to five days (blastocyst organize) before being moved into the lady's uterus in a basic system called incipient organism exchange.
The developing life exchange process includes passing a fine tube containing the fetus through the cervix and into the uterine hole. Typically one fetus at once is exchanged with extra incipient organisms put away by solidifying for use in ensuing medicines.
Who Is IVF Suitable For?
IVF Hospitals in Delhi, some couples or people in vitro preparation (IVF) offers the most obvious opportunity with regards to accomplishing a pregnancy. IVF treatment might be suggested in a scope of conditions influencing fertility, including sperm anomalies, endometriosis, tubal harm, unsuccssful ovulation acceptance and unexplained infertility. IVF may likewise be a possibility for single ladies and same-sex couples who utilize benefactor sperm to have an infant.
On the off chance that the sperm profile is poor the procedure of preparation is completed by intracytoplasmic sperm infusion (ICSI), where a solitary sperm is infused into each egg. Preparation at that point happens over various hours in a culture dish kept up under perfect conditions in the research center.
Max Smart Super Speciality Hospital
The 250+ had relations with office has 8 top of the line particular task theaters, an Emergency revival and Observation Unit, 67+ basic care beds, a committed endoscopy unit and a propelled dialysis unit. We are a tertiary care healing center prepared with256 Slice CT Angio, 3.0 Tesla computerized wide band MRI, Phillips Alluraclarity Biplane Neuro DSA framework (first of a kind in North India), Cath Labs with electrophysiology route, and a level board C-Arm indicator. We offer administrations in the medicinal controls of Cardiac Sciences, Orthopedics, Urology, Neurosciences, Obstetrics and Gynecology, and Laparoscopic medical procedures for Fistula, Piles and Inguinal Hernia Repair and other crisis medical procedures for addendum, Intestinal Obstruction and also Gangrene.
Our Story
We are one of India's driving suppliers of exhaustive, consistent and coordinated world class medicinal services administrations. With a system of 14 doctor's facilities, we offer treatment over every one of the 29 claims to fame. We have 2300+ driving specialists with global level ability who are resolved to give most astounding models of restorative greatness at a small amount of worldwide expenses. Our NABH and ISO licensed healing facilities offer best in class administrations to our patients. We comprehend looking for medicinal treatment outside your home can be physically and rationally troublesome. So at Max, we are anxious to get you home!
Sharma Hospital
Sharma Hospital in Delhi treats the different illnesses of the patients by helping them experience superb medicines and methods. Among the various administrations offered here, the center gives medicines to Uterine Fibroids or Myomas, Ovarian Cysts, Endometriosis, Pelvic Organ Prolapse, Urinary Problems, Vaginal Discharge, Subfertility, Menopause, Gynecological Cancers, Abnormal Pap Smears - Pre-Invasive Cervical/Vaginal Disease and Vulva Conditions. The specialist is likewise recorded under Gynecologist and Obstetrician Doctors, General Physician Doctors, Nursing Homes. Moreover, the patients likewise visit the facility for Contraception Advice, HPV Tests, and Biopsy Tests and so forth. The long periods of task of this facility are from 00:00 - 23:59, all long periods of the week.
Aarogya Hospital
Aarogya Hospital intends to give the entire range of astounding consideration to every one with a human touch at a moderate value utilizing the most recent accessible medicinal learning and hardware without trading off the quality.
A 10 had relations with ICU with exhaustive concentrated observing, propelled ventilator bolster and committed group of specialists and Paramedics with an office of ABG, Pace creator and progressed basic care.
A 8 had relations with Neonatal Nursery and Neonatal ICU to deal with valuable ones amid their hour's of need.
A four had relations with Labor Delivery Suit with best in class offices like Cardiotocograph (fetal CTG), Maternal and fetal checking, rich birthing beds and charming and minding staff to empower the normal procedure of birthing.
Three Operating Rooms with laminar stream, hepafilters and particular OT to make any medical procedure even more secure.
Low stream Anesthesia gas conveyance System and checking for neonate and grown-ups alongside office for Invasive circulatory strain observing, breathed out gas CO2 observing, and basic care observing.
Origyn Fertility and IVF
Origyn Fertility and IVF Pitampura is a Multi Speciality Clinic in Pitampura, Delhi. The facility is visited by specialists like Dr. Rashmi Sharma . The timings of Origyn Fertility and IVF Pitampura are: Mon-Sat: 11:00-14:00. A portion of the administrations given by the Clinic are: Intra-Uterine Insemination (IUI),In-Vitro Fertilization (IVF),Infertility and Artificial Insemination and so on. Tap on guide to discover bearings to achieve Origyn Fertility and IVF Pitampura.
Our IVF focus has cutting edge offices with supplies from the pioneers on the planet like hatcheries from Germany (Heracell), ICSI micromanipulator from Japan (Narashige), Microscopes from Japan (Nikon) and so forth. The world class offices alongside skillful staff have empowered us to make an extraordinary progress rate. Our In Vitro Fertilization (IVF) results and pregnancy rates are among the best. The Team
Dr Rashmi Sharma (Director and Chief Gynecologist) MBBS, MD, DNB, MNAMS, FICOG, Diploma in regenerative drug and IVF (Kiel college ,Germany)
Dr Ranu Dadu (Gynecologist ) MBBS, MD
Mohd. Fiyazur Rahman Sr. Emryologist
Dr Vandana Chadha Fetal medication expert
Dr H.S Chauhan (MS, MCH, Urology)
Dr Ushma Sehgal Nutritionist
Dr Jyoti Bhalla. Anesthetist
Urogyn IVF Centre
Welcome to Urogyn Newly Baby"UROGYN" is a joint wander between Urologist, a specialist in Male Infertility, Dr. Ashok K. Gupta,MS, DNB-Urol, Mch-Urol and Expert IVF and Surrogacy Specialist. Dr. Surbhi Gupta, MD-G&O in the administration of Infertile Couples. As a team with different related experts like Gynecologist, Dr. Meenakshi Aggarwal, MD-G&O and Chief Embryologist, Mr.Paritosh K. Sarkar, the middle gives exhaustive administrations under one rooftop for finish Evaluation and Treatment of Infertile Male and Female. The middle is extraordinary of its kind in this piece of the nation. It is certify by different official and expert bodies and brags of treating huge number of National and International patients from nations like USA, UK, Australia and Middle East. Notwithstanding Infertility, the middle has two related wings which give Urological and Gynecological administrations.
Moderate IVF Treatment Center in Delhi, India
Carrying another life into the world is a wonderful and significant choice, a few makes. The choice likewise brings a ton of expectation, expectation and energy alongside it. Parenthood lies at the specific heart of most couple's lives which makes the anguish of infertility simply more harder to hold up under. Remembering this, we acquaint you with UROGYN (IVF Center in Delhi), a stage which guarantees to wipe away this downfall by satisfying your fantasy of having your own particular kid. Infertility is as old as organization of marriage. Be that as it may, advancement of Assisted Reproductive Techniques (ART) have now made it conceivable to treat all types of Infertility and help such couples to accomplish pregnancy. IVF New Delhi offers the most recent medicines with progress rates comparable to the best at exceptionally reasonable costs yet without trading off on quality.
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dr-mohit-jain-blog · 6 years
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Types of Hernia & Treatment Options
A hernia happens when the substance of a body pit swell out of the zone where they are regularly contained. These substance, more often than not parts of digestive tract or stomach greasy tissue, are encased in the thin film that normally lines within the hole. Hernias independent from anyone else might be asymptomatic (deliver no side effects) or make slight serious agony. The torment can happen while resting or just amid specific exercises, for example, strolling or running. Almost all have a potential danger of having their blood supply cut off (getting to be strangulated). At the point when the substance of the hernia swells out, the opening it swells out through can apply enough weight that veins in the hernia are tightened and along these lines the blood supply is cut off. On the off chance that the blood supply is cut off at the hernia opening in the stomach divider, it turns into a restorative and careful crisis as the tissue needs oxygen, which is transported by the blood supply.
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What Are Causes and Risk Factors of a Hernia?
Even though stomach hernias can be available during childbirth, others grow sometime down the road. Some include pathways framed amid fetal improvement, existing openings in the stomach pressure, or territories of stomach divider shortcoming.
·         Any condition that builds the weight of the stomach pressure may add to the development or exacerbating of a hernia. Illustrations incorporate
o   corpulence,
o   truly difficult work,
o   hacking,
o   stressing amid a defecation or pee,
o   unending lung sickness, and
o   liquid in the stomach hole.
o   A family history of hernias can make you more inclined to build up a hernia.
What Are Hernia Symptoms and Signs?
The signs and side effects of a hernia can extend from seeing an easy protuberance to the extremely agonizing, delicate, swollen distension of tissue that you can't push once more into the stomach area (a detained strangulated hernia). Stomach or pelvic agony can be a piece of the side effects of numerous hernias.
Reducible hernia
o   It might show up as another bump in the crotch or other stomach territory.
o   It might hurt yet isn't delicate when contacted.
o   In some cases torment goes before the revelation of the knot.
o   The protuberance increments in estimate when standing or when stomach weight is expanded, (for example, hacking).
o   It might be lessened (pushed once again into the midriff) except if huge.
Final hernia
o   It might be an at times agonizing expansion of a formerly reducible hernia that can't be returned into the stomach hole individually or when you push it.
o   Some might be endless (happen over a long haul) without torment.
o   An unchangeable hernia is otherwise called an imprisoned hernia.
o   It can prompt strangulation (blood supply being sliced off to tissue in the hernia).
o   Signs and side effects of inside deterrent may happen, for example, sickness and retching.
Strangulated hernia
o   This is an unchangeable hernia in which the ensnared digestive tract has its blood supply cut off.
o   Torment is constantly present, took after rapidly by delicacy and now and then indications of entrail check (queasiness and retching).
o   The influenced individual may seem sick with or without fever.
o   This condition is a careful crisis.
At the point when Should Someone Seek Hernia Treatment in Delhi?
On the off chance that you locate another, excruciating, delicate, and unchangeable irregularity, it's conceivable you may have a final hernia, and you ought to have it checked in an emergency. On the off chance that you as of now have a hernia and it all of a sudden ends up excruciating, delicate, and unchangeable, you ought to likewise go to the emergency. Strangulation of digestive system inside the hernia sac can prompt gangrenous (dead) entrails in as meagre as six hours. Not every unchangeable hernia is strangulated, but rather they should be assessed.
What Types of Health Care Professionals Treat Hernias?
Your essential care specialist will have the capacity to analyze and at first treat numerous hernias. Authoritative treatment will as a rule require medical procedure. Contingent upon the area of the hernia, the hernia repair will ordinarily be performed by a laparoscopic surgeon in Delhi.
How Do Health Care Professionals Diagnose Hernias?
In the event that you have an undeniable hernia, the laparoscopic surgeon in Delhi may not require some other tests to make an analysis. In the event that you have indications of a hernia (dull hurt in crotch or other body zone with lifting or stressing yet without an undeniable bump), the laparoscopic surgeon in Janakpuri may feel the territory while expanding stomach weight (having you stand or hack). This activity may make the hernia ready to be felt. On the off chance that you have an inguinal hernia, the laparoscopic surgeon in Vikaspuri will feel for the potential pathway and search for a hernia by reversing the skin of the scrotum with his or her finger.
What Is the Treatment for Hernias?
Hernia treatment in Delhi can be moderate, (for example, perception and support with brackets) if the hernia isn't influencing your day by day routine or does not cause extreme torment. Corrective treatment comprises of medical procedure. Laparoscopic surgery in Delhi has replaced conventional hernia surgery in Delhi for a portion of the stomach hernias.
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Dr Nikhil Chaudhari | Best Vascular Surgeon in Delhi | Endovascular | Varicose Veins | Diabetic foot & Gangrene Specialist
Dr. Nikhil Chaudhari is an expert in the field of Vascular and Endovascular surgery. He specialized in leg pain DVT, Gangrene treatment, and Carotid Stenting. Consult with the best Vascular and Endovascular surgeon. Dr. Nikhil Chaudhari, 2006 batch of MBBS, from a Government Medical College, Thane, Maharashtra ( Rajiv Gandhi Medical College). Subsequently, he joined a master's in Surgery at a Central Govt run institute in Andheri, Mumbai ( ESI Hospital), and successfully completed his MS in General Surgery. During these three years, he performed numerous surgeries for diseases like appendicitis, breast cancer, hernia, perforated bowel, and so on. Due to his perseverance and quest to seek knowledge as well as fine skills, he got selected for.
Address: Sir Ganga Ram Hospital, Rajinder Nagar, Delhi, 110060
Phone: 77099 21406
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