IS IT POSSIBLE TO TREAT GALLSTONES WITHOUT OPERATION?
(№ 36, 2016 y. Our Conversation)
In recent years we often meet the people saying "I was removed my gallstone through the operation". Is it necessary to make an operation when gall bladder is "crooked"? What kind of duty does gall bladder do? What is bile? In order to find an answer to these questions we conducted to the doctor of department of gastroenterology clinic of Andizhan State Medical Institute, associate professor Dilmurod Soliev.
- First of all, please give information about the physiology of the gall bladder?
Gall bladder is an important organ for life, it is in close coordination with the liver. Activates the biliary pancreatic enzymes, participates in the substance exchange. It collects bitter balls greenish liquid named "gall" which helps fatty food to be shred. The symptoms of the disease are: abdominal pain under the rib, and sometimes the pain goes up and comes to right shovel.
- What kind of duty does gall bladder do?
- Gall bladder has a feature of breaking down fats, besides making closer pancreatic enzymes to the duodenum, helps in breaking down the proteins. Content of gall bladder: formed from bilirubin up acids, water, salts. Bilirubin is made by blood cells i.e. breaking down of red blood cell cleavage. Bilivezdin liver cells associates with gliekuron acid and makes bilirubin. These blood cells in every 120 days in spleen burst. When the gallbladder wall has an inflammation its wall will be double thick.
- Many people do not know the presence of bile stones, only when a pain appears they consult the doctor. Is it possible to know this thing in advance and to prevent it?
- Twenty percent of people do not know the existence of gall stone. In some cases complains about pain in the liver when there is a pain. But pain in patient's liver doesn’t exist this time. After 40-50 ages the patient comes to the doctor and says "I feel cold in this place". In fact when the patient goes through medical check bothering of osteochondrosis is mostly determined and that gives pain. In some cases, even if a gall bladder stone removed, the pain does not leave the patient. Because change in spine – osteochondrosis troubles it and occasionally the pain continues disturbing. When we lift a heavy item our spine is crooked. "Osteochondrosis" is a process that appears as a result of degenerative changes in the discs of the spine. In order to avoid such situation people must pass a medical examination at least once a year.
- What kind of measures are used when the patient comes and complains?
- The patient is checked first of all. Is this related with a stone or a spine? If there is an inflammatory process it is checked in USS. In this case, first of all, gall bladder distension is formed, and secondly, the thickness of the wall of fire, if we talk about the formation of gall stones, first of all, will be an infection, of the mucous membrane of the bile begin slowly epithelias mass. Distension circumstances are out of work after the degradation of kaloid. A stone will appear as a result of salt deposits. These stones may be in different shape, gall stones up to 1200. There are some stones that not are broken even when struck with a hammer.
- What are the reasons of origin of the gall bladder disease?
- A gallbladder bile is reservoir for liquid produced by the liver, it performs the role of fluiding out of the 12 duodenum during a meal. Gall bladder disease occurs by not proper nutrition, more fatty foods in diet, less movement after meal and by the influence of stagnant fluid. After collecting the bile up tensions walls of the gall bladder, blood circulation is disrupted, resulting in inflammation in the body.
- Ўт пуфаги операция қилиб олиб ташланган бемор нималарга риоя қилиши зарур?
- What do the patients need to adhere to whose gall bladder was removed by surgery?
- The patients whose gall bladder was removed must follow a diet for a month after the surgery. Gall bladder is a tank, that is, an additional part. Even if patient's gall bladder is removed he can have the same lifestyle as before. Becoming thin or having weight doesn’t dependent on this. When fatty food is consumed bile duct is reduced and gallbladder comes down to duodenum. The gallbladder remains up to 10ml. in bile. If there is a gall bladder stone, "dyubaj" is not allowed. If there is a tilt in gall bladder it acceptable to consume less fatty foods. In practice, majority of patients who were ill with gall bladder disease are women.
- Do pains of gall bladder trouble suddenly or hurts painful occasionally in advance?
- Sudden severe pain can occur. When the patient comes to the doctor he may complain about the existence of a little pain in this part for a few years. After swell inflammation of the small stones biliary obstruction, infection, in such cases, surgery or laparoscopic surgery. Some patients go to the doctor complaining about stuck in his heart and change in ECG is not determined. Actually gall bladder stones bother him. If disturbing the inflammatory process within 72 hours of pain continues, the patient will be operated.
- In which cases the patient is not operated?
The patient is operated in any case, even if the process of heart attack. Because a gall bladder stone is removed in order to stop the pain afflicting the patient. Otherwise patient's life will be in danger.
We don’t always follow doctors’ advice like not lifting heavy things, not straining the organism above limit, not doing acute and risky attempts. The possibility of encountering serious problems will increase due to our carelessness to our health. The appearance of invertebrate herniated discs is one of these problems.
The following may cause invertebrate herniated discs:
- increasing of inner stomach pressure;
- hard physical labour;
- lifting heavy load mort ha body weight;
- becoming difficult of urine seperation;
- constipation;
- straining on women during maternity time.
Invertebrate herniated discs can be treated in a conservative way i.e without medicine. Curing this illness with the help of water treatment is widely spread these days.
The appearance period of hernia has a very big importance. The one till 3 months is easy and the hernia from 3 till 6 months is considered as stable. Besides an attention is paid to the size of hernia. If it is less than 9 millimeters it can be treated without interference of surgery.
This disease is not fearful and uncurable at all, if it is still “new” it is treated easily. If an interference of surgery is appointed no need to scare. A surgery operation which wasn’t done on time may become a two hours’ difficult operaion. Because supplement of organs squeezes in the hole of hernia with blood goes bad and vitality of organs dies out because of rambling on nerve fibres, a patient feels a strong pain in this case. During hernia attack pain is continuous and the patient will be in a shock condition. Only an immediate surgery operation can save patient’s life.
It is not allowed to do the following in such cases:
- try not to standing in moist and draught places;
- control your body weight, don’t be fat;
- go in for gymnastics (swimming for example); which strengthens the muscle waist and stomach;
- if you work in a sitting position stand up and walk every one hour;
- keep your figure straight while walking, sitting;
- get accustomed to sleeping on a hard mattress;
- try not to read and watching TV lying;
- don’t lift heavy things, keep back from intends attempts.
- vibromassage is not allowed, because its power is very high.
- it is not permitted to rub strongly where hernia exists. Otherwise there will be a risk of pressing the place of fibres.
- doing various exercises standing in a vertical position is also dangerous. It may strain the muscles.
- don’t make a massage by yourself!
- it is not allowed to rub wiping painkiller ointment regularly!
The illness happens in 3 steps; our advice is to contact the doctor as soon as the signs of illness are determined.
In the first stage of sickness the dimension of hernia is 2-3 mm. Gives a strong pain over the vertebra. In the second stage this sickness is characterized with a permanent pain. The size will be 8-15 millimetres. In the third stage the pain is too strong and affects to nerve system. Puts the patient to not being able to walking condition.
A human feels deeply that health is the biggest wealth as his age goes up. There is an old aged mother in our neighbourhood. She has got many children, much wealth. Although she is almost 100 years old she’s still healthy and cheerful. I often visit her. We have a talk for a long time. I also worry about my children’s, grandchildren’s health and ask her for advice. She says ”Health is in our hand, in labour attempt and calmness of soul”.
In fact she is right. I’m over 50. Thank goodness my health doesn’t trouble me. Because I take power from labour. First of all I pay an attention to cleanliness, neatness. I try to follow great doctor Ibn Sino’s idea “If there hadn’t been dust and spray a man would have lived for 100 years. Because different infections may come into organism through dust and they may cause sickness. There will be both health and flourish in a clean place.
Labour tempers man. And a hardened body can stand against ilnessess, exhaustion. Every person should always keep in mind that it is better to prevent the illness than treating it. So until now and later I’ll try to do physical exercises as long as I can. Yet a man should worry for his health himself.
IF YOU WANT YOUR CHILD ISN’T BORN WITH HEREDITARY DISEASES...
(№ 34, 2016 у.medical literacy)
Today, it is important that couples who want to have children pass a genetic consultation. In general, each of the parents need to have specific knowledge on avoiding the risk of hereditary diseases, and how reducing them. The following are to inform to your attention.
The human’s body is a complex structure. Information is calculated in genes from pregnancy period until death and these staistics are presented in the growth, development, and activity. During the living period of the body external factors affect to it, for example such as climate, infections, mental shock, malnutrition, and other similar factors. This, in turn, leads to a violation of the development and activities of the members of the body (illness, and sometimes may have a disability).
If these effects can damage genes, genetic diseases will occur. If this set of genes pass down from generation to generation, diseases caused by these damaged genes are considered, "hereditary", which will be passed from generation to generation.
Even in case of genes are unaffected severe disability can not exceed generations.
In such cases, will it help to contact genetic doctor?
Genetics is usually contacted when there is a danger about the future health of the child. These concerns are presented in the followings:
1) If hereditary diseases, congenital anomalies were noted in breed, or if uncurable diseases that can lead to disability exist;
2) If this pregnancy came into existence on the basis of negative factors and continuing.
In such cases, doctor’s advice is required, the real existence of the risk the size of the extent is clarified.
Often genetics consultation is given in the situation of the birth of child with congenital anomalies, developing, and uncurable diseases.
The couples planning inbreed are required to go through genetic counseling before marriage.
Who are included in "Dangerous group?"
Any person has a risk of congenital reproductive in or that, this is assessed about 2 percent. This is called "an average-risk population". It is closely related to the bedrock of the planet's natural radiation, unfavorable environmental factors. But at the same time, there is a high-risk group too: various levels of "long" at a marriage between blood relatives, professional people about the permanent harmful effects (chemicals, microwave, under X-ray radiation) alcohol alcohol obsession, drug addicts, toksikomans. The risk of giving birth to a child with Daun syndrome will be greater in women over the age of 35.
So, reducing the risk may come to extent depends on this case depends on the individual. Therefore, first of all, special attention should be paid to following healthy lifestyle principles, prevention of marriage between close relatives.
* According to the statistics of World Health Organization, a fetus doesn’t develop properly in 30-70% of smoking women. Or it falls down before the time. Their weight is much less than the weight of children born in time.
* Alcoholic drinks crash women’s nervous and endocrine systems and in the end cause not having a child.
* The mental development of children of smoking men occurs twice as slow during pregnancy.
* The fetus suffers from lack of oxygen due to mother’s smoking a cigarette.As a result, fetus’s development slows down. The child is born with physical (defect in the liver, joints) or mental defects
Today, we are having a sunny summer season full of fruits in our country. Now, wherever we go, we will witness the abundance of fruits. But don’t forget that it’s important we paid an attention to limit and cleanliness in their consumption. In particular, we must constantly control children in this regard.
Doctors suggest that children should be careful in fruit consumption and parents should control them.
We can’t find any fruits and vegetables which aren’t included in child’s food ration. But it is not recommended to give different fruits to our children who are under one year. The reason is most children’s organism at this age have a difficulty in digestion of the products like peach, melon, watermelon, cucumbers, plum, tomato, creates diseases like stools, diarrhea, and gastrointestinal disorders on them.
In addition, parents always must remind their children on washing any fruits and eat. Otherwise, various infections on the surface of unwashed fruits pass to child’s organism and create a condition for free development of germs in the body and helps to outbreak of stomach diseases.
Try to keep too ripe or a bit damaged fruits from your children as far as possible, get used to throw it immediately. Because a child who consumed such fruits and vegetables may have a high probability of appearance of poisoning (otravlenie). Fruit poisoned organism may come across serious illness and even poses a serious threat to the life of a young child. Parents’ special attention and control are required in this case.
The fruit is a good drug rich in vitamins. Calcium, magnesium and other vitamins int the ripe fruits increase our children’s immunity over 2 years of age, and juice made from them provide an easily digestion of food. Especially, it is recommended that apple must take a large role in children’s menu. An iron in its component is very beneficial forchildren’s health. When the apple is eaten after the meal it helps to strengthen teeth and remove calculus. In addition, an apple has a big role in the elimination of anemia in children.
Iodine in cucumber prevents goiter among children, eliminates iodine deficiency in the body. Tomato is considered to be important in the treatment of low blood.
It’s very useful for our children and their parents to know these recommendations. While consuming fruits and vegetables it is very important to pay attention to their being washed and not stinked.
Our children’s health is our greatest wealth. Therefore, we must always control the products they are consuming. In fact, eating skills of washing properly and eating later even vitamin-rich fresh fruits should be formed in every child.
Children look like tree. So it is important to preserve them in a variety of unpleasantness. Because a lot of children in infancy or illness can be grown its complications.
* Wash your child's hands frequently. Do this after walking ,before dinner, after sitting in a pot, sat beside him, stroking the cats or dogs to play, It seems that parents often do not have this: the child to wash his hands and he came to the floor with a toy to play. Goes to crawl across the carpet, and then hand to mouth. Therefore, parents strict rules, strict observance of the rules of hygiene. In particular, always try to keep a clean house.
* Fragrant treatment. For the prevention of influenza it’s useful to breath lemon, pine, tog'rayxon and breathe the smell of lavender essential oils. Juniper, ginger, cedar essential oils make an immunity against various diseases. Lemon, clove, black spruce and cedar smells of infectious diseases in an unsound in the room. However, before the child has one of these essential oils, you will need to determine whether they have allergies to any of these oils..
* Tenacity. Often, mothers try to warm up the children from the early babyhood. Light dressing, and the winds seem to become ill. If there’s sore throat, they try to give hot milk immediately. It is not allowed to give too hot milk.
* Let your child be a healthy adult blooded say the child more than the surrounding walls. Let his organism learn resistance of cold. Take outdoors and for walks in an open air. This is very useful for the organism.
Today, trophoblastic neoplasms is one of the many diseases found among women.This disease is satellite elements of developing malignant tumors was observed in the current period, the majority of women of reproductive age.
This disease brings mental stress, a life-long disability caused infertility, as well as internal organs causing complications in many cases, death. The strength of the family due to the development of the disease in women of reproductive age, is detrimental to the development of society and the economy.
According to statistics, the number of trophoblastic disease patients year-over-year increase. Previously, the disease incidence was observed under the age of 20, are now quite common in women over the age of 40. This simple pregnance 80 percent of cancer patients, 15% of invasive pregnance 5% xorionkartsinoma. Xorionkartsinoma revealed that 50 percent of women with a history of complications of abortion, 25 percent of pregnance 20 percent, 5 percent of the identified ectopic pregnancy.
Trophoblastic disease specific areas met a lot of endogenous factors as genetic system, endocrine system, immune status, exogenous factors of environmental, social and living conditions of ethnic, cultural factors, economic status and lifestyle play an important role in people.
In recent years, trophoblastic tumor diseases increase in the level of regional climatic conditions and ethnic characteristics (early marriages, women of childbearing age and proximity to the compartment, the number of pregnancies), and lead to diseases of the thyroid gland.
Unfortunately, the disease in some patients with timely expert medical physicians are seeking salvation. However, they have grave diseases, bring to xoriokartsinoma. At the same time, treating it a little more difficult and time-consuming. Taking into account the general condition of the patients at the level of severe disease, hepatoprotectors desintoxication symptomatic treatments, immunotherapy is carried out in the background.
After anmmunotherapy poliximiotherapy the background of serious liver and kidney tests after changes. The data showed that, trophoblastic disease receiving mono-vapoliximiotherapy immunotherapy reduces the liver and kidneys can be monitored results. As it is known that the methods of treatment of this disease is only carried out in the fight against cancer Lesion hospitals.
The main feature of trophoblastic diseases associated with pregnancy, normal childbirth or after pregrancy. Trophoblastic tumor disease mostly occurs in older women of reproductive age. According to recent reports, the disease in the country pregrancy more than 31-40 years of age. According to research conducted by the scientists, and the second (A) blood group (O) group with the male marriage trophoblastic tumors observed increase in the risk of disease.
Based on the data presented in the above features of the trophoblastic disease in the region set up the monitoring and analysis of the results of the treatment. According to them, the next 10 years pregrancy and observed more than xorionkartsinoma. But these measures aimed to prevent the spread of diseases, medical examinations and works well, as a result of growing population and medical oncology care is changing for the positive indicators of the disease.
Today, the issue of the fight against malignant neoplasms is not only in medicine, but remains one of the most pressing issues facing the community. Therefore, the citizens must well understand the factors that cause this disease, they adhere to the principles of a healthy lifestyle, in time, especially for women is important to keep medical examination.
So it mostly depends on ourselves not to be ill with tumor diseases, of our medical culture and a healthy lifestyle, in this regard we must always follow the advice of experts and doctors.
A health campaign was held in Bulakbashi named "Women's health - the wealth of the community".
In order to ensure the implementation of the state program "Health mother and child", held at the initiative of the Central Council of the People's Democratic Party of Uzbekistan, and organized in the framework of the project. The main objective of the campaign and help raise the quality of medical services to mothers and children, women in the legal, medical culture of paid.
Party members of the Council of People's Deputies of the Andijan region of Uzbekistan, regional, district and city deputies, "Healthy Generation" specialists of the regional branch of the International Charity Fund "Mahalla" public charity fund took part in the campaign, about 100 citizens handed over a wheelchair parents and children for medical examinations, providing them with the necessary medications. During the medical examination were identified women and children for the treatment of various diseases.
In the second part of the event a panel discussion on the topic was held "Prevention of early marriages will serve to further strengthen the prevention of maternal and child health,"
60Participants in the event spoke in detail of women in the socio-political, legal and medical culture, to further improve the sanitation and hygiene work in the field of the protection of the health of women of childbearing age, pregnant women, and prevention of early marriages.
The family, motherhood and childhood, social protection, health, healthy and intellectually advanced generation activities to increase the scale and quality of the suggestions, ideas and comments were made in an event.
I n the end of the event a group of active participants received gifts and thanked the party and the "Healthy Generation" International Charity Foundation distributed free medicines to mothers and children.
Anemia is mainly caused by lack of iron in the body of human being. For example, there will be only 3-4 grams of iron in a healthy body. Though it is small, plays an important role in the body.
In other words, it is part of the red blood cells, with a huge role in the delivery of oxygen to tissues. 67 percent of iron in the body, red blood cells (erythrocytes) contain 27% of the specific compounds (ferritin, gemosiderin) as the structure of the fund, and 5.9 percent to the structure of the different cells in the body, as well as the structure of the muscle tissue, and enzymes, and finally a small amount (0 1%) contained in the blood plasma.
Iron substance exists much in meat products, and is well absorbed. Vegetables, fruits and plants contain less of this substance.
The loss of iron may happen inpuberty in girls and women, menstruation, pregnancy and lactation, 1.5, and 2.5 mg per day. Sometimes the iron structure of the food consumed will be less, or it is little absorbed by the body due to diseases of the small intestine. In addition, the rapid growth of young teenage women with pregnancy in a row, due to various reasons, the body and the blood of a decline in the amount of iron in the body.
As a result of iron deficiency anemia due to impaired function of all organs in the body. This is a particularly negative impact on the development of the fetus in pregnant women, women of childbearing difficult. In this case, the parents and children are watched to frequent illness.
Anemia reduces the person's ability to work, as well as headache, rapid heart rate mode. Fatigue, mood changes quickly, little things, resentment or anger. Iron deficiency decreases the power to protect the patient, the excitation of the chronic diseases in the body, a variety of infectious diseases increases the risk.
Anemia even affects to a person's appearance: hair loss, dry skin, nails, soles of the burst narrowed broken teeth...
Today, a number of measures are being developed by public health officials to prevent anemia. In particular, treatment centers were set up by the initiative of the Ministry of Health of Uzbekistan, regional, district and urban centers of the prevention and treatment of anemia.
Health, primarily in our own hands. Anemia patients should not be ignored. Along with the daily food consumption of meat products, peas, dried apricots, prunes, raisins, rice, wheat and bean products of plant regularly to ensure the prevention of anemia.
