Sunday, May 3, 2009

You would start the day with the pain?

Or seizing up in the morning when you feel pain in your body? Do more than half an hour of pain is? Experts, half-hour long detention and midnight, feeling the pain of awakening from sleep and the first symptoms of the disease may be an important consideration is taken. Anadolu Health Center Physical Therapy and Rehabilitation Specialist Professor. Dr. Semih Akı, in the morning and why information about the body has pain.

People, wake up with morning back pain is back and better distinguish the first of these is required. The pain you feel when you wake up the morning or breakdown? Patients are often mixed these two together. The difference is very important because the patient is lifted underlying this inhibition is talking about a disease should be considered. Physical environment or on the bed structure or the effect of factors other than an illness, is likely to have caused breakdown.

The time is an important criterion of breakdown. If there was more than a half-hour block may point to a disease. In such a case must always be investigated for any rheumatic disease.

Disseminated; action is the limitations. In seizing; people out of the bed and wash your face until the joints do not work very well, the movement will feel a bit restricted. Disseminated in a short time, feeling very healthy person passes. More neck, waist and back area as well as hands occurs.

On the other hand, the sleep from midnight to wake up with pain can be a harbinger of the rheumatic diseases. Sleep soon after you wake up the patient with pain is an infection in the disease, cancer or calcification may be able to sleep. These three must always be investigated.

Pain is how to distinguish?
Separator is a simple definition of pain. If due to mechanical causes pain or physical coercion is emerging with the generally increasing, decreasing istirahatla is a pain. However, due to serious illness from sleep pain stimulus, a pain at rest is growing.

In short we can say, if there is a pain to wake up from sleep and wake up feeling half-hour detention after more than a lot of our body is always a physician should be contacted.

Healthy sleep in the most important criteria:

# The body does not take the form beds

# The appropriate hardness and pad height



One of the most important reason to wake up tired, sleep quality is not good. Sleep quality is one of the most important reason for not be good for your body does not have the beds. If a person's body, lying in bed when the bed patient's body is not buried is not the way this is an ideal hardness. Distributed in the body in terms of pressure used in recent years, silicon bed is also healthy. However, this may not be happy with anyone from the bed.

The most important criteria in selecting a pillow, and high hardness is appropriate. The hardness may vary from person to person pillow, so it is not possible to say something very specific. Individual, comfortable bag that you can use in hardness.

Height in terms; patients raking when the gap between the shoulder neck area may fill height, is an ideal height. But this applies to healthy people. People with disorders of the neck in certain patterns can suggest pillow. Prevent the movement of the neck pillow in the shape of specific, serious problems related to the neck can be given to the patient.

Fear of disease led to impotence in men, chronic prostatit!

For men, sexual life, and people between the beginning of the "common cold of the prostate known as chronic prostatit, impotence causes fear. Experts, genital area causes pain to prevent chronic prostatitin are often recommended to discharge. Anadolu Health Center Medical Center Urology Specialists Prof. Ataşehir. Dr. Cüneyt İşeri, gave information about chronic diseases prostatit.

Chronic prostatit syndrome, in men, to become sexually active life is starting to be seen. Until age 40-50'li years 20'li approximately percent of men 5'inde this ailment can be seen. For men above 50 years of age the most common chronic disease of the third prostatit, while burning and frequent urinary bladder as well as close as needed, in the genital area causes pain.

Definitive treatment of chronic hard prostatit not contagious, but that a disease can continue for years. That's why the physicians of patients with chronic prostatiti be treated exactly is taught to live with this disease. Chronic prostatit patients;

# To keep warm in the prostate,
# To have a regular sexual life,
# Is required to protect them from constipation.

Regular exercise reduces pain!

Chronic prostatit, patients often leads to psychological problems. Therefore, negatively affects the sexual life. Chronic pain in the genital region of men prostatiti hear that these people are also concerned about the causes impotence. Johns Hopkins Medicine (JHM) performed a research physician; regular sports of men with chronic diseases prostatit was protected from pain.

Physical exercise and cause pain to some well known that a fact already known. Way that the researchers, exercise and good came out of the chronic pain prostatit do not wonder Araştırmada, as a result, exercise less than men who do not make the pain that can be seen.

Two aspects of physical activities affected by chronic pain prostatitin is created. First, in general, people are contributing functionality. We also reduce stress and depression make.

Secondly, physical therapy, moving to the region by a heat treatment method. Activation is painful area and ensure the area where the blood is increased the pain threshold. In general, all physical therapy applications, the same effect as is fitting.

Physicians, chronic pain for the creation prostatitin aerobics, stretching exercises can be done in such as sports halls are recommended.

Pig flu (H1N1 flu) is what?

Updated on: 03.05.2009

Swine flu, Influenza A virus is the cause of the highly contagious acute respiratory disease in pigs is. Death rate% 1-4'tür. Cause epidemics among pigs. In many countries routinely vaccinate pigs are. Swine flu, H1N1 subtipidir generally. Sick pigs to people, but also to pass.

How will impact human health?

It is rarely found in human outbreaks. Usually symptoms are similar to seasonal flu. Light or heavy, such as tables can watch belirtisiz may also occur.

Where infection seen in humans?

Austria (1), Canada (34), Hong Kong (1), Denmark (1), France (1), Germany (4), Israel (2), Netherlands (1), New Zealand (4), Korea (1) , Spain (13), Switzerland (1) and England (13). In none of these countries has seen death. Infection in 397 people in Mexico was götülmüştür.16 death. 141 people in the United States götülmüştür infection, 1 death has occurred.

How are people infected?

Pigs have a close relationship with people has been infected, they were also infected people.

And pork products infected with food to?
No. Pork with food, does not spread to cook. The virus can not be done live. Does not spread by contact with raw meat.

Is the risk of global epidemic?

People could go to the people this is possible, a new virus is not immune. Vaccine development can take time.

Is there a vaccine?

No, not yet. Current vaccines do not protect.

Do you have drugs for treatment?

In 2 drug Relenza and Tamiflu have names.

How can I protect myself?

Stay away from people with flu-like symptoms to
To wash hands frequently
Adequate sleep, good overall body, such as feed and take steps to

If you have any of the patients at home;

Patients in the room to keep a separate person, it is not possible to stand 1 meter away
Close your mouth and nose and a mask to use
Wash hands frequently with disinfectants or alcohol to clean hands
Ventilate the room often
Around to keep clean
Health officials say to do

The country will travel to see the disease. What should I do?

Published by the World Health Organization, there are no travel restrictions. Be found in closed and crowded environment as possible, reduce the risk of infection. For all the diseases spread by respiratory as well as personal hygiene, especially hand washing soap is extremely important to implement measures. Go to the measures foreseen in the country to comply with the local authority, and when simple surgical masks to use in cases of disease will reduce the risk of infection. Flu symptoms are also seen to be admitted to the nearest health institution.

The country have traveled to see the disease. What should I do?

Within the last 2 weeks of the illness seen in the countries visited have found, and 38 º C, especially high fever, cough, sore throat, vucutta pain, fatigue / disappointment, headache, cold, vomiting and diarrhea, such as flu-like symptoms if you have the best of health organizations will need to apply . Swine flu or flu symptoms such only as a result of the disease occurs. Pneumonia, colds, bronchitis, such as through a number of other respiratory diseases may show similar symptoms. Of this case to distinguish it is necessary to consult the nearest health institution.

I plan to come to international travel, what should I do to protect them from disease?

Currently, World Health Organization officials, do not need to travel or trade restrictions are reported. General measures to be taken as personal hygiene, crowded and stuffy environments as possible to avoid measures that are sufficient for now.

The most effective prevention is hand washing. Your mouth and nose when you cough or sneeze with a single-use wipes off and then throw the tissue. Especially after a sneeze or a cough for a hand wash soap and water. Alcohol-based hand disinfectants are available. The disease mainly from people to people, sneeze, cough is thought to have infected patients, such as ways to avoid contact with people is an appropriate protection method. Eyes with dirty hands, touching your nose and mouth to your hands through the spread of this virus may cause. Eat plenty of food to liquid, Get well-fed, make sure to rest.
Do the test swine flu?
Yet the laboratuarlarımızda pig flu (H1N1) is not directly define a test. However, the health ministry has been received and the reference samples can be sent to the laboratories.

Get your heart into your unborn baby before Assurance

# If you or your family if you have heart disease doğumsal
# Diabetes patients, or are
# Test-tube baby method, you conceive during your pregnancy fetal echo control is recommended.

One of every 100 births is seen doğumsal heart disease. Doğumsal heart disease, prior to the birth mother in the stomach can be determined by fetal echo.

Early diagnosis offers the advantages of a life is important, the birth rate from 95 percent in after the surgery has been obtained indicating success, Anadolu Health Center Heart and Vascular Surgery, Specialist Professor. Dr. Sertac Cicek, healthy children were treated in a way that can sustain life, he said. Dr Child Cardiology Specialist. Honor the Resmiye Besikci, especially with risk factors in pregnancy the baby's heart draws attention to the importance of the mother is scanned in stomach

Test-tube baby method to the world can be found in children with heart disease.

Treatment after early diagnosis through ultrasound and fetal echo is planned. Babies born with heart disease doğumsal is sometimes not born to have surgery. Thanks to early diagnosis can be planned accordingly the birth. That is, mothers with special scanning method in the baby's heart, pregnant bellies 16 weeks 1 displaying, the problem is determined and if necessary measures are taken without delay.

Heart health should be the baby's mother wife Belirlenen

Anadolu Health Center Heart and Vascular Surgery, Specialist Professor. Dr. Sertac Cicek said: "Baby in a wide variety of heart disease can encounter. The most common of the heart in the hole to be. Growth through technology is now the mother karnında heart development after completing rahatlıkla this disease diagnosis can put." Fetal ekokardiyografi on the way, sound waves through the baby's mother womb hearts versions and circulatory system are evaluated. Hamilelik 16-1 week in the heart of whether there was an issue can be determined. Birth after surgery with 95 per cent of children after treatment with no serious problems, without a healthy life can continue. Of course, regular doctor to go to control is required, like other like people. Most of the time that they do not need medication for life. So the success rate of surgery is reached 95'lere percent. "

Risk status is suggested in the Fetal Ekokardiyografi

Anadolu Health Center Dr Child Cardiology Specialist. Every baby has not been applied to fetal ekokardiyografik Besikci Resmiye Honor, but the risk factors is recommended in the case says is true. Genetic risk factors of heart disease among doğumsal of the features have an important place. If you have heart disease in the family doğumsal, is also seen in children. Metabolic diseases as diabetes or a mother with children at risk. Viral infection during pregnancy, the baby and also in some chromosome disorders can cause heart disease. Recently I have come to the world, especially test-tube baby method is common in children with heart disease.

Mother alcohol or substance dependent on the other hand, during pregnancy the baby's heart problems may occur is the use of drugs, pregnancy and the first three months, such as the rubella viral diseases are passed or connected to the chromosomal disorder, some diseases have also test-tube baby method of pregnant women, babies left in the fetal ekokardiyografik examination is recommended. Risk factors were assessed in an organ other than the baby's heart problem is whether to look at.

Anne wife as the baby's heart is being reviewed further

Anadolu Health Center Dr Child Cardiology Specialist. Honor Resmiye Besikci, doğumsal heart disease, early diagnosis and appropriate said: "Mother, the wife of the baby's heart in detail with scanning, heart structure, function and rhythm in detail can be reviewed. Bebek very serious heart disease, can be observed. Our goal early on them to determine. For example, the heart of the left side development to be missing "hipoplastik left heart syndrome also have a disease that important. This is what we want to know early on one of the most important diseases. In addition to the creation of the flap or the inside of the heart to be closed, the heart chamber, must be two or three, as the opposite of the main arteries such as the emergence of life-threatening serious structural problems on trying to identify. In the heart of this review within the tumor mass and also able to determine. "

Babies born with heart disease doğumsal is sometimes not born to have surgery. This surgery is for specially trained teams, needs a serious infrastructure and advanced technology. Early diagnosis can be planned accordingly, the birth mother of your father's choice is appropriate hospital. Treatment can begin immediately. This offers a significant advantage of life.

Whom thyroid surgery, when should be done?

Thyroid gland, has important effects on metabolism of thyroid hormones are secreted. These hormones speed metabolism of all cells in a manner that operating speed is set. Thyroid gland diseases as functional and structural is divided into two main groups. In both groups many and various types of thyroid disease is found.

One of the treatment method in thyroid gland surgery diseases. However, the appropriate patient and surgical options can be made at the appropriate time and the accumulation of information, reducing the possibility of side effects of surgery and requires special skills and experience. Anadolu Health Center (ASM) General Surgery Specialist Prof. Dr. Text Çakmakçı, answered questions about thyroid surgery.

Surgery, which is applied to thyroid patients?

Surgical treatment of thyroid disease, primarily discussed with patients to three groups; the first group, the thyroid cancer by fine-needle biopsy has been proven, or made by the pathologist biopsy suspicious for cancer have been evaluated as patients to create.

The second group, the size of because of pressure symptoms or cosmetic problem "nodules" that patients have. Cancer and therefore follow that decision show the diameter of the nodules in patients with Nodule growth going to cause us to order the surgery.

The third group, the thyroid gland produces too much hormone to create hipertiroidi patients. Drug in patients with this condition Hipertiroidisi or can not be treated with radioactive iodine or treatment after the surgery in these patients suggest they have hipertiroidi again. Moreover, side effects of drugs and radioactive iodine treatment or pregnancy occurred in patients, such as the application of this treatment in patients to become the primary surgical treatment.

What shape is determined by the treatment of patients Hipertiroidi?

Hipertroidi patients drugs, such as radioactive iodine and surgery can be treated with the three options. Drugs reduce the operating speed of the thyroid gland to produce thyroid hormone functions be printed as the second option is radioactive iodine by the thyroid gland hormone producing cells of the structures damaged tissue volume is reduced. A large part in the surgery of the thyroid gland, or by removing the entire thyroid hormone used to produce more tissue and therefore not leave the patient can be treated. For each patient, the decision to choose which treatment option is being given the patient's age, gender, the treatment of previously seen, such as pro diseases and imaging findings of ultrasonography and scintigraphy should be evaluated carefully.

Patient wants to have a baby how to choose a treatment method?

Patients want to have a birth and the baby is at the age of radioactive iodine treatment can not. Such a drug therapy or surgical treatment in patients apply.

As a result of drug treatment are likely to be recurrence of disease or is it?

Drug treatment in patients with primary Hipertiroidi we cut the medication after the biggest challenge to recurrence of disease. This recurrence many patients are seen within the first year after cutting drug. By the end of the year in fifth out of five of the patients, but can stay in normal. Moreover, because of side effects and many patients are unable to use medication to life depends on the drug side effects after surgery are to improve.

How the surgery is a process?

Basic principles of operation of the hormones produced Hipertiroidi of the thyroid gland volume reduction. In this way, a majority of patients after surgery for thyroid function is back to normal. However, a small part in this treatment hipertroidi nüksedebiliyor and can cause problems. Thyroid tissue is left behind in case produce enough hormones can occur hipotiroidi. But this complication is extremely low and is possible to control the drugs do not cause problems.

Increased experience and new energy sources, especially in the current technological developments further surgery hipertiroidi make safe as can be had. In recent years, the likelihood of recurrence in this case, reset the "total tiroidektomi say we remove the entire thyroid gland surgery have made more is preferred.

What is the frequency of thyroid nodüllerinin see?

In the thyroid gland in the community as 10 percent indicate the frequency of nodule is found. This figure even higher configuration of post-mortem studies show.

Means all nodüllerinin thyroid cancer?

Of cancer of the thyroid nodules that are seen frequently seen as a rare disease. So all of this cancer nodule is determined not to think even a large portion opposite the nodules must be accepted that good-natured.

All you need surgery for thyroid Nodule?

For each nodule identified in thyroid gland surgery is not required to be taken seriously all the nodules should be evaluated. How to approach the patient nodülüne decision, to close, history, examination findings and imaging results should be given to the evaluation. Basic non-clinical and radiological risk as small as 1 cm from 1 cm above the nodules were monitored entering the risk group or fine needle aspiration biopsy of nodules in patients is recommended. Cytology in the so-called science and interventional radiology in the accumulation of the cells to increase, clinicians needle biopsy failed to use the option more. As a result of needle biopsy of the suspect or the pathologist reported that the cancer patients in which surgery is Nodule. Thyroid cancer and all cancers today as in the surgical treatment can be effective in one of several cancer types.

Does a good-natured nodules in surgical practice?

Has been known as a good-natured, and continues to grow well if the nodule is greater, in patients with swallowing difficulties, such as to cause pain or if the patient is disturbed by plastic surgery to these patients also. However, patients with large and numerous the surgery can Nodule. Thyroid cancer and to remove the entire thyroid gland in patients hipertiroidi the good-natured that he would rather believe you are more limited surgery in patients have occurred. Large nodule, thyroid gland which is located on that part is completely removed. On the other side of the patient will need later in life can produce thyroid hormones are trying to leave a solid thyroid tissue. If necessary during surgery for a pathological examination done fast and the other into what we decide to do during the surgery.