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Adolescent Problems Treatment
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Step 1: Begin by looking at your breasts in the mirror with your shoulders straight and your arms on your hips.
Here's what you should look for:
Breasts that are their usual size, shape, and color
Breasts that are evenly shaped without visible distortion or swelling
If you see any of the following changes, bring them to your doctor's attention:
Dimpling, puckering, or bulging of the skin
A nipple that has changed position or an inverted nipple (pushed inward instead of sticking out)
Redness, soreness, rash, or swelling
Step 2: now, raise your arms and look for the same changes.
Step 3: while you're at the mirror, look for any signs of fluid coming out of one or both nipples (this could be a watery, milky, or yellow fluid or blood).
Step 4: next, feel your breasts while lying down, using your right hand to feel your left breast and then your left hand to feel your right breast. Use a firm, smooth touch with the first few finger pads of your hand, keeping the fingers flat and together. Use a circular motion, about the size of a quarter.
Cover the entire breast from top to bottom, side to side — from your collarbone to the top of your abdomen, and from your armpit to your cleavage.
Follow a pattern to be sure that you cover the whole breast. You can begin at the nipple, moving in larger and larger circles until you reach the outer edge of the breast. You can also move your fingers up and down vertically, in rows, as if you were mowing a lawn. This up-and-down approach seems to work best for most women. Be sure to feel all the tissue from the front to the back of your breasts: for the skin and tissue just beneath, use light pressure; use medium pressure for tissue in the middle of your breasts; use firm pressure for the deep tissue in the back. When you've reached the deep tissue, you should be able to feel down to your ribcage.
Step 5: finally, feel your breasts while you are standing or sitting. Many women find that the easiest way to feel their breasts is when their skin is wet and slippery, so they like to do this step in the shower. Cover your entire breast, using the same hand movements described in step 4.
Babies are fragile and need special care. In case of babies that are born prematurely, the amount of attention needed increases many fold and parents need to be extra careful and attentive. A baby born before 37 weeks of pregnancy is said to be a premature baby. The earlier the baby is born, the higher the risk of complications.
Most premature babies spend the first few days after birth in a neonatal intensive care unit (NICU). This is because they may have trouble breathing and may need help maintaining body heat. Though you may feel helpless watching your baby, it is important to spend time with your baby while he or she is in the NICU. Talk to the baby and touch him or her. As soon as your doctor allows, carry your baby while allowing him or her to have maximum skin to skin contact.
It is important to breastfeed a premature baby. Breast milk is the richest source of nutrition for your baby and is easy to digest. It is also rich in antibodies that help boost a bay’s immunity and protect them against a number of infections. If you cannot feed your baby directly, pump your breast milk and store it in sterilised bottles to be given to the baby. Premature babies can get critically ill very fast. To prevent this from happening, it is important to build a good rapport with your baby’s doctors and keep a close eye on your baby. Maintaining a journal can help you recognise changes in your baby’s development. Watch out for subtle signs that your baby could be falling ill. Some of these signs are:
- A distended abdomen
- Dry the diapers frequently
- Frequent vomiting
- Blood in the stool
- Temperature instability
- Lethargy and unresponsiveness
- Change in breathing
In some cases, the mother may be discharged before the baby. This may seem very difficult, but does not need to limit your time with your baby. Caring for a premature baby is tough and hence use the time away to rest and recuperate. Remember that your baby is in safe hands and do not let yourself get too stressed.
Your baby will be ready to come home once he or she can breathe on their own and is able to maintain a steady body temperature. Your doctor may also wait until the baby can be breastfed and begins gaining weight before discharging him or her. Once the baby is home, do not attempt to be the sole caregiver but involve your family in building a team of caregivers. This will keep you from getting burnt out and will ensure that your baby is constantly monitored.
My daughter don't want to eat regular food like milk, rice, vegetables etc. We have to feed her by force and she is very skinny but active all the time.
My daughter is one year and one month old. Her weight is 7.8 kg and her birthweight is 3 kg. She eats everything from breakfast to dinner but her weight is same from last four months. She is underweight. Please suggest any healthy drink or supplement for her normal growth?
My 8 month baby is getting fever and light cough I use to put 1tb spoon ghee for her meal if can I continue if there is no problem during fever gee and boiled egg please let me know.
Hi, My sister adopted a baby boy having 4 month we don't know how we will care? Can you please give some tips how could we care, what type of Food , timing, oil, medicine for digestion . Everything.
My daughter age 22 month she say papa one word only she can hear normally is she any problem to talking or she is normal I am worried about this please help me.
My son is now seven months old and when he born since then he is having nasal sound and now also coming voice from his nose. So that is cough or any else . Regular voice coming.
1.3 new goals – cure, prevent resistance and break chain of transmission.
2. Introduction of daily regime.
3. Definition and treatment of mono and polyresistance apart from mdr and xdr tuberculosis.
4. Treatment in cat 1 – 2 (hrze) + 4 (hre): continue ethambutol in continuation phase too.
5. Treatment in cat 2 – 2 (hrzes) + 1 (hrze) + 5 (hre).
6. Introduction of bedaquiline as a new drug. Atp synthase inhibitor specifically targets myc. Tb. Indicated in age more than 18 years. Contraindicatef in pregnancy and those taking hormonal ocp. It may be given in patients with stable arrythmia.
7. Definition of presumptive tuberculosis. Duration > 2 weeks etc.
8. New algorithm to diagnose tuberculosis – pulmonary, extrapulmonary, drug resistant.
9. Introduction of newer molecular methods like cbnaat and line probe assay in diagnostic algorithm apart from smear microscopy and chest xray.
10. Diagnosis of tuberculosis based on x-ray will be called as clinically diagnosed tuberculosis.
11. Sputum should be around 2ml and preferably be mucopurulent.
12. Follow up – new and previously treated drug sensitive pulmonary tuberculosis – no need to extend intensive phase, sputum microscopy at end of ip and end of treatment, weight monthly, chest x-ray if required.
13. Follow up – mdr tuberculosis – sputum smear monthly 3, 4, 5, 6, 7 months in intensive phase and at 3 months interval in continuation phase 9, 12, 15, extend ip phase by maximum 3 months total of 9 months.
Some more additions to it, adding here which might help to pg students.
1) monitoring health status of tb treated patients (for recurrence of tb) for 24 months after treatment
2) online monitoring of treatment adherence through 99dots programme (currently it is on pilot basis running for tb-hiv patients)
3) intensified tb case finding in clinically, socially and geographically vulnerable population. It's a provider initiated activity.
4) now'tb suspect' term is replaced by'presumptive tb case.
5) in diagnostic algorithm sputum examination along with chest x-ray is recommended.
6)'nsp' term is replaced by'microbiologically confirmed case'
7) nsn and others r called now onwards'clinically diagnosed tb' case. (terms replaced)
8) definitions of cured, defaulted, treatment completed, failure, failure to respond, loss to follow up are somwhat changed.
9) cat i, cat ii, cat iv terminologies r obsolete n replaced by drug sensitive (new or previously treated) and drug resistant tb categories.