Dr. Reenie Devadason

आंवला आपकी सेहत के लिए सबसे लाभदायक फलों में से एक माना जाता हैं। आंवले का इस्तेमाल हम कई तरीको से करते हैं। आंवले का अचार, आंवले का मुरब्बा आदि बड़े ही चाव के साथ खाया जाता हैं। वैसे तो आप आंवले को कच्चा भी खा सकते हैं, यह खाने में पहले थोड़ा खट्टा लगता हैं, लेकिन जब आप इसे खाते हैं तो इसमें से हल्की हल्की मीठास आपको महसूस होने लगती हैं।
आंवला कुदरत की तरफ से मनुष्य को दिया गया अनमोल उपहार हैं। इसके सेवन से शरीर में पैदा हो रही कई सारी बिमारियों का खात्मा हो जाता हैं। इसी तरह इस आंवले से इसका जूस भी निकाला जाता हैं। क्या आपको पता हैं रोजाना सुबह आंवला जूस पीने से स्वास्थ्य को कितने ज्यादा लाभ होते हैं?
आंवले का जूस अगर आप सुबह उठकर पीते हैं तो आपका पूरा दिन बहुत अच्छा बन जायेगा। आंवले के जूस में विटामिन सी और आयरन बहुत ही अच्छी मात्रा में पाए जाते हैं। हर व्यक्ति को प्रतिदिन 50 मिली ग्राम विटामिन सी की आवश्यकता होती हैं, जिसे आप आंवला खा कर या फिर इसका जूस पी कर पूरा कर सकते हैं।
तो चलिए जानते हैं आंवले का जूस बनाने की विधि और इसे पीने से सेहत को हओने वाले फायदे 

आंवला जूस बनाने की विधि
एक किलोग्राम आंवला ले, जोकि गिनती में कम से कम 35 आंवले, सबसे पहले आंवलो की गुठली निकाल लें, फिर सभी आवलों को चार चार भागों में काट लें। तदपश्चात आवलों को बारीक पीसने के लिए मिक्सी ग्राइन्डर का उपयोग करें। आंवले ग्राइन्डर करते समय पानी का उपयोग विल्कुल न करें। जब आंवले बारीक, अच्छी तरह से पिस जायें तो पिसे हुए तरल को किसी साफ छन्नी से छान लें। फिर दुबारा से एक साफ सफेद कपड़े से छान लें। और अलग साफ बर्तन पर रखें। इस तरह एक किलो आंवलों से आधा किलोग्राम आंवला का जूस निकल जाता है। फिर बारी आती हैं आंवला जूस स्टोर की, जूस को किसी काॅच की बोतल या कांच बर्तन में ही रखना चाहिए। कांच में रखा आंवला जूस जल्दी खराब नहीं होता 

आंवला जूस पीने योग्य बनाना
तैयार आंवला से आध गिलास जूस बोतल से निकालें, उसमें 2 चम्मच शहद, चुटकी भर काला नमक, चम्मच से अच्छी तरह से घोलें। यह हो गया आपका आंवला का जूस। और पीईये बड़े चाव मजें से पौष्टिक आंवला जूस। 

आंवले का जूस पीने के फायदे - 

1. त्वचा के लिए फायदेमंद
आंवले के रस में एंटीऑक्सीडेंट प्रचुर मात्रा में पाए जाते हैं, जो बढ़ती उम्र का असर आपके चेहरे पर नहीं पड़ने देते हैं। इसलिए नियमित रूप से आंवला जूस पीते रहने से आप लम्बे समय तक जवां दिखाई देते हैं। इसके सेवन से आपकी स्किन चमकदार बनती हैं। प्रतिदिन आंवले के रस में शहद मिला कर पीने से आपका चेहरा चमकदार बनता हैं और चेहरे से झाइयाँ ख़त्म होने लगती हैं।

2. कब्ज़ दूर करता हैं
आंवला जूस रोजाना पीने से पाचन क्रिया दुरुस्त बनती हैं। इसलिए आंवला रस हर रोज पीने से भयंकर से भयंकर कब्ज को दूर किया जा सकता हैं।

3. सर्दी जुकाम से बचाए
आंवले के रस में विटामिन सी प्रचुर मात्रा में पाया जाता हैं। जो बॉडी की इम्युनिटी को मजबूत बनाने में सहायक हैं। इसलिए इस चमत्कारी जूस को नियमित रूप से पीने से यह आपको सर्दी-जुकाम से बचाव करता हैं।

4. वजन घटाए
आंवला वजन घटाने में सहायक है। क्योंकि आंवला भूख कंट्रोल और मेटाबोलिज्म पर असर करता है। जिससे आपको वजन घटाने में मदद मिलती है।

5. यौन शक्ति बढ़ाए
इसमें विटामिन सी होता हैं जो सेक्स पॉवर को बढ़ाने में सहायता करता हैं। इसलिए आंवला जूस पीने से सेक्स लाइफ और भी अच्छी बन जाती हैं। अगर आप अपनी सेक्स लाइफ को बेहतर बनाना चाहते हैं तो आंवले के रस का सेवन जरूर करे।

6. कोलेस्ट्रॉल कम करे
आंवले का जूस पीने से कोलेस्ट्रॉल कण्ट्रोल में रहता हैं। अगर आप हाई कोलेस्ट्रॉल के मरीज़ हैं तो सिर्फ 1 गिलास आंवला जूस आपके लिए वरदान साबित हो सकता हैं। इसे रोजाना पीने से शरीर के ख़राब कोलेस्ट्रॉल की मात्रा कम होने लगती हैं और शरीर में अच्छे कोलेस्ट्रॉल बढ़ने लगते हैं।

7. ब्लड प्यूरीफायर
क्या आपको पता हैं की आंवले के रस में शहद मिला कर पीया जाये तो इससे आपके खून की सफाई भी हो जाती हैं। इससे खून साफ़ बनता हैं। 

8. नकसीर में असरदार
नकसीर यानी नांक से खून आने की बीमारी में ताजे आंवले की 2-3 बूंदे नांक में डालने से नकसीर तुरन्त बन्द करने में सहायक है। लम्बे समय से नांक से रक्त आने की समस्या में रोज आंवला जूस पीने से जल्दी ही समस्या से छुटकारा मिलता है।

9. बालों के लिए फायदेमंद
इस चमत्कारी जूस को पीने से आपके बाल घने, लम्बे, चमकदार और काले बनते हैं। यह बालों को तेज़ी से बढ़ने में मदद करता हैं और उन्हें मजबूत बनाता हैं। यह बालो को जल्दी सफ़ेद होने से भी रोकता हैं।

10. पेशाब की जलन दूर करे
अगर आपको पेशाब में जलन हो रही हैं तो 30 ml आंवले के रस को दिन में 2 बार पीजिये। इससे आपको पेशाब की जलन से राहत मिलेगी।

11. आँखों के लिए लाभदायक
आँखों के लिए यह रस बहुत ही फायदेमंद होता हैं। आंवले के जूस को पीने से आँखों की रौशनी ठीक रहती हैं। इस जूस को पीकर आप अपनी आँखों की रोशनी को बढ़ा सकते हैं।
 

The body produces a number of chemicals called hormones which are essential for the regulation of various functions including growth and metabolism. These hormones are produced by endocrine glands which are located in various parts of the body. One such important gland is the pituitary gland which produces the important growth hormone. This is essential for regulating optimal growth during the growing years and for maintaining proper amounts of body fat, muscles, and bones in the later years of life.

Causes: Deficiency of the growth hormones can occur due to a number of causes, some of which are listed below. It can be congenital (present at birth) or acquired later in life.
The congenital issue could be due to problem in the pituitary gland structure, leading to complete absence or reduced secretion of the hormone.
With age, there is a decrease in the amount of secretion. However, infections, injuries, brain tumors, surgery and radiation can also lead to altered amounts of secretion.

Symptoms: While growth hormone deficiency can occur at any age, symptoms differ depending on the age when the deficiency sets in.
In the early ages:

• Lower rate of growth for a given age
• Delayed developmental milestones
• Delayed onset of puberty
• Short stature/reduced height
• Younger looking compared to other children their age
• Fat deposition around the waist
• Delayed dental development

When the deficiency sets in during the later years, there is

• Low energy levels, constant tiredness
• Decreased strength
• Decreased exercise tolerance
• Decreased overall muscle mass
• Thin and dry skin
• Increased fat deposition and weight gain around the waist
• Changes in social behavior including alternate cycles of anxiety and depression
• Lack of motivation
• History of pituitary tumors
• High levels of fat and cholesterol

The diagnosis depends on the age of the person

• Blood tests are carried out to check the hormone levels in circulation
• In children, in addition to the hormone levels, x-rays to see the status of growth plates is very helpful.
• An insulin hypoglycemia test where insulin is given intravenously to see the levels of the growth hormone after 30 minutes.
• Total cholesterol levels, low-density lipoprotein (LDL) cholesterol, apolipoprotein B, and triglyceride levels can be used to supplement the above tests.
• CT scan and/or MRI of the brain may be needed if tumors are suspected.

Treatment: Once diagnosed, replacement therapy is given as shots a few times a week under the skin. This restores normal growth and helps in controlling the symptoms in adults too.
In cases of tumor, radiation or surgery may be required, but most cases are managed with hormone replacement.
Watch out for the symptoms if your child has delayed developmental milestones and early intervention can help restore growth and function to normal levels. If you wish to discuss about any specific problem, you can consult an Endocrinologist.

Hello everybody, I'm dr. Pulkit Nandwani. I'm a consultant gynaecologist & laparoscopic surgeon at Saroj Medical Institute, Rohini. So if you are about to undergo any operation especially total laparoscopy hysterectomy for whatever the indication might be, this video would be very useful for you. Once an operation has been decided, the patient gets really scared because of the unknown factor. What will happen once you admitted in the hospital? What will happen after the operation? How will you go through it? Just knowing the basic details of the hospital and treatment will put you a lot at ease. So on the day when you're supposed to undergo total laparoscopy hysterectomy, you would be asked to come to the hospital for admission usually early morning with empty stomach. We might even ask you to have just a light diet the previous day or even liquid diet the previous day and then not take anything after that from twelve o'clock in the night and come stomach to the hospital in the morning with all your records, all the blood tests, the ultrasound reports, that would have been done previously when the operation would have been decided. Once you admitted in the hospital, a sister will be an incharge of you. You will be given a bed, you will be asked to change your dress, the area where we have to operate would be prepared by doing shaving of hair of that area and then and IV saline IV cannula will be inserted.

Following all the medications, all the glucose, all the IV fluids would be given through this cannula and you will not have any other pain except the cannula pain. After that, an anesthetist will come and have a word with you and have a pre-Anesthesia checkup will be done. Then at the scheduled time you will be shifted in the operation theatre. Once you're in the operation theatre, again through that IV cannula line itself medicines in the form of injections would be given. A mask would be put on your nose and you will be put to sleep. The whole operation which would be undertaken by a team of doctors along with a multitude of workers along with us technician, nurses and anesthetist. The whole procedure will take around one and a half hours to two hours and then post operations once we find that you're stable you would be shifted to the postoperative room where you would be kept there for another three to four hours just for extra monitoring.

Later you'll be shipped out to the room. After the operation, once you wake up you will just have little grogginess, heaviness of the head which would be for the after-effects of the anesthesia. You would not be allowed to eat at that time. All the nutrients for the body will be given By the IV fluids in the form of glucose. All the medicines in the form of injections would be given. There would be a catheter inside the urinary bladder to allow drainage of urine. This catheter we will remove most probably the next day morning itself. So we will start giving you food either in the evening or the next day morning. Liquids will also be started first and gradually the food will be started. You might be asked to get off the bed on that evening.

This is the advantage of a total laparoscopy hysterectomy. The next day you will be kept inside the hospital, but you would be eating properly you would be walking around the hospital just for observation and the amount of injectable antibiotics. You would be kept inside the hospital. The next to next day you will be discharged. We put the dissolvable sutures over that, we put waterproof dressing. So the very next day of the operation and throughout after that you are allowed to take bath, just the vaginal hygiene has to be maintained at home. Heavy weightlifting or bending a lot would be just advisable not to do but other than that routine procedures and home routine activity at home is allowed. For a checkup you will have to come after a week. I hope the video was informative for you and would put you at ease.

I'm Dr. Pulkit Dhanwani and gynecologist and laparoscopic surgeon here at Saroj Medical Institute and if you want to contact me you can contact me by Lybrate or take an appointment at the hospital at Saroj Medical Institute. Thank you.

The term infertility in females explains a wide range of disorders but in order to simplify things, lets’ just say, infertility in women is a condition in which women are unable to conceive. There are numerous reasons that can be responsible for this situation and although some are preventable or curable, most others have no specific cure or treatment.

Ovulatory Disorders

One of the most common reasons for infertility is an ovulatory disorder. Almost 30 percent of female infertility is caused due to this reason. 70 percent of such infertility is treatable with drugs such as Reprones/Menogan and Clomiphene. Here is a list of causes of failed ovulation-

1. Disruption in the complex hormonal balance.

2. Ovaries fail to produce mature eggs. Polycystic ovarian syndrome is the most common disorder causing this problem. This syndrome has reduced FSH production and increased production of LH, Oestrogen and Testosterone. Suppressed FSH production may cause the partial development of ovarian follicles.

3. Hypothalamus may malfunction thereby causing the pituitary to malfunction, thus losing control over the process or FSH and LH production.

4. Physical damage to the ovaries by multiple surgeries or due to the formation of cysts.

5. A rare case of premature menopause.

6. Problems of the follicle.

7. Poor functioning of fallopian tubes

Diseases or disorders in the tube have been another major reason of infertility in women. Almost 25 percent of women infertility occurs due to this reason. Although treatments exist, success rates of the treatments are as high as 30 percent. The causes of tube damage may be as follows-

1. Infection caused by bacteria or viruses

2. Abdominal diseases like colitis and appendicitis

3. Previous pelvic or abdominal surgeries.

4. A condition called ectopic pregnancy which occurs in the tube, and even if very carefully but successfully overcome, may leave permanent damage.

5. Rare congenital defects in which women may be born with tube anomalies.

Endometriosis

This is the condition where the endometrium expands excessively thereby preventing individuals from getting pregnant. This affects almost 10 percent of the population of infertile women. Almost 40 percent of women with endometriosis are infertile.

Other Factors

Other additional factors may include:

1. Abnormal uterus

2. Congenital diseases

3. Behavioural factors like personal habits, lifestyle and health factors.

4. Exercise and diet- extremely overweight or underweight women may have problems in conceiving.

5. Cigarette smoking reduces the chances of conceiving by one-third.

6. Alcohol increases the chances of birth defects.

Hence, pregnancy is tougher than it might really seem. If you wish to discuss about any specific problem, you can consult a gynaecologist.

There are many cosmetic procedures that are accessible to patients who need to surgically reposition the facial tissues that have loosened as one ages. One of them is the Vampire Facelift which uses infusions of the patient's own blood through an element known as Selphyl.

The Vampire Facelift, or Platelet Rich Plasma (PRP), includes extracting spoons of a patient's blood from their arm and spinning it in a rotator to isolate the plasma - the liquid part - from the red and white platelets.

The concentrated plasma, which is rich in platelets, is then infused into the face. A few experts pump it with dermal fillers to further lift up the loosened zones, for example, under the eye. The procedure is as follows:

1. Blood from the arm is extracted, which is then spun in a rotator to isolate the platelets.

2. The platelets are then re-infused into the skin with a fine needle and just infused into the areas that need be lifted or rejuvenated.

3. These infusions include a little fat as well, to make a smooth, rounder and plumper appearance.

4. During the Vampire facelift procedure, Hyaluronic corrosive (HA) fillers are utilised which help in lifting the skin from the bone to give your skin a decent shape with a younger look.

5. Again this HA filler would pursue the wrinkle that is connected with your face and make an alternate shape of the face which might look different from the original one.

Some of the advantages of this facelift are:

1. Change in skin surface and tone.

2. Reclamation of facial shape.

3. Growing new and younger tissues.

4. Superior option to neurotoxin (Botox) and different infusions.

5. Infusion of the blood causes no bruising, as it is a thin, watery liquid.

6. No allergy testing is required as the substance is the individual's blood.

However, there are certain disadvantages as well. These are as follows:

• Most plastic surgeons do not believe in the efficacy of this procedure.

• Uncertainty whether Selphyl has been FDA approved for facial revival.

• There will be some redness in the rejuvenated area.

• The Vampire Facelift takes a few weeks to bring about results.

• The disadvantage with HA fillers is the way it will make your eyes hurt.

The infusions are not just used to smoothen the wrinkles on the face. It can likewise be utilised on different parts and areas of the body with diminished volume or wrinkles. The technology that is behind the Vampire Facelift is not new. Doctors have been utilising one's own plasma to help other procedures like bone mending after spinal wounds and to recover delicate tissues after plastic surgery for a long time. Like any sort of medicinal technique, it is important to conduct appropriate research to check whether it is ideal and suitable for your body and skin type. If you wish to discuss about any specific problem, you can consult a dermatologist and ask a free question.