Burning your skin is a very traumatic experience and can leave behind scars that remind one of the traumatic incident. Scarring caused by burns may fade a little with time but are usually permanent. Apart from affecting your appearance severe burns can also affect the functioning of the body. Burns can make a person withdraw socially by making him or her afraid of how people will accept them with their scars as well as make them depressed about their appearance.

Burn repair surgery can be categorised under two headings: Acute and Reconstructive

Acute repair surgery happens immediately after the burn and deals with large burns and burns that affect critical areas. The focus here is to close the skin in case of open burns and help the skin heal.
Reconstructive burn surgery addresses the skin after the initial burn wounds have healed. The goal here is to improve the appearance of the scars and ensure no lasting loss of functioning. Reconstructive burn surgery has a high success rate.
There are many types of reconstructive surgeries for burns and the type of surgery best suited to a patient is based on the location of the scar, the extent of scarring and the patient s personal goals.

Skin grafts: This involves the removal of healthy skin tissues from one part of the body and transplanting it to the burn site. This skin graft may include only a few outer layers of skin or may involve the entire dermis. This is used in cases of severe burns where a large section of the dermis is affected.
Microsurgery: This is a procedure where the surgeon reattaches or reconstructs severed fingers, toes, ears etc by sewing together blood vessels and nerves. This is often used alongside other surgical procedures.
Free flap procedure: In this procedure, muscle, bone or skin is transferred from one part of the body to another to reconstruct the area. This type of surgery is often accompanied by microsurgery.
Tissue expansion: This involves the insertion of a balloon expander under the skin near the burn site. As the balloon is filled with saline, the skin stretches and grows. Once the skin has stretched enough, the expander is removed and the skin can then be used to repair burn scars.
This procedure has many advantages as the skin colour and texture are a near perfect match thus reducing scarring to a large extent. However, it is a very slow procedure and can take a few months.

Burn Repair Surgery - How Effective It Is?

What is Follicular transfer (FT) is also known as follicular unit extraction (FUE).

It is a type of hair transplant procedure which is less invasive than the other types. It is performed when the person has a good hair growth at the back or side of the head which becomes the donor s area.

How is it performed?

The procedure is performed by specially designed instruments under a high powered microscope which provides precision for best and natural results. When the part gets numb the follicles are isolated with a specialized punch device which extracts the follicular units completely with necessary glands. This method is used to separate the surrounding tissue from the follicular unit which results in minimal injury and undetectable scarring.
Then the follicles are removed without any damage to the area. If the scar is left behind it takes few days to heal proceeded by hair growth which takes about weeks.
Then the extracted hair is prepared and sorted for treatment.
Then the follicles are implanted in the scalp by making small incisions by microsurgical needles generally in a group formation of 1-4 to give a natural and recognizable look.
To create a natural hairline transacted hair are used, which will start to grow within weeks naturally. The length of your hair depends upon the follicular units grafts. Approximately 12 months later you will have re-grown hair.
You can get the discharge immediately after the treatment. In 5-7 days the healing takes place after which the redness and swelling disappear.
Advantages of Follicular Unit Extraction

Easy recovery: As there were small incisions made in the procedure which lowers the risk of widening which generally occurs in FUT procedure. This is the reason there are fewer limitations on exercise post-procedure.
Less scarring: FUE doesn t produce linear scarring on the donor's area because it doesn t require any sutures, scalpels; due to which you can wear your hair short too.
Quick healing: As there is less scarring, the time required for healing is very less as compared to FUT where the scarring is more, therefore, the healing is slow.
Disadvantages of follicular unit extraction

It s expensive: As the cost is decided on a number of sessions required for the procedure. FUE requires more sessions than FUT, as this transplants individual follicle units which are more time-consuming.
It s temporary: In most of the cases it doesn t last longer than FUT. because in this the follicular units are taken from a various area which leads to thinning of the donor zone and visible scarring.
Shaving: The one who doesn t like shaving can have a problem. Because FUE requires shaving of donor s area. Only in advanced procedures like long hair FUE, shaving is not required.

Follicle Transfer - Know The Benefits!

Psoriasis is a chronic dermatosis characterised by an unpredictable course of remissionn & relapse. It is an non-infectious skin disaease chracterised by scaly, silvery patches mainly on the scalp and extensior surface of the body. Its exact cause is unkown. In ayurveda, it is closely resembles with ekakushta. The features of ekakushta explains in ayurveda classics resembles with the symptoms of psoriasis. Psoriasis is the challenge for modern science. There is no definite treatment for psoriasis in modern science till today. The drug available in the market use to treat psoriasis are not very effective and have local and systemic effects.

In ayurveda, vata pitta and kapha dosha is the main contributory factor for the disease. Due to vitiation of three dosha, the disease manifest and main line of treatment for psoriasis is panchkarma and internal medicine. It is considering the best approach for skin disorder in ayurveda. A case report of 42-year old male, presented with well demarcated red scaly, silvery patches mainly on both legs, hands, scalp, chest and back with itching, and also nail and joint involvement has been presented in this article.

Etiology of Psoriasis: 

Unknown but many factors have been associated-

Genetic: may be autosomal dominant

Triggers: physical trauma ,infection and drugs.

Biochemical change: like increase level of arachidonic acid and Cgmp.

Immunological factors: helper T cells PLAY A KEY ROLE.

Epidemiology: 

Roughly, 1% of population is affected. Can occur at any age and affected both sex. Most patients as worse in winters.around 7 million people are affected in developed country.

Histopathogenesis:

Increased epidermal cell proliferation.

Retention of nuclei in stratum corneum.

Proliferation of fibroblast.

Dilated and tortous capillary loops.

Shortened epidermal turnover time from normal of 60 to 10 days.

Clinical features: Usually chronic indolent lesions which persist for month. Lesions are mildly papule or plaque.erthematous plaque lesions with characteristic slivery, large, loose scales. The patients of psoriasis may also suffer from depression and low self-esteem.

In a patients with psoriasis always check for nail and joint involvement.

Nail: 10 to 15% of the patients have nail involvement. Pitting, nail plate thickening, subungual debris, discolouration of nail plate and oil spot seen in the nails.

Joints: 10% patients have joint involvement.

Sites: Scalp, pressor points & extensor. Sometimes generalised.

Chronic recurrent psoriasis is difficult to treat. Modern science treat with PUVA and corticosteroids but these drugs having local and systemic side effects like liver and kidney failure etc. So, it is the time to find out the effective and safe treatment for Psoriasis. Medicines which are used in ayurveda are safe and practised since many years. A huge numbers of drugs are prescribed in ayurveda for the treatment of kushta.

Case details: A 42-year old male patient, hindu brahman by religion, presented on 10 april 2016 with well demarcated raised red scaly, silvery patches on chest, back and both legs and hands. He complained of itching all over the body and on scraping, white powder like substances fall down and leaves a bleedy surface. On history, patients had complaints since 20 years and diagnosis of psoriasis by allopathic physician. Since 20 years he has been taking allopathy and homoepathy patients from various practioners of U.P and delhi. He is brahman and lives in well known temple of delhi and visit homes of peoples for religious ceremony. He is afraid that if the disease is spreading continously, then he is unable to work as priest because people neglect him due to disease. The disease is spreading all over his body and also involves nail and joint. Destruction of nail plates of hand and legs was also developed. For this, patients took allopathic treatment for such a long time but do not get relief.

The patients visit our clinic for the first time. He told use that his problem not solves since 20 years and spreading continuously. So, he is unable to trust us. So, we first give him counselling because reassurance and emotional support are invaluable. Physical and mental rest enhance the effects of the treatment. It is also important to tell him that the disease is not contagious and is benign.

SYMPTOMS OF THE PATIENTS :

Itching all over body

Silvery patches, especially, on legs ,chest ,back but now spreading in his hand and scalp.

Destruction on nail plates

Swelling and pain in left middle fingers and flexor deformity in proximal interphalangeal joint

Swelling in right middle metatarso phangeal joint and pain

Some blood test of the patients were done like CBC, LFT, KFT, SR, URIC ACID to assess outcome.

His general health was good and both physical and all blood test were within the normal limts.we advise patients for panchkarma and oral medication but patients refuse for panchkarma so we start his oral or internal medication. 

Investigation Done :

CBC(Complete Blood Count)

LFT(Liver Function Test)

KFT(Kidney function Test)

Sr. Uric Acid

Investigation was done to rule out any other pathology. Investigation were within normal limit.

Internal Medication :

Medication are given into two phase. In First Phase, we are given panchsakara churna - one spoon two times daily for anulomana and pachan, Panchnimba churna- one spoon two times daily with luke water, panchtikta ghrita gugulu - two tab two times daily, and one oil for local application containing jyotishmati,bakuchi, and chakramad for five days. We told patient to apply the oil firstly only on legs for 5 days. Patient taking the same for 5 days and come on 5th day, we see the fabulous result, the rashes which are developed within 4 to 5 months just disappear and other rashes are also subsiding.

After 5 days, in second phase, we continue the same treatment and also added haridra khand - one spoon two times daily, gugulu tiktam kashaya - three spoon two times daily (one hour before food for 15 days). The patient came back on 20th day, with great result, the rashes were almost 60 % subsiding and pain and swelling in finger and ankle also reduce to great extent. Now, patient is not taking any pain killer for pain. Patient also get improvement in nails of legs.

We prescribe the same medicine for one month that time and ask him to do some physiotherapy additional for finger deformity. After that patient came with 70 to 75 % relief in symptoms and patients also tell that during the treatment, he will not develop any additional rashes.

During the treatment, we also told the patients to follow some dietary changes and live according to the rules of Ayurveda.

Result: Psoriasis is a disease with unkown etiology and triggered by many factors. In modern science, treatment of psoriasis is a challenge. They do not have any safe and proper medicine for psoriasis. But, ayurveda treatment gives satisfactory results as well as the quality life to the patients. Ayurveda removes toxin out of the body and corrects the formation of aama. Ayurveda gives the prevention as well as the treatment. So, by following the dietary and lifestyle change we prevent the reoccurrence of the disease.

Ayurveda For Psoriasis 

Hives, also known as  urticuria  is a skin disorder that is characterized by formation of white or red welts on the surface of the skin. The sizes of the welts may vary and can last for up to six weeks or more. The disease is not life threatening but the general discomfort associated with it can interfere with your daily activities. The symptoms of hives are treated by taking anti-histamines and anti-itching medications.

Let s take a look at the symptoms:
1. Development of red or white welts, especially on torso, arms and the face
2. The welts may cause severe itching
3. Painful swelling on various parts of the body such as cheeks, lips and the insides of the throat
4. You may experience tightness in the chest and feel dizzy

What might be the causes?
Hives occur when certain cells are triggered into releasing histamine (an organic nitrogenous compound). The various factors that trigger this condition are:
1. Insects bites or parasite bites
2. Continuous scratching at the same spot
3. Various pain medications
4. Prolonged exposure to sunlight
5. High levels of stress
6. Excessive consumption of alcohol

This disease can lead to severe complications which have been listed below:
1. Severe allergic reaction: Anaphylaxis is an allergic reaction that causes the bronchial tubes to narrow down thus, obstructing normal breathing. It is a condition that may, in certain cases, lead to death as well. Hence, you need prompt medical attention if you suffer from this complication.

2. Breathing complications: Swelling on the inner parts of the throat may obstruct normal breathing and cause you to pass out. It can also increase the risk of certain immune disorders such as rheumatoid arthritis and celiac disease (a disorder caused by eating gluten rich foods in excess).

Treatment
The treatment for this disorder includes taking anti-histamine medications that help in blocking histamine (organic compounds which help to regulate physiological functioning) in the body. You may also be administered anti-inflammation medications to reduce inflammation. Wear loose clothing and stop scratching away at the affected regions of the body to make sure you do not aggravate the condition.

Hives Rash or Urticuria - 6 Cause Behind Skin Disorder

Most effective solutions to grow hair:

Hair fall is a common problem these days and quite distressing for those who have to face it. Here are some tips which if followed can help you have soft, long, and healthy hair.

1. Onion juice - A smelly but effective way, onion has sulphur which pumps the production of collagen tissues that assist regrowth of hair.
All you will need are two to four onions, grated with the juice squeezed out of the pulp. Use this juice to massage your scalp and leave it on for about an hour before you wash it with water and a mild shampoo. Using onion not only increases chances of re-growth of hair, but also gives a fabulous sheen to your existing sheen.

2. Potato juice - Potatoes are rich in vitamins a, b and c which are important for hair to be strong and healthy. All that you will need are 3-4 potatoes. Grate them and squeeze out the juice; massage this juice on your scalp for minimum of 15 minutes and rinse off with water.
If this makes your hair dry, you can instead make a potato mask with honey and eggs and use on your hair. This mask not only moisturises your hair, it also helps hair in growing faster.

3. Eggs - When hair falls, goes dry or gets brittle, know that it lacks protein. And one of the best sources of protein is egg. You can take a couple of eggs, mix them and apply the liquid on your scalp. This can be washed off after a hour. Alternatively, you can make an egg mask. For the egg mask, you'll need a couple of eggs, honey and olive oil. Mix them week and apply it on your scalp, covering your hair too. Wash it off after about 15-20 minutes.

4. Apple Cider Vinegar (acv) - ACV has numerous health benefits, one of them stimulating the hair follicles and helping them grow faster. It also cleanses the scalp and maintains ph balance in the hair. Add ACV into water and have a final rinse of your hair with this water, every time you shampoo.

5. Fenugreek - Fenugreek is a great remedy for hair fall. You will need to soak about 2-3 tablespoons of fenugreek seeds in water for 24 hours. Strain and use this water to rinse hair. Rinse with lukewarm water after 3 hours.

6. Ayurvedic herbs - Amla, Shikakai and Reetha are known to be beneficial for hair. They make the hair strong and long. Take 100 gms of each in 2 liters of water. Soak overnight. Boil the mixture in the morning, until it reduced to half. Cool it, mash the herbs while still inside the water and then strain it. Use this liquid to shampoo your hair.

From lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over whatsapp, facebook and other media.

Hair Loss - 5 Most Effective Hair Growth Solutions For You!

Cellulitis is a serious bacterial infection that is characterized by red and swollen areas on the skin. The condition may spread quickly to other areas of the body. The most commonly affected areas of the body are the lower legs, although it affects other areas of the body as well. 

The disease may affect either the outer layer of the skin or the tissues underneath your skin, from where it may spread to your bloodstream and the lymph nodes. If the condition is not treated on time, it may turn into a life threatening one.

Symptoms:

    You may experience inflammation and redness on your skin
    The affected area may become tender and painful
    The area may feel warm
    Presence of skin rashes around the area
    Pus filled formations on the skin
    The skin may have a tight and swollen appearance
    You may run a fever
    Feeling dizzy and fatigued if the condition turns serious

Causes:
This condition occurs when bacteria such as Streptococcus and Staphylococcus enter the body through cuts or cracks on the skin. Surgical incisions, cuts and insect bites are usually the causes of the infection. Some other risk factors include a weak immune system, diabetes and skin conditions such as eczema and athlete's foot.
The condition is treated by antibiotics. If oral medications do not work, then the medicine may be administered intravenously.  

There are certain preventive measures which you can employ to minimize the risks of cellulitis:

    If you have a wound or cut in the body, make sure to apply ointments that help in killing the germs.
    Always wash your wounds with warm water and soap.
    Apply bandage to the area to prevent exposure to dust and bacteria. Make sure that you replace the bandages on a regular basis.
    On any sign of infection such as redness and pus drainage, consult a doctor.
    Apply moisturizer on your skin to prevent cracks on the skin.
    Take care while trimming your finger and toe nails so as to not injure the skin around the nail.


Cellulitis - Causes, Signs & Symptoms and Treatment 

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