Getting a good night s sleep is essential for a healthy lifestyle. When a person is asleep, the body rejuvenates itself. Some people can fall asleep as soon as their head touches the pillow but others can find it hard to sleep. Conditions that affect a person s ability to sleep properly over a long period of time are known as sleep disorders. There are many different types of sleep disorders.

Obstructive Sleep Apnea
Sleep apnea is a very common sleep disorder. This is marked by frequent interruptions in the person s breathing. It may cause the person s breath to become shallow or even stop briefly. In many cases, the person may not be aware of this happening while they sleep. Obstructive sleep apnea is caused by a partial or complete obstruction of the upper airway. This makes the chest muscles and diaphragm work harder to pull air into the lungs.

Insomnia
Insomnia can be described as an inability to fall asleep. Waking up frequently in the middle of the night and finding it difficult to go back to sleep or waking up earlier than planned in the morning are also characteristic signs of insomnia. There are two types of insomnia; primary and secondary insomnia. Primary insomnia refers to the inability to sleep that is not connected to any other disease. If the person s inability to sleep stems from another disease, it is known as secondary insomnia. There are a number of factors that could cause insomnia. This includes life changes such as shifting to a new home, death of a loved one or change of jobs, emotional discomfort, environmental factors such as light or noise, jet lag, stress, etc.

Restless Leg Syndrome
This sleep disorder is also classified as a neurological disorder. It is characterized by an overwhelming urge to move one s legs while sleeping. This may be felt as a scratchy itchy, burning, pulling or throbbing sensation. Massaging the legs or moving it only provides temporary relief. The exact cause of this condition is not known but suffering from an iron deficiency, kidney failure, diabetes, Parkinson s disease or peripheral neuropathy can increase the risk of this sleep disorder.

Narcolepsy
This can be described as the brain s inability to control its sleep cycle. This can make a person fall asleep unexpectedly during the day while falling asleep at night becomes more difficult. In most cases, this sleep disorder is caused by reduced levels of a neurotransmitter known as hypocretin.

So, if you are experiencing any of the above symptoms or have difficulty sleeping, it is advised not to self-medicate and delay the treatment. Seek help from a professional right away and enjoy peaceful sleep.

Sleep Disorder - Know Its Types And Causes!

Multiple sclerosis refers to disabling disease of the central nervous system, where the body s immune system eats away the protective layer sheathing the nerve fibres and disrupts communication between the brain and the rest of your body. 

Often, multiple sclerosis is associated with impaired cognitive functioning. Cognitive changes have direct functional consequences on your quality of life, ranging from occupational activities to professional career and personal life. In addition to it, a complex interplay between cognitive impairment and mental disorders like anxiety and depression, which negatively affect the normal course of life.

Rehabilitation Psychology works through various techniques and aims to ease the impact of cognitive changes on everyday life rather than simply defining their severity and nature.

Rehabilitation Psychology Approach to Multiple Sclerosis

The goal of Psychological Rehabilitation programs is to improve and preserve mental and physical abilities, as well as help patients adapt to changes in functioning. 

A team of specialists   consisting of a psychologist, physician, physiotherapist, speech-language pathologist, and an occupational therapist   works together in order to offer you well-rounded support and care. These specialists have years of experience and expertise in the management of symptoms of multiple sclerosis.

The rehabilitation program helps you address the following problems related to multiple sclerosis  

Spasticity

Fatigue

Sleep disorders

Chronic pain

Walking difficulties

Bladder and bowel issues

Changes in movement

Difficulty swallowing food

Mood disorders, like depression

Speech problems

Cognitive changes

Anxiety and uncertainty about the disorder

How Rehabilitation Programs Can be Helpful?

Since multiple sclerosis affects each person differently, Rehabilitation Psychology provides tailor-made treatment to patients.

The team of specialists work closely with the patients to evaluate their health needs, track progress, address pain, and teach them strategies essential to cope with the chronic disease.

Occupational therapy is directed toward patients with mobility problems. The therapy helps you with daily tasks, such as dressing, cooking, and learning ways to manage personal hygiene. 

Rehabilitation strategies for speech-language problems help maximize your abilities to cope with cognitive functions.

Multiple sclerosis is a lifelong condition and can be challenging as it progresses. Many people require constant support, care and motivation to get through the tough phase. Rehabilitation Psychology is just the way to combat the psychological effects of multiple sclerosis. You should communicate your concerns to a doctor, and learn all you can about the disease. 



 Rehabilitation Psychology In Management Of Multiple Sclerosis!

A brain stroke can affect anyone at any point of time when the supply of blood to the brain is interrupted. It can threaten major physical functions and can prove to be fatally dangerous at times. The brain stem which is placed right above the spinal cord controls the breathing, heartbeat and levels of blood pressure. It is also in charge of controlling some elementary functions such as swallowing, hearing, speech and eye movements. 

What are the different types of strokes?
There are three main kinds of stroke: ischemic strokes, hemorrhagic strokes and transient ischemic attacks. The most common type of brain stroke is the ischemic stroke is caused by narrowing or blocking of arteries to the brain, which prevents the proper supply of blood to the brain. Sometimes it so happens that the blood clot that has formed elsewhere in the body have travelled via the blood vessels and has been trapped in the blood vessel which provides blood to the brain. When the supply of blood to a part of the brain is hindered, the tissue in that area dies off owing to lack of oxygen. The other variant of brain stroke is termed as hemorrhagic stroke is caused when the blood vessels in and around the brain burst or leak. Strokes need to be diagnosed and treated as quickly as possible in order to minimize brain damage.  Remembering the F.A.S.T. acronym can help with recognizing the onset of stroke (Face, Arms, Speed, Time - explained below). 

What are the common symptoms of a brain stroke?
The symptoms of the brain stroke are largely dependent on the area of the brain that has been affected. It can interfere with normal functioning, such as breathing and talking and other functions which human beings can perform without thinking such as eye movements or swallowing. Since all the signals from the brain as well as other parts of the body traverse through the brain stem, the interruption of blood flow often leads to numbness or paralysis in different parts of the body.

Who is likely to have a stroke?
Anyone is at a risk of developing brain stroke although ageing is directly proportional to the risk of having a stroke. Not only that an individual with a family history of brain stroke or transient ischemic attack is at a higher risk of developing stroke. People who have aged over 65 accounts for about 33 percent of all brain strokes. It is important to point here that individuals with high blood pressure, high blood sugar, cholesterol, cancer, autoimmune diseases and some blood disorders are at a higher risk of developing brain stroke.

There are a few factors which can increase the risk of developing stroke beyond any control. But there are certain lifestyle choices as well which aids in controlling the chances of being affected by stroke. It is crucial to refrain from long-term hormone replacement therapies as well as birth control pills, smoking, lack of physical activity, excessive use of alcohol and drug addiction. A brain stroke is a life-threatening medical condition, and when an individual has symptoms that resemble that of stroke, it is crucial to seek immediate medical help.

Treatment for stroke

Treatment depends on the type of stroke.
Ischemic strokes can be treated with 'clot-busting' drugs.
Hemorrhagic strokes can be treated with surgery to repair or block blood vessel weaknesses.
The most effective way to prevent strokes is through maintaining a healthy lifestyle.
What is TPA?
TPA is a thrombolytic or a  Clot Buster  drug. This clot buster is used to break-up the clot that is causing a blockage or disruption in the flow of blood to the brain and helps restore the blood flow to the area of the brain. It is given by intravenous (IV). This can be given only within 4.5 hrs of the onset of symptoms

Time is brain

Remember Every second Loss means brain cells die.
Rush to the nearest Stroke Centre whenever you experience such symptoms.
U can save the brain cells dying if you reach within 4.5 hrs by the CLOT BUSTER. 
Endovascular procedures 
Another treatment option is an endovascular procedure* called mechanical thrombectomy, strongly recommended, in which trained doctors try  removing a large blood clot by sending a wired-caged device called a stent retriever, to the site of the blocked blood vessel in the brain

Stroke prevention
The good news is that 80 percent of all strokes are preventable. It starts with managing key risk factors, including 

High blood pressure,
Cigarette smoking,
Diabetes
Atrial fibrillation and
Physical inactivity.
More than half of all strokes are caused by uncontrolled hypertension or high blood pressure, making it the most important risk factor to control. 
Rehabilitation
The best way to get better after a stroke is to start stroke rehabilitation ("rehab"). In stroke rehab, a team of health professionals works with you to regain skills you lost as the result of a stroke.

Brain Stroke - Things You Must Know!

Dementia is a dreaded psychological disorder in which the brain cells begin to deteriorate. It is different from regular senility. When the brain cells stop doing their work, it affects the brain function. This leads to a gradual loss of memory. At the same time, the person may also experience changes in personality as well as declining cognitive abilities, all of which are linked to the faculty of memory. Dementia usually affects senior citizens. However, it may happen to the young as well.

What are the Causes of Dementia?
Dementia may be prompted by -
  Alzheimer s Disease
  Huntington Disease, a degenerative disorder
  Vascular dementia
  Atherosclerosis
  HIV
  Multiple Sclerosis
  Pick s Disorder
  Parkinson s Disease
  Encephalitis, both viral and bacterial
  Lewy Body Disease
  Brain Tumour
  Progressive supranuclear palsy
  Chronic Subdural haematoma
  Wilson s Disease
  Neurosyphilis

Dementia in Siddha -
Siddha is an ancient and indigenous branch of medicinal science that was developed in Tamil Nadu. Siddha aims to get to the root of any ailment and eliminate it from the source instead of simply trying to eradicate the symptoms. Siddha believes that the human body primarily consists of three humours- Kapha, pitta and Vata. As long as the right balance is maintained, the human will be healthy. But if the balance goes out of whack or if the quantity of one humour exceeds the others, then that will make a person vulnerable to diseases.
When there is a Vata imbalance in the mind, a person s memory begins to fail him/her.

According to Siddha, a person who has contracted dementia will exhibit the following symptoms -
  Forgetfulness
  Difficulty with recollection and reasoning
  Confusion and disorientation
  Inability to make plans
  Impaired judgement
  Anxiety
  Depression
  Hostile behaviour
  Losing interest in everything around him/her
  Disturbed sleep
  Restlessness
  Hoarding
  Delusion or hallucinations (in advanced stages of dementia)

The approach of Siddha towards neuropsychiatry revolves around the concept of  Kayakarpam    a mode of treatment that can slow down ageing and deterioration of the brain cells. Treatment of dementia consists of -
  Skinned ginger soaked in honey
  Paddy rice mixed with ghee
  Amaranth cooked ghee, salt and pepper
  Aloe Vera
  Black nightshade

Treatment of dementia also includes  thokkanam . Medicinal oils are messaged onto certain parts of the body to activate the Varma points. This will release the  praana vayu - the force of rejuvenation. Siddha also recommends regular meditation top slow down the progression of dementia.

Allopathy has not yet come up with a cure for dementia. But, Siddha can help. Moreover, Siddha medicines are safe and can be consumed without fearing side effects.

Dementia - Getting It Treated With Siddha!

It has been proven by researchers that there is no definite cure for Parkinson s disease but its side effects and symptoms can be effectively managed. Medications are made available for treating the condition and ease the movement especially symptoms like stiffness and tremor. During the early stages of the disease, it is better to take the pill along with food to avoid nausea, which can be caused due to some medicines. However, in the later stages, the medication can be taken either 1 hour before a meal or 2 hours after a meal for effective treatment.

Symptoms of Parkinson s disease
Different therapies are used to treat Parkinson s disease and these include occupational, physical and speech therapy. The disease is known to manifest in many ways and some of the symptoms include sleep problems, fatigue, and constipation. The most common symptom patients suffer from is depression, and it is estimated that about 50% of the patients suffering from this disease experience depression. Commonly the symptoms of depression include worrying, feeling of sadness, and loss of interest. It has been found in some people that Parkinson s disease occurs due to abnormal genes. However, the real cause of the nerve cell break down is not known.

Important tips to consider

The best way to deal with the side effects of Parkinson s disease includes building a health care team, finding the best doctor, and managing your medications.
It is a progressive disease and in the initial stage, it starts with a mild tremor. However, with time it affects your speech and even your cognitive abilities. For that reason, it is important that the treatment plan is recognized and the symptoms that affect day to day life are managed properly.
The disease takes a toll on the emotional and mental health of a person and it is imperative to consult a licensed psychologist for that reason. Antidepressant medications are provided by doctors to treat this condition.
How to deal with Parkinson s disease?

It is very important for people suffering from Parkinson s disease to exercise and include a nutritious diet. The diet recommendation prescribed by the doctor should be followed and one should eat a low protein diet after consulting the doctor. The movements of the intestinal muscles are also affected with Parkinson s disease and these can result in constipation. Hence, it is better to include whole grains, vegetables, and fruits in the diet and eat foods that are rich in fiber.
It is very important that you drink lots of water so that the color of the urine is clear or light yellow. A fiber supplement like Metamucil or Citrucel can be taken every day, but the instructions provided on the label should be followed.

Parkinson's Disease - How To Handle The Side Effects?

Study of the brain has fascinated specialists all over the globe since time immemorial. The brain being the most vital organ for survival and coordination is perhaps the most complex of them all too. This has led to a limited understanding of its working in spite of the available advanced technology. However, with the advent of techniques for diagnosis and treatment, therapeutic strategies are evolving. This is a major step towards rendering Neurosurgery safer than ever in the history of mankind.

Neurosurgery through the 20th Century-

During the beginning of the 20th century, Neurosurgery was considered as a specialty. The clinical-neurologist would draw conclusions related to lesions in the brain through neurological examination and clinical history. It enabled diagnosis of vascular lesions, spinal disorders, and brain tumors. During the second and third decades of the 20th century, vascular pathologies and brain tumors could be diagnosed indirectly through techniques like angiography, ventriculography, and pneumoencephalography. But since the operative techniques were too crude and the lack of skilled professionals were rampant, there were high rates of morbidity and mortality due to neurological conditions. Generally, after diagnosing the nature of brain lesion and its site, surgery was performed with inadequate maintenance and control of intracranial pressure and through not too sophisticated surgical instruments.

During the fifth and sixth decades of the 20th century, chemotherapy and radiation treatment came into the picture for treating malignant brain tumors, thereby reducing mortality to a good extent.

During the seventh decade of the 20th century, Computed Tomography (CT) scan provided a better understanding of the location of lesions in the brain which slightly substantiated the earlier techniques. Then, the procedures for cerebrospinal fluid diversion significantly improved management of intracranial pressure during surgery.

It was only during the last decade of the 20th century that the Neurology saw a giant progressive leap through the introduction of Magnetic Resonance Imaging (MRI) and powerful high magnification microscopes. Combined with Neuroanesthesia and Intracranial Pressure Management, this aided surgeons to work on a relaxed brain. This promoted safe removal of the brain tumor and better management of vascular lesions. Moreover, the understanding of micro-surgical anatomy improved drastically, leading to a boost in confidence levels of the micro-neurosurgeons performing the operation.

Neurosurgery in the 21st Century-

The 21st century is actually a revolutionary era that uses powerful computers in almost all the fields possible. Computer-based applications such as Neuro-imaging, Neuronavigation, Intra-operative Neuro-monitoring, and Neuro-modulation are now used in standard neurosurgical practice as a part of the routine. Extremely powerful CT scans and MRIs are used for diagnosis before surgery. The advent of nanotechnology and its application in Neurosurgery is doing great and has a promising future ahead based on the current study of scenarios. Moreover, there is a possibility of most of the Neurosurgical procedures becoming minimally invasive. Frameless Stereotaxy is another technique that helps in locating the exact position of the tumor, which further helps the neurosurgeon in navigating with great precision the very sensitive, high-risk areas of the brain. Such techniques, to a great extent, have lowered mortality and morbidity, lessened the rate of recovery, and chances of infection related to Neurosurgery.

Take Away-

A number of techniques for diagnosis and precise location of the tumor in the brain have made Neurosurgery much safer today, due to advancement in science and technology, than it ever had been in the history of mankind.

Advancements In Neurosurgery - Know How Safe It Is!

Don't wait any longer, manage your Neurosurgeon online with a Lybrate doctor today

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