Chromosomal abnormality happens when a cell has too many or too few chromosomes. The most common form of chromosomal anomaly is Down s syndrome. If a parent has a chromosomal anomaly, she/he will pass it on to the child. PGD or Pre-implantation Genetic Testing aims to select only the embryos with normal chromosomal count and only these embryos are implanted to achieve a healthy pregnancy and bring down the number of children affected with a chromosomal anomaly.

The risk of Aneuploid pregnancy:

The older a woman is when she tries to conceive (aged 35 or more), the higher the risk of Aneuploid pregnancy (carrying a baby with genetic or chromosomal abnormality). Most of these pregnancies end in miscarriages and the few that come to term produce babies with chromosomal abnormalities.

Causes of Chromosomal Abnormality:

Usually, chromosomal abnormalities occur due to an error in the cell division. Meiosis refers to the cell division, which the sperm and the egg undergo during the development procedure. Normally, meiosis breaks the chromosomal material into two equal halves, so that each of the parents contributes 23 chromosomes to the pregnancy. However, when the number of chromosomes in the cell goes up or down than the normal, it results in genetic/chromosomal anomalies.

PGD Procedure for a Chromosomal Anomaly:

If a couple elects to go for Pre-implantation Genetic Diagnosis, they have to undergo ICSI Cycle. ICSI cycle initiates a fertilization cycle to produce embryos. When the embryos reach upto day 5 and blastocyst are formed, they are biopsied and further sent to genetic lab for detecting the chromosomal abnormalities. The embryos are incubated for the entire duration of the genetic screening. Only the embryos that the genetic test clears are implanted. PGD never reveals the gender of the embryo.

PGD can help detect the single genetic disorders that may lead to the following ailments:

  Cystic fibrosis
  Muscular dystrophy
  Tay-Sachs
  Sickle cell anaemia
  Thalassemia
  Turner syndrome

PGD is a revolutionary science that can help root out incurable disorders linked to genetics. It ensures that pregnancy is sustained until term and a healthy baby is born.

Suffering From Genetic & Chromosomal Anomalies - Know About PGD!

Cochlear Implant is an electronic device replaced with the inner ear (cochlea) of the patients who are unable to send sound waves to the brain.

The surgery is performed on the patients who have the problem of hearing loss due to the damaged hair cells in the inner ears. The implant helps the patient to hear which are not responding to other hearing aids.

Conditions for Cochlear Implant:

Cochlear implants help people to hear with clarity. They are not like hearing aids, which make the sound louder, but it helps send sound waves to the brain and replaces the damaged hair cells in the inner ear. Following are cases where it is beneficial:

People who find it difficult to hear clearly with hearing aids.

Those with moderate hearing loss in both ears.

Patients with 50% or fewer score in the sentence recognition test.

Patients with 60% or less score in sentence recognition test with hearing aids on.

It is suggested to opt for cochlear implants in both ears. The reason is to give the patient a better perspective of sound direction and clarity in understanding the words.

How does the Cochlear Implant work?

Cochlear Implant is an electronic device with an embedded sound processor that has to be worn outside ears or on the body. Following steps are involved in cochlear implant:

The sound captured by the processor is converted digitally by the processor and sent to the coil inside the ears of the patient.

The implant converts digitally coded sound waves to electrical impulses.

The electric impulse simulates the hearing nerve of the patient.

Then sends these impulses to the brain.

Benefits of Cochlear Implants:

The cochlear implant is a blessing for people who have been suffering from hearing loss for a very long time. It provides aid to people who have not benefited from hearing devices. The benefits of the cochlear implant are:

Hear better.

Studies have shown that people with cochlear implants have better sentence recognition scores instead of hearing aids.

The patient can concentrate better in the crowd and can hear conversations across the table.

Reconnect with the missed sounds.

Enjoy music on the phone.

Cochlear Implant improves the quality of life of people with hearing loss. It gives them an aid to understand and engage themselves in a conversation. However, it takes time to learn the interpretation of the sound signals that are received from cochlear implants. But, the patient can learn and lead a normal life with the implant. The factors which affect the benefits of Cochlear implants are:

The extent of hearing loss

The duration of the hearing loss and the condition before implantation

Damage to inner hair cells

Other health issues

The practice and rehabilitation time have been done in practice after implantation

The cochlear implant is performed in the patients after taking extensive tests determining the condition of the patients. It is activated after 2-6 weeks of surgery to give the surgery site a time to heal. Most people are discharged from the hospital after surgery and are prepared for the use of an implant. There are training sessions and classes for patients who have just gone for cochlear implants.

Cochlear Implant - How Do They Help?

Health advice for a breastfeeding mom

Breastfeeding mothers need to be conscious and aware of their diets. How the mother eats is how the child gets its nutrition. While they do not need any major changes from what they were eating during the pregnancy, a few adjustments are advised. A few basic adjustments in daily routine are enough. They are:

1. Eat very well - Eat a balanced diet to suit your health. Remember, first it is important to meet your nutritional needs. Only when you are eating well would the quality and quantity of your milk be ideal for your baby. Do not diet under any circumstance. We understand you wish to lose all the pregnancy weight soon, but remember, you child is your priority now. When you diet, your body will start drawing on its reserves. This will affect milk production. By dieting, you will also lack the amount of stamina you need to take care of your baby. Be aware that feeling extra hungry during breastfeeding is normal. Your body is working around the clock. Eat small meals at regular intervals to keep your hunger satisfied, your weight concern at bay and your body strong.

2. Don't count your calories - Not until you are breastfeeding. You need at least 500 calories more than you did when you were not breastfeeding. Don't let this shock you, your child will be feeding off you. There are other ways to regulate your weight and lose the extra pounds gained during pregnancy, do not compromise on food at all.

3. Do not rush to exercise - Consult your doctor and ask for suitable exercises for your body. You might have stitches which are yet to dry, so don't be hasty. Get your workout regime planned professionally and under guidance.

4. Do not avoid fats - Eat healthy foods and opt for good fats. Foods that are good for you and for milk production are a big yes. Foods which do not contribute in any positive way can be done without. They will only harm you in the long run.

5. Avoid alcohol - Stay away, and if you do want to indulge consult your doctor. An occasional drink is usually okay, still it is better you abstain altogether until you stop breastfeeding. And if you do have a drink, feed at least after two hours.

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Advice For A Breastfeeding Mom

Asthma is a condition that can flare up anytime; be it at your child's soccer practice or during the middle of the night. Whenever the condition sets in, it leads to your child struggling for breath. For a parent to witness this situation can be hard; but you should know the techniques to keep the situation under control.

Here are a few tips on how to manage the situation:

1. Find out the triggers in your home: Asthma is triggered due to substances that your child may be allergic to. Examples are cigarette smoke, fur of pets and dust. If possible, keep your child away from the known triggers so that the condition does not flare up again.

2. Keep records of the following: It is good to have an action plan ready for your child when the bouts of asthma strike. When you visit the doctor to discuss about your child's condition then make sure that you have these records at hand.

The triggers that caused the bout of asthma
How many times did your child have wheezing episodes?
The number of times your child has been admitted for the same reason
The medications that your child is currently taking, dosage and/or whether they have been changed
How often does he/she need medications if he/she has acute symptoms?
3. Knowledge of the test your child may require: Asthma control test is a type of test that allows parents and children to grade asthma symptoms without a doctor. A pulmonary function test is used to detect the capacity of the lungs and flow of air.

4. See how your child responds to the treatments: You should consider changing the treatments for your child if he/she has recurrent symptoms of asthma attack and require frequent visits to the Emergency Room even after taking medications for an extended duration.

5. Long term treatment plans require patience: Any asthma treatment plan requires patience as they might not immediately cure symptoms.

How to Manage if Your Child Is Suffering From Asthma

Sometimes, during consumption of certain food items many children get itchy throat, eyes, ears, asthma, sneezing, rashes, diarrhea and eczema. This can be due to food intolerance in children. It is a form of allergic disease in children. Every 1 out of 10 children suffer from food intolerance. These days, food allergies are becoming more and more common in children who are allergic to nuts, milk and eggs. In some cases it can also be life threatening. This condition is known as anaphylaxis. Milk and egg allergies are more common throughout the world.

Symptoms of food intolerance:

Bloating

Your bowels start becoming irritable.

Stomach starts to ache.

Cough and cold is a common symptom.

Itchy skin rash

Causes of food intolerance in children:

There are enzymes in your body, which help you to digest the food you consume. Some enzymes in your body are insufficient; which further causes food intolerance in children. For instance, lactose intolerance causes spasms, stomach aches, diarrhea and so on so forth.

Food intolerance can also be caused due to chemicals, such as chemicals present in coffee, tea, cheese and chocolates.

Some food products can also cause food intolerance such as undercooked beans containing aflatoxins can cause extreme stomach infections in children.

Some children are also intolerant to certain food products which have salicylates such as majority of fruits, vegetables, herbs and also additives. Processed food contains a high amount of salicylates.

Children can be allergic to antioxidants like artificial food coloring, artificial flavouring and preservatives.

What to do if you think your child has food intolerance?

Take your child for a skin prick test. In this test, the skin is pricked with a thin needle and when the blood oozes out, supplements of different food products are put in that area. If that particular area becomes reddish and begins to itch, your child has allergy to that certain food product

A blood test should be done. It verifies the level of lgE present in your blood and finds out if your child is suffering from food intolerance or not. If you wish to discuss about any specific problem, you can consult a doctor.

Food Intolerance in Children - 5 Reasons Behind it

You may find out that your child is suffering from hearing loss when he is born or he may be diagnosed with the condition later in life. Hearing loss in children is commonly caused by otitis media, birth problems and on the account of certain injuries or illnesses.

Signs and symptoms

The early-stage symptoms of hearing loss in children are as follows:

No reaction to extremely loud noises

No response or reaction to your voice

The child makes some sounds, which taper off

The other symptoms which follow include:

He may pull and rub his ears.

He may act cranky constantly without any proper reason.

He might stop paying attention.

Low energy levels are indicated.

He may find it hard to follow directions.

He may ask you to increase the volume of the radio or TV.

Fever and ear pain are also likely symptoms.

Treatment

Early hearing loss can affect a child s language learning skills. If the problem is diagnosed and treated soon, the problem with language can be avoided. The method of treatment depends on the cause of hearing loss in your child and the severity of hearing loss.

There are certain medicines for hearing---prescribed by your ENT Surgeon. Please take the point watchful waiting. Even, if you have the slightest doubt of hearing loss contact ENT immediately.

The primary treatment methods of hearing loss in children include the following:

Watchful waiting: Sometimes, the condition may resolve on its own and the treatment involves simple monitoring of your child for positive changes.

Medicines: There are certain medicines for hearing loss in children, which may be prescribed by your pediatrician.

Ear tubes: Ear tubes may be recommended if medicines and monitoring do not work. The tubes allow fluid to drain and help in preventing infections. A minor surgery has to be undertaken on your child for getting the ear tubes placed. This will solve hearing loss and other related issues.

Hearing aids: Hearing aids may be used to allow your child to hear better. It is safe for children to use ear tubes after the age of one month. For the right hearing aid for your child, you need to consult a hearing specialist.

Implants: Cochlear implants are used to treat hearing loss in many children. These are electronic devices that are put in the inner ear to benefit hearing. These should be used only if hearing aids did not succeed and these are meant to be used only in the case of children with serious hearing problems.

There are several other devices, which can help your child with hearing loss. For suggestions and recommendations, you must take your child to a hearing specialist.

Hearing Loss In Children - Signs And Treatment Of It!

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