Tuberculosis is an opportunistic infection caused by the bacteria Mycobacterium tuberculosis. The infections occurring in people with weak immunity as compared to the people with a healthy immune system are called as opportunistic infections. As, HIV enters the human body, it replicates and weakens the immune system which in turn increases the risk of contracting Tuberculosis in people already suffering from HIV infection.

An HIV and Tuberculosis co-infection occurs when an individual has both, the HIV infection and an either latent or active TB disease simultaneously.  Each disease acts in speeding up the progress of the other, when HIV and TB infection is present together in the body. HIV infection speeds up the progression from latent to active Tuberculosis, Mycobacterium tuberculosis also accelerates the progression of replication and spread of the HIV infection.

HIV infection and Tuberculosis are totally different type of infectious diseases. HIV is a viral infection and TB is a bacterial one. An HIV infected person will not contract TB unless a contact happens with a TB infected person. TB spreads via droplet infection and is communicable. If a person lives in a country with a high prevalence rate of TB, an HIV patient is highly susceptible to contracting the infection. In the similar manner, a person suffering from TB gets infected with the HIV infection only through the blood and bodily fluids borne route, with unprotected sexual intercourse with an HIV infected individual being the most important cause.

Amongst all the other opportunistic infections, TB occurs at an earlier stage in the course of an HIV infection than most other opportunistic infections. Mortality rate in the co-infected patients is more than twice that of HIV infected individuals without a TB infection. Even if a patient is undergoing anti-retroviral therapy, the death rates remain high in co-infected individuals.The natural history and course of TB gets altered in people with an infected immune system. The damage to immunity due to HIV infection causes a drastic reduction in the pathogen killing capacity of the body. In such patients if there is no anti-retroviral treatment prescribed, then the latency period between the infection and progression of disease gets eliminated. 

An active phase of TB is observed in such individuals progressing within a short span of time, ranging from weeks to months, rather than years as it normally should be spanning. Risk of progression from a latent stage to an active stage of TB is around 10-15 times greater in an HIV infected individual as compared to the non-infected person. Such individuals also communicate the disease more rapidly to others.Pulmonary tuberculosis in an HIV infected person can present similar symptoms like that of a classic TB disease. However, a co-infection can sometimes show less presenting TB symptoms, where even the chest X-ray scans can be observed to be normal. A  subclinical  phase of Tb in co-infected patients can cause delay in the diagnosis of the symptoms and subsequently affect the prognosis due to lack of timely treatment.

Social stigma and discrimination has caused an obstacle in provision of adequate treatment for people with HIV. Proper counseling  and initiatives taken to provide indiscriminate care can aid in identification of co-infection and earlier stages. Anti-retroviral treatment teamed up with anti-tubercular drug regimen is prescribed and a successful treatment for drug sensitive cases of TB can be provided with medications for 6-8 months.

How HIV & TB  Are Related?

4 Things to Know Before You Lose Your Virginity

Losing your virginity can be a big experience and can be exciting as well as nerve-wrecking at the same time. Its significance is different for everyone and there are no wrong or right ways to lose your virginity. Making your first time a memorable experience is easy if you know and remember these 4 things:

1. Relax

You might be conscious about your body or nervous about pain or pleasing your partner, but you need not be. It is natural to feel insecure and nervous, but communicating your reservations with your partner will clear the air between both of you, helping you level your expectations and relax. Your first time is about exploring each other's body and pleasuring each other as well as an understanding partner will help you relax and forget your insecurities.

2. It might hurt a bit

If you are a woman, intercourse for the first time might hurt a bit if your vagina is not well lubricated before you have sex. Also, you might feel some pain and/or bleed if your hymen tears, but it will not be excruciating pain. Worrying about the pain is a lot scarier than the actual pain. Some women may not experience any pain at all. However, you should make sure you are well lubricated. Foreplay is a great way to get ready for intercourse and if it is still painful you could use additional lubricants to minimize discomfort and pain.

3. Go slow

If you are a man, help your partner be comfortable by going slow in accordance to their wish. Going too fast may hurt your partner if they are not comfortable and make your first time a traumatic experience. Try to gauge your partner's reactions and proceed in a way pleasurable to both of you. Penetrating too soon might cause you to ejaculate too quickly before your partner has climaxed. Indulge in foreplay so that both of you are ready. If your partner ejaculates too fast or is unable to hold his erection, do not feel rejected or angry, support him and help him get aroused again, as it is just an effect of nervousness and excitement.

4. Use protection

There is no truth in the saying that you cannot get an STD on your first time. It is completely possible and the only way to prevent that is to use condoms or not have penetrative sex. Women can get pregnant during unprotected sex and unless you plan to become pregnant, panicking about being pregnant for days after your first time will ruin your first time and peace of mind. Use birth control and/or condoms to prevent unwanted pregnancy after your first time, and both your partner and you will be able to enjoy losing your virginity without any worries.



4 Things to Know Before You Lose Your Virginity

Scabies is a disorder of the skin that is caused by tiny mites known as Sarcoptes scabies. The condition takes the form of an itchy pimple-like rash on the surface of skin that is formed when the microscopic mites burrow into the skin where they lay eggs and reproduce over a span of several weeks. It is a highly contagious disease as the mites can easily pass from one person to another through shared clothing or bedding.

How to treat scabies with homeopathy?
Homeopathy is a wonderful science that treats diseases with natural and safe medicines. In scabies, Homeopathy is the best alternative treatment option as Homeopathic medicines are very competent in treating this kind of infection. They stimulate the disease fighting mechanism of the body to fight scabies. As the healing system of the body is strengthened, the disease is completely eradicated. Its holistic approach attacks the infection at the root and prevents recurrence of the disease. Some of the homeopathic medicines used to treat scabies are as follows:

Sulphur: This is the most commonly prescribed medication for outbreaks of scabies. It treats skin that is itchy and irritated, especially if it worsens with the application of water or heat. Sulphur is a great remedy for symptoms that get aggravated during the night due to high sensitivity and if the skin is prone to pimples and eruptions.
Sepia: Sepia is a popular and effective remedy for scabies in cases where the skin feels itchy but scratching provides no relief. Often, the symptoms worsen when the patient is exposed to open air, wherein this homeopathic medicine is a useful cure.
Arsenic Album: This homeopathic medicine is prescribed when scabies leads to the skin becoming hypersensitive and violently itchy. Soreness, burning sensations and dryness are often accompanying symptoms and the skin may even begin to peel off in large scales. All these symptoms are treated by arsenic album.
Causticum: The symptoms of scabies respond well to causticum, especially when the condition occurs in the folds of the skin, between the thighs and the fingers. The intense itching, burning and redness are treated by causticum in a very efficient manner.
These are just a few of the commonly used Homeopathic remedies and are mentioned only to create awareness about the effectiveness of Homeopathic medicines for scabies. It is not advisable to resort to self-medication for any disease.

Treatment For Scabies In Homeopathy!

Contraceptives are generally drugs and devices, which are used to prevent pregnancy. A large number of contraceptives are available which allow the couple to enjoy sex without running the risk of unwanted pregnancies. The general categories of contraceptives are explained below:

Barrier Methods:
i. Male Condom: It is one of the most common forms of contraception. They are worn on the penis before sex is initiated. For safety purpose, a new condom should be used every time the person has sex.

ii. Female Condom: Much like male condoms, these are available at over-the-counter pharmacies without prescription. The condoms can be inserted to the vagina anytime within a period of 8 hours prior to sex.

iii. Diaphragm: This should be coated with a spermicide before sex and placed inside a woman's vagina so that the sperms are prevented from entering the uterus.

iv. Cervical Cap: These are used as replacements for diaphragms because some women may develop bladder infections such as cystitis while using it and these caps have lesser contact with the vagina.

Hormonal Methods:
The main implementation of hormonal changes to provide contraception is the pill. This is the most common form of female contraception available. It comes in two forms:
i. Combined contraceptive pill: Contains a combination of hormones such as progestin and oestrogen.
ii. Mini-pill: Contains only progestin: It is available only with the prescription of the doctor and should be used as per the prescription.

Intrauterine Devices
The intrauterine device (IUD) is a long-acting and reversible form of contraception for women. It is of two types: Copper IUD (contains copper) and Hormone-releasing IUDs (progestin hormone is released into the womb slowly). It is a small device that is fitted inside the womb and it provides contraception by facilitating the prevention of fertilization of the egg.

Sterilization
This is a lifelong option that is available for both men and women. In males, the procedure is known as vasectomy which basically ties and cuts off the tubes that carry the sperm.

In women, two forms of sterilization are available; surgical and non-surgical. Surgically, the fallopian tubes are cut and tied using small cuts in the belly so that the ovaries and uterus are not linked. Non-surgically, coils are inserted into the fallopian tubes so the resultant development of scars leads to complete blockage of the tubes.

Other forms of contraceptives include contraceptive patches, vaginal rings, contraceptive injections, spermicides and contraceptive implants.

Different Types of Contraceptives and Its Uses

Tinea or ringworm is basically a skin infection caused by fungus. Tinea can affect any part of the body. When the skin is affected it is tinea corporis, scalp (tinea capitis), feet (tinea pedis, this is also called as athlete's foot) and groin area (tinea curis, also known as the jock itch). This presents as several white patches on the skin.

Causes of Tinea
Tinea or the ringworm infection is not due to worms but caused by fungi dermatophytes. The fungus remains alive in the dead tissues of nails, hair and skin. Symptoms of Tinea are red circular patches on the skin along with itching.

As per the Ayurvedic philosophy, tinea is often diagnosed as dadru. The body type or the dosha involved is kapha and vata. Kapha, which is an Ayurvedic humor symbolizes mucus. It is usually dense, sticky and cold in nature. Vata, also an ayurvedic humor represents the wind. It is dry, mobile, subtle and cold. Both kapha and vata when present in the skin lead to accumulation of toxins. These toxins further collect in the deep tissues of the skin like rakta (Blood), rasa (nutrient plasma), lasika (lymphatic) and mansa (muscles).

The toxins lead to contamination of the deeper tissues thereby leading to the aggravation of the kapha-vata dosha, thus leading to ringworm. A third dosha which is involved is pitta. Pitta symbolizes heat or fire. It is often referred to as the tridosha disease, and the prime involved doshas are kapha and vata.

Diet and Lifestyle Modification
1. Spicy and hot food, excessive sweet and sour foods should be avoided. Pickled foods, chutneys, citrus fruits like lemon and oranges, vinegar and mustard should also be avoided.
2. Avoid foods made up of white flour such as bread, pastries, cakes, pizza
3. Artificial and processed foods, fast foods and aerated drinks should be avoided. Excessive salt and tomatoes should be restricted.
4. Since tea, coffee smoking and alcohol aggravate the pitta, these should be avoided
5. Milk and milk products like yogurt and cottage cheese should be given a miss
6. Foods which are sweet, blend and alkaline in nature should be added into the diet
6. Fresh vegetables and fruit should be taken
7. Foods like grains, rice, pasta, beans, breads, dairy products, sweet drinks and juices can be had

Home Remedies
1. In 3 cups of water boil 10 to 15 neem leaves, until half the water evaporates. Washing the tinea lesions with this water helps.
2. Rubbing papaya over the lesions is very effective
3. Make a paste of turmeric and milk and apply on the lesions. Wash this within half an hour of the application and repeat it 3 to 4 times a day.

Ayurvedic Treatment for Tinea ( Ringworm) Fungal Infection

Infestation on the skin caused by a tiny insect called sarcoptes scabiei, which live on the skin up to 2 months, is called scabies. Reproduction occurs on the surface of the skin and later they tunnel into the skin and lay eggs. This forms an extremely irritated, pimple-like rash structure on the skin.

Despite the fact that scabies can be troublesome, the infestation can usually be dealt with successfully. Treatment commonly comprises of drugs that eliminate the scabies parasites and their eggs. Since scabies is so infectious, specialists usually prescribe treatment for a whole gathering of individuals who come in successive contact with people having scabies.

Symptoms
Typical symptoms such as rashes and intense itching, appear up to 6 weeks since initial exposure. Infected sores, which may require additional treatment, are formed due to continuous scratching. Common sites for occurrence in babies are head, neck, face and hands while in adults, it occurs on the wrist, elbow, waist, penis, armpits, etc. The rash comprises of small blisters or pimple-like knocks which are the tunnel tracks of the mite apparent on the skin.

A more severe form of the condition, called crusted scabies may be developed in some people. This condition which is highly contagious is marked by thick crusts containing thousands of eggs and mites which developed on the skin. It usually occurs in people with weak immune systems. The mites are capable of overpowering the immune system and multiplying at a higher rate.

Treatment

Typical treatment includes disposing of the infestation with medicine balms, creams, and moisturizers. It is advisable to apply the cream all over the body and at night, when the mites are active.
Amid the main week of treatment, it might appear as though the symptoms are worsening. Nonetheless, after the initial week, you'll see less tingling and you should have recovered by the fourth week of treatment.

Precautions should be taken to prevent re-infestation as the mites are capable of living up to 72 hours after being abolished from the body. All clothing must be washed with hot water (122f). This should be followed by drying of the items at a high temperature for half an hour. Finally, the dried items should be vacuumed.

Symptoms and Treatment of Scabies

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