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Dr. Anupma Khanna

MBBS

Gynaecologist, Delhi

28 Years Experience
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Dr. Anupma Khanna MBBS Gynaecologist, Delhi
28 Years Experience
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I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Anupma Khanna
Dr. Anupma Khanna is a trusted Gynaecologist in Dwarka Sector-1, Delhi. She has been a practicing Gynaecologist for 28 years. She studied and completed MBBS . You can meet Dr. Anupma Khanna personally at DR Khanna Clinic in Dwarka Sector-1, Delhi. Book an appointment online with Dr. Anupma Khanna and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 36 years of experience on Lybrate.com. You can find Gynaecologists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - Jodhpur University - 1991
Languages spoken
English
Hindi

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DR Khanna Clinic

Flat No 302 Gangotri Apartments Dda Pocket-1 Dwarka Sector-12Delhi Get Directions
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Dengue Fever

BHMS
Homeopath, Surat
Dengue Fever
Dengue Fever

हर साल दुनिया में लगभग 10 करोड़ लोग डेंगू / Dengue Fever के शिकार होते है। भारत में भी हर साल कई लोगो की Dengue Fever के कारण मृत्यु हो जाती है। हमें रोज समाचार पत्रों में या News channel पर Dengue Fever का आतंक देखने को मिलता है। समय की जरुरत है की इस बीमारी के बारे में लोगो में अधिक से अधिक जागरूकता फैलाई जाए। इस लेख द्वारा मेरी कोशिश है की, आपको Dengue Fever सम्बन्धी अधिक से अधिक जानकारी प्राप्त हो।

Dengue Fever के बारे में संक्षिप्त जानकारी निचे दी गयी है :
Dengue Fever क्या है ?

Dengue Fever यह एक viral बीमारी है जो की Dengue virus के 4 प्रकारों में से किसी एक प्रकार के Dengue virus से होता है। जब कोई रोगी Dengue Fever से ठीक हो जाता है, तब उस मरीज को उस एक प्रकार के Dengue virus से लम्बे समय के लिए प्रतिरोध / immunity मिल जाती है परन्तु अन्य 3 प्रकार के Dengue virus से Dengue Fever दोबारा हो सकता है। दूसरी बार होने वाला Dengue Fever काफी गंभीर हो सकता है जिसे Dengue Hemorrhagic Fever कहते है।

Dengue Fever कैसे होता है ?

Dengue Fever हवा, पानी, साथ खाने से या छूने से नहीं फैलता है। Dengue Fever संक्रमित स्त्री / मादा जाती के Aedes aegypti नामक मच्छर के काटने से होता है। अगर किसी व्यक्ति को Dengue Fever है और उस व्यक्ति को यह मच्छर काट कर उसका खून पिता है तो उस मच्छर में Dengue virus युक्त खून चला जाता है। जब यह संक्रमित मच्छर किसी स्वस्थ व्यक्ति को काट लेता है तो Dengue virus उस स्वस्थ व्यक्ति में चला जाता है।

Aedes aegypti मच्छर की कुछ खास विशेषताए निचे दी गयी है :

यह दिन में ज्यादा सक्रिय होते है.
इन मच्छर के शरीर पर चीते जैसी धारिया होती है.
ज्यादा ऊपर तक नहीं उड़ पाते है.
ठन्डे और छाव वाले जगहों पर रहना ज्यादा पसंद करते है.
पर्दों के पीछे या अँधेरे वाली जगह पर रहते है.
घर के अन्दर रखे हुए शांत पानी में प्रजनन / breeding करते है.
अपने प्रजनन क्षेत्र के 200 meter की दुरी के अन्दर ही उड़ते है.
गटर या रस्ते पर जमा खराब पानी में कम प्रजनन करते है.
पानी सुख जाने के बाद भी इनके अंडे 12 महीनो तक जीवित रह सकते है.
Dengue Fever के लक्षण क्या है ?

संक्रमित मच्छर के काटने के 3 से 14 दिनों बाद Dengue Fever के लक्षण दिखने शुरू होते है। Dengue Fever के लक्षण निचे दिए गए है :
तेज ठंडी लगकर बुखार आना
सरदर्द
आँखों में दर्द
बदनदर्द / जोड़ो में दर्द
भूक कम लगना
जी मचलाना, उलटी
दस्त लगना
चमड़ी के निचे लाल चट्टे आना
Dengue Hemorrhagic Fever की गंभीर स्तिथि में आँख, नाक में से खून भी निकल सकता है
Dengue Fever का इलाज क्या है ?

Dengue Fever का रोकथाम / Prevention ही इसका सबसे अच्छा और बेहतर ईलाज है.
Dengue Fever की कोई विशेष दवा या vaccine नहीं है.
एक viral रोग होने के कारण इसकी दवा निर्माण करना बेहद कठिन कार्य है.
Dengue Fever के इलाज / चिकित्सा में लाक्षणिक चिकित्सा / symptomatic treatment की जाती है.
Dengue Fever की कोई दवा नहीं है पर इस रोग से शरीर पर होने वाले side-effects से बचने के लिए रोगी को डॉक्टर की सलाह अनुसार आराम करना चाहिए और समय पर दवा लेना चाहिए।
रोगी को पर्याप्त मात्रा में आहार और पानी लेना चाहिए। बुखार के लिए डॉक्टर की सलाह अनुसार paracetamol लेना चाहिए।
बुखार या सरदर्द के लिए Aspirin / Brufen का उपयोग न करे.
डॉक्टर की सलाह अनुसार नियमित Platelet count की जाँच करना चाहिए।
हमारी रोगप्रतिकार शक्ति Dengue Fever से लड़ने में सक्षम होती है, इसलिए हमें हमेशा योग्य संतुलित आहार और व्यायाम द्वारा रोग प्रतिकार शक्ति को बढाने की कोशिश करनी चाहिए।
Dengue Fever के बचाव के उपाय क्या है ?

जैसे की मैंने पहले भी लिखा है, Dengue Fever का रोकथाम / Prevention ही इसका सबसे बेहतर ईलाज है।
Dengue Fever के बचाव के उपाय निचे दिए गए है :
घर के अन्दर और आस-पास पानी जमा न होने दे। कोई भी बर्तन में खुले में पानी न जमने दे.
बर्तन को खाली कर रखे या उसे उलटा कर कर रख दे.
अगर आप किसी बर्तन, ड्रम या बाल्टी में पानी जमा कर रखते है तो उसे ढक कर रखे.
अगर किसी चीज में हमेशा पानी जमा कर रखते है तो पहले उसे साबुन और पानी से अच्छे से धो लेना चाहिए, जिससे मच्छर के अंडे को हटाया जा सके.
घर में कीटनाशक का छिडकाव करे.
कूलर का काम न होने पर उसमे जमा पानी निकालकर सुखा कर दे। जरुरत होने पर कूलर का पानी रोज नियमित बदलते रहे.
किसी भी खुली जगह में जैसे की गड्डो में, गमले में या कचरे में पानी जमा न होने दे। अगर पानी जमा है तो उसमे मिटटी डाल दे.
खिड़की और दरवाजे में जाली लगाकर रखे। शाम होने से पहले दरवाजे बंद कर दे.
ऐसे कपडे पहने जो पुरे शरीर को ढक सके.
रात को सोते वक्त मच्छरदानी लगाकर सोए.
अन्य मच्छर विरोधी उपकरणों का इस्तेमाल करे जैसे की electric mosquito bat, repellent cream, sprays etc.
अगर बच्चे खुले में खेलने जाते है तो उने शरीर पर mosquito repellent cream लगाए और पुर शरीर ढके ऐसे कपडे पहनाए।
अपने आस-पास के लोगो को भी मच्छर को फैलने से रोकने के लिए प्रोत्साहित करे.
अपने आस-पास में अगर कोई Dengue Fever या Malaria के मरीज का पता चलता है तो इसकी जानकारी स्वास्थय विभाग एवं नगर निगम को दे, जिससे तुरंत मच्छर विरोधी उपाय योजना की जा सके.
Dengue Fever के ज्यादातर मरीजो की मृत्यु platelet या खून के अभाव में होती है। मेरी आप सभी से request है की जरुरत के समय रक्तदान / Blood Donation करने से बिलकुल न घबराए और साल में कम से कम दो बार Blood Donation जरुर करे.
कई लोग Dengue Fever में Platelet Count बढाने के लिए पपीते के पत्ते का रस पिने के सलाह देते है। पपीते के पत्ते का रस पिने के बाद कई मरीजो में platelet count में सुधार होते हुए देखा गया है। इसका कोई ठोस पुरावा नहीं है और न कोई research हुआ है.
1 person found this helpful

11 Tips for Management of Incoordination

MPT, BPT
Physiotherapist, Noida
11 Tips for Management of Incoordination

11 TIPS FOR MANAGEMENT OF INCOORDINATION

The management of ataxia differs based upon the causative factors;logistically speaking ataxia can either occur due to cerebellar dysfunction or due to loss of sensory information to the cerebellum. Thus the patient of cerebellar ataxia differs slightly from the ones caused due to sensory impairment.Certain principles need to be applied while treating cases of ataxia which are as follows::

  • ·        Intense concentration of the patient.
  • ·        Active participation of the patient should be encouraged rather than making the treatment program passive.
  • ·        Frequent rest period needs to be given to prevent fatigue.
  • ·        The training room should be quite to avoid any distraction that can aggravate ataxia.
  • ·        Patient should be always relaxed and should be given a comfortable as well as properly supported position.
  • .        Repetition of task or sequence of task is very important for recovery.
  • ·        The guidance given by the therapist holds a very important significance in the treatment Certain important goals towards which the physiotherapist can work with thepatient are: 
  • ·        Regulate the limb movements accurately during activities.
  • .        Develop postural stability and balance.
  • ·        Improve the tone of the muscle.
  • ·        Functional transfers and gait.

.        While exercising patients within coordination one should always progress from exercises done at a lower centre of gravity to exercises that is done at a higher centre of gravity. This consideration is necessary to prevent any chances of fear or insecurity that may interfere in the rehabilitation program.Various functional activities of the patient can be achieved by giving the following exercises to the patient.

HEAD AND TRUNK CONTROL

Patient with poor head control can be treated prone with one or two pillows under the chest of the patient. Prone on elbow is not her position that can be considered to stimulate proper head control in these patients. 

Facilitation of neck extensors and shoulder girdle retractors can be achieved by using technique like brisk stroking, quick stretch or vibration given directly on the muscle bulk. 

1 person found this helpful

If I made sex without condoms, is there a chance to get pregnant just after completing the menstrual cycle?

DNB (Obstetrics and Gynecology), MBBS
Gynaecologist, Mumbai
Hi lybrate-user, ovulation happens in mid cycle and that is wen there is high chance of pregnancy. So the first 10 days after a period are safe and the last ten days before the next period are safe.

I am not having periods frm last 3 months I consulted a doctor she said me to take meprate for 5 days of 10g. I followed d suggestion it has been 2 days since I completed d dose bt my periods are not coming yet I will wait for 5 more days. Nd if den also periods dnt come den wat shld I do?

MBBS, DNB (Obstetrics and Gyneacology), FNB Reproductive Medicine
Gynaecologist, Hyderabad
I am not having periods frm last 3 months I consulted a doctor she said me to take meprate for 5 days of 10g. I follo...
Hello, you need to wait for atleast 10 days after stoppage of medication for periods. You need to consult if you don't get your periods even after 10 days. Good luck.
2 people found this helpful

I have irregular periods. I had sex with my husband. I had ipill within 24 hours. He ejaculated in me. I wish to do pregnancy test. How to know when should I do test to detect pregnancy.

MBBS
General Physician, Cuttack
I have irregular periods. I had sex with my husband. I had ipill within 24 hours. He ejaculated in me. I wish to do p...
If you had taken IPill then there is no chance of pregnancy. However do a pregnancy test 10 days after missed period and follow the advice and treatment.
2 people found this helpful

PCOD ki Kya treatment Hoti he. Or ye kyu hota he. Kya PCOD thik hota he ya nahi. PCOD thik hone me kitne din lagte he. Pls reply karna muze bohot tension hori he.

MBBS, MD - Obstetrtics & Gynaecology
Gynaecologist, Gurgaon
PCOD ki Kya treatment Hoti he. Or ye kyu hota he. Kya PCOD thik hota he ya nahi. PCOD thik hone me kitne din lagte he...
Yes PCOD can be treated, it happens bcz of cysts in your ovary due to which you have harmonal imbalance, and that can be corrected by the help of medicines, diet and exercise. If you wish you may get back to us for further advice on this.

I have a pcos problem from 5 years. Is that any problem in future and give me a solution for this.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
there are many reason for pcos. Excess insulin. Insulin is the hormone produced in the pancreas that allows cells to use sugar (glucose) — your body's primary energy supply. If you have insulin resistance, your ability to use insulin effectively is impaired, and your pancreas has to secrete more insulin to make glucose available to cells. Excess insulin might also affect the ovaries by increasing androgen production, which may interfere with the ovaries' ability to ovulate. Low-grade inflammation. Your body's white blood cells produce substances to fight infection in a response called inflammation. Research has shown that women with PCOS have low-grade inflammation and that this type of low-grade inflammation stimulates polycystic ovaries to produce androgens. Heredity. If your mother or sister has PCOS, you might have a greater chance of having it, too. Researchers also are looking into the possibility that certain genes are linked to PCOS. Regulate your menstrual cycle. To regulate your menstrual cycle, your doctor may recommend combination birth control pills — pills that contain both estrogen and progestin. These birth control pills decrease androgen production and give your body a break from the effects of continuous estrogen, lowering your risk of endometrial cancer and correcting abnormal bleeding. As an alternative to birth control pills, you might use a skin patch or vaginal ring that contains a combination of estrogen and progestin. During the time that you take this medication to relieve your symptoms, you won't be able to conceive. If you're not a good candidate for combination birth control pills, an alternative approach is to take progesterone for 10 to 14 days every one to two months. This type of progesterone therapy regulates your periods and offers protection against endometrial cancer, but it doesn't improve androgen levels and it won't prevent pregnancy. The progestin-only minipill or progestin-containing intrauterine device are better choices if you also wish to avoid pregnancy. Your doctor also may prescribe metformin (Glucophage, Fortamet, others), an oral medication for type 2 diabetes that improves insulin resistance and lowers insulin levels. This drug may help with ovulation and lead to regular menstrual cycles. Metformin also slows the progression to type 2 diabetes if you already have prediabetes and aids in weight loss if you also follow a diet and an exercise program.

Had unprotected sex with my boyfriend after half and hour took the I pill ,is there any chance of getting pregnant? Is there any side effects of I pil?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Had unprotected sex with my boyfriend after half and hour took the I pill ,is there any chance of getting pregnant? I...
The chance of pregnancy depends on which part of your cycle you had sex and in nay case as you have taken I Pill there is no chance of pregnancy

Managing The Increasing Number Of Diseases

IAGES, MS, MBBS
General Surgeon, Noida
Play video

 

Lybrate - Dr. Aditya Vikram Shaunik talks about managing the Increasing Number of Diseases.

Good afternoon. I am DR. AV Shaunik. I am laparoscopic general surgeon. Practicing here in Bhardwaj hospital and have keen interest in nutrition and in wellness. So today we are talking about diseases, why do we have so many diseases and they are increasing on daily basis. In fact the major worry is the heart disease and 30 million people are suffering from this disease in India and 50 million people are suffering from diabetes. There are more than 3 million cancer patients in India . More than 5 lakh people die due to cancer every year. Then we have lung disease, asthma and bronchitis.

Stress is the major cause of the disease factor and increases obesity. So these are the problems which are taking place in adults as well as younger age group. Now the question is that why we have all the diseases? And what can we do about them? What needs to be understood in all these diseases is that they are caused by free radicals. Free radicals are unstable particles which are produced when metabolism is taking place in the body, so they are countered as antioxidants and they balance the free radicals. The problem is that there is a gap between the free radicals production and the balancing which is taking place by the antioxidants. Now what causes free radicals .Free radicals are basically the pollution, chemicals which are coming into our body, all these chemicals which are in the air or in the food insecticide, pesticide, urea, DAP.

Now all these in the body get converted into free radicals and which is being unstable when they hit the DNA of the body. It will cause cancer if it strikes the LDL and is known as bad cholesterol. It oxidizes the LDL and this oxidized LDL will enter the free radical and will damage artery walls to form fat deposits in the vessels which causes heart disease. The same way these radicals will cause inflammation in the bronchi in the air passage of the lungs. It gives rise to bronchitis, asthma. Now these are free radicals and the counter is to the antioxidants. Antioxidants are in food, vitamin and minerals. Over the years, a chemical attack is free radical attack and has worn out. Roughly, the free radical attack goes up to 500 times.

What has happened to our food? The food which our grandparents were eating in 1944, has no longer the same nutrients. Today you will have to eat nearly 8 to 10 tomatoes to get the same copper content which we supposed to get very easily in previous years. So since the nutrients have depleted more than 15 times and the free radicals attack has gone up by 500 times, so there is a major nutritional imbalance. This nutritional imbalance which has taken place is known as the nutritional deficient and this is the main cause of diseases. How do we take care of these diseases? To do this we will discuss this in the next clip.

If there are any questions which you would like to raise you can contact me on the Lybrate website itself, by SMS, by talking to me, by coming to my clinic in the Bhardwaj hospital. Thank you
 

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