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Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
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If two pink line on prega confirm. So it is necessary that the women is pregnant. He feel vomit back pain stomach pain sleepy. please verify.
ज़िका वायरस एक मच्छर से जनित बीमारी है, जो एडीज प्रजातियों के मच्छरों से फैलता है। मच्छरों की एडीज़ प्रजातियां वे हैं, जो डेंगू और चिकनगुनिया वायरस के संचरण के लिए भी जिम्मेदार हैं। ये मच्छर भीतरी और बाहरी दोनों वातावरण में जीवित रह सकते हैं। ज़िका ट्रांसमिशन के लिए जिम्मेदार दो ज्ञात प्रजातियां हैं -एडीस अल्बॉक्टीतुस,जिन्हें एशियाई बाघ मच्छर के रूप में जाना जाता है,और एडीस इजिप्ती,जिसे पीले बुखार मच्छर के रूप में जाना जाता है। ज़िका संचरण के लिए जिम्मेदार दो ज्ञात प्रजातियां हैं -एडीस अल्बोपिक्टस,जिसे एशियाई बाघ मच्छर के रूप में जाना जाता है,और और एडीस इजिप्ती,जिसे पीत ज्वर मच्छर के रूप में जाना जाता है।
1947में,ज़िका वायरस पहली बार युगांडा में बंदरों में पहचाना गया था।1952 में युगांडा और संयुक्त गणराज्य तंजानिया में पहले मानव मामलों की सूचना मिली थी। तब से,अफ्रीका,दक्षिण पूर्व एशिया और प्रशांत द्वीप समूह में इसके प्रकोप दर्ज किए गए हैं। ज़िका वायरस संभोग के माध्यम से भी फैल सकता है। अध्ययनों से यह भी पता चला है कि यह वायरस रक्त,वीर्य, मूत्र,और संक्रमित लोगों की लार,साथ ही आंखों के तरल पदार्थों में पाया जा सकता है।
ज़िका वायरस के लक्षण
ज्यादातर लोग किसी भी लक्षण का अनुभव नहीं करते हैं। यदि लक्षण उत्पन्न होते हैं,तो वे आम तौर पर हल्के होते हैं और लगभग दो से सात दिनों के आसपास रहते हैं। ज़िका वायरस के लक्षणों में शामिल हैं:
- लाल चकत्ते
- जोड़ों का दर्द
- आँख आना (लाल आँखें)
- मांसपेशियों में दर्द
- आंखों के पीछे दर्द
ज़िका वायरस संक्रमण गर्भावस्था के दौरान माइक्रोसेफली सहित जन्मजात मस्तिष्क असामान्यताएं भी पैदा कर सकता है। ज़िका वायरस संक्रमण के बाद गिल्लन बर्रे सिंड्रोम विकसित करने वाले लोगों की रिपोर्ट भी सामने आई है। ज़िका वायरस के मामले में अस्पताल में भर्ती असामान्य है। इस वायरस का निदान आमतौर पर एक रक्त परीक्षण के साथ किया जाता है।
ज़िका वायरस का उपचार
ज़िका वायरस के लिए कोई विशिष्ट दवा या वैक्सीन नहीं है। हालांकि,ज़िका वायरस वाले लोगों को निम्नलिखित उपाय करने की सलाह दी जाती है:
- लक्षणों का इलाज करें।
- खूब आराम करो।
- निर्जलीकरण को रोकने के लिए द्रव का सेवन बढ़ाना।
- एसिटामिनोफेन जैसी दवाओं के साथ दर्द और बुखार से राहत।
- अपने चिकित्सक से बात करें यदि आप किसी अन्य उपचार का अनुसरण कर रहे हैं।
- जब तक डेंगू के निदान को नकार न दिया जाए, तब तक एस्पिरिन और अन्य गैर-स्टेरायडल एंटी-इन्फ्लैमेटरी ड्रग्स (एन.एस.ए.आई.डी)न लें।
ज़िका वायरस की रोकथाम
ज़िका वायरस के संक्रमण को रोकने के लिए मच्छर के काटने से बचाव करना महत्वपूर्ण है। ज़िका वायरस को रोकने के लिए निम्नलिखित सिफारिशें दी गई हैं:
- कीट विकर्षक का उपयोग करें
- लंबे बाजू वाले कपड़े और लंबी पैंट पहने
- आप बिस्तर पर मच्छर जाल भी रख सकते हैं
- यह महत्वपूर्ण है कि बाल्टी,ड्रम,बर्तन,गटर,और इस्तेमाल किए गए टायर जैसे घरों में और उसके आसपास संभावित मच्छर प्रजनन स्थलों को ढांक,खाली या साफ़ किया जाए।
- पुरुष और महिलाएं जो सक्रिय संचरण के क्षेत्रों से लौट रहे हैं,उन्हें सुरक्षित सेक्स अभ्यास,या छह महीने की अवधि के लिए परहेज़ की सिफारिश की जाती है।
I'm having a previous placenta previa on my first delivery again i'm conceived with 12 weeks .sometimes I feel mood at that time can I masturbate myself by muscle contraction of orgasm .is it safe for my baby? Do I continue or I should forget this?
Hi doctor, I am newly married. I had sexual relation ship with my wife. We had sex using condoms. But we are worried if she will become pregnant. We want to post pone pregnancy. Please advise. We are really worried.
My wife is in last month of pregnancy But by mistake we had sex from back side. And now she is bleeding from their. Please suggest what we can take to prevent from this?
I had done oral sex with my hubby on 24 may his sex part was near to mine but his sperm dsnt came out at that time after in regular days my periods were started on 10 june but at that time I had putted vitamin c tablets inside my vagina n had drink 3000gm of vitamin c tablets which make me less periods at that time .now I am having pain of periods my legs and stomach are paining from one week in short periods of interval but I dnt have periods. Had doc sad me for pregnancy test I had done that too with prega news .n my result is negative. So what should I do now .should I take medicine for early periods.
Dr. meri marg ko one year hua he. Meri pregnency ko five month hua he abhi. Mere husband ke sath pregnency me sex kar sakti hu kya?
My age is 23. Height is 5.10 weight is 56kgs. I have a list of health issues. To begin with, I eat outside food and fall ill. May be cant get clear motion, or get stomach ache. I do not put on weight easily. I want to put on weight. At night get acidity and gas problem at tyms. Next I have recently bruised my knee internally. I am a choreographer and surely dis has hand coz of dance. I hav taken lots of medicines for it. Feeling little better though. But still cant do steps which need to sit. Coz of dis issue doctor has told me not to put on weight. The other is I hav regular periods, but used to have terrible pain n health on frst day of periods. Took lots of medicines fr dis frm various doctors since years. Sum how it has decreased now. Since last 4months I get lesser pain n trouble. Doctors say its may be bcoz of sexual relations with your husband. Now the thing is I have experienced herpes in my vaginal area in 2011 and also in 2012. I hav had sexual intercourse only wid my husband. Have got minor vaginal infections many times after this. My vagina doesnt open immediately. It requires some foreplay or wetness. On top of that during the intercourse I get little pain at times. After I am done with the act, my vagina opening swells and turns red. Then for next 3days I cant have sex. Last week I went to the gynaec, and she has given me a gel to apply before intercourse. I havent has sex after meeting her, coz she found out infection again in my vagina and has given me lots of tablets to take orally and also put in my vagina. She has also given me placentrex gel to put it. I really wana know wats wrong with my vagina. I am not enjoying my sex life. My husband too surely isnt, but never says a word n always supports. Rushes me to the doctor and spends like anything. These medicines and doctors fees literally kill us. I also wish to conceive in coming months. But get to hear taunts from my family that I am too weak and keep falling sick all the time. And wont be able to conceive and produce a child. I eat alot and gud food. Small meals every 2-3hours. Exercise, dance. Drink lots of water. Have limited fast foods. Get sleep for 6-7hours. Still less immunity. I know this is like an essay to read. But I really require help. Thank you so much to whoever will reply. God bless.
My wife icsi transfer 4 weeks pregnancy conform in ultrasound Dr. suddenly change to sustain injection to sustain gel change the treatment 2 days, bleeding come treatment correct or wrong please replay.
For how many months a Man can have intercourse with his pregnant wife and is there any harm to the child while sexual intercourse or after it?
Hello Dr. I am pregnant last 5 months can I drive Scooty bike please suggest me their is not problem about my pregnancy.
My wife has unbearable pain in periods and sometime her periods happens after 15 days is any problem please help me with your response.
Do the bleeding period in menstrual cycle plays a role in our health condition? What indicates if the bleeding period only for 2 or 3 days? Will it indicates that the person is healthy or suffering from any genetic problems. If bleeding period should be more than a 3 or 4 days. Please suggest me a diet through which I can increase my bleeding time period?
Respected sir/ madam i'm 37 years old & crossed 1 year of married life. Now both of us are eagerly awaiting for a child since 6 months, but in vain. My ultrasonographic report of lower abdomen is normal. I'm a regular gym visitor. But still. I'm very upset regarding the matter. Please help out with your valuable advice.
Mam, I got a miscarriage in october due to pcod problem. Irregular periods and swelling on overused. please suggest me if I can try for baby now.
What you will find here
What is this condition?
Why do your ears get blocked in an Aeroplane?
Who is more likely to get Aeroplane Ear?
What can you do during the flight to prevent blocked ear?
How can you prevent very young children from getting aeroplane ear?
How can you unblock your ears after the Flight?
When should you visit a Doctor?
What is Aeroplane Ear?
Pain in the ear, popping ear, blocked ear during air travel is the most common medical problem faced by flyers. Aeroplane ear is the better known name for Barotitis media or Aerotitis media. Aeroplane ear or Barotitis media is the condition where there occurs damage to the ear due to difficulty in adjustment of the air pressure between Middle ear and External ear
Why do your ears get blocked in an Aeroplane?
I have to go into a bit of physics for a proper explanation. Please excuse the science Lecture! As you know according to Boyle’s Law : The pressure and the volume of an enclosed mass o gas are inversely proportional. When the plane rises in the air, there is a progressive decrease in air/atmospheric pressure. Basically at 18,000 ft above sea level, the air pressure is half that at sea level.During the rise through the atmosphere , as the pressure falls ,a particular mass of air in an elastic structure expands .Similarly during descent, the air contracts and the volume of cash decreases.
So what happens in the ear during Flying?
Imagine your ear is made up of 3 rooms.The outermost part of the ear which connects the entryway with the other rooms is the external ear.This is the part involving your ear canal. The ear drum separates your external ear from the middle ear, where the small bones (malleus, incus, stapes), which help transmit sound live.The ear drum is somewhat flexible and can move with change in volume of air in the middle ear. Two windows oval window (covered by stapes footplate) and round window (covered by round window membrane) connect your middle ear and the inner ear.
The inner ear has your hearing and balance apparatus It’s called the labyrinth. A tube connects your middle ear with the part of your oral cavity behind the nose (nasopharynx) .It’s called the Eustachian tube.Easily the most important structure which helps keep up the normal air volume inside your middle ear. It’s through your Eustachian tube that air enters or exits to equalise air pressure between outside atmosphere and your middle ear.
What happens during Ascent?
Air pressure outside falls. Middle ear pressure falls. Air in your middle ear expands (following Boyle law) This excess air pushes the tympanic membrane outwards to its natural limit.This is normally followed by escape of air through your Eustachian tube. Movement of the ear drum may be restricted due to scarring (previous infection).This may cause ear pain during ascent.
What happens during Descent?
Air pressure outside rises. Middle ear pressure rises. Air in your middle contracts and volume decreases (Boyle law). The ear drum moves inwards. (retraction). The opening of your Eustachian tube must be opened to allow air from the nasopharynx to enter and adjust the volume.The Eustachian tube will open with swallowing movement. If this mechanism fails (if you fall asleep, or have a cold), or is delayed, the increasing pressure difference closes the naspharyngeal end of Eustachian tube.When the pressure difference is more than 90 mm,Hg, your tubal dilator muscles are unable to open the Eustachian tube and it stays locked.The ear then feels blocked.
Barotrauma occurs during flying due to:
1) Very rapid air pressure changes.Sudden ascent/descent. 2) Blocked Eustachian tube.
It may also occur in:
Hyperbaric oxygen chamber
Decompression and compression chambers
Who is more likely to get Aeroplane Ear?
Anybody who has some nasal or Nasopharyngeal problem which blocks the Eustachian tube.
Acute infection in the nose.
Chronic infection in the nose
Malformation of nose
Sleeping during ascent or descent
Small narrow Eustachian tube; infants toddlers.
How will you know whether you are developing aeroplane ear?
Symptoms ( most common)
Discomfort in the ear
Ear Muffled hearing
Blocked ear/fullness of ear
Excruciating pain in ear
Severely blocked ear
Ringing, buzzing sound in ear (Tinnitus)
Severe Hearing loss
Spinning sensation (Vertigo)
Bleeding from ear
If you have any of the severe problems.Or if the symptoms persist even after …..hours “check..
What will your doctor See?
An ENT surgeon may do an otoscopic examinations to see your ear drum.
Signs on otoscopy:
Invaginated/retracted ear drum
Congested ear drum
Solitary or multiple blood filled blisters on your ear drum
Signs of serous otitis media
Ruptured ear drum, with blood clot.
Otoendoscopy may also be done where you will also be able to see these findings along with your doctor.
Are there any long term complications ?
Rarely the ringing sound in ear or tinnitus may be permanent.
If inner ear barotrauma occurs hearing loss may not improve
What other tests can you do?
Pure tone audiometry; to check your hearing and rule out inner ear barotrauma Tympanometry:To check the air pressure in the middle ear.and find out if there is any fluid.
Aeroplane ear:How to prevent it during flights
Don’t fall asleep during flying, specially during ascent or descent.
Avoid flying if you are having a severe cold.If emergency then use a Nasal decongestant spray just before takeoff and landing.Also take a decongestant orally, before getting on the .Dont use over the counter sprays .They may cause even more problem in the long run.
Take plenty of chewing gum so that you can actively help in Eustachian tube opening during flight.The chewing and swallowing movement helps to open Eustachian tube.
Try Valsalva maneuvre.This is a pressure equalizing technique which helps to pop the ear.You can try this if repeated swallowing and yawning doesn’t help.
Pinch your nostril, take a mouthful of air,close your mouth and try to gently direct the air into the back of your nose.Imagine you are trying to blow your nose gently. You should feel a pressure buildup.But do not let the air out.If you hear a pop you will know the ear is unblocked.
What can young children do to prevent aeroplane ear?
Very young children have difficulty during fflying.Often you will find them irritable crabby , pulling at their ears and may also cry incessantly. This is because the Eustachian tube in infants and very young children are not mature enough to handle the extreme change in pressure.
But you can help them too.
Dont let them fall asleep.
Play with them.
Carry a few pacifiers so that the suck and swallow reflex constantly works.
Talk to your baby doctor whether a decongestant oral medicine is advice able for your child.
A plain saline nasal drop given just before take off and landing helps to increase the swallowing movement and equalise pressure effectively.
What can you do to unblock the ear post flight?
Continue the Valsalva maneuvre/pressure equalizing technique
Normally it’s self healing and gets better within a few hours to few days.
If symptoms are uncomfortable and persists , or the ear doesn’t pop you should visit a doctor specialised in ear diseases
If your nose is blocked , avoid forceful nose blowing and take steam through your nose.This helps to relieve nasal congestion and open up the Eustachian tube.
What your doctor may advice?
Nasal spray; decongestants/steroids
Non steroidal anti inflammatory drugs for relieving pain
Once medication have improved Eustachian tube function Valsalva maneuver helps to force open the blocked tube.. Surgery is rarely needed.
If fluid in the middle ear persists even after 3 months myringotomy (incision in the ear drum) is done to drain the fluid.
If the perforation in ear drum does not improve after 3 months tympanoplasty to repair the ear drum may be needed. I hope next time you are flying you will be carrying some chewing gum or hard candy with you.
Write to me at firstname.lastname@example.org or comment below to let me know how your ears fared this time.