Ayurvedic Remedies For Rheumatoid Arthritis


  worldarthritis day      World Arthritis Day is celebrated on 12 October every year and provides a chance for people and organisations from around the world to join together and raise awareness of rheumatic and musculoskeletal diseases (RMDs).                          

       Rheumatoid Arthritis is one of the commonest joint disorders with varied clinical sign and symptoms involving multiple joints at various     sites . In Version 2 estimates for the Global Burden of Diseases 2000 Study , published in the World Health Report 2002 , Rheumatoid Arthritis is the leading cause of YLDs ( Years Lived with Disability ) at global level , accounting for 0.8% of total global      YLD .The disease has shown to put an enormous economic burden on society .

RHEUMATOID ARTHRITIS : It is a psychosomatic disease which is also of autoimmune   origin .The essential feature of an autoimmune disease is that tissue injury is caused by the immunologic reaction of the organism with its own tissues .

                              It is characterized by symmetrical polyarthritis , fever , raised ESR , morning stiffness . The affected joint shows synovitis , damage of articular cartilage , formation of pannus , end muscle wasting . If untreated this disease often leads to complications like spindle shaped joint deformity , ulnar deviation , Z- deformity , bony ankylosis of the affected joint .   

                               It is said that rheumatism licks the joints and bites the heart . That is why even cardiac pathologies like endocarditis , pericardial effusion etc are also seen as complication of this disease .

stages of RA  

 JUVENILE  IDIOPATHIC  ARTHRITIS  : Juvenile arthritis encompasses a range of disorders in children and adolescents aged 15 and below, which can be classified into groupings including infectious arthritis, reactive arthritis , connective tissue diseases and congenital and developmental diseases . The most common of these diseases is now called juvenile idiopathic arthritis (JIA), an umbrella term which describes children with an inflammatory arthritis of unknown origin which has persisted for at last 6 weeks . In the past numerous other terms including juvenile chronic polyarthritis, juvenile chronic arthritis (JCA), juvenile rheumatoid arthritis (JRA) and Still’s disease have been used for this.

AMAVATA : In Ayurveda , Amavata is a disease which has simulation with Rheumatoid Arthritis . In Amavata , ama                     ( undigested proteins or autoantibodies ) are spread to                    various joints by vata , causing inflammation and pain in the joints .

CLASSIFICATION : According to severity , it is of two types 

  • Samanya Amavata

  • Pravrddha Amavata

 Symptoms of Samanya Amavata :  Angamarda ( Bodyache ) , Aruchi     (Anorexia) , Trishna ( Thirst ) , Alasya ( Lethargy ) , Gauravam           (Heaviness) , Jwara ( Fever ) . These symptoms are produced  due to  prevalence of Ama in the body .

 Symptoms of Pravrddha Amavata :  Sarujam Shotha ( Pain and inflammation in the joints of hands , feet , knee , sacrum etc .) , Vrishchika dansha vata vedana ( pain like scorpion sting ) , Agnimandya (Sluggish digestion ) , Aruchi  ( Anorexia ) , Gauravam   ( Heaviness ) , Utsaha hani (Lassitude) , Asya vairasya                           (Tastelessness ) , Bahumutrata (Excessive urination) , Kukshishoola ( Pain in abdomen ) , Nidra viparyaya (Disturbed sleep) , Vida vibandha ( Constipation ) , Jadta ( Stiffness ) , Praseka  ( Excessive salivation ) .

rheumatoid_arthritis_criteria

CAUSATIVE FACTORS :

  1. Virrudha Ahaar ( Incompatible diet )

  2. Virrudha Cheshta ( Incompatible lifestyle ) eg sedentary habits , exertion immediately after consuming unctuous food , sleeping during daytime , awakening at night , upholding natural urges etc .

  3. Mandagni ( Sluggish digestion )

AYURVEDIC MANAGEMENT OF AMAVATA :

  1. Ahaar Chikitsa ( Dietary Regimen )

  2. Vihaar Chiktsa ( Lifestyle Modifications )

  3. Agatabadha Pratishedha ( Therapeutic Measures )

AHAAR CHIKITSA :

DO’S : Garlic , ginger , turmeric , cinnamon , pepper , barley , green gram , bitter gourd , ridge gourd , snake gourd , drumstick , coriander leaves , curry leaves , amaranth , radish , carrot , papaya , warm water .

DON’T’S : Dairy products , meat , fried food , refrigerated food , alcohol , spicy food , white sugar, potatoes , tomatoes ,  apple , banana , grapes , jackfruit , mango , watermelon , pineapple , cabbage , cauliflower , double beans , French beans , mustard leaves , black gram ,groundnut , water chestnut  .

VIHAAR CHIKITSA :

  • Physical activities causing pain in the joints should be avoided .

  • Staying in one position for too long should be avoided .

  • Good posture of the joints should be maintained .

  • Weight should be controlled as excess of weight adds stress to the joints .

  • Exercise or walk is very important to maintain the mobility of joints .

  • Yoga and Pranayam are very helpful .

  • Avoid sudden temperature variations .

               http://www.worldarthritisday.org/living-better/healthy-living

AGATABADHA PRATISHEDHA ( THERAPEUTIC MEASURES ) :

This includes Langhan ( Fasting ) , Shodhan Chikitsa ( Purificatory measures ) and Shaman Chikitsa ( Drug Therapy ) .

LANGHAN : It is the first line of management in the treatment of Amavata . Langhan means either absolute fasting or light diet . It increases the digestion and metabolism . It also helps in digestion of already formed     ama .

SHODHAN CHIKITSA : It is the purification of body by Panchkarma therapy. It helps in removal of accumulated ama from the gut and microchannels so that vata can circulate and perform its physiological functions in the whole body.

              Snehapana ( Internal oleation ) and dry Svedana                          (Fomentation) is given as purvakarma . Shodhana treatment given are Virechana  ( purgation ) and Basti ( enema ).

SHAMAN CHIKITSA : It helps check further formation of ama by correcting agnimandya ( sluggish digestion ) and also helps in pacifying vitiated Vata dosha . Drugs having katu , tikta rasa ; deepan properties are used in the treatment of Amavata .These increase agni ( metabolism ) , digest ama , remove excess kapha , clear srotorodha (obstruction of channels ) .

For complete article click :  http://ethnichealthcourt.com/2013/11/07/ayurvedic-remedies-for-rheumatoid-arthritis/

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World Prematurity Day


                                Care of Premature Babies 

prematurity

Babies who are born preterm need the same care that other babies get and a little more. This includes:

Good pregnancy care:

  • All pregnant women should receive good care, including at least four antenatal visits with a health worker.

  • Mothers at risk of preterm birth (e.g. those who have had a preterm birth before) need to be aware that it may happen again, and plan accordingly.

  • Health workers caring for pregnant women need to assess their risk of delivering preterm and be able to recognize and manage conditions that can lead to preterm birth (e.g. pre-eclampsia, a condition in pregnancy that causes the mother to have high blood pressure).

  • Women in preterm labour should give birth at a health facility where they and their babies can get the care they need.

  • Women in preterm labour, before 34 weeks of pregnancy have been completed, should receive steroid injections to speed up the development of the baby’s lungs.

Born-too-soon

Essential newborn care:

  • All babies need to be protected from infections: everyone who touches the mother or the baby should have clean hands.

  • All babies need to be kept warm: right after birth, they should be dried thoroughly and placed on their mother’s abdomen. If they breathe normally, and after the umbilical cord has been clamped and cut, they should be put on their mother’s chest, with skin-to-skin contact, until after the first breastfeed. They should not be bathed right away.

  • Most babies will breathe normally after thorough drying. Those who do not start breathing on their own need help: ventilation with a bag and mask will usually put them back on track.

  • Breast is best: just like full-term babies, breast milk is the best nutrition for preterm babies. Babies should be breastfed as soon as possible after birth. Most premature babies who are unable to coordinate the suck and swallow reflex can be fed their mother’s expressed breast milk by cup, spoon or nasogastric tube.

What is Kangaroo Mother Care?

Kangaroo Mother Care is a technique by which the baby is held on an adult’s chest—usually the mother—with skin-to-skin contact, for extended periods of time. It is suitable for preterm and full-term babies weighing less than 2 kg who do not have other serious problems (breathing well, normal heart rate).

kangroo care

The baby is placed on his/her mother’s chest and stays there, day and night, held in place by a cloth that is wrapped and tied at the mother’s back.

Kangaroo Mother Care could save an estimated 450 000 preterm newborns a year.

Kangaroo Mother Care is an effective way to meet a premature baby’s needs for warmth, frequent breastfeeding , protection from infection , stimulation, safety and love. It has also been shown to improve bonding between mothers and babies.

 Source : http://www.who.int/features/qa/preterm_baby_care/en/

What Is Diabetes ?


                                       14 November is World Diabetes Day

diabetes

What is Diabetes?

Diabetes is a chronic disease that arises when the pancreas does not produce enough insulin, or when the body cannot effectively use the insulin it produces. Insulin is a hormone made by the pancreas that enables cells to take in glucose from the blood and use it for energy. 

Failure of insulin production, insulin action or both leads to raised glucose levels in the blood (hyperglycaemia).

This is associated with long-term damage to the body and the failure of various organs and tissues.

http://www.idf.org/sites/default/files/attachments/WDD-infographic-what-is-diabetes-EN.pdf

Type 1 diabetes is an autoimmune disease characterized by the destruction of the insulin-producing cells in the pancreas.Consequently, people with type 1 diabetes produce very little or no insulin and must take insulin to survive.

Type 2 diabetes is marked by insulin resistance. People with type 2 diabetes cannot use the insulin that they produce effectively. They can often manage their condition through exercise and diet. However, in many cases oral drugs are needed and often insulin is required.

Gestational diabetes (GDM) is a condition in which women without previously diagnosed diabetes have high blood glucose levels during their pregnancy. GDM affects about 4% of all pregnant women.

Understand diabetes: Know the warning signs*

• Frequent urination
• Excessive thirst
• Increased hunger
• Weight loss
• Tiredness
• Lack of interest and concentration
• Vomiting and stomach pain (often mistaken as the flu)
• A tingling sensation or numbness in the hands or feet
• Other signs include blurred vision, frequent infections and slow-healing wounds
*These can be mild or absent in people with type 2 diabetes.

http://www.idf.org/sites/default/files/attachments/WDD-infographic-warning-signs-EN.pdf

The complications of diabetes :

Diabetes is a chronic, life-long condition that requires careful monitoring and control. Without proper management it can lead to very high blood sugar levels. These are associated with long-term damage to the body and the failure of various organs and tissues.

Complications include:

Cardiovascular disease, which affects the heart and blood vessels, and may cause fatal complications such as coronary heart disease (leading to a heart attack) and stroke.
Kidney disease (diabetic nephropathy), which may result in total kidney failure and the need for dialysis or kidney transplant.
Nerve disease (diabetic neuropathy), which can ultimately lead to ulceration and amputation of the toes, feet and lower limbs.
Eye disease (diabetic retinopathy), characterized by damage to the retina of the eye which can lead to vision loss .

http://www.idf.org/sites/default/files/attachments/WDD-infographic-risk-factors-EN-2.pdf

diabetes1

Understand diabetes: know the risks

There are many risk factors for type 2 diabetes. They include:
• Obesity and overweight
• Lack of exercise
• Previously identified glucose intolerance
• Unhealthy diet
• Increased age
• High blood pressure and high cholesterol
• A family history of diabetes
• A history of gestational diabetes
• Ethnicity – higher rates of diabetes have been reported in Asians, Hispanics, Indigenous peoples (USA, Canada, Australia) and African Americans.

http://www.idf.org/sites/default/files/attachments/WDD-infographic-reduce-your-risk-EN.pdf

World Diabetes Day and Primary Prevention

At present, type 1 diabetes cannot be prevented. The environmental triggers that are thought to generate the process that results in the destruction of the body’s insulin-producing cells are still under investigation. Type 2 diabetes, however, can be prevented in many cases by maintaining a healthy weight and being physically active.

Once identified, people at high risk of diabetes should have their plasma glucose levels measured by a health professional to detect Impaired Fasting Glucose or Impaired Glucose Tolerance, both of which indicate an increased risk of type 2 diabetes. Prevention efforts should target those at risk in order to delay or avoid the onset of type 2 diabetes.

There is substantial evidence that achieving a healthy body weight and moderate physical activity can help prevent the development of type 2 diabetes. 

 IDF recommends a goal of :

At least 30 minutes of daily exercise, such as brisk walking, swimming, cycling or dancing .

Regular walking for at least 30 minutes per day, for example, has been shown to reduce the risk of type 2 diabetes by 35-40%.

Source : http://www.idf.org/files/docs/WDD-booklet-EN-final.pdf

World Population Day – Adolescent Pregnancy


                               GIVING GIRLS – TODAY AND TOMORROW                                                                

                               Breaking The Cycle Of Adolescent Pregnancy                                                                  

Becoming a mother carries risks for all women regardless of their age, but many factors make adolescent childbearing especially hazardous. For younger adolescents who are not physiologically mature, pregnancy and childbirth are dangerous, particularly in cases where girls get pregnant within two years of starting their periods or when their pelvis and birth canal are still growing.

The main causes of adolescent maternal death include high blood pressure resulting from pregnancy, uterine infection, unsafe abortion, and malaria.

world population day

 

The future is compromised for most adolescent girls who become mothers . Many will face poverty, ill health, abuse, unprotected sex carrying HIV risk , frequent pregnancies, an end to education, and few positive life options. Their children are more likely than those of older mothers to be malnourished and have developmental problems. One million babies born to adolescent mothers will not make it to their first birthday. Several hundred thousand more will be dead by age 5 .

In South and Southeast Asia , adolescent childbearing is highest in Bangladesh , at over 64 per cent , followed by Nepal (51 per cent)  and India (47 per cent) . Regionally, almost a quarter of girls give birth by the time they are 18.

       Adolescent girls between the ages of 15 and 19 are twice as likely to die during pregnancy or childbirth as women in their 20.

                            For those under 15, the risks are 5 times higher.

                                             Source: UNFPA 2005.

World-Population-Day-1

Preventing unwanted adolescent pregnancy and investing in girls’ education, health, and livelihoods, means:

• Promoting young women’s human rights and rectifying pervasive gender inequalities
• Supporting adolescent girls to grow up happy, healthy, and empowered
• Saving lives – decreasing unnecessary maternal, infant, and child mortality and illness
• Ensuring more babies will be born to mothers who are better prepared to care and provide for them
• Improving the economic potential of families – breaking the cycle of intergenerational poverty
• Producing positive ripple effects for communities and societies, including improved productivity, reduced expenditures, and economic growth.

Source : http://www.unfpa.org/webdav/site/global/shared/documents/publications/2007/giving_girls.pdf

The Childhood Obesity Epidemic


Childhood obesity affects both developed and developing countries of all socio-economic groups , irrespective of age , sex or ethnicity . It has been estimated that worldwide over 22 million children under the age of 5 are obese , and one in 10 children is overweight .

A wide range of prevalence levels exist , with the prevalence of overweight in Africa and Asia averaging well below 10 per cent and in the  Americas and Europe above 20 per cent .

 Indian data regarding current trends in childhood obesity are emerging. A recent study conducted among 24,000 school children in south India showed that the proportion of overweight children increased from 4.94 per cent of the total students in 2003 to 6.57 per cent in 2005 demonstrating the time trend of this rapidly growing epidemic .

 Socio – economic trends in childhood obesity in India are also emerging . A study from northern India reported a childhood obesity prevalence of 5.59 per cent in the higher socio – economic strata when compared to 0.42 per cent in the lower socio-economic strata .

.childhood-obesity-epidemic-infographicSource : http://rossieronline.usc.edu/national-school-lunch-week-2011-infographic/

obesity in children and adolescents – http://icmr.nic.in/ijmr/2010/november/1117.pdf