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Monthly Archives: Tháng Bảy 2019

Diagnosis of depression in adults

Work pressure, life makes many people susceptible to inhibition, spiritual, emotional disorders lead to depression. The level of expression of the disease depends on the ability to bear the pressure of each person.

1. Psychological examination

The first thing to do to diagnose depression in adults is to see a specialist psychologist. Patients will be fully assessed and focus on the following factors:

  • The symptoms, manifestations, current
  • The triggers to traumatic stress (psychological impact as strong as: disease, breakup, lovers, family conflicts…)
  • A history of the stages of neuropathy
  • Reaction to the medicines used before

Skills diagnosis and treatment of cognitive decline in older adults extremely important. Population growing older each year after age 70 the level of cognitive impairment and depression increased 2-fold. Need to take patients to the examination and diagnosis of the disease even when there are unusual signs. Many people often want to go to the clinic mental illness, so when the condition become severe new to see a doctor, this causes so much difficulty for the treatment of disease.

2. The patient has suicidal thoughts or not?

To diagnose the level of depression, then the question about suicidal ideation, thoughts boring life can not be ignored. The screening question clinical not whose main purpose is to diagnose the disease in a formal way, but means provides information extremely important to help identify risk of suicide in patients.

Questionnaire depression of Beck has the full name is (Beck Depression Inventory-BDI-II) is in common use today. The questionnaire is not specific for older people but there are headings contain the standard amount of depression diagnosis of DSM-IV. If results of the implementation questionnaire is 15 points, then the disease was rated as mild depression, which initially have the signs of depression is important in clinical practice.

Ladder of Short quotes depression elderly people there are 15 questions was constructed based on measurement screening basic depression in adults. If the result of the 5 points you need survey and a more thorough examination. This ladder serves to diagnose depression can also diagnose Alzheimer’s disease.

3. Family history

The state of depression or cognitive impairment happening at the same time when elders in a family need to be noted when diagnosing the disease. Attention should be paid when there is money the family, depression or any mental illness else. Based on the level of decline in declarative cognitive functions behavior, the doctor will try to find more information from the family members, especially those with suspected sa kick mental illness in the family, only the perception changes first happened, is still unknown.

4. The impact of social change

Many surveys, research has shown that the results of work daily activities focus on the change in difficulties due to cognitive impairment and depression. Cognitive decline and depression common in elderly people. These two diseases can lead to more impact on emotions and perception in everyday life.

Accurate assessment of the functional activity in order to determine where is the cognitive impairment caused by Alzheimer’s disease, this is causes loss of motivation, interest in life.

Status, the circumstances of each patient differ. Doctor need based on these factors, cultural characteristics and to diagnose the disease for patients, most are foreign doctors when diagnosing diseases for Vietnamese people.

For example, according to research in the world, 41% of patients in the early stages of depression will be manifested insomnia and 44% have signs anxiety disorder. However, most of the patients in Vietnam usually go to the clinic due to loss of sleep, stretching and then gradually discovered anxiety disorders and depression.

5. Money the diseases of internal medicine

Need to determine the signs of current patients is due to depression, cognitive impairment or the symptoms of diseases of internal medicine such as impaired thyroid function, the pathology of chronic pain…

In addition, the pathology medical can also cause the disease state becomes more severe.

6. The necessary tests

The tests are performed aimed at eliminating the pathological, medical, expression, subject as depression or cognitive impairment. Includes:

  • Blood count
  • HIV testing
  • Test the concentration of vitamin B12
  • Test folic acid
  • Tests thyroid hormone,…

In that laboratory thyroid hormone, is testing extremely important, should not be ignored. The identification of pathology, medical also help diagnose levels of depression due to the disease this also contributes to the level of depression worse.

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7. Diagnostic neuroimaging

When there is the manifest decline in the ability to process information, ability to concentrate, impaired memory, slow… especially in the elderly, it should perform diagnostic imaging to clearly define the disease state.

With the manifestation of nerve damage is localized or the risk of blood vessels, patients often are designated as magnetic resonance imaging MRI and computed tomography CT.

Most of the older patients to see a specialist mental are only the MRI scans before and have used a few drugs but not effective or experience a few side effects of the drug on.

Clinic psychology – hospital international Vinmec officially went into operation from January 4/2019, with functions of examination, consultation and outpatient treatment of psychological problems and psychological health. With modern equipment, clinic, health Psychology Vinmec is collaborating with professors, experienced professionals:

  • ThS. Doctor Nguyen Van Non – specialist Doctor, Psychological, hospital, international Vinmec Times City: with 7 years experience working with the position is lecturer, department of psychiatry – Hanoi Medical University, psychiatrist at hospital Hanoi Medical University & hospital Geriatric Central, at the same time is a member of The psychiatry in Vietnam.
  • ThS. Doctor Pham Thanh Luan – specialist Doctor, Psychological, hospital, international Vinmec Times City: with 5 years of experience in research, examination and treatment of patients under specialist mental faculties, trained at the prestigious University, to practice in-depth expertise in the Republic of France.
  • ThS. Doctor Nguyen Trong Hien – specialist Doctor, Psychological, hospital, international Vinmec Times City: 6 years as lecturer, Department of psychiatry – School of Hanoi Medical University and hospital Geriatric Central, along with experience in research, examination and treatment of patients under specialist mental illness as: emotional disorders, related disorders stress and disorders body shape, the developmental disorders in children, youth & the period of childbearing….

Along with the combined deployment of psychological test, psychological therapy, intensive service of diagnosis and treatment, aiming to bring efficient patient care best.

Customers can directly to Vinmec Times City to visit or contact hotline 0243 9743 556 to be supported.

This article is written for readers in Ha Noi.

    Swallow choking – Signs of tumors, esophageal cancer has developed

    In the early stages, esophageal cancer is often less appearance of symptoms. However, when tumors grow larger, the expression also will be more apparent. In particular, the majority of patients with esophageal cancer, they have difficulty swallowing, when swallowing is choking.

    1. Swallow choking (dysphagia) what is it?

    Dysphagia is a medical term only the difficulty when performing the action swallow. This symptom is usually due to pathology in the esophagus or pathology in the oropharynx, or due to the insert molding into the esophagus also causes. So there are many causes difficulty swallowing, according to which also very many in which there is esophageal cancer.

    Degree of difficulty swallowing is also different in each person and at each stage of the disease. In mild, the patient can for food through the esophagus in a gentle way with the feeling of pain when swallowing. When condition worsens, when the solid food and liquid through the esophagus can cause vomiting, the patient is not eating and drinking is.

    Swallow, choking may appear at the same time with other symptoms like feeling nausea, vomiting, cough, shortness of breath.

    2. Esophageal cancer is what?

    Esophageal cancer is cancer that occurs in the esophagus — the tube digestion connects the throat and stomach. When esophageal cancer patients often have symptoms of dysphagia and weight loss. In addition there are other symptoms such as pain when swallowing, hoarse voice, dry cough, possible vomiting or coughing up blood.

    Esophageal cancer including the two main types are carcinoma of the squamous cells of the esophagus (ESCC) – arises from the epithelial cells that line the esophagus (common type) and esophageal adenocarcinoma (EAC) – arises from the glandular cells present in the lower part of the esophagus, where they have transformed into form of intestinal cells (a condition known as Barrett esophagus).

    Cause of esophageal cancer type squamous cells including cigarettes, alcohol, drink very hot, the diet is not full, and chewing betel. The most common cause of esophageal adenocarcinoma is cigarette smoking, obesity and syndrome gastric reflux – the esophagus.

    Disease diagnosis based on biopsy via endoscopy (a camera, optical fibers). Preventive measures include stopping smoking, combined diet healthy. Treatment is different based on each different stage, cancer location, can general mood of each person and individual requirements.

    Squamous cell carcinoma, small – locally can hope to cure. Most of the other cases, this method of treatment is chemotherapy with / without radiation therapy comes with surgery effects slow down the development of tumors. When the disease becomes more complex or the patient is not healthy enough to go through their surgery, palliative care is the last method to be implemented.

    3. Swallow, choke – signs to recognize esophageal cancer

    Symptoms, swallow, choking or difficulty swallowing are symptoms easy to feel and see in the majority of patients with esophageal cancer. At first, patients often present hard to swallow, but do not feel pain. As the disease worsens, difficulty swallowing, will any more pain. At first the patient only difficulty swallowing with solid food, then hard to swallow with the liquid food, even swallow saliva also feel pain and difficult to implement.

    First symptoms of cancer of the esophagus usually difficult to swallow the level of light and swallow the pain. Then, the disease gradually becomes worse over time. So, the disease should be diagnosed as early as possible to increase your chances can cure and recovery.

    4. Warning signs for esophageal cancer, other

    • Often there is the phenomenon of flowing saliva accompanied by bad breath, belching, choking when eating and drinking.
    • A few cases will feel uncomfortable when eating, feels like trapped. At the same time, when cancer cells spread, the patient will also feel chest pain more.
    • Patients decrease weight markedly, occurs dehydration and gradually is depleted due to not eating and swallow.
    • Is mild anemia and or happens slowly. Sometimes there are also signs of bleeding clear cause lack of blood supply, when that cancer cells have gone into the aorta, can cause bleeding of the esophagus causing sudden death.
    • Patients often have a sore throat or back, behind the breastbone or two scapula.
    • Illness heavy, the patient may appear sore throat, prolonged cough, even coughing up blood.
    • Often feel nausea, vomiting.
    • Other manifestations can be caught when the tumor grows as a heavy, sensation the throat, shortness of breath, cough, sputum, hoarseness,…

    5. Patients should what to do when difficult to swallow?

    Patients need to go for a medical examination when there is expression hard to swallow. However, based only on the symptoms ( typically , swallow, choking, difficulty swallowing) is not enough. The diagnosis of esophageal cancer was based on the diagnostic images and tests clinical other. To accurately diagnose esophageal cancer, patients should be endoscopy combined with ultrasound and biopsy.

    • X-rays of the esophagus: the Patient is prepared in a lying posture. If the disease human esophageal cancer, X-ray images can show a segment of the esophagus; images narrow to please the management; see photos tumor.
    • Computed tomography (CT): this Method has higher precision than X-rays, especially when the cancer cells have spread into the wall of the esophagus. In addition, this method also can detect tumors had metastases in the mediastinum or not.
    • Endoscopy: endoscopy of the esophagus accompanied by biopsy is mandatory testing in the case of X-ray does not identify the disease. This method helps the doctor evaluate the level of spread of cancer and the nature of tumor. Besides the combination of endoscopy and brush staining cytologic result positive for cancer on 90% of cases.
    • Ultrasound via endoscopy: this Method helps to determine the depth of tumor infiltration into the wall of the esophagus, at the same time helps to assess the infiltration of the tumor into the lymph nodes of the esophagus.

    READ MORE:

      Things to do in the time detect cancer

      When newly diagnosed cancer patients should ask the doctor and see for yourself how much time to take decision of choosing the treatment regimen and begins treating cancer.

      1. Do when know I have cancer?

      1.1. Talk to your doctor about the disease

      In the majority of cases, patients with cancer need a little more time to search, consult and even discuss the treatment regimen of yourself to get the best decision.

      Many people believe that talking with the doctor are often very difficult, due to the topic of cancer always contain much language expertise complex. Both patients and doctors are experiencing difficulty in the exchange of information illness, from which makes the process of communication becomes ineffective.

      Dr. Ann O’mara – head of Research palliative care under the department of Cancer prevention of the National Cancer Institute of the United States (National Cancer Institute – NCI) said:

      “The exchange in an open manner is always important key in the relationship between doctor and patient, just to help patients get more information useful help for doctors better understand the emotions the patients of his”.

      1.2. Understand the symptoms of her illness

      Cancer patients should record the symptoms of his into a book. Let’s lay out the questions and answers to test your knowledge about cancer are suffering:

      • The exact name of the cancer that you have is what? – Example: stomach cancer
      • Your cancer is in what stage? – For example, stage 3A.
      • We already know what about this disease to make treatment decisions how? – For example as the standard biological (biomarker) or

      1.3. Know the risks of the therapy

      Cancer patients need to find out the answer to the following questions:

      • Therapy has these side effects and how these effects this can prevent or control, how?
      • This therapy will be conducted how?
      • Duration of treatment how long?

      1.4. Consult from the other experts

      Every patient with cancer have the right to question and review, consult from the other experts. Doctor treatment also desired the patient to do so. Often, people often asked opinion from a doctor in the treatment centre or who have professional medical to search for multiple methods of care as well as more new information about cancer that they are suffering.

      1.5. Go to the doctor with your friends or relatives

      Relatives or friends can help cancer patients listen, to record the important things, ask the necessary questions and also help get more motivation to continue treatment. If there are people around the same, mentally also more comfortable when have to suffer alone.

      Talk to friends and family about problems you encounter, they will help and support you overcome the difficult phase mentally. First need to talk with the best friend or family ago. Then, create a list of people that can be trusted to share.

      1.6. Prepared financial to treat the disease long-term

      Patients should refer to the staff advisory, financial or social to know about the bills, doctor visits, hospital fees, surgery cost, cost of cancer treatment and the drugs as well as care services, other support. Should consider the treatment site to achieve the highest efficiency with the cancer I have and fit the economic conditions of the family, as well as issues related to health insurance.

      When the diagnosis is cancer, the patient will not fall into a state of depression if carried out the above tips. We all inevitably get sick at a certain time in life. So, the need to maintain a positive attitude combined with serious treatment to be able to recover quickly okay.

      2. What to know relatives with cancer

      2.1. Respect for patients

      In the process of treatment, cancer can make the patient become emaciated, pale, hair, eyebrow hair loss… However, the family should not have proved too worry because now there are methods to help patients with cancer still fresh health by wearing a wig, lipstick, eyebrow pencil…

      In addition, the family should not be changing diapers or their bed linens while there are many who come to visit. Although patients with cancer are experiencing the last days in a coma, but when want to talk about the disease state of patients suffering from cancer, the family should go out of the room, avoid standing at the bedside discussion, especially with the reproach, because did not pay attention to health of self.

      2.2. Allow yourself to grieve

      When the patient suffering from cancer to leave, accepting the absence as well as overcome the pain can be very difficult and never ending. Let yourself be expressing emotions, don’t try to endure because it will make yourself more tired. Each person has a way to heal his wounds in different ways. Time will help your family erase this pain, but need to slowly and gentle with yourself because in no way can help you overcome the pain quickly.

      2.3. Don’t create false hope

      Family not for patients with cancer know the results the diagnosis of cancer because of not wanting to grieving relatives, think despair… family lied and denied to relatives know the condition its true.

      However, patients with cancer can will guess be sick when notice the unusual symptoms such as bleeding, pain, soreness… When you know the truth, patients with cancer will become more frustrated and taken the decision not to correct, for example, away from home, suicide… Instead of so, family, let’s cancer patients facing the illness and learn to accept the truth.

      3. Address clinic psychological health for cancer patients

      Clinic psychology – hospital international Vinmec officially went into operation from January 4/2019, with functions of examination, consultation and outpatient treatment of psychological problems and psychological health. With modern equipment, clinic, health Psychology Vinmec is collaborating with professors, experienced professionals:

      • ThS. Doctor Nguyen Van Non – specialist Doctor, Psychological, hospital, international Vinmec Times City: with 7 years experience working with the position is lecturer, department of psychiatry – Hanoi Medical University, psychiatrist at hospital Hanoi Medical University & hospital Geriatric Central, at the same time is a member of The psychiatry in Vietnam.
      • ThS. Doctor Pham Thanh Luan – specialist Doctor, Psychological, hospital, international Vinmec Times City: with 5 years of experience in research, examination and treatment of patients under specialist mental faculties, trained at the prestigious University, to practice in-depth expertise in the Republic of France.
      • ThS. Doctor Nguyen Trong Hien – specialist Doctor, Psychological, hospital, international Vinmec Times City: 6 years as lecturer, Department of psychiatry – School of Hanoi Medical University and hospital Geriatric Central, along with experience in research, examination and treatment of patients under specialist mental illness as: emotional disorders, related disorders stress and disorders body shape, the developmental disorders in children, youth & the period of childbearing….

      Along with the combined deployment of psychological test, psychological therapy, intensive service of diagnosis and treatment, aiming to bring efficient patient care best.

      Customers can directly to Vinmec Times City to visit or contact hotline 0243 9743 556 to be supported.

      READ MORE:

      This article is written for readers in Ha Noi.

        Causes infant respiratory

        Causes of acute respiratory distress in neonates may originate from the lungs, like the diaphragm in inhalation of amniotic fluid, inflammation of the lungs or outside the lungs, such as atrophy of the esophagus, congenital heart disease. When discovering any unusual signs, need fast processing to limit the dangerous complications.

        1. Acute respiratory distress in the newborn

        Acute respiratory distress in the newborn, also known as diseases of the membrane in the usually appear after few hours or few days normal breathing after birth. The disease occurs principally in the preterm infants, the incidence rate of disease increase according to weight and time appears disease, specific as follows:

        The child’s weight at birth (g)

        The incidence of membrane in (% )

        1001 – 1250
        1251 – 1500
        1501 – 2000
        2001 – 2500

        40
        50,5
        60,3
        < 10

        Time to occurrence of disease after birth

        The incidence of membrane in (%)

        0 – 12 hours
        12 – 24 hours
        > 24 hours
        2 – 3 days
        3 – 4 days
        5 – 10 days

        75
        69
        50
        30
        24
        10

        Clinical symptoms of the disease acute respiratory distress in an infant is young, suddenly shortness of breath, intense rapid breathing over 80 times / min, breath, scream, withdraw concave chest, cyanotic skin icon is increasing. Only after several hours of rapid breathing, the child will have expression suffocated, tired, exhausted and breathing rate slow down gradually, then stop breathing and death.

        1.1 evolution of acute respiratory distress in the newborn

        • Stage 0 – 5 hours after birth: the Child is still normal respiration.
        • After 5 – 10 hours: Children may manifest acute respiratory distress, rapid breathing, accompanied by signs of disorder of gas in the blood.
        • From 10 – 24 hours: the Child begins to exhaustion, breathing slowly, appearing metabolic disorders, acidosis, blood heavy.
        • After 24 hours: Risk of child mortality if not supported mechanical ventilation during respiratory failure. If, as is respiratory care good, the disease will leave within a week.

        1.2 causes of acute respiratory distress in the newborn

        Causes of acute respiratory distress in the newborn primarily related to the factors:

        • Premature babies: permeability pulmonary capillaries increases, causing extravasation amounts of blood cells and plasma into alveoli. After the alveoli are drawn away by the lymph path, heart, alveoli also contained many red cells and fibrin.
        • Babies with asphyxia before birth: cell alveoli is hypoxic, not produced surfactant, a surface-active substances. So after the period of normal breathing, the child will suffer from lack of surfactant due to the many alveoli collapsed, causing respiratory failure. When that child attempts to inhale, but air does not get into because alveoli have collapsed.
        • Syndrome inhalation of amniotic fluid: Children with syndrome, inhalation of amniotic fluid usually have prognosis very bad. Children with respiratory distress soon after birth. The cause is due to children being asphyxiated fetus, so the child has breathing movements before birth and accidentally inhaling amniotic fluid. When born, the child is choking, cyanosis, nose, mouth full of amniotic fluid when infected with the meconium.
        • Pneumonia: Inflammation of the lungs usually occurs in the first 3 hours after birth due to infection of the fetus. Severe disease, often accompanied by infection, bacteria of blood, bacterial infection of the whole body.
        • A number of other causes such as Atrophy of the esophagus, congenital heart disease, retard left ventricle, problems in the ductus arteriosus. Diaphragmatic hernia, brain hemorrhage meninges.

        The pathology also have the potential to cause rhythm disturbances, breathing, stop breathing in infants. Therefore, when discovering any unusual signs, need fast processing to limit the dangerous complications.

        2. Why should clinic acute respiratory distress for children in hospital, international Vinmec?

        Hospital international Vinmec is are is address, clinic visits, diagnosis, causes and treatment of acute respiratory distress repute, is many parents believe the choice is where sending and health care for children

        At general hospital, international Vinmec has a team of experts, pediatricians, Pharmacists and nursing qualified professionals, skilled professionals, many experience, especially conscientious and professional.

        With the full support of many technical facilities, modern hospital, international Vinmec guarantee to provide care services, comprehensive health, and most effective, reserved for the children.

        At Vinmec, Hai Phong and Vinmec Nha Trang apply technical pump Surfactant in the treatment of respiratory distress in premature infants caused by a deficiency of surfactant, first developed in premature infants caused respiratory distress syndrome in preterm infants. Therapy Surfactant therapy for pediatric patients ≤ 26 weeks when needed FiO2 > 0,30 and for pediatric patients > 26 weeks required FiO2 > 0,40.

        Technical pump Surfactant will be difficult to implement if the standard of care generally do not reach high quality. Vinmec has to meet the conditions of rigorous standards to apply therapy Surfactant in the treatment of respiratory failure in the newborn, including full media support and the team of doctors perform well-versed in the technique: intubation, use of ventilators, handle emergency situations, respiratory, circulatory, treatment of ca patients is pneumothorax.

        For more detailed information about technical pump Surfactant treatment for respiratory distress newborn at Vinmec, customers can sign up for clinic online HERE, or contact our hotline the hospital at the following address:

        Hospital international Vinmec Hai Phong: 0225 7309 888

        Hospital international Vinmec Nha Trang: 0258 3900 168

        READ MORE:

          [Vinmec – Ask the experts] No. 01: theme from insomnia (Part 1)

          Insomnia is a symptom complex, including difficulty sleeping or difficulty maintaining sleep for a long time, causing directly affect the health and spirit of patients, at the same time, insomnia is also a warning sign more dangerous pathologies such as depression, weight gain, chronic pain… To learn more about your sleep, Vinmec answer the questions related to insomnia and treatment measures from the perspective expert.

          The question is advice by Doctor CKII The Paint – hospital international Vinmec Hai Phong

          1. You Ta Tuyet Mai (Student, vietnam National University, Hanoi): Hello Doctor I this year 20 years old is student, year 3, the current main job of you is learning and has to do more. Work and learning majority of the time, however I still balance the time to rest and get enough sleep. However recently I appear symptoms such as fatigue, stress, day dozing not focused is that the night is very sober, can play phone continuously without eye fatigue? Your doctor can let you know is so you can get the disease from insomnia, please? And when called insomnia it? Thank you, doctor.

          Doctor CKII The Paint: Hi! Insomnia is a symptom complex, including difficulty sleeping or difficulty maintaining sleep for a long time. Called insomnia when:

          • Trouble sleeping at night.
          • Wake up at night.
          • Waking up too early.
          • Not feel relaxed after a night’s sleep.
          • Daytime fatigue or sleepiness.
          • Irritability, depression or anxiety.
          • Difficulty paying attention, focusing on tasks or remembering.

          Insomnia is often divided into three categories:

          1. Insomnia transient – occurs when symptoms lasts up to three nights,it is often the result of stress or an event that causes worry.
          2. Insomnia acute – also known as short-term insomnia. The symptoms exist for several weeks.
          3. Chronic insomnia – this type lasts for many months, and sometimes years, often related to chronic physical illness: chronic pain, pulmonary disease, chronic obstructive, asthma , sleep apnea, Parkinson’s disease and Alzheimer’s, hyperthyroidism , arthritis…

          To know the exact status of their disease, you should go to a hospital, medical facility, reputed to be the therapist diagnosis as well as give treatment accordingly.

          2. Ms. Nguyen Thi Ngoc (Yen phu, Ba Dinh, Ha Noi): Hello doctor, I this year 35 years old is the office staff. The years back here, I often lose sleep despite trying to improve by exercise, changing diet. So cases insomnia is my disease and need treatment? Thank you, doctor!

          Doctor CKII The Paint: insomnia (insomnia) or trouble sleeping (sleeping dificulties) is a disease affecting the lives of many people. Difficulty sleeping comes in many forms, difficulty falling asleep, disturbed sleep, waking up early not sleep again, or waking up many times during sleep, each time longer than 30 minutes. Women suffer from insomnia more than men, especially at the age close to menopause. The cause maybe due to the disease related rather than due to lack of hocmon. The older the risk of insomnia as high. Can categorize insomnia as follows:

          • Disease insomnia are related to mental illness.
          • Insomnia is acute insomnia is brief and often happens because of life circumstances.
          • Chronic insomnia is when insomnia at least three nights per week and lasts at least three months.

          Case if your have applied the method to improve sleep without medication, without effective, you should go to see a doctor specializing in neurology or psychiatry for advice.

          3. Tran Xuan Duc (37 years old – Ly Nhan, Ha Nam): Hello doctor, due to the nature of work should 2 weeks now I usually sleep very little, many days I only get to sleep 5 – 6 hours. Although sleeping less and not increase the diet, I still increased by 2 kg. My friends tell me to gain weight due to loss of sleep. This is not true, thanks to doctor answer help why lose sleep over weight gain?

          Doctor CKII The Paint: Hello, you described your can summary cause insomnia back your weight gain is as follows: Sleep not enough sleep, the body needs more energy to operate should eat more, while the metabolic process to be less effective, very easy to make hoarding excess fat.

          Sleep disorders will increase the amount of hormones Ghrelin and Leptin that stimulates appetite, increases the process of fat production and increase weight. So have you only sleep about five hours per night and when to start sleep again seven or eight hours will see weight loss and improved health.

          4. You Nguyen Ngoc Minh (26, Minh Khai, Hanoi): Doctor I have pregnancy insomnia how to do? You are pregnant in the 3rd month, in addition to morning sickness don’t eat is what I also suffer from insomnia. Lying awake ever get to sleep, but sleep is not deep, only 1 little noise which made me wake up at midnight. I was so afraid affect the child, but the way people tell all with no side effect. Ask your doctor for advice to help you with, sir!

          Doctor CKII The Paint: You can lose sleep during pregnancy for many reasons. Whatever the reason may be what is, it is important to understand that insomnia is not harmful for your baby. Insomnia during pregnancy is normal and affects approximately 78% of pregnant women .

          Causes of insomnia during pregnancy include:

          • Discomfort due to the size of your abdomen increases.
          • Back pain.
          • Heartburn.
          • Frequent urination at night.
          • Tired, vomiting , poor appetite due to morning sickness.
          • Hormonal changes.

          To improve the condition of insomnia during pregnancy, you can apply some following measures:

          • Posture sleep: should slant to the left. This posture helps the blood circulation to the best pregnancy. Can use pillows U-shaped to support sleep.
          • Join yoga class pregnant.
          • Massage legs, arms before going to bed to avoid cramps.
          • Do not drink too much water before going to sleep.

          5. You Ding haiyan (28 years old, office worker): Yes, hi doctor. You’re pregnant, babe, first time, 11 weeks already. This batch I often have trouble sleeping, with insomnia again. I this new year 25 years old, office job, so no pressure at all, and also only lost sleep from when pregnant, sir. Do not know wife pregnant suffer from insomnia in the first 3 months there is no danger, ma’am?

          Doctor CKII The Paint: dear Friends! You should not worry, because insomnia is a condition common during pregnancy and does not affect the fetus. However, if you lost a lot of sleep and prolonged (Sleeping less than 6h per night) may be at risk of a caesarean section higher and the duration of labor is also more prolonged than with the pregnant sleep from 7 hours or more each night. And can cause the fetus underweight, fussy and difficult to feed.

          Insomnia during pregnancy first trimester are usually due to other causes: In the first months of pregnancy, pregnant will often take plenty of sleep most of the body is too tired when to mobilize blood and oxygen to the formation of the placenta nourishes the fetus. In addition, the growing of the fetus according to the time dilation of the pelvis of the mother presses on the blood vessels causing edema leg pain, back pain makes difficult to sleep.

          During pregnancy, the mother needs to share nutrients and oxygen for the baby, especially first 3 months, many, mom, morning sickness, the additional nutrients are not enough leads to skinny kick body weakness, fatigue and poor sleep. In the last months of pregnancy, the uterus gradually expands, displaces and presses up the diaphragm, causing movement of the diaphragm reduce should pregnant women have to breathe deep to breathe more to get more oxygen. This makes pregnant feel uncomfortable and affect the quality of sleep.

          Solutions to improve insomnia symptoms in pregnant in the first month:

          • Nutrition: Increase foods rich in vitamin B like green leafy vegetables, whole grains can help you sleep better
          • Should not eat before going to sleep. Limit your intake of sweet drinks which irritate.
          • Regular physical activity helps blood circulation, sleep, reduce stress. Mom can walk each day or swimming, before sleeping, maybe a warm bath, drink a glass of hot milk,…
          • In addition, before going to sleep, soak your feet in warm salt water can add the lemongrass, lime leaves,… will help blood flow, from which the mother will sleep a lot more.
          • Sleeping posture: pregnant women should exercise for yourself proper sleeping posture when pregnant. The best posture and the most comfortable is lie on your left side, knees bent, legs, guards up high. This posture helps reduce the pressure on leg veins, limit status, edema, increase in blood supply to the heart, decrease syndrome, low blood pressure, beneficial for improving blood circulation of blood of the placenta.
          • Proper rest.

          6. You Tran Thu Ha (Student year 3 University of National Economics): doctor, Hello, my name is Ha, 21 year old. Current I is a student in year 3. I’m going to do more evening came home it was already 10 p.m. then, add all showered and review the lessons again, the range of about 12 hours as I went to bed but couldn’t sleep. I feel the insomnia is also a disease should be very worried, do not know insomnia can cure not doctor? Help you with.

          Doctor CKII The Paint: Hi! Insomnia can be treated. The treatment of insomnia should be based on the cause of insomnia.

          The causes of insomnia include:

          • Use of mobile phones: blue Light in your phone affects sleep due to impact to the natural circadian rhythms of the body
          • Eating habits, living without moderation.
          • Stress stress: is cause insomnia typical of young people. Pressure life makes the body loses balance between spiritual comfort and inhibition, from which a strong impact to the central nervous system, cerebral cortex, severely impair to sleep.
          • Working computer, using smart devices too much: These devices will emit electromagnetic radiation, this is the causative affects the brain and the nervous system of the eye and is also one of the causes of insomnia in young people.
          • Substance use: regular use of stimulants such as tobacco, wine, beer….will cause strong influence on the nervous system make the nervous system and brain are always in a state province.
          • Overfeed when sleeping: In the evening if eat too much before going to sleep will cause us to lose sleep so the body can digest the amount of food that you have loaded on the inside of the body.
          • With certain types of the disease: rhinitis, sinusitis, the diseases of the stomach, bones, joints… – drug abuse headache.

          To know exactly his condition, you should go to hospital to be specialist doctor visits and treatment. A number of corrective measures to have more restful sleep:

          Before going to sleep you let’s put aside the entire the work in progress, let loose body, and let his mind be relaxed by reading, listening to music, playing a game of light entertainment…

          Adjust routine daily activities, such as increased agitation, maintained time diet proper rest.

          Minimize the use of phone, computer,… especially before sleep.

          Absolutely do not buy sleeping pills, about user. In case your doctor thinks that jobs evening part how can the impact cause irritation and stress for the brain, should you have trouble falling asleep. So when going to bed you should relax relax your body, lie still, breathing evenly with sleep will come to you

          7.You Tran Thi Nguyen (email Address: [email protected]): Dear doctor, I’m 33 years old, have a family and 2 babies (2 years old ). Work is office staff. About 4 months now I experiencing the state of insomnia, normally I sleep from 10am to about 3 am is the province and not sleeping again. Every living habits are not have what change, not stress or think what. I have applied many methods but no improvement. Please be doctor advice.

          Doctor CKII The Paint: Hello to you, When you wake up too early, and prolonged duration of 04 months. So you have sleep disorders then. But the condition, disorder, your sleep is not too severe, you can just take sleeping pills, herbal pills will help you last long sleep to 05 – 06h morning, break the habit of waking at 3pm. Condition disorders your sleep will improve after a few weeks of taking the drug. However, you should go to a doctor specializing in neurology or psychiatry for consultation and prescription, though the drug which is herbal medicine.

          On this is a number of questions related to symptoms of insomnia. The question of reading continue to be the doctor answered in the next section.

          Doctor CKII The Painting has 20 years of experience in the field of neurology. Special doctor has a lot of experience in the diagnosis and treatment of diseases such as sleep disorders, complications cerebral artery, herniated disc spine, parkinson’s disease, epilepsy, diseases of peripheral nerves, headache, dizziness… is a Doctor specialized neurological Medical hospital & medical hospital international Vinmec Hai Phong.

            Ventricular septal defect – congenital heart defects common in children

            Article get expert advice by Phd, dr. Nguyen Luong Tan – Head of department of cardiology, Heart center, hospital, international Vinmec Central Park

            Ventricular septal occupy 15 – 20% of the total number of cases of congenital heart disease. Disease ventricular septal influence many to health and the comprehensive development of the child with many dangerous complications such as growth retardation, heart failure, stasis blood, lung infections, pulmonary hypertension… and can be fatal if not treated promptly.

            1. Disease ventricular septal defect what is it?

            Disease ventricular septal or there abbreviated name in English is VSD, is a form of congenital heart disease the most popular today.

            In the human body, the two ventricles are the main two compartments in the lower part of the heart and they are separated by the septum. In which the left side of the heart will usually pump blood with great pressure and contains more oxygen (than the right) off the aorta to feed the entire body. Ventricular septal defect is exist 1 or more holes is located on the septum between the two ventricles this. If the hole is large it can cause heart failure, lung injury do not recover and lead to death.

            2. Ventricular septal symptoms like?

            The symptoms of ventricular septal your baby often appear after a few days, a few weeks after birth. With a newborn there is ventricular septal defect small hole will have no symptoms. Young with a vent large, long days may cause purplish lips and nails from lack of oxygen, fingers, legs, live drumstick of black blood from the right ventricle goes through the vents mixed with red blood side interior left (Eisenmenger syndrome).

            The symptoms of ventricular septal defect in children, including:

            • Skin, lips and nails are always in a state of cyanosis due to lack of oxygen.
            • Poor diet, not gain weight.
            • Baby breathing, fast breathing or shortness of breath.
            • Baby is always in a state of fatigue, weakness.
            • Baby having difficulty breathing when eating or when crying.
            • Feet or tummy of the baby is swelling.
            • Heart palpitations or irregular heartbeat.

            3. Causes and complications of ventricular septal defect in children

            Ventricular septal defect in children often has no obvious cause, possibly due to irregularities in the process of developing heart of the baby in the fetus. During pregnancy the mother is infected with the Rubella virus, device, diabetes, drugs, alcohol, or other stimulants be considered as the cause of diseases congenital heart defects. The complications of ventricular septal defect in children include:

            ● With ventricular septal defect small hole at least when there are complications, children still living and normal development.

            • Ventricular septal big hole has many dangerous complications such as:

              • Malnutrition: malnutrition is often accompanied by heart failure, recurrent infections, poor diet.
              • Pneumonia: lung infection recurrences, with clinical manifestations such as fever, cough, shortness of breath, rapid breathing, pull intercostal muscles, draw concave tits, young bored eating.
              • Heart failure congest: Due to the increase in blood flow through the heart to the lungs that the heart has to work more than usual. Long day heart dilatation, stasis of blood and can’t pump blood efficiently, does not meet the needs blood for the parts of the body. The symptoms of heart failure due to ventricular septal defect in infants, such as shortness of breath or sweating when feeding or exertion, fast breathing, pull, breathe, scream, even when resting.
              • Pulmonary hypertension heavy with Eisenmenger syndrome
              • Other complications such as arrhythmias, obstruction of cerebral vessels or brain abscess.

            4. Methods of treatment of ventricular septal

            The progression of the ventricular septal very diverse. Therefore, the treatment will need to be based on the factors such as hemodynamics, age, lesion anatomy, pulmonary artery pressure response of patients with treatment.

            Currently, there are 2 methods of treatment of ventricular septal privacy include: open heart surgery and intervention, close the ventricular septal defect through the skin.

            Currently, the FDA (agency management food and drug the United States) only allows performing interventions close the ventricular septal defect through the skin on the patient through small parts, in a ridge or a complication of myocardial infarction.

            Specify close the vent with open-heart surgery depending on the location, size, hole information, the patient does not respond to medical therapy, or have diseases of the heart congenital other comes.

            The case after surgery, has not surgery or without surgery need complications of infective endocarditis.

            Treatment of ventricular septal likely completely cured of the disease if it is detected early and treatment was correct in the medical facility prestigious. Hospital international Vinmec have center heart circuits with specialist pediatric cardiology assume the function of examination, ultrasonography, diagnosis, monitoring, treatment, and rehabilitation cardiovascular for pediatric patients.

            The faculty has successfully conducted many heart surgeries, including in children under 5 kg, and the newborns suffering from heart defects in which there is disease ventricular septal. Cardiology children’s hospital Vinmec has a team of specialists, rich experience, great reputation in medical therapy, surgery, interventional cardiology by applying many techniques currently most advanced in the diagnosis and treatment of pathologies of the cardiovascular.

            The faculty are linked a comprehensive cooperation with the cardiovascular Institute of the Bach Mai hospital, University Paris Decartes’s hospital Georges Pompidou (France), University of Pennsylvania (Usa)…

            You can demand advice and make an appointment can contact AT HERE.

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              Why fungus Aflatoxin in food mold to cause cancer?

              Aflatoxin usually are in the food mold is a toxic fungi that is produced naturally by some species of Aspergillus (a type of mold). In addition to causing acute poisoning (doses of about 10mg can be deadly), the mold Aflatoxin and is considered the cause of cirrhosis and liver cancer.

              1. Mushrooms Aflatoxin what is?

              According to research materials of the Bureau of food and drug (FDA) of the United States, mold Aflatoxin operation is very durable with heat. The peanut moldy is roasted with very high temperature will make the mold spores be destroyed, but their toxins still not completely destroyed. Therefore, when moldy it should be discarded, whether processed at high temperature, then eat to still be dangerous.

              Toxins Aflatoxin is known to be one of the pathogens of liver cancer most powerful when the diseases absorption of Aflatoxins through the mouth will cause the body contains a total amount of 2.5 mg of Aflatoxin for a period of 90 days and can lead to liver cancer after more than 1 year.

              2. Why fungus Aflatoxin in food mold to cause cancer?

              Use food container mold Aflatoxins to cause cancer, however many families still do not understand is this problem with simple thinking is just rub and dry for most mushrooms are all toxic and can be used so many who “procession of the disease to the body”.

              In fact, mold Aflatoxins not only toxic because of survive in dry food mold, but also in the persistent of it. Aflatoxin was born, in the form of chemical, so it will not be lost when processed at a temperature of hot or boiling temperatures of 1000 degrees C. scientific Research has shown that, want to remove a part of toxins Aflatoxins are required to a temperature higher than the boiling temperature (temperature roasting, drying from 1500 degrees C to more than 2000 degrees C).

              The toxins Aflatoxin to penetrate into the human body will be the liver metabolized to form the intermediate epoxide activation or hydrolysis becomes M1 less toxic. There are at least 13 types of Aflatoxin different in nature, in which Aflatoxin B1 is the shape unique. Aflatoxin G1 and G2 produced by Aspergillus parasiticus. Aflatoxin B1 is produced by Aspergillus flavus and Aspergillus parasiticus. Aflatoxins M1, M2, is produced and detected in the milk of cows when they eat right foods that contain mold aflatoxin.

              Any kind of animal which can be toxic aflatoxin. Adult then there is resistance, better should be its resistance to better, also for children when ingested food contain mold aflatoxin will develop and slow growth.

              Aflatoxin when absorbed into the body will attack the main organ is the liver, so it causes liver disease, cancer is mostly. People infected with the toxin aflatoxin , perennial high-risk cancer of the liver and gallbladder cancer.

              3. Concentrations of Aflatoxin as what is safe?

              According to the regulations of the United states, the function of mold Aflatoxin in food animal husbandry and food are FDA recommended safe include:

              • For animals reared for milk or for other purposes, the nuts used for pet, wags and feed (except the flour from cotton seed and corn): 20 (ppb).
              • For nuts used for breeding animals, corn or poultry have grown: 100 (ppb).
              • With respect to the type of grain used for pig meat from 100 pounds upwards and corn: 200 (ppb).
              • For cottonseed meal intended for beef, pork and poultry, with respect to the type of grain used for cattle the final stages and corn: 300 (ppb).

              According to regulation of Vietnam: Vietnam Ministry of health health regulations the content of Aflatoxins maximum limits (ML):

              • Type B1 in the food: 5 ML (micrograms/kg).
              • Type G1, G2, B1, B2 in food: 15ML (µg/kg).
              • Type M1 in milk: 0.5 ML (micrograms/kg).

              4. How to detect people infected with Aflatoxin

              Along with the development of medicine, then there are currently 2 ways that can help testers detect the level of infection toxins aflatoxin in humans:

              • The method of calculating the amount of complex AFB1-guanine in the urine.
              • The method of calculating the amount of complex AFB1-albumin contained in the serum.

              To the present time, there is no drug which can treat specific toxins aflatoxin. However, the absolute stay away from the foods that contain mold aflatoxin and building diet with full of green vegetables can help reduce cancer risk.

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                Stroke – dangerous complications of vascular malformations brain

                Those who suffer from frequent headaches, signs of dizziness, need to go check because there may be vascular malformations of the brain – disease causing stroke very fast.

                1. Disease, vascular malformations, brain

                Malformations of cerebral vessels is a congenital disease, develop from the fourth week to the eighth week of pregnancy, causing the arteries more direct connection with vein through the capillary network intermediary, so the majority of vascular malformations brain can survive in the brain that less what are the symptoms.

                2. Dangerous complications of vascular malformations brain

                Malformations of cerebral vessels developed over time, exist without symptoms for many years and is discovered primarily in the age of 45 back down in 3 situations: bleeding brain (50-60%); headache, epilepsy (40-45%) or incidentally discovered (5-10%). Some patients are detected quite late (60-70 years old).

                Estimate the proportion of people suffering from malformations of cerebral vessels is 18 in 100,000 people.

                Complications vascular malformations of brain includes:

                • When not broken: Patients with manifest chronic headache, medical therapy do not help, are these seizures type epilepsy. The case size lesions deformity may cause pressure on the brain and cerebral ischemia, cause polio and hand, foot, and… However, the disease may have no symptoms, only to be discovered accidentally when tomography, magnetic resonance or angiography of the brain.
                • When broken: This is complications the most severe of the disease, it will cause stroke, brain bleeding brain, often bleeding in the brain tissue, can bleed intraventricular or a combination of, very rarely subarachnoid bleeding. Symptoms of sudden, acute with the degree of severity varies with the manifestations such as severe headache, vomiting, nausea, increased blood pressure, consciousness may be normal, or lethargy, even coma, palsy hemiparesis, difficult to speak or not to speak is…

                About 2/3 of cases of this disease will suffer a stroke before the age of 40. Each year, approximately 4 out of 100 people who have vascular malformations brain will hemorrhage. When hemorrhage risk 15-20% risk of death or stroke, 30% have mental illness, 10% mortality.

                3. What to do when the patient suffered a stroke and discovered broken blood vessel malformations, brain?

                Each type of stroke the brain is diagnosed and treated in a different way. Patients whose expression is brain stroke should be taken immediately to hospitals on the nearest to be examined, handled the emergency, respiratory disorders, cardiovascular and CT brain emergency.

                If there is bleeding in the brain, the doctor will determine the type of bleeding the brain and predict causes in order to handle properly and timely. If the bleeding parenchyma of the brain due to rupture of small vessels on patients with hypertension, stucco, fiber arteries it would not have to take blood vessels the brain.

                Conversely, if the thought of bleeding due to diseases of the blood vessels of the brain, then the need to move patients on as soon as possible to take brain vessels (DSA) and interventional emergency treatment.

                4. Treatments for vascular malformations, brain

                The doctor will give the best treatment for you and this will be determined by the size of the malformation and position of it. There are 3 methods of treatment include:

                Obstruction intravascular (Endovascular embolization)

                In this technique, the doctor will insert a long thin tube into the leg artery and threaded through the blood vessels to the brain under the instruction of radiology images. The catheter is placed in one of the arteries nourishing to the blood vessels deformed and injection fluid embolism, such as small particles, substances like glue, microcoils or other materials, to block arteries and reduce blood flow in vascular malformations. Obstruction intravascular less invasive than traditional surgery. It can be done alone, but usually used before other treatments another surgery to make the procedure safer by reducing the size of the vascular malformations, or reduce the likelihood of bleeding.

                The casual form larger and complex structures is usually combination therapy methods. With these cases, doctors often button circuit in advance to reduce the size deformity, then surgery open surgery or radiation.

                Depending on the condition and vulnerability of each patient, method and treatment plan will be chosen the most appropriate way.

                Radiation treatment

                This way is also known as surgery, radiation or radiosurgery. An X-ray beam, a narrow focus on defects stars for high-dose targeting in arteriovenous malformation of the brain and the rest of the brain is much lower doses. This radiation makes malformation of brain vessels, brain, and closed at intervals of 2-3 years in 80% of patients. The risk of complications of this procedure low. Until vascular malformations brain is completely closed, then the risk of bleeding still.

                Surgery

                This is the oldest method to treatment of vascular malformations of the brain. Defects is cut off in the surgery room by anesthesia. Opening the skull, clamping and cutting the blood vessels malformations. Often applied when the malformation rupture caused intracranial hematoma, or mass deformed to cause signs of neurological. The risks of surgery is usually high with respect to malformations of cerebral vessels located in the deep in the brain have important functions.

                Besides, there is another option is to do nothing and just monitor the disease. Your doctor may recommend follow-up if they feel the treatment is not safe or detect the disease when you are older.

                Neurologist – Medical doctor and Internal medicine – hospital international Vinmec Da Nang is the only treatment of vascular malformations of the brain with many outstanding advantages, such as: There are many various medical specialties, our team of experienced doctors about the field of intensive systems, modern equipment.

                Doctor dean is Dr. – dr. Ton that Tri Dung has nearly 30 years of experience in specialized neurological stroke with many awards in scientific research. Private interfering brain circuits, the doctor had done 6 years and every year shooting, and intervention about 480 – 500 ca.

                Doctor Dung ever been trained in specialized neurological and abroad, engaged in teaching at the University of Medicine and Pharmacy, Hue, and holds many important positions at Hue Central hospital.

                You can demand registration, examination, treatment of vascular malformations of the brain at hospital international Vinmec Da Nang can contact AT HERE.

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                [Video] the importance of diagnostic tests before birth

                All pregnant mothers are keen to have 1 healthy pregnancy and square the circle mother. Therefore, the screening prenatal screening is 1 of the important elements of a product can capture the health status of the fetus and help the doctor make a decision to intervene before or after birth if the baby has these defects or gene abnormalities and minimize the risks to the baby born healthy.

                In addition to the information shared about the role of the test prenatal diagnosis, Doctor, Thai also helps pregnant mothers to better understand:

                • The factors that cause fetal defects
                • The technical screening filter ago includes what?
                • The timelines standard in ultrasound? The ultrasound screening defects can affect the fetus?
                • The meaning of the test results, prenatal screening to help control the risk how?
                • Vinmec are applying these techniques to pre-screen, you ask?
                • The mother is HIV can be diagnosed by way to know the fetus is infected with HIV?
                • Test chromosome is what?

                ThS.BS Thai is Chief of obstetrics and gynecology, general hospital, international Vinmec Nha Trang, with experience of over 14 years in specializing in obstetrics, prenatal diagnosis and assisted reproduction. Your doctor is the one who is trained first about ROBOTIC Surgery gynecology and is a member of the Society of ultrasound obstetrics and gynecology in the world.

                Test NIPT is a screening method for the prenatal non-invasive effective is the doctor at the general hospital, international Vinmec consultation with the pregnant women, helps to detect the abnormalities number and structure of chromosomes of the fetus in pregnancy. Thanks to the method of prenatal screening non-invasive based on DNA testing of the fetus in the mother, the doctor can detect is malformation of the fetus from 9 weeks of age instead of having to wait up to 12 weeks of age as before this, at the same time reduce the risk of miscarriage than with amniocentesis usually.

                For more information about tests of fetal malformations NIPT can come directly to the hospital Vinmec or call 0899.648.761 to be supported.

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                  11 how to protect your digestive system best

                  Diseases, digestive disorders, flatulence, heartburn, nausea, constipation or diarrhea occurs regularly will cause the influence to life. Change diet and lifestyle help protect the digestive system healthy.

                  1. Do not use canned food

                  Many refined carbs, saturated fat and additives contained in canned foods are related to an increased risk of digestive disorders.

                  • The food additives include glucose, salt and other chemicals, have proven to be contribute to increased intestinal inflammation.
                  • Trans fats trans fats are in processed foods not only has a negative effect on the health of the heart, which also leads to ulcerative colitis.
                  • Bottled beverages often contain artificial sweetener (xylitol), substance is said to increase the number of harmful bacteria to the intestinal tract. This also becomes the cause that leads to bloating, diarrhea and some digestive problems other.

                  On the contrary, the diet with fresh food, clean and rich in nutrients will protect you against the disease digestive disorders. Limit the use of canned and processed is the way to ensure optimum gastrointestinal health.

                  2. Supplement more fiber

                  Fiber is very beneficial for the digestive system. Three types of fiber common are: soluble fiber, insoluble, and prebiotic.

                  • Soluble fiber: Helps to absorb water into the stools making them softer, thereby preventing constipation effective. is found in oat bran, legumes and seeds.
                  • Insoluble fiber: acts like a brush, giant, help clean intestines, eliminate all waste and feet are in the digestive tract. Vegetables, cereals and wheat bran are good sources of fiber insoluble be trusted.
                  • Prebiotic: A form of fiber has the task of bringing beneficial bacteria, which helps intestinal health. Similarly, prebiotics are present in many fruits, vegetables and cereals.

                  A diet rich in fiber frequently have been proven to help promote peristalsis and reduce the risk of diseases of the gastrointestinal tract, including: ulcers, reflux, hemorrhoids , or appendicitis.

                  3. Don’t forget to add healthy fats

                  Healthy fats just help feel easily digested than after a meal, just improve the ability to absorb some nutrients dissolve in fat. Besides, omega-3 fatty acids can reduce the risk of diseases of the bowel diseases and digestive disorders. Food contains many omega-3 fatty acids are beneficial include flax seeds, chia seeds, and especially walnuts, as well as the fatty fish such as salmon, mackerel and sardines.

                  4. Provide a sufficient amount of water necessary

                  Dehydration is a common cause of constipation. Experts recommend drinking 1.5-2 liters of water each day to prevent this condition. In terms of hot weather or for people with exercise – sports, they need additional amounts of water much more than that.

                  Besides water, you also have to provide fluids for the body by herb tea and other beverages do not contain caffeine.

                  Another way to meet the water content required is to eat the fruits and vegetables, berries water, such as cucumbers, zucchini, celery, tomatoes, strawberries, grapefruit and peaches.

                  5. Keep spirit comfortable

                  The gut and the brain is said to have linkage complex, that what is negative happening in the brain will also bad effect to the intestines. When in a state of excessive stress, the body will secrete the hormone causing blood and energy moving out of the digestive system. Stress is said to be related to health problems such as stomach ulcers, diarrhea, constipation, and irritable bowel.

                  Control stress, yoga or sitting meditation has been proven to just help relax the mind, relaxed thinking, just have the effect to improve the symptoms in people with irritable bowel syndrome and the disease digestive disorders.

                  6. Focus when eating

                  If not, focus your attention on the meal, you are easy to eat too much and too fast, this can lead to bloating or indigestion.

                  Studies have shown that chewing slow and focused enjoy a meal can reduce the symptoms in people with ulcerative colitis and irritable bowel syndrome.

                  Don’t forget to turn off the TV and put away phones as well as mobile devices when eating to help prevent digestive problems as common as indigestion, bloating.

                  7. Eat slowly chew thoroughly

                  Fact, the process of digestion began in the mouth. When chewing as long as the saliva secreted as much. Saliva has the role supports the digestive 1 part food in the mouth and become liquid to help mix food in the stomach before moving on the small intestine in a smooth way.

                  While chewing is not carefully related to the reduced absorption of nutrients, then the opposite, chewing food thoroughly will help prevent the symptoms such as indigestion and heartburn. Moreover, action chew slowly even is proven to help reduce stress, and this also has the ability to protect the digestive system.

                  8. Positive physical movement

                  Regular exercise is one of the best ways to consolidate health for the digestive system. A gentle stroll after meals can help food move through the digestive system easily.

                  The study showed that healthy people have a moderate exercise, for example cycling and jogging, make time intestinal transit increased by almost 30%. On the other hand, walking 30 minutes per day significantly improves symptoms in chronic constipation. In addition, exercise also has anti-inflammatory, thanks to its ability to reduce compounds that cause inflammation in the body, thereby preventing inflammation of the intestines.

                  9. Slow down and listen to your body

                  If no capture signal hunger and satiety of the body you will easily eat too much, then is to feel bloating, abdominal bloating and indigestion.

                  Many people believe that when the stomach is full, then it takes up to 20 minutes after the new brain realized it and ordered control you stop eating. Although science still has not proven accurate, but the fact is it takes a period of time to the hormone satiety or hunger from the stomach to secrete to be with the brain.

                  Therefore, should take the time to eat slowly and pay attention to the serving just enough with yourself is a way to prevent the digestive problems such as indigestion and flatulence. Also, eating according to emotions also have a negative impact on the digestive system. Instead of eating when you are anxious, relax before a meal can improve the unwanted symptoms of digestive disorders.

                  10. Abandon bad habits

                  Everyone knows bad habits such as smoking, drinking too much alcohol, and eating late at night is very harmful for general health. However, the behavior on is also responsible for a number of digestive problems.

                  • Smoking:

                  Work almost doubled the risk of acid reflux. This bad habit also related to gastric ulcer, causing inflammation of ulcerative colitis or cancer of the gastrointestinal tract progresses more severe. Always remember that quit smoking cigarettes would bring a lot of benefits.

                  • Drinking:

                  Alcohol causes stomach acid production increases, which can lead to heartburn, reflux or stomach ulcers. Drinking too much alcohol also causes gastrointestinal hemorrhage, enterocolitis, and damage to gut bacteria are beneficial.

                  • Eating late at night:

                  Sleeping after eating late at night will lead to heartburn and indigestion. The reason is because the body needs time to digest, as well as need gravity pull food have food moving at the right direction. When you lie down, the gastric juice will rise up and cause heartburn or reflux symptoms. After eating, should wait 3-4 hours to have time for food moving from the stomach to the small intestine should go to sleep.

                  11. Supports the intestines the nutrients

                  A number of nutrients necessary for healthy digestive tract include: probiotics, probiotic, glutamine and zinc.

                  • Probiotic:

                  Is beneficial bacteria for the intestinal tract, improve indigestion, flatulence, as well as the symptoms of constipation and diarrhea. Probiotics are found in fermented foods such as sauerkraut, kim chi, yogurt, and is formulated in the form of capsules includes a mixture of strains of Lactobacillus and Bifidobacterium.

                  • Glutamine:

                  Is amino acid protection intestinal health and is proven to have the ability to reduce intestinal permeability (leaky gut) in people with severe disease. Can supplement glutamine in foods like turkey, soy, eggs and almonds. Should consult your doctor before choosing the form of direct drinking active substance glutamine.

                  • Zinc:

                  Is a very important mineral for healthy intestinal support, treatment of diarrhea, colitis, leaky gut and other digestive issues. Zinc deficiency can cause you to suffer from digestive disorders. As recommended, the amount of zinc necessary to replenish daily is 8 mg for women and 11 mg for men. Foods rich in zinc include shellfish (seafood), beef and sunflower seeds.

                  In summary, for those who are experiencing the disease, digestive disorders, changes in diet and a healthy lifestyle can help improve this situation. In it, a menu with fresh food, clean, rich in fiber, healthy fats and nutrients is the first step to having healthy digestion.

                  Besides, pay attention to eat slowly chewing thoroughly, reducing stress and exercise will also bring many benefits. Finally, abandon the bad habits affect digestion like smoking, drinking too much alcohol and eating late at night will help to reduce the symptoms when suffering from digestive disorders.

                  Article reference source: Healthline.com

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