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How to treat sinusitis

For the treatment of sinusitis Will mainly use medical treatment methods which are

1. Using medication

Sinusitis can be treated with medication. But must be a medicine that is under the care of a doctor By dividing the drug used to treat as follows.

•     Antibiotics include penicillin and tetracycline (Tetracycline)
•     Anti-swelling drugs for swelling are used as 2 types of drugs, anti-inflammatory drugs. And blood vessel constriction drugs.
•     Antihistamines
•     Mucilage

2. Sinus rinsing

Sinus rinsing is used in patients who have symptoms for more than 3 weeks. Sinus rinsing is used in 2 ways:

    Direct sinus rinse is the doctor will penetrate the sinus wall in the nasal cavity. And wash as usual.
    Sinus rinsing with a phlegm suction is a method of sinus rinsing for children. By using salt water mixed with anti-swelling drugs to wash

3. surgery

If treated with other methods but cannot cure the disease The doctor will treat sinusitis with surgery to repair the abnormal part. In order for the sinus to return to normal function again.





How to take care of yourself when having sinusitis.

When having sinusitis Taking care of yourself is considered the most important matter. Which can follow as follows

•     Should rest enough
•     Keep warm
•     Apply a warm compress to the affected area.
•     Should not be in an area with rapidly changing weather
•     Avoid unnecessary antibiotics
•     If there are more symptoms, should see a doctor. With follow-up treatment regularly

Ways to prevent sinusitis

As for ways to prevent sinusitis Can be done by changing the behavior as follows.

•     You should get influenza vaccines every year.
•     Drink clean water
•     Exercise regularly
•     Choose healthy food Especially vegetables and fruits
•     Avoid areas with pollution that affects the respiratory system.
•     Avoid substances that cause allergies, such as pollen. Or other irritants

Sinusitis Is a disease that can affect everyday life very much Especially dangerous to the olfactory nerves, therefore, when abnormalities should be treated urgently.





Complications of sinusitis

Sinusitis is a complication that can be divided into

1. infection

Sinusitis patients Infection is a symptom of normal complications. But the infection will gradually Improved respectively according to the duration of the disease.

2. Touch perception decreases

Especially the touch of smell In which the sense of smell will be reduced If it happens only temporarily or some may be permanently lost. In the case of obstruction in the nostril Which will cause nerves for sniffing to follow.

3. The salivary glands are clogged.

Caused by the mucus in the sinus cavity clogging the salivary glands. Turn into a virus Which can expand to the general structure within the respiratory system.





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How to treat sinusitis

•     In viral sinusitis patients Most of the symptoms are treated, such as painkillers, rinse the nose with saline and nasal spray steroids.
•     In patients with acute sinusitis caused by bacteria If the patient has mild symptoms such as slight pain, fever below 38.3 ° C It is advisable to observe the symptoms and to use antimicrobial drugs when the patient's condition does not improve. Or worsen within 7 days. However, should consider the age General health and medical conditions of patients as well
•     The first antimicrobial drug that should be given is amoxicillin and should be given for a period of 10-14 days (if allergic to penicillin may be considered trimethoprim / sulfamethoxazole or macrolides) and if the antibiotic is not given for 7 days Pathogens may not be bacteria. Or is a bacteria that is resistant Therefore should be cultured to In order to use drugs that are suitable for the pathogen And change to other types of antimicrobial drugs while waiting for the culture results If patients have received antimicrobial drugs before, within 6 weeks, or in patients with severe symptoms, the group or dose may need to be changed. Nasal spray steroid medication can also be used to treat acute sinusitis as well. To relieve the patient's symptoms
•     For chronic sinusitis Bacteria may not be the cause of the occurrence. From the culture studies that separate the sinus cavities of normal people and patients with chronic sinusitis There were no significant differences in the presence of bacteria in both groups. Antimicrobial treatment in patients in this group No research supports Therefore, will be chosen in cases where birth is occurring Acute exacerbation and should be cultured for antimicrobial drugs. That is always right first Because of the study in this group of patients There was a change in the type of bacteria in each period. That culture from the same patient
•     Corticosteroids Nasal spray has a role in reducing the size of the hemorrhoids. And reduce other symptoms Caused by rhinitis, such as stuffy nose, runny nose, sneezing, but has little effect on the smell.

Examination to help diagnose

•     Sinus x-ray image May find abnormal Such as the opacity of the sinus cavity by comparing the maxillary sinus with the socket Is entirely opaque Partly opaque, seen as an air-fluid level or with thickening of the sinus septum. The first two radiographs are more relevant to the diagnosis than the radiographs of the sinus septum that may be found in normal people and allergic patients.
•     X-ray computer And the magnetic x-ray of the sinus Will find abnormalities of the nasal mucosa And / or sinus disorders in the osteomeatal complex, which is the opening of the sinus Which can be found In normal people without symptoms up to 33%, so it is not recommended to conduct such tests in the diagnosis of common sinusitis, but it is recommended to do in the case of patients with acute sinusitis with complications in the eye, brain or in people Patients who have suspected tumor of the nose and / or sinus Or there are other causes that cause pain in the face Or sinusitis patients who have given medication have not improved Patients diagnosed with sinusitis together with a history of having had an accident or having facial surgery before Or in groups that are at risk for complications From sinusitis, such as patients with immune deficiency problems such as diabetes, leukopenia, etc.

Complications from sinusitis

•     Through the eyes, the suspicious symptoms include puffy eyes, sore eyes, rolling eyes and then sore. Blurred vision or See blurry images, etc.
•     Via the brain. Suspected symptoms include headache, nausea and vomiting. Blurred vision or Can't see the picture Muscle weakness Together with high fever etc.

Risk factors that cause sinusitis: flu, allergies, swollen nasal septum Gastroesophageal reflux disease, etc. Some behaviors that stimulate swelling of the nasal septum, such as prolonged cold contact. Irritated by dry and cool air. Including sudden temperature changes.






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Ways to reduce the risk of heart disease.

Change daily living habits

1. Refrain from salty foods
Such as salted eggs, shrimp paste, pickled bean paste, pickled vegetables, tofu, salted pork, etc. should limit the amount of table salt intake (Not more than 6 grams per day). Most Thai people eat very spicy food. Especially salty, spicy, salty foods will have a lot of table salt Which, when eaten, will cause the body to absorb more water back into the bloodstream The amount of blood in the body increases. The heart will work harder. Patients with heart disease can have symptoms of wheezing or swelling. And if having renal failure or kidney failure as well (Commonly found in patients with heart disease) will result in the heart working harder.

2. Avoid high-fat foods
From the study of patients with heart disease with high blood cholesterol Or normal people who do not have heart disease but have high cholesterol levels Found that reducing blood fat helps to slow the coronary artery stenosis. In general, controlling foods that are high in fat can help reduce fat in the blood. But may not decrease much (Less than 20 percent), therefore may need to share medication in some cases

3. Focus on foods that contain fiber
Found that foods that are high in fiber are beneficial to health Whether with heart disease or not Because it helps reduce fat absorption Prevent constipation Helps reduce the chance of colon cancer.

Foods that are high in fiber are cereals, corn, brown rice, coarse rice, red rice, whole wheat bread, konjac germs, etc. Fruits that are high in fiber include guava, orange, pineapple, papaya, sapodilla, etc. In addition, vegetables and beans provide more fiber. together

4. Abstain from smoking and avoid alcohol.
The amount is limited to no more than 1 unit in females and 2 units in males.
1 unit is 360 ml of beer (1 can), 150 ml of wine (1 glass), 45 ml of whiskey (15 ml = 1 drink).

5. Exercise regularly
Exercise at least 30 minutes each time, 3 times a week and should be aerobic exercise such as brisk walking, swimming, cycling and aerobic dancing, etc.
Exercise helps the mind relax from stress and improves the heart's ability to pump blood.

6. Overweight
Control weight to be within the normal body mass index (BMI) should not exceed 23 kg / m 2, calculated from body weight (In kilograms) divided by height (In meters) squared, or waist measurements, should not exceed 32 inches in females and 36 inches in males




Food menu reduces the risk of heart disease. (Eat to not receive more than 1,200-1,500 calories per day of energy)

The breakfast
Seabass porridge with boiled egg, 338 calories
Rice topped with stir fried chicken, ginger and mushroom, 280 calories
Toast, tomato juice (orange juice), 202 calories
Rice with Baked Pork, Pineapple and Fried Cantonese, 275 calories

Lunch
Chicken Noodles topped with Cantonese Pineapple, 519 calories
Rice topped with spicy stir fry (without coconut milk), 320 calories
Rice with grilled chicken, papaya salad, cucumber, 340 calories
Rice with steamed sea bass, lime, 303 calories
Beef noodles, 311 calories

Dinner
Rice with sour curry, morning glory and fish, 313 calories
Rice, Chilli Paste, Grilled Fish, Dip with Vegetables, 250 Calories
Stir fried rice with morning glory and bean curd Braised beef with bean sprouts, 311 calories
Clear vegetable salad, 274 calories
Saba Grilled Rice with Rice, 350 calories

Eating and exercising correctly is the best way to reduce your risk of heart disease.

Changing eating habits
Heart disease patients Should be taken care of Put in proper food intake To prevent the disease from spreading Especially avoiding foods that contain saturated fats and trans fat, which is a major cause of coronary heart disease. In this issue, I have some suggestions on food choices for heart disease patients.

•     Limit the intake of foods that are high in fat and foods that are high in cholesterol. This type of food will cause the accumulation of fat that sticks to the artery wall. In which the holes of the arteries become smaller Causing a heart attack Or cerebral palsy, so patients should refrain from consuming this type of food, such as margarine butter, substances that make crispy batter, cream, gravy, and choose to cook using unsaturated vegetable oils such as olive oil. corn Soybean oil etc.
•     Choose to consume low-fat protein foods. Which is present in meat dishes such as ducks, chickens, fish, milk, eggs, but some types have Saturated fats and high cholesterol Therefore, choosing to consume protein foods Should choose in groups that are low in fat, such as choosing to eat fish. Or the meat in the lean section Refrain from eating animal yolk offal if eating milk Should choose skim milk Or may choose to eat vegetable protein such as various types of beans
•     Eat more fruits and vegetables. Fruits and vegetables are good sources of vitamins, minerals and dietary fiber. There is also a substance called Phytochemicals found in plants and help prevent heart disease. Should choose to eat fresh produce No eating coconuts And canned fruit in syrup
•     Choose to eat rice or products from rice that is not polished to remove bran (Whole grain) such as whole wheat bread, coarse rice, oatmeal, which these foods contain dietary fiber. And many vitamins and minerals as well
•     Consume the right amount of food for daily energy consumption. Should not consume too much food Should give an appropriate amount of energy each day Will help prevent excess energy storage in the form of fat Which will cause obesity That can cause heart disease to follow

Exercise
Normal, moderate to strong activities are a good way to reduce the risk of heart disease and heart disease. It can help control blood cholesterol, diabetes and obesity, and can also help lower blood pressure and reduce the risk of stroke. Simple exercise such as walking, gardening, home and dancing for a total of 30 minutes every day will help your heart. If you get active, start with 10 minutes and increase gradually for 30 minutes. The American Heart Association recommends 30-60 minutes of vigorous exercise, 3-4 times each week for heart and lung conditions. Brisk walking, aerobics, jogging, jogging, migration, swimming and sports such as tennis singles, racquetball, football and basketball are appropriate activities. The important thing is to make time for the regular program of exercise. Check with your doctor before you start a vigorous activity program, especially if you are in middle age or older, have heart disease or have other medical problems, and have been active for a long time.




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Ways to prevent high blood pressure

Since most high blood pressure occurs for unknown reasons, it can be prevented. By avoiding risk factors that cause high blood pressure as follows

Regular physical examination and blood pressure measurement

• Trying to control body weight, not obesity, maintain a body mass index no more than 23, the pressure reduced by 5-20 mm Hg.
• Not eating salty foods, sodium content less than 100 mEg / L (salt less than 6 grams / day), pressure reducing 2-8 mm Hg.
• Eating vegetables and fruits regularly, eating more fruits and vegetables, reducing foods that are oily And saturated fat, the pressure reduced 8-14 mm Hg
• Exercise regularly, exercise a day 30 minutes, at least 3 days / week, reduced pressure 4-9 mm Hg
• Get enough rest, sleep at least 6-8 hours / day, pressure at 1-2 mm Hg.

Reduce stress, anxiety Doing relaxing activities such as listening to music, watering plants, reading books, and smoking and alcohol.





Blood pressure definition

"Blood pressure" is the pressure that pushes inside the blood vessels in the circulatory system. There are 2 numerical values ​​which are

    Systolic blood pressure Is the pressure while the heart compresses to pump blood to different parts of the body
    Diastolic blood pressure Is the pressure when the heart relaxes

Therefore, blood pressure reporting always consists of 2 numbers, such as measuring blood pressure of 120/80 millimeters of mercury.

The meaning of each blood pressure

Systolic blood pressure (Millimeters of mercury)

•     Less than 120 normal blood pressure
•     120-139 levels before being high blood pressure
•     140 and up, high blood pressure

Diastolic blood pressure (Millimeters of mercury)

•     Less than 80 normal blood pressure
•     80-89 levels before being high blood pressure
•     90 and up, high blood pressure

Causes of high blood pressure

High blood pressure The exact cause is not known. But there are some common factors that cause high blood pressure In which more than 90 percent of patients with high blood pressure do not know the cause But may be caused by two factors, namely genetics and behavior And less than 10 percent of patients with high blood pressure are known to have high blood pressure, such as high blood pressure due to the use of certain birth control pills. Or the occurrence of adrenal tumors, etc.




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How to lower blood pressure with medicine divided into 5 groups

1.  Angiotensin converting enzyme inhibitors (ACE inhibitors) are drugs used to treat hypertension and congestive heart failure.By inhibiting the enzyme in the body known as this enzyme Will change the substance In the body called Angiotensin I is Angiotension II (which Angiotensin II causes the blood vessels to contract, causing high blood pressure. And stimulate the secretion of Aldosterone, which causes the absorption of sodium salt back into the body in the kidney area). As a result, the amount of the substance causes the opposite effect is Blood vessels will expand. Causing blood pressure to drop

•     Reduces the production of substances that cause the blood vessels to contract, Angiotensin II and
•     Reduce the dissolution of substances that cause the blood vessels to expand, including substances. Bradykinin

Effects of ACE inhibitors

•     Reduce the resistance of Arteriole system
•     Causes the veins to expand, increasing the capacity of the venous system (venous capacitance)
•     More heart to inject more blood
•     Reduce the resistance of the blood vessels to the kidneys (renovascular resistance) to increase blood supply to the kidneys and increase salt excretion in the urine (natriuresis)
•     Epidemiology and clinical studies have found that ACE inhibitors also help to reduce kidney failure due to diabetes or insipidus.

2.  Angiotensin Receptor Blockers (ARB) ARB drugs include losartan, irbesartan, valsartan, candesartan.

•      Expand both the veins and arteries. The result is that it will lower blood pressure. And reduce tiredness from a heart attack
•      Reduces the stimulation of angiotensin II, reducing the blood pressure.
•      Expand the blood vessels in the kidneys, causing the kidneys to expel water and minerals, which will reduce swelling.
•      Prevent heart attack Ischemic heart disease

3.  Beta-blockers Is a drug that blocks the autonomic nervous system, which can cause blood pressure and decreased motor activity. This drug is suitable for patients with high blood pressure that is found with a sudden perversion. Patients have chest pain from coronary arteries. And also prevents headache from migraine Drugs in this group include atenolol, propranolol, metoprolol.

How does beta blocker work?

The transmission of nerve commands is transmitted by the secretion of chemicals at the nerve endings. And the cells have receptors called receptors. Beta blocker drugs act by protecting against hormones Norepinephrine and epinephrine bind to the receptor at the nerve endings. Norepinephrine and epinephrine hormones are generated from the adrenal glands, which stimulate the heart to squeeze. There are three types of beta blockers:

•     Beta-1 (β1) receptors are located in the heart, eyes, kidneys
•     beta (β2) receptors are found in the lungs, gastrointestinal tract, liver, uterus, blood vessels, muscles
•     beta (β3) receptors are located in fat

The action of beta substances

The result is a slower heartbeat. Less compression, distal vein contraction, bronchial contractions In asthma patients, the uterus has contractions.





4.  Diuretics. Diuretics are the first to treat high blood pressure. This drug works by expelling salt from the body. Most often used in combination with other drugs. Commonly used drugs are hydrochlorthiazide, furosemide, diuretics that cause high potassium such as Spironolactone, Amiloride, Trimterene Side effects of this drug group are May cause dehydration Low potassium salt High blood cholesterol Blood alkalinity Low sodium salt





5.  Calcium channel blockers These drugs will block the inflow of calcium salts causing the heart muscles to contract. Blood pressure drops. Drugs in this group include Amlodipine nifedipine, fellodipine nisoldipine nicardipine.

Prevention of hypertension

Regardless of your race, age, or gender, you can prevent high blood pressure. Or the treatment of high blood pressure without medication by using the following methods called Behavior changes or treatment for high blood pressure without medication, also known as behavior modification. The table shows how to change behavior and lower blood pressure levels.

•     Keeping weight under normal conditions If you are fat, quickly lose weight.
•     To exercise regularly
•     Choose low-salt foods
•     To reduce the amount of alcohol to be at an appropriate level
•     Abstain from smoking is an effective way to prevent cardiovascular disease.
•     Stress management
•     Eat quality food by reducing salty foods. Reduce food. It increases vegetables and fruits by eating food, lowering blood pressure.
•     Consult a doctor about your current medication because some medications can cause high blood pressure.
•     To use birth control pills you must consult a doctor.

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How to cure the flu

Currently, there are two types of antiretroviral drugs used to treat influenza.

•     Oseltamivir, trade name Tamiflu. Oseltamivir is available in both liquid and capsule form. Can be used to treat flu symptoms in infants from the age of 2 weeks and up. And can also be used to prevent influenza in children aged 1 and older as well
•     Zanamivir, trade name Relenza. Zanamivir is used to inhale medication from flat cartridges. For the treatment of influenza in children aged 7 years and up, as well as to prevent influenza in children aged 5 years and more.

The use of antiretroviral drugs to treat influenza symptoms at the highest efficiency. The drug must be used within 48 hours after experiencing symptoms. The result of using these drugs Will be able to reduce the illness of the flu in only one day But can prevent And can reduce the chance of complications later





Flu medications that don't require a doctor's prescription (Over-the-counter Drugs)

For medication You can use drugs that do not require a doctor's prescription. To reduce the symptoms of influenza But should read the label carefully before using. Be careful not to overdose as follows

•     Paracetamol, the common name is Acetaminophen.
•     Aspirin (aspirin) for those aged at least 19 years old
•     Ibuprofen
•     Naproxen
•     Phenylephrine reduces swelling of the nasal septum.
•     Cough medicines and expectorants, such as Codeine and N-acetylcysteine. (N-acetyl-cystine)
•     Lozenges relief lozenges such as lozenge

Paracetamol (Acetaminophen), Ibuprofen and Aspirin can reduce fever and relieve pain. However, the use of paracetamol overdose Will cause damage to the liver In which many flu medicines are prescribed Acetaminophen Which the user may not know, such as Tiffy etc.





Herbs that can cure influenza

Various herbs can be used to prevent and treat cold and flu symptoms, just like modern medicine. But should be used under the guidance of public health personnel Since many herbs have side effects, they can interact with certain drugs. In general Not recommended to use herbal medicines for pregnant women. And women who are breastfeeding

Although there is still no clear education. About the treatment of influenza with herbs But herbs have properties to help alleviate the symptoms of influenza as follows.

•     Elderberry extract can reduce the symptoms of influenza. By reducing stuffy nose And can sweat better
•     Eucalyptus helps to relieve nasal congestion, dissolve phlegm and reduce sore throat.
•     Peppermint or Menthol helps to relieve nasal congestion. Reduce the volume and dissolve phlegm
•     Slippery elm herb can relieve sore throats.

Guidelines for the treatment of influenza at home by oneself

In addition to resting and drinking enough water The following actions will help reduce the symptoms of influenza.

•     Drink green tea, black tea, or hot herbal tea. You can mix lemons or honey as needed.
•     Drink hot chicken soup
•     Control humidity in the air
•     Shower with warm water Or being in the bathroom By keeping the high temperature water on To create steam
•     Boil water Bow down over the pot Then inhale the steam Or may use a towel to cover the head and radiator too In order to fully inhale the steam
•     Gargle with salt water to relieve sore throat.
•     Use saline to wash the nasal passages.
•     Warm compress on forehead or nose To relieve headache or nasal cavity

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9 vitamins and minerals for the baby in the womb

#Folic acid
Folic acid is a type of vitamin B. Necessary for child development during the first 3 months, if insufficient exposure may cause cerebral and spinal cord disorders in children There is still research that Folic helps to strengthen brain cells. And can help prevent Alzheimer's disease Adequate intake in folic acid Helps good brain development And strengthen the child's brain fibers as well
#What to eat: green leafy vegetables, fruits

#calcium
Calcium helps to develop the body structure. Especially the building of bones And the teeth of the fetus And various tissues In addition, it also helps normal bodily processes such as the musculoskeletal system. Immune system These systems require calcium.
#What to eat: fresh milk, cheese, nuts and sesame

# Iron
Pregnant mothers need more iron than normal people. Because the body will create the placenta and the baby In addition, it also creates blood for the mother. If you don't get enough iron May cause anemia to the mother, which will have many consequences, which are Increase the risk of miscarriage Miscarriage Low fetus The fetus has anemia. If very anemia May cause amniotic fluid. Which can cause the child to die in the womb In addition, it may be dangerous to mothers during labor. Because it could cause bleeding until death
#What to eat: red meat, oysters, liver, egg yolks, beans and whole grains

#Vitamin E
Vitamin E contributes to the production of red blood cells and prevents miscarriage and toxicity. But if the mother's body gets too much From the benefit, it may turn into a penalty. Is increasing the risk of miscarriage as well
It is advisable for mothers to consume vitamin E from their diet rather than taking vitamin E supplements. Because it may be too high in vitamin E Best way is not to buy vitamin E supplements to eat by yourself. But should consult an obstetrician who supervises And the obstetrician is prescribed the vitamin supplement pill Will be safer
#What to eat: rice bran oil, cereal and beans

#protein
The demand for protein will increase during the second three months. And the last three months of pregnancy Proteins are essential for strengthening body cells. And the growth of the brain If the baby receives insufficient protein Will make the brain smaller than usual
#What to eat: meat, eggs, fish, tofu, soy

#Vitamin B1
Vitamin B1 contributes to the development of the central nervous system of children. If not enough At risk of beriberi Which can be harmful to the heart and lungs of children
#What to eat: pork, fish, chicken, liver, eggs from plants: nuts and whole grains

# Vitamin B6
Vitamin B6 helps your baby's brain development and system And in some cases can also help reduce morning sickness
What to eat: fish, offal such as liver, milk, egg yolks, whole grains, whole grains, legumes, green leafy vegetables, bananas

#Zinc
Zinc is a very important mineral for cell growth in infants. And enhances the production of enzymes such as insulin in pregnant women. In addition, zinc also helps to reduce the risk of autism in children.
#What to eat: red meats, seafood, ducks, chickens, beans, rice, milk

#DHA
DHA is a polyunsaturated fatty acid, which belongs to the group we call Omega 3, which is beneficial to the body. Helps to promote the development of the brain and eyes of children.
#What to eat: tuna, salmon, mackerel, snakehead fish, pangasius, catfish, organic fish, eggs and various nuts

Eating all 5 food groups will result in a baby. (And yourself) already receiving a complete level of nutrition However If pregnant mothers feel that they have a problem getting their nutrients completely and are looking for additional vitamins or supplements We have to take into account the specific needs of each individual, so consulting with a medical professional will be a safer option than buying a supplement to eat by yourself.



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