Basic instructions To protect themselves from the new strain of corona virus

Basic instructions To protect themselves from the new strain of corona virus

Practices that were used at that time With the hope that everyone can do it by himself Will help prevent infection In a situation where there is no vaccine against a new strain of the corona virus


Wear gloves when going out.
Always wear gloves When leaving the house Travel and in public Can be any type of gloves

Do not touch your face and eyes with your hands.
If in a situation that requires taking off gloves such as eating or greeting Do not touch your face or eyes with your hands. Regardless of how it feels Keep hands away from faces. Before putting on the gloves again Wash your hands thoroughly with warm water soap, rub your fingers, then wear gloves.

Change gloves every day
Wash and do not put on damp gloves

Don't take yourself to a place where there are a lot of people.
Avoid being in densely populated areas. And try to keep a distance of about 1.5 feet from others. If someone coughs or sneezes Should let them wear a mask To prevent the body fluids from spilling onto us Don't hold hands or hug anyone. Just waiing or bowing slightly May say that at this time we shouldn't touch each other

Change towels frequently
Towels should be changed everywhere in the house. Instruct everyone to use their own towels only Wash your towels 2 times a week. Moist towels are a virus-like item.

Beware of doorknob
Be careful of the doorknobs. If having to open and close the door Use the elbow or side instead. Wear gloves when turning the doorknob. Or wash hands after every touch If someone in the house is sick Clean the door knob frequently Same as railing Mobile phones, computers, toys, used belongings If you have to handle these items from other people Do not put your hand on the face But must wash hands first

Using a medium spoon
Eating together, use a middle spoon, do not drink water from the same glass Wash food and kitchen utensils thoroughly. Avoid unclean restaurants Assessed unhygienic

Abstain from raw materials first
Do not buy, kill or consume raw meat Or fish that do not know the origin Which may be a source of viruses

Open the window for ventilation
Open the window of your house or office to allow air flow. The virus cannot tolerate ventilated air. Except when the weather is bad. For example, if it is cold, keep warm and close all windows.

Taking care of patients and also having to take care of themselves
If looking after a friend or family member who has a fever Wear a tightly closed mask whenever they're near them. And put a mask on the sick person too When changing the gag of the patient, put rubber gloves carefully wrapped before putting in the trash. Wash the patient's face with warm water and soap while wearing rubber gloves. Wipe the face with disposable paper. Wrap well in a plastic bag before throwing it into the trash. Wear clothes that cover your body while looking after them. Clean all the clothes and everything the sick person touches in warm water mixed with soap. Including towels, sheets, oranges, if there is a separate area for the sick, to be in a separate area

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Prevention methods "Corona virus"

Prevention methods "Corona virus"

New species of corona virus Also known as "Wuhan disease" that is currently plagued As severe as SARS Causing the patient to have severe pneumonia to the death World Health Organization Still unable to find the exact source of the infection But speculated that it may come from traded wildlife meat And now the virus can now spread from person to person due to coughing, sneezing or contact with secretions of sick people, so we should take care of ourselves to keep the body away from the corona virus. With the following coping methods

•     This virus is transmitted through secretions such as mucus and saliva. Wear a mask to prevent
•     Corona virus is contagious in mammals. Meat such as pork and beef should be eaten only.
•     Should eat cooked food, refrain from raw food and wild meats
•     Regularly wash hands or wipe with alcohol.
•     Not stay close to the patient who coughs
•     Avoid being in a crowded place. And there is pollution
•     No traveling to risk areas
•     Do not touch hands, eyes, nose, mouth if not needed.
•     Do not share items with others, such as handkerchiefs, glasses, etc.
•     If having a fever Respiratory symptoms such as coughing, sore cough, namely snot breathing, wheezing Put on a mask. And hurry to see a doctor immediately !!! Consult a doctor. Click.

The initial symptoms observed from the corona virus infection or "Wuhan disease" are as follows.

•     Have a fever
•     steam
•     Sore throat
•     Runny nose
•     Racers

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How to protect yourself from "Corona virus"

How to protect yourself from "Corona virus"

1. If there is a plan to go to the country where the epidemic is, if not necessary, postpone the trip first

2. Avoid touching animals, animal markets or animal products Because the first group of people infected From animals to humans At the seafood market And animal trafficking in Wuhan

3. Don't put yourself in a crowded place.

4. Not near the person who has respiratory symptoms Or having a cold

5. If coming back from the risk area, if there is a fever, cough, sore throat, nasal discharge, wheezing Hurry to see a doctor and report travel history.

6. Call the Department of Disease Control hotline Tel. 1422 to have the car from the hospital to pick up immediately.

7. Stay 180 cm away from a person who coughs or sneezes to escape saliva. And the mucus that will spread out

8. Wash hands with soap and water for at least 20 seconds or use hand sanitizer or alcohol.

9. Eat hot, medium spoons, cooked food, enough rest

10. Even though it is the last one, it is very important to wear a mask in a crowded community first.

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How is Corona virus protected?

How is Corona virus protected?

Of course, the corona virus is very dangerous, so we should prevent and take good care of our health. By the method of preventing corona virus Can do as follows

•     Avoid being in a crowded place.
•     Always wear a mask when going out to public places. Or have to contact people who are sick
•     Do not eat meat that is not cooked
•     Do not share personal items with others.
•     Always wash your hands thoroughly. And do not bring your hands to the eyes, nose and mouth if not necessary
•     Get enough rest
•     If having fever Respiratory system problems To see a doctor immediately

In addition to 7 things to do to prevent this virus corona Frank also recommends that anyone with plans to travel to China at this time. If possible, the date of departure should be postponed first. Waiting to be able to control the disease before traveling will be the safest.

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How is Corona virus transmitted?

Corona virus can be transmitted through "person to person" which can be transmitted in many ways such as

•     Nasal contact
•     saliva
•     Phlegm of the patient

In addition, the corona virus Can also enter the program through multiple channels such as airway mucosa, eyes, nose, mouth. If the surrounding air has a corona virus floating May be due to the patient sneezing or coughing out. We can also be infected with the corona virus through respiration. But the chances are less than direct exposure to secretions (mucus, saliva)



Corona virus What are the symptoms?
Having said that, due to the nature of the virus, once entering the body Even if being the same infection But the severity of the disease in each person will vary. Which depends on factors such as genetics, immunity, health, age and vaccination history of each person Patients from this new strain of coronary virus 2019 will have respiratory symptoms, runny nose, cough, sore throat, to flu-like symptoms, high fever, headache, body aches.

Ways to prevent corona virus, 11 items

Ways to prevent corona virus, 11 items

1. Wearing a standard mask at all times

2. Avoid touching ATM door knobs, railings, elevator buttons, or others.

3. Avoid places that are crowded for a long time.

4. Avoid touching the hand or body of a person

5. Always wash your hands with soap and hallucinations.

6. Stop using your hands to touch your face or rub your eyes.

7. Do not share personal items with others.

8. Avoid traveling outside of the country temporarily, especially China.

9. Eat only cooked food.

10. Stop contact with sick or dead animals

11. Exercise sufficient rest Eat healthy food

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Insulin injections to replace the insulin normally produced by the body.

Symptoms of people who do not have insulin secretion Or with less insulin secretion What diseases can occur?

Normally, if the body lacks insulin Or have little insulin secretion Will cause high blood sugar levels In which the patient has the following symptoms

•     Fatigue, loss of appetite, weight loss and shocking Despite eating normal food
•     Frequent urination And often aches during the night
•     Thirsty But the mouth is almost always dry
•     Feeling tired easily, shortness of breath, similar to people with asthma
•     As it breathes, it smells sweet, like fruit.
•     Confused, forgetful, unable to remember anything, mood swings
•     Diarrhea combined with nausea and vomiting In some people, the symptoms may be so severe that they may be shocked
•     If the wound is found, the wound will heal more slowly than usual. Even if it is a small wound

These symptoms Considered as the primary symptom of diabetes. If left for a long time, there may be more serious complications such as coronary heart disease, kidney disease, including vision problems. Due to diabetes in the eyes, therefore, when abnormal symptoms occur, it should not remain calm. Should see a doctor for further treatment correctly.




When to use insulin
              • Diabetic patients whose pancreas produces insufficient insulin to meet the needs of the body.
              • Diabetic patients with complications in the liver, kidneys and ineffective medication




Type of insulin
            There are 2 sources of insulin, which are obtained from the extracts from the pancreas of pigs and cows. The other source is derived from the synthesis by genetic engineering. Resulting in insulin that is the same as human insulin Which is less likely to cause allergies than the first And is currently used.

Insulin is divided into many types. According to the duration of action

•              1. The action type is very fast, clear and colorless. The action lasts for 10-15 minutes, the maximum effect is 1-3 hours and has a lasting effect of 3-5 hours. Use injections when wanting to reduce blood sugar levels after eating that meal.
•              2. Fast and short acting type, clear, colorless, effective for 30-60 minutes, maximum action at 2-4 hours and lasting about 5-7 hours. Mostly injected half an hour before meals. To control sugar levels after a meal or to reduce blood sugar quickly, in the case of very high blood sugar.
•              3. Medium action type Opaque Shaking the bottle, must be homogeneous before use. It lasts for 2-4 hours, its maximum action is 6-12 hours and lasts for 18-24 hours. It is used as the main insulin for diabetes treatment.
•              4. Long-acting type, clear appearance, colorless, active in 2 hours, no peak activity And has an active effect for 24 hours. Used for injections to increase the amount of insulin in the blood throughout the day. And can prevent low blood sugar.
•              There is also Insulin mixed Which combines fast-acting insulin with medium-acting types in various ratios, convenient for patients who use both types of insulin Characteristic as a turbid solution, must be shaken gently before every use.

Why use insulin by injection method

•              If the patient gets insulin by eating The drug is destroyed by gastric juice in the digestive system. Therefore having to use the direct injection method into the body
•              The injection method is usually injected under the skin. But must be under strict medical advice

Drug preparation in case of using insulin bottle

•               Check drug characteristics If it is clear water type, must not be viscous, colorless. If it is turbid type, suspended sediment. Roll the medicine bottle on both palms gently to allow the medicine to be mixed throughout the bottle. Absolutely do not shake the bottle. Because it will cause foam and cause the amount of drug not being in the amount
•               If the patient uses insulin Turbid water and clear water at the same time Always drink clear liquid medicine first. Because if sucking on turbid water before clear water Medications that are turbid may be mixed. Makes the insulin clear water look different When sucking two drugs mixed in the same needle, should be injected immediately or within 15 minutes, because if left for a long time will change the action of the drug

Where can I inject insulin?

•               Can be sprayed on the abdomen, both legs, hips, upper arms, and both sides, and must use alcohol to wipe the injection area. Do not repeat the same injection more than 1 time in 1-2 months as it may cause the injection area to become lumpy. Hard kidney When pulling the needle out, use a cotton ball to gently press. Do not massage the injection site. Because the drug is absorbed too quickly Until may cause low blood sugar And in the next injection, should be injected 1 inch away from the original spot

    

In addition to using conventional syringes There are also 2 types of insulin injections, which are
              1. Insulin injection pen Looks like a large fountain pen By having insulin in a small glass tube fitted directly into the pen Which is currently very popular Due to being convenient to carry and use. Able to do so by rotating the screw according to the desired number, then getting the insulin amount accordingly No need to take the medicine out of the bottle But the price is quite high
               2. Insulin pump Is a device that will be attached to the patient at all times, with a needle pierced under the skin connected to the computer controlled device Which is programmed to inject low-dose insulin into the body at all times And inject more insulin before meals Is an imitation of normal people

When does the body need to receive the hormone insulin from the outside?
As already mentioned that In the event that the patient has pancreatic problems Is a patient with thyroid poisoning Including diabetes Since high blood sugar levels (more than 100 mg / dL) need to be received urgently insulin into the body. To reduce the level of sugar in the blood to stop symptoms that may be more severe than before

For the insulin hormone used in the replacement. Doctors have taken it from 2 sources, namely genetic modification (MGO) and extracted from the pancreas of mammals like pigs and cows. However, doctors tend to use insulin first. Due to being very similar to human insulin And rarely cause allergies In which the insulin is injected from the outside into the body, only the method of "injection" is used In the past, insulin has been introduced into the body by eating before. But appeared to have been destroyed by gastric juice in the digestive tract completely Therefore having to inject under the skin instead To maximize the benefits of external insulin




What causes the body to produce less insulin?
The main reason that the body is unable to produce insulin. Tend to have problems with the pancreas Which is the origin of direct production of insulin Which may be caused by inflammation Or caused by an infection At the same time, if a patient is suffering from thyroid poisoning There is also a chance that the secretion of insulin hormones is less than normal.




Supplementary food Insulin production in the body
The pancreas is an organ in the digestive and endocrine systems. Important for our body Has 2 important functions: producing insulin to control blood sugar levels And creating enzymes for fat and protein metabolism If the pancreas produces little or no insulin Will cause sugar to remain in the bloodstream Resulting in elevated blood sugar levels Until may have diabetes But luckily, nature has provided substances that help with insulin production in the body. By helping to increase beta cells for the pancreas And also helps to reduce diabetes Including correct eating habits.

Many vegetables that are suitable for consumption to help reduce blood sugar and help produce insulin include red cabbage, which has a red coloring substance called betalains. It is beneficial for cancer patients, diabetes, okra. Can be consumed by slicing okra and soaking it in water overnight. After that, consuming okra juice the next day, Chinese bitter gourd. Even though it has a very bitter taste, it stimulates the pancreas, lentils seeds into small square spices. With trineline to reduce blood sugar levels, turmeric, cinnamon or cinnamon Sri Lanka Causing the cells to be sensitive to insulin And works similar to natural insulin produced by the pancreas Cinnamon may be sprinkled in meals in tea.


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Ways to improve walking performance and reduce the risk of falls

Dr. Natthaphong Wongwiwat said that falling problems in the elderly are more dangerous than people of other ages. And the elderly are at risk of falls easily due to deterioration of the body Falls are caused by loss of balance. Causing various organs such as arms, legs, head, etc. to strike. And with minor injuries or even fatal injuries The risk factors that cause falls in the elderly are internal factors such as visual changes. Changes in joints and ligaments Urinary system, congenital diseases, including the use of certain drugs that are at risk of falls such as sleeping pills, antihypertensive drugs, etc. External or environmental factors around the elderly It consists of indoor and outdoor environments such as folk, lighting, stairs, bathrooms, kitchens, shoes of the elderly, etc.

Dr. Sakan Bunnag, director of the Institute of Geriatrics for the Geriatrics, added that The most effective way to reduce the risk of falls is exercising to strengthen muscles. Increases the flexibility of bones and joints Helps with balance, walking, and body movements more fluently Causing a fall rate But must choose the posture that suits the person as well For guidelines to prevent the risk of falls, including

• 1. Choose shoes that suit the feet The soles have flowers or not slippery. Flexible material Well ventilated
• 2. Use a walking stick to help with walking
• 3. Regular exercise suitable for oneself In addition, the improvement of the environment in the home and around the house affects the movement of the elderly such as folk materials, lighting, including furniture, should be chosen to be suitable for use. In addition, providing knowledge about the fall of the elderly to caregivers. In order to understand the changes with age Taking the right medicine Eat healthy food to increase the strength of the elderly. Observing side effects If found abnormal, should consult a doctor to find the cause and receive the correct treatment.

Reduce the risk of falling

Improve the home environment, prevent falls The house should be a one-story house. In the case of a 2-story house, the elderly should be placed on the ground floor. With handrails or support handrails Well-lit The floor is flat, not slippery, there should be no door sill. And the placement of items in the house must be organized Easy to access, the bathroom should be an open or sliding door. The toilet is a flat or hanging leg. Have a seat for shower 40-45 cm above the floor, the bedroom should be near the bathroom A bed or mattress not less than 180 centimeters in length, from floor to knee crooked level To get up easily And there is at least 90 centimeters of free space around the bed. And finally, tertiary protection is to prevent repeated falls. Must continually give knowledge to reduce the risk that will occur

The most common injuries among the elderly who fell were falls. Broken or cracked hip bones The head is affected. Which causes disability and has a relatively high mortality rate Since the elderly often have thin bones or osteoporosis When falls, the bones break and break easily. There may also be joint injuries across multiple organs. Together with the elderly Often have underlying diseases such as pressure, diabetes, heart disease, and stroke Therefore resulting in an increased risk

The main cause of falls is that the elderly themselves have deterioration and deterioration of the body. Causing the work of various organs to decrease, such as not seeing clearly Poor balance, weak limbs or may be caused by Inappropriate environment such as slippery floors and stairs Ground level Insufficient lighting Which the basic help First, be mindful. Don't panic. Then evaluate the injury. If unable to move and rise by itself Or when moving the leg and feeling pain in the hip or thigh Or suspected hip fracture Allow the patient to rest in a comfortable position. Try not to move the patient. To prevent fractures that damage tissue, blood vessels, and neighboring nerves Call the emergency hotline 1669 for assistance. But if the head is bumped and not aware To lie in the same position And immediately call 1669. In case of bleeding, use a clean cloth to hold for 10-15 minutes

Walking training for the elderly

 Training patients to move themselves Able to use daily life and to walk again is the expected goal of patients with weakness. Hemiplegia or weakness of both legs Patients with fractures from accidents, etc. In some cases, may need to consider supplementing with body support, knee support, ankle support, as well as choosing the right type of walking stick. Assessing impaired muscle groups

Strength training of various parts For the patient to walk with stability and confidence There are steps to practice as follows

Step 1. Begin with Muscle Strengthening. Select specific muscles that are important for standing, walking (including the upper thigh, back, calf muscles, etc.). Moving (Muscles stretching arms The muscles around the shoulder And torso muscles) In some cases, training must be performed to use the remaining muscles to maximize the benefits of the daily mission.

Step 2. Balance training (Balance Training)

Balance with the aid (Sitting balance) while training the muscles above. For those with paralysis, practice sitting up with your head straight, hands on the floor and developing into standing training to train the muscles and the nervous system that control movements for better coordination. Balanced sitting exercises in a straight posture help the patient adjust the condition of the heart, blood vessels, blood pressure and also help the digestive system to function more normally.

Standing balance with tilt table In some patients, physical adjustment is required. By beginning to practice standing on a Tilt table, starting from the supine position, having a body belt, hips, knees, and gradually adjusting the slope of the machine gradually Along with measuring vital signs such as blood pressure, pulse, respiration rate Periodic oxygen saturation values. If the vital signs are stable, the slope is gradually increased. Until can be in a upright position without complications Which may take several days More - less, depending on the physical and pathological conditions of each patient

Standing balance in parallel bars is a practice of parallel bars and posture by looking at the mirror. Patients will be able to see and assess their own standing. Helps to increase confidence And progressing to walk further

Step 3. Ambulation training When the patient is trained to walk, walk in the rail until it is stable. Will be the period that must be started to practice movement and walking outside of the walking rail For patients who are having a bad leg, may need to use a knee brace The choice of each type of walking aid needs to be considered to suit the condition of the patient at that time, such as a foot pad. Knee strap Lower back support, upper part, crutch neck, four-legged walking stick

Bangkok Rehabilitation Center has a team of physiotherapists. Ready to provide continuous care Exercise Body training Procuring walking aids / buoyancy devices Daily safety For ready to return to work, return to society, use in daily life with the highest quality and efficiency



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