Tuesday, 1 March 2011

cancer

What is cancer ?
The word Cancer is Latin word meaning Crab. It denotes a continuous, purposeless, unwanted and uncontrolled growth of cells. In our body, under normal circumstances, the number and growth of all the cells is a highly controlled mechanism. Cancer represents a failure of this system of limiting the growth of a particular type of cells in a tissue.

There is an excessive production of abnormal cells. These cells go into the surrounding tissues and cause damage. Through blood lymph vessels these cells may go to distant parts of the body and make new colonies of proliferating cells.

Is Cancer different from an infection? 
When germs or bacteria invade body tissues they cause an infection. The body launches defense mechanisms against these foreign particles and destroys them.

Cancer is due to proliferation of abnormal cells, which develop from body’s own cells. So they are not recognized as foreign and continue to grow and invade without being attacked by body defenses.

Cancers become dangerous if they are detected late, that is at a stage when they have spread to other organs or have caused destruction to surrounding tissues. The secondary growths interferes with the functioning of the particular organ or site involved.

On the other hand, If the cancer is detected at an early stage, it can often be cured either by means of surgery or be other therapeutic means available.

Are there any specific factors, which cause cancer? 
No single cause has been responsible for all cancers. It has been suggested that cancer factors, interfere with the body’s ability to check abnormal proliferation of cells. Agents, which cause cancer, can cause changes in the genetic constitution of cells. These oncogenes, as they are called, can change the nature of the life giving protein component of the cell (DNA or deoxy ribonucleic acid) which may then lead to impairment of the switching off mechanism.

Certain established carcinogenic factors are-

  • Tobacco smoking – associated with cancers of lung, mouth, throat and larynx and also esophagus, stomach kidney & bladder.
  • Ultra violet light from strong sunlight is responsible for increased incidence of skin cancers.
  • Viruses like Epstein Bar virus is associated with increased incidence of cancer of nasopharynx.
  • Betel nut, paan, gutkas chewing is associated with cancer of mouth.
  • Chronically irritated & damaged tissues are more likely to develop a malignant change.
Is cancer contagious? 
NO, cancer cannot be passed from one individual to another. But there are certain cancers like liver cancer, which occurs more commonly in people infected with hepatitis B or hepatic C, which can spread easily from person to person. Also persons affected by HIV/AIDS, have a lowered immune defense mechanism and have a high incidence of cancer.

Asthma


Asthama TreatmentAsthma is a disease of the airways of the lungs which is characterized by increased sensitivity of the airways to a variety of triggers. It is generally an episodic disease, i.e., acute attacks followed by symptom free periods. Though most attacks are generally short lived, sometimes serious conditions occur in which severe Asthma is unrelieved for many hours or even days, like in status asthmaticus.

Who is affected? It occurs in all age groups, but is found to be more common in children. It tends to affect both sexes equally.

Types of Asthma: There are two types of Asthma--- Allergic and Idiosyncratic. Allergic Asthma: This type is often associated with personal or family history of other types of allergic diseases like hay fever, rhinitis, eczema etc.

The offending agents causing Asthma:

  1. Environment and air pollution.
  2. Certain drugs like Aspirin.
  3. Occupational factors like working with animal skins, chemicals, stone dust etc.
  4. Infections of the chest or Upper respiratory Tract can bring about an acute attack of Asthma.
  5. Exercise and emotional stress.
Clinical Features: The most characteristic features of Asthma are--- breathlessness, cough and wheezing. The attack often occurs at night but may also occur abruptly due to one of the precipitating factors mentioned above.

The patient often experiences a tight sensation in the chest along with dry cough. Sometimes a long standing dry cough maybe the only indication of Asthma.

When is Asthma really bad?
1. If the wheezing was audible periodically suddenly stops and the patient is still feeling severely out of breath.

2. If the muscles of the neck and those above the collar bone stand out in effort with every act of respiration.

3. If the attack is continuing unabated for several hours or even days with no symptom free periods in between.

What to do:
1. Most of the known cases of Asthma keep 'inhalers' with them, these are devices which ensure direct delivery of the drugs to the lungs and thereby bringing about a rapid relief.

2. Avoiding known triggers which bring about an attack helps, like avoiding strenuous exercises, going out in the cold, etc.

emergencies


(Myocardial Infarction)
What is a heart attack?
A heart attack (myocardial infarction) is the death of heart muscle due to the loss of blood supply. Usually, the loss of blood supply is caused by a complete blockage of a coronary artery(an artery that supplies blood to the heart muscle) by a blood clot.

What are the features of a heart attack?
Pain: is the cardinal symptom of a heart attack. The pain is often described as a tightness or heaviness in the chest. It is often severe enough to be the worst pain that can be experienced. the usual location of the pain is in the center of the chest but it frequently radiates to the left arm or the jaw.

Some heart attacks though can pass unrecognized; these painless attacks are called as ‘silent infarcts’ and are particularly common in diabetics.

Anxiety: fear of impending death.
Breathlessness,
Nausea and vomiting, 
Sweating, pallor and a fast pulse.

Sudden death: loss of blood supply disturbs the orderly transmission of electrical impulses in the heart and as a result the heart stops to effectively pump blood. Permanent brain damage and death can occur unless oxygenated blood flow is restored within five minutes. Approximately 40% of people suffering a heart attack die before reaching to the hospital.


What causes a heart attack?
A heart attack is almost always caused by the formation of a blood clot on a cholesterol plaque located on the inner wall of an artery to the heart (coronary artery). It is believed that the process of formation of these plaques starts in the late teens. Over a period of time the accumulation of cholesterol plaque causes thickening of the artery walls and narrowing of the arteries; a process called atherosclerosis.

Many factors have been found to influence this plaque formation. It can be accelerated by smoking, high blood pressure, elevated cholesterol, and diabetes. Whereas, factors like exercise, low fat diet, avoiding stress seem to help in retarding this process.

Ultimately, the arteries narrow to an extent where they are unable to supply enough blood to the heart muscle during periods of increased demand like during exercise or excitement. This results in a condition called ischemia which leads to chest pain called as angina.

Occasionally, however, for unknown reasons, the surface of the cholesterol plaque can become sticky, causing blood clotting. When a blood clot forms on top of this plaque, the artery becomes completely blocked, causing death of the heart muscle (heart attack).

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