Thursday, June 19, 2014
Tuesday, June 17, 2014
sweaty palms
Sweaty palms, more properly known as palmar hyperhidrosis,
is a condition that affects about 1% of the US population. Although the
exact cause of sweaty palms is still debated, many experts believe it
is caused by a hyperactive sympathetic nervous system, causing the sweat glands in the hands to produce sweat unnecessarily.
Sweating
is a device the body uses to help regulate its temperature to keep
everything running smoothly. The human body has millions of sweat
glands, and more than half of them are found in the hands. When the body
becomes agitated – through physical exertion, extreme temperatures, or
stress – the sweat glands release sweat to help cool the body back down
to its optimal temperature range.
People who have severe palmar hyperhidrosis
experience sweaty palms even when the body should not, for any
physiological reason, be trying to cool down. This can cause severe
discomfort and embarrassment and can get in the way of performing
certain everyday tasks. Though sweaty palms are treatable through a
number of different procedures, there is no complete cure, and most
people continue to live with thecondition throughout their lives.
In the past, the medical
establishment tended to diagnose sweaty palms as a purely psychosomatic
illness, but this view is gradually fading. While psychological factors
can certainly exacerbate the condition – when one begins experiencing
sweaty palms in a social situation, for example, the stress induced by
inappropriate sweating can cause even more sweating to occur – it is
generally accepted now that the underlying cause is physiological. The
most likely cause of sweaty palms, as well as other types of
hyperhidrosis, is an overactive sympathetic nervous system. The
sympathetic nervous system manages all sorts of functions in the body
that make up what is commonly termed the fight-or-flight response;
this includes the release of a number of chemicals such as adrenaline,
increasing heart rate, constricting blood vessels, and of course,
sweating. When the sympathetic nervous system malfunctions, certain
fight-or-flight responses may be triggered at inappropriate times, as in
the case of sweaty palms.
Whether the malfunction of
the sympathetic nervous system has, in turn, a deeper cause is a matter
of some study and discussion. It may be that the malfunction occurs on
the level of the ganglia themselves, or it may be that a neurological
malfunction triggers the sweat glands in the palms to act
inappropriately. Whatever the root cause, sweaty palms is at last
sufficiently understood to offer a number of chemical treatments to help
those suffering from this affliction to realize a level of normalcy in
their lives that only a few decades ago would have been nearly
impossible.Friday, June 13, 2014
Surprising Health Benefits of Sex
Sexual Health
"When you're in the mood, it's a sure bet that the last thing on your mind is boosting your immune system or maintaining a healthy weight. Yet good sex offers those health benefits and more. That's a surprise to many people, says Joy Davidson, PhD, a New York psychologist and sex therapist. 'Of course, sex is everywhere in the media,' she says. 'But the idea that we are vital, sexual creatures is still looked at in some cases with disgust or in other cases a bit of embarrassment. So to really take a look at how our sexuality adds to our life and enhances our life and our health, both physical and psychological, is eye-opening for many people.'Sex does a body good in a number of ways, according to Davidson and other experts. The benefits aren't just anecdotal or hearsay -- each of these health benefits of sex is backed by scientific scrutiny." *
What is metastatic brain cancer?
What is metastatic brain cancer?
What is brain cancer?
Brain cancer is a disease of the brain in which cancer cells
(malignant) arise in the brain tissue. Cancer cells grow to form a mass
of cancer tissue (tumor)
that interferes with brain functions such as muscle control,
sensation, memory, and other normal body functions. Tumors composed of
cancer cells are called malignant tumors, and those composed of mainly
noncancerous cells are called benign tumors. Cancer cells that develop
from brain tissue are called primary brain tumors while tumors that
spread from other body sites to the brain are termed metastatic
or secondary brain tumors. Statistics suggest that brain cancer occurs
infrequently and is likely to develop in about 23,000 new people per
year with about 13,000 deaths as estimated by the National Cancer
Institute (NCI)
and American Cancer Society.
Not all brain tumors are alike, even if they arise from the same type of brain tissue. Tumors are assigned a grade depending on how the cells in the tumor appear microscopically. The grade also provides insight as to the cell's growth rate. NCI lists the following grades:
Brain cancers are staged (stage describes the extent of the cancer) according to their cell type and grade because they seldom spread to other organs, while other cancers, such as breast or lung cancer, are staged according to so-called TMN staging which is based on the location and spread of cancer cells. In general, these cancer stages range from 0 to 4, with stage 4 indicating the cancer has spread to another organ (highest stage).
Not all brain tumors are alike, even if they arise from the same type of brain tissue. Tumors are assigned a grade depending on how the cells in the tumor appear microscopically. The grade also provides insight as to the cell's growth rate. NCI lists the following grades:
- Grade I: The tissue is benign. The cells look nearly like normal brain cells, and they grow slowly.
- Grade II: The tissue is malignant. The cells look less like normal cells than do the cells in a grade I tumor.
- Grade III: The malignant tissue has cells that look very different from normal cells. The abnormal cells are actively growing and have a distinctly abnormal appearance (anaplastic).
- Grade IV: The malignant tissue has cells that look most abnormal and tend to grow quickly.
Brain cancers are staged (stage describes the extent of the cancer) according to their cell type and grade because they seldom spread to other organs, while other cancers, such as breast or lung cancer, are staged according to so-called TMN staging which is based on the location and spread of cancer cells. In general, these cancer stages range from 0 to 4, with stage 4 indicating the cancer has spread to another organ (highest stage).
Medically Reviewed by a Doctor on 3/24/2014
Gejala Kanker Otak
Gejala Kanker Otak
Gejala kanker otak stadium awal dan lanjut umumnya dapat kita deteksi dengan mudah, jika terjadi beberapa indikasi sebaiknya memeriksakannya di dokter spesialis.1. Sakit kepala
Sakit kepala merupakan penyakit yang umum seperti halnya demam, flu, atau sakit gigi. Tentu obat sakit kepala yang umum ini dapat dengan mudah kita temukan di pasaran. Namun perlu diketahui ada beberapa kriteria sakit kepala yang dapat menjadi salah satu tanda kanker otak.
- Sakit kepala yang sangat hebat (terutama jika terjadi pada pagi hari setelah bangun tidur)
- Tidak memiliki riwayat sakit kepala
- Intensitas sakit kepala lebih sering dari pada sakit kepala normal
- Sakit kepala dan sakit demam atau sakit lainnya secara bersama-sama
Kidney Glossary
- Acute Renal Failure
- Kidney failure that happens quickly—within days or a week. It is often caused by injury or drug interactions. Acute renal failure usually can be reversed.
- Adequacy
- Enough dialysis to avoid symptoms of uremia.
- Anemia
- A shortage of red blood cells that carry oxygen to the body's tissues. Symptoms include paleness, shortness of breath, weakness, irregular heartbeat, fuzzy thinking, fatigue, and sexual problems.
- Arterial Line
- Tubing connected to a needle inserted into the hemodialysis patient's vascular access. During dialysis, the arterial line carries blood away from the body and into the dialyzer (artificial kidney) on the dialysis machine.
- Arteriovenous (AV) Fistula
- A blood vessel that is made by surgically sewing together an artery and a vein (often in the forearm) to create the rapid blood flow from the heart needed for efficient hemodialysis. It is also commonly called a native fistula or fistula.
- Arteriovenous Graft
- An access that is made by connecting one end of a piece of artificial vein to the patient's vein and the other end to the patient's artery. The graft is a larger vessel with the rapid blood flow needed for efficient hemodialysis. It is commonly called a graft.
- Bilateral Nephrectomy
- Removal of both kidneys.
- BUN
- Blood Urea Nitrogen. A waste product, or toxin, that appears in the blood as protein from food is digested. BUN levels are a measure of how well dialysis is removing wastes from the blood. Normal ranges of BUN in healthy people are 5-18 mg/dL in children, 7-18 mg/dL in adults, and 8-20 mg/dL in adults over 60 years old. Higher levels are present in patients with kidney failure.
- CAPD
- Continuous Ambulatory Peritoneal Dialysis. Patients using this form of dialysis put dialysate fluid into the abdomen through a surgically placed catheter, or tube. This fluid comes in contact with the peritoneal membrane, a thin layer of tissue around the abdominal organs. Some of the toxins in the blood pass from blood vessels in the wall of the peritoneal membrane into the dialysate. The fluid, which may change from clear to slightly yellow, is then drained out of the body through the catheter. The process is usually repeated four or five times per day.
- Catheter
- A tube. In peritoneal dialysis, a small catheter is permanently inserted into the abdomen to allow dialysate fluid to enter and exit. Sometimes a central venous catheter is inserted into the subclavian or internal jugular vein just below the collar bone or in the neck or groin to allow temporary blood access for hemodialysis.
- CCPD
- Continuous Cycling Peritoneal Dialysis. Like CAPD, dialysate fluid is drained into the abdomen through a catheter. Instead of changing the fluid several times each day as in CAPD, a machine changes the fluid several times each night while the patient sleeps.
- Chronic Renal Failure
- Kidney failure that takes place over a long period of time. Chronic renal failure is usually not reversible.
- Creatinine
- Creatinine is produced normally by muscles and is used to measure kidney function. It is always higher than normal in dialysis patients. Normal ranges of creatinine are 0.3-0.7 mg/dL in children birth to three, 0.5-1.0 mg/dL in children 3-18 years old, and 0.6-1.3 mg/dL in adults.
- Dialysate Fluid
- A fluid used for dialysis that consists of a mixture of water, glucose, and certain elements (electrolytes) the body needs. Dialysate usually contains sodium, magnesium, chloride, potassium, and calcium. During dialysis, waste products in the blood pass through a porous (filtering) membrane or dialyzer into the dialysate fluid.
- Dialysis
- The movement of very small, microscopic particles (toxins) from one side of a porous (filtering) membrane to another. Waste products and excess chemicals (electrolytes) in the blood pass through the membrane into a solution that does not contain those toxins. Both peritoneal dialysis and hemodialysis pass blood through a membrane to filter out waste products and fluid into dialysate.
- Dialyzer
- A plastic artificial kidney that contains thousands of very thin, hollow, tube-like membrane fibers. Blood flows through the inside of the hollow membranes. The fibers are surrounded by dialysate. Toxins from the blood move through the membranes and into the dialysate. The blood remains inside the hollow tubes and is returned to the body, once cleaned.
- Disequilibrium
- Headaches and dizziness during dialysis. Disequilibrium can occur if dialysis removes a lot of fluid very quickly, or if blood pressure drops.
- Dry Weight
- A patient's weight without excess fluid. A patient can lose several pounds of fluid weight during a dialysis session. The actual amount depends upon the amount of fluid consumed between dialysis treatments.
- Dwell Time
- The length of time peritoneal dialysis patients keep fresh dialysate in the abdomen. After the dwell time is over, used dialysate is replaced with fresh dialysate either by the patient (using CAPD) or by a cycler machine (CCPD).
- Edema
- Swelling in soft tissues, especially in face, hands, feet, and ankles. May be caused by drinking too much liquid between dialysis treatments or inadequate dialysis.
- EPOGEN® (EPO)
- (Epoetin alpha) A DNA-engineered form of the human hormone erythropoietin used to treat anemia. EPO sends a message to the bone marrow to make more red blood cells, so patients have more energy and endurance. A hormone produced by healthy kidneys that signals the bone marrow to make red blood cells.
- End-Stage Renal Disease
- End-stage renal disease, or permanent kidney failure. ESRD occurs when kidney function is approximately 10% to 15% of normal or less, and the patient needs dialysis or a kidney transplant to live.
- Exchange
- The process of draining used peritoneal dialysate from the abdomen and putting in fresh dialysate. An exchange may be done by the patient or by a cycling machine.
- Fistula
- See Arteriovenous (AV) fistula.
- The "5 Es"
- The core principles of successful rehabilitation: Encouragement, Education, Exercise, Employment, and Evaluation.
- Graft
- See Arteriovenous graft.
- Hematocrit (Hct)
- The percentage of red blood cells in whole blood. Normal hematocrit is from 37% to 47% for women and from 42% to 52% for men. The NKF-DOQI recommended target hematocrit range for dialysis patients is 33% to 36% and most patients need regular doses of EPO and iron to stay at this level. Without enough red blood cells to carry oxygen to the tissues, patients feel tired and listless.
- Hemodialysis
- A type of dialysis in which the patient's blood is removed from the body and cleansed by a dialyzer, i.e., an artificial kidney. The patient's blood travels through needles placed into a specially created blood vessel. Blood is passed through the dialyzer, cleansed, and then returned to the body.
- Hypertension
- High blood pressure. This can be caused by too much salt intake, fluid build-up, or too much of the hormone renin, produced by the kidneys. Hypertension can cause headache, blurred vision, blindness, heart damage, and stroke.
- Hypotension
- Low blood pressure. This can occur if large amounts of fluid are removed from the blood vessels too quickly during dialysis. Hypotension can cause a fast pulse, dizziness, and sometimes nausea, vomiting, or fainting.
- Kidney Failure
- Loss of the ability of the kidneys to remove fluid and toxins from the body. The two most common causes of kidney failure are diabetes and high blood pressure. It may also be caused by other viral or hereditary disorders. Kidney failure is less often caused by damage related to medications, or by other conditions such as kidney stones or injuries.
- Kt/V
- This is a formula for prescribing adequate dialysis and checking to see if the patient is receiving enough dialysis. Kt/V is calculated by multiplying toxins removed, called clearance (K), by the amount of time (t) of the dialysis treatment, and dividing by the volume (V) of water in the body. The doctor uses blood tests to learn if the patient is getting enough dialysis. The recommended prescribed Kt/V for hemodialysis is 1.3, with a minimum actual Kt/V of 1.2. The recommended prescribed Kt/V for peritoneal dialysis is a minimum weekly Kt/V of 2.0. These figures are the floor, or minimum, only. A formula for calculating Kt/V for hemodialysis can be found in the AAKP Advisory: Inadequate Hemodialysis Increases the Risk of Premature Death, listed in the Resources section at the back of this booklet.
- LORAC
- The Life Options Rehabilitation Advisory Council. This group is made up of health care professionals, patients, business leaders, and researchers dedicated to helping dialysis patients realize their fullest potential.
- Modality
- A type or mode of treatment. In ESRD, the modalities of treatment include hemodialysis, peritoneal dialysis, and transplant.
- Nephrology
- The study of the kidneys. It is the medical specialty that deals with the diagnosis and treatment of kidney disease.
- Nephrologist
- A physician who specializes in studying the kidneys and helping patients with kidney problems.
- Neuropathy
- Nerve damage. It can be caused by diabetes. It can also be caused by uremia, or a build-up of toxins in the body. Too little dialysis over time can lead to nerve damage. Neuropathy can cause weakness, burning, tingling, and numbness, especially in the feet and lower legs, but also in the hands.
- Peritoneal Dialysis
- A form of dialysis that uses the body's own peritoneal cavity to hold dialysate fluid. The peritoneal membrane acts like a filter to allow toxins, excess chemicals, and fluid to move into dialysate. Peritoneal dialysis "exchanges" fresh dialysate for used dialysate, often several times a day. Exchanges can be done by the patient (see CAPD) or by a machine (see CCPD), or in some cases both types of exchanges are combined to help the patient get enough dialysis. Combination therapy may be called "PD Plus."
- Peritoneal Membrane
- The porous, double-layered, sac-like lining that surrounds the abdominal organs in the body's peritoneal cavity.
- Peritoneum
- The area surrounded by the peritoneal membrane, which includes the abdominal organs.
- Rehabilitation
- A return to stable health, a positive outlook, and enjoyable activities that make people feel better physically and mentally. A successful rehabilitation program uses medical treatment, counseling, education, diet, and exercise.
- Renal
- Related to the kidneys.
- Toxins
- Chemical waste products produced by metabolic processes in the body like digesting food, breathing, and mental and physical activity.
- Uremia
- A condition of excess toxins or impurities in the blood. Symptoms include weakness, lack of energy, poor appetite, weight loss, metallic or ammonia taste in the mouth, skin color changes, and worsening memory.
- URR
- Urea Reduction Ratio. Like Kt/V, URR is a way to measure dialysis adequacy. It is based on a ratio of the predialysis BUN level to the postdialysis BUN level. (See BUN). Patients can calculate their URR themselves using a formula contained in the AAKP Advisory: Inadequate Hemodialysis Increases the Risk of Premature Death, listed in the Resources section at the back of this booklet. The URR value should be 65% or higher.
- Venous Line
- In hemodialysis, the tubing that returns the clean blood from the dialyzer back to the patient through the access.
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