Sunday, January 29, 2017

Most popular weight loss surgeries in India

Weight issues are more or less among the most common gripes for Indians. Obesity is anyways a dangerous disorder as it is an invitation to different life-threatening diseases that have a life-long continuity. Not to mention the lack of energy and enthusiasm the fat deposits get with themselves. Obesity sets in little by little all thanks to the varied cuisines that are there for pampering their taste buds and harmful eating habits form a recipe for unnecessary weight gain. Come, wedding and festive season the same people gorging on pizza and pasta start eating boiled vegetables and bland food in the name of diet! Crash diets and gymming comes to rescue of people who are looking for instant results that get cooked as fast as instant noodles. However results of such modes are obviously short-term too!

The washboard abs and picture-perfect models gracing magazine covers gives major fitness goals to people over the world. Weight loss surgeries come into the picture when people want instant results or when dietary changes and exercises have failed to show the desired effect. 
Read ahead to get a detailed picture of the different weight loss surgeries that are popular in India and are getting preference from Indians to lose those extra kilos:

1.Bariatric Surgery- 
Bariatric surgeries are recommended only when medication and therapy do not work out at all. Bariatric surgeries reduce the person's weight through one or many different modes such as changing the structure of digestive system, stomach and intestinal size. Through this type of surgery, the person feels fuller on eating smaller than his usual portions of foods. Apart from weight loss, bariatric surgery offers benefits like eliminating symptoms of cholesterol, knee pain, involuntary urine passage, type 2 diabetes etc. additionally symptoms of Gastroesophageal reflux disease, abbreviated as GERD which is a disorder of digestive system are also eliminated when the person undergoes a bariatric surgery. Bariatric surgery is done using following listed techniques:

i- Lap band surgery- Also known as Laparoscopic Adjustable Gastric Band surgery. In it a balloon is attached to a band in the shape of a small pouch is inserted in the  stomach insidiously. The food consumed by the person directly fills into this pouch making them feel full in a short time. This surgery can help the person to lose 1/3rd of his original weight. This type of bariatric surgery is recommended to people whose Body Mass Index (BMI) lies between 35 and 40. People suffering from serious health conditions like diabetes and sleep disorders also are candidates for lap band surgery.

ii- Gastric bypass surgery- Roux-en-Y surgery or in colloquial terms gastric bypass surgery is considered as the most commonly used surgery for weight loss. The process is similar to lap band surgery. Procedure of this surgery entails creating a small pouch in the stomach for reducing the appetite and in turn intake of food. In the next part the surgeon connects the pouch to the small intestine. Diversion of food from the pre-decided route causes changes in hormones in intestine. These hormones are responsible for the diminished appetite. There are no serious complications arising out of this surgery. The patient can resume his routine activities in a couple of days. Also, absorption power of the stomach is reduced, which is why even over-eating won't cause visible change in the person's weight.

iii- Biliopancreatic Diversion with Duodenal Switch (BPD/DS) Gastric Bypass- This is yet another another type of bariatric procedure for people who are extremely obese. This procedure is considered to be very effective as compared to any other weight loss procedure and is recommended only to people who have a BMI  of more than 50. This surgery type also aims at altering the natural digestion process through alteration of the stomach and intestines. People who undergo this type of surgery for weight loss have a reduced absorption capacity of nutrients that go into their stomachs. 

2. Liposuction-  
Liposuction entails reduction of fat deposits sitting in various parts of the body such as waist, buttocks, arms and thighs to name a few. General anesthesia is administered to the patient. Thereafter, the areas to be worked on are expanded using saline solution. Incisions are then further made for accessing the fat cells for destroying them and suctioning them out. This procedure is used in conjunction with other cosmetic procedures like breast reduction, breast augmentation and tummy tuck procedures.

3. Tummy Tuck-  
Also termed as abdominoplasty, a tummy tuck is another cosmetic procedure that is gaining popularity today because of obvious reasons. Abdominal muscles are tightened and the fat deposits are ironed out in an abdominoplasty. Complete and partial abdominoplasty are the 2 approaches a tummy tuck surgery has. The patient can decide accordingly as to which approach to go with. However, if you decide to have children, then it is better to postpone the tummy tuck for a later period.

4. Sleeve Gastrectomy-
Like other weight loss surgeries a sleeve gastrectomy also works on reduction of stomach. A sleeve gastrectomy removes 85% of the stomach. After removal the remains of the stomach resemble a banana. Only the stomach volume reduces, the nerves that lead to the stomach and are essential for its functioning remain unharmed. This procedure only involves reduction of stomach capacity without  conducting intestinal bypass. The person's appetite is reduced because ghrelin manufacturing stops. Ghrelin is the hormone that produces appetite. Through this procedure, patients are assured of losing upto 70% of excess weight in their bodies over a one year period. Patients who are not fit for gastric procedures or intestinal bypass surgeries are perfect candidates for this procedure. As this procedure helps in weight loss without exposing them to risk of serious conditions. Also, this procedure minimizes chances of anemia, deficiencies of proteins and vitamins, blockages in intestines etc.
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Friday, January 6, 2017

IVF(in vitro fertilization): Solution for infertility

Today's fast and modern lifestyle had made couples super busy with their careers. They barely have time for each other. Also the excessive workload has increased the stress levels. The cases of couples with infertility problem is increasing day by day. There can be many other factors which are responsible for the increasing rate of infertility problem. This includes congenital and hereditary problems or it may also result of some internal injury or any other reason.

Most of the  couples who are facing the problem of infertility have now opted for IVF treatment in India. Many have also received positive results and had babies using this modern technique which is the solution for  the problem of inability to conceive. This technique is really helpful for couples who have problem in getting pregnant or staying pregnant.

What exactly is Infertility?
Infertility is the condition if the couple is unable to conceive or get pregnant even after the term of one year or more having unprotected intercourse. It is not an exclusive problem of females. Rates of infertility are similar for both males and females.

Possible Causes of Infertility:
Male infertility can be caused by following reasons:
  • Low sperm count or disorder in sperm production
  • Some Immunological disorder
  • Some body structure disorder
Female infertility can be caused by following reasons:
  • Disorder to Ovulate
  • Some Anatomical abnormality
  • Hormonal problems like Thyroid gland related 

IVF treatment process
IVF treatment in India  involves four primary steps:

1.Induction of Ovulation
Before and during the IVF (in vitro fertilization) treatment the fertility specialist will be monitoring your ovaries and the timing when the eggs will be released. Your doctor will make sure that the hormone levels are normal and ovaries are producing eggs.

Many women have to take hormones or fertility medicines during this period to stimulate the ovaries which helps to produce one or more eggs. Producing several eggs increases the chances for you to get pregnant.

2.Retrieval of Egg
In this step of IVF treatment some pain medicines are given to lessen any discomfort caused. A very minute needle is passed through the upper wall of vagina. The fluid is removed from the follicles under the gentle suction by using the vaginal ultrasound.

After the aspiration of the follicle, instantly the egg (oocyte) is isolated from the follicular fluid. The oocyte is kept in a culture dish which contains nutrient media. It is then transferred to the incubator.
3.Fertilization of egg
The next step of IVF treatment is to fertilize egg. A sperm sample is taken from your partner or from a donor. The sperm, which is most active is mixed with the egg in a special chamber. The sperm may also be injected directly into the egg sometimes. The sperm and the egg are then kept in an incubator and monitored for making sure that a healthy embryo is developed.

4.Transfer of embryos and implantation
The last step in IVF treatment is transfer of embryos. The embryos are examined first for selecting the healthiest one for transfer. For transferring embryos, a speculum is placed in vagina and the
mbryos get transferred through a tiny plastic tube which is placed via cervix into the cavity of uterine.

IVF - What are the possible risks?
Your Doctor will discuss the  possible risks involved in vitro fertilisation (IVF) with you before you performing this treatment. It is very important that you are aware of all the potential problems.

Drug reaction
A moderate reaction of fertility drugs might give you hot flushes, feeling of down or irritation,restlessness and headaches. Symptoms will usually disappear after a some time but if they do not, you should consult your doctor as soon as possible.

Ovarian hyper-stimulation syndrome 
Ovarian hyper-stimulation syndrome is a dangerous over-reaction of fertility drugs which are used to trigger egg production. It can create symptoms such as a stomach pain, swollen stomach, vomiting and nausea.

Miscarriage
Although the risk of a miscarriage after IVF  is not very high, but it may happen in some cases. Your doctor have to arrange a pregnancy ultrasound scan if you conceive after an IVF. This is for checking that the pregnancy should not probable miscarry. The scan is usually done after two weeks of positive pregnancy test.

Ectopic pregnancy
When an embryo is developed in fallopian tube instead of your womb, the pregnancy is called as ectopic. An ectopic pregnancy can even occur after IVF. Ectopic pregnancy can result in low pregnancy hormone levels,vaginal bleeding,and miscarriage. Hormone tests and scans are performed to detect ectopic pregnancies.

Possibility of multiple births
Possibility of  multiple birth (twins, triplets or more) is  one of the greatest health risk related with fertility treatment.

Your doctor should always warn you about the possible  risks of IVF while deciding how many embryos need to be transfered in your treatment.

What to expect after IVF?
In just after few weeks after undergoing in Vitro fertilization process, you can take a pregnancy test. Many women get pregnant after the process,But in some cases it may also happen that the procedure has not worked. So it is always advised to check the success rates for women of your age group .
In  an average the couple may undergo IVF treatment 2 to 3 times before a successful pregnancy occurs. Once the pregnancy happens, it will be no different from normal pregnancy. 

Many top hospitals have the best team of doctors clubbed with the latest technology for providing the IVF treatment in India. Even the couples outside India prefer to undergo this treatment in India. This is a costly procedure,so while choosing the clinic make sure to ask about the success rate of that clinic. The success rate of the IVF depends on many factors like maternal age, reproductive history, cause of infertility and lifestyle factors. These factors may cause problems while conceiving through IVF. But this treatment can be ray of hope for the couples who are eager to become parents. With proper care and precautions many couples can experience the bless of parenthood.
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