Cervicoplast - Indian medical tourism - cosmetic surgery India treats

Neck is the organ that starts showing the effects of age earlier than any other organ in human beings. The excess fat and skin around the neck takes ugly shapes and begins to affect the self esteem and appearance.  Cervicoplasty is the name of the surgical procedure used for the removal of excess fat and skin in and around the neck region. This procedure is also known as ‘neck lift’. Cervicoplasty can be done along with other cosmetic surgeries like face lift, brow lift etc. This procedure is usually performed on individuals above the age of forty. It is better that some small adjustments may be made to the neck at an early date so that a youthful appearance can be maintained for longer periods without much difficulty and cost.

Most neck lift procedures are carried out under general anesthesia. Usually two incisions are made under or behind the ear. Through these incisions the extra fat is removed by the surgeon either directly or by liposuction procedure. The loose band of muscles is tightened and excess muscles are removed thereby making the contour more natural. This surgery may last for one or two hours depending upon the procedures you are undergoing.  After the surgery you will be coming out with a compression bandage which has to be worn for one week or as suggested by your surgeon. After about two or three weeks the swellings and other difficulties will vanish and you will feel very happy for getting back your youthful and energetic appearance.

Njavarakkizhi - Ayurveda treatment - Indian medical tourism

  _{Navarakizhi is the name of a type of body massage carried out to rejuvenate the mind and  the body rejuvenate the whole person. This is a well known Ayurvedic therapy with amazing results which is said to be originated in Kerala the land of Ayurveda. This massage has been found to be very useful for persons suffering from paralysis, arthritis, lethargy, body weakness, trauma and stress. After undergoing this massage the patient feels relaxation in his stress and muscles are found to be properly tuned up. This therapy originated in Kerala and is not without any side effects.}

_{The procedure}

_{It takes about 60 minutes to complete the procedure, As a first step, the body of the patient is preconditioned using oil. After the oil massage, the patient is allowed to lie down and relax for a while. Njavara is a form o f rice. It is cooked with a few herbs and milk, while the patient relaxes. Herbs like mustard, sida, deodar etc are commonly used for njavarakkizhi. The pouches containing these herbs are pressed gently on your body when the warmth obtained through oil massage still remains. After some time all the material on your body are wiped by the technician and he will apply oil over your body and the patent will be allowed to relax for the next 30 minutes with the oil on his body. After this the patient is allowed to take a warm shower. To make the treatment more effective some oral medicines like Kashayam or lehyam are also prescribed by the ayurvedic doctor in charge of the treatment.}

_{Benefits of Njavarakizhi}

_{Navarakizhi has been found to be very helpful to keep your body and mind  free from normal wear and tear.}

_{2.                It keeps your skin bright and beautiful: The largest organ in our body is skin and it needs special care for keeping it healthy and beautiful throughout one’s life. Njavarakizhi helps in a great way to improve the texture, brightness and smoothness of your skin. It strengthens your muscles: Another important benefit derived from Navarakizhi is the increase in strength of the patient’s muscles. For persons who experience general weakness of body as a result of aging this procedure named Navarakizhi has been found to be of immense help.}

_{3.                Cholesterol levels are lowered: Persons suffering from high cholesterol level has been found to be of immensely benefitted by balanced diet and undergoing Najavarakizhi simultaneously. The innate effect of njavarakizhi producing sweat has been found to be very helpful in increasing blood circulation and lowering cholesterol level.}

_{4.                It alleviates stress: For persons who suffer from mental stress due to various problems has been found to be much relaxed after undergoing Njavarakizhi. During the process of najavarakizhi the mind is at rest and it beats the bad effects of stress.}

_{5.                Gets relief from the symptoms of arthritis: With the help of Njavarakizhi, it has been found that reduction of pain and inflammation in the arthritis affected areas are possible. The new found strength of muscle helps the relief of problems due to arthritis.}

Abhyanga - Ayurvedic medicines and treatments. India treats

Abhayanga is an Ayurvedic treatment process in which large amounts of warm oil are applied on body and the entire body is massaged with human hands. The oil used is pre medicated with certain herbs as per the requirement of each  case. Ahyanga  can be done as part of Pancha arama. It is usually done in the first stage of Panchakarma known as  Purva Karma(pre-treatment). It is also done as its own therapy.

Abhyanga is followed by svedana therapy which is nothing but warm bath or lying out in open sun. Abhyanga can be performed by a single person or can be performed by more than one massage therapist simultaneously.

Abhyanga forms part of the daily routine of ayurvedic healing system benefits of which is eloquently described in traditional ayurvedic texts. One such text says that giving a full-body massage using oil regularly n, relives fatigue, pacifies doshas, enhances the luster of your skin and provides perfect sleep, pleasure and stamina. The answer to the seeming contradiction of  a ritual  becoming blissfully relaxing,  and gearing up to  peak performance lies in the fact that this process relieves the accumulated toxins and stress form mind and body and acts as a powerful regenerator and charger for the mind and body.

Some of the benefits arising out of following this ritual on a daily basis are detailed below.

·         Increased blood circulation

·         Muscles and all the physical body parts are toned up

·         Nerves are calmed

·         Joints are lubricated

·         Mind becomes more alert

·         More stamina

·         Sound sleep at night

·         Impurities from human body are thrown out

·         Skin becomes smoother and softer

·          

Abhyanga is normally done in the morning before the daily bath so that the toxins accumulated in your body during the previous night are released. Cured sesame oil, herbalized massage oil, aroma massage oil etc are usually used for abhyanga.

Transdermal absorption of the qualities of the material used helps the skin to perform its diverse functions in the most effective manner. It allows skin the largest organ in the body to release toxins and absorb nourishments. The process is similar to the oiling of a car. If you oil the car regularly in the proper manner it will remain in peak condition without any problem and will give you trouble free performance.

If you are using  sesame oil go for cold-pressed oil which will be chemical-free. Sesame oil has antioxidant properties and this helps the skin to remain safe from radical damage. You will have to cure the oil for best results. For curing heat the sesame oil to 212 degrees Fahrenheit. After reaching the above temperature let the oil cool. Now you can store this oil and use whenever needed.

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In vitro Fertilization, a comprehensive study - Infertility- Indian medical toursim

Now in vitro fertilization has become a common procedure followed in many infertility clinics around the world.  But in 1978, when  Louise Brown was born in England as the first baby born out of in vitro fertilization, it was considered as a miracle and the baby was nick named test tube baby.

Unlike artificial insemination in which sperm is kept in the uterus and conception takes place otherwise normally, in IVF the egg and sperm are combined outside human body in a laboratory. After the formation of an embryo or embryos, the they are then placed inside the uterus. This is a very complicated and extensive procedure and due to high expenses involved, only 5 % of the infertile couple dares to attempt in vitro fertilization techniques. Since its inception in the year 1981, about 200,000 babies were born using the in vitro fertilization technique.

In IVF procedure, mature eggs are retrieved from ovaries and they are fertilized by sperm in a laboratory. Then the embryo so formed is implanted in the uterus. It takes about two weeks for the completion of one cycle of IVF.IVF are more effective and more natural when the sperm and egg of the parents take part in the fertilization process or in some cases IVF may involve eggs or sperms of an anonymous donor and yet in some other cases, it may involve a gestational career woman acting as the carrier for the fertilized embryo of the parents involved in the IVF procedure. Your doctor will be able to guide you and teach you the pros and cons of IVF procedure. The probable risk factors will be explained by him and he will also state whether you are a fit person for the IVF procedure.

When is it necessary?

In vitro fertilization is considered as a treatment procedure intended for infertile patients who suffer generally due to genetic problems. Before attempting this method doctors prefer that you and your partner had undergone other treatment options  including fertility drugs and intrauterine insemination. IVF is also considered as an infertility treatment option for women who have crossed the age of 40. Similarly, this procedure is suggested for people who are under certain health conditions as detailed below.

Block in fallopian tube: When fallopian tube is damaged or blocked due to some reason, it will be difficult for the egg to get fertilized and for an embryo to travel through fallopian tube and enter the uterus.

Ovulation disorders: In some cases ovulation is found to be inadequate or completely absent. In such cases fewer eggs are available for fertilization.

Disorders in ovulation:  If your ovaries fail, they do not produce the normal amount of estrogen so that the eggs are not released regularly.

Premature failure of ovaries: This is condition in which both the ovaries loss normal functionality before the age of 40.

Endometriosis: Endometriosis can be defined as the growth of uterine tissues outside the uterus. This may affect the functioning of ovaries, fallopian tubes and uterus.

Uterine fibroids:  Tumors in the wall of uterus are known as fibroids. These can interfere with implantation of the fertilized egg.

Previous removal of tube for sterilization: For persons who have already under gone tubal ligation procedures for controlling the birth of children, it may be necessary to undergo IVF for further pregnancy.

Low sperm concentration: if the sperm has lower concentration and less mobility, or abnormal size or shape, IVF will be required to sped  the fertilization process.

Unexplained infertility: In some cases even after detailed study, the doctors may not be able to explain  the reason for the infertility experienced. In such cases IVF is considered as a suitable option for getting the problem settled for ever.

Genetic disorder: If you or your partner has some genetic disorder and you are keen not to pass over this disorder to your child, doctors may suggest IVF as a solution. After in vitro fertilization the embryo so formed are scanned for genetic disorders. All the all genetic disorders cannot be identified through scanning. This method is carried out and the embryos which are found to be free from genetic disorders only are implanted in the uterus of the mother undergoing IVF.

Fertility preservation for patients with cancer or similar diseases: Some women who are about to undergo chemo or radiation therapy for cancer that would harm the embryo would prefer to store their eggs or  the embryos in a frozen state and for this the IVF techniques are often made use of.

Women without functional uterus : Women who does not have a functional uterus but are capable of ovulation can make use of a surrogate woman for carrying the embryo produced using IVF procedure. In such cases the women’s egg is fertilized using her husbands or an anonymous sperm and the embryo so formed is placed in the uterus of a gestational carrier.

Risks

Multiple births: When multiple embryos are formed in IVF procedure, the risk of multiple births is natural. Such pregnancies can be risky and early labor can be expected and the babies  so born will be having lower weight at the time of birth.

Premature birth and lesser weight at the time of birth. Research has shown that babies born out of IVF procedure are born earlier than usual and they have a lower weight compared to the babies born normally.

Ovarian hyper stimulation: Use of drugs like chorionic gonadotrophin (HCG) can result in hyper stimulation of ovaries resulting in the swelling of ovaries and pain in them. Symptoms like nausea, vomiting, diarrhea etc are shown in such cases and they may continue for  weeks if pregnancy takes place. This can result in rapid weight growth and breathlessness.

Miscarriage: Miscarriage rate in the case of IVF increases with age of the women, use of frozen embryos, etc.

Complications in egg retrieval: Eggs are retrieved form ovary using an aspirating needle and this can cause bleeding, infection and even damage to bladder, bowel or blood vessels. General anesthesia given during this procedure can also lead to dangerous situations.

Ectopic pregnancy: in some cases the fertilized egg gets implanted outside uterus, sometimes in fallopian tubes.  Occurrence of such cases is estimated to be about 2 to 5 percent.  A fertilized egg cannot survive outside uterus and as such there is no way to continue the pregnancy.

Birth defects: Birth defects are believed to be related to the age of mother at the time of pregnancy. More study is needed to confirm the effect of IVF on the defects found at the time of birth.

Ovarian cancer: Some studies suggest that there can be some link between medications used for the stimulation of egg growth. But more studies are required to confirm this belief.

Stress: IVF can bring physical emotional and financial stress on the patient undergoing this procedure.

Preparations for IVF:

Before starting IVF procedure for a couple, they will have to undergo a  series of tests

Test to find out ovarian reserve status: Concentration of follicle-stimulation hormone is  a test usually conducted before IVF. In this test the quality and quantity of the eggs available in the female partner is calculated using the blood samples in the first few day of your menstrual cycle. This test combined with ultra sound test of your ovaries will help the physician to predict the response of your ovaries during the procedure.

Semen analysis: Semen analysis is a diagnostic test performed to find the semen count and its mobility.

Screening for infectious diseases: The couple undergoing IVF will be screened for infectious diseases like IVF, STD etc.

Mock embryo transfer:  Sometimes your physician may carry out a mock embryo transfer to understand the your uterine cavitie’s depth and to determine the most appropriate test for embryo’s successful placement in your uterus.

Examination of your uterine cavity:  Sonohisterography is  a   test in which a fluid is injected through the cervix to the uterus and with the help of ultra sound the image of your uterine cavity is obtained. Or doctors may perform a hysteroscopy in which a flexible lighted telescope is inserted into the vagina and cervix to reach the uterus. The uterus is viewed by the surgeon through this instrument to understand the depth and other vital aspects needed for IVF.

Number of embryos transferred: the number of embryos transferred to the uterus is decided considering the age of the patient and the number of eggs retrieved. For older women more embryos are implanted except in the case where donor eggs are used.

Some doctors have given guidelines for the transfer of embryos to uterus and in some countries there are laws regulating this matter. Get clarification about this matter from your doctor before you get ready for the procedure.

What to do with multiple embryos?: Extra embryos formed during IVF procedure are stored frozen for many years. Some of them may not survive freezing. Cryopreservation helps in making future IVF cycles less expensive and less difficult. But one has to remember the fact that the birth rate of frozen embryos is considerably lower than the birth rate obtained from fresh embryos

How to handle multiple pregnancy: Pregnancy with more than one embryo often has health risks and doctors may suggest fetal reduction. This is major decision which involves many ethical and emotional considerations.

Donor eggs:  using donor eggs can lead to legal and ethical issued regarding the right of the donor of eggs over the child born.You might need the help of an attorney to sort out the matters.

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Aquatic floating resort - India treats - Indian medical tourism

A full-fledged floating resort situated at Puthankary, in the vicinity of India’s first officially designated tourism village kumbalanghi,   has the unique distinction of being the first floating restaurant in  Asia. The mesmerizing effect of living inside a floating resort with your loved ones for a couple of days and enjoying the day time seeing country toddy tappers tapping toddy from coconut trees, country fishermen swinging their fish net and catching fish from the lakes, cycling through the narrow pathways of the countryside and taking part in other numerous local activities and festivals, viewing Kerala’s cultural heritages like Kathakali and Kalaripayattu in its natural settings etc,  will never be forgotten in your life.

We can provide you all convenience and facilities for taking part in the fixed tour programs common to all visitors or arrange a custom program matching to your requirements. Any how we assure you full security, 100 % satisfaction and  10 % reduction in the charges of room rents and all other charges, provided you chart and execute the tour program with our assistance.

The floating aquatic resort boasts of its floating swimming pool and the tailor made suite rooms matching to the requirements of an emotional get together. Log on to www.aquatic-resorts.com and have a detailed view of the facilities and programs arranged by them.  The important facilities offered by them for the tourists are summarized below.

• ·         Front office service available 24x7    
• ·         Bed rooms and living rooms are fully air-conditioned
• ·         State of the art affluent treatment facilities
• ·         No restriction regarding the length of stay
• ·         Daily housekeeping charges included in the room rent
•       Floating swimming pool
• ·         Wooden floors
• ·         Eco friendly material used for construction
• ·         All the activities inside the resorts are also eco friendly.
• ·         Laundry facilities on demand
• ·         TV in all  bedrooms and living rooms
• ·         Roof of the resort is made of thatched bamboo
• ·         Fishing gear and belt supplied
• ·         Multi-cuisine restaurant
• ·         Bicycles supplied for safari for those who want
• ·         Guided tours arranged on request
• ·         Doctor will be available on your call
• ·         Experienced local guide on request

This wonderful lagoon and the aquatic resort is only 20 km away from Cherai beach, and Ernakulam city and Ernakulam south railway station. It is only 60 km away from Nedumbasserry international airport. The famous shrine of St. Joseph, Kannamaly is very near to it at a distance of 5 kms only. Log on to the site understand the facilities and rates in detail.

You can also log on to kumbalangy.com/and view the wonderful activities and scenes of the India’s one and only one designated tourism village Kumbalangi which is only  5 kms away from this floating resort.

Medical tourism in India has increased tremendously as a result of the favorable approach taken by the Government and the existence of professional health care providers in the country with state of the art facilities.

Another reason that prompts patients to visit India for their medical needs is the cheaper rates for various surgical procedures and the guaranteed hassle free services offered by the medical tourism centers flourishing in India. Any patient from outside or inside India can approach the best hospital suitable for their customized requirements. Contact us in the number 9605933311 for further details about the hospitals and doctors that are now readily available for discussing your requirements. We assure you that the best doctor from India will call you back within 24 hours of you contacting us.

For relatives of patients who undergo complex medical procedures and treatments at various multi specialty hospitals in and around  Ernakulam like Aster medicity, Amrita hospital , Bournhall clinic, Lakshmy hospital, Specialist hospital, Lake shore hospital, Medical Trust hospital, Lourdes hospital, Lissy hospital etc, the aquatic resort will be the most suitable place to spend their waiting time in calm and natural manner away from the maddening crowd of the city. The patients can also spend their recovery period here as this place is easily reachable to any of the above hospitals within one hour as the connecting roads are in good condition and without any traffic snarls.

After seeing and understanding everything you  can also contact us for getting  10 % discount in their rates as we are an associate of them and is promoting their business. 

Medical tourism in India-

Medical tourism in India is a fast thriving section with a total turnover of Rs 2000 crores in the year 2016 and it is expected to reach  a projected target of Rs 5,000 crores by the year 2020. The important and most attractive part of Indian medical tourism is the availability of accredited facilities comparable with developed countries at a very lesser cost. As per the medical tourism market report for the year 2015, India is the most attractive destination of medical tourism patients with its lowest cost and the highest quality facilities. Indian medical tourism offers a wide range of medical procedures at about one-tenth cost of such procedures when carried out in the United States.

Gulf countries, Bangladesh, Afghanistan, Russia, African countries etc account for the major portion of health tourist arriving in India. Chennai, Mumbai, Calcutta, Hyderabad, Delhi etc are the major cities where highest number of medical tourists come for  finding solution their health problems.

Advantages

·         Reduced costs

·         State of the art technology

·         Compliance on international standards of quality

 Costs: Estimated cost of various medical procedures in India is about one-tenth of the same in United States. Bone marrow transplant, cardiac bypass, alternative medicine, hip replacement, eye surgery, dental solutions etc are the most popular treatments for which more tourist are coming to this country.

Quality of care: 28 hospitals with accreditation of JCI are available in India. Chennai is considered as the Health Capital of India. Patients flying to India for health care services are keen to find the best Doctor-Hospital combination. After completing the treatment procedure the patient has the option to spend his recovery period in the hospital or in a paid facility in the nearby area. Most of the hospitals also provide facility for continuing their treatment through telemedicine.

Chennai is considered as the capital of medical tourism with about 150 foreign tourists arriving everyday in the numerous multi specialty super specialty hospitals in Chennai which has an estimated 12,500 bed capacity hospital complexes. 50 % of these beds are always occupied by medical tourists. Chennai attract about 30 to 40 % of domestic as well as international health tourists.

Ease of travel : Government of India is taking suitable steps to make the flow of medical tourists to India hassle free. For people of Gulf countries the restriction of two months gap between two consecutive visits has been removed. Selected countries have been provided visa on arrival facility which allows foreign national to stay in India for a period of 30 days for medical reasons.

Language: Despite a large number of officially recognized languages in the country, most Indian people can understand and speak English which is a world language and this helps the medical tourist to communicate with the health care providers without any difficulty.

About India

India has a strong contingent of highly skilled trained and experienced doctors in almost every field in the vast arena of medical care and this fact has been well realized the world over. India has the most competitive doctors and world class facilities are available here. Existence of a large number of tour operators with easy, convenient and economical programs to take the medical tourist to the various tourist destinations in the country at affordable rates and provide the medical tourist a wonderful experience is a very good promotion to medical tourism.

Some important tourist attractions in india

Taj Mahal: This beautiful love memorial in white  marble constructed by Shajahaan, the Mugal emperor, in memory of his beloved queen Mumtaz has been considered as one of the seven wonders of the world for centuries and even today it continues as such in spite of the fact that various architectural marvels had come out in different parts of the world during the course of four centuries after the completion of Taj Mahal.

Jaipur: This city is the capital of Uttar Pradesh and is also known as pink city. This is one of the most important tourist destinations in India. It has some of the best hotels in the world and this state has a rich cultural heritage that attracts million of tourist. 

Goa :  This is another important tourist attractions in India which is famous for its long stretch of serene beaches. Tourists from different parts of the world, especially from Europe come here to enjoy the wonderful climate of this place.

Kashmir: Kashmir also known as ‘heaven on earth’ is a beautiful state in India situated in the valleys of Himalaya. Is is famous for its exquisite beauty and the splendid atmosphere.

 Kerala: Also known as God’s own country, Kerala is the most literate state in India and is famous for its diverse cultural and linguistic heritage. Boat houses, long and beautiful beaches, snake boats, Kathakali, Ayurveda treatment centers, martial arts like Kalaripayattu etc  etc  are the specialties of this wonderful land.

Ajantha-Ellora: These are rock cut monuments erected in the first century BC. Painting and sculptures found in them are considered as master pieces of the yonder era. These caves are situated in the Aurangabad district in Maharashtra state.

Darjeeling: This place is famous for its natural beauty and splendor, its mountain fresh air, smiling happy faces of the locals etc. The magnificent sites of snow caped Everest, Kachenjunga, Kabru etc are the mesmerizing attraction of this tourist spot.

Ladak: Ladak situated in the eastern parts of Jammu with its large number of monasteries fulfills the spiritual needs of the tourists. Landscapes of Lay provide opportunities for mountaineering, trekking and white-water rafting.

Surgical procedures for controlling obesity-General medicine - Indian medical tourism

In another article posted in this blog, I have explained in detail about the circumstances leading to excess weight and the treatment options and the mediations available for reducing excess weight. In continuation of that, I am explaining some of the common surgical procedures practiced by physicians to reduce obesity and related problems.

 In surgeries intended to reduce the obesity of a patient, an attempt is made to reduce the food eaten by the patient or to reduce the absorption of nutrients from the food he eats. Weight loss surgeries are commonly known as bariatric surgeries. Most surgeons go for these surgeries as they have  lesser chance of complications  and have often achieved the desired results.

Why is it done?

These surgeries are done only if you have not reduced your excess body weight after prolonged treatment and related activities. These surgeries are done to save the patient from weight related problems like

·        Gastroesophageal reflux disease

·        Stroke,

·        Severe sleep apnea,

·        Type 2 daibetes

·        High blood pressure

Who its for

This surgery is done only for patients who have a BMI index of more than 40. It is also done for persons whose obesity index lies between 30 and 35 and who suffer from weight related problems like sleep apnea, high blood pressure etc. Some patient whose BMI index is between 30 and 34 and who undergo serious weight related problems are also some times found to be the suitable candidates for this surgery.

This surgery is not meant for all persons who have excessive body weight.  Only after a complete screening test the eligibility of a candidate for this surgery can be decided.

Risks

Like any other surgery weight loss surgeries also have some risk factors associated with it. Some of them are explained below.

Infection

Excessive bleeding

Reactions to anesthesia

Breathing problems

Gastro intestinal system leakage

Other long term difficulties following the surgery include gallstones, bowel obstruction, hernias, stomach perforations, ulcers etc.

Preparing for the surgery

Your health care provider will give you instructions regarding how to prepare for the surgery. Various lab test and examinations will be suggested. You will be given instruction about what to eat and what to drink. Which medicines you can continue and which has to be stopped etc will be informed to you.  You will have to stop smoking and start some physical activity program. Bring a driver for returning home after surgery and also arrange a helper in your house for helping you in the recovery period.

These surgeries are done in hospital under general anesthesia. Therefore you will be unconscious during the surgery. Traditionally weight loss surgeries were done with large incisions. At present most surgeries are done as laparoscopic surgeries.

Laparoscope is an instrument with a camera on one end of a long tube. Through small incisions made in your body the laparoscope is inserted and is slowly driven till it reaches the operation site. Through the camera surgeon will be able to see the operating area and the actions going on there in a monitor placed near him. Special tools for carrying out the surgery are inserted through other small incisions.  The surgeon controls the instruments remotely seeing the process in his monitor. This type of surgeries has the benefits that they are less pain full and recovery in this case is faster. The blood loss during these surgeries is lesser.

There are different types of bariatric surgeries in practice. Depending upon the merit of each case, the surgeon will select the surgical procedure most suitable for the patient. Each of the surgeries is explained in brief below.

Rousx-en-Y(roo-en-y)

This is the most common procedure used for gastric bypass. This surgery has the disadvantage that, it is not reversible. The surgery helps in reducing the food one can eat in one sitting and reducing the nutrients absorbed from the food one eats.  The surgeon cuts the patient’s stomach and reduces its size so that it can contain only one ounce of food. Normal stomach of person is capable of holding 3 pints of food. The surgeon also cuts the small intestine and the cut portion is directly connected to the pouch shaped new stomach. In doing so a good a good portion of the small intestine is by passed. The reduced stomach helps the patient to eat only small amount of food and feel full. Similarly the reduced length of small intestine helps less absorption of nutrients from the food eaten by the patient. Thus food is bypassed from most of your stomach as well as the first portion of your small intestine.

Billiopancreatic diversion

In this procedure 80 % of the stomach is cut and removed.  The pyloric valve and duodenum the first portion of the small intestine remains there. Major portion of the small intestine is bypassed in this case and it is connected to the duodenum. This surgery helps to limit the food the patient eats and also prevents all nutrients of the eaten food being absorbed. This surgery is generally used on patients who has a BMI greater than 50.

Laparoscopic gastric banding

 In this procedure the surgeon inserts an inflammable band. This band is place around the upper portion of the stomach. A channel is connected between this band and the middle portion of the small intestine bypassing the duodenum of the small intestine. The inflammable band can be inflated through a port placed in the inner side of the skin. When this band is inflated the other portion of the stomach is isolated and the volume of the active portion of the stomach is reduced considerably. The digestive part of the intestine named duodenum is also not available after the surgery thereby reducing the amount of nutrients intake. By adjusting the band, the volume of food can be fixed at the most appropriate level. Because of its simple nature, the LAGB is one of  the common procedures in this arena. But the weight loss the patient gains in this case has been  found to  be lower compared to other surgical methods and the patient may need to adjust the band periodically.

Sleeve gastrectomy

This procedure is sometimes called ad vertical sleeve gastrectomy. This procedure can be considered as the first part of the billiopnacreatic diversion. The only difference is that the second portion of the surgery which is bypassing the initial portion of the small intestine is not done in this case. This surgery changes the structure of the stomach like a tube.  This reduces the amount of food the patient eats and the amount of nutrients absorbed by his body.

Obesity - General medicine - Indian medical tourism

അമിതവണ്ണം

ശരീരത്തിൽ കൊഴുപ്പിന്റെ  അളവ് കൂടുന്നതുകൊണ്ടുണ്ടാകുന്ന ഒരു രോഗാതുര അവസ്ഥയാണ് പൊണ്ണത്തടി. ഇത് ശരീഅ ഭാരം ക്രമാതീതമായി വർദ്ധിപ്പിക്കുകയും ശരീര സൗന്ദര്യത്തെ പ്രതികൂലമായി ബാധിക്കുകയും ചെയ്യുന്നു, പ്രമേഹം, ഉയർന്ന രക്തസമ്മർദം, ഹൃദയാഘാതം  തുടങ്ങിയ  രോഗങ്ങൾ അമിതവണ്ണമുള്ളവരിൽ സാധാരണയായി കാണപ്പെടുന്നു. അമിത ശരീരഭാരം മികച്ച ചികിത്സ അടിയന്തിരമായി ആവശ്യമുള്ള ഒരു പ്രശ്നമാണെന്നും ചികിത്സ താമസിക്കുംതോറും ഗൗരവമായ ആരോഗ്യ പ്രശ്നങ്ങൾ ഉടലെടുക്കും എന്നതും ഒരു പരമാർത്ഥം ആണ്.

രോഗകാരണങ്ങൾ

പാരമ്പര്യ ഘടകങ്ങൾ സ്വാധീനം, പരുമാറ്റ പ്രശനങ്ങൾ എന്നിവ ശരീര ഭാരം ക്രമാതീതമായി  വർധിപ്പിക്കുന് കാരണമായിട്ടുണ്ടാകാമെങ്കിലും, ഒരാളുടെ ശരീരത്തിലേക്ക് ആഹാരം വഴി കടന്നുവരുന്ന ഊർജ്ജത്തിൻറെ  കലോറി  മൂല്യവും ശരീരം ദൈനന്ദന പ്രവർത്തനം വഴി ഉരുക്കിക്കളയുന്ന കലോറി മൂല്യവും തമ്മിലുള്ള വ്യത്യാസം ആണ് അമിത ശരീര ഭാരതത്തിനു കാരണമാകുന്ന കൊഴുപ്പ് ശരീരത്തിൽ സൃഷ്ടിക്കുന്നുന്നതെന്നെ അടിസ്ഥാന പ്രമാണം ആദ്യമേ തന്നെ മനസ്സിലാക്കി വെക്കുന്നതു നല്ലതാണ്.

നിഷ്ക്രിയത്വ  സ്വഭാവം: ഉത്സാഹമില്ലാതെ നിഷ്ക്രിയത്വ  സ്വഭാവം പ്രകടിപ്പിക്കുന്ന ഒരാൾ തന്റെ  ഓരു  ശരാശരി ദിവസത്തിൽ  വളരെ ക്കുറഞ്ഞ ഊർജ്ജം മാത്രമേ ഉപയോഗപ്പെടുത്തുന്നുള്ളു. അതുവഴി തന്റെ ശരീരത്തിൽ കൂടുതൽ എനർജി കലോറികൾ അടിഞ്ഞുകൂടുകയും അത് പിന്നീട് അമിത ഭാരം ആയി മാറുകയും ചെയ്യുന്നു.

അനാരോഗ്യ പരമായ ഭക്ഷണ ശീലങ്ങൾ: അധികം കലോറി അടങ്ങിയിരിക്കുന്ന ബിരിയാണി, മധുരമുള്ള, കൊക്കോ കോള  പോലെയുള്ള പാനീയങ്ങൾ, ബേക്കറി വിഭവങ്ങൾ എന്നിവ കഴിക്കുന്ന ശീലം അമിതഭാരം ഉണ്ടാകുന്നതിനു കാരണമാകും. 

രോഗലക്ഷണങ്ങൾ: 

അമിത ഭാരം ഒരു മനുഷ്യന് ഉണ്ടോ എന്ന് പരിശോധിച്ചറിയുവാൻ ബി. എം.ഐ. ഇൻഡക്സ് ആണ് ഉപയോഗിക്കുനന്തു. ഒരു മനുഷ്യൻറെ കിലോഗ്രാമില്ല്ലാ തൂക്കത്തെ മീറ്ററിലുള്ള അദ്ധേഹത്തിൻറെ ഉയരത്തിൻറെ വർഗംകൊണ്ടു ഹരിക്കുമ്പോൾ കിട്ടുന്ന സംഖ്യയാണ് ബി. എം.ഐ. ഇൻഡക്സ്.

ഒരാളുടെ ബി. എം.ഐ. ഇൻഡക്സ്. 30 ൽ കൂടുതലാകുമ്പോൾ അയാൾ അമിത ശരീര ഭാരം ഉള്ള ആളായി കണക്കാക്കപ്പെടുന്നു.  ബി. എം.ഐ. ഇൻഡക്സ് 30 മുതൽ 35 വരെ ഉള്ളവരെ ക്ലാസ് 1 ആയും ഇൻഡക്സ് 35  മുതൽ 40  വരെ ഉള്ളവരെ ക്ലാസ് 2  ആയും ബി. എം.ഐ. ഇൻഡക്സ് 40 നു മുകളിൽ ഉള്ളവരെ ക്ലാസ് 3   ആയും കണക്കാക്കപ്പെടുന്നു. ക്‌ളാസ് 3 ലുള്ളവരെ അതീവ ഗുരുതരാവസ്ഥയിലുള്ളവരായി കണക്കാക്കപ്പെടുന്നു.

അമിത ശരീര ഭാരം ഉണ്ടാകാനുള്ള കാരണങ്ങൾ

പാരമ്പര്യം: ഒരു മനുഷ്യൻറെ ശരീരത്തിന് അമിതവണ്ണം ഉണ്ടാകുന്നതിനു പാരമ്പര്യമായ കാരണങ്ങൾ ധാരാളം ഉണ്ടാകാം. കൂടാതെ ഒരു മനുഷ്യന്റെ ശരീരത്തിലെ എനർജിയുടെ ഉപയോഗവും എനർജിയുടെ കൊഴുപ്പ് രൂപത്തിലുലാ ശേഖരണവും സംബന്ധമായ കാര്യങ്ങളും നിയന്ത്രിക്കുന്നതിൽ പാരമ്പര്യത്തിന് വളരെ പ്രധാനപ്പെട്ട ഒരു സ്ഥാനമാണ് ഉള്ളത്.

കുടുംബത്തിൻറെ ജീവിത ശൈലി: ഒരേ കുടുംബത്തിൽ തന്നെ ഒന്നിലേറെ പേർ അമിതവണ്ണമുള്ളവരായി കാണപ്പെടാറുണ്ട്  ഇത് പാരമ്പര്യാധിഷ്ഠിത കാരണങ്ങളാൽ മാത്രമല്ല എന്ന് ശാസ്ത്രീയ പഠനങ്ങൾ വ്യക്തമാക്കുന്നു. കുടുമ്പത്തിൻറെ  ജീവിത ശൈലിയാണ് ഇതിനു കാരണമായി കണക്കാക്കപ്പെടുന്നത്.

അനാരോഗ്യകരമായ ഭക്ഷണം: പഴ വര്ഗങ്ങളോ പച്ചക്കറികളോ ഉൾപ്പെടാത്തതും കലോറി മൂല്യം കൂടുതൽ ഉള്ളതുമായ ഭക്ഷണം അനാരോഗ്യകരമായ പരിഗണിക്കപ്പെടുന്നു.

നിഷ്‌ക്രിയത്വം: നിത്യജീവിതത്തിലെ പ്രവർത്തനങ്ങളിൽ പോലും താൽപര്യം കാണിക്കാതെ നിഷ്ക്രിയനായി ജീവിക്കുന്ന ഒരാൾ സ്വാഭാവികമായും അമിത വണ്ണത്തിന് അടിമയാകും എന്നത് സംശയമില്ലാത്ത കാര്യമാണ്.

വൈദ്യ ശാസ്ത്ര പരമായ കാരണങ്ങൾ: കാഷിങ്‌സ് സിൻഡ്രോം,  പ്രെഡർ വില്ലി സിൻഡ്രോം എന്നീ രോഗങ്ങൾ അമിത വന്നതിനു കാരണമാകാറുണ്ട്.

ചില മരുന്നുകൾ: വിഷാദ രോഗത്തിനുള്ള മരുന്നുകൾ, പ്രമേഹ രോഗത്തിനുള്ള മരുന്നുകൾ, സ്റ്റീരിയോയിഡ്സ് മുതലായവ അമിത വണ്ണത്തിന് കാരണമാകാറുണ്ട്.

സാമൂഹ്യവും സാമ്പത്തികവുമായ കാരണങ്ങൾ: വ്യായാമ ചെയ്യാനുള്ള ജിമ്മുകളുടെ അഭാവം, അശാസ്ത്രീയമായ  പാചകം, ഗുണമേന്മയേറിയ ഭക്ഷണം വാങ്ങിക്കുകവാനുള്ള സാമ്പത്തീക ബുദ്ധിമുട്ടുകൾ എന്നിങ്ങനെയുള്ള സാമൂഹ്യവും സാമ്പത്തികവുമായ കാരണങ്ങളും അമിത വണ്ണം ഉണ്ടാകുന്നതിനുള്ള സാഹചര്യം സൃഷ്ടിക്കാറുണ്ട്.

ഗര്‍ഭധാരണം: സ്ത്രീകൾക്ക് ഗര്‍ഭധാരണ കാലത്തു വണ്ണം വെക്കുക എന്നത് ഒരു സ്വാഭാവിക കാര്യം മാത്രമാണ്അ. എന്നാൽ ചില സ്ത്രീകളിൽ പ്രസവത്തിനു ശേഷവും അമിതവണ്ണം നിലനിൽക്കുന്നതായി കണ്ടു വരുന്നു.

പുകവലി നിർത്തൽ: പുകവലി നിർത്തുന്നവരിൽ അതിൻറെ പാർശ്വഫലമായി അമിതവണ്ണമുണ്ടാകാറുണ്ട്. എന്നാൽ പുകവലി നിർത്തുമ്പോൾ ആരോഗ്യ പരിപാലനത്തിൽ  ഉണ്ടാകുന്ന ഉണർവ് ഈ അമിതവണ്ണത്തിന് പ്രാധാന്യം കുറക്കുന്നു.
( ഈ ലേഖനം അപൂർണ്ണമാണ്‌. ഉടനെപൂർണമാക്കുന്നതാണ്. സദയം ക്ഷമിക്കുക  )