Pedalling legs in the air: what people do to relieve low blood pressure

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

http://www.nationmultimedia.com/life/Pedalling-legs-in-the-air-what-people-do-to-reliev-30295137.html

LIVING WELL

photo: dpa

photo: dpa

It does not take long, and you do not necessarily even need to go to the doctor: you can have your blood pressure measured at many pharmacists’.

The focus is usually on high blood pressure, which can cause a heart attack or a stroke.

However, some people have the opposite: low blood pressure, known as hypotension, which is not always harmless either.

A doctor should establish whether or not there is an organic cause for low blood pressure, says cardiologist Heribert Brueck.

Low blood pressure can be a symptom of a thyroid gland malfunction or a heart disease, such as a myocardial insufficiency. According to the World Health Organization (WHO), a blood pressure of less than 100 over 60 millimeters of mercury (mm Hg) is considered low for women, while the equivalent for men would be anything less than 110 over 70 mm Hg.

Globally, hypotension is believed to affect an estimated five per cent of the population.

“Low blood pressure is not a disease in itself,” Brueck stresses.

It is usually a sign of circulatory problems. Affected people only tend to worry about hypotension if they sometimes get dizzy, feel buzzing in their ears or feel unusually cold.

Pharmacist Ursula Sellerberg points out that older people need to take low blood pressure seriously. For example, if they feel dizzy after getting out of bed, they are at risk of fractures or bruises from fainting.

Hypertense patients are often given drugs to bring their blood pressure down, but the reverse is not usually true.

“Almost no medication is prescribed for low blood pressure,” Brueck says.

Instead, many doctors advise their patients to take better care of themselves.

Christian Dannhart, a spokesman for a group that promotes the healthful effects of alternating hot and cold showers, says, “That is often enough to improve circulation and the supply of oxygen.”

Brueck is however cautious of claims that this improves the cardiovascular system, saying “You should seek a doctor’s advice first.”

Alternating hot and cold is not always a good idea, particularly for people who suffer from certain illnesses including vein problems.

Men and women with low blood pressure should eat food with plenty of salt.

“It is also important to have a diet that is rich in minerals and vitamins, that is, with plenty of fruit and vegetables,” Dannhart says..

Drinking at least 2 litres of water per day is also good for blood circulation. Medicinal plants like rosemary often also have a positive effect on hypotension, by stimulating circulation. Further, exercise can help fight low blood pressure.

“One possibility before you get up in the morning is for instance to stimulate circulation by pedalling your legs in the air in bed,” Sellerberg explains.

“Relaxation techniques such as yoga or breathing exercises can stimulate circulation too and thus improve the brain’s oxygen supply,” Dannhart notes.

Sellerberg offers an even easier tip for the elderly. People with low blood pressure should occasionally “lie down flat and raise their legs higher than the body” to make the blood run to the head.

Drinking plenty of water supports spine |elasticity, expert says

DEUTSCHE PRESSE-AGENTUR

Spinal health and elasticity are impacted by more than just exercise or everyday wear and tear: how much you drink affects the back.

Nutrition also plays a role, according to orthopaedist Reinhard Schneiderhan.

The intervertebral discs, which cushion the spine’s vertebrae and act as a shock absorber, need fluid to stay strong and limber. Even the vertebrae themselves are up to 25-per-cent liquid.

“For a stable, yet elastic spine, it is recommended to drink one and a half to two litres of water per day,” Schneiderhan says.

Two important nutrients for bone health include calcium and phosphorus. Both minerals can be found in milk products, especially in cheeses, or leafy, dark-green vegetables.

Knee replacement surgery offers 60 elderly patients a new lease on life

ศาสตร์เกษตรดินปุ๋ย : ขอบคุณแหล่งข้อมูล : หนังสือพิมพ์ The Nation

http://www.nationmultimedia.com/life/Knee-replacement-surgery-offers-60-elderly-patient-30284648.html

LIVING WELL

DR.Chamroonkait

DR.Chamroonkait

One of the most common afflictions among the elderly, knee osteoarthritis affects at least 10 per cent of the Thai population and is today also being found in younger patients.

One of the most common afflictions among the elderly, knee osteoarthritis affects at least 10 per cent of the Thai population and is today also being found in younger patients. Knee replacement surgery is the only viable solution for many of these cases but at prices that range from Bt40,000 to Bt500,000 or more is out of reach to all but the well-heeled.

But there is good news at hand for 60 arthritis sufferers as the Joint Replacement Centre at Bumrungrad Hospital Foundation has chosen to mark the 60th birthday of Her Royal Highness Princess Maha Chakri Sirindhorn by offering free knee replacement surgery.

The free surgery will be conducted on 60 elderly Thais using computer-based and robotic arm technology and will also cover both the pre- and post-operative processes.

The computer-assisted surgery, navigation system and robotic-assisted surgery ensures precision of the placement, reduction of improper joint alignment and better longevity of the replacement. The technological support also helps reduce pain during the post-operative period and a speedy recovery during rehabilitation.

Dr Chumroonkiet Leelasestaporn, the director of Joint Replacement Centre, and chair of the Joint Replacement project, says the precision and navigation afforded by the computer considerably lowers the risk of problems with small pieces of bone and tissue.

The project also includes a campaign to create awareness of preventive measures we can all incorporate into our daily lives to delay the deterioration of the all-important knee joint. This is seen as particularly important in light of the significant increase in the number of knee osteoarthritis patients seen by the Centre, which rose by a massive 89 per cent between 2013 and 2015 and is showing no sign of abating.

While some degree of osteoarthritis is inevitable as we age, doctors are increasingly worried by the prevalence of the disease among younger people. Causes include injury and infection, being overweight, eating junkfood and the sedentary lifestyle, which sees many sitting for long periods at work. Even crossing the knees plays a role in hastening the disease.

Osteoarthritis of the knee occurs when the cartilage that serves as a cushioning between joints wears away. When the cushion is narrowed down, the bones of the joints rub more against one another, leading to pain, swelling and stiffness. The decrease of cartilage can be seen through x-rays and MRI scanning.

Treatment depends on the condition, but in general, losing weight to decrease the knees’ weight-carrying burden, proper exercise to create muscles around the knee so as to share that burden, and taking pain-relief drugs have some effect.

However, when the condition becomes too painful and prevents the patient from leading a normal life, joint replacement is usually the only option. After the surgery, the patient will be able to work normally and take some exercise, though jogging is strictly not permitted.

The project has been operational since 2015 and 38 patients have so far been treated.

Criteria for participation in the project include being between are 60-75 years old and having attempted to improve osteoarthritis for at least six months through non-operative methods but without any result. The project is open to low-income Thais only and applications are being accepted through May 31.

To find out more, contact the Joint Replacement Centre, Bumrungrad Hospital at 02 667 2000 or check out http://www.Bumrungrad.com.