⤴ OBESITY hypoventilation syndrome (OHS)


OBESITY hypoventilation syndrome (OHS)OHS

OBESITY hypoventilation syndrome (OHS) also known as Pickwickian syndrome a condition that occurs in severely obese people who fail to breathe rapidly enough, where poor breathing leads to lower blood oxygen levels and higher blood carbon dioxide levels in blood. Many during sleep having obstructive sleep apnea, awake at night that leads to continual sleepiness in daytime. The disease puts an extra strain on heart, which gradually leads to symptoms heart failure, or such as leg swelling and various other complications. The effective way to over come the syndrome is to cut obese! OHS is distinct from other sleep related breathing disorders although overlap may exist.
    Causes: Most patients with the syndrome having a form of sleep apnea. IT is believed to result from both a defect in the brain’s control over breathing, and excessive weight (due to obesity) against the chest wall, which makes it hard for a person to take a deep breath. As a result, the blood has too much carbon dioxide and not enough oxygen. People with such are often tired due to sleep loss; poor sleep quality, and chronic hypoxia. Hypoventilation occurs when level of alveolar ventilation is insufficient to meet metabolic needs that is characterized by rise in arterial carbon dioxide CO2 tension, normally measured from arterial blood gases. To maintain adequate ventilation relies on capacity of respiratory muscles, load that is placed on these muscles and adequacy of central drive to breathe.
Excess (morbid) obesity is the main risk factor.
Symptoms include:
~Excessive daytime sleepiness or interrupted sleep
~Obstructive sleep apnea, condition characterized with snoring, brief episodes at night
~Falling asleep during the day
~Increased risk for accidents or mistakes at work
~Depression
~Hypertension and headaches can happen that worsen condition in morning
~Symptoms of low blood oxygen level (chronic hypoxia) can also occur, such as shortness of breath or feeling tired after very little effort
~Low oxygen level leads to excessive strain on heart as fluid may accumulate in legs in the form of edema, swelling and in abdominal cavity in the form of ascites
~Decreased exercise tolerance and chest pain occur
~Depressed central ventilator control
~Tightens the small blood vessels in lungs to create an ideal distribution of blood through the lungs that causes to increase pressure on pulmonary artery hypertension, which in turn extra strain on right ventricle, part of the heart that pumps blood to the lungs
~OHS elevated blood levels of carbon dioxide that causes drowsiness CO2 narcosis may worsen sleepiness. High carbon dioxide can also cause headaches, which further tend to worsen in morning
~Neuro hormonal effect
~Heart murmur due to blood leaking through tricuspid valve, hepatomegaly (an enlarged liver), ascites and leg edema
Exams and Tests: People with OHS are usually very overweight. A physical exam reveals:

  • ~Lips, fingers, toes, or skin cyanotic, bluish color
  • ~Signs of right-side heart failure, such as swollen legs or feet, shortness of breath, or feeling tired after little effort
  • ~Reddish complexion
  • ~A short, thick neck and small airway passage in the mouth
  • ~Sign of excessive sleepiness

Tests to confirm OHS include: •Sleep study •Lungs (pulmonary) function tests •Arterial blood gas •Chest x-ray or CT to rule out other possible causes
Treatment: It involves breathing help using special machines (mechanical ventilation). Options include: Non-invasive mechanical ventilation through a mask that fits tightly over the nose or nose and mouth (mainly for sleep)
Mechanical ventilation through an incision in the neck (tracheostomy)
Oxygen
Other treatments aimed at weight loss, which can reverse OHS.
Prognosis: Untreated, it can lead to serious heart and blood vessel problems, severe disability, or death. It is further associated with a reduced quality life, which often associate the condition such as asthma, diabetes, and heart failure.
Possible Complications: Complications of OHS have to do with a lack of sleep, such as:
Increased risk for accidents
Depression, agitation, irritability
Sexual dysfunction
Hypertension
Right heart failure

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Aim is to promote health and ease sufferings. Give a Try! By that time may put color with permanent marker pen as prescribed. As the process is only on the hands show in miniature form of body through the energy channels in compact system. Treatment can be tailored to individual’s needs.
Don’t forget to apprise your opinion!

http://onnurimedicine.me ‘Dr.Dinesh kapur’
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⤴ WEIGHT loss


WEIGHT loss

Wt
^Exercise for several short periods throughout the day when time is limited.
^Eat more breakfast, worth repeating it. It is the most important meal of the day. Skipping meals may lead to excessive snacking. Get more volume. If you love large portions, the key is to eat a lot of volume-rich foods (those that is loaded with water or fiber so they take up a lot of space on plate-and in stomach too!
~Start your day with a high-fiber breakfast cereal, such as bran flakes, shredded wheat or oatmeal. Opt for cereals with “bran” or “fiber” in the name. Or add a few tablespoons of unprocessed wheat bran to your favorite cereal. Get more fiber, soluble and insoluble found in whole grains, fruits and vegetables, and each plays a role in squashing the munchies. Soluble fiber helps stabilize blood sugar, keeping hunger at bay. Insoluble fiber adds bulk to food, which signals gastrointestinal system that you’re full.
^Focus on fruits, vegetables; top off your morning cereal with bananas; stir berries or peaches in yogurt or cottage cheese.
~Liven up your sandwiches with vegetables, such as tomato, lettuce, onion, peppers and cucumber.
^Get more spice. Deep-frying or dousing with cheese isn’t the only ways to make them taste good. Adding spice is a smarter way to treat your taste buds. Another spice worth a shake is turmeric.
^Eat foods that are healthy and low in calories first so that when it comes time to enjoy your favorites-sweets or junk food.
^Take slightly less than what you think you will eat. Get more flavors.
^Avoid eating in front of the television. TV viewing strongly affects how much and what people eat.
^Eating directly from a container gives no sense of how much to eat. Seeing food on a plate or in a bowl keeps you aware of how much you’re eating.
^Get more protein, body uses more calories when it digests protein than when it processes fat or carbs, and it increases the metabolism by helping to build and support lean muscle mass.
^Seek out new activities.
^Stress can cause you to eat more. Develop strategies that can help you relax when you find yourself becoming stressed. Exercise, deep breathing, muscle relaxation techniques and even a good laugh can ease stress.
^People eat more food in restaurants than at home. Limit how often you eat at restaurants. The best snacks include fruits, vegetables, whole grains and low-fat dairy products. Fruit smoothies, sliced fresh fruit and yogurt, whole-grain crackers, and carrot and celery sticks with peanut butter are all good choices.
^Get more sleep. Scientists are uncovering more evidence that lack of sleep triggers hormonal shifts that boost hunger and appetite.
^Try to eat more “mindfully” by taking time to savor every bite.
^Get more support.
^Drink responsibly. WATER; It doesn’t fend off germs in itself, but all vitamins, minerals and nutrients need water to be properly absorbed. Taking in enough fluids is an important part of maintaining a healthy diet and lifestyle. Water is a major part of every body cell, tissue and organ. It plays an important role in almost every body function, including: Temperature regulation, Transportation of oxygen and nutrients through the blood, Acting as a necessary part of chemical reactions, Aide eliminate waste through urine and feces, Lubrication of joints, Acting as a major part of body fluids such as mucus and tears, Giving the cells their shape and stability. Hence the original shape! The reason for drinking less sugary beverages would likely by that the increased water substitutes for them in diet, quenching the thirst so that person does not feel as much need to drink sugary beverages. Increased water consumption, or replacement of energy-containing beverages with energy-free beverages, or consumption of water-rich foods such as fruits and vegetables with a lower energy density, may help in weight management.

Acupuncture now become a more common form of healthcare services not only other modalities but also for people who are struggling to control weight. An important aspect is that Onnuri SuJok a powerful tool to control over weight. Needless to say, if over weight in your life is throwing you off-balance, consider coming in for a treatment through the concept to regain peace of mind and stay healthy. It’s possible to eat your way to better health! The beauty of concept is that each treatment caters to the need of an individual. Its focus only on palm with the aim to increase blood circulation, vital energy and reducing the excess lipids, which are full of water that is why over weight with dominate humidity energy. If humidity energy is stagnated it will make pressure on tissues, and feeling of heaviness in the body, extremities, even in heart! Excess of lipids can be controlled either through the stomach or spleen meridian. If one is aware of Onnuri SuJok energy concept may focus through unified energy. One may put the colors with permanent marker pen as prescribed regularly.
Don’t forget to apprise, as your opinion matters a lot!

http://onnurimedicine.me ‘Dr.Dinesh kapur’
Enjoy!