Tuesday, 25 December 2018

Real Women -Real Experiences- 26.12.18

Real Women -Real Experiences- 26.12.18 

A woman aged 46 years, a resident of Kharghar, Navi Mumbai has been suffering from irregular heavy menstrual bleeding since 6-7 years. She has had two deliveries , both by Caesarean section. She underwent D & C a couple of times to manage her condition. She has been put on medicinal management for this time period for which she has responded inadequately.

She has been advised to undergo a hysterectomy as her condition is not controlled. And she has been refusing the decision for a couple of years now, making her management very difficult.

She also suffers from multiple other medical issues like hypertension and diabetes making her a high risk case surgically.

She required repeated counselling sessions to make her understand that she needs to undergo laparoscopic hysterectomy as soon as possible as the vaginal irregular bleeding was not controlled.
A couple of weeks ago she finally agreed for a hysterectomy.

The case proved to be a challenging one as  when we entered the peritoneal cavity , laparoscopically, we realized that there were a lot of adhesions between intestinal mesentry and uterus and adnexa.
The uterus per se also had increased to quite a massive size. The normal weight of the uterus is around 50-60 gm. The specimen that we took out weighed close to half a kilogram. It required a special laparoscopic instrument called morcellator to remove the specimen in bits and pieces taking almost 45 minutes of additional general anaesthesia time.

Very capable laparoscopic surgeon - Dr Santosh Jaybhaye  completed this surgery in 3.5 hours.

The uterus specimen had all the findings of having severe adenomyosis.

The beauty of laparoscopic surgery is that the post operative recovery is very smooth and quick. Patient can be mobile the next day and fully eating by day after. After completion of 72 hours of IV antibiotics, patient can be sent home.


By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-My Gynaec World

Official Head Quarter
Mother ‘n’ Care Clinic
Shri Row House-F 44/30
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai

Ph +91-7506027299
      +91- 9820193283
Email-mygynaecworld@gmail.com

People from following locations of Navi Mumbai can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi, Sanpada, Juinagar, Khanda Colony, Taloja

To know more log on to our website-

www.mygynaecworld.com


Friday, 26 October 2018

Preinvasive/Pre-Cancerous Lesions of the Lower Genital Tract of Women

Preinvasive/Pre-Cancerous Lesions of the Lower Genital Tract of Women


Hello friends,                                                                                                                                                                                                                                                                           Dated- 26.10.18

As this topic 'Preinvasive/Pre-Cancerous Lesions of the Lower Genital Tract of Women' is a vast topic and we want to bring understanding to this topic in as simple a language as possible such that it can be easily understood by everyone,we are starting an article series.

The introductory article will give you a glimpse about how will we go about it.

Let's start

-Pre-invasive lesions of the genital tract also is referred to as intraepithelial neoplasia which essentially means that the pathology or lesions are diagnosed by biopsy and histologic evaluation.

- These lesions include squamous epithelium or superficial surfaces of cervix, vagina, vulva, perineum and anus.

-In this series we will talk about the grading of these lesions and their terminology.

-In brief we will discuss pathology of external genitalia and vagina.

- However, we will discuss in detail the pathology involving cervix.

- I would like to mention that the formation and dynamics of cervix is such that squamo-columnar junction plays a big part in its pathology.

- This junction undergoes changes depending upon age, hormonal status and many other factors which we will discuss.

- Transformation zone which is the origin point of cervical cancer usually lies near to squamo-columnar junction. We will discuss relation between them.

-Human papilloma virus also known as HPV is the causative factor of cervical cancer.

-About HPV we will discuss its life cycle, types of virus, HPV transmission, outcome, natural history, diagnosis, treatment and prevention of HPV infection.

-While discussing cervical intraepithelial neoplasia we will talk about it incidence, natural history and risk factors.

-For its diagnosis cervical cytology also popularly known as Pap’s smear, HPV testing and colposcopy is used. We will discuss the guidelines and various procedures involved.

-Biopsy means microscopic evaluation of a piece of cervix. We will discuss its procedure.

-In management of cervical intraepithelial neoplasia, we will discuss ablative and excisional methods along with post treatment surveillance.

-For lesion involving vagina, vulva and anus we will discuss their pathophysiology, risk factors, diagnosis, treatment and prognosis.

-So, friends you do get an idea of what all things we will cover under this topic ‘Preinvasive/Precancerous Lesions of The Lower Genital Tract of Women’

-In next update of article of this series we will take one of the above listed topics and bring more clarity on that
-Keep a watch on this article itself as a dated update will arrive soon.

By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-My Gynaec World

Official Head Quarter
Mother ‘n’ Care Clinic
Shri Row House-F 44/30
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai

Ph +91-7506027299
      +91- 9820193283
Email-mygynaecworld@gmail.com

People from following locations of Navi Mumbai can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi, Sanpada, Juinagar, Khanda Colony, Taloja

To know more log on to our website-

www.mygynaecworld.com




Preinvasive/Precancerous Lesions of The Lower Genital Tract of Women

Thursday, 25 October 2018

Pelvic Mass in Women

                                                     
 Pelvic Mass in Women


Hello friends,                                                                                                                                                                                                                                                                                                                                                                                                                                                   Dated- 26.10.18

As this topic 'Pelvic Mass in Women' is a vast topic and we want to bring understanding to this topic in as simple a language as possible such that it can be easily understood by everyone,we are starting an article series.

The introductory article will give you a glimpse about how will we go about it.Let's start

- Pelvic masses   are common finding.

- In this series we are going to talk about gynaecological reasons for these masses, their symptoms, evaluation and treatment.

- The pathology of pelvic masses differs with each age group namely- pre-pubertal girls, adolescents, reproductive aged women and post-menopausal women.

- We will have a discussion age group vies about concerned pathologies.

-  In discussion of uterine causes, we will discuss leiomyoma or commonly  known as fibroid.

We will discuss is pathology, hormone effects, risk factors, classification, symptoms, management options- which include drug therapy and many modalities of surgery like myomectomy and hysterectomy and their routes like hysteroscopy, laparoscopy and laparotomy.

- We will talk about adenomyosis- its pathogenesis, risk factors, symptoms, diagnosis and management.

- We are going to discuss about masses arising from ovary.

Ovarian mass is a vast group. Our discussion will be mainly on ovarian cystic masses and functional ovarian   cysts.

- In this, we will discuss its pathogenesis, risk factors, symptoms, diagnosis and management.

-In tubal pathology, we will have a discussion on hydrosalpinx.

-In next update of article of this series we will take one of the above listed topics and bring more clarity on that

-Keep a watch on this article itself as a dated update will arrive soon.

By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-My Gynaec World

Official Head Quarter
Mother ‘n’ Care Clinic
Shri Row House-F 44/30
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai

Ph +91-7506027299
      +91- 9820193283
Email-mygynaecworld@gmail.com

People from following locations of Navi Mumbai can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi, Sanpada, Juinagar, Khanda Colony, Taloja

To know more log on to our website-

www.mygynaecworld.com






Pelvic Mass in Women ( Video series- Epi-1)

Sunday, 9 September 2018

Menopausal Transition ( Video Series- Epi-1)

Menopausal Transition

                                         
                                                   Menopausal Transition

Hello friends,                                                                                                                                                                                                                                                                     Dated- 10.9.18

As this topic 'Menopausal Transition' is a vast topic and we want to bring understanding to this topic in as simple a language as possible such that it can be easily understood by everyone, we are starting an article series.The introductory article will give you a glimpse about how will we go about it.

Let's start

-The   menopausal transition is a progressive endocrinological continuum that takes reproductive aged women from regular cyclic and predictable menses that are characteristic of ovulatory cycles to a final menstrual period associated with ovarian senescence.

-The term menopause refers to a point in time that follows one year after the   cessation of menstruation.

- The post menopause describes those years following this point. The average age of women experiencing their final menstrual period is 51-52 years.

-  The hormonal changes begin to happen a few years earlier to cessation of menses and extend to one year after that. These years are referred to as menopausal transition.

- We will discuss the changes that happen during this period that will include: - 

- Physiological changes- under this head we will discuss hormonal changes that occur in hypothalamus, pituitary, ovary and adrenal glands. 

- Endometrium is the lining of the uterus, that sheds with menses.  We will discuss menstrual disturbance patterns and fertility potential during menopausal transition

-The woman experiences thermoregulatory changes or vasomotor symptoms   such as hot flushes. We will discuss what causes it and its treatment part.

- Female hormones - Especially estrogen is very essential for maintaining strength of bones. When estrogen levels fall with menopause, skeletal disorders like osteopenia and osteoporosis may set in.

-We will discuss pathophysiology, diagnosis, prevention and treatment of these disorders.

- Menopausal transition and hormonal changes associated with it for changes in other systems too like, cardiovascular system, weight gain and fat distribution, skin changes, breasts changes, sleep disorder, psychosocial changes and sexual dysfunction.

-Along with this we will also discuss physical examination and lab testing for these disorders.

-So, friends you do get an idea of what all things we will cover under this topic ‘Menopausal Transition’

-In next update of article of this series we will take one of the above listed topics and bring more clarity on that

-Keep a watch on this article itself as a dated update will arrive soon.

By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-My Gynaec World

Official Head Quarter
Mother ‘n’ Care Clinic
Shri Row House-F 44/30
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai

Ph +91-7506027299
      +91- 9820193283
Email-mygynaecworld@gmail.com

People from following locations of Navi Mumbai can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi, Sanpada, Juinagar, Khanda Colony, Taloja

To know more log on to our website-

www.mygynaecworld.com


Saturday, 8 September 2018

Gestational Trophoblastic Disease ( Video Series-Epi-1)

Gestational Trophoblastic Disease

Gestational Trophoblastic Disease


Hello friends,                                                                                                                                                                                                                                                                           Dated- 8.9.18

As this topic 'Gestational Trophoblastic Disease' is a vast topic and we want to bring understanding to this topic in as simple a language as possible such that it can be easily understood by everyone,we are starting an article series.The introductory article will give you a glimpse about how will we go about it.

Let's start

-Gestational trophoblastic disease or GTD refers to a spectrum of interrelated but histologically distinct tumors originating from the placenta.

- These diseases are characterized by a reliable tumors marker beta HCG   and have varying tendencies towards local invasion and spread.

-Gestational trophoblastic neoplasia or GTN refers to the subset that develops malignant and cancerous sequelae.

-We will discuss incidence and risk factors of GTD.

- Hydatidiform mole or molar pregnancy is the subset which is benign or non- cancerous in nature.

-It is divided into two complete and partial hydatidiform mole. In this discussion we will see karyotype pattern, microscopic and macroscopic findings and clinical findings.

- Diagnosis of  mole is usually done by beta HCG estimation, trans- vaginal sonography and histopathology.

- Management requires suction evacuation of molar pregnancy and post molar surveillance by serial beta HCG level estimation. We will have a discussion on that.

-Gestational trophoblastic neoplasia include 

-Invasive mole 

-Gestational  choriocarcinoma 

-Placenta like trophoblastic tumor and 

-Epithelioid trophoblastic tumor

We will discuss criteria for diagnosis of GTN and their individual features.

- Most GTN cases are clinically diagnosed based on beta HCG levels.Tissue histology is also used.

-After diagnosis patients with GTN undergo thorough pre-treatment assessment including CT scan.

-Staging is done as per Gynaec society and WHO guidelines.

-This disease is divided into non-metastatic and metastatic disease.

- Treatment of GTN is either surgical or with chemotherapy.

-We will also discuss psychological consequences and subsequent pregnancy outcome of this disease.

-So, friends you do get an idea of what all things we will cover under this topic ‘Gestational Trophoblastic Disease’

-In next update of article of this series we will take one of the above listed topics and bring more clarity on that

-Keep a watch on this article itself as a dated update will arrive soon.


By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-My Gynaec World

Official Head Quarter
Mother ‘n’ Care Clinic
Shri Row House-F 44/30
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai

Ph +91-7506027299
      +91- 9820193283
Email-mygynaecworld@gmail.com

People from following locations of Navi Mumbai can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi, Sanpada, Juinagar, Khanda Colony, Taloja

To know more log on to our website-

www.mygynaecworld.com

Wednesday, 5 September 2018

Evaluation of Couple Seeking Fertility ( Video Series- Epi-1)

Evaluation of Couple Seeking Fertility

Evaluation of Couple Seeking Fertility


Hello friends,                                                                                                                                                                                                                                                                          Dated- 6.9.18

As this topic 'Evaluation of Couple Seeking Fertility' is a vast topic and we want to bring understanding to this topic in as simple a language as possible such that it can be easily understood by everyone,we are starting an article series. The introductory article will give you a glimpse about how will we go about it.

Let's start

-Infertility is defined as the inability to conceive after 1 year of unprotected intercourse of reasonable frequency.

- it can be subdivided into primary infertility, that is no prior pregnancies and secondary infertility referring to infertility following at least one prior conception.

- We will look into the definition of fecundability and population studies and its relation to age.

-We will discuss when should we consider investigations in a couple.

- We will have a discussion on etiology

- that is causative factors, both male and female leading to infertility.

- Medical History taking of both partners will be discussed that will include medical, surgical, medication and social aspects.

-Importance of physical examination will be explained.

-There are certain tests which determine specific causes of infertility like- 

- Ovulation studies 

-Tubal and pelvic factors 

-Uterine abnormalities and 

-Cervical factors 

We will have a discussion on these factors

-We will have a separate discussion on normal and abnormal production of sperms and its evaluation.

-So, friends you do get an idea of what all things we will cover under this topic ‘Evaluation of Couple Seeking Fertility’

-In next update of article of this series we will take one of the above listed topics and bring more clarity on that -Keep a watch on this article itself as a dated update will arrive soon. 


By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-My Gynaec World

Official Head Quarter
Mother ‘n’ Care Clinic
Shri Row House-F 44/30
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai

Ph +91-7506027299
      +91- 9820193283
Email-mygynaecworld@gmail.com

People from following locations of Navi Mumbai can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi, Sanpada, Juinagar, Khanda Colony, Taloja

To know more log on to our website-

www.mygynaecworld.com

Tuesday, 4 September 2018

Endometriosis


Endometriosis

Hello friends,                                                                                                                                                                                                                                                                           Dated- 5.9.18

As this topic 'Endometriosis' is a vast topic and we want to bring understanding to this topic in as simple a language as possible such that it can be easily understood by everyone,we are starting an article series.

The introductory article will give you a glimpse about how will we go about it.

Let's start

-Endometriosis is a common benign gynecologic disorder defined as the presence of endometrial glands and stroma outside of the normal location.

- The word endometrium means- inner lining of the uterus which gets shed every month during menstruation.

- Endometriosis gives rise to variety of symptoms in women of chiefly reproductive age group.

- In simple language we will explain the causes of endometriosis, its hormone dependence and role of the immune system.

- We will discuss   risk factors of endometriosis.

- We will discuss its classification system and anatomic sites where it is present.

- Patient may present with pain of various origins, infertility of various degrees and in advanced cases- intestinal and ureteral obstruction.

- In diagnosis of endometriosis, we will discuss physical examination, lab testing, role of sonography, CT scan, MRI, importance of diagnostic laparoscopy and histopathologic analysis.

- Treatment of endometriosis depends on many factors like severity of symptoms, location of endometriotic lesions and desire to conserve future fertility.

- Medical management of endometriosis requires giving non-steroidal anti-inflammatory drugs, hormones, GnRH agonists and GnRH antagonists.

- The route of surgical treatment can be either laparoscopy or laparotomy. it can include lesion removal and adhesiolysis, endometrioma resection and hysterectomy with bilateral salpingo-oophorectomy-

So, friends you do get an idea of what all things we will cover under this topic ‘Endometriosis’.


-In next update of article of this series we will take one of the above listed  topics and bring more clarity on that

-Keep a watch on this article itself as a dated update will arrive soon.


By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-My Gynaec World

Official Head Quarter
Mother ‘n’ Care Clinic
Shri Row House-F 44/30
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai

Ph +91-7506027299
      +91- 9820193283
Email-mygynaecworld@gmail.com

People from following locations of Navi Mumbai can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi, Sanpada, Juinagar, Khanda Colony, Taloja

To know more log on to our website-

www.mygynaecworld.com






Endometriosis ( Video series- Epi-1)

Monday, 3 September 2018

Ectopic Pregnancy

                                                 

                                                 Ectopic Pregnancy


Hello friends,                                                                                                                                                                                                                                                                           Dated- 4.9.18

As this topic 'Ectopic Pregnancy' is a vast topic and we want to bring understanding to this topic in as simple a language as possible such that it can be easily understood by everyone,we are starting an article series.

The introductory article will give you a glimpse about how will we go about it.

Let's start

-An ectopic or extra uterine pregnancy is one in which the blastocyst implants anywhere other than the endometrial lining of the uterine cavity.

-We will discuss the factors that will help in explaining the increased incidence of ectopic pregnancy.

-There are consequences of ectopic pregnancy like tubal rupture and tubal damage which are associated with maternal morbidity and in rare cases with mortality too. We will have a discussion on that.

-We will discuss clinical symptoms and signs of ectopic pregnancy.

-Certain blood tests and sonography or ultrasound aid in arriving at a diagnosis. We will have discussion on these findings.

-Ectopic pregnancy can be managed either medically or surgically.

-There are certain criteria to be met during medical management, we will discuss that.

-Surgical treatment is either by laparotomy or laparoscopy.

-Surgery done is either salpingectomy or salpingostomy.

-So, friends you do get an idea of what all things we will cover under this topic ‘Ectopic Pregnancy’



-In next update of article of this series we will take one of the above listed  topics and bring more clarity on that-Keep a watch on this article itself as a dated update will arrive soon.



By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-My Gynaec World

Official Head Quarter
Mother ‘n’ Care Clinic
Shri Row House-F 44/30
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai

Ph +91-7506027299
      +91- 9820193283
Email-mygynaecworld@gmail.com

People from following locations of Navi Mumbai can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi, Sanpada, Juinagar, Khanda Colony, Taloja

To know more log on to our website-

www.mygynaecworld.com

Ectopic Pregnancy ( Video Series-Epi-1)

Sunday, 2 September 2018

Abnormal Uterine Bleeding in Women

Hello friends,                                                                                                                                                                                                                                                                           Dated- 2.9.18
As this topic  'Abnormal Uterine Bleeding in Women' is a vast topic and we want to bring understanding to this topic in as simple a language as possible such that it can be easily understood by everyone,we are starting an article series.The introductory article will give you a glimpse about how will we go about it.
Let's start
We will first discuss the definitions and the terms used to describe abnormal uterine bleeding like menorrhagia, metrorrhagia and oligomenorrhea.
- We will discuss normal cycle duration and interval.
-Incidence of abnormal uterine bleeding and most common reasons that are there in childhood, adolescence, reproductive age, perimenopause and menopause age group will be discussed.
- We will also talk about other symptoms of AUB like post coital bleeding and pelvic pain.
- Diagnosis is done by physical examination of patient, lab investigations include blood tests and cytologic examination.
- Endometrial biopsy, sonography, colour doppler and hysteroscopy are also done to arrive at diagnosis.
-Management options depend on cause of the problem, like surgical treatment in cases of endometrial and endocervical   polyp.
- Hormone releasing intra uterine devices and oral tablets which can be hormonal or non-hormonal are used.
-Other medicines like antifibrinolytic drugs, haemostatic agents and iron therapy are also used 
-So friends you do get an idea of what all things we will cover under this topic ‘Abnormal Uterine Bleeding in Women’ or AUB
-In next update of article of this series we will take one of the above listed  topics and bring more clarity on that
-Keep a watch on this article itself as a dated update will arrive soon.

By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-My Gynaec World


Official Head Quarter
Mother ‘n’ Care Clinic
Shri Row House-F 44/30
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai

Ph +91-7506027299
      +91- 9820193283
Email-mygynaecworld@gmail.com


People from following locations of Navi Mumbai can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi, Sanpada, Juinagar, Khanda Colony, Taloja

To know more log on to our website-


www.mygynaecworld.com


Monday, 16 April 2018

Article Series -Techniques Used for Imaging In Gynaecology, Part -1 Introduction

Article Series -Techniques Used for Imaging In Gynaecology,
Part -1 Introduction

Hello friends,
We are starting a new series of write ups that will give information & knowledge about a major Gynaecology related topic,the first of which being-

Techniques used for imaging in gynaecology 

-The first modality is sonograph
-We will discuss about the routes of sonography that are trans- abdominal and trans- vaginal 
- Doppler Technology which is study of blood flow through blood vessels in pelvic organs 
-We will tell you about the normal sonographic findings of female reproductive tract organs and normal condition of endometrium and evaluation of pelvic floor
 -We will discuss clinical applications of sonography in determining pathological condition of uterus like fibroids and adenomyosis,endometrial abnormalities, 
-Pathological conditions of ovaries that include tumors and torsion 
- Pelvic inflammatory disease 
-Benefits of 3D sonography


 -We will discuss HSG or hysterosalpingography as fallopian tube’s patency test in infertility cases 


-Discussion on CT scan will include
 -Normal pelvic anatomy 
-Importance of CT scan after gynaec surgery and gynaec malignancy 


-Discussion on MRI will include 
-Normal findings on MRI 
-Uterine abnormalities like fibroids and adenomyosis 
-Congenital anomalies of genital tract 
-Adnexal masses 
-Gynecologic malignancies of cervix, endometrium and ovaries

- so friends, you do get an idea of what all things we will discuss 
-In next write up of this series we will take one of the above listed topics and have a discussion on that 

 My Gynaec World makes an effort to spread awareness about holistic woman health care through our website, blogs and YouTube channel


By
Dr Himani Gupta
Gynaecologist & Obstetrician
Director-My Gynaec World


Official Head Quarter
Mother ‘n’ Care Clinic
Shri Row House-F 44/30
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai

Ph +91-7506027299
      +91- 9820193283
Email-mygynaecworld@gmail.com


People from following locations of Navi Mumbai can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi, Sanpada, Juinagar, Khanda Colony, Taloja

To know more log on to our website-
www.mygynaecworld.com









Friday, 30 March 2018

Health awareness lecture- 20.3.18- organized by Jyeshtha Nagrik Sangh Panvel

Health awareness lecture- 20.3.18- organized by Jyeshtha Nagrik Sangh Panvel



Jyeshtha Nagrik Sangh of Panvel organized a health awareness lecture on 20.3.18. Dr Himani Gupta, Gynaecologist from Kharghar, Navi Mumbai under the aegis of AMOGS- The Association of Maharashtra Obstetrics & Gynaecological Societies, addressed the women on following topics:-
1) Prevention of cervical cancer by vaccine for adolescent girls and early detection by Pap’s smear
2) Early detection of breast cancer by screening mammography and on court demonstration of technique of self-breast examination
3) Osteoporosis- prevention and treatment   

My Gynaec World makes an effort to spread awareness about comprehensive woman health care through our website, blogs and YouTube channel


People from following locations of Navi Mumbai can approach us for Gynaecology related advise

-Kharghar,Kamothe,Kalamboli,Panvel,Road Pali,CBD Belapur,Seawoods,Nerul,Vashi,  Sanpada, Juinagar, Khanda Colony, Taloja

To know more log on to our website-www.mygynaecworld.com
By
Dr Himani Gupta
Gynaecologiost
Ph +91-7506027299
      +91- 9820193283
Email-mygynaecworld@gmail.com
Web- www.mygynaecworld.com
Mother ‘n’ Care Clinic
Shri Row House-F 44/30
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai



Tuesday, 13 March 2018

Apeejay School Kharghar , Navi Mumbai- Lecture on awareness & Health-10.3.18







Apeejay School Kharghar , Navi Mumbai organised a lecture on awareness & Health on 10.3.18 by Dr Himani Gupta- Gynaecologist

Topics were related to health issues of teachers as well as students. They included discussion on nutritional deficiencies among children, obesity and dietary habits, importance of exercises, menstrual problems and hygiene, misuse of emergency contraceptive pill, liberal social behaviour and teenage pregnancy- medical and ethical challenges, communication between children and parents etc.

By 
Dr Himani Gupta





Sunday, 4 February 2018

टी. बी और गर्भावस्था ( (Tuberculosis And Pregnancy )

टी  बी और गर्भावस्था  ( (Tuberculosis And Pregnancy )


टी बी -यानि Tuberculosis  की बीमारी एक जीवाणु Mycobacterium Tuberculosis  की वजह से होती है।
टी बी आज भी विश्व की सबसे जानलेवा बीमारियों में से एक है।
40 लाख से भी ज़्यादा स्त्रियाँ हर साल इस बीमारी का शिकार बनती हैं और कई लाख मौतें भी होती हैं।
गर्भवती महिलाओं में सबसे ज़्यादा पायी जाने वाली टी बी फेफड़ों ( lungs ) की है।
इसके अलावा हड्डी (bones ), गुर्दा (kidney ), पेट ( abdominal ), lymph nodes , meninges ( part of brain ), यहां भी टी बी हो सकता है।




 टी बी का प्रेगनेंसी पर असर

अगर सही समय पर निदान (diagnosis ) हो जाए और संपूर्ण उपचार किया जाये तो टी बी से गर्भवती महिला और शिशु दोनों को ही कुछ भी हानि नहीं होती।
यदि ऐसा ना हो पाए या इलाज को बीच में ही छोड़ दिया जाये तो कई तरह की समस्याओं का सामना करना पड़ सकता है।
-गर्भपात ( abortion )
-पेट में ही बच्चे की मृत्यु ( intra uterine fetal death )
-गर्भ का ठीक से ना बढ़ना ( fetal growth restriction )
-नवजात शिशु की मृत्यु ( perinatal mortality )

अगर महिला का खान पान समय पर और पौष्टिक ना हो या उसमें खून की कमी हो तो उसे कई तरह की परेशानियाँ हो सकती हैं।


 प्रेगनेंसी का टी बी पर असर

अगर किसी महिला को टी बी है और वह गर्भवती हो जाती है तो यह देखा गया है कि टी बी की बीमारी उससे अप्रभावित रहती है।


प्रेगनेंसी में टी बी के symptoms

प्रेगनेंसी और टी बी के लक्षण बहुत कुछ मिलते जुलते हो सकते हैं और यह जानना मुश्किल हो सकता है कि महिला को क्या हो रहा है। जैसे कि
-उबकाई या उल्टी ( nausea / vomiting )
-वज़न का कम होना
-बुखार जैसा लगना
-हृदय की धड़कन का तेज़ होना ( tachycardia )


टी बी की जाँचें

 -मांटू टेस्ट ( Mantoux test )



-छाती का एक्सरे ( Chest  X- Ray )


-बलगम की जाँच ( sputum examination )
-Biopsy , FNAC
-फेफड़ों ,पेट और हृदय के आस पास के पानी की जाँच ( Fluid from pleural, ascitic or pericardial effusion )
-रीढ़ की हड्डी के पानी की जाँच ( lumbar puncture for TB meningitis )
-दूरबीन द्वारा फेफड़ों या अमाशय को देखना
-ELISA & PCR  test


टी बी का ट्रीटमेंट

टी बी की चार मुख्य दवाएं इस प्रकार हैं
- Isoniazid
-Rifampicin
-Pyrazinamide
-Ethambutol

इन दवाओं को छः महीने तक दिया जाता है
WHO ( World Health Organisation ), DOTS ( Directly Observed Treatment, Short Course ) को मान्यता देता है
ये सभी दवाएँ गर्भावस्था में देना सुरक्षित है।
जैसे ही टी बी का निदान हो , डॉक्टर की सलाह से इन दवाओं को शुरू कर देना चाहिए।



Drug Resistant टी बी

कभी कभी टी बी के जीवाणु पर इन मुख्य दवाओं का असर नहीं होता।  इस समय कुछ अलग दवाएं इस्तेमाल करनी होती  हैं ।  पर यह second line treatment गर्भ में पल रहे शिशु के लिए सुरक्षित नहीं है।  ऐसे समय अगर गर्भवती स्त्री चाहे तो अपने डॉक्टर की सलाह से समय रहते ,  गर्भपात ( Abortion ) के उपाय को चुन सकती है। दवाओं के नाम इस प्रकार से हैं।
-Kanamycin
-Ofloxacin
-Ethionmide
-Cycloserine
-Capreomycin


प्रसव ( Delivery ) के दौरान क्या करें

टी बी ग्रस्त महिला की प्रसव के दौरान देखभाल वैसे ही की जाती है जैसे की किसी भी दूसरी महिला की करेंगे।


नवजात शिशु की देखभाल

यह इस बात पर निर्भर करता है कि माँ की टी बी कितने ज़ोर पर है।  बलगम में टी बी के जीवाणु उपस्थित हैं या नहीं।  क्या माँ को drug resistant  टी बी है।
नवजात शिशु की कुछ जाँचे  भी करनी पड़ सकती हैं जैसे कि -
-Tuberculin test
- छाती का x -ray
इन सब जाँचों  के आधार पर शिशु रोग तज्ञ ( Pediatrician ) यह निर्णय लेते हैं  कि शिशु को दवा दी जानी चाहिये या नहीं।
BCG Vaccine ( टीकाकरण ) करने का निर्णय भी जाँचों  की रिपोर्ट के आधार पर लिया जाता है।


टी बी और स्तनपान ( Breast Feeding )

अगर माँ की टी बी Drug Resistant है , तब स्तनपान करना वर्जित Contraindicated ) है।
बाकी सब तरह की टी बी में माँ को स्तनपान करना अनिवार्य ( Compulsory ) है।
यह हो सकता है कि शिशु को भी कुछ दवायें  देने की ज़रुरत पड़े जैसे कि Isoniazid  या Pyridoxine , यह दवाएँ  शिशु को सुरक्षित रखती हैं।

टी बी और गर्भ निरोध

अगर महिला टी बी की दवाइयाँ ले रही होती है तब गर्भ -निरोधक गोलियाँ उसे सुरक्षित नहीं रख सकतीं। ऐसे में गर्भ निरोध के अन्य साधनों जैसे कंडोम का इस्तेमाल करने की सलाह दी जाती है।


HIV बाधित गर्भवती महिला और टी बी 




अगर महिला HIV बाधित है तो उसे टी बी होने की संभावना एक आम महिला के मुकाबले दस गुना ज़्यादा है।  यहाँ  महिला को जान का खतरा भी ज़्यादा है।
बुरे परिणाम बच्चे पर भी हो सकते हैं। जैसे -
-उसका समय से पहले जन्म लेना ( Prematurity )
-कमज़ोर पैदा होना  ( IUGR - Intra Uterine Growth Retardation )
-शिशु का HIV  बाधित हो जाना


जन्मजात ( Congenital ) टी बी

नवजात शिशु भी टी बी ग्रस्त हो सकता है।
यह बीमारी उसे अवल नाल ( Umbilical  Cord ) के ज़रिये माँ  के खून से मिल सकती है।
गर्भ में शिशु जिस तरल पदार्थ में तैरता है ( Amniotic Fluid ), वह भी जीवाणु युक्त हो सकता है और शिशु को संक्रमित कर सकता है।
जन्म के बाद आने वाली अंवल नाल ( Placenta and Cord  ) को जाँच के लिए भेजना चाहिए ताकि संक्रमण का पता कर सकें।
अगर माँ को टी बी है तो जन्म के बाद शिशु की कुछ जाँचे की जाती हैं ताकि पता चल सके की वह संक्रमित है या नहीं।
जन्म के दूसरे या तीसरे हफ्ते से टी बी के लक्षण सामने आने लगते हैं। जैसे कि -
-बच्चे का ठीक से दूध न पीना
-बुखार
-कमज़ोरी
-चिड़चिड़ापन
-कान का बहना
-त्वचा पर चकत्ते
-साँस लेने में तकलीफ़

अगर शिशु में यह लक्षण दिखाई दें और टी बी का निदान करना आवश्यक समझा जाये तो निम्नलिखित जाँचो  को किया जा सकता है -
- Mantoux  test
-छाती का एक्स रे ( Chest X -Ray )
- फेफड़ों और अमाशय के पानी की जाँच ( Broncho-alveolar and Gastric Lavage )

निदान होने के पश्चात उचित उपचार तुरंत शुरू कर देना चाहिए।

अगर समय रहते टी बी का निदान और  सम्पूर्ण  उपचार किया जाए तो Tuberculosis  यानि  कि  टी बी भी अन्य दूसरी बीमारियों की तरह पूरी तरह से ठीक हो जाती है।

सतर्क रहें सुरक्षित रहें।


My Gynaec World makes an effort to spread awareness about comprehensive woman health care through our website, blogs and YouTube channel

By
Dr Himani Gupta
Director
My Gynaec World
We are committed to spread awareness about health and wellness
To know more log onto our website
www.mygynaecworld.com


Official Head Quarter
Mother ‘n’ Care Clinic
Shri Row House-F 44/30
Near Shivaji Chowk
Sector 12-Kharghar, Navi Mumbai

Ph +91-7506027299
      +91- 9820193283
Email-mygynaecworld@gmail.com